| Kaiser Permanente Annapolis Medical Center | |
|
888 Bestgate Road Annapolis MD 21401-3091 | |
| (410) 571-7300 | |
| (410) 571-7309 |
| Full Name | Kaiser Permanente Annapolis Medical Center |
|---|---|
| Speciality | Health Maintenance Organization |
| Location | 888 Bestgate Road, Annapolis, Maryland |
| Authorized Official Name and Position | Andee G Petersen (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3018165760 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Permanente Annapolis Medical Center 2101 E Jefferson Street 3 West Data Management Dept Attn Sanjay Mathur Rockville MD 20852-4908 Ph: (301) 816-7446 | Kaiser Permanente Annapolis Medical Center 888 Bestgate Road Annapolis MD 21401-3091 Ph: (410) 571-7300 |
| NPI Number | 1952461816 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 05/27/2021 |
| Certification Date | 05/27/2021 |
| Medicare PECOS PAC ID | 3779495858 |
|---|---|
| Medicare Enrollment ID | O20040105000308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952461816 | NPI | - | NPPES |
| Provider Name | Julie M Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629048467 PECOS PAC ID: 0840102133 Enrollment ID: I20031104000659 |
| Provider Name | Carmita A Gobern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598811259 PECOS PAC ID: 3173436078 Enrollment ID: I20031106000795 |
| Provider Name | Sabuhi Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417019472 PECOS PAC ID: 1850295403 Enrollment ID: I20031125000184 |
| Provider Name | Tonya L Hardy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316960099 PECOS PAC ID: 5698670875 Enrollment ID: I20031201000669 |
| Provider Name | John D Butler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447303458 PECOS PAC ID: 6800799529 Enrollment ID: I20040129001256 |
| Provider Name | Kevin Brathwaite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669526661 PECOS PAC ID: 3678476116 Enrollment ID: I20040130000810 |
| Provider Name | Kristin N Mcday |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699760108 PECOS PAC ID: 1052214541 Enrollment ID: I20040130001033 |
| Provider Name | Elias B. Awad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508943192 PECOS PAC ID: 5991608408 Enrollment ID: I20040131000098 |
| Provider Name | Nooshin F Farr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831259423 PECOS PAC ID: 5698678001 Enrollment ID: I20040131000124 |
| Provider Name | Hesun Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821282476 PECOS PAC ID: 6608779996 Enrollment ID: I20040202000908 |
| Provider Name | Kimberly D. Borden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851425573 PECOS PAC ID: 4486547882 Enrollment ID: I20040207000069 |
| Provider Name | Carmen Rae Nash |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255463113 PECOS PAC ID: 3375436777 Enrollment ID: I20040207000089 |
| Provider Name | Faye Fathalikhani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922145424 PECOS PAC ID: 8426941832 Enrollment ID: I20040207000132 |
| Provider Name | Dwight C Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023163128 PECOS PAC ID: 7517852973 Enrollment ID: I20040216001125 |
| Provider Name | Thu B Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124189659 PECOS PAC ID: 5294620233 Enrollment ID: I20040218000490 |
| Provider Name | Mitchell Axelrod |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134278252 PECOS PAC ID: 0446146849 Enrollment ID: I20040224000178 |
| Provider Name | Zhilin Lan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215071311 PECOS PAC ID: 0244126001 Enrollment ID: I20040226001252 |
| Provider Name | Mahnaz Parveen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235299918 PECOS PAC ID: 6103713565 Enrollment ID: I20040301000878 |
| Provider Name | Kim H. Moy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093853186 PECOS PAC ID: 9335039304 Enrollment ID: I20040316000417 |
| Provider Name | Janet Tuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396898698 PECOS PAC ID: 5294625182 Enrollment ID: I20040316000663 |
| Provider Name | Hossein Khorashadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134273139 PECOS PAC ID: 5991695330 Enrollment ID: I20040318000664 |
| Provider Name | Rhonda A Henry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639219975 PECOS PAC ID: 4981594223 Enrollment ID: I20040318001389 |
| Provider Name | Nicole F Koba |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558461012 PECOS PAC ID: 1153212386 Enrollment ID: I20040324001274 |
| Provider Name | Terry H Boyd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306978267 PECOS PAC ID: 0941292841 Enrollment ID: I20040331001390 |
| Provider Name | Farrah H Lakhani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144270968 PECOS PAC ID: 4486646122 Enrollment ID: I20040401000736 |
| Provider Name | Marion R Cohen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356475065 PECOS PAC ID: 8527051457 Enrollment ID: I20040406001578 |
| Provider Name | Panayiota V Koroulakis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639223514 PECOS PAC ID: 4183617707 Enrollment ID: I20040407001208 |
| Provider Name | Mrunalini Chakurkar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144210295 PECOS PAC ID: 7012900665 Enrollment ID: I20040407001391 |
| Provider Name | Dwayne D Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386630614 PECOS PAC ID: 4587659552 Enrollment ID: I20040419000783 |
| Provider Name | Geoffrey S Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962579037 PECOS PAC ID: 8820083744 Enrollment ID: I20040419001201 |
| Provider Name | Michelle D. Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235263963 PECOS PAC ID: 1850386749 Enrollment ID: I20040419001589 |
| Provider Name | Aklilu Yishak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417012691 PECOS PAC ID: 0840282349 Enrollment ID: I20040424000215 |
| Provider Name | Dawit T Yohannes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467430215 PECOS PAC ID: 5496742165 Enrollment ID: I20040427000161 |
| Provider Name | Renate Austin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437163300 PECOS PAC ID: 5496748964 Enrollment ID: I20040428001431 |
| Provider Name | Angela L Corbin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528134814 PECOS PAC ID: 1557358421 Enrollment ID: I20040430000797 |
| Provider Name | Patricia Obrien |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760558902 PECOS PAC ID: 4789671678 Enrollment ID: I20040430000933 |
| Provider Name | Tanuja A Mainkar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386643849 PECOS PAC ID: 1658369541 Enrollment ID: I20040430001042 |
| Provider Name | Ali Khorrami |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467510370 PECOS PAC ID: 2264420165 Enrollment ID: I20040430001064 |
| Provider Name | Sherri L Franklin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154390680 PECOS PAC ID: 1557359643 Enrollment ID: I20040505001727 |
| Provider Name | Hanadi Shamkhani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174688345 PECOS PAC ID: 1759370638 Enrollment ID: I20040506001439 |
| Provider Name | Tinisha Cheatham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851339618 PECOS PAC ID: 0345239570 Enrollment ID: I20040511001396 |
| Provider Name | Sarah Bromeland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740346733 PECOS PAC ID: 3971593872 Enrollment ID: I20040513000761 |
| Provider Name | Carol A. Offutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245308675 PECOS PAC ID: 3577553494 Enrollment ID: I20040513000893 |
| Provider Name | Meaza Gebreselassie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164595450 PECOS PAC ID: 1850381229 Enrollment ID: I20040517000896 |
| Provider Name | Claudia K Donovan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184784787 PECOS PAC ID: 2365432739 Enrollment ID: I20040517000921 |
| Provider Name | Monique A. Grant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477623221 PECOS PAC ID: 8729078043 Enrollment ID: I20040517001292 |
| Provider Name | Julie L Mullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639226723 PECOS PAC ID: 7113918152 Enrollment ID: I20040519001164 |
| Provider Name | Susan K Chhabra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942365127 PECOS PAC ID: 0345231049 Enrollment ID: I20040520001625 |
| Provider Name | Mala Bakshi Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881744324 PECOS PAC ID: 4385635838 Enrollment ID: I20040521001223 |
| Provider Name | Daniella E Hines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619088911 PECOS PAC ID: 1355332743 Enrollment ID: I20040524000693 |
| Provider Name | Ziyad K Haddad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356329965 PECOS PAC ID: 4183617038 Enrollment ID: I20040524001076 |
| Provider Name | Sara A Vazer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962452045 PECOS PAC ID: 3072594910 Enrollment ID: I20040526001629 |
| Provider Name | Yvonne N Rudder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699804344 PECOS PAC ID: 5496736043 Enrollment ID: I20040528000341 |
| Provider Name | Narita Surana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982744512 PECOS PAC ID: 6204819717 Enrollment ID: I20040607001602 |
| Provider Name | Faria Farhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790732139 PECOS PAC ID: 4082697347 Enrollment ID: I20040609000588 |
| Provider Name | Joseph Territo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578639803 PECOS PAC ID: 5294718995 Enrollment ID: I20040612000070 |
| Provider Name | Jayanti L Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710048004 PECOS PAC ID: 1355324054 Enrollment ID: I20040612000092 |
| Provider Name | Genea A Lawrence |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891883542 PECOS PAC ID: 7719961051 Enrollment ID: I20040615001134 |
| Provider Name | Briggit Smith Pope |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588661474 PECOS PAC ID: 2062498025 Enrollment ID: I20040629000826 |
| Provider Name | Gregory S Gertner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891857496 PECOS PAC ID: 0941287650 Enrollment ID: I20040701000217 |
| Provider Name | Irene Ganginis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649218181 PECOS PAC ID: 3779560404 Enrollment ID: I20040701000316 |
| Provider Name | Hien Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760550172 PECOS PAC ID: 9133106891 Enrollment ID: I20040701000517 |
| Provider Name | Christine Lepoutre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154392926 PECOS PAC ID: 2961489448 Enrollment ID: I20040701001572 |
| Provider Name | Marita N Broome |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194793455 PECOS PAC ID: 5991783540 Enrollment ID: I20040709000991 |
| Provider Name | Alicia J Odum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457363517 PECOS PAC ID: 0941288138 Enrollment ID: I20040713001003 |
| Provider Name | Tammy Z Rosenthal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740358183 PECOS PAC ID: 6709865454 Enrollment ID: I20040715001242 |
| Provider Name | Michelle A Mead |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689650780 PECOS PAC ID: 7517947229 Enrollment ID: I20040727000607 |
| Provider Name | Kamalinder K Goraya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295899532 PECOS PAC ID: 6507836962 Enrollment ID: I20040731000130 |
| Provider Name | Sheela Raghuram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437140035 PECOS PAC ID: 6406827096 Enrollment ID: I20040805000873 |
| Provider Name | Elena Daniel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497813448 PECOS PAC ID: 7214909837 Enrollment ID: I20040812000637 |
| Provider Name | Kevin John Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386855609 PECOS PAC ID: 8628041324 Enrollment ID: I20040819000192 |
| Provider Name | Seung J Yo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922025618 PECOS PAC ID: 0941275879 Enrollment ID: I20040901001400 |
| Provider Name | Eric M Cohen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205059466 PECOS PAC ID: 8628043502 Enrollment ID: I20040902000223 |
| Provider Name | Joilyn S Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124154091 PECOS PAC ID: 5799751277 Enrollment ID: I20040907000533 |
| Provider Name | Sandra Banks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245241348 PECOS PAC ID: 6800862061 Enrollment ID: I20040908001419 |
| Provider Name | Vera Ibe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164580122 PECOS PAC ID: 2062488232 Enrollment ID: I20040908001507 |
| Provider Name | Leonard F Tassy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063567782 PECOS PAC ID: 7618944596 Enrollment ID: I20040910000877 |
| Provider Name | Kemilla E Charles |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538232855 PECOS PAC ID: 7810964921 Enrollment ID: I20040916000500 |
| Provider Name | Anuradha Dahiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609918614 PECOS PAC ID: 5395635726 Enrollment ID: I20040916001094 |
| Provider Name | Robert Heckstall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174519417 PECOS PAC ID: 5799753828 Enrollment ID: I20040917000117 |
| Provider Name | Roshin Kuriadom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558382606 PECOS PAC ID: 1850369232 Enrollment ID: I20040923000118 |
| Provider Name | Heather H Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477594059 PECOS PAC ID: 9335117746 Enrollment ID: I20040923000341 |
| Provider Name | Akila V Iyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629189956 PECOS PAC ID: 7315906419 Enrollment ID: I20041005000791 |
| Provider Name | Yun Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316921224 PECOS PAC ID: 2961462312 Enrollment ID: I20041012000332 |
| Provider Name | Arthur C Held |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962577809 PECOS PAC ID: 5092788893 Enrollment ID: I20041013000934 |
| Provider Name | Mridula Banaji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174660633 PECOS PAC ID: 0042271918 Enrollment ID: I20041023000240 |
| Provider Name | Christine C Assia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245340421 PECOS PAC ID: 4284696584 Enrollment ID: I20041029000168 |
| Provider Name | Spencer T Tseng |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1790853117 PECOS PAC ID: 2062474364 Enrollment ID: I20041029000205 |
| Provider Name | Monica L Riley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255344404 PECOS PAC ID: 2668434861 Enrollment ID: I20041030000135 |
| Provider Name | Hwei T Lin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255363875 PECOS PAC ID: 2668434671 Enrollment ID: I20041102000460 |
| Provider Name | Sara S Garrison |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841370236 PECOS PAC ID: 9335101211 Enrollment ID: I20041102001071 |
| Provider Name | Manish Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316007750 PECOS PAC ID: 5092786582 Enrollment ID: I20041103001051 |
| Provider Name | Lesly Lamarque |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104963685 PECOS PAC ID: 4688637382 Enrollment ID: I20041104000229 |
| Provider Name | Caesar A Junker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043347149 PECOS PAC ID: 4284697988 Enrollment ID: I20041104000267 |
| Provider Name | Navreet Chowla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184784621 PECOS PAC ID: 2466442496 Enrollment ID: I20041109000043 |
| Provider Name | Julia Sone |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1154489730 PECOS PAC ID: 9931163946 Enrollment ID: I20041118000377 |
| Provider Name | Norman Shedlo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568436947 PECOS PAC ID: 5991760860 Enrollment ID: I20041120000093 |
| Provider Name | Sulaiha Mastan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619045051 PECOS PAC ID: 5092603514 Enrollment ID: I20041122000871 |
| Provider Name | Olakunle O Abisuga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841358835 PECOS PAC ID: 1759346489 Enrollment ID: I20041122001173 |
| Provider Name | Lynn S Trombka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316008865 PECOS PAC ID: 9335105030 Enrollment ID: I20041204000085 |
| Provider Name | Amit Suri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255327573 PECOS PAC ID: 7012973381 Enrollment ID: I20041208000488 |
| Provider Name | Lazaros Volikas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275609596 PECOS PAC ID: 3678539756 Enrollment ID: I20041209000884 |
| Provider Name | Terrence M Mulligan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548203920 PECOS PAC ID: 5597723627 Enrollment ID: I20041221000733 |
| Provider Name | Ligia Pic-aluas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891766457 PECOS PAC ID: 3072571066 Enrollment ID: I20041222000082 |
| Provider Name | Gretchen Leaman Brandt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659465292 PECOS PAC ID: 3870551864 Enrollment ID: I20041222000098 |
| Provider Name | Luis Ruiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386802700 PECOS PAC ID: 5294793972 Enrollment ID: I20041228000601 |
| Provider Name | Sharmila Aryal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356488951 PECOS PAC ID: 9830157544 Enrollment ID: I20041228000835 |
| Provider Name | Elizabeth Castillo Marshall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073735684 PECOS PAC ID: 3375592538 Enrollment ID: I20050114000593 |
| Provider Name | William Edmund Prominski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699749788 PECOS PAC ID: 3274583414 Enrollment ID: I20050126000405 |
| Provider Name | Ian D Gordon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104876853 PECOS PAC ID: 6204888787 Enrollment ID: I20050211000875 |
| Provider Name | Kathyann M Walcott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063573343 PECOS PAC ID: 1850343260 Enrollment ID: I20050214000857 |
| Provider Name | Rennie M. Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538223250 PECOS PAC ID: 2961455944 Enrollment ID: I20050302000387 |
| Provider Name | Honghanh L Nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467402370 PECOS PAC ID: 2668426099 Enrollment ID: I20050309000391 |
| Provider Name | Brian Cantor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548314404 PECOS PAC ID: 9234183260 Enrollment ID: I20050311000421 |
| Provider Name | Kama K Tillman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942235866 PECOS PAC ID: 1557316981 Enrollment ID: I20050317000847 |
| Provider Name | Deepali N Kothary |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437153111 PECOS PAC ID: 1355396540 Enrollment ID: I20050321000949 |
| Provider Name | Dwayne Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649218900 PECOS PAC ID: 9436105475 Enrollment ID: I20050323000726 |
| Provider Name | Mona Rewari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174695662 PECOS PAC ID: 0345296240 Enrollment ID: I20050323001251 |
| Provider Name | Elaine Ziavras |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942359922 PECOS PAC ID: 7618923863 Enrollment ID: I20050330000849 |
| Provider Name | Daniela L Wiggins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962460584 PECOS PAC ID: 2860449329 Enrollment ID: I20050406000789 |
| Provider Name | Joan Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477553238 PECOS PAC ID: 0749273076 Enrollment ID: I20050407000393 |
| Provider Name | Julie P Kao |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285718437 PECOS PAC ID: 5193762045 Enrollment ID: I20050412000799 |
| Provider Name | Gary Gordon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124177167 PECOS PAC ID: 3971540501 Enrollment ID: I20050414000533 |
| Provider Name | Elizabeth Biru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457342230 PECOS PAC ID: 5597704767 Enrollment ID: I20050427000599 |
| Provider Name | Sohyun C Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265405435 PECOS PAC ID: 9638150220 Enrollment ID: I20050513000797 |
| Provider Name | Kondeh Greaves |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790854099 PECOS PAC ID: 1355382458 Enrollment ID: I20050519000152 |
| Provider Name | Kathleen P Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851365878 PECOS PAC ID: 2567404114 Enrollment ID: I20050524001324 |
| Provider Name | Shailini P Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588711022 PECOS PAC ID: 9931142296 Enrollment ID: I20050607001169 |
| Provider Name | Jennifer S Sartorelli |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154469195 PECOS PAC ID: 4981648912 Enrollment ID: I20050610000565 |
| Provider Name | Faheem Moghal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730228263 PECOS PAC ID: 3779528807 Enrollment ID: I20050620001142 |
| Provider Name | Melvin Woodao Kong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578628814 PECOS PAC ID: 7012952997 Enrollment ID: I20050621001277 |
| Provider Name | Tulsi Mehta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104890185 PECOS PAC ID: 8224073853 Enrollment ID: I20050624000036 |
| Provider Name | Wendell Boulware |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336111392 PECOS PAC ID: 7618930330 Enrollment ID: I20050627000376 |
| Provider Name | Jerome E Mcqueen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144205378 PECOS PAC ID: 3971539487 Enrollment ID: I20050714001062 |
| Provider Name | Mary E Flournoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578836771 PECOS PAC ID: 9133155591 Enrollment ID: I20050718000052 |
| Provider Name | Amy Lynne Banulis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730240920 PECOS PAC ID: 8123055167 Enrollment ID: I20050721000596 |
| Provider Name | Sonya Krolik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114090487 PECOS PAC ID: 2961439526 Enrollment ID: I20050726000159 |
| Provider Name | Sheila Y. Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902950900 PECOS PAC ID: 2163459629 Enrollment ID: I20050726001018 |
| Provider Name | Laurie Crain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477591386 PECOS PAC ID: 3375571201 Enrollment ID: I20050801000916 |
| Provider Name | Eyassu Zena |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306943618 PECOS PAC ID: 9032148283 Enrollment ID: I20050808000724 |
| Provider Name | Tamela Mack |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407188428 PECOS PAC ID: 8628007655 Enrollment ID: I20050809001091 |
| Provider Name | Grace E Mcgibbon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093876567 PECOS PAC ID: 2668440785 Enrollment ID: I20050811000090 |
| Provider Name | Yang Veronica Pei |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043275993 PECOS PAC ID: 8224068705 Enrollment ID: I20050815000571 |
| Provider Name | Dorothea Dobson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972599769 PECOS PAC ID: 6103891429 Enrollment ID: I20050816001149 |
| Provider Name | Ali Fazel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225024748 PECOS PAC ID: 1254362460 Enrollment ID: I20050827000193 |
| Provider Name | Rosemarie A Rollins-folks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154368397 PECOS PAC ID: 9931130887 Enrollment ID: I20050830000768 |
| Provider Name | Jalal A Saied |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477590255 PECOS PAC ID: 3476585209 Enrollment ID: I20050901000196 |
| Provider Name | Nalini Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407052954 PECOS PAC ID: 0446282875 Enrollment ID: I20050907000613 |
| Provider Name | David Orange |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770557621 PECOS PAC ID: 7618909805 Enrollment ID: I20050908000801 |
| Provider Name | Carla Sandy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386704831 PECOS PAC ID: 9537192588 Enrollment ID: I20050912000565 |
| Provider Name | Allyson Mirabella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871666156 PECOS PAC ID: 5890729180 Enrollment ID: I20050926000976 |
| Provider Name | Trashawn Thornton-davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649334798 PECOS PAC ID: 4486689692 Enrollment ID: I20050927000788 |
| Provider Name | Tariq Khurshid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427119965 PECOS PAC ID: 9335187384 Enrollment ID: I20051005001209 |
| Provider Name | Mechele Silva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033182084 PECOS PAC ID: 8628093473 Enrollment ID: I20051011000207 |
| Provider Name | John Ergener |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679618623 PECOS PAC ID: 4981651544 Enrollment ID: I20051014000666 |
| Provider Name | Mychelle Shegog |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679646954 PECOS PAC ID: 9032135215 Enrollment ID: I20051017001072 |
| Provider Name | Sarah E Woessner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760446405 PECOS PAC ID: 9133145113 Enrollment ID: I20051019000407 |
| Provider Name | Maria T Defendini |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609991140 PECOS PAC ID: 6204852155 Enrollment ID: I20051019001102 |
| Provider Name | Britta Mayer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922063650 PECOS PAC ID: 7517984966 Enrollment ID: I20051026000154 |
| Provider Name | Dana F Marzilli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114997566 PECOS PAC ID: 5193742369 Enrollment ID: I20051027000160 |
| Provider Name | Crystal Yeldell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366500985 PECOS PAC ID: 0749207819 Enrollment ID: I20051027000994 |
| Provider Name | Dana A Rader |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497037287 PECOS PAC ID: 6507884269 Enrollment ID: I20051110000810 |
| Provider Name | Kenneth Harrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649311754 PECOS PAC ID: 3375581291 Enrollment ID: I20051117000177 |
| Provider Name | Howard I Savage |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245390749 PECOS PAC ID: 9335168376 Enrollment ID: I20051118000145 |
| Provider Name | Stacey Garrett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063573533 PECOS PAC ID: 7113947912 Enrollment ID: I20051122000730 |
| Provider Name | Matty Mathivannan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679644736 PECOS PAC ID: 6103846514 Enrollment ID: I20051130000693 |
| Provider Name | Katherine L Whitaker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982741591 PECOS PAC ID: 0345261640 Enrollment ID: I20051214000769 |
| Provider Name | Beverley J Waldron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083774632 PECOS PAC ID: 3870515786 Enrollment ID: I20051220000530 |
| Provider Name | Eurice Moody |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497810659 PECOS PAC ID: 0840245411 Enrollment ID: I20051229000695 |
| Provider Name | Kusuma Nanduri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336247113 PECOS PAC ID: 7416979703 Enrollment ID: I20051230000080 |
| Provider Name | Irina Y Ruban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528093051 PECOS PAC ID: 2466474689 Enrollment ID: I20051230000419 |
| Provider Name | Amy K Reddy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871580472 PECOS PAC ID: 7214950401 Enrollment ID: I20060113000612 |
| Provider Name | Jane A Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437199171 PECOS PAC ID: 4082638119 Enrollment ID: I20060117000448 |
| Provider Name | Harjinder Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417983008 PECOS PAC ID: 3173547619 Enrollment ID: I20060123000906 |
| Provider Name | Karen Tanya Mason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598858086 PECOS PAC ID: 3779571872 Enrollment ID: I20060125000139 |
| Provider Name | Dawn Marie Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184643918 PECOS PAC ID: 6800810110 Enrollment ID: I20060125000223 |
| Provider Name | Sadia M Khan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235345000 PECOS PAC ID: 9638183882 Enrollment ID: I20060126001031 |
| Provider Name | Rodney Laster |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841296415 PECOS PAC ID: 1759377021 Enrollment ID: I20060214000119 |
| Provider Name | Hui-chun Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063562817 PECOS PAC ID: 2961418470 Enrollment ID: I20060221000575 |
| Provider Name | Ifeoluwa Y Omitowoju |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629068903 PECOS PAC ID: 0840206942 Enrollment ID: I20060227000676 |
| Provider Name | Karen Rabin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710058474 PECOS PAC ID: 7810903671 Enrollment ID: I20060302000548 |
| Provider Name | Gebremedhin Yohannes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619916087 PECOS PAC ID: 9133136013 Enrollment ID: I20060317000259 |
| Provider Name | Negash Ayele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699712117 PECOS PAC ID: 6204843188 Enrollment ID: I20060317000272 |
| Provider Name | Alicia Renee Tomlinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316091317 PECOS PAC ID: 8527076272 Enrollment ID: I20060322000638 |
| Provider Name | Elizabeth S Biegelsen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982770194 PECOS PAC ID: 7618985888 Enrollment ID: I20060329000591 |
| Provider Name | Surinder P Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922168681 PECOS PAC ID: 3375552417 Enrollment ID: I20060418000260 |
| Provider Name | Hina J Mian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528179777 PECOS PAC ID: 9830100874 Enrollment ID: I20060505000401 |
| Provider Name | Aretha Makia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629271002 PECOS PAC ID: 4587675269 Enrollment ID: I20060509000647 |
| Provider Name | Celerino M Magbuhos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346391380 PECOS PAC ID: 0840201547 Enrollment ID: I20060509000768 |
| Provider Name | Kajal Dasgupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003882150 PECOS PAC ID: 1850304122 Enrollment ID: I20060803000371 |
| Provider Name | Varsha N Vanikar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598717423 PECOS PAC ID: 5496758369 Enrollment ID: I20060814000545 |
| Provider Name | Carol S Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487622262 PECOS PAC ID: 3971527599 Enrollment ID: I20060928000285 |
| Provider Name | Carolyn M Gorman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588694509 PECOS PAC ID: 3577560713 Enrollment ID: I20061031000260 |
