| Graves-gilbert Clinic | |
|
201 Park St Bowling Green KY 42101-1759 | |
| (270) 781-5111 | |
| (270) 780-0479 |
| Full Name | Graves-gilbert Clinic |
|---|---|
| Speciality | Specialist |
| Location | 201 Park St, Bowling Green, Kentucky |
| Authorized Official Name and Position | Steven K Sinclair (ADMINISTRATOR) |
| Authorized Official Contact | 2707815111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graves-gilbert Clinic 201 Park St Bowling Green KY 42101-1742 Ph: (270) 781-5111 | Graves-gilbert Clinic 201 Park St Bowling Green KY 42101-1759 Ph: (270) 781-5111 |
| NPI Number | 1114948288 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Medicare PECOS PAC ID | 4082511167 |
|---|---|
| Medicare Enrollment ID | O20031217000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114948288 | NPI | - | NPPES |
| CC0284 | Other | KY | MEDICARE RAILROAD |
| 65908766 | Medicaid | KY | |
| 0584320001 | Other | KY | DME MEDICARE |
| Provider Name | Donald Francis Rauh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548266976 PECOS PAC ID: 3678470853 Enrollment ID: I20031216000515 |
| Provider Name | Tage F Haase |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376547117 PECOS PAC ID: 3779481932 Enrollment ID: I20031224000042 |
| Provider Name | Virag Pandeya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962411504 PECOS PAC ID: 4486549938 Enrollment ID: I20040216000455 |
| Provider Name | Tara S. Perdue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639280985 PECOS PAC ID: 9739074014 Enrollment ID: I20040217000000 |
| Provider Name | Medhat N Grace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083608566 PECOS PAC ID: 8022903046 Enrollment ID: I20040218000878 |
| Provider Name | Jennifer D Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740246354 PECOS PAC ID: 8820984750 Enrollment ID: I20040226000384 |
| Provider Name | Kamal P Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902885759 PECOS PAC ID: 6608868385 Enrollment ID: I20040401001021 |
| Provider Name | Craig A Losekamp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073517843 PECOS PAC ID: 2163416462 Enrollment ID: I20040410000081 |
| Provider Name | Sean Timothy Willgruber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790781649 PECOS PAC ID: 5991788283 Enrollment ID: I20040608001368 |
| Provider Name | Leslie Kinsey Tutt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053317909 PECOS PAC ID: 5991785321 Enrollment ID: I20040724000298 |
| Provider Name | John D Gover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467450635 PECOS PAC ID: 4789654021 Enrollment ID: I20040726001419 |
| Provider Name | Ashley J Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912905985 PECOS PAC ID: 4587634837 Enrollment ID: I20040726001438 |
| Provider Name | Pravin N Avula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245271436 PECOS PAC ID: 4981505724 Enrollment ID: I20040803001672 |
| Provider Name | Roy L Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235109554 PECOS PAC ID: 8527037993 Enrollment ID: I20041001000464 |
| Provider Name | Nirav Sheth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134137144 PECOS PAC ID: 5092775874 Enrollment ID: I20041015000449 |
| Provider Name | Abhilasha Mahesh Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821081779 PECOS PAC ID: 0547223422 Enrollment ID: I20041111000197 |
| Provider Name | Karuna G Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235113259 PECOS PAC ID: 8224094404 Enrollment ID: I20041209000097 |
| Provider Name | Twyla D Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174529374 PECOS PAC ID: 1153372248 Enrollment ID: I20050207000282 |
| Provider Name | Michael J Zachek |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1457357865 PECOS PAC ID: 8921059023 Enrollment ID: I20050207000319 |
| Provider Name | Christopher M Patton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457354177 PECOS PAC ID: 6305891920 Enrollment ID: I20050316000972 |
| Provider Name | Robert T Wesley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144275348 PECOS PAC ID: 2860448958 Enrollment ID: I20050322000751 |
| Provider Name | James R Hinkebein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497717722 PECOS PAC ID: 6103867239 Enrollment ID: I20050518000948 |
| Provider Name | Carol Cary Mosby |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295890036 PECOS PAC ID: 6709820970 Enrollment ID: I20050617000793 |
| Provider Name | Cynthia Diane Hudson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689739963 PECOS PAC ID: 2567406747 Enrollment ID: I20050617000873 |
| Provider Name | David C Napier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083639272 PECOS PAC ID: 9638194756 Enrollment ID: I20051007000644 |