| Provider Name | John F Maguire |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831140474 PECOS PAC ID: 8123027935 Enrollment ID: I20061205000322 |
| Provider Name | Nichole R Glass |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710942966 PECOS PAC ID: 5799768883 Enrollment ID: I20061215000397 |
| Provider Name | Ryan Ahalt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932126737 PECOS PAC ID: 3971504689 Enrollment ID: I20070124000129 |
| Provider Name | Ker-shi Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497748008 PECOS PAC ID: 5092749408 Enrollment ID: I20070126000419 |
| Provider Name | Saadia A Husain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396854584 PECOS PAC ID: 8022019488 Enrollment ID: I20070126000654 |
| Provider Name | Jocelyne T Kouatchou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811950546 PECOS PAC ID: 1658385331 Enrollment ID: I20070129000180 |
| Provider Name | Thuan Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386741395 PECOS PAC ID: 1153229893 Enrollment ID: I20070129000685 |
| Provider Name | Eric D Mcdonald |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710998612 PECOS PAC ID: 2466453642 Enrollment ID: I20070131000316 |
| Provider Name | Jennifer S Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295838613 PECOS PAC ID: 9436150612 Enrollment ID: I20070131000344 |
| Provider Name | Monique L Goma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740380906 PECOS PAC ID: 1052313848 Enrollment ID: I20070207000494 |
| Provider Name | Pouneh Nouri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982622809 PECOS PAC ID: 4981606647 Enrollment ID: I20070208000392 |
| Provider Name | Elena M Castro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639255482 PECOS PAC ID: 0840392148 Enrollment ID: I20070216000184 |
| Provider Name | Chevonne Salmon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053492348 PECOS PAC ID: 2163524497 Enrollment ID: I20070216000430 |
| Provider Name | Charles Hollcraft |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427084748 PECOS PAC ID: 4284736364 Enrollment ID: I20070220000357 |
| Provider Name | Philip Corcoran |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1932278983 PECOS PAC ID: 4789786716 Enrollment ID: I20070222000294 |
| Provider Name | Cesar Alberto Torres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982782975 PECOS PAC ID: 5698877470 Enrollment ID: I20070226000234 |
| Provider Name | Anna B Korzan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639178098 PECOS PAC ID: 9931126174 Enrollment ID: I20070226000274 |
| Provider Name | Pothu R Nagabhyru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598748824 PECOS PAC ID: 4880615640 Enrollment ID: I20070305000492 |
| Provider Name | Jason C Roland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790848463 PECOS PAC ID: 0143323527 Enrollment ID: I20070306000425 |
| Provider Name | Nabila Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699823989 PECOS PAC ID: 3274636543 Enrollment ID: I20070307000609 |
| Provider Name | Nora R Taylor |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659441574 PECOS PAC ID: 7416059423 Enrollment ID: I20070329000273 |
| Provider Name | Ritu Saluja-sharma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427076348 PECOS PAC ID: 0547261422 Enrollment ID: I20070416000214 |
| Provider Name | David S Yoho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760403166 PECOS PAC ID: 7416055223 Enrollment ID: I20070601000282 |
| Provider Name | Stephanie Letourneau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851437206 PECOS PAC ID: 6002915899 Enrollment ID: I20070619000653 |
| Provider Name | Lubna Rana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023133469 PECOS PAC ID: 2466553789 Enrollment ID: I20070730000851 |
| Provider Name | Adamu D Ayene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437279528 PECOS PAC ID: 0143311415 Enrollment ID: I20070801000522 |
| Provider Name | Farzad Malekanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588772164 PECOS PAC ID: 4981603248 Enrollment ID: I20070828000398 |
| Provider Name | Ana S Fuentes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750425146 PECOS PAC ID: 0244324515 Enrollment ID: I20070917000702 |
| Provider Name | Jessica E Wyant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295774115 PECOS PAC ID: 8921088675 Enrollment ID: I20070919000487 |
| Provider Name | Karan Lotfi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073604294 PECOS PAC ID: 4587658083 Enrollment ID: I20070919000619 |
| Provider Name | Jason Fehr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730240433 PECOS PAC ID: 5395839112 Enrollment ID: I20070924000381 |
| Provider Name | Melissa Matthews |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669663993 PECOS PAC ID: 8224122072 Enrollment ID: I20070924000603 |
| Provider Name | Tiffany M Sotelo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922189935 PECOS PAC ID: 3274635917 Enrollment ID: I20070925000264 |
| Provider Name | Erin M Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407986664 PECOS PAC ID: 8123113669 Enrollment ID: I20070928000455 |
| Provider Name | Chuanbo Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992923775 PECOS PAC ID: 1951496264 Enrollment ID: I20071002000360 |
| Provider Name | Warren K Eng |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376766501 PECOS PAC ID: 1557456746 Enrollment ID: I20071003000231 |
| Provider Name | Jamal Rana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366482275 PECOS PAC ID: 4688697089 Enrollment ID: I20071009000709 |
| Provider Name | Afzal Rasheed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073585766 PECOS PAC ID: 3678507860 Enrollment ID: I20071009000968 |
| Provider Name | Miriam Dalton Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154348787 PECOS PAC ID: 0941100218 Enrollment ID: I20071011000684 |
| Provider Name | Yuri Prykupenko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003850900 PECOS PAC ID: 8123084985 Enrollment ID: I20071026000519 |
| Provider Name | Reverly M John |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689751505 PECOS PAC ID: 0648278960 Enrollment ID: I20071029000059 |
| Provider Name | Monica M Hennessey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528283041 PECOS PAC ID: 5092803890 Enrollment ID: I20071112000584 |
| Provider Name | Cleopatra Dunyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619162989 PECOS PAC ID: 9931280211 Enrollment ID: I20080111000594 |
| Provider Name | Weijia Xia Yan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114901477 PECOS PAC ID: 3375625940 Enrollment ID: I20080205000221 |
| Provider Name | Zhixin Wei |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871625335 PECOS PAC ID: 3971687955 Enrollment ID: I20080229000094 |
| Provider Name | Ejaz A Shamim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255493011 PECOS PAC ID: 0648355347 Enrollment ID: I20080305000234 |
| Provider Name | Carron R Grant |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700997400 PECOS PAC ID: 1052498375 Enrollment ID: I20080410000118 |
| Provider Name | Richard H Haar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033270558 PECOS PAC ID: 4880770965 Enrollment ID: I20080424000690 |
| Provider Name | Sujatha Ramaseshan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720272149 PECOS PAC ID: 1557449725 Enrollment ID: I20080429000421 |
| Provider Name | Hina Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760523179 PECOS PAC ID: 8820177991 Enrollment ID: I20080501000262 |
| Provider Name | Haobo Zhou |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043499270 PECOS PAC ID: 5799864732 Enrollment ID: I20080502000198 |
| Provider Name | Nina M Kolbe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457534406 PECOS PAC ID: 6608945548 Enrollment ID: I20080519000710 |
| Provider Name | Christopher Degannes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518076116 PECOS PAC ID: 2062581432 Enrollment ID: I20080527000680 |
| Provider Name | Annette G Folgueras |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215976600 PECOS PAC ID: 0648340588 Enrollment ID: I20080603000826 |
| Provider Name | James Glass |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750380820 PECOS PAC ID: 4587734272 Enrollment ID: I20080606000627 |
| Provider Name | Bhavin Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326131061 PECOS PAC ID: 5698844793 Enrollment ID: I20080618000100 |
| Provider Name | Neal Desai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376742379 PECOS PAC ID: 9032281233 Enrollment ID: I20080703000196 |
| Provider Name | Cassandra Sims |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790986594 PECOS PAC ID: 6507939717 Enrollment ID: I20080722000203 |
| Provider Name | Kilole A Kanno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114188372 PECOS PAC ID: 8628143450 Enrollment ID: I20080813000697 |
| Provider Name | Kevin S Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154439784 PECOS PAC ID: 7214956093 Enrollment ID: I20080825000250 |
| Provider Name | Jason Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932364585 PECOS PAC ID: 7315013364 Enrollment ID: I20080827000680 |
| Provider Name | Daniel J Patenaude |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942473475 PECOS PAC ID: 2567538150 Enrollment ID: I20080905000012 |
| Provider Name | Jawad Arshad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518171172 PECOS PAC ID: 8820164189 Enrollment ID: I20080910000326 |
| Provider Name | Shashikalaa Kura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265637540 PECOS PAC ID: 2769558980 Enrollment ID: I20080911000345 |
| Provider Name | Andrea R Giacometti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851367254 PECOS PAC ID: 9830266501 Enrollment ID: I20080922000506 |
| Provider Name | Helen H Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598749681 PECOS PAC ID: 5496822058 Enrollment ID: I20080923000662 |
| Provider Name | John A Long |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821062704 PECOS PAC ID: 7911997838 Enrollment ID: I20080925000152 |
| Provider Name | Jennifer E Dunlavy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861419871 PECOS PAC ID: 9133296650 Enrollment ID: I20080925000526 |
| Provider Name | Mark F Carney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972797991 PECOS PAC ID: 0143397430 Enrollment ID: I20080929000552 |
| Provider Name | Jason Mitchell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972762847 PECOS PAC ID: 9133297971 Enrollment ID: I20081007000664 |
| Provider Name | Enrique H Ramirez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285801837 PECOS PAC ID: 6507937828 Enrollment ID: I20081021000628 |
| Provider Name | Clyde C Freeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609035948 PECOS PAC ID: 8527126960 Enrollment ID: I20081029000217 |
| Provider Name | Bilal Khan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831360031 PECOS PAC ID: 4981763844 Enrollment ID: I20081106000445 |
| Provider Name | Padmaja Bandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699971457 PECOS PAC ID: 3779642327 Enrollment ID: I20081111000618 |
| Provider Name | Dawn M Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265486641 PECOS PAC ID: 0648349993 Enrollment ID: I20081111000646 |
| Provider Name | Anitha Subbanna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851550453 PECOS PAC ID: 9234298829 Enrollment ID: I20081112000061 |
| Provider Name | Chanda V Bell-lamarque |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386784627 PECOS PAC ID: 3971662495 Enrollment ID: I20081112000424 |
| Provider Name | Jonathan C Mccauley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659391803 PECOS PAC ID: 1557368248 Enrollment ID: I20081118000335 |
| Provider Name | Jennifer Mary George Morcos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932207560 PECOS PAC ID: 7416914718 Enrollment ID: I20081125000463 |
| Provider Name | Natalie Kontakos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326291725 PECOS PAC ID: 2769543255 Enrollment ID: I20081202000627 |
| Provider Name | Tania Chao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235305509 PECOS PAC ID: 8921169277 Enrollment ID: I20081205000303 |
| Provider Name | Thomas Munro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184608515 PECOS PAC ID: 2163509134 Enrollment ID: I20081218000074 |
| Provider Name | Farah N Saeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134395817 PECOS PAC ID: 9234291402 Enrollment ID: I20081222000594 |
| Provider Name | Craig A Dates |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265521629 PECOS PAC ID: 7719966407 Enrollment ID: I20090109000175 |
| Provider Name | Tori B Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477566677 PECOS PAC ID: 8527032440 Enrollment ID: I20090127000478 |
| Provider Name | Jessica Bullard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750592895 PECOS PAC ID: 5698856284 Enrollment ID: I20090205000251 |
| Provider Name | Robert W Trimble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649437120 PECOS PAC ID: 9830253855 Enrollment ID: I20090205000328 |
| Provider Name | Nelsson Becerra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508882994 PECOS PAC ID: 7214932383 Enrollment ID: I20090209000567 |
| Provider Name | Gebrehana W Zebro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831154376 PECOS PAC ID: 6709971708 Enrollment ID: I20090211000084 |
| Provider Name | Linda Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174593818 PECOS PAC ID: 4385714344 Enrollment ID: I20090216000386 |
| Provider Name | Rajiv Goyal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710042056 PECOS PAC ID: 6406911809 Enrollment ID: I20090219000062 |
| Provider Name | Lee S Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336364843 PECOS PAC ID: 9436239670 Enrollment ID: I20090223000529 |
| Provider Name | Trevor L Valentine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619061280 PECOS PAC ID: 3476619719 Enrollment ID: I20090311000417 |
| Provider Name | Cathriya Penny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235296344 PECOS PAC ID: 1850460841 Enrollment ID: I20090311000635 |
| Provider Name | Barbara Turner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003987835 PECOS PAC ID: 6204984057 Enrollment ID: I20090505000064 |
| Provider Name | Kevin B Murphy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770733495 PECOS PAC ID: 0648328419 Enrollment ID: I20090505000200 |
| Provider Name | Liza Do Le |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174716534 PECOS PAC ID: 7517050669 Enrollment ID: I20090527000591 |
| Provider Name | Ranette Y Marshall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326014549 PECOS PAC ID: 7517015407 Enrollment ID: I20090601000226 |
| Provider Name | Reginald M Wallen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225194210 PECOS PAC ID: 6800784315 Enrollment ID: I20090604000284 |
| Provider Name | Pamela Holmes Reid |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922176833 PECOS PAC ID: 4284784745 Enrollment ID: I20090604000368 |
| Provider Name | John Golden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780744268 PECOS PAC ID: 2567512973 Enrollment ID: I20090605000211 |
| Provider Name | Eddye J Bullock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366510703 PECOS PAC ID: 1456316553 Enrollment ID: I20090605000215 |
| Provider Name | Lauren E Cosgrove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770651788 PECOS PAC ID: 3577613991 Enrollment ID: I20090605000290 |
| Provider Name | Aloysius C Pereira |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417023698 PECOS PAC ID: 3870643182 Enrollment ID: I20090609000026 |
| Provider Name | Jean Rujen Hou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750442273 PECOS PAC ID: 6204986425 Enrollment ID: I20090610000241 |
| Provider Name | Cherlyn Monk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578689170 PECOS PAC ID: 1850441874 Enrollment ID: I20090615000097 |
| Provider Name | Yevgeniy Rubtsov |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255485264 PECOS PAC ID: 6507969508 Enrollment ID: I20090615000597 |
| Provider Name | Steven W Humburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497725337 PECOS PAC ID: 5890845671 Enrollment ID: I20090617000251 |
| Provider Name | Marcia D Coe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730257148 PECOS PAC ID: 9537210224 Enrollment ID: I20090618000652 |
| Provider Name | Anthony L Morton |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457427643 PECOS PAC ID: 4486705936 Enrollment ID: I20090624000251 |
| Provider Name | Brian Shen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538232723 PECOS PAC ID: 5890846117 Enrollment ID: I20090626000476 |
| Provider Name | Seol W Yang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083856116 PECOS PAC ID: 9032260120 Enrollment ID: I20090701000180 |
| Provider Name | Mark A Tretiak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851451322 PECOS PAC ID: 6507917531 Enrollment ID: I20090702000001 |
| Provider Name | David H Jacobs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184788044 PECOS PAC ID: 4486705415 Enrollment ID: I20090702000047 |
| Provider Name | Nitin Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649351859 PECOS PAC ID: 0244381283 Enrollment ID: I20090702000106 |
| Provider Name | Neil Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639320187 PECOS PAC ID: 8022169028 Enrollment ID: I20090702000589 |
| Provider Name | Sonal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568535888 PECOS PAC ID: 7012068828 Enrollment ID: I20090707000465 |
| Provider Name | Peter L Ma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811903099 PECOS PAC ID: 9638220494 Enrollment ID: I20090708000162 |
| Provider Name | Dereje Woreta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922156579 PECOS PAC ID: 6002968690 Enrollment ID: I20090713000133 |
| Provider Name | Ayse Turgut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558408880 PECOS PAC ID: 4880746429 Enrollment ID: I20090714000022 |
| Provider Name | Jacquelyn Redd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598826034 PECOS PAC ID: 2769534320 Enrollment ID: I20090714000177 |
| Provider Name | Gregory P Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932272135 PECOS PAC ID: 6305998881 Enrollment ID: I20090714000499 |
| Provider Name | Pamela P Zarick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962533216 PECOS PAC ID: 2264584697 Enrollment ID: I20090716000320 |
| Provider Name | Dereje Legesse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538150339 PECOS PAC ID: 8527950344 Enrollment ID: I20090720000014 |
| Provider Name | Sherry Weinstein Mayer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013072271 PECOS PAC ID: 6204868235 Enrollment ID: I20090720000460 |
| Provider Name | Charles Stubin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225192628 PECOS PAC ID: 8527110667 Enrollment ID: I20090721000094 |
| Provider Name | Adrienne A Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902052491 PECOS PAC ID: 5597817619 Enrollment ID: I20090723000508 |
| Provider Name | Jenny John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023195518 PECOS PAC ID: 5799837654 Enrollment ID: I20090723000620 |
| Provider Name | Irina Bobrova Sherman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194880401 PECOS PAC ID: 7719039684 Enrollment ID: I20090723000705 |
| Provider Name | Ann S Stilwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518042225 PECOS PAC ID: 5092737171 Enrollment ID: I20090728000357 |
| Provider Name | Cheryl L Keys |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750454955 PECOS PAC ID: 6305999004 Enrollment ID: I20090728000672 |
| Provider Name | Omolara T Oyedele |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194992883 PECOS PAC ID: 0143373886 Enrollment ID: I20090729000040 |
| Provider Name | Sarita Kaza |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639125370 PECOS PAC ID: 6002892718 Enrollment ID: I20090806000478 |
| Provider Name | Carol P Cardinale |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689711152 PECOS PAC ID: 7315090388 Enrollment ID: I20090810000081 |
| Provider Name | Andrew Saltzman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710059290 PECOS PAC ID: 3274687231 Enrollment ID: I20090811000332 |
| Provider Name | Michael Staloch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902831449 PECOS PAC ID: 0547264780 Enrollment ID: I20090813000768 |
| Provider Name | Susan E Deren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588713192 PECOS PAC ID: 6406900174 Enrollment ID: I20090814000027 |
| Provider Name | Adedeji O Karunwi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619143849 PECOS PAC ID: 0345394938 Enrollment ID: I20090817000402 |
| Provider Name | Paul J Millea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326099177 PECOS PAC ID: 3971657560 Enrollment ID: I20090817000405 |
| Provider Name | Vincent Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679626774 PECOS PAC ID: 7719031327 Enrollment ID: I20090817000602 |
| Provider Name | Timothy Marvin Sitts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336204502 PECOS PAC ID: 9436203734 Enrollment ID: I20090821000053 |
| Provider Name | Saraswathy Ramachandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609946136 PECOS PAC ID: 1951455179 Enrollment ID: I20090821000278 |
| Provider Name | Nana T Nikoi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235207622 PECOS PAC ID: 9739234659 Enrollment ID: I20090828000293 |
| Provider Name | Anita Clayton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598838872 PECOS PAC ID: 0547207326 Enrollment ID: I20090828000515 |
| Provider Name | Dan Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760528095 PECOS PAC ID: 6002961786 Enrollment ID: I20090901000545 |
| Provider Name | Swati S. Shirali |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770645368 PECOS PAC ID: 1052466737 Enrollment ID: I20090901000611 |
| Provider Name | Gary N Melnick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790843068 PECOS PAC ID: 2264587989 Enrollment ID: I20090902000254 |
| Provider Name | Anand Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497810725 PECOS PAC ID: 3072401116 Enrollment ID: I20090902000441 |
| Provider Name | Wilbur Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770675928 PECOS PAC ID: 6305997479 Enrollment ID: I20090903000451 |
| Provider Name | Ethiopia Abebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588732580 PECOS PAC ID: 6709931322 Enrollment ID: I20090903000580 |
| Provider Name | Maleeha R Chaudary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386786382 PECOS PAC ID: 8729133350 Enrollment ID: I20090903000661 |
| Provider Name | Matthew Testani |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104800606 PECOS PAC ID: 4587618095 Enrollment ID: I20090904000123 |
| Provider Name | Eunice J Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558424523 PECOS PAC ID: 7719032275 Enrollment ID: I20090904000189 |
| Provider Name | Lisa Watts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992926158 PECOS PAC ID: 5698820116 Enrollment ID: I20090908000176 |
| Provider Name | Jason Rashkin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831171800 PECOS PAC ID: 2567402464 Enrollment ID: I20090914000138 |
| Provider Name | Sandra L Swann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881738813 PECOS PAC ID: 5890841035 Enrollment ID: I20090914000307 |
| Provider Name | Thomas Chang |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1689724254 PECOS PAC ID: 0941356042 Enrollment ID: I20090915000198 |
| Provider Name | Marcy L Goldberg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518027028 PECOS PAC ID: 6800942913 Enrollment ID: I20090915000250 |
| Provider Name | Sara Mukherjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235207671 PECOS PAC ID: 5597811646 Enrollment ID: I20090915000585 |
| Provider Name | Samuel A Semegn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770656076 PECOS PAC ID: 0941215271 Enrollment ID: I20090916000623 |
| Provider Name | Yvette D Roberson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124265897 PECOS PAC ID: 5597811547 Enrollment ID: I20090916000785 |
| Provider Name | Anna Balkisue Lee Stuart Mccall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306092135 PECOS PAC ID: 8820144876 Enrollment ID: I20090916000821 |
| Provider Name | Brigit R Venza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386779411 PECOS PAC ID: 4981750866 Enrollment ID: I20090917000331 |
| Provider Name | Leslie Nurse |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366619231 PECOS PAC ID: 2062586548 Enrollment ID: I20090917000561 |
| Provider Name | Sabine F Balzora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417111667 PECOS PAC ID: 8224184965 Enrollment ID: I20090921000651 |
| Provider Name | Yodit B Benalfew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699847186 PECOS PAC ID: 2163578824 Enrollment ID: I20090922000098 |
| Provider Name | Leon C Hwang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1972659266 PECOS PAC ID: 9830245513 Enrollment ID: I20090922000260 |
| Provider Name | Patricia A Mcnally |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1033270483 PECOS PAC ID: 3870649585 Enrollment ID: I20090922000495 |
| Provider Name | Kimberly Colden Massey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174682728 PECOS PAC ID: 0648326298 Enrollment ID: I20090923000134 |
| Provider Name | Nidhi Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487722807 PECOS PAC ID: 1658427208 Enrollment ID: I20090923000234 |
| Provider Name | Ommar Win |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437218070 PECOS PAC ID: 1658427232 Enrollment ID: I20090923000416 |
| Provider Name | Sean Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164486510 PECOS PAC ID: 0345251195 Enrollment ID: I20090923000826 |
| Provider Name | Kanwaljit K Nagi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134258353 PECOS PAC ID: 2769538289 Enrollment ID: I20090924000451 |
| Provider Name | Daniel J Wolde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780748038 PECOS PAC ID: 0749336162 Enrollment ID: I20090925000310 |
| Provider Name | Ingrid C Soderlund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265562706 PECOS PAC ID: 8022050772 Enrollment ID: I20090928000245 |
| Provider Name | Isabelle C Guichard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396902912 PECOS PAC ID: 2860548138 Enrollment ID: I20090929000227 |
| Provider Name | Charu Maheshwary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902088404 PECOS PAC ID: 3274679584 Enrollment ID: I20090929000690 |
| Provider Name | Susan A Leggett Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710037262 PECOS PAC ID: 3870639180 Enrollment ID: I20090930000007 |
| Provider Name | Vrishali M Dalvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235249624 PECOS PAC ID: 8527062744 Enrollment ID: I20090930000065 |
| Provider Name | Glen Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780757062 PECOS PAC ID: 6507902822 Enrollment ID: I20090930000105 |
| Provider Name | Rochelle Rogart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285787572 PECOS PAC ID: 8921144254 Enrollment ID: I20090930000152 |
| Provider Name | Shital S Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295897668 PECOS PAC ID: 7315001708 Enrollment ID: I20090930000435 |
| Provider Name | Chun Hyong Rhim |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1750406252 PECOS PAC ID: 0648338871 Enrollment ID: I20090930000503 |
| Provider Name | Donna Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750468344 PECOS PAC ID: 2668518895 Enrollment ID: I20091001000421 |
| Provider Name | Pierre-luc Paultre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760640809 PECOS PAC ID: 6709922818 Enrollment ID: I20091002000554 |
| Provider Name | Abdel Baset Al Shaar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740401710 PECOS PAC ID: 8426078114 Enrollment ID: I20091005000297 |
| Provider Name | Amrita K Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740457324 PECOS PAC ID: 4587700646 Enrollment ID: I20091005000309 |
| Provider Name | Rahul D Tevar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497990329 PECOS PAC ID: 9133265143 Enrollment ID: I20091006000119 |
| Provider Name | Nirupama D Vadlakonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467641084 PECOS PAC ID: 9335285212 Enrollment ID: I20091007000033 |
| Provider Name | Richard J Mccarthy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518041680 PECOS PAC ID: 7416860515 Enrollment ID: I20091007000053 |
| Provider Name | Ogundu O Ngwu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376517003 PECOS PAC ID: 2466598255 Enrollment ID: I20091008000241 |
| Provider Name | Christopher Della Santina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356496178 PECOS PAC ID: 6901942796 Enrollment ID: I20091008000250 |
| Provider Name | Dona L Moon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982869004 PECOS PAC ID: 7810033545 Enrollment ID: I20091009000075 |
| Provider Name | Veena Mysore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053318089 PECOS PAC ID: 5496756421 Enrollment ID: I20091009000197 |
| Provider Name | M. Pamela Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629127329 PECOS PAC ID: 9931245610 Enrollment ID: I20091009000501 |
| Provider Name | Steven Scherping |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578563375 PECOS PAC ID: 1052457603 Enrollment ID: I20091013000061 |
| Provider Name | Patience B Daniels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972660900 PECOS PAC ID: 1153351275 Enrollment ID: I20091013000161 |
| Provider Name | Pamela P Cobb |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629118948 PECOS PAC ID: 1850437252 Enrollment ID: I20091014000692 |
| Provider Name | Anna A Kraszewska |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538237938 PECOS PAC ID: 9537056189 Enrollment ID: I20091015000637 |
| Provider Name | Mark Naftanel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1801913561 PECOS PAC ID: 4082751474 Enrollment ID: I20091015000660 |
| Provider Name | Monica Dale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528235959 PECOS PAC ID: 9638216906 Enrollment ID: I20091020000409 |