| Provider Name | Keith D Morrison |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1902809171 PECOS PAC ID: 9739104522 Enrollment ID: I20051011000517 |
| Provider Name | Roger T Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740230366 PECOS PAC ID: 4981707957 Enrollment ID: I20070312000431 |
| Provider Name | Gina K Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124101332 PECOS PAC ID: 2062515521 Enrollment ID: I20070321000552 |
| Provider Name | Elizabeth G. Walkup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356439301 PECOS PAC ID: 6709981186 Enrollment ID: I20070412000531 |
| Provider Name | Shannon M Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841369147 PECOS PAC ID: 3870699242 Enrollment ID: I20070501000299 |
| Provider Name | Elizabeth A Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003956426 PECOS PAC ID: 6103925672 Enrollment ID: I20070625000137 |
| Provider Name | Todd A Drexel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437259108 PECOS PAC ID: 1951401140 Enrollment ID: I20070718000030 |
| Provider Name | Phillip W Bale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376533992 PECOS PAC ID: 2365536562 Enrollment ID: I20070919000378 |
| Provider Name | Beverly J Mortimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053502260 PECOS PAC ID: 8123112331 Enrollment ID: I20070919000405 |
| Provider Name | Shelia Ann Catlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194932376 PECOS PAC ID: 1355435579 Enrollment ID: I20070919000561 |
| Provider Name | Lisa Kaye Proffitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649460544 PECOS PAC ID: 5991899742 Enrollment ID: I20070924000575 |
| Provider Name | Charles A Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841487659 PECOS PAC ID: 2466548532 Enrollment ID: I20071020000007 |
| Provider Name | Brian K Macy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154484277 PECOS PAC ID: 5395832125 Enrollment ID: I20071026000016 |
| Provider Name | Heather L Parnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063684819 PECOS PAC ID: 3375613870 Enrollment ID: I20080609000914 |
| Provider Name | Steven A Lagermann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902070394 PECOS PAC ID: 1355411869 Enrollment ID: I20080610000011 |
| Provider Name | Shannon W Watkins |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1902972441 PECOS PAC ID: 7315018686 Enrollment ID: I20080612000890 |
| Provider Name | Kushal P Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982876967 PECOS PAC ID: 1951474782 Enrollment ID: I20080726000018 |
| Provider Name | Vidya Seshadri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184843369 PECOS PAC ID: 3274695903 Enrollment ID: I20081215000311 |
| Provider Name | Jacqueline M Granese |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649479460 PECOS PAC ID: 5395800015 Enrollment ID: I20090212000567 |
| Provider Name | Beth A Bryant |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861436917 PECOS PAC ID: 0244396851 Enrollment ID: I20090306000127 |
| Provider Name | Thomas G Sternberg |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1467448175 PECOS PAC ID: 3274685821 Enrollment ID: I20090714000100 |
| Provider Name | Marc Aaron Moore |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225185044 PECOS PAC ID: 9335292473 Enrollment ID: I20090806000459 |
| Provider Name | Matthew Edward Rutter |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588650758 PECOS PAC ID: 7113976085 Enrollment ID: I20090808000001 |
| Provider Name | Neha A. Pansuria |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659534071 PECOS PAC ID: 0749333797 Enrollment ID: I20090808000054 |
| Provider Name | Sara L Mangold |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093954828 PECOS PAC ID: 7618023110 Enrollment ID: I20090925000046 |
| Provider Name | Samer R Kalakish |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093999385 PECOS PAC ID: 1951457399 Enrollment ID: I20090925000480 |
| Provider Name | Jeffrey Purvis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740270370 PECOS PAC ID: 7618015751 Enrollment ID: I20091130000248 |
| Provider Name | Laura G Harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942534557 PECOS PAC ID: 7214077122 Enrollment ID: I20091224000045 |
| Provider Name | Bonnie Susan Stagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235324328 PECOS PAC ID: 7517053945 Enrollment ID: I20100129000217 |
| Provider Name | Diana Granese |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518954676 PECOS PAC ID: 4486798808 Enrollment ID: I20100223000163 |
| Provider Name | David B Richards |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982607602 PECOS PAC ID: 6507946084 Enrollment ID: I20100305000073 |
| Provider Name | Kirk A Fee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568465284 PECOS PAC ID: 2961582432 Enrollment ID: I20100306000008 |
| Provider Name | Linda M Pillow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245564947 PECOS PAC ID: 2365587813 Enrollment ID: I20100308000865 |
| Provider Name | Diego Mastronardi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104822626 PECOS PAC ID: 0143356675 Enrollment ID: I20100410000059 |
| Provider Name | Sherryl B Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578569984 PECOS PAC ID: 1759417249 Enrollment ID: I20100414000358 |
| Provider Name | Hope Havener |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639173495 PECOS PAC ID: 8820125354 Enrollment ID: I20100414000901 |
| Provider Name | Gregg A Malmquist |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881697969 PECOS PAC ID: 9234219718 Enrollment ID: I20100415000919 |
| Provider Name | Asad Fraser |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497759286 PECOS PAC ID: 7719014166 Enrollment ID: I20100416000463 |
| Provider Name | Rance Wentworth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013913417 PECOS PAC ID: 8426185877 Enrollment ID: I20100416000484 |
| Provider Name | Jennifer Wentworth |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033115431 PECOS PAC ID: 8022145481 Enrollment ID: I20100416000540 |
| Provider Name | Mark E. Bigler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073517066 PECOS PAC ID: 3678600525 Enrollment ID: I20100423000673 |
| Provider Name | Mark Lowry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578569083 PECOS PAC ID: 5890822753 Enrollment ID: I20100423000754 |
| Provider Name | Timothy Wierson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295731602 PECOS PAC ID: 0749317634 Enrollment ID: I20100426000076 |
| Provider Name | Joseph Gass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467456251 PECOS PAC ID: 3072640960 Enrollment ID: I20100426000122 |
| Provider Name | Jianhua Zhu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033115449 PECOS PAC ID: 3870620776 Enrollment ID: I20100426000156 |
| Provider Name | Taotafa S Tamminga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174596209 PECOS PAC ID: 5395872071 Enrollment ID: I20100429000182 |
| Provider Name | Wesley Chou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841294717 PECOS PAC ID: 7416084009 Enrollment ID: I20100430000374 |
| Provider Name | Jackie Pandeya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447588488 PECOS PAC ID: 6800925710 Enrollment ID: I20100602000029 |
| Provider Name | Gregg F Nicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588658272 PECOS PAC ID: 8123150828 Enrollment ID: I20100715000705 |
| Provider Name | Meshel Darlene Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326283961 PECOS PAC ID: 5092865691 Enrollment ID: I20100812000440 |
| Provider Name | Nathan Stice |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639213044 PECOS PAC ID: 1951425024 Enrollment ID: I20100825001050 |
| Provider Name | Amber R Chambers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790097111 PECOS PAC ID: 8224152798 Enrollment ID: I20100907000112 |
| Provider Name | Tequila J Staten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043549918 PECOS PAC ID: 7911023122 Enrollment ID: I20100924000996 |
| Provider Name | Marina A Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700113321 PECOS PAC ID: 0547452443 Enrollment ID: I20101011000841 |
| Provider Name | Susan Pardue |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912032004 PECOS PAC ID: 9739372806 Enrollment ID: I20101021000266 |
| Provider Name | Allison L Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609074608 PECOS PAC ID: 2961696190 Enrollment ID: I20101102000643 |
| Provider Name | Anson Hsieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316940596 PECOS PAC ID: 0143416024 Enrollment ID: I20101118000739 |
| Provider Name | Ambreen Fraser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578557047 PECOS PAC ID: 0840487740 Enrollment ID: I20101203001041 |
| Provider Name | Melody R Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659681799 PECOS PAC ID: 3173710456 Enrollment ID: I20101213000723 |
| Provider Name | Sandeep Chhabra |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1205887858 PECOS PAC ID: 3577742345 Enrollment ID: I20110125001293 |
| Provider Name | Carl W Dobson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972505527 PECOS PAC ID: 0547168221 Enrollment ID: I20110210000727 |
| Provider Name | Kevin Jackson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588977508 PECOS PAC ID: 2365630662 Enrollment ID: I20110518000711 |
| Provider Name | Shalini Chhabra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629141817 PECOS PAC ID: 8123204518 Enrollment ID: I20110519000487 |
| Provider Name | Eme Oko Igbokwe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346432507 PECOS PAC ID: 3779497466 Enrollment ID: I20110803000257 |