| Provider Name | Sandra A Wells |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1154485498 PECOS PAC ID: 1850438045 Enrollment ID: I20091020000658 |
| Provider Name | Amit Luhadiya |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376565259 PECOS PAC ID: 6507868775 Enrollment ID: I20091021000696 |
| Provider Name | Evan B Friedman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295901759 PECOS PAC ID: 8022155126 Enrollment ID: I20091022000042 |
| Provider Name | Almuhannad Alhammood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114095551 PECOS PAC ID: 9335286475 Enrollment ID: I20091022000432 |
| Provider Name | Minh Phuong Doan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124041942 PECOS PAC ID: 9638114911 Enrollment ID: I20091028000197 |
| Provider Name | Kristina E Lynch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538381389 PECOS PAC ID: 5698828093 Enrollment ID: I20091028000372 |
| Provider Name | Andrew K Sanderson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144431552 PECOS PAC ID: 7911081914 Enrollment ID: I20091028000484 |
| Provider Name | Kathleen A Leary |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598891418 PECOS PAC ID: 8123166618 Enrollment ID: I20091103000312 |
| Provider Name | Khadija I Alvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225196678 PECOS PAC ID: 6901900471 Enrollment ID: I20091104000302 |
| Provider Name | Chaitanya S Mangalmurti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659466225 PECOS PAC ID: 2769520147 Enrollment ID: I20091104000421 |
| Provider Name | Maria T Martinez |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306992078 PECOS PAC ID: 5193863504 Enrollment ID: I20091104000696 |
| Provider Name | Somashekar N Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063588259 PECOS PAC ID: 2365580792 Enrollment ID: I20091105000152 |
| Provider Name | William M Epps |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1295943124 PECOS PAC ID: 9234277526 Enrollment ID: I20091106000049 |
| Provider Name | Thomas C Hogue |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720049430 PECOS PAC ID: 3476544099 Enrollment ID: I20091106000318 |
| Provider Name | David M Herr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619031960 PECOS PAC ID: 3173661337 Enrollment ID: I20091109000042 |
| Provider Name | Nahed M Ezmerli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356497085 PECOS PAC ID: 4183762230 Enrollment ID: I20091110000292 |
| Provider Name | Deborah D Cheung |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891850129 PECOS PAC ID: 6901944925 Enrollment ID: I20091112000253 |
| Provider Name | Stephen Ilario |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164425419 PECOS PAC ID: 7214911023 Enrollment ID: I20091112000412 |
| Provider Name | Jonas P Wiltz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245499698 PECOS PAC ID: 4385782291 Enrollment ID: I20091113000425 |
| Provider Name | Jantina M Vander Linde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396808416 PECOS PAC ID: 3476512906 Enrollment ID: I20091113000455 |
| Provider Name | Mohamed A Atalla |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033383781 PECOS PAC ID: 2769559954 Enrollment ID: I20091117000595 |
| Provider Name | Latoya M Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740447861 PECOS PAC ID: 8820157118 Enrollment ID: I20091117000649 |
| Provider Name | Hilary S Newgen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881868123 PECOS PAC ID: 3971641648 Enrollment ID: I20091118000082 |
| Provider Name | Delroy Anglin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558439802 PECOS PAC ID: 2668510355 Enrollment ID: I20091118000276 |
| Provider Name | Paul H Mcclain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871669002 PECOS PAC ID: 4183762701 Enrollment ID: I20091118000545 |
| Provider Name | Murali Nagubandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073582037 PECOS PAC ID: 6901831288 Enrollment ID: I20091119000417 |
| Provider Name | E W Emanuel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568523082 PECOS PAC ID: 8325186919 Enrollment ID: I20091119000422 |
| Provider Name | Joel P Kalman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063577310 PECOS PAC ID: 7911045505 Enrollment ID: I20091119000470 |
| Provider Name | Purnima P Joshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144388422 PECOS PAC ID: 2668511296 Enrollment ID: I20091120000158 |
| Provider Name | Sharon R Josephson Keeven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417017047 PECOS PAC ID: 3779622154 Enrollment ID: I20091124000252 |
| Provider Name | Lynn C Healey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588741995 PECOS PAC ID: 4082753488 Enrollment ID: I20091124000455 |
| Provider Name | Belay W Atnafu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548448822 PECOS PAC ID: 4981779162 Enrollment ID: I20091125000592 |
| Provider Name | Muzna Adil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780870618 PECOS PAC ID: 3577602804 Enrollment ID: I20091130000368 |
| Provider Name | Yu Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053568436 PECOS PAC ID: 9739228982 Enrollment ID: I20091201000094 |
| Provider Name | Shailesh K Sheth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104970128 PECOS PAC ID: 9739228917 Enrollment ID: I20091201000281 |
| Provider Name | Elizabeth K Pfaffenroth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548426927 PECOS PAC ID: 2860531076 Enrollment ID: I20091201000566 |
| Provider Name | Eirene Koroulakis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396805826 PECOS PAC ID: 9739228941 Enrollment ID: I20091201000609 |
| Provider Name | Humaira Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407909781 PECOS PAC ID: 0244379394 Enrollment ID: I20091202000356 |
| Provider Name | Ginine M Beyer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780864579 PECOS PAC ID: 9133268287 Enrollment ID: I20091202000368 |
| Provider Name | Rukmani Sivalingam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245422732 PECOS PAC ID: 3173662285 Enrollment ID: I20091203000204 |
| Provider Name | John S Richards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396846150 PECOS PAC ID: 1052450079 Enrollment ID: I20091204000423 |
| Provider Name | Jonathan Perry Kruger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538220041 PECOS PAC ID: 4284773185 Enrollment ID: I20091207000414 |
| Provider Name | Oluwapelumi O Fakeye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306032255 PECOS PAC ID: 1759420573 Enrollment ID: I20091208000019 |
| Provider Name | Kathleen Adams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427126846 PECOS PAC ID: 0840330544 Enrollment ID: I20091210000276 |
| Provider Name | Mohamed Mazid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851440838 PECOS PAC ID: 0244209120 Enrollment ID: I20091211000281 |
| Provider Name | Patricia Watkis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215094255 PECOS PAC ID: 3577588854 Enrollment ID: I20091211000583 |
| Provider Name | Daniel R Glor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962568964 PECOS PAC ID: 2365582830 Enrollment ID: I20091214000398 |
| Provider Name | Paul Bujanauskas |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366409534 PECOS PAC ID: 0244221174 Enrollment ID: I20091215000215 |
| Provider Name | Dinesh K Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992834097 PECOS PAC ID: 7214077767 Enrollment ID: I20091215000220 |
| Provider Name | Neil Kansal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457545477 PECOS PAC ID: 4880734250 Enrollment ID: I20091215000521 |
| Provider Name | Abida Nasreen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730243098 PECOS PAC ID: 5799825196 Enrollment ID: I20091216000066 |
| Provider Name | Raquel Rudy-lemanski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548314412 PECOS PAC ID: 5395885719 Enrollment ID: I20091216000204 |
| Provider Name | Mary P Lazarek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689747974 PECOS PAC ID: 5193865541 Enrollment ID: I20091216000464 |
| Provider Name | Christina Gillespie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801805601 PECOS PAC ID: 7012057367 Enrollment ID: I20091216000563 |
| Provider Name | Harini Gudavalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306918891 PECOS PAC ID: 5991845273 Enrollment ID: I20091217000175 |
| Provider Name | Christopher Pash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639121262 PECOS PAC ID: 9335032358 Enrollment ID: I20091217000414 |
| Provider Name | Edsel J Gayoso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528133469 PECOS PAC ID: 7214077437 Enrollment ID: I20091221000128 |
| Provider Name | Shamima Abbas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750445896 PECOS PAC ID: 0446390488 Enrollment ID: I20091222000617 |
| Provider Name | Edda M Varona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306881230 PECOS PAC ID: 8224178066 Enrollment ID: I20091229000585 |
| Provider Name | Vu T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457400160 PECOS PAC ID: 3870529118 Enrollment ID: I20091231000444 |
| Provider Name | Benjamin I Rubin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922053602 PECOS PAC ID: 3173522612 Enrollment ID: I20100105000469 |
| Provider Name | Mi Na Son |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801067707 PECOS PAC ID: 4981745072 Enrollment ID: I20100112000352 |
| Provider Name | William A. Cooper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609936152 PECOS PAC ID: 5496896417 Enrollment ID: I20100112000627 |
| Provider Name | My D Hoang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508904541 PECOS PAC ID: 1951442854 Enrollment ID: I20100113000662 |
| Provider Name | William K Brems |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427121797 PECOS PAC ID: 8123169026 Enrollment ID: I20100113000669 |
| Provider Name | Phong Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215080668 PECOS PAC ID: 1254472145 Enrollment ID: I20100114000447 |
| Provider Name | Georgia A Richards |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447323704 PECOS PAC ID: 5991845893 Enrollment ID: I20100120000602 |
| Provider Name | Jesus A Henson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073651006 PECOS PAC ID: 1759423387 Enrollment ID: I20100120000723 |
| Provider Name | Wendy Ann Hutcheson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326111667 PECOS PAC ID: 8224170493 Enrollment ID: I20100126000819 |
| Provider Name | Rae Kennedy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114981206 PECOS PAC ID: 9032136882 Enrollment ID: I20100127000366 |
| Provider Name | Haramol K. Nagi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346380730 PECOS PAC ID: 1850433947 Enrollment ID: I20100128000092 |
| Provider Name | Christine Dewitt |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1659578581 PECOS PAC ID: 4183767007 Enrollment ID: I20100201000411 |
| Provider Name | Elizabeth A Healy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437225778 PECOS PAC ID: 0244374346 Enrollment ID: I20100212000196 |
| Provider Name | Rachel Anne Burchard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164559100 PECOS PAC ID: 2264503044 Enrollment ID: I20100215000384 |
| Provider Name | Wanda M Patterson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1255301412 PECOS PAC ID: 1557386752 Enrollment ID: I20100215000493 |
| Provider Name | Jacqueline E Doerr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740335470 PECOS PAC ID: 0244374163 Enrollment ID: I20100216000596 |
| Provider Name | Joseph A Lodato |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164545018 PECOS PAC ID: 9436259777 Enrollment ID: I20100218000245 |
| Provider Name | Valerie A Walker-clark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457429854 PECOS PAC ID: 2567506082 Enrollment ID: I20100223000042 |
| Provider Name | Dennis Amini |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376541318 PECOS PAC ID: 1759426315 Enrollment ID: I20100308000043 |
| Provider Name | Toni L Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326192295 PECOS PAC ID: 3678608932 Enrollment ID: I20100312000113 |
| Provider Name | Meron Yimen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669636049 PECOS PAC ID: 2668507948 Enrollment ID: I20100312000328 |
| Provider Name | Marc A Kouyoumdjian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629136999 PECOS PAC ID: 1658406681 Enrollment ID: I20100316000943 |
| Provider Name | Mark H Terris |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073673505 PECOS PAC ID: 9739215013 Enrollment ID: I20100325000542 |
| Provider Name | Sheila A Mayo-olano |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750506374 PECOS PAC ID: 9638142961 Enrollment ID: I20100326000874 |
| Provider Name | Muhammad Yousef |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568664530 PECOS PAC ID: 8921134685 Enrollment ID: I20100405000195 |
| Provider Name | Farzaneh L Sabi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114990637 PECOS PAC ID: 9638205271 Enrollment ID: I20100407000294 |
| Provider Name | Yevgeniy Gincherman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801822671 PECOS PAC ID: 4385770932 Enrollment ID: I20100407000392 |
| Provider Name | Eric Wollins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518976778 PECOS PAC ID: 7719013309 Enrollment ID: I20100408000140 |
| Provider Name | Constantine Tziros |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215193529 PECOS PAC ID: 6305972803 Enrollment ID: I20100408000349 |
| Provider Name | Priti K Sood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679711808 PECOS PAC ID: 3072649607 Enrollment ID: I20100414000247 |
| Provider Name | Peter Kadlecik |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770526535 PECOS PAC ID: 0244213049 Enrollment ID: I20100414000601 |
| Provider Name | Nicole C Pelham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821104969 PECOS PAC ID: 6608881230 Enrollment ID: I20100414000679 |
| Provider Name | Eleanor Wilson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215003546 PECOS PAC ID: 3577690981 Enrollment ID: I20100416000040 |
| Provider Name | Samaneh Bazel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366518680 PECOS PAC ID: 6406983766 Enrollment ID: I20100420000082 |
| Provider Name | Annie Mclenahan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437325552 PECOS PAC ID: 8022145226 Enrollment ID: I20100420000572 |
| Provider Name | Sos A Mboijana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841274792 PECOS PAC ID: 0446387591 Enrollment ID: I20100421000169 |
| Provider Name | Beverly Darnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003004839 PECOS PAC ID: 6901848787 Enrollment ID: I20100422000011 |
| Provider Name | Neelam Bandi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851507255 PECOS PAC ID: 7416084454 Enrollment ID: I20100422000365 |
| Provider Name | Louis Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578784955 PECOS PAC ID: 6901995588 Enrollment ID: I20100423000406 |
| Provider Name | Mark A Reed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225188493 PECOS PAC ID: 4183751043 Enrollment ID: I20100423000728 |
| Provider Name | Anne E Baldwin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982772315 PECOS PAC ID: 9638206519 Enrollment ID: I20100424000004 |
| Provider Name | Debra Coe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265500516 PECOS PAC ID: 1355478231 Enrollment ID: I20100424000020 |
| Provider Name | John J Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710048160 PECOS PAC ID: 2769519651 Enrollment ID: I20100426000045 |
| Provider Name | Laura V Rusch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417083361 PECOS PAC ID: 7416084306 Enrollment ID: I20100426000139 |
| Provider Name | Marie Innocent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093783979 PECOS PAC ID: 3678551371 Enrollment ID: I20100428000701 |
| Provider Name | Mayme C Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972658615 PECOS PAC ID: 2466589023 Enrollment ID: I20100430000022 |
| Provider Name | Joseph A Vander Walde |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912068339 PECOS PAC ID: 5193852770 Enrollment ID: I20100430000307 |
| Provider Name | Nagui N. Saleh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366500274 PECOS PAC ID: 5890822480 Enrollment ID: I20100430000358 |
| Provider Name | Uma Prasad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154499580 PECOS PAC ID: 4385772995 Enrollment ID: I20100503000050 |
| Provider Name | Allan S Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750432712 PECOS PAC ID: 3274661897 Enrollment ID: I20100503000080 |
| Provider Name | Jing Cai |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649234774 PECOS PAC ID: 8527130244 Enrollment ID: I20100503000206 |
| Provider Name | Andrew J Dutka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619043973 PECOS PAC ID: 4486782992 Enrollment ID: I20100504000475 |
| Provider Name | Isabel C Gottron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871661272 PECOS PAC ID: 3173651601 Enrollment ID: I20100504000672 |
| Provider Name | Timothy Swartz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003891870 PECOS PAC ID: 1456321207 Enrollment ID: I20100505000918 |
| Provider Name | Teodora-rowena B Clanor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427184332 PECOS PAC ID: 3375671613 Enrollment ID: I20100507000239 |
| Provider Name | Marsha C Solomon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699933739 PECOS PAC ID: 8921136177 Enrollment ID: I20100507000494 |
| Provider Name | Tanya Y Cothran Ross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851390926 PECOS PAC ID: 8628106820 Enrollment ID: I20100510000119 |
| Provider Name | Harman P Bajwa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962619122 PECOS PAC ID: 0244368447 Enrollment ID: I20100510000146 |
| Provider Name | Meredith L. Heltzer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427073634 PECOS PAC ID: 1658321328 Enrollment ID: I20100510000344 |
| Provider Name | Neelam B Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689742090 PECOS PAC ID: 7810025954 Enrollment ID: I20100511000096 |
| Provider Name | Elizabeth A Valois |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194725325 PECOS PAC ID: 7113055294 Enrollment ID: I20100511000458 |
| Provider Name | Asha J Patton Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376690818 PECOS PAC ID: 8527196559 Enrollment ID: I20100512000118 |
| Provider Name | Katina D Hatten |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437210895 PECOS PAC ID: 6901934900 Enrollment ID: I20100512000902 |
| Provider Name | Sima H Bakalian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821164054 PECOS PAC ID: 0244368165 Enrollment ID: I20100513000091 |
| Provider Name | Nivedita Mohanty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215000427 PECOS PAC ID: 3072641802 Enrollment ID: I20100514000296 |
| Provider Name | Geannie M Bennett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982762803 PECOS PAC ID: 9931237732 Enrollment ID: I20100517000056 |
| Provider Name | Jose De Leon Carpio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275682320 PECOS PAC ID: 0446388243 Enrollment ID: I20100517000106 |
| Provider Name | David R Nagle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891820197 PECOS PAC ID: 9133257843 Enrollment ID: I20100517000286 |
| Provider Name | Maurice Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396825378 PECOS PAC ID: 3870621550 Enrollment ID: I20100518000122 |
| Provider Name | Adilakshmi S Kansal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972777944 PECOS PAC ID: 7416021118 Enrollment ID: I20100519000759 |
| Provider Name | Shalini Dogra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164620977 PECOS PAC ID: 0547399040 Enrollment ID: I20100521000048 |
| Provider Name | Neil M Stern |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871666099 PECOS PAC ID: 5799814208 Enrollment ID: I20100521000216 |
| Provider Name | Bhaskara R Tripuraneni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245318062 PECOS PAC ID: 9335296698 Enrollment ID: I20100524000119 |
| Provider Name | Kimberly M Lenhardt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619054012 PECOS PAC ID: 5294864625 Enrollment ID: I20100524000728 |
| Provider Name | Nikia S Wooten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851336168 PECOS PAC ID: 6608878301 Enrollment ID: I20100525000651 |
| Provider Name | Christopher J Walters |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851451520 PECOS PAC ID: 3375672587 Enrollment ID: I20100526001018 |
| Provider Name | Robert H Gerard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831251420 PECOS PAC ID: 4284763376 Enrollment ID: I20100528000045 |
| Provider Name | Eric C Sklarew |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558434811 PECOS PAC ID: 9739218850 Enrollment ID: I20100528000406 |
| Provider Name | David Krug |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356516298 PECOS PAC ID: 8628128592 Enrollment ID: I20100601000139 |
| Provider Name | Sunil Madan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982603510 PECOS PAC ID: 6800925702 Enrollment ID: I20100603000059 |
| Provider Name | Douglas M Vanzoeren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538225974 PECOS PAC ID: 8325177157 Enrollment ID: I20100603000469 |
| Provider Name | Patricia R Richards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578605234 PECOS PAC ID: 0143350942 Enrollment ID: I20100604000424 |
| Provider Name | Gaby Tesfaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669533196 PECOS PAC ID: 3476683277 Enrollment ID: I20100604000473 |
| Provider Name | Nestor A Alvarado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861554461 PECOS PAC ID: 4789714593 Enrollment ID: I20100604000549 |
| Provider Name | Rhondee Baldi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104936517 PECOS PAC ID: 2163591322 Enrollment ID: I20100604000736 |
| Provider Name | Justin C Greene |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831393701 PECOS PAC ID: 2961594791 Enrollment ID: I20100608000004 |
| Provider Name | Takeo Kasumi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356352751 PECOS PAC ID: 7517963630 Enrollment ID: I20100608000742 |
| Provider Name | Yetunde Shitta-bey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659449643 PECOS PAC ID: 7618007030 Enrollment ID: I20100611000240 |
| Provider Name | Kidest Assegued |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275601692 PECOS PAC ID: 6709916125 Enrollment ID: I20100611000247 |
| Provider Name | Frank Genova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396803219 PECOS PAC ID: 1052441300 Enrollment ID: I20100611000670 |
| Provider Name | Sindhu T James |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124183462 PECOS PAC ID: 3072521202 Enrollment ID: I20100614000532 |
| Provider Name | Albert Y Cheung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245398866 PECOS PAC ID: 7012967961 Enrollment ID: I20100615000128 |
| Provider Name | Cecilia M Hammond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467508481 PECOS PAC ID: 6608906631 Enrollment ID: I20100617000331 |
| Provider Name | Lisa Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790846889 PECOS PAC ID: 2668502543 Enrollment ID: I20100621000264 |
| Provider Name | Jennifer L Offer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336287374 PECOS PAC ID: 3274664172 Enrollment ID: I20100621000588 |
| Provider Name | Anjum Bandarkar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336463090 PECOS PAC ID: 8921139411 Enrollment ID: I20100628000287 |
| Provider Name | Xiaodong Luo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043206808 PECOS PAC ID: 1951362086 Enrollment ID: I20100629000064 |
| Provider Name | Chi-tsui V Liang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487729331 PECOS PAC ID: 7012048416 Enrollment ID: I20100629000538 |
| Provider Name | Karen R Raksis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114071362 PECOS PAC ID: 0840321188 Enrollment ID: I20100630000144 |
| Provider Name | Rebecca Fitch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184849796 PECOS PAC ID: 9739210832 Enrollment ID: I20100707000342 |
| Provider Name | Madhu P Khanna |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154309813 PECOS PAC ID: 0345258059 Enrollment ID: I20100708000257 |
| Provider Name | Pupil Demissie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689751521 PECOS PAC ID: 5890826853 Enrollment ID: I20100708000611 |
| Provider Name | Beatriz Chanduvi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770586109 PECOS PAC ID: 7113059189 Enrollment ID: I20100712000124 |
| Provider Name | Maurice Davin Cates |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861565137 PECOS PAC ID: 1557493525 Enrollment ID: I20100712000149 |
| Provider Name | Charlotte K Dean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164578118 PECOS PAC ID: 9830221365 Enrollment ID: I20100720000437 |
| Provider Name | Bruce S Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700954120 PECOS PAC ID: 4082746474 Enrollment ID: I20100721000154 |
| Provider Name | Brent C Thibodeaux |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386705721 PECOS PAC ID: 3072645332 Enrollment ID: I20100722000065 |
| Provider Name | Yaning Liu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831250281 PECOS PAC ID: 5991830838 Enrollment ID: I20100722000336 |
| Provider Name | James R. Rosenthal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083695852 PECOS PAC ID: 1951433267 Enrollment ID: I20100722000645 |
| Provider Name | Olumide A Coker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235171885 PECOS PAC ID: 0446306963 Enrollment ID: I20100726000509 |
| Provider Name | Mahrukh M Hussain |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1841358801 PECOS PAC ID: 7214060185 Enrollment ID: I20100728001077 |
| Provider Name | Farah Zeshan Abdulsalam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417952367 PECOS PAC ID: 1850367616 Enrollment ID: I20100729000054 |
| Provider Name | Alice J Gouvernayre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659538056 PECOS PAC ID: 1658404561 Enrollment ID: I20100729000126 |
| Provider Name | Karlene R Ware |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396876645 PECOS PAC ID: 4284767872 Enrollment ID: I20100803000794 |
| Provider Name | Rumana T Shameem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720139777 PECOS PAC ID: 3577696848 Enrollment ID: I20100806000540 |
| Provider Name | Mian K Khalid |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1740457266 PECOS PAC ID: 7416083928 Enrollment ID: I20100806000821 |
| Provider Name | Edgard A Segura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326109778 PECOS PAC ID: 9234284308 Enrollment ID: I20100810000105 |
| Provider Name | Mona T Iskander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104817535 PECOS PAC ID: 3476687625 Enrollment ID: I20100810000872 |
| Provider Name | Anthony D Shepherd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629135553 PECOS PAC ID: 5092849018 Enrollment ID: I20100812000857 |
| Provider Name | David E Page |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992865414 PECOS PAC ID: 1355350851 Enrollment ID: I20100816000916 |
| Provider Name | Laura L Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871795898 PECOS PAC ID: 9234260472 Enrollment ID: I20100818000862 |
| Provider Name | David B Wollman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407933351 PECOS PAC ID: 1759415219 Enrollment ID: I20100819000154 |
| Provider Name | Seung Chae |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780744193 PECOS PAC ID: 3173655834 Enrollment ID: I20100819000192 |
| Provider Name | Reggie Zhan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235174640 PECOS PAC ID: 3779594429 Enrollment ID: I20100820000420 |
| Provider Name | Sushila Chelliah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730218512 PECOS PAC ID: 8325172620 Enrollment ID: I20100820000896 |
| Provider Name | Piyapong Vongkovit |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1033114996 PECOS PAC ID: 8123191012 Enrollment ID: I20100820000959 |
| Provider Name | Kathleen A Kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326197302 PECOS PAC ID: 8426084765 Enrollment ID: I20100820001016 |
| Provider Name | Shirley A Vanmilder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144360587 PECOS PAC ID: 0648304915 Enrollment ID: I20100823000651 |
| Provider Name | Mannul Wahab Muhiuddin Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689746166 PECOS PAC ID: 6800942475 Enrollment ID: I20100826000134 |
| Provider Name | Daniel F Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710132485 PECOS PAC ID: 7416071543 Enrollment ID: I20100826000624 |
| Provider Name | Sherry Hoss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972698066 PECOS PAC ID: 6800812652 Enrollment ID: I20100826000634 |
| Provider Name | Constantine W Jones |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164583514 PECOS PAC ID: 7618091638 Enrollment ID: I20100827000613 |
| Provider Name | Andrea K Prosser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275606568 PECOS PAC ID: 0042334955 Enrollment ID: I20100830000636 |
| Provider Name | David Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235294406 PECOS PAC ID: 8123173291 Enrollment ID: I20100830000890 |
| Provider Name | Susan E Jenkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942299417 PECOS PAC ID: 5193849024 Enrollment ID: I20100830001008 |
| Provider Name | Amber J Marshall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992840714 PECOS PAC ID: 3577615186 Enrollment ID: I20100831000421 |
| Provider Name | Jasmin Hans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497805147 PECOS PAC ID: 6709853377 Enrollment ID: I20100901000823 |
| Provider Name | Edward Deyee Tsong |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578641312 PECOS PAC ID: 6305811258 Enrollment ID: I20100902000344 |
| Provider Name | Tanuja Mishra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912985698 PECOS PAC ID: 1850341348 Enrollment ID: I20100902000819 |