| Provider Name | Charles Lin |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1326042185 PECOS PAC ID: 4082883574 Enrollment ID: I20110818000480 |
| Provider Name | Jennifer R Parrott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275812133 PECOS PAC ID: 1759551666 Enrollment ID: I20110901000648 |
| Provider Name | Annette Lynn Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497035505 PECOS PAC ID: 3173795283 Enrollment ID: I20111015000022 |
| Provider Name | Dawn K Guess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841573326 PECOS PAC ID: 0749456150 Enrollment ID: I20120106000518 |
| Provider Name | Ashley Norris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679737209 PECOS PAC ID: 0244498384 Enrollment ID: I20120221000848 |
| Provider Name | Jennifer Lynn Cary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760755565 PECOS PAC ID: 2668631912 Enrollment ID: I20120306001056 |
| Provider Name | Lindsay M Mcgehee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932417151 PECOS PAC ID: 2163683848 Enrollment ID: I20120406000079 |
| Provider Name | Anthony R Arauz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801921507 PECOS PAC ID: 3870779853 Enrollment ID: I20120627000817 |
| Provider Name | Kyle A Pierson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740541556 PECOS PAC ID: 2466617063 Enrollment ID: I20120705000430 |
| Provider Name | Katherine D Napier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316201379 PECOS PAC ID: 5294984936 Enrollment ID: I20121012000414 |
| Provider Name | Karyn J Herald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740525385 PECOS PAC ID: 0941455703 Enrollment ID: I20130227000433 |
| Provider Name | Tonya L. Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477831642 PECOS PAC ID: 8527213206 Enrollment ID: I20130301000509 |
| Provider Name | Kathy Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154661296 PECOS PAC ID: 9234375585 Enrollment ID: I20130411000448 |
| Provider Name | Marie Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497050645 PECOS PAC ID: 4880831312 Enrollment ID: I20130430000669 |
| Provider Name | Lauren Myrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215206123 PECOS PAC ID: 5294976783 Enrollment ID: I20130727000067 |
| Provider Name | Andrea J Brooks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295978310 PECOS PAC ID: 1052553583 Enrollment ID: I20130813000896 |
| Provider Name | Haley A. Petty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902232341 PECOS PAC ID: 7113152257 Enrollment ID: I20131028000867 |
| Provider Name | Kimberlee G Sliger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306288436 PECOS PAC ID: 2769617729 Enrollment ID: I20131028001889 |
| Provider Name | Prasanthi S. Boyareddygari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972679819 PECOS PAC ID: 2264668383 Enrollment ID: I20131120001108 |
| Provider Name | Whitney Brooks Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023430386 PECOS PAC ID: 3476781964 Enrollment ID: I20140108000129 |
| Provider Name | Jennifer Leigh Delk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205165156 PECOS PAC ID: 0941431084 Enrollment ID: I20140402002023 |
| Provider Name | Lindsey Whiteman Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053604173 PECOS PAC ID: 4183856479 Enrollment ID: I20140421001825 |
| Provider Name | Jayme L Davis-waddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992120075 PECOS PAC ID: 8123242245 Enrollment ID: I20140611001685 |
| Provider Name | Ronak Chaudhari |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861798431 PECOS PAC ID: 1557589058 Enrollment ID: I20140825002498 |
| Provider Name | Ashley Oakes Towe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861816621 PECOS PAC ID: 5698097624 Enrollment ID: I20141202002365 |
| Provider Name | Karen L Agee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184029100 PECOS PAC ID: 4486977071 Enrollment ID: I20150107001128 |
| Provider Name | Brittney L. Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477976355 PECOS PAC ID: 5395069900 Enrollment ID: I20150129002485 |
| Provider Name | Ashley Nicole Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134527328 PECOS PAC ID: 4587989967 Enrollment ID: I20150205001249 |
| Provider Name | Amber Nagornay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275923328 PECOS PAC ID: 9335465186 Enrollment ID: I20150313001081 |
| Provider Name | Avinash Aravantagi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154577336 PECOS PAC ID: 9436461795 Enrollment ID: I20150630001498 |
| Provider Name | Jeffrey Lee Bitterling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154469625 PECOS PAC ID: 7810200078 Enrollment ID: I20150716001624 |