| Provider Name | Alexandra E Booth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497802599 PECOS PAC ID: 2961526470 Enrollment ID: I20100903000535 |
| Provider Name | Carol A Forster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891861100 PECOS PAC ID: 8527195619 Enrollment ID: I20100907000510 |
| Provider Name | Karishma Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265609697 PECOS PAC ID: 8729103890 Enrollment ID: I20100913000712 |
| Provider Name | Fetnat Faye Masri-imadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922158716 PECOS PAC ID: 0143301549 Enrollment ID: I20100914000912 |
| Provider Name | Maaya R Marri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811022338 PECOS PAC ID: 3476687971 Enrollment ID: I20100914001155 |
| Provider Name | Thomas I. Krisztinicz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073673695 PECOS PAC ID: 0547158909 Enrollment ID: I20100916000009 |
| Provider Name | Saritha Gorantla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174780571 PECOS PAC ID: 5799853362 Enrollment ID: I20100917000965 |
| Provider Name | Stuart Q Hopkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962569996 PECOS PAC ID: 8325068901 Enrollment ID: I20100920000175 |
| Provider Name | Suma Doppalapudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154493641 PECOS PAC ID: 0244376432 Enrollment ID: I20100921000173 |
| Provider Name | Cristina Natalia P Policarpio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316948086 PECOS PAC ID: 5395770002 Enrollment ID: I20100927001170 |
| Provider Name | Rebecca A Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356408561 PECOS PAC ID: 9436275450 Enrollment ID: I20100928000708 |
| Provider Name | Seyeda M Abedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982871588 PECOS PAC ID: 3577755982 Enrollment ID: I20101004001133 |
| Provider Name | Ilse Levin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285844241 PECOS PAC ID: 2466644794 Enrollment ID: I20101005001101 |
| Provider Name | Annie Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457424707 PECOS PAC ID: 3577755115 Enrollment ID: I20101014000250 |
| Provider Name | Daniel Matathias |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841358116 PECOS PAC ID: 4486846029 Enrollment ID: I20101014000251 |
| Provider Name | Sheryl N Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548465297 PECOS PAC ID: 0840483137 Enrollment ID: I20101019001055 |
| Provider Name | Avtar S Chana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447473020 PECOS PAC ID: 3577609841 Enrollment ID: I20101019001279 |
| Provider Name | Julie Sim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912985276 PECOS PAC ID: 0840397782 Enrollment ID: I20101021001231 |
| Provider Name | Tami R Collins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558422907 PECOS PAC ID: 1557555125 Enrollment ID: I20101028000522 |
| Provider Name | Ayanna Beard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184636714 PECOS PAC ID: 2062404015 Enrollment ID: I20101102000425 |
| Provider Name | Lisa Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588863112 PECOS PAC ID: 5193871648 Enrollment ID: I20101104000559 |
| Provider Name | Khristine Heflin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821315615 PECOS PAC ID: 7810182342 Enrollment ID: I20101110000831 |
| Provider Name | Veronica A Babineaux |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386956001 PECOS PAC ID: 6002001351 Enrollment ID: I20101111001102 |
| Provider Name | Mark A Walker |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083716823 PECOS PAC ID: 2567512486 Enrollment ID: I20101112000452 |
| Provider Name | Tracy L Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336113091 PECOS PAC ID: 7810960705 Enrollment ID: I20101115000256 |
| Provider Name | Helen Schneider |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558375113 PECOS PAC ID: 4880590439 Enrollment ID: I20101116000938 |
| Provider Name | Latoya L Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689732638 PECOS PAC ID: 7911972203 Enrollment ID: I20101122000206 |
| Provider Name | Andrew Peng |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710183199 PECOS PAC ID: 7113007063 Enrollment ID: I20101122000377 |
| Provider Name | Niosha Razi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245326941 PECOS PAC ID: 4789635889 Enrollment ID: I20101122000393 |
| Provider Name | Artur Treyster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275754475 PECOS PAC ID: 5991803579 Enrollment ID: I20101122001012 |
| Provider Name | Noah Eli Meltzer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881740223 PECOS PAC ID: 3476615956 Enrollment ID: I20101122001334 |
| Provider Name | Joseph S Joson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477539658 PECOS PAC ID: 8527254077 Enrollment ID: I20101123000072 |
| Provider Name | Francis A Freisinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669694618 PECOS PAC ID: 6305032889 Enrollment ID: I20101123000511 |
| Provider Name | Kalonji R Collins |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1619126711 PECOS PAC ID: 9436345956 Enrollment ID: I20101123000956 |
| Provider Name | Pamela Seam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740501766 PECOS PAC ID: 7911193370 Enrollment ID: I20101124000192 |
| Provider Name | Seth J Marquit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588694798 PECOS PAC ID: 8022015304 Enrollment ID: I20101124000410 |
| Provider Name | Nhat Doan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588685986 PECOS PAC ID: 9638365018 Enrollment ID: I20101124000510 |
| Provider Name | Emily B Woodard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609061381 PECOS PAC ID: 1456434398 Enrollment ID: I20101124000702 |
| Provider Name | Vasudha M Narayana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336200773 PECOS PAC ID: 2365638772 Enrollment ID: I20101124000926 |
| Provider Name | Adam Blitstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518113398 PECOS PAC ID: 5698824571 Enrollment ID: I20101129000133 |
| Provider Name | Mallika S Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528370152 PECOS PAC ID: 8921293903 Enrollment ID: I20101201001154 |
| Provider Name | Sadhna Nicky Singh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225083280 PECOS PAC ID: 5597952531 Enrollment ID: I20101203000232 |
| Provider Name | Sami Mourad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265753883 PECOS PAC ID: 5991992737 Enrollment ID: I20101207000157 |
| Provider Name | Murali Balakrishnan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689711160 PECOS PAC ID: 8022205764 Enrollment ID: I20101208000059 |
| Provider Name | Priya Mathur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346407418 PECOS PAC ID: 1355499229 Enrollment ID: I20101208000086 |
| Provider Name | Shyam Krishnan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306957246 PECOS PAC ID: 9133316888 Enrollment ID: I20101208000166 |
| Provider Name | Heather Strang |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265663595 PECOS PAC ID: 3870780356 Enrollment ID: I20101209000681 |
| Provider Name | Helena H Yoo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790831451 PECOS PAC ID: 3375538903 Enrollment ID: I20101209000710 |
| Provider Name | Deepak Kumar Kashyap |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679637136 PECOS PAC ID: 5698877074 Enrollment ID: I20101209000951 |
| Provider Name | Ahmad Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962608661 PECOS PAC ID: 5496942880 Enrollment ID: I20101210000701 |
| Provider Name | Doreen H Mar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528032737 PECOS PAC ID: 8921295262 Enrollment ID: I20101213000291 |
| Provider Name | Getachew Tefferra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770625907 PECOS PAC ID: 6507950136 Enrollment ID: I20101213000632 |
| Provider Name | Mohammad M Rana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134278773 PECOS PAC ID: 1759419518 Enrollment ID: I20101214000440 |
| Provider Name | Maia M Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366624009 PECOS PAC ID: 5597801647 Enrollment ID: I20101214000457 |
| Provider Name | Lo-an T. Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033284971 PECOS PAC ID: 5092903070 Enrollment ID: I20101216000939 |
| Provider Name | Jerry G Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841279874 PECOS PAC ID: 8325017924 Enrollment ID: I20101217000221 |
| Provider Name | Seyed A Emamian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609847060 PECOS PAC ID: 0547287690 Enrollment ID: I20101220000360 |
| Provider Name | Farzam Ayazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447427893 PECOS PAC ID: 5698963502 Enrollment ID: I20101220000462 |
| Provider Name | Jesse K Liu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649470915 PECOS PAC ID: 5395933253 Enrollment ID: I20101220001072 |
| Provider Name | Amit M Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831223296 PECOS PAC ID: 0244428027 Enrollment ID: I20101221000181 |
| Provider Name | David Chu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568571107 PECOS PAC ID: 5698814390 Enrollment ID: I20101221000574 |
| Provider Name | Jennifer M Biggs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851549018 PECOS PAC ID: 8224226048 Enrollment ID: I20101221000597 |
| Provider Name | Girish A Kori |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972830206 PECOS PAC ID: 4385778265 Enrollment ID: I20101221000949 |
| Provider Name | Mary E Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508985722 PECOS PAC ID: 6406044635 Enrollment ID: I20110103000571 |
| Provider Name | Jacqueline C. Shepard-lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518025477 PECOS PAC ID: 3274679568 Enrollment ID: I20110103000638 |
| Provider Name | Nisha Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447450531 PECOS PAC ID: 7113066614 Enrollment ID: I20110105000780 |
| Provider Name | Haesun Hwang |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598095853 PECOS PAC ID: 1951590934 Enrollment ID: I20110106000176 |
| Provider Name | Eileen Hsu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881601300 PECOS PAC ID: 7113921933 Enrollment ID: I20110106000709 |
| Provider Name | Jeffrey D Kin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639165574 PECOS PAC ID: 9739081456 Enrollment ID: I20110106001144 |
| Provider Name | Philip Iorianni |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1750425617 PECOS PAC ID: 6204025174 Enrollment ID: I20110107000058 |
| Provider Name | Alexander L Zhang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497747364 PECOS PAC ID: 0345439295 Enrollment ID: I20110107000956 |
| Provider Name | Leigh Boldt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841368198 PECOS PAC ID: 6305035163 Enrollment ID: I20110110000170 |
| Provider Name | Uzma T Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770527814 PECOS PAC ID: 2264440809 Enrollment ID: I20110110000232 |
| Provider Name | Esther K Bahk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316104532 PECOS PAC ID: 6204996622 Enrollment ID: I20110110000669 |
| Provider Name | Vivek V. Mathur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023281573 PECOS PAC ID: 8628267341 Enrollment ID: I20110112000339 |
| Provider Name | June Taheri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447275383 PECOS PAC ID: 8628018280 Enrollment ID: I20110114000663 |
| Provider Name | David N. Schrier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659345882 PECOS PAC ID: 9032264320 Enrollment ID: I20110120000399 |
| Provider Name | Nancy Selim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750516340 PECOS PAC ID: 5193862142 Enrollment ID: I20110126001049 |
| Provider Name | Kathleen Solomon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780832949 PECOS PAC ID: 4688853344 Enrollment ID: I20110126001120 |
| Provider Name | Rosa N Dastrange |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083925457 PECOS PAC ID: 1951580562 Enrollment ID: I20110128000470 |
| Provider Name | Fiona Meller Azrieli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659363885 PECOS PAC ID: 8729148069 Enrollment ID: I20110201000623 |
| Provider Name | Akimasa Fujii |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932415726 PECOS PAC ID: 4183804545 Enrollment ID: I20110202000677 |
| Provider Name | Michael A King |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487781381 PECOS PAC ID: 4789864059 Enrollment ID: I20110204000041 |
| Provider Name | Brian Robertson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1770664765 PECOS PAC ID: 4880874007 Enrollment ID: I20110204000833 |
| Provider Name | Mina Salehi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346408580 PECOS PAC ID: 2062600364 Enrollment ID: I20110210001160 |
| Provider Name | Dennis Truong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548478100 PECOS PAC ID: 3274727672 Enrollment ID: I20110217000480 |
| Provider Name | Pil S Chung |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831210897 PECOS PAC ID: 7012082316 Enrollment ID: I20110218000264 |
| Provider Name | Shillena N Peters-gill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932139268 PECOS PAC ID: 4385732270 Enrollment ID: I20110221000346 |
| Provider Name | Mettassebia Kanno |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043264492 PECOS PAC ID: 3678562428 Enrollment ID: I20110221000543 |
| Provider Name | Sonia Novik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063620862 PECOS PAC ID: 5991986135 Enrollment ID: I20110222000647 |
| Provider Name | Janet Dougherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669443644 PECOS PAC ID: 0547441396 Enrollment ID: I20110226000002 |
| Provider Name | Susan L Steinburg |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1760552517 PECOS PAC ID: 3577744341 Enrollment ID: I20110228000100 |
| Provider Name | Seth Y Flagg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548305451 PECOS PAC ID: 1759562416 Enrollment ID: I20110301000259 |
| Provider Name | Merica Shrestha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083811855 PECOS PAC ID: 8729260302 Enrollment ID: I20110303000853 |
| Provider Name | Xuwan Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518100288 PECOS PAC ID: 8325220528 Enrollment ID: I20110309000610 |
| Provider Name | Monica Lauren Wallace |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972665560 PECOS PAC ID: 2860674074 Enrollment ID: I20110309000644 |
| Provider Name | David N Yue |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932176732 PECOS PAC ID: 3173705258 Enrollment ID: I20110310000532 |
| Provider Name | Jennifer L Feinstein |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1346434925 PECOS PAC ID: 3476735432 Enrollment ID: I20110311000386 |
| Provider Name | Siddharth Bethi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1265694939 PECOS PAC ID: 5092875500 Enrollment ID: I20110314000093 |
| Provider Name | Sikira C Backus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821265646 PECOS PAC ID: 8224210901 Enrollment ID: I20110317000086 |
| Provider Name | Sumalatha D Dhanireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457315657 PECOS PAC ID: 6103810528 Enrollment ID: I20110318000504 |
| Provider Name | Manyahlishal Telahun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811051972 PECOS PAC ID: 6608050356 Enrollment ID: I20110405000684 |
| Provider Name | Deborah Anne Ahern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255634622 PECOS PAC ID: 8224212865 Enrollment ID: I20110406000531 |
| Provider Name | Shilpa Varma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487862942 PECOS PAC ID: 9436333945 Enrollment ID: I20110407000455 |
| Provider Name | Caroline T Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790853042 PECOS PAC ID: 7911181458 Enrollment ID: I20110407000831 |
| Provider Name | Makesha A Joyner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851567465 PECOS PAC ID: 8224212683 Enrollment ID: I20110408000179 |
| Provider Name | Jacqueline V Mckinney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043378946 PECOS PAC ID: 4385828623 Enrollment ID: I20110411000368 |
| Provider Name | Lisa Greene Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497945034 PECOS PAC ID: 6608050919 Enrollment ID: I20110412000295 |
| Provider Name | Aileen Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982916847 PECOS PAC ID: 6800071721 Enrollment ID: I20110419000607 |
| Provider Name | Julie Aldes Isaacs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649351826 PECOS PAC ID: 8628253580 Enrollment ID: I20110420000065 |
| Provider Name | Mary B Flinchum |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1770791238 PECOS PAC ID: 1557546330 Enrollment ID: I20110420000433 |
| Provider Name | Sabrina Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881794360 PECOS PAC ID: 8224139894 Enrollment ID: I20110425000354 |
| Provider Name | Michelle A Mcgarry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376790139 PECOS PAC ID: 7810172483 Enrollment ID: I20110425000568 |
| Provider Name | Louise A Casa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417001389 PECOS PAC ID: 8123160231 Enrollment ID: I20110503000157 |
| Provider Name | Michele R Arthurs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598910275 PECOS PAC ID: 7911183793 Enrollment ID: I20110511000677 |
| Provider Name | Li Liang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609084169 PECOS PAC ID: 5092991943 Enrollment ID: I20110512000203 |
| Provider Name | Janet Alcorn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780754549 PECOS PAC ID: 8527244490 Enrollment ID: I20110512000737 |
| Provider Name | Cheryl J Joseph-sonceau |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194867929 PECOS PAC ID: 4183800881 Enrollment ID: I20110513000399 |
| Provider Name | George P Glick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891865325 PECOS PAC ID: 0840476495 Enrollment ID: I20110516000354 |
| Provider Name | Scott Andrew Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124114962 PECOS PAC ID: 8820006398 Enrollment ID: I20110520000717 |
| Provider Name | Sarah E Berghoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629274923 PECOS PAC ID: 6305030347 Enrollment ID: I20110523000158 |
| Provider Name | Robert Antoniuk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285849117 PECOS PAC ID: 9436258944 Enrollment ID: I20110523000373 |
| Provider Name | Julie Ambrose |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043263163 PECOS PAC ID: 1456537760 Enrollment ID: I20110523000499 |
| Provider Name | Heidi Ream Crismon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275732125 PECOS PAC ID: 2961688171 Enrollment ID: I20110523000558 |
| Provider Name | Prashanth A Mally |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669649729 PECOS PAC ID: 8921144429 Enrollment ID: I20110524000330 |
| Provider Name | Marie P Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740247154 PECOS PAC ID: 5991981169 Enrollment ID: I20110524000434 |
| Provider Name | Cynthia H O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912075359 PECOS PAC ID: 9335326115 Enrollment ID: I20110603000011 |
| Provider Name | Wendy S Rudolph |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982912101 PECOS PAC ID: 6709063548 Enrollment ID: I20110606000123 |
| Provider Name | Patrick W Daly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760443543 PECOS PAC ID: 9133112741 Enrollment ID: I20110609000770 |
| Provider Name | James C Tsai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275735607 PECOS PAC ID: 0446437644 Enrollment ID: I20110615000101 |
| Provider Name | Ratih B Sudharto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679788392 PECOS PAC ID: 1658462403 Enrollment ID: I20110622000503 |
| Provider Name | Scott E. Cassar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003822115 PECOS PAC ID: 1658405584 Enrollment ID: I20110623000574 |
| Provider Name | Nava Ezra |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033287420 PECOS PAC ID: 3375529530 Enrollment ID: I20110627000277 |
| Provider Name | Carole Shaddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750611919 PECOS PAC ID: 3870771678 Enrollment ID: I20110627000413 |
| Provider Name | Charlene Fletcher |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821120775 PECOS PAC ID: 1759569429 Enrollment ID: I20110628000526 |
| Provider Name | Summer Herlihy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043458847 PECOS PAC ID: 0749313880 Enrollment ID: I20110630000042 |
| Provider Name | Benjamin D Magno |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366515637 PECOS PAC ID: 9032397443 Enrollment ID: I20110706000305 |
| Provider Name | Reagan Edwards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952435240 PECOS PAC ID: 0042498495 Enrollment ID: I20110707000227 |
| Provider Name | Hengameh Mesbahi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538101266 PECOS PAC ID: 0941293559 Enrollment ID: I20110708000303 |
| Provider Name | Sherry C Cipriano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447393145 PECOS PAC ID: 2668578113 Enrollment ID: I20110708000489 |
| Provider Name | Jonathan Ratliff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104092709 PECOS PAC ID: 0244418150 Enrollment ID: I20110712000576 |
| Provider Name | Anquenetta Douglas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912224700 PECOS PAC ID: 0143498899 Enrollment ID: I20110722000597 |
| Provider Name | Praveen Kache |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871720870 PECOS PAC ID: 0941353775 Enrollment ID: I20110725000207 |
| Provider Name | Rickey T Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780836551 PECOS PAC ID: 0648448233 Enrollment ID: I20110726000820 |
| Provider Name | Jeremy Spencer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144525833 PECOS PAC ID: 9739358177 Enrollment ID: I20110801000888 |
| Provider Name | Jeremy Juanich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255584371 PECOS PAC ID: 8628247905 Enrollment ID: I20110802000447 |
| Provider Name | Yvette R Francis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831388651 PECOS PAC ID: 3678742954 Enrollment ID: I20110802000517 |
| Provider Name | Mohammad Mehmood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033438791 PECOS PAC ID: 5092984344 Enrollment ID: I20110803000450 |
| Provider Name | Onyekachi W Egwim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588817498 PECOS PAC ID: 2062681075 Enrollment ID: I20110809000361 |
| Provider Name | Sanober S Syed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497914394 PECOS PAC ID: 4385813187 Enrollment ID: I20110812000126 |
| Provider Name | Kieu L Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144477415 PECOS PAC ID: 4688843212 Enrollment ID: I20110816000284 |
| Provider Name | Kathryn Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902058605 PECOS PAC ID: 0749459378 Enrollment ID: I20110816000317 |
| Provider Name | Dia Copeland |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164402780 PECOS PAC ID: 5193619658 Enrollment ID: I20110816000603 |
| Provider Name | Ainsley Maclean |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033283494 PECOS PAC ID: 3375712946 Enrollment ID: I20110816000743 |
| Provider Name | Sharon B. Edelstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730244062 PECOS PAC ID: 5092617480 Enrollment ID: I20110817000317 |
| Provider Name | Amit V Patel |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1346430519 PECOS PAC ID: 4486842135 Enrollment ID: I20110817000456 |
| Provider Name | Stephen B. Moses |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801052170 PECOS PAC ID: 2264601723 Enrollment ID: I20110818000124 |
| Provider Name | Melat Lemma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891955217 PECOS PAC ID: 6204014004 Enrollment ID: I20110818000130 |
| Provider Name | Thorsten Sundberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417097684 PECOS PAC ID: 2860560141 Enrollment ID: I20110824000591 |
| Provider Name | Danita L Daniels-holden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649460973 PECOS PAC ID: 2769652841 Enrollment ID: I20110829000114 |
| Provider Name | Christopher Wu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518039734 PECOS PAC ID: 5092849737 Enrollment ID: I20110830000256 |
| Provider Name | Sevag Bananian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770578460 PECOS PAC ID: 7810992427 Enrollment ID: I20110831000054 |
| Provider Name | Shadi Yousefi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174770606 PECOS PAC ID: 7113197096 Enrollment ID: I20110901000230 |
| Provider Name | Sharat K Narayanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194796060 PECOS PAC ID: 3375551500 Enrollment ID: I20110907001302 |
| Provider Name | Leah Schulte |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134381783 PECOS PAC ID: 5991821761 Enrollment ID: I20110907001340 |
| Provider Name | Selena Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265615116 PECOS PAC ID: 1456521632 Enrollment ID: I20110907001360 |
| Provider Name | Henock Wolde Semait |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376791277 PECOS PAC ID: 3375601552 Enrollment ID: I20110913000435 |
| Provider Name | Ella Alexandra Akkerman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043427370 PECOS PAC ID: 6204007735 Enrollment ID: I20110914000063 |
| Provider Name | Anila Chaudhry Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942383328 PECOS PAC ID: 6709913445 Enrollment ID: I20110914000081 |
| Provider Name | Lawrence Starin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982610846 PECOS PAC ID: 1153489067 Enrollment ID: I20110919000552 |
| Provider Name | Cicely Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992968556 PECOS PAC ID: 4789855792 Enrollment ID: I20110923000329 |
| Provider Name | Shashi Ranganath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780757740 PECOS PAC ID: 6305984881 Enrollment ID: I20110926000314 |
| Provider Name | Kerri M Nardone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225220908 PECOS PAC ID: 6002086956 Enrollment ID: I20110928000266 |
| Provider Name | Eboni Jeanine Woodard |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700177821 PECOS PAC ID: 7416129192 Enrollment ID: I20111003000404 |
| Provider Name | Joanna T Regis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073773321 PECOS PAC ID: 9133391816 Enrollment ID: I20111003000418 |
| Provider Name | Adaobi Udenwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982866729 PECOS PAC ID: 0244402584 Enrollment ID: I20111011000440 |
| Provider Name | Kamyar Sartip |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417089624 PECOS PAC ID: 0749453470 Enrollment ID: I20111025000634 |
| Provider Name | Cassie Kuo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598923732 PECOS PAC ID: 7719150275 Enrollment ID: I20111027000566 |
| Provider Name | Banti D Chand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073670006 PECOS PAC ID: 6406879436 Enrollment ID: I20111027000610 |
| Provider Name | Adebunmi Adeyiga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801057062 PECOS PAC ID: 4486827912 Enrollment ID: I20111028000467 |
| Provider Name | Compton J Benjamin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427209808 PECOS PAC ID: 9133392442 Enrollment ID: I20111102000360 |
| Provider Name | April D Goldsborough |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154407153 PECOS PAC ID: 1759554728 Enrollment ID: I20111108000306 |
| Provider Name | Brian Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699957191 PECOS PAC ID: 3072665918 Enrollment ID: I20111110000469 |
| Provider Name | Stanley Drake |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841363041 PECOS PAC ID: 7618912502 Enrollment ID: I20111111000594 |
| Provider Name | Sandeep A Konka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730335514 PECOS PAC ID: 4587838396 Enrollment ID: I20111114000104 |
| Provider Name | Aakash Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164722062 PECOS PAC ID: 7416121108 Enrollment ID: I20111115000185 |
| Provider Name | Fatemeh Hosseinkhah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922261320 PECOS PAC ID: 0840464541 Enrollment ID: I20111115000353 |
| Provider Name | Sa-yun Hong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619139854 PECOS PAC ID: 2466626015 Enrollment ID: I20111117000502 |
| Provider Name | Ashley K Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821259581 PECOS PAC ID: 6305011347 Enrollment ID: I20111202000429 |
| Provider Name | Andrea Dimond |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942367289 PECOS PAC ID: 4183783871 Enrollment ID: I20111206000479 |
| Provider Name | Sean Alexander |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952538217 PECOS PAC ID: 5991970600 Enrollment ID: I20111208000126 |
| Provider Name | Carla R Hanash |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326246521 PECOS PAC ID: 0547435976 Enrollment ID: I20111213000387 |
| Provider Name | Leah Berhane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437213584 PECOS PAC ID: 7911186291 Enrollment ID: I20111221000105 |
| Provider Name | Ghazaleh Joukar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518242262 PECOS PAC ID: 1456526870 Enrollment ID: I20111221000520 |
| Provider Name | Omid Rashidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972711943 PECOS PAC ID: 0143378547 Enrollment ID: I20111227000193 |
| Provider Name | Todd B Tescher |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669498028 PECOS PAC ID: 6800854985 Enrollment ID: I20111227000639 |
| Provider Name | Ruta D Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134389356 PECOS PAC ID: 9739355421 Enrollment ID: I20111230000058 |
| Provider Name | Yeneisha S Greene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841459922 PECOS PAC ID: 7012106677 Enrollment ID: I20120106000166 |
| Provider Name | Patricia Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902184393 PECOS PAC ID: 0840467999 Enrollment ID: I20120113000054 |
| Provider Name | Nazanin Latifi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043508161 PECOS PAC ID: 5799958575 Enrollment ID: I20120118000603 |