| Provider Name | John Christopher Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760543797 PECOS PAC ID: 4981918778 Enrollment ID: I20150807013556 |
| Provider Name | Robert S Riley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063727576 PECOS PAC ID: 9335371095 Enrollment ID: I20150810002516 |
| Provider Name | Ashley S Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942683081 PECOS PAC ID: 2769798115 Enrollment ID: I20150831000814 |
| Provider Name | Jerry P. Roy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487826814 PECOS PAC ID: 9436471042 Enrollment ID: I20150924001506 |
| Provider Name | Katherine H Gilliam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992188734 PECOS PAC ID: 8820306905 Enrollment ID: I20151009001815 |
| Provider Name | Wilfred Amiscua Lumbang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811969298 PECOS PAC ID: 5092993204 Enrollment ID: I20151016001928 |
| Provider Name | Haley G. Brewster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750758306 PECOS PAC ID: 3375846389 Enrollment ID: I20160126001378 |
| Provider Name | Jeffrey David Galloway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043205024 PECOS PAC ID: 5092746222 Enrollment ID: I20160128001648 |
| Provider Name | Kenny R Kimball |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184099103 PECOS PAC ID: 1658676077 Enrollment ID: I20160229000189 |
| Provider Name | Latricia Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659735645 PECOS PAC ID: 5597064287 Enrollment ID: I20160502001395 |
| Provider Name | Huifang Faith Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295178036 PECOS PAC ID: 5890085609 Enrollment ID: I20160607002571 |
| Provider Name | Robin Alyson Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700231503 PECOS PAC ID: 7214228626 Enrollment ID: I20160615000757 |
| Provider Name | Jaime L. Duvall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295183010 PECOS PAC ID: 6709177843 Enrollment ID: I20160621002421 |
| Provider Name | James R Heltsley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881998490 PECOS PAC ID: 1254571359 Enrollment ID: I20160726002581 |
| Provider Name | Amy C Gearlds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356785141 PECOS PAC ID: 5092022236 Enrollment ID: I20160801001073 |
| Provider Name | Tiffani M Cherry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871931469 PECOS PAC ID: 0941506240 Enrollment ID: I20160815001305 |
| Provider Name | Stephanie R Steff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194178970 PECOS PAC ID: 9830487776 Enrollment ID: I20161010001920 |
| Provider Name | Kerry Wilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396299731 PECOS PAC ID: 9830487586 Enrollment ID: I20161012000891 |
| Provider Name | Amy J. Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932544582 PECOS PAC ID: 0547544553 Enrollment ID: I20170310000307 |
| Provider Name | Brandi Lynn Wolf |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043747132 PECOS PAC ID: 9638447683 Enrollment ID: I20170614002996 |
| Provider Name | Pamela A. Smith |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780771824 PECOS PAC ID: 2860489523 Enrollment ID: I20170619001488 |
| Provider Name | James R Parkerson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1528259918 PECOS PAC ID: 2466618665 Enrollment ID: I20170703001983 |
| Provider Name | James M Clements |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417367376 PECOS PAC ID: 9234447830 Enrollment ID: I20170721002714 |
| Provider Name | Juliana Elyse Gilbert |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1184062481 PECOS PAC ID: 2163664590 Enrollment ID: I20170809003931 |
| Provider Name | Elizabeth Ashley Reinke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316374796 PECOS PAC ID: 0042443269 Enrollment ID: I20171106000182 |
| Provider Name | Katlin N Spillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851802367 PECOS PAC ID: 5496012650 Enrollment ID: I20171127002376 |
| Provider Name | Krista D. Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073027710 PECOS PAC ID: 1850659848 Enrollment ID: I20171220003087 |
| Provider Name | Christopher Andrew Bidwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447766332 PECOS PAC ID: 0648539056 Enrollment ID: I20180110002062 |
| Provider Name | Mary Jo D. Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467969139 PECOS PAC ID: 0345500724 Enrollment ID: I20180202000863 |
| Provider Name | Carrie A Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104107473 PECOS PAC ID: 4385819077 Enrollment ID: I20180222002043 |
| Provider Name | Chase Andrew Beliles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033590542 PECOS PAC ID: 5092028712 Enrollment ID: I20180529001592 |
| Provider Name | Jeannette F Dabit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477055853 PECOS PAC ID: 2466717103 Enrollment ID: I20180529002893 |