| Provider Name | Alireza G Tajick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972563518 PECOS PAC ID: 9436177037 Enrollment ID: I20120118000617 |
| Provider Name | Margaret Rockwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457662660 PECOS PAC ID: 1557538030 Enrollment ID: I20120124000795 |
| Provider Name | Tunisia Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1609152206 PECOS PAC ID: 7012174790 Enrollment ID: I20120208000281 |
| Provider Name | Michael P. Lorek |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1134289648 PECOS PAC ID: 6305003096 Enrollment ID: I20120208000398 |
| Provider Name | Amir Shoja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750580502 PECOS PAC ID: 1153414743 Enrollment ID: I20120208000657 |
| Provider Name | Sandra Abraham-hebert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487603080 PECOS PAC ID: 5294993325 Enrollment ID: I20120221000802 |
| Provider Name | Rashad Dupree-harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437312238 PECOS PAC ID: 7113185265 Enrollment ID: I20120221001000 |
| Provider Name | Heather A Walsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427260710 PECOS PAC ID: 1052474525 Enrollment ID: I20120224000109 |
| Provider Name | Seraphine A Soosaimanickam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073615530 PECOS PAC ID: 8426059080 Enrollment ID: I20120227000330 |
| Provider Name | Chandra Graham Parker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720018831 PECOS PAC ID: 4880853316 Enrollment ID: I20120302000038 |
| Provider Name | Anthony Boakye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891868196 PECOS PAC ID: 5698792455 Enrollment ID: I20120308000403 |
| Provider Name | Anup Belur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194984740 PECOS PAC ID: 8224297072 Enrollment ID: I20120314000244 |
| Provider Name | Cindy Chia Hsiao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851595789 PECOS PAC ID: 0749375467 Enrollment ID: I20120319000743 |
| Provider Name | Liliana Gomez-medley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992945257 PECOS PAC ID: 7517017544 Enrollment ID: I20120322000230 |
| Provider Name | Eric Martz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700161270 PECOS PAC ID: 9436319332 Enrollment ID: I20120330000448 |
| Provider Name | Sarah V Kringer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467400895 PECOS PAC ID: 9638130446 Enrollment ID: I20120406000297 |
| Provider Name | Lorraine V Rozario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790018521 PECOS PAC ID: 1850437765 Enrollment ID: I20120411000359 |
| Provider Name | Dalila D Harvey-granger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821279928 PECOS PAC ID: 9638225402 Enrollment ID: I20120417000020 |
| Provider Name | John J Reyes-castano |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073770145 PECOS PAC ID: 1254593056 Enrollment ID: I20120424000029 |
| Provider Name | Samreen A Ansari |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1295994465 PECOS PAC ID: 0345372868 Enrollment ID: I20120507000347 |
| Provider Name | Naba Sharif |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1164640892 PECOS PAC ID: 3577726850 Enrollment ID: I20120524000108 |
| Provider Name | Timothy Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578893947 PECOS PAC ID: 9234307026 Enrollment ID: I20120525000495 |
| Provider Name | Elizabeth Miles Whitman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942435896 PECOS PAC ID: 1850555178 Enrollment ID: I20120615000444 |
| Provider Name | Hafsa S Mir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639354517 PECOS PAC ID: 3476732892 Enrollment ID: I20120625000173 |
| Provider Name | Jyotsna Mareedu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003006586 PECOS PAC ID: 7517010499 Enrollment ID: I20120626000070 |
| Provider Name | Ronaldo S Mayuga |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780720185 PECOS PAC ID: 4486545605 Enrollment ID: I20120627000343 |
| Provider Name | Anna Katherine Hindle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174759112 PECOS PAC ID: 2567627383 Enrollment ID: I20120629000101 |
| Provider Name | Marya Sonny |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205929544 PECOS PAC ID: 5597941443 Enrollment ID: I20120702000045 |
| Provider Name | Tom Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083860530 PECOS PAC ID: 0749445054 Enrollment ID: I20120711000151 |
| Provider Name | John W Josephson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154588374 PECOS PAC ID: 2961680996 Enrollment ID: I20120711000463 |
| Provider Name | Kyung S Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679749881 PECOS PAC ID: 1951580026 Enrollment ID: I20120726000229 |
| Provider Name | Nuru Robi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851558555 PECOS PAC ID: 9436305430 Enrollment ID: I20120807000611 |
| Provider Name | Virginia Madey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659538478 PECOS PAC ID: 8022264951 Enrollment ID: I20120809000142 |
| Provider Name | Grace C Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316178437 PECOS PAC ID: 8628224136 Enrollment ID: I20120815000332 |
| Provider Name | Nila Chauhan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164647160 PECOS PAC ID: 2769555671 Enrollment ID: I20120815000402 |
| Provider Name | Nikki Serrano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134403827 PECOS PAC ID: 2264604214 Enrollment ID: I20120816000355 |
| Provider Name | Tara U Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013226356 PECOS PAC ID: 4587811849 Enrollment ID: I20120822000275 |
| Provider Name | Allen Whitfield Silfee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053568303 PECOS PAC ID: 0143354357 Enrollment ID: I20120827000501 |
| Provider Name | Renee E Funches |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023293701 PECOS PAC ID: 4880841543 Enrollment ID: I20120831000154 |
| Provider Name | Stella Blosser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962678649 PECOS PAC ID: 6204083967 Enrollment ID: I20120831000228 |
| Provider Name | Sarah A Solomon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235381104 PECOS PAC ID: 0840345047 Enrollment ID: I20120905000473 |
| Provider Name | Mary T. Chasko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902010408 PECOS PAC ID: 7214000678 Enrollment ID: I20120910000714 |
| Provider Name | Merrell R Sami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396935581 PECOS PAC ID: 9436311263 Enrollment ID: I20120910000726 |
| Provider Name | Nadine Ford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154371128 PECOS PAC ID: 8527045020 Enrollment ID: I20120912000522 |
| Provider Name | Mahvash Mujahid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902192479 PECOS PAC ID: 6204084437 Enrollment ID: I20120913000362 |
| Provider Name | Craig Goren |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528296456 PECOS PAC ID: 4981881406 Enrollment ID: I20120917000364 |
| Provider Name | Han Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396716205 PECOS PAC ID: 3577711597 Enrollment ID: I20120918000102 |
| Provider Name | Eldrige Pineda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033378922 PECOS PAC ID: 4789832676 Enrollment ID: I20120919000040 |
| Provider Name | Angelette Covin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306007331 PECOS PAC ID: 9638327539 Enrollment ID: I20120919000106 |
| Provider Name | Allen D Chiu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386804359 PECOS PAC ID: 1456509371 Enrollment ID: I20120919000344 |
| Provider Name | Deliana C Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922383645 PECOS PAC ID: 1456509017 Enrollment ID: I20120924000742 |
| Provider Name | Lubna M Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245377373 PECOS PAC ID: 6002910809 Enrollment ID: I20120925000373 |
| Provider Name | Tracey L Wyatt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750636031 PECOS PAC ID: 9638328248 Enrollment ID: I20120925000473 |
| Provider Name | Katherine Klos |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982849550 PECOS PAC ID: 2466601828 Enrollment ID: I20121001000231 |
| Provider Name | Helen Lee |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861747271 PECOS PAC ID: 1456500776 Enrollment ID: I20121002000455 |
| Provider Name | Utpal Inamdar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659545564 PECOS PAC ID: 9739338880 Enrollment ID: I20121004000366 |
| Provider Name | Dipti Vanikar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063612166 PECOS PAC ID: 2668654443 Enrollment ID: I20121009000740 |
| Provider Name | Madelaine Rosche-scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538329453 PECOS PAC ID: 2769631654 Enrollment ID: I20121010000010 |
| Provider Name | Thuy-anh Melvin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790821767 PECOS PAC ID: 8729255500 Enrollment ID: I20121010000028 |
| Provider Name | Matthew Boyce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164659702 PECOS PAC ID: 9931359536 Enrollment ID: I20121017000055 |
| Provider Name | Connie L. Liang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598932303 PECOS PAC ID: 3173711462 Enrollment ID: I20121017000101 |
| Provider Name | Kimberly Cover |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700045242 PECOS PAC ID: 8729238365 Enrollment ID: I20121017000421 |
| Provider Name | Michael Stone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245365766 PECOS PAC ID: 8527218171 Enrollment ID: I20121017000566 |
| Provider Name | Tim Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346425634 PECOS PAC ID: 8325173289 Enrollment ID: I20121022000057 |
| Provider Name | Jean Esther Fagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124251954 PECOS PAC ID: 3870744675 Enrollment ID: I20121102000336 |
| Provider Name | Tajender S. Vasu |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1174734362 PECOS PAC ID: 9133397888 Enrollment ID: I20121106000251 |
| Provider Name | Humaira Siddiqi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245536283 PECOS PAC ID: 6709037393 Enrollment ID: I20121107000479 |
| Provider Name | Garrick D Spears |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477796704 PECOS PAC ID: 1456502947 Enrollment ID: I20121109000204 |
| Provider Name | Sarah Sheikh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679769376 PECOS PAC ID: 7810085578 Enrollment ID: I20121114000508 |
| Provider Name | Marleigh Elizabeth Erickson |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1760562615 PECOS PAC ID: 8325226061 Enrollment ID: I20121115000494 |
| Provider Name | Al Lin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639232309 PECOS PAC ID: 4880846682 Enrollment ID: I20121130000041 |
| Provider Name | Karim Yacoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801021134 PECOS PAC ID: 0244482925 Enrollment ID: I20121203000293 |
| Provider Name | Bethanne Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447224167 PECOS PAC ID: 8820136633 Enrollment ID: I20121204000014 |
| Provider Name | Bogdan Florin Alexandrescu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073603973 PECOS PAC ID: 7719923358 Enrollment ID: I20121205000059 |
| Provider Name | Neeeraj Mendiratta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235360496 PECOS PAC ID: 3274785811 Enrollment ID: I20121206000350 |
| Provider Name | Genevieve S Petraglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225382492 PECOS PAC ID: 0345492583 Enrollment ID: I20121214000164 |
| Provider Name | Amy K Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669600680 PECOS PAC ID: 9739331943 Enrollment ID: I20121217000391 |
| Provider Name | Cassandra Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558484733 PECOS PAC ID: 0840327565 Enrollment ID: I20130103000075 |
| Provider Name | Vivian Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932349362 PECOS PAC ID: 0446407720 Enrollment ID: I20130109000121 |
| Provider Name | Pamela Denise Brogden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245476068 PECOS PAC ID: 8022278407 Enrollment ID: I20130114000438 |
| Provider Name | Toriseju Whyte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811158579 PECOS PAC ID: 7618120973 Enrollment ID: I20130117000135 |
| Provider Name | Kimberly Suri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104084060 PECOS PAC ID: 6204080567 Enrollment ID: I20130214000157 |
| Provider Name | Sherin Mathew |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922319219 PECOS PAC ID: 8325293459 Enrollment ID: I20130221000268 |
| Provider Name | Haroon Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609145770 PECOS PAC ID: 7719132364 Enrollment ID: I20130305000095 |
| Provider Name | Ashley Tennyson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811283385 PECOS PAC ID: 2466607924 Enrollment ID: I20130307000028 |
| Provider Name | Brian J Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689723793 PECOS PAC ID: 9133161250 Enrollment ID: I20130307000244 |
| Provider Name | Stefan K Young |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336219211 PECOS PAC ID: 1052479680 Enrollment ID: I20130308000505 |
| Provider Name | Kingsley Ivan Bryan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982769956 PECOS PAC ID: 7719053230 Enrollment ID: I20130312000394 |
| Provider Name | Zachary Fisher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235105073 PECOS PAC ID: 6507914579 Enrollment ID: I20130314000159 |
| Provider Name | Krishna Edunuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841458106 PECOS PAC ID: 3678631652 Enrollment ID: I20130320000358 |
| Provider Name | Natalia Moreva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134354517 PECOS PAC ID: 7810132875 Enrollment ID: I20130321000328 |
| Provider Name | John A Douglas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316175797 PECOS PAC ID: 8820233273 Enrollment ID: I20130408000031 |
| Provider Name | Petronilla Onwu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699011429 PECOS PAC ID: 0244475622 Enrollment ID: I20130408000304 |
| Provider Name | Deborah S Malumed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710059514 PECOS PAC ID: 2062692973 Enrollment ID: I20130408000437 |
| Provider Name | Jessica P Nurmi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285979070 PECOS PAC ID: 4486649613 Enrollment ID: I20130409000516 |
| Provider Name | June Cheng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598930414 PECOS PAC ID: 4486811056 Enrollment ID: I20130410000520 |
| Provider Name | Rakesh D Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861657520 PECOS PAC ID: 7214051341 Enrollment ID: I20130410000537 |
| Provider Name | Sara Aggarwal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053354399 PECOS PAC ID: 3678719978 Enrollment ID: I20130411000021 |
| Provider Name | Neelofar Wajahat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083861181 PECOS PAC ID: 8820269012 Enrollment ID: I20130411000338 |
| Provider Name | Kristina Poller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114005501 PECOS PAC ID: 3678628765 Enrollment ID: I20130419000499 |
| Provider Name | Antoinette B Covin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194991042 PECOS PAC ID: 0345429304 Enrollment ID: I20130426000218 |
| Provider Name | Odunola Arowolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841340890 PECOS PAC ID: 0840258844 Enrollment ID: I20130501000379 |
| Provider Name | John Broadway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124099668 PECOS PAC ID: 8527056118 Enrollment ID: I20130506000038 |
| Provider Name | Suchi Sood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760432371 PECOS PAC ID: 3779524046 Enrollment ID: I20130509000449 |
| Provider Name | Ashwin B Chakurkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700875226 PECOS PAC ID: 3678767233 Enrollment ID: I20130521000004 |
| Provider Name | Michael P O Reilly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730355447 PECOS PAC ID: 4789751991 Enrollment ID: I20130604000763 |
| Provider Name | Plomarz Irani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407038383 PECOS PAC ID: 4082791249 Enrollment ID: I20130621000338 |
| Provider Name | Karen S Hilger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811239825 PECOS PAC ID: 8123267044 Enrollment ID: I20130625000302 |
| Provider Name | Latashia Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528282787 PECOS PAC ID: 0143393009 Enrollment ID: I20130705000437 |
| Provider Name | Deepshikha Goyal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265577753 PECOS PAC ID: 1557264736 Enrollment ID: I20130708000306 |
| Provider Name | Josilane M Miranda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548458698 PECOS PAC ID: 7315128626 Enrollment ID: I20130720000307 |
| Provider Name | James L Huang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154567709 PECOS PAC ID: 1951456300 Enrollment ID: I20130723000120 |
| Provider Name | Allison Faith Holmes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629116710 PECOS PAC ID: 3577704253 Enrollment ID: I20130723000151 |
| Provider Name | Valencia J Cobb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548268352 PECOS PAC ID: 9739100124 Enrollment ID: I20130725000590 |
| Provider Name | Jonathan Collins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669467411 PECOS PAC ID: 9032350426 Enrollment ID: I20130727000056 |
| Provider Name | Hamidreza Adab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033352109 PECOS PAC ID: 3173657400 Enrollment ID: I20130731000675 |
| Provider Name | Sumitra D Easwaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871535302 PECOS PAC ID: 2668418906 Enrollment ID: I20130801000148 |
| Provider Name | Karin Dodge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124186028 PECOS PAC ID: 2264427699 Enrollment ID: I20130801000176 |
| Provider Name | Jillian Perry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326281403 PECOS PAC ID: 6800037904 Enrollment ID: I20130801000721 |
| Provider Name | Shirley W Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730398819 PECOS PAC ID: 6305914599 Enrollment ID: I20130802000764 |
| Provider Name | Purvi Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275794133 PECOS PAC ID: 9335381094 Enrollment ID: I20130808000193 |
| Provider Name | Erin Holland |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871936765 PECOS PAC ID: 4587806245 Enrollment ID: I20130808000223 |
| Provider Name | Robert J Levine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417274432 PECOS PAC ID: 2466694013 Enrollment ID: I20130809000491 |
| Provider Name | Angela R. Richards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205891595 PECOS PAC ID: 5496803306 Enrollment ID: I20130815000064 |
| Provider Name | Daniel B Asay |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013141753 PECOS PAC ID: 2264674514 Enrollment ID: I20130815000553 |
| Provider Name | Sebastian A Sicari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235138991 PECOS PAC ID: 4486714870 Enrollment ID: I20130820000029 |
| Provider Name | Kuna Lim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104266642 PECOS PAC ID: 8527201524 Enrollment ID: I20130823000170 |
| Provider Name | Michael A. Horberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629157763 PECOS PAC ID: 9335338201 Enrollment ID: I20130824000212 |
| Provider Name | Laine A Montgomery Cornelison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972762995 PECOS PAC ID: 1052581733 Enrollment ID: I20130826000106 |
| Provider Name | Changjin Seo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689986432 PECOS PAC ID: 2769625607 Enrollment ID: I20130826000401 |
| Provider Name | Paolo A Hernandez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932101342 PECOS PAC ID: 3476796228 Enrollment ID: I20130827000748 |
| Provider Name | Saima Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326175605 PECOS PAC ID: 5890965453 Enrollment ID: I20130905000612 |
| Provider Name | Yonas G Ateshim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538476916 PECOS PAC ID: 7012193683 Enrollment ID: I20130906000404 |
| Provider Name | Nathanael S Dayes |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1487851853 PECOS PAC ID: 3779726948 Enrollment ID: I20130909000201 |
| Provider Name | Su Young Seh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861708059 PECOS PAC ID: 2062692387 Enrollment ID: I20130909000494 |
| Provider Name | Katie G Yang |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225478407 PECOS PAC ID: 4385887579 Enrollment ID: I20130909000509 |
| Provider Name | Yasmin Kimberly Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104064583 PECOS PAC ID: 2668616855 Enrollment ID: I20130909000632 |
| Provider Name | Alireza P Farsaii |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093965105 PECOS PAC ID: 9537303789 Enrollment ID: I20130910000540 |
| Provider Name | Timothy A Devlin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831351147 PECOS PAC ID: 0143464958 Enrollment ID: I20130918000163 |
| Provider Name | John H Shin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295911493 PECOS PAC ID: 1052555711 Enrollment ID: I20130918000815 |
| Provider Name | Paresh Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003967290 PECOS PAC ID: 5799886214 Enrollment ID: I20130924000811 |
| Provider Name | Miguel A. Santos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629226840 PECOS PAC ID: 6204952476 Enrollment ID: I20131008000518 |
| Provider Name | Amey R Kulkarni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952562365 PECOS PAC ID: 4082868146 Enrollment ID: I20131014001143 |
| Provider Name | Joshua Yoo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720341316 PECOS PAC ID: 1153572854 Enrollment ID: I20131014001685 |
| Provider Name | Michelle A Krieger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336445121 PECOS PAC ID: 0941435374 Enrollment ID: I20131021000733 |
| Provider Name | Lellise Taye Shewakena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336380633 PECOS PAC ID: 3779617782 Enrollment ID: I20131021001484 |
| Provider Name | Andrew P Lazar |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174654719 PECOS PAC ID: 7719947142 Enrollment ID: I20131025001366 |
| Provider Name | Christopher Chan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750655403 PECOS PAC ID: 9335304161 Enrollment ID: I20131025001456 |
| Provider Name | Taemin Hwang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710206602 PECOS PAC ID: 9537394648 Enrollment ID: I20131026000061 |
| Provider Name | Leslie R Sims |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407021249 PECOS PAC ID: 4486889532 Enrollment ID: I20131028001258 |
| Provider Name | Ning Guo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376858936 PECOS PAC ID: 5799910774 Enrollment ID: I20131029000441 |
| Provider Name | Charles Brennt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881741999 PECOS PAC ID: 9830385699 Enrollment ID: I20131029001371 |
| Provider Name | Brian Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043537731 PECOS PAC ID: 5991930927 Enrollment ID: I20131030000017 |
| Provider Name | Yi Brenda B Shue |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396792610 PECOS PAC ID: 7810991742 Enrollment ID: I20131030000162 |
| Provider Name | Chinye S Obidi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285899187 PECOS PAC ID: 7416128277 Enrollment ID: I20131030000377 |
| Provider Name | Maryann M Mclaurin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306899661 PECOS PAC ID: 3375673494 Enrollment ID: I20131031000058 |
| Provider Name | Yonathan Habtemariam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174785174 PECOS PAC ID: 9436321908 Enrollment ID: I20131031000682 |
| Provider Name | April Mciver |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578790580 PECOS PAC ID: 8628203429 Enrollment ID: I20131104000528 |
| Provider Name | Samita M Sharma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295997187 PECOS PAC ID: 6507091006 Enrollment ID: I20131107001560 |
| Provider Name | Katie Ryder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306076864 PECOS PAC ID: 1759516230 Enrollment ID: I20131109000489 |
| Provider Name | Nini Khozeimeh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750510228 PECOS PAC ID: 5496981888 Enrollment ID: I20131113000244 |
| Provider Name | Ionie A Moragahakumbura |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952735763 PECOS PAC ID: 0042446452 Enrollment ID: I20131113000820 |
| Provider Name | Edward J Coll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952354110 PECOS PAC ID: 3577799758 Enrollment ID: I20131118000603 |
| Provider Name | Christopher Selhorst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780861864 PECOS PAC ID: 5395992176 Enrollment ID: I20131119001170 |
| Provider Name | Enyinnaya R. Nwaneri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003952979 PECOS PAC ID: 8729130240 Enrollment ID: I20131202000095 |
| Provider Name | Sheri Qi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013954114 PECOS PAC ID: 0244260735 Enrollment ID: I20131202000445 |
| Provider Name | Martha J Chalmers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508866179 PECOS PAC ID: 1557498383 Enrollment ID: I20131203000569 |
| Provider Name | Audrey Tsao |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013902287 PECOS PAC ID: 6901828359 Enrollment ID: I20131205000135 |
| Provider Name | Shane P. Toussaint |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205262979 PECOS PAC ID: 6608003165 Enrollment ID: I20131209001273 |
| Provider Name | Ahmad R Hossani-madani |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1992965461 PECOS PAC ID: 5496982878 Enrollment ID: I20131210000646 |
| Provider Name | Mohammad Sheraz Waris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427373638 PECOS PAC ID: 2860629243 Enrollment ID: I20131210000819 |
| Provider Name | Anil Taneja |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396736005 PECOS PAC ID: 5193977742 Enrollment ID: I20131210001863 |
| Provider Name | Smitha Beeravolu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831325117 PECOS PAC ID: 1759532450 Enrollment ID: I20131213001004 |
| Provider Name | Amardeep S Athwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538357934 PECOS PAC ID: 3274665583 Enrollment ID: I20131216000066 |
| Provider Name | Saurabh Gambhir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578842191 PECOS PAC ID: 6103072350 Enrollment ID: I20131216000255 |
| Provider Name | Hoang-an N Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114095528 PECOS PAC ID: 2961536933 Enrollment ID: I20131216000592 |
| Provider Name | Kathleen Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780847574 PECOS PAC ID: 7517194657 Enrollment ID: I20131216001187 |
| Provider Name | Gonzalo E Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598082810 PECOS PAC ID: 2062649122 Enrollment ID: I20131217000014 |
| Provider Name | John R Vu |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1255535589 PECOS PAC ID: 5395922314 Enrollment ID: I20131223000664 |
| Provider Name | Joseph M Choi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306081146 PECOS PAC ID: 3476798489 Enrollment ID: I20131223001075 |
| Provider Name | Shweta Verma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477780609 PECOS PAC ID: 5799913307 Enrollment ID: I20140104000003 |
| Provider Name | Dock Winston |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033379607 PECOS PAC ID: 6103054598 Enrollment ID: I20140109001347 |
| Provider Name | Laura Higgins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982953915 PECOS PAC ID: 5698903904 Enrollment ID: I20140114000057 |
| Provider Name | Enaruna Igiehon Tychus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255568820 PECOS PAC ID: 8022246289 Enrollment ID: I20140115000192 |
| Provider Name | Jeannette Tao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528295342 PECOS PAC ID: 5597993709 Enrollment ID: I20140115001515 |
| Provider Name | Shayla Kristin Gaither |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457562720 PECOS PAC ID: 1456588524 Enrollment ID: I20140117001039 |
| Provider Name | Omar Javery |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275732505 PECOS PAC ID: 5193981389 Enrollment ID: I20140118000184 |
| Provider Name | Renee S De Luca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205904406 PECOS PAC ID: 7315175387 Enrollment ID: I20140121000901 |
| Provider Name | Carol F Blechl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447326426 PECOS PAC ID: 8224048079 Enrollment ID: I20140124000488 |
| Provider Name | Stephen Scranton |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1336174671 PECOS PAC ID: 4284863077 Enrollment ID: I20140127000282 |
| Provider Name | Christine Chiao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033323944 PECOS PAC ID: 5890989560 Enrollment ID: I20140127000599 |
| Provider Name | Anuradha Subramanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861644833 PECOS PAC ID: 2062682727 Enrollment ID: I20140127000873 |
| Provider Name | Wendy C Rosensweig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376820076 PECOS PAC ID: 6507095320 Enrollment ID: I20140127001093 |
| Provider Name | Parul Yogendra Shah |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851462774 PECOS PAC ID: 4789602525 Enrollment ID: I20140128000214 |
| Provider Name | Elena Deacu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841401395 PECOS PAC ID: 7214117522 Enrollment ID: I20140129000864 |
| Provider Name | Anjana Kadakkal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174770622 PECOS PAC ID: 5294871893 Enrollment ID: I20140129001162 |
| Provider Name | Sachin Nagrani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790945624 PECOS PAC ID: 9931371515 Enrollment ID: I20140131001215 |
| Provider Name | Eun-hee S Kang |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1205165297 PECOS PAC ID: 4688868839 Enrollment ID: I20140131001359 |
| Provider Name | Sonya Adam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366692592 PECOS PAC ID: 1759448152 Enrollment ID: I20140204000202 |
| Provider Name | Gita S Reddy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669680047 PECOS PAC ID: 4486613379 Enrollment ID: I20140206001142 |
| Provider Name | Lori Baker-gurvitch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023382322 PECOS PAC ID: 6406085752 Enrollment ID: I20140206001574 |
| Provider Name | Felecia S Waddleton Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366673097 PECOS PAC ID: 4789722786 Enrollment ID: I20140217000507 |
| Provider Name | Tun A Kyaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912228693 PECOS PAC ID: 1153550132 Enrollment ID: I20140218000156 |
| Provider Name | Kristin M Knight |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902815699 PECOS PAC ID: 7012068091 Enrollment ID: I20140219000099 |
| Provider Name | Catherine Y Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639212475 PECOS PAC ID: 3870739881 Enrollment ID: I20140220001014 |
| Provider Name | Adam Isaac |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366678948 PECOS PAC ID: 9335397199 Enrollment ID: I20140224000073 |
| Provider Name | Song Zhan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316376809 PECOS PAC ID: 8325278013 Enrollment ID: I20140225000609 |
| Provider Name | Charlotte K Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780828665 PECOS PAC ID: 3870723588 Enrollment ID: I20140225001407 |
| Provider Name | Pim Suwannarat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104010776 PECOS PAC ID: 6608960125 Enrollment ID: I20140305000360 |
| Provider Name | Khushboo Sheth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669736161 PECOS PAC ID: 1759511801 Enrollment ID: I20140311000991 |
| Provider Name | Vivekkumar K Shroff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578730016 PECOS PAC ID: 7012106958 Enrollment ID: I20140312001742 |
| Provider Name | Paul H Yu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528072691 PECOS PAC ID: 8628140332 Enrollment ID: I20140319000361 |
| Provider Name | Jeffrey Gambel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063428233 PECOS PAC ID: 1658515416 Enrollment ID: I20140324000054 |
| Provider Name | Zahra Kiran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700069234 PECOS PAC ID: 0345429205 Enrollment ID: I20140326000802 |
| Provider Name | Emery L Kim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720077514 PECOS PAC ID: 6406805217 Enrollment ID: I20140329000075 |
| Provider Name | Bill Alexander |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982744371 PECOS PAC ID: 9032341862 Enrollment ID: I20140410000357 |
| Provider Name | Charles U Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801223102 PECOS PAC ID: 5496987745 Enrollment ID: I20140421000691 |
| Provider Name | Peter Jan Bluvas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013150606 PECOS PAC ID: 3072778117 Enrollment ID: I20140423000225 |
| Provider Name | Rita Niyigena |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770913915 PECOS PAC ID: 5193958304 Enrollment ID: I20140423001475 |
| Provider Name | Michelle A Roach |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891956934 PECOS PAC ID: 0345318853 Enrollment ID: I20140428001171 |
| Provider Name | William W Kao |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821257924 PECOS PAC ID: 0749476976 Enrollment ID: I20140429001576 |
| Provider Name | Andrew S Garff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487604559 PECOS PAC ID: 9032125836 Enrollment ID: I20140501001439 |
| Provider Name | Nancy Fleurancois |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063540045 PECOS PAC ID: 3870785769 Enrollment ID: I20140513000856 |
| Provider Name | Emily L Pitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679642268 PECOS PAC ID: 9830142942 Enrollment ID: I20140515000911 |
| Provider Name | Leia M Medlock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659531077 PECOS PAC ID: 1254587355 Enrollment ID: I20140528001213 |
| Provider Name | Jennifer L Nadel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295983906 PECOS PAC ID: 8628267689 Enrollment ID: I20140528001916 |
| Provider Name | Alpa Vashist |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568684603 PECOS PAC ID: 7012003023 Enrollment ID: I20140610000941 |
| Provider Name | Naett I Asgill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164679866 PECOS PAC ID: 0547431850 Enrollment ID: I20140610001060 |
| Provider Name | Michelle Forman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750563896 PECOS PAC ID: 1456508241 Enrollment ID: I20140616002190 |
| Provider Name | Herbert N Furst |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033269790 PECOS PAC ID: 2163577370 Enrollment ID: I20140617001055 |
| Provider Name | Jocelyn Scheinert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295998227 PECOS PAC ID: 8729221411 Enrollment ID: I20140618000635 |
| Provider Name | Hediyeh Arjomandi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760807481 PECOS PAC ID: 5991929556 Enrollment ID: I20140623000394 |
| Provider Name | Mitzy Attokaren |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134437924 PECOS PAC ID: 1456575059 Enrollment ID: I20140623001850 |
| Provider Name | Natasha Ang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134418650 PECOS PAC ID: 8325263593 Enrollment ID: I20140701001515 |
| Provider Name | Jason S Logan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871785154 PECOS PAC ID: 8729203906 Enrollment ID: I20140701001781 |
| Provider Name | Jordan H Wolff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205038197 PECOS PAC ID: 0941497820 Enrollment ID: I20140703000136 |
| Provider Name | Oluwaseyi Karimu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912218926 PECOS PAC ID: 9931324001 Enrollment ID: I20140703000283 |
| Provider Name | Sokpheary Srorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609010271 PECOS PAC ID: 4688815087 Enrollment ID: I20140703001456 |
| Provider Name | Lionel S Best |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750661070 PECOS PAC ID: 3173797024 Enrollment ID: I20140714001003 |
| Provider Name | Lauren Kay Rabin Blair |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720280621 PECOS PAC ID: 3870764525 Enrollment ID: I20140715002251 |
| Provider Name | Arushi Defonseka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578717062 PECOS PAC ID: 2163659038 Enrollment ID: I20140716000708 |
| Provider Name | Katherine E Rutledge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558676528 PECOS PAC ID: 0840433116 Enrollment ID: I20140721001255 |
| Provider Name | Iva Ferreira |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750547477 PECOS PAC ID: 6103042528 Enrollment ID: I20140721001814 |
| Provider Name | Olabisi Kuti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922326644 PECOS PAC ID: 4385888908 Enrollment ID: I20140722000948 |
| Provider Name | Rebecca L Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023344876 PECOS PAC ID: 2062661804 Enrollment ID: I20140722001216 |
| Provider Name | Emil Thattassery |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386750222 PECOS PAC ID: 7012914773 Enrollment ID: I20140724000736 |
| Provider Name | Kalimah Csw Hartwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396161428 PECOS PAC ID: 2163648361 Enrollment ID: I20140724000866 |
| Provider Name | Ann T Cuebas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912203803 PECOS PAC ID: 9133345341 Enrollment ID: I20140724000975 |
| Provider Name | Gopi V Masalia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528244936 PECOS PAC ID: 6709063647 Enrollment ID: I20140724001895 |
| Provider Name | Dieu-thi T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134419419 PECOS PAC ID: 5092944835 Enrollment ID: I20140726000053 |
| Provider Name | Monica Taneja |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164584355 PECOS PAC ID: 2163521287 Enrollment ID: I20140729002286 |
| Provider Name | Keren Rannekleiv |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689868176 PECOS PAC ID: 4789800681 Enrollment ID: I20140730001005 |
| Provider Name | Tami Tiamfook-morgan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689659666 PECOS PAC ID: 7416021431 Enrollment ID: I20140806000757 |
| Provider Name | Sandra H Pagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427266774 PECOS PAC ID: 7315164795 Enrollment ID: I20140807002135 |
| Provider Name | Hiral B Naik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619381720 PECOS PAC ID: 7214155944 Enrollment ID: I20140821001724 |
| Provider Name | Judy Lee Datoc |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285047308 PECOS PAC ID: 0648498121 Enrollment ID: I20140825001708 |
| Provider Name | Barry K Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215227608 PECOS PAC ID: 6901024355 Enrollment ID: I20140826001905 |
| Provider Name | Asha Willis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588737324 PECOS PAC ID: 4385742790 Enrollment ID: I20140827002085 |
| Provider Name | Opal E Pettis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083798060 PECOS PAC ID: 8729269261 Enrollment ID: I20140902000452 |
| Provider Name | Karen Ospina |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588708721 PECOS PAC ID: 9739319088 Enrollment ID: I20140902000971 |
| Provider Name | Ericka Maximous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437458015 PECOS PAC ID: 2860636230 Enrollment ID: I20140905000042 |
| Provider Name | Kristin M Cam |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295927945 PECOS PAC ID: 7012163983 Enrollment ID: I20140909001789 |
| Provider Name | David A Hexter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104805233 PECOS PAC ID: 7416841820 Enrollment ID: I20140910000851 |
| Provider Name | Sasha R Jarrett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023322419 PECOS PAC ID: 5890914501 Enrollment ID: I20140911000898 |
| Provider Name | Aparna Chowdhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679695456 PECOS PAC ID: 4981743481 Enrollment ID: I20140915000770 |
| Provider Name | Tim B Hopkins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235192568 PECOS PAC ID: 0345282927 Enrollment ID: I20140915001895 |
| Provider Name | Nkiruka Uzoamaka Obioha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073650024 PECOS PAC ID: 3274617246 Enrollment ID: I20140919000447 |
| Provider Name | Priyesh Kurup |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962685206 PECOS PAC ID: 6305913849 Enrollment ID: I20140919001794 |
| Provider Name | Ikay Enu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548429418 PECOS PAC ID: 5698836153 Enrollment ID: I20140920000083 |
| Provider Name | Kristy A Golden |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154616431 PECOS PAC ID: 9638398746 Enrollment ID: I20140922001660 |
| Provider Name | Raafe Ghouse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629232582 PECOS PAC ID: 0345469466 Enrollment ID: I20140922001753 |
| Provider Name | Chris Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134381791 PECOS PAC ID: 8426297730 Enrollment ID: I20140922002130 |
| Provider Name | Zitta Rezvani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073675781 PECOS PAC ID: 0244459311 Enrollment ID: I20140923001794 |
| Provider Name | Anahita Aminshokravi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871901645 PECOS PAC ID: 0143449173 Enrollment ID: I20140924000196 |
| Provider Name | Sonia Gosain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306049002 PECOS PAC ID: 6305089111 Enrollment ID: I20140924001009 |
| Provider Name | Angela Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629252663 PECOS PAC ID: 4688868862 Enrollment ID: I20140924001934 |
| Provider Name | Gautam Dutta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245352970 PECOS PAC ID: 6103965413 Enrollment ID: I20140925000987 |
| Provider Name | Adrian D Hurley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366518540 PECOS PAC ID: 4587568175 Enrollment ID: I20140925001197 |
| Provider Name | Katherine T Stanley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033423215 PECOS PAC ID: 6901026947 Enrollment ID: I20140925001572 |
| Provider Name | Erica L Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134460421 PECOS PAC ID: 2062651284 Enrollment ID: I20140926000034 |
| Provider Name | Jonathan Bernard Menezes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023329802 PECOS PAC ID: 3870713654 Enrollment ID: I20140929001946 |
| Provider Name | Nicole V Zazueta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700294907 PECOS PAC ID: 3375763162 Enrollment ID: I20140929002179 |
| Provider Name | Arnecia G Moody |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306251939 PECOS PAC ID: 5294955084 Enrollment ID: I20140929002555 |
| Provider Name | Neda Ahmadi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649429549 PECOS PAC ID: 8123274669 Enrollment ID: I20140930000295 |
| Provider Name | Ifeoma Nwaneri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356579262 PECOS PAC ID: 1759501513 Enrollment ID: I20140930002030 |
| Provider Name | Minh-chau Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679913230 PECOS PAC ID: 0143440834 Enrollment ID: I20141001000016 |
| Provider Name | Kristin Paccione |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790001527 PECOS PAC ID: 9133349749 Enrollment ID: I20141002001497 |
| Provider Name | Amanda L Curling |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922263433 PECOS PAC ID: 3173792371 Enrollment ID: I20141003000249 |
| Provider Name | Juliana H Aruna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356631600 PECOS PAC ID: 5092935460 Enrollment ID: I20141007000901 |
| Provider Name | Dana M Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952587479 PECOS PAC ID: 2264600634 Enrollment ID: I20141007000904 |
| Provider Name | Xavier Kee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437446960 PECOS PAC ID: 1052542867 Enrollment ID: I20141009000428 |
| Provider Name | Andleeb Khan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821257510 PECOS PAC ID: 6800029042 Enrollment ID: I20141010001258 |
| Provider Name | Prabhat P Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942597463 PECOS PAC ID: 1456571595 Enrollment ID: I20141013001156 |
| Provider Name | Allen S Mosenkis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982915559 PECOS PAC ID: 0941447437 Enrollment ID: I20141014000751 |
| Provider Name | Eun Joo Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316239759 PECOS PAC ID: 1153542295 Enrollment ID: I20141015000513 |
| Provider Name | Timothy J Kim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184813123 PECOS PAC ID: 7416178553 Enrollment ID: I20141015000524 |
| Provider Name | Yilma A Fenta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811280340 PECOS PAC ID: 2769603828 Enrollment ID: I20141015001024 |
| Provider Name | Jennifer Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124178892 PECOS PAC ID: 4284765041 Enrollment ID: I20141015001261 |
| Provider Name | Jonathan Glen Fleurat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982928586 PECOS PAC ID: 8729210109 Enrollment ID: I20141016000833 |
| Provider Name | Carson Campe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356403646 PECOS PAC ID: 1951560481 Enrollment ID: I20141016001301 |
| Provider Name | Adina Maniu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699939488 PECOS PAC ID: 4486700549 Enrollment ID: I20141017000716 |
| Provider Name | Ana Pierelli |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881037752 PECOS PAC ID: 8527200252 Enrollment ID: I20141017001397 |
| Provider Name | Laurie Loope Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497162093 PECOS PAC ID: 2365663275 Enrollment ID: I20141017001454 |
| Provider Name | Lynn M Reese |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1043242928 PECOS PAC ID: 1759300882 Enrollment ID: I20141017001539 |
| Provider Name | Christine C Sweigart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114126901 PECOS PAC ID: 7214158179 Enrollment ID: I20141020000562 |
| Provider Name | Loraine Wu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588981112 PECOS PAC ID: 3870731714 Enrollment ID: I20141020001642 |
| Provider Name | Neil Horlick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770717969 PECOS PAC ID: 7012063068 Enrollment ID: I20141021001454 |
| Provider Name | Yonas Tamrat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528200409 PECOS PAC ID: 7810028875 Enrollment ID: I20141023001838 |
| Provider Name | Jane Bisco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023029105 PECOS PAC ID: 8729209218 Enrollment ID: I20141027001448 |
| Provider Name | Luis E Rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265643662 PECOS PAC ID: 3779658497 Enrollment ID: I20141028000051 |
| Provider Name | Adedoyin I Shonekan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932326709 PECOS PAC ID: 3173601671 Enrollment ID: I20141029001671 |
| Provider Name | Chisom Umogbai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881002376 PECOS PAC ID: 9537380753 Enrollment ID: I20141031000302 |
| Provider Name | Terrill P Julien |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134391469 PECOS PAC ID: 7214195403 Enrollment ID: I20141112002363 |
| Provider Name | Supriya Janakiraman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114361672 PECOS PAC ID: 6800818832 Enrollment ID: I20141113001668 |
| Provider Name | Mollie E Strauchon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457653933 PECOS PAC ID: 3476791328 Enrollment ID: I20141118000191 |
| Provider Name | Ranjit Yelamanchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477871028 PECOS PAC ID: 5890925903 Enrollment ID: I20141118001100 |
| Provider Name | Jamie Chaffo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497173124 PECOS PAC ID: 9931321304 Enrollment ID: I20141119002064 |
| Provider Name | Courtney Calvert |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598168692 PECOS PAC ID: 1557583853 Enrollment ID: I20141120001134 |
| Provider Name | Alan Huang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952702789 PECOS PAC ID: 8426270745 Enrollment ID: I20141120001564 |
| Provider Name | Brian Y Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548526122 PECOS PAC ID: 0547494122 Enrollment ID: I20141202001195 |
| Provider Name | Lauren R Wawroski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659524411 PECOS PAC ID: 4880916881 Enrollment ID: I20141202001549 |
| Provider Name | Christine Masuicca |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740593813 PECOS PAC ID: 2365764313 Enrollment ID: I20141203000754 |
| Provider Name | Natalia Maria Llanes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811121304 PECOS PAC ID: 8426292566 Enrollment ID: I20141208000278 |
| Provider Name | Rhanda Abd-elfattah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306286968 PECOS PAC ID: 8628391042 Enrollment ID: I20141216000682 |
| Provider Name | Elma Alston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629300488 PECOS PAC ID: 9739402108 Enrollment ID: I20141217000220 |
| Provider Name | Beth G Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891869194 PECOS PAC ID: 5193048452 Enrollment ID: I20141218000852 |
| Provider Name | Diljeet Kaur Singh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669497947 PECOS PAC ID: 7810963444 Enrollment ID: I20141219001433 |
| Provider Name | Hoang-anh Dang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629397849 PECOS PAC ID: 0446474050 Enrollment ID: I20141222001005 |
| Provider Name | Tarique Zaman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801182514 PECOS PAC ID: 0648593749 Enrollment ID: I20141222001053 |
| Provider Name | Adriano N Salicru |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1932303781 PECOS PAC ID: 1456485945 Enrollment ID: I20141222001159 |
| Provider Name | Peter G Griffith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386064541 PECOS PAC ID: 4486978772 Enrollment ID: I20150114001956 |
| Provider Name | Ada Ukpai Emarievbe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063731594 PECOS PAC ID: 6608190699 Enrollment ID: I20150122001143 |
| Provider Name | Anyka J Mcclain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962722090 PECOS PAC ID: 2466645858 Enrollment ID: I20150128001007 |
| Provider Name | Cherie D Caleb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447541859 PECOS PAC ID: 5597902288 Enrollment ID: I20150202001429 |
| Provider Name | Jennifer M Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871728543 PECOS PAC ID: 5193969418 Enrollment ID: I20150203000026 |
| Provider Name | Doreen A Kyere |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427250836 PECOS PAC ID: 3870764962 Enrollment ID: I20150203002191 |
| Provider Name | Wai Ling Lo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043584733 PECOS PAC ID: 2062672199 Enrollment ID: I20150213000122 |
| Provider Name | Brooke A Bergman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528466349 PECOS PAC ID: 9537484662 Enrollment ID: I20150213000437 |
| Provider Name | Troy W Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023164910 PECOS PAC ID: 2860637840 Enrollment ID: I20150219001592 |
| Provider Name | Chenere Evans |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881942555 PECOS PAC ID: 7517283195 Enrollment ID: I20150225000845 |
| Provider Name | Robert J Donovan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427035054 PECOS PAC ID: 2062738552 Enrollment ID: I20150227000335 |
| Provider Name | Nicholas J Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912267196 PECOS PAC ID: 4981858248 Enrollment ID: I20150305000432 |
| Provider Name | Nandita Kapa-kalahasty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992898050 PECOS PAC ID: 4688778855 Enrollment ID: I20150310001037 |
| Provider Name | Bhavisha Menezes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659534998 PECOS PAC ID: 9335263920 Enrollment ID: I20150312000509 |
| Provider Name | Amy W Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962660985 PECOS PAC ID: 8729304589 Enrollment ID: I20150313001381 |
| Provider Name | Thomas Burton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811395551 PECOS PAC ID: 5395062194 Enrollment ID: I20150316000537 |
| Provider Name | Mara Levy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588727481 PECOS PAC ID: 5193042968 Enrollment ID: I20150317001107 |
| Provider Name | Amina A Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205056819 PECOS PAC ID: 5597082289 Enrollment ID: I20150317001705 |
| Provider Name | Jason M Friedman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447640545 PECOS PAC ID: 3678890696 Enrollment ID: I20150331001620 |
| Provider Name | Dou Zhang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700930583 PECOS PAC ID: 7012105810 Enrollment ID: I20150402001187 |
| Provider Name | Daoud Dajani |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376786186 PECOS PAC ID: 4688992522 Enrollment ID: I20150406001282 |
| Provider Name | Mojgan Afshari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831520352 PECOS PAC ID: 8820316581 Enrollment ID: I20150409002392 |
| Provider Name | Ryan A Gorman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770556367 PECOS PAC ID: 2668363789 Enrollment ID: I20150414000379 |
| Provider Name | Ogechi Opara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811264971 PECOS PAC ID: 4486973492 Enrollment ID: I20150429000078 |
| Provider Name | Bahiyyih J Khelghati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457648818 PECOS PAC ID: 7719206416 Enrollment ID: I20150430001816 |
| Provider Name | Johnetta Washington |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609048982 PECOS PAC ID: 8426377938 Enrollment ID: I20150505002406 |
| Provider Name | Sharon Y Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295026045 PECOS PAC ID: 3173745593 Enrollment ID: I20150508001811 |
| Provider Name | Mary L Mcfalls |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154576932 PECOS PAC ID: 1951620053 Enrollment ID: I20150511002222 |
| Provider Name | Jules Marie Antonios Chehade |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831354273 PECOS PAC ID: 3577882695 Enrollment ID: I20150512000594 |
| Provider Name | Sharon A Mancus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811386204 PECOS PAC ID: 8820318801 Enrollment ID: I20150514000774 |
| Provider Name | Ishioma Opia-edemenya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013265321 PECOS PAC ID: 0547580987 Enrollment ID: I20150526001668 |
| Provider Name | Quadeer M Fasihuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942464839 PECOS PAC ID: 2961681317 Enrollment ID: I20150603002646 |
| Provider Name | Jonathan Abraham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831486232 PECOS PAC ID: 3072824119 Enrollment ID: I20150616002826 |
| Provider Name | Ronjeet K Reddy |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1073716726 PECOS PAC ID: 4082860796 Enrollment ID: I20150629000314 |
| Provider Name | Alexis Gorden Mccary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205012309 PECOS PAC ID: 9931411212 Enrollment ID: I20150629001978 |
| Provider Name | Harry B Kwak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982857058 PECOS PAC ID: 7911177258 Enrollment ID: I20150702001558 |
| Provider Name | Saida M Sanusi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457343071 PECOS PAC ID: 1658683594 Enrollment ID: I20150706002405 |
| Provider Name | Kendra D Epstein |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205216744 PECOS PAC ID: 8022321538 Enrollment ID: I20150713002062 |
| Provider Name | Nancy Macgarvey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174732929 PECOS PAC ID: 3072700046 Enrollment ID: I20150713002801 |
| Provider Name | Veronica Slootsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629395033 PECOS PAC ID: 6103139563 Enrollment ID: I20150715000309 |
| Provider Name | Harneet R Kohli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336288554 PECOS PAC ID: 1355401712 Enrollment ID: I20150716002429 |
| Provider Name | Sherell L Mason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750375481 PECOS PAC ID: 7517098320 Enrollment ID: I20150722005128 |
| Provider Name | Taira Everett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528353901 PECOS PAC ID: 8123242096 Enrollment ID: I20150724009882 |
| Provider Name | Romana Baig |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437409844 PECOS PAC ID: 1153635677 Enrollment ID: I20150728005836 |
| Provider Name | Jennell E Nelson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366510521 PECOS PAC ID: 5395815807 Enrollment ID: I20150731014678 |
| Provider Name | Melissa R Reinhardt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194880898 PECOS PAC ID: 2062497498 Enrollment ID: I20150731015386 |
| Provider Name | Adrienne G Collier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720374473 PECOS PAC ID: 0042524217 Enrollment ID: I20150731015643 |
| Provider Name | Paul Christopher Kleinow |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497913685 PECOS PAC ID: 6305000696 Enrollment ID: I20150731016174 |
| Provider Name | Jodi B Baptiste |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508866153 PECOS PAC ID: 3577567791 Enrollment ID: I20150803000158 |
| Provider Name | Ivy V Savoy-whitfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972542363 PECOS PAC ID: 2163589581 Enrollment ID: I20150803000285 |
| Provider Name | Christine Mazza Ashburn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427316991 PECOS PAC ID: 4486872686 Enrollment ID: I20150804003378 |
| Provider Name | Tamatha E Barber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386882652 PECOS PAC ID: 4385709401 Enrollment ID: I20150805007564 |
| Provider Name | Doria E Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063706281 PECOS PAC ID: 5698092633 Enrollment ID: I20150807013245 |
| Provider Name | Pamela Matia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639125289 PECOS PAC ID: 1456665181 Enrollment ID: I20150807014984 |
| Provider Name | Jessica L Hunt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750770459 PECOS PAC ID: 9032424775 Enrollment ID: I20150810003011 |
| Provider Name | Jeffery A Gould |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992770275 PECOS PAC ID: 8729393327 Enrollment ID: I20150811005145 |
| Provider Name | Ronald Cameron Vanroekel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508945759 PECOS PAC ID: 7618196965 Enrollment ID: I20150811005832 |
| Provider Name | Shana K Durant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689936239 PECOS PAC ID: 7214242601 Enrollment ID: I20150813011473 |
| Provider Name | Min Shue Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396060497 PECOS PAC ID: 6608091632 Enrollment ID: I20150824000755 |
| Provider Name | Nicole L Cooper |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669764767 PECOS PAC ID: 2062727845 Enrollment ID: I20150824000928 |
| Provider Name | Oluwafoyinsayomi F Kumoluyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508157934 PECOS PAC ID: 7911146378 Enrollment ID: I20150827001709 |
| Provider Name | Tisha S Barnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457643587 PECOS PAC ID: 0244552164 Enrollment ID: I20150828001649 |
| Provider Name | Ashlee Metcalf Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649536293 PECOS PAC ID: 2567778012 Enrollment ID: I20150831000541 |
| Provider Name | Ramona Ramachandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154688042 PECOS PAC ID: 3870809213 Enrollment ID: I20150901000309 |
| Provider Name | Jeffrey M Wharton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982962536 PECOS PAC ID: 1759513492 Enrollment ID: I20150901001340 |
| Provider Name | Ebony Richards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235496811 PECOS PAC ID: 5193031490 Enrollment ID: I20150901002661 |
| Provider Name | Nirnimesh C Pandey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275776775 PECOS PAC ID: 6709192024 Enrollment ID: I20150902000042 |
| Provider Name | Roger Brucal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699159806 PECOS PAC ID: 0840506077 Enrollment ID: I20150902000592 |
| Provider Name | Nitinkumar Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104147602 PECOS PAC ID: 1759697956 Enrollment ID: I20150902002891 |
| Provider Name | Meena N Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174881049 PECOS PAC ID: 4688980717 Enrollment ID: I20150903000832 |