| Provider Name | Ashley D. Hill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215348305 PECOS PAC ID: 4284850439 Enrollment ID: I20180621002281 |
| Provider Name | Cory Fielding |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154689040 PECOS PAC ID: 4981982469 Enrollment ID: I20180713002386 |
| Provider Name | Morgan R. Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194219105 PECOS PAC ID: 6002164555 Enrollment ID: I20180731003535 |
| Provider Name | Kelly C Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639662976 PECOS PAC ID: 9335497486 Enrollment ID: I20180806001490 |
| Provider Name | Lauren R Canady |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396231791 PECOS PAC ID: 4789933789 Enrollment ID: I20180824001066 |
| Provider Name | Christopher R Cook |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760816979 PECOS PAC ID: 3072868678 Enrollment ID: I20181031000196 |
| Provider Name | Heather C Bull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851864797 PECOS PAC ID: 5799022109 Enrollment ID: I20190123002670 |
| Provider Name | Stevie Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538622345 PECOS PAC ID: 8820330517 Enrollment ID: I20190429002418 |
| Provider Name | Ayme Jo Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366905242 PECOS PAC ID: 6103168695 Enrollment ID: I20190502002049 |
| Provider Name | Rahil Rafeedheen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649526716 PECOS PAC ID: 2668609991 Enrollment ID: I20190618000492 |
| Provider Name | Kourtney G. Gardner |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1194168666 PECOS PAC ID: 7911292081 Enrollment ID: I20190805000731 |
| Provider Name | Timothy Michael Lonergan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346683059 PECOS PAC ID: 1153567870 Enrollment ID: I20190805001024 |
| Provider Name | Dee Mcneily |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982772489 PECOS PAC ID: 8123373107 Enrollment ID: I20190923002661 |
| Provider Name | Jesse Alan Hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851946545 PECOS PAC ID: 4688904261 Enrollment ID: I20190924003579 |
| Provider Name | Shihchin Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407403629 PECOS PAC ID: 2062743164 Enrollment ID: I20191003001536 |
| Provider Name | Hayley C Lonergan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265703755 PECOS PAC ID: 4880925684 Enrollment ID: I20191009001198 |
| Provider Name | Courtney Moriah Barrick |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659913994 PECOS PAC ID: 3577995752 Enrollment ID: I20191108000284 |
| Provider Name | Rachel E Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750924676 PECOS PAC ID: 2860825494 Enrollment ID: I20191211003275 |
| Provider Name | Melody R Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942783915 PECOS PAC ID: 5890048417 Enrollment ID: I20191216001348 |
| Provider Name | Brittanie Karoline Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760044275 PECOS PAC ID: 5890129621 Enrollment ID: I20200102001064 |
| Provider Name | Ranchhodbhai L Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508015512 PECOS PAC ID: 4082802863 Enrollment ID: I20200129002550 |
| Provider Name | Julianne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871130260 PECOS PAC ID: 0749616837 Enrollment ID: I20200210000656 |
| Provider Name | Mason M. Shives |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699306811 PECOS PAC ID: 3779910005 Enrollment ID: I20200227000417 |
| Provider Name | Baylee Nicole Knox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245867712 PECOS PAC ID: 8820428923 Enrollment ID: I20200413002497 |
| Provider Name | Caitlyn Elizabeth Riggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346867223 PECOS PAC ID: 6002239365 Enrollment ID: I20200706002622 |
| Provider Name | Roger S Sandelin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588076509 PECOS PAC ID: 4486958618 Enrollment ID: I20200709003296 |
| Provider Name | Jessica Nichole Daffron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255955654 PECOS PAC ID: 0244657633 Enrollment ID: I20200831002442 |
| Provider Name | Kristian Patricia Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881204162 PECOS PAC ID: 9335568054 Enrollment ID: I20200930001180 |
| Provider Name | Kristin Alyce Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649897497 PECOS PAC ID: 8224449285 Enrollment ID: I20201123001809 |
| Provider Name | Kanissa E. Carrico |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821691395 PECOS PAC ID: 1951713916 Enrollment ID: I20201215003167 |
| Provider Name | Kayla Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396349619 PECOS PAC ID: 1557773488 Enrollment ID: I20201216003114 |