| Provider Name | Nancy Judd |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1093906315 PECOS PAC ID: 3971731779 Enrollment ID: I20150908002045 |
| Provider Name | Rachael S Slivka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245472265 PECOS PAC ID: 5698931616 Enrollment ID: I20150908002537 |
| Provider Name | Amarachi E Nwankpah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023243565 PECOS PAC ID: 0042467219 Enrollment ID: I20150910000397 |
| Provider Name | Madhavi Ambati |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396056297 PECOS PAC ID: 4082921705 Enrollment ID: I20150914000950 |
| Provider Name | Mehwish Karim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073891545 PECOS PAC ID: 6002123668 Enrollment ID: I20150914002952 |
| Provider Name | Jemilat Badamas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427292093 PECOS PAC ID: 8426207135 Enrollment ID: I20150917000138 |
| Provider Name | Angela Bien |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700049491 PECOS PAC ID: 3971745902 Enrollment ID: I20150917001787 |
| Provider Name | Marcy O'neil |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881905172 PECOS PAC ID: 4981893153 Enrollment ID: I20150918001635 |
| Provider Name | Samuel S Ballew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174886832 PECOS PAC ID: 9133436363 Enrollment ID: I20150921000340 |
| Provider Name | Daniel Robertson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578791281 PECOS PAC ID: 4587898838 Enrollment ID: I20150922000909 |
| Provider Name | Jordan Z Tacktill |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942560727 PECOS PAC ID: 0446490916 Enrollment ID: I20150922003013 |
| Provider Name | Lakshmi Lattimer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629242680 PECOS PAC ID: 6709059058 Enrollment ID: I20150923000497 |
| Provider Name | Lelai Ricks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982733044 PECOS PAC ID: 4486712817 Enrollment ID: I20150923000687 |
| Provider Name | Monica Cicchini |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811222805 PECOS PAC ID: 7012225782 Enrollment ID: I20150929002436 |
| Provider Name | Carole Levy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881668804 PECOS PAC ID: 6800104548 Enrollment ID: I20150930001599 |
| Provider Name | Lonny O Nodelman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891058921 PECOS PAC ID: 3072821628 Enrollment ID: I20150930002040 |
| Provider Name | Theresa A Benchoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376527473 PECOS PAC ID: 5092985739 Enrollment ID: I20151001000088 |
| Provider Name | Toinette O N Chin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831332436 PECOS PAC ID: 1052435740 Enrollment ID: I20151005001860 |
| Provider Name | Sha Nita Brennan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134410202 PECOS PAC ID: 0446472823 Enrollment ID: I20151006000188 |
| Provider Name | Neha Kapoor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093063570 PECOS PAC ID: 7113235532 Enrollment ID: I20151006000205 |
| Provider Name | Arpan M Bhakta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417160250 PECOS PAC ID: 7012081607 Enrollment ID: I20151006000226 |
| Provider Name | Randa Khoury |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1629233937 PECOS PAC ID: 8426297656 Enrollment ID: I20151006001725 |
| Provider Name | Stephanie S Hack |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215229885 PECOS PAC ID: 6406164755 Enrollment ID: I20151006001871 |
| Provider Name | Leanna R Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609160761 PECOS PAC ID: 0143538421 Enrollment ID: I20151006003151 |
| Provider Name | Maxwell Levene |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861788507 PECOS PAC ID: 7315167475 Enrollment ID: I20151007000085 |
| Provider Name | Papia Nasiri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912263534 PECOS PAC ID: 2365750668 Enrollment ID: I20151007000657 |
| Provider Name | Archana Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972862860 PECOS PAC ID: 4284942400 Enrollment ID: I20151007001975 |
| Provider Name | Leila P Binder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740204866 PECOS PAC ID: 5395902498 Enrollment ID: I20151008002835 |
| Provider Name | Zia H Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386904027 PECOS PAC ID: 7012145774 Enrollment ID: I20151014000558 |
| Provider Name | Julianne Camba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043456320 PECOS PAC ID: 4789993528 Enrollment ID: I20151019001691 |
| Provider Name | Najam Fasihi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922158443 PECOS PAC ID: 8729216700 Enrollment ID: I20151022000983 |
| Provider Name | Amanda E Lemarier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134559891 PECOS PAC ID: 7719118330 Enrollment ID: I20151022002464 |
| Provider Name | Anita Tang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386779494 PECOS PAC ID: 0446490395 Enrollment ID: I20151023000834 |
| Provider Name | Diane Saade |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528436169 PECOS PAC ID: 4880903392 Enrollment ID: I20151023001709 |
| Provider Name | Jennifer M Andresen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508132267 PECOS PAC ID: 2466761853 Enrollment ID: I20151026002704 |
| Provider Name | Prathap R Naini |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972898625 PECOS PAC ID: 8022324763 Enrollment ID: I20151030001719 |
| Provider Name | Esther N Nwogu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548382153 PECOS PAC ID: 1850584723 Enrollment ID: I20151106000134 |
| Provider Name | Nikhila Iruku |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316230790 PECOS PAC ID: 7911217799 Enrollment ID: I20151106000501 |
| Provider Name | Jenny A Yung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225266521 PECOS PAC ID: 8820223118 Enrollment ID: I20151106000843 |
| Provider Name | Faisal A Chaudri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750430682 PECOS PAC ID: 3274784418 Enrollment ID: I20151106000904 |
| Provider Name | Carolyn Mcdonald |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891957924 PECOS PAC ID: 8921318726 Enrollment ID: I20151106001279 |
| Provider Name | Adam Schwarz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629397625 PECOS PAC ID: 2668692302 Enrollment ID: I20151106001557 |
| Provider Name | Larhonda S Gough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295780658 PECOS PAC ID: 8729398565 Enrollment ID: I20151109000121 |
| Provider Name | Da Hye Hwang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962631184 PECOS PAC ID: 6103073283 Enrollment ID: I20151109000915 |
| Provider Name | Earl John D Mauricio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003862582 PECOS PAC ID: 4587683685 Enrollment ID: I20151109000932 |
| Provider Name | Philomene Fortes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235568171 PECOS PAC ID: 8426368978 Enrollment ID: I20151112001591 |
| Provider Name | Michelle Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295117133 PECOS PAC ID: 5890095152 Enrollment ID: I20151118002878 |
| Provider Name | Jarita A Hagans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205084506 PECOS PAC ID: 8426125758 Enrollment ID: I20151119000850 |
| Provider Name | Shelly Ann N James |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336315167 PECOS PAC ID: 8921283433 Enrollment ID: I20151119001385 |
| Provider Name | Lester K Bowser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043206873 PECOS PAC ID: 3274569736 Enrollment ID: I20151120000280 |
| Provider Name | Rohini Battu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649560970 PECOS PAC ID: 9133429202 Enrollment ID: I20151120001230 |
| Provider Name | Mahmood Shahab Sori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558662700 PECOS PAC ID: 8123254836 Enrollment ID: I20151202000553 |
| Provider Name | Wael Ahmed Wassif Al-yaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821354267 PECOS PAC ID: 7517267230 Enrollment ID: I20151202002540 |
| Provider Name | Hassan Kidwai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811286909 PECOS PAC ID: 7618196510 Enrollment ID: I20151202002654 |
| Provider Name | Klu C Descalzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285020404 PECOS PAC ID: 7416258819 Enrollment ID: I20151208002812 |
| Provider Name | Ijeamaka K Ofodile |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447578802 PECOS PAC ID: 9739493396 Enrollment ID: I20151210000135 |
| Provider Name | Jonathan J Chou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154641298 PECOS PAC ID: 8022259548 Enrollment ID: I20151215001863 |
| Provider Name | Jacqueline Lowery |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477702199 PECOS PAC ID: 6103807623 Enrollment ID: I20151222000447 |
| Provider Name | Binu Batajoo Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972850980 PECOS PAC ID: 2769792530 Enrollment ID: I20151228000232 |
| Provider Name | Judith F Debose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609932409 PECOS PAC ID: 5092749069 Enrollment ID: I20160104000416 |
| Provider Name | Anne C Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457725467 PECOS PAC ID: 6204138290 Enrollment ID: I20160107002274 |
| Provider Name | William Stallard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740694561 PECOS PAC ID: 5092017012 Enrollment ID: I20160108000067 |
| Provider Name | Esther Rhee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801156096 PECOS PAC ID: 7012130552 Enrollment ID: I20160108001128 |
| Provider Name | Fadeke Ajayi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669608691 PECOS PAC ID: 0840415857 Enrollment ID: I20160108001389 |
| Provider Name | Bryan D Laliberte |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700057791 PECOS PAC ID: 1254633126 Enrollment ID: I20160108001736 |
| Provider Name | Thomas Stallard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467866285 PECOS PAC ID: 1759683584 Enrollment ID: I20160111001006 |
| Provider Name | Jeffry Hatcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821023920 PECOS PAC ID: 1355347451 Enrollment ID: I20160128001832 |
| Provider Name | Wenle P Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063562726 PECOS PAC ID: 5799878583 Enrollment ID: I20160128002169 |
| Provider Name | Saad Manzoul |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346432796 PECOS PAC ID: 7214190248 Enrollment ID: I20160128002256 |
| Provider Name | Barbara Drew |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902196413 PECOS PAC ID: 8426351149 Enrollment ID: I20160129000321 |
| Provider Name | Deborah Y Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730137209 PECOS PAC ID: 2769457407 Enrollment ID: I20160129000345 |
| Provider Name | Deepak Gupta |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1811990344 PECOS PAC ID: 4688610363 Enrollment ID: I20160129000791 |
| Provider Name | April Timberlake |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598025629 PECOS PAC ID: 5698078335 Enrollment ID: I20160129001077 |
| Provider Name | Jeanine M Lamb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649351313 PECOS PAC ID: 0446554166 Enrollment ID: I20160201001019 |
| Provider Name | Jane Ji-in Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851529846 PECOS PAC ID: 0648574376 Enrollment ID: I20160201001390 |
| Provider Name | Zakiyyah Francisco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710229653 PECOS PAC ID: 2567766207 Enrollment ID: I20160201001746 |
| Provider Name | John S Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053574509 PECOS PAC ID: 3971753013 Enrollment ID: I20160202001929 |
| Provider Name | Sherri S Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104067883 PECOS PAC ID: 3375847767 Enrollment ID: I20160204001637 |
| Provider Name | Nosheen Azam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184852600 PECOS PAC ID: 5496902017 Enrollment ID: I20160211001821 |
| Provider Name | Elizabeth Warner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407924434 PECOS PAC ID: 8921264409 Enrollment ID: I20160217002214 |
| Provider Name | Sonia Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306856570 PECOS PAC ID: 9931134061 Enrollment ID: I20160218000171 |
| Provider Name | Connie Hai-yee Chan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477738144 PECOS PAC ID: 7416080932 Enrollment ID: I20160218000756 |
| Provider Name | Annette Hall Finney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720217573 PECOS PAC ID: 6406848621 Enrollment ID: I20160222000533 |
| Provider Name | Adeola Y Adebusoye |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609263268 PECOS PAC ID: 5193020212 Enrollment ID: I20160226000743 |
| Provider Name | Crystal St Clair |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538302047 PECOS PAC ID: 2163642372 Enrollment ID: I20160226001934 |
| Provider Name | Farhan F Malik |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700047453 PECOS PAC ID: 1355599705 Enrollment ID: I20160311001033 |
| Provider Name | Lorenzo Santos Gutierrez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134423320 PECOS PAC ID: 5496989477 Enrollment ID: I20160311001845 |
| Provider Name | Jamison Strachan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831444538 PECOS PAC ID: 1557667821 Enrollment ID: I20160311002011 |
| Provider Name | Tracy Wright |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083858286 PECOS PAC ID: 6002040201 Enrollment ID: I20160311002147 |
| Provider Name | Evangeline C Obi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376771279 PECOS PAC ID: 2062660038 Enrollment ID: I20160328000080 |
| Provider Name | Danielle Jean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194923193 PECOS PAC ID: 6507163128 Enrollment ID: I20160328000366 |
| Provider Name | Stephanie Swanson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811285612 PECOS PAC ID: 0840598934 Enrollment ID: I20160405002036 |
| Provider Name | Yo Yoon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184881443 PECOS PAC ID: 5597912667 Enrollment ID: I20160407000356 |
| Provider Name | Demerrick Encarnacion |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184980815 PECOS PAC ID: 1557669322 Enrollment ID: I20160411002260 |
| Provider Name | Fabiola Peredo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1295177129 PECOS PAC ID: 7517265762 Enrollment ID: I20160421000478 |
| Provider Name | Pemmaraju S Dakin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457408007 PECOS PAC ID: 8022317197 Enrollment ID: I20160425002023 |
| Provider Name | Nicola Romero |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1306254081 PECOS PAC ID: 9032418033 Enrollment ID: I20160426000683 |
| Provider Name | Nguyen Waterman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528098415 PECOS PAC ID: 1951624865 Enrollment ID: I20160513000534 |
| Provider Name | Nirupama Kopparti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548428873 PECOS PAC ID: 3577862481 Enrollment ID: I20160516001034 |
| Provider Name | James K. Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629204722 PECOS PAC ID: 2365692514 Enrollment ID: I20160516002221 |
| Provider Name | Darlene Smallman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336118660 PECOS PAC ID: 6002996352 Enrollment ID: I20160517001376 |
| Provider Name | Luis A Pedemonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568866671 PECOS PAC ID: 1850680463 Enrollment ID: I20160523000148 |
| Provider Name | Mary E Chopard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912225368 PECOS PAC ID: 9931421120 Enrollment ID: I20160526002471 |
| Provider Name | Adenike O Odunmbaku |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881958577 PECOS PAC ID: 8123318318 Enrollment ID: I20160531001494 |
| Provider Name | Shahine Baghai |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1831414374 PECOS PAC ID: 0840581302 Enrollment ID: I20160614001562 |
| Provider Name | M Marjorie B Mcallister |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568838209 PECOS PAC ID: 1951692268 Enrollment ID: I20160617000735 |
| Provider Name | Chelsea Mathis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386925279 PECOS PAC ID: 8820389018 Enrollment ID: I20160617001568 |
| Provider Name | Brenna E Reilly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497136998 PECOS PAC ID: 2961794540 Enrollment ID: I20160630001726 |
| Provider Name | Nkechinyere Nwaobasi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346497047 PECOS PAC ID: 9638461064 Enrollment ID: I20160706000418 |
| Provider Name | Lourdes M San Pedro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225385776 PECOS PAC ID: 5193017481 Enrollment ID: I20160706002452 |
| Provider Name | Prashant Khetpal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215136148 PECOS PAC ID: 8729175252 Enrollment ID: I20160721001697 |
| Provider Name | Jade N Texcell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568450427 PECOS PAC ID: 6507159647 Enrollment ID: I20160726003182 |
| Provider Name | Katharine K Sznajder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639480817 PECOS PAC ID: 2769609437 Enrollment ID: I20160810000570 |
| Provider Name | Carl K Cappelletti |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255607354 PECOS PAC ID: 8527296185 Enrollment ID: I20160810001308 |
| Provider Name | Sienna Vorono |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861785958 PECOS PAC ID: 9335433317 Enrollment ID: I20160815001230 |
| Provider Name | Shelleta Pleasant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831558394 PECOS PAC ID: 9830484625 Enrollment ID: I20160817003230 |
| Provider Name | Linda Ruth Ojo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831432038 PECOS PAC ID: 9234435827 Enrollment ID: I20160824002459 |
| Provider Name | Kharia J Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265668347 PECOS PAC ID: 7214176551 Enrollment ID: I20160831000134 |
| Provider Name | John J Laferla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851391288 PECOS PAC ID: 2860583440 Enrollment ID: I20160831000203 |
| Provider Name | Raj A Gadhia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922368976 PECOS PAC ID: 9537455076 Enrollment ID: I20160908001775 |
| Provider Name | Allison Parker Fahey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821433814 PECOS PAC ID: 4880981810 Enrollment ID: I20160920000288 |
| Provider Name | Daniel John Short |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366704066 PECOS PAC ID: 5991026510 Enrollment ID: I20160920000354 |
| Provider Name | Joseph T Tasosa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164710091 PECOS PAC ID: 7113214164 Enrollment ID: I20160920000735 |
| Provider Name | Nikki P Tirada |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730404294 PECOS PAC ID: 6901113141 Enrollment ID: I20160920000742 |
| Provider Name | Shankar K Sridhara |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932308467 PECOS PAC ID: 3375830326 Enrollment ID: I20160920000824 |
| Provider Name | Katharine H Taber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962551879 PECOS PAC ID: 5092819268 Enrollment ID: I20160920000955 |
| Provider Name | Akbar Abyaneh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528388824 PECOS PAC ID: 3072834712 Enrollment ID: I20160920001296 |
| Provider Name | Tanya Dzintra Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023250685 PECOS PAC ID: 5193012094 Enrollment ID: I20160920002774 |
| Provider Name | Bogdan Dumitriu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386819753 PECOS PAC ID: 4880981794 Enrollment ID: I20160921000199 |
| Provider Name | Manpreet Sen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518229939 PECOS PAC ID: 5799072609 Enrollment ID: I20160921000201 |
| Provider Name | Nicholas Hatate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710313358 PECOS PAC ID: 6608163514 Enrollment ID: I20160921000204 |
| Provider Name | Nidhi Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407138639 PECOS PAC ID: 5698062503 Enrollment ID: I20160921000224 |
| Provider Name | Adae Amoako |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710253141 PECOS PAC ID: 2961799895 Enrollment ID: I20160921000886 |
| Provider Name | Ibukunolu Oni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609216894 PECOS PAC ID: 6901193846 Enrollment ID: I20160921001192 |
| Provider Name | Margaret Schwiesow |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346561610 PECOS PAC ID: 9537456488 Enrollment ID: I20160921001593 |
| Provider Name | Nwamaka Isamah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649513904 PECOS PAC ID: 6204123169 Enrollment ID: I20160921001833 |
| Provider Name | Hesum Chegini |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902197791 PECOS PAC ID: 0345549564 Enrollment ID: I20160922000299 |
| Provider Name | Vincent Dam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700014602 PECOS PAC ID: 0345467130 Enrollment ID: I20160922001326 |
| Provider Name | Lindsey K Rolinski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245652627 PECOS PAC ID: 4385951425 Enrollment ID: I20160922001551 |
| Provider Name | Jill Finkelstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518223114 PECOS PAC ID: 1254636152 Enrollment ID: I20160922001708 |
| Provider Name | Noelia Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376983825 PECOS PAC ID: 7214224062 Enrollment ID: I20160922001824 |
| Provider Name | Allison Reiter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053671438 PECOS PAC ID: 2365739026 Enrollment ID: I20160922002359 |
| Provider Name | Fooroogh Nasiri Manesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710326061 PECOS PAC ID: 4284866732 Enrollment ID: I20160924000198 |
| Provider Name | Farhan Merali |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821383738 PECOS PAC ID: 4587814017 Enrollment ID: I20161003000383 |
| Provider Name | Chioma Ohalete |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851561286 PECOS PAC ID: 4486957826 Enrollment ID: I20161005001093 |
| Provider Name | Tanya Dhiren Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033381298 PECOS PAC ID: 2264624659 Enrollment ID: I20161007000567 |
| Provider Name | Christopher Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871975235 PECOS PAC ID: 9335447374 Enrollment ID: I20161007000596 |
| Provider Name | Eun Y Oh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841502820 PECOS PAC ID: 2961790621 Enrollment ID: I20161012001124 |
| Provider Name | Sarah L Seider |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730512435 PECOS PAC ID: 9032407796 Enrollment ID: I20161012001195 |
| Provider Name | Ulric S Bigby |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306074901 PECOS PAC ID: 4789972316 Enrollment ID: I20161013001045 |
| Provider Name | Shuo Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114260312 PECOS PAC ID: 0446557466 Enrollment ID: I20161013001586 |
| Provider Name | Christine Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427349935 PECOS PAC ID: 6002104650 Enrollment ID: I20161013001662 |
| Provider Name | Nyen V Chong |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1003011917 PECOS PAC ID: 0244327773 Enrollment ID: I20161013001890 |
| Provider Name | Jason Andrew Gendell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821434556 PECOS PAC ID: 4183921075 Enrollment ID: I20161013002042 |
| Provider Name | Anthony G Ho |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780900498 PECOS PAC ID: 2668760232 Enrollment ID: I20161013002258 |
| Provider Name | Benjamin Galper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104085141 PECOS PAC ID: 3375677461 Enrollment ID: I20161013002307 |
| Provider Name | Adrienne Stevenson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497020697 PECOS PAC ID: 8426346958 Enrollment ID: I20161014002021 |
| Provider Name | Kurt S Wenk |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639337033 PECOS PAC ID: 7911295449 Enrollment ID: I20161015000046 |
| Provider Name | Michelle Solomon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154766772 PECOS PAC ID: 5193013621 Enrollment ID: I20161015000087 |
| Provider Name | Amarnath G Sortur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730171950 PECOS PAC ID: 1355236399 Enrollment ID: I20161015000216 |
| Provider Name | Arifuz Zaman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730524877 PECOS PAC ID: 7416245956 Enrollment ID: I20161015000278 |
| Provider Name | Amanda Barner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184885444 PECOS PAC ID: 9931239274 Enrollment ID: I20161017000159 |
| Provider Name | Rupa P Sekhar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649598566 PECOS PAC ID: 2769781871 Enrollment ID: I20161017000495 |
| Provider Name | Alexandria Reilly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487095683 PECOS PAC ID: 0941598403 Enrollment ID: I20161017000655 |
| Provider Name | James C Coyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083973523 PECOS PAC ID: 5193013688 Enrollment ID: I20161017001562 |
| Provider Name | Sameer Deshmukh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487881215 PECOS PAC ID: 6800053166 Enrollment ID: I20161017001767 |
| Provider Name | Sudip Saha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588809552 PECOS PAC ID: 8426207341 Enrollment ID: I20161017001805 |
| Provider Name | Romy Ott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205078557 PECOS PAC ID: 3971891383 Enrollment ID: I20161017002612 |
| Provider Name | Maria Y Bates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871610766 PECOS PAC ID: 2365730793 Enrollment ID: I20161018000340 |
| Provider Name | James A Owusu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942443312 PECOS PAC ID: 0749406353 Enrollment ID: I20161018002528 |
| Provider Name | Christopher Pretorius |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912265901 PECOS PAC ID: 3971891375 Enrollment ID: I20161018002654 |
| Provider Name | Christopher Kevin Lawler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326244617 PECOS PAC ID: 2163590159 Enrollment ID: I20161019002788 |
| Provider Name | Omar F Siddique |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144660978 PECOS PAC ID: 9133424203 Enrollment ID: I20161021001450 |
| Provider Name | Shalenee Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447695622 PECOS PAC ID: 6709164908 Enrollment ID: I20161021001890 |
| Provider Name | Cynthia U Shepard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407290075 PECOS PAC ID: 4587942289 Enrollment ID: I20161101000867 |
| Provider Name | Nikhil Oak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174844914 PECOS PAC ID: 5294013694 Enrollment ID: I20161104000822 |
| Provider Name | Metasebia T Munie |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295026755 PECOS PAC ID: 3971735374 Enrollment ID: I20161104001062 |
| Provider Name | Vijaya Alla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184067514 PECOS PAC ID: 1951689371 Enrollment ID: I20161104001440 |
| Provider Name | Maryn Valdez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801239983 PECOS PAC ID: 3375821705 Enrollment ID: I20161104001649 |
| Provider Name | Yvette Ho |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033347760 PECOS PAC ID: 9638457005 Enrollment ID: I20161107000622 |
| Provider Name | Anna Childson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659647915 PECOS PAC ID: 6709184104 Enrollment ID: I20161107001156 |
| Provider Name | Saria Izzeldin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861835449 PECOS PAC ID: 7012295405 Enrollment ID: I20161107001358 |
| Provider Name | Abha G Saha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427377134 PECOS PAC ID: 8325298482 Enrollment ID: I20161107001389 |
| Provider Name | Jonathan N Guzman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366991960 PECOS PAC ID: 9335428747 Enrollment ID: I20161107002438 |
| Provider Name | Rebecca Anstey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861757668 PECOS PAC ID: 5092094433 Enrollment ID: I20161108000823 |
| Provider Name | Guadalupe Villarreal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245593763 PECOS PAC ID: 5294963815 Enrollment ID: I20161109001874 |
| Provider Name | Ealena S Callender |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851489793 PECOS PAC ID: 7810095742 Enrollment ID: I20161110000841 |
| Provider Name | Amanda Rauda Tellawi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033475371 PECOS PAC ID: 3870891120 Enrollment ID: I20161115000370 |
| Provider Name | Minh-hai Ngo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467835215 PECOS PAC ID: 5890084909 Enrollment ID: I20161115002111 |
| Provider Name | Yasmen A Srour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467895706 PECOS PAC ID: 8022252469 Enrollment ID: I20161130002414 |
| Provider Name | Emily Gibson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538221254 PECOS PAC ID: 6800176157 Enrollment ID: I20161205000148 |
| Provider Name | Isaac Djampouop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194117846 PECOS PAC ID: 6709166796 Enrollment ID: I20161208002088 |
| Provider Name | Memona Tazamal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669733754 PECOS PAC ID: 3971737438 Enrollment ID: I20161212000049 |
| Provider Name | Alexander Jow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336383587 PECOS PAC ID: 4284899238 Enrollment ID: I20161213000391 |
| Provider Name | Opal Burnetta Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770826364 PECOS PAC ID: 2365668118 Enrollment ID: I20161214000427 |
| Provider Name | Jasmin Roohi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487978128 PECOS PAC ID: 1759530686 Enrollment ID: I20161215002036 |
| Provider Name | Andrew Woo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801231691 PECOS PAC ID: 8628365574 Enrollment ID: I20161221000086 |
| Provider Name | Minesh R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891979001 PECOS PAC ID: 6002960846 Enrollment ID: I20161221000164 |
| Provider Name | Toufic Kabbani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578722948 PECOS PAC ID: 9032490107 Enrollment ID: I20170103001845 |