| Provider Name | Jacqueline S Erbse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790169142 PECOS PAC ID: 5890107684 Enrollment ID: I20201221001003 |
| Provider Name | Jenna Kay Poteet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053909317 PECOS PAC ID: 9032523972 Enrollment ID: I20210204000492 |
| Provider Name | Mary C Soister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922600402 PECOS PAC ID: 8325452220 Enrollment ID: I20210204002853 |
| Provider Name | Diana Marie Wooden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912500604 PECOS PAC ID: 5496160301 Enrollment ID: I20210225003359 |
| Provider Name | Sarah Lynn Shouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164014098 PECOS PAC ID: 9133536790 Enrollment ID: I20210325002652 |
| Provider Name | Jae Eun Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346622792 PECOS PAC ID: 7113221581 Enrollment ID: I20210527001787 |
| Provider Name | Loubna Nedal Hatem |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326576661 PECOS PAC ID: 9335419852 Enrollment ID: I20210602001252 |
| Provider Name | Aswathi Chandran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578948956 PECOS PAC ID: 7012213267 Enrollment ID: I20210602002399 |
| Provider Name | Elizabeth Anne Embry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902474612 PECOS PAC ID: 3476955436 Enrollment ID: I20210713002558 |
| Provider Name | Whitney S. Sowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346811262 PECOS PAC ID: 0446654305 Enrollment ID: I20210813003174 |
| Provider Name | Derrick Wayne Scoggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053980540 PECOS PAC ID: 7911302872 Enrollment ID: I20210816003971 |
| Provider Name | Sonnarinh Khamvongsa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124791322 PECOS PAC ID: 8628473840 Enrollment ID: I20210825002429 |
| Provider Name | Jordan Beth Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407524887 PECOS PAC ID: 6507263464 Enrollment ID: I20210921001054 |
| Provider Name | Rainatou Ngapare Salifu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124794953 PECOS PAC ID: 3476941717 Enrollment ID: I20211019002447 |
| Provider Name | Kaitlyn Maniece Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902568462 PECOS PAC ID: 9436547221 Enrollment ID: I20211027003083 |
| Provider Name | Madison Mckenzie Rich Phelps |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952984247 PECOS PAC ID: 7214326107 Enrollment ID: I20211115002374 |
| Provider Name | Rachel Paige Fields |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700556198 PECOS PAC ID: 0749670628 Enrollment ID: I20211208001755 |
| Provider Name | Justin Reid Gallagher |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760149314 PECOS PAC ID: 2163813858 Enrollment ID: I20220107000929 |
| Provider Name | Erin M Sloan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881352722 PECOS PAC ID: 0547654410 Enrollment ID: I20220219000091 |
| Provider Name | Leslie Ann Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821661596 PECOS PAC ID: 7113311812 Enrollment ID: I20220223000606 |
| Provider Name | Dzenana Kadric |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184222481 PECOS PAC ID: 5496166266 Enrollment ID: I20220308000165 |
| Provider Name | Lindsey T Gilliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477208932 PECOS PAC ID: 7719372895 Enrollment ID: I20220329000194 |
| Provider Name | Ryan Thomas Cox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053080598 PECOS PAC ID: 2264828276 Enrollment ID: I20220330002883 |
| Provider Name | Brooke K Humble |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336483734 PECOS PAC ID: 6507253564 Enrollment ID: I20220422000399 |
| Provider Name | Lasondra Bean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710126941 PECOS PAC ID: 1850576307 Enrollment ID: I20220524000936 |
| Provider Name | David Wayne Lariscy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134362718 PECOS PAC ID: 1254573009 Enrollment ID: I20220624001662 |
| Provider Name | Javier Alcid Duron Tabora |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356861496 PECOS PAC ID: 7810315199 Enrollment ID: I20220725003532 |
| Provider Name | Jordan Pharris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659934917 PECOS PAC ID: 0648603522 Enrollment ID: I20220727004337 |
| Provider Name | Michael E Barlow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649628371 PECOS PAC ID: 8123429685 Enrollment ID: I20220731000160 |
| Provider Name | Jamie Elizabeth Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467186403 PECOS PAC ID: 6901288455 Enrollment ID: I20220801002291 |
| Provider Name | Tiffany Brooke Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609507482 PECOS PAC ID: 1456733690 Enrollment ID: I20220803003530 |
| Provider Name | Megan D Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831818038 PECOS PAC ID: 8820473457 Enrollment ID: I20220919002292 |
| Provider Name | Sunni Dae Carver-gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851016059 PECOS PAC ID: 8921477373 Enrollment ID: I20221207002172 |
| Provider Name | Emma-lee Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639875644 PECOS PAC ID: 7810361839 Enrollment ID: I20230314002665 |
| Provider Name | Leslie Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568162592 PECOS PAC ID: 9638543986 Enrollment ID: I20230328001300 |
| Provider Name | Samantha Jo Dorris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831858638 PECOS PAC ID: 5991170342 Enrollment ID: I20230417002024 |
| Provider Name | Elijah Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669094918 PECOS PAC ID: 8527461524 Enrollment ID: I20230419001156 |
| Provider Name | Linnie Nicholls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891282083 PECOS PAC ID: 4688918410 Enrollment ID: I20230511001244 |
| Provider Name | Melinda Hunt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285838839 PECOS PAC ID: 4082774203 Enrollment ID: I20230526000141 |
| Provider Name | Ann Monardo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053832311 PECOS PAC ID: 8426328428 Enrollment ID: I20230609001770 |
| Provider Name | Shauna Stice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083308324 PECOS PAC ID: 6305204322 Enrollment ID: I20230623002121 |
| Provider Name | Ethan Flynn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760176259 PECOS PAC ID: 8820458631 Enrollment ID: I20230712000808 |
| Provider Name | Thomas Wells |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386006575 PECOS PAC ID: 7315237500 Enrollment ID: I20230714000332 |
| Provider Name | Kelly Bennett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306136460 PECOS PAC ID: 2264654672 Enrollment ID: I20230724002379 |
| Provider Name | John Whitaker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881126902 PECOS PAC ID: 1951654755 Enrollment ID: I20230801002347 |
| Provider Name | Caleb Davis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598297657 PECOS PAC ID: 0345590717 Enrollment ID: I20230801004588 |
| Provider Name | Jonathan Bunnell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629755160 PECOS PAC ID: 2961863097 Enrollment ID: I20230804001644 |
| Provider Name | Robert Treece |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043279987 PECOS PAC ID: 1355657016 Enrollment ID: I20230809000472 |
| Provider Name | Jamie Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821779489 PECOS PAC ID: 6002278108 Enrollment ID: I20230821002801 |
| Provider Name | Makayla Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194503854 PECOS PAC ID: 6709233596 Enrollment ID: I20231116001247 |
| Provider Name | Ashten Whitni Embry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144092131 PECOS PAC ID: 0143677807 Enrollment ID: I20231117000773 |
| Provider Name | Ashley Evette Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568240638 PECOS PAC ID: 2163873993 Enrollment ID: I20240105002821 |
| Provider Name | Ashley Lynn Flatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306601992 PECOS PAC ID: 4082050562 Enrollment ID: I20240306002918 |
| Provider Name | Rebekkah Haleigh Bean |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184489981 PECOS PAC ID: 8224475959 Enrollment ID: I20240318001838 |
| Provider Name | Amy Hayden |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255658621 PECOS PAC ID: 9739306531 Enrollment ID: I20240403002787 |
| Provider Name | Amy Eagan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326365313 PECOS PAC ID: 7416202908 Enrollment ID: I20240614003473 |
Healing Path Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 720 Chestnut St, Bowling Green, KY 42101 Phone: 270-202-1096 Fax: 270-495-1906 | |
The Luna Therapy & Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2530 Scottsville Rd Ste 22, Bowling Green, KY 42104 Phone: 270-864-6872 | |
Restoration Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1830 Destiny Ln, Bowling Green, KY 42104 Phone: 270-846-3222 Fax: 270-846-3228 | |
Casey Coursey Lcsw Emdr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 E 10th Ave # 2c, Bowling Green, KY 42101 Phone: 364-203-8188 Fax: 949-437-3743 | |
Interventional Pain Specialists Of Bowling Green Plc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 165 Natchez Trace Ave, Suite 205, Bowling Green, KY 42103 Phone: 270-393-1912 Fax: 270-393-1913 | |
More To Life Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 351 Pascoe Blvd, Suite 103h, Bowling Green, KY 42104 Phone: 270-791-5933 Fax: 270-721-0988 | |
Bhg Lviii, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1990 Louisville Road, Suite #110, Obot Room 100, Bowling Green, KY 42101 Phone: 270-782-2100 |