| Provider Name | Angela S Gilbert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649414673 PECOS PAC ID: 4183905151 Enrollment ID: I20170105001395 |
| Provider Name | Uchemadu Nwaononiwu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770710451 PECOS PAC ID: 7517115702 Enrollment ID: I20170113001609 |
| Provider Name | Christopher Shen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164642039 PECOS PAC ID: 5092869149 Enrollment ID: I20170120001475 |
| Provider Name | Lynda Seeta Tilluckdharry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477617397 PECOS PAC ID: 3375826167 Enrollment ID: I20170201000860 |
| Provider Name | Colin Grant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790912368 PECOS PAC ID: 9436432697 Enrollment ID: I20170214000049 |
| Provider Name | Mohammad A Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518009364 PECOS PAC ID: 0648554360 Enrollment ID: I20170224000814 |
| Provider Name | Lida Tabatabaeian |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184805079 PECOS PAC ID: 2567634116 Enrollment ID: I20170224001066 |
| Provider Name | Zoya Tirmizi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154753325 PECOS PAC ID: 4880911783 Enrollment ID: I20170224001419 |
| Provider Name | Corina Freitas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699118471 PECOS PAC ID: 7810206703 Enrollment ID: I20170225000004 |
| Provider Name | Sunil K Nair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790796852 PECOS PAC ID: 8224023569 Enrollment ID: I20170228000599 |
| Provider Name | Anuj Prashar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497947543 PECOS PAC ID: 1153389085 Enrollment ID: I20170228001765 |
| Provider Name | Joseph Goodman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871760140 PECOS PAC ID: 2466608518 Enrollment ID: I20170302000913 |
| Provider Name | Colleen M Zanis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649566357 PECOS PAC ID: 0446561468 Enrollment ID: I20170311000064 |
| Provider Name | Kasandra Scales |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023378247 PECOS PAC ID: 1658650999 Enrollment ID: I20170317000999 |
| Provider Name | Merone Befekadu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285867507 PECOS PAC ID: 0446381636 Enrollment ID: I20170320000690 |
| Provider Name | James Jezior |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194889543 PECOS PAC ID: 8729225610 Enrollment ID: I20170320002103 |
| Provider Name | Tuwanna Y Morris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336188580 PECOS PAC ID: 2961416060 Enrollment ID: I20170320002181 |
| Provider Name | Alex J Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952398299 PECOS PAC ID: 3870755358 Enrollment ID: I20170320002246 |
| Provider Name | Collette Spalding |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1114160223 PECOS PAC ID: 5092031484 Enrollment ID: I20170321000099 |
| Provider Name | Binetou S Fall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134354269 PECOS PAC ID: 6800045295 Enrollment ID: I20170322001888 |
| Provider Name | Summer Abdel Megeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790838118 PECOS PAC ID: 5991804932 Enrollment ID: I20170323000439 |
| Provider Name | Kriti Kalra Sehgal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184065336 PECOS PAC ID: 4880822204 Enrollment ID: I20170329000315 |
| Provider Name | Solaiman Futuri |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1932342417 PECOS PAC ID: 6800071507 Enrollment ID: I20170406000436 |
| Provider Name | Edom Yared |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760619324 PECOS PAC ID: 4880997865 Enrollment ID: I20170410000867 |
| Provider Name | Dawn C Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356328413 PECOS PAC ID: 3274705009 Enrollment ID: I20170412000301 |
| Provider Name | Joseph Hoppenjans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316168552 PECOS PAC ID: 2769768464 Enrollment ID: I20170412000877 |
| Provider Name | Muhammad L Jamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891719365 PECOS PAC ID: 6608871199 Enrollment ID: I20170412001335 |
| Provider Name | Deepinder Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356734917 PECOS PAC ID: 7618295478 Enrollment ID: I20170413000245 |
| Provider Name | Mansi B Parikh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457572695 PECOS PAC ID: 6608947502 Enrollment ID: I20170413001494 |
| Provider Name | Rachel Gougian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528420387 PECOS PAC ID: 7012203532 Enrollment ID: I20170508001678 |
| Provider Name | Cathy Karp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780799643 PECOS PAC ID: 7517244189 Enrollment ID: I20170509000482 |
| Provider Name | Manijeh Akbarzadeh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639331929 PECOS PAC ID: 5496937369 Enrollment ID: I20170509000893 |
| Provider Name | Holly Batal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700811361 PECOS PAC ID: 4880652106 Enrollment ID: I20170509001455 |
| Provider Name | Christie Youssef |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902112923 PECOS PAC ID: 4486807575 Enrollment ID: I20170509001686 |
| Provider Name | Lalitha Gudipaty |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225296122 PECOS PAC ID: 4880836477 Enrollment ID: I20170516001171 |
| Provider Name | Thomas Rammelkamp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336545326 PECOS PAC ID: 5193092492 Enrollment ID: I20170516002646 |
| Provider Name | Alexander M Vu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245274992 PECOS PAC ID: 4880726983 Enrollment ID: I20170519002189 |
| Provider Name | Susannah L Edwards |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154854545 PECOS PAC ID: 3779850888 Enrollment ID: I20170522000182 |
| Provider Name | Urvi P Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609209980 PECOS PAC ID: 7214171610 Enrollment ID: I20170530000766 |
| Provider Name | Kelly Anne Ryan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326253550 PECOS PAC ID: 9436315090 Enrollment ID: I20170530001902 |
| Provider Name | Peter Y Shen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396900734 PECOS PAC ID: 8325223498 Enrollment ID: I20170531001006 |
| Provider Name | Keith M Egan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013336163 PECOS PAC ID: 4082916929 Enrollment ID: I20170609000841 |
| Provider Name | Vani Pyda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730509506 PECOS PAC ID: 7810286739 Enrollment ID: I20170612000218 |
| Provider Name | Deme Gurmu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386056158 PECOS PAC ID: 8325349392 Enrollment ID: I20170613000013 |
| Provider Name | Swapnil Raman Luhadiya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184804429 PECOS PAC ID: 8820134836 Enrollment ID: I20170703000197 |
| Provider Name | Jessica M Amoros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023568664 PECOS PAC ID: 0941579098 Enrollment ID: I20170705000470 |
| Provider Name | Mark Mamlouk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720248388 PECOS PAC ID: 0749403244 Enrollment ID: I20170717001048 |
| Provider Name | Ted Fan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225471998 PECOS PAC ID: 8022388586 Enrollment ID: I20170717002945 |
| Provider Name | Chelsea L Yoos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063948818 PECOS PAC ID: 2264703537 Enrollment ID: I20170804000055 |
| Provider Name | Farhad Fakhrejahani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366722258 PECOS PAC ID: 3072884139 Enrollment ID: I20170808001132 |
| Provider Name | Jennifer Shih |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518133396 PECOS PAC ID: 8527200161 Enrollment ID: I20170808001779 |
| Provider Name | Irfan Rizvi |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1518184464 PECOS PAC ID: 7719052430 Enrollment ID: I20170810000786 |
| Provider Name | Adheesh A Sabnis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720168503 PECOS PAC ID: 1557443199 Enrollment ID: I20170810001213 |
| Provider Name | Kelly Meehan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841474020 PECOS PAC ID: 7911145933 Enrollment ID: I20170824001417 |
| Provider Name | Alice Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235558214 PECOS PAC ID: 5294007241 Enrollment ID: I20170825000626 |
| Provider Name | Anthony W Chi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336400332 PECOS PAC ID: 5193979128 Enrollment ID: I20170825001348 |
| Provider Name | Kim Hoang |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1730455155 PECOS PAC ID: 9133490816 Enrollment ID: I20170830000287 |
| Provider Name | Angela Ealy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336661511 PECOS PAC ID: 3577836238 Enrollment ID: I20170901002063 |
| Provider Name | Melanie Josephine Bukhari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083058226 PECOS PAC ID: 8921240276 Enrollment ID: I20170905000275 |
| Provider Name | Chana-rivka Abramson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285037291 PECOS PAC ID: 4688947898 Enrollment ID: I20170911002196 |
| Provider Name | Michael E Korchak |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750647186 PECOS PAC ID: 4587956602 Enrollment ID: I20170912000876 |
| Provider Name | Mattia Chason |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730591348 PECOS PAC ID: 1254604317 Enrollment ID: I20170912001532 |
| Provider Name | Lynn B Lynes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083165716 PECOS PAC ID: 2668754748 Enrollment ID: I20170912002908 |
| Provider Name | Olufemi E Balogun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194010678 PECOS PAC ID: 6204109309 Enrollment ID: I20170912003246 |
| Provider Name | Beatrice Digen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114344165 PECOS PAC ID: 7214236405 Enrollment ID: I20170913001626 |
| Provider Name | Tarika L Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235404427 PECOS PAC ID: 6002048485 Enrollment ID: I20170918000258 |
| Provider Name | David K Auh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356752588 PECOS PAC ID: 7113142340 Enrollment ID: I20170919003242 |
| Provider Name | Farimah Farahani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982993242 PECOS PAC ID: 2163666173 Enrollment ID: I20170921000618 |
| Provider Name | Elizabeth H Harman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902249899 PECOS PAC ID: 0840598793 Enrollment ID: I20170921001163 |
| Provider Name | Robin Sinn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255537262 PECOS PAC ID: 4981798238 Enrollment ID: I20170927001494 |
| Provider Name | Robert Gallagher |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043396120 PECOS PAC ID: 4981820594 Enrollment ID: I20171004002704 |
| Provider Name | Saba Afraz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972900355 PECOS PAC ID: 2668764325 Enrollment ID: I20171005000499 |
| Provider Name | Holly M Jones |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528595618 PECOS PAC ID: 1850666363 Enrollment ID: I20171010001647 |
| Provider Name | Wudneh M Temesgen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871812958 PECOS PAC ID: 5294034419 Enrollment ID: I20171018000903 |
| Provider Name | Jericho M De Mata |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275950396 PECOS PAC ID: 3971879958 Enrollment ID: I20171018002053 |
| Provider Name | Sarah S Kin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932514239 PECOS PAC ID: 3173818846 Enrollment ID: I20171018002587 |
| Provider Name | David Christopher Zarkowsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477972016 PECOS PAC ID: 7113224379 Enrollment ID: I20171018002828 |
| Provider Name | Aysha Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992110191 PECOS PAC ID: 5092001560 Enrollment ID: I20171018003017 |
| Provider Name | Felicea Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194139626 PECOS PAC ID: 6901114578 Enrollment ID: I20171018003122 |
| Provider Name | Christoper K Riley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619382801 PECOS PAC ID: 9133412414 Enrollment ID: I20171018003206 |
| Provider Name | Charles A Olaleye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407261704 PECOS PAC ID: 5597057216 Enrollment ID: I20171018003385 |
| Provider Name | David Insoo An |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972922862 PECOS PAC ID: 5092081000 Enrollment ID: I20171018003438 |
| Provider Name | Roxanne C Orion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083051965 PECOS PAC ID: 6709013303 Enrollment ID: I20171019000254 |
| Provider Name | Cheryl Chun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164841425 PECOS PAC ID: 3274809207 Enrollment ID: I20171019000589 |
| Provider Name | Umair Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396033254 PECOS PAC ID: 4981857554 Enrollment ID: I20171019000835 |
| Provider Name | Tracey Ann Samuels |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891038287 PECOS PAC ID: 4880960830 Enrollment ID: I20171019001096 |
| Provider Name | Firas Al Sammarrai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033529557 PECOS PAC ID: 0840566899 Enrollment ID: I20171019001299 |
| Provider Name | Dilasha Katwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841604790 PECOS PAC ID: 8628344686 Enrollment ID: I20171019002003 |
| Provider Name | Pooja Ganesh Pandya |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407113962 PECOS PAC ID: 2264726587 Enrollment ID: I20171020000129 |
| Provider Name | Elizabeth Coe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417360330 PECOS PAC ID: 7517276140 Enrollment ID: I20171020000336 |
| Provider Name | Jennifer Gourdin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194168385 PECOS PAC ID: 0840599098 Enrollment ID: I20171020000619 |
| Provider Name | Jenny J Hong |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1407039977 PECOS PAC ID: 1355421041 Enrollment ID: I20171020000711 |
| Provider Name | Jerry Z Xu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912327768 PECOS PAC ID: 0446474332 Enrollment ID: I20171023000104 |
| Provider Name | Thomas F Kingston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942628680 PECOS PAC ID: 5597985242 Enrollment ID: I20171023000382 |
| Provider Name | Jasmine Finch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558780726 PECOS PAC ID: 3375845985 Enrollment ID: I20171023001128 |
| Provider Name | Margarita Litvak-kelner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023452901 PECOS PAC ID: 5799088217 Enrollment ID: I20171024000944 |
| Provider Name | Bryant J Hayes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164874996 PECOS PAC ID: 1052606118 Enrollment ID: I20171025000227 |
| Provider Name | Melik Tiba |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255683181 PECOS PAC ID: 6507132990 Enrollment ID: I20171031000755 |
| Provider Name | Megha Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194144196 PECOS PAC ID: 7012283401 Enrollment ID: I20171031000896 |
| Provider Name | Niral Bharat Gandhi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669807012 PECOS PAC ID: 5597060830 Enrollment ID: I20171106000609 |
| Provider Name | Jeffrey R Lui |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104343086 PECOS PAC ID: 4183980204 Enrollment ID: I20171106002857 |
| Provider Name | Christopher M Knaus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104188689 PECOS PAC ID: 2860758794 Enrollment ID: I20171109002406 |
| Provider Name | Jayaprakash D Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467471920 PECOS PAC ID: 3971508516 Enrollment ID: I20171114000226 |
| Provider Name | Lauren Potts |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942594072 PECOS PAC ID: 2466718176 Enrollment ID: I20171114001230 |
| Provider Name | William J Narracci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760892053 PECOS PAC ID: 8729208509 Enrollment ID: I20171114001355 |
| Provider Name | Kimone Powell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710258983 PECOS PAC ID: 4284990904 Enrollment ID: I20171114001667 |
| Provider Name | Nejat Naser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477963312 PECOS PAC ID: 8628374741 Enrollment ID: I20171114002031 |
| Provider Name | Andrew Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649230483 PECOS PAC ID: 2264585751 Enrollment ID: I20171114002213 |
| Provider Name | Duosha Hu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174940381 PECOS PAC ID: 6901039189 Enrollment ID: I20171114002354 |
| Provider Name | Juliana Llano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063831311 PECOS PAC ID: 1355561069 Enrollment ID: I20171115000179 |
| Provider Name | Gao Chen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437418977 PECOS PAC ID: 2769709625 Enrollment ID: I20171116000075 |
| Provider Name | Carina Cheung |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477864544 PECOS PAC ID: 3577879410 Enrollment ID: I20171128003194 |
| Provider Name | Andaleeb Rahman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013367564 PECOS PAC ID: 4284926155 Enrollment ID: I20171205001495 |
| Provider Name | Jyothi S Varghese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982670394 PECOS PAC ID: 4789679911 Enrollment ID: I20171206000501 |
| Provider Name | Merav Galper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881980977 PECOS PAC ID: 6103110440 Enrollment ID: I20171212001656 |
| Provider Name | Isha Choudhary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407276827 PECOS PAC ID: 2365662145 Enrollment ID: I20171212001945 |
| Provider Name | Yumei Md Fu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730400789 PECOS PAC ID: 1658665492 Enrollment ID: I20171212003051 |
| Provider Name | Matthew Joseph Webber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225182231 PECOS PAC ID: 9335246339 Enrollment ID: I20171213001085 |
| Provider Name | Elisabeth Kramer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285052316 PECOS PAC ID: 0648538926 Enrollment ID: I20171214000218 |
| Provider Name | Maggie Ruth Lyles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346685567 PECOS PAC ID: 6103142187 Enrollment ID: I20180108001948 |
| Provider Name | Ayanna James |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366448953 PECOS PAC ID: 5092719047 Enrollment ID: I20180108002870 |
| Provider Name | Ahmad Zia Zahir |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912434176 PECOS PAC ID: 1850650375 Enrollment ID: I20180109000711 |
| Provider Name | James G Shaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134495864 PECOS PAC ID: 2860700804 Enrollment ID: I20180130002440 |
| Provider Name | Lindsay Barnes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265425870 PECOS PAC ID: 5799913927 Enrollment ID: I20180131000777 |
| Provider Name | Sara Alysse Mills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336373794 PECOS PAC ID: 8426204272 Enrollment ID: I20180202000376 |
| Provider Name | Joseph M Hughes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750366563 PECOS PAC ID: 8325117252 Enrollment ID: I20180205001856 |
| Provider Name | Jill K Denney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215901954 PECOS PAC ID: 0345138905 Enrollment ID: I20180206000890 |
| Provider Name | Braden Knott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487101143 PECOS PAC ID: 9638439805 Enrollment ID: I20180207002771 |
| Provider Name | Renee Eileen Duricy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982718581 PECOS PAC ID: 1153681333 Enrollment ID: I20180208000362 |
| Provider Name | Lakeshia L Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891214508 PECOS PAC ID: 9830459916 Enrollment ID: I20180209001652 |
| Provider Name | Alyssa Mckenna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396158606 PECOS PAC ID: 9032414677 Enrollment ID: I20180212002036 |
| Provider Name | Mohsin Husain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992796478 PECOS PAC ID: 9830138387 Enrollment ID: I20180220000337 |
| Provider Name | Heather M Carney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699937748 PECOS PAC ID: 6406026525 Enrollment ID: I20180220000756 |
| Provider Name | Shalini Kulkarni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922423052 PECOS PAC ID: 8224399001 Enrollment ID: I20180220000778 |
| Provider Name | Elleni Tekle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861909061 PECOS PAC ID: 6406117282 Enrollment ID: I20180220000821 |
| Provider Name | Jason D Berk |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538326145 PECOS PAC ID: 1658513486 Enrollment ID: I20180220001023 |
| Provider Name | Laura H Park |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083907372 PECOS PAC ID: 2365756467 Enrollment ID: I20180222000283 |
| Provider Name | Oluwakemi M Adeyeri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558641381 PECOS PAC ID: 2769791680 Enrollment ID: I20180226000182 |
| Provider Name | Dawit T Yaszi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639686942 PECOS PAC ID: 1052672359 Enrollment ID: I20180301001609 |
| Provider Name | Ansu Mariam Nathan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831504976 PECOS PAC ID: 4284994351 Enrollment ID: I20180309000673 |
| Provider Name | Miranda E Wellington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124314737 PECOS PAC ID: 1153644919 Enrollment ID: I20180313001060 |
| Provider Name | Travis D Howard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801165824 PECOS PAC ID: 6204086549 Enrollment ID: I20180313001154 |
| Provider Name | Jency Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861833808 PECOS PAC ID: 5890053078 Enrollment ID: I20180313001314 |
| Provider Name | Amanda L Horton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104139344 PECOS PAC ID: 2163640251 Enrollment ID: I20180326001162 |
| Provider Name | Sean David Bourne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700237534 PECOS PAC ID: 4486948627 Enrollment ID: I20180329000093 |
| Provider Name | Anne Childs Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982157574 PECOS PAC ID: 5698037737 Enrollment ID: I20180329001189 |
| Provider Name | Megan M Fullen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922319789 PECOS PAC ID: 4284997842 Enrollment ID: I20180412000788 |
| Provider Name | Zakiya Sadeq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922448513 PECOS PAC ID: 0244502003 Enrollment ID: I20180426001221 |
| Provider Name | Idil Mohamud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528456373 PECOS PAC ID: 2860716081 Enrollment ID: I20180426001503 |
| Provider Name | David Ain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730349234 PECOS PAC ID: 5395960991 Enrollment ID: I20180516002926 |
| Provider Name | Jayashree Seshadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659699718 PECOS PAC ID: 3870737851 Enrollment ID: I20180611000301 |
| Provider Name | Daniel T Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477991164 PECOS PAC ID: 4789939026 Enrollment ID: I20180611000396 |
| Provider Name | John P Sutter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700902046 PECOS PAC ID: 0345433231 Enrollment ID: I20180611000508 |
| Provider Name | Abisola Ayodeji |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699083089 PECOS PAC ID: 6002103090 Enrollment ID: I20180611000700 |
| Provider Name | Sukhyung Lee |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1699719880 PECOS PAC ID: 6305061334 Enrollment ID: I20180611000704 |
| Provider Name | Kristi N Hibbert |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790934040 PECOS PAC ID: 1759636012 Enrollment ID: I20180611001059 |
| Provider Name | Neelesh A Kantak |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1154647857 PECOS PAC ID: 5193983617 Enrollment ID: I20180618002388 |
| Provider Name | Mary Ann Sprouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316182876 PECOS PAC ID: 9638424138 Enrollment ID: I20180625003442 |
| Provider Name | Alexandra Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467895284 PECOS PAC ID: 3173764768 Enrollment ID: I20180626000353 |
| Provider Name | Lindsey Katherine Mcdaniel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689898124 PECOS PAC ID: 5193071264 Enrollment ID: I20180703000011 |
| Provider Name | Melanie Tarutani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659309268 PECOS PAC ID: 4789669227 Enrollment ID: I20180703002284 |
| Provider Name | Matthew Kinney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457609323 PECOS PAC ID: 0749536621 Enrollment ID: I20180706001781 |
| Provider Name | Jan Zakrzewski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063855328 PECOS PAC ID: 5991069411 Enrollment ID: I20180717001694 |
| Provider Name | Seema Panchal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427141712 PECOS PAC ID: 6204088230 Enrollment ID: I20180720002000 |
| Provider Name | Kim Jiramongkolchai |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639480676 PECOS PAC ID: 0749408375 Enrollment ID: I20180725003695 |
| Provider Name | Ariel L Capili |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386901932 PECOS PAC ID: 4789827809 Enrollment ID: I20180726001676 |
| Provider Name | Esther Shinyoung Song |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003008467 PECOS PAC ID: 6709134158 Enrollment ID: I20180801003709 |
| Provider Name | Hawa Bindu Forkpa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194119123 PECOS PAC ID: 3476802109 Enrollment ID: I20180814001345 |
| Provider Name | Andrew Jacob Schissler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285926808 PECOS PAC ID: 2769605740 Enrollment ID: I20180815000207 |
| Provider Name | Jingyun Gao |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598178329 PECOS PAC ID: 8022233485 Enrollment ID: I20180816001786 |
| Provider Name | Julia Fullerton |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942477443 PECOS PAC ID: 2466627427 Enrollment ID: I20180816003325 |
| Provider Name | Diane Lynn Sharr |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255331252 PECOS PAC ID: 1153319967 Enrollment ID: I20180817000521 |
| Provider Name | Caitlin Louise Mcallister |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508284035 PECOS PAC ID: 8123377249 Enrollment ID: I20180823001172 |
| Provider Name | Chamil Jinadasa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720473960 PECOS PAC ID: 2264781293 Enrollment ID: I20180823001874 |
| Provider Name | In Tae Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619296423 PECOS PAC ID: 3173749488 Enrollment ID: I20180823001949 |
| Provider Name | Ling Yan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871836833 PECOS PAC ID: 1658512181 Enrollment ID: I20180829000415 |
| Provider Name | Mina B Tanios |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508108713 PECOS PAC ID: 5294039673 Enrollment ID: I20180830001840 |
| Provider Name | Jared Lucas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528487295 PECOS PAC ID: 1052613841 Enrollment ID: I20180831000137 |
| Provider Name | Idongesit Attang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114312758 PECOS PAC ID: 1658660634 Enrollment ID: I20180905001931 |
| Provider Name | Hussan Mohammed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982963914 PECOS PAC ID: 5698042737 Enrollment ID: I20180907002702 |
| Provider Name | Sandeep Sankineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073907226 PECOS PAC ID: 0143515619 Enrollment ID: I20180911000118 |
| Provider Name | Aundrea Stevenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538452370 PECOS PAC ID: 0143548891 Enrollment ID: I20180911001759 |
| Provider Name | Lauren Irene White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720465941 PECOS PAC ID: 9032469184 Enrollment ID: I20180911001803 |
| Provider Name | Nurinder Singh |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558788059 PECOS PAC ID: 3274883210 Enrollment ID: I20180912001558 |
| Provider Name | Zuleima Chism |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861864225 PECOS PAC ID: 0840589040 Enrollment ID: I20180913001929 |
| Provider Name | Eboni Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538505094 PECOS PAC ID: 0840582623 Enrollment ID: I20180924001343 |
| Provider Name | Lori A Barfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740796903 PECOS PAC ID: 8729339189 Enrollment ID: I20180925001487 |
| Provider Name | William Towne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184144958 PECOS PAC ID: 7810266061 Enrollment ID: I20180926000436 |
| Provider Name | Heather Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700223195 PECOS PAC ID: 9537455050 Enrollment ID: I20180927000438 |
| Provider Name | Joseph E Mcclain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194968297 PECOS PAC ID: 1759543887 Enrollment ID: I20180927001192 |
| Provider Name | William A Thistlethwaite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568696458 PECOS PAC ID: 8527214287 Enrollment ID: I20180928001144 |
| Provider Name | Dania Joseph |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457778664 PECOS PAC ID: 4981902186 Enrollment ID: I20180928001850 |
| Provider Name | Kai-ling Hsu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255674933 PECOS PAC ID: 8628329703 Enrollment ID: I20180928002604 |
| Provider Name | Thomas Ndifor Pefok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679950703 PECOS PAC ID: 6406163294 Enrollment ID: I20181001002668 |
| Provider Name | Alejandra Bustillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326466442 PECOS PAC ID: 5991074643 Enrollment ID: I20181002001069 |
| Provider Name | Adey Gebru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639438104 PECOS PAC ID: 0446553952 Enrollment ID: I20181002001359 |
| Provider Name | Joy Onaghise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679958565 PECOS PAC ID: 8426300427 Enrollment ID: I20181002001997 |
| Provider Name | Folasade Osagie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871852038 PECOS PAC ID: 7517122294 Enrollment ID: I20181002002545 |
| Provider Name | Sripooja Satya Parameswaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699154021 PECOS PAC ID: 0749586972 Enrollment ID: I20181002003645 |
| Provider Name | My-linh Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538422050 PECOS PAC ID: 9931340551 Enrollment ID: I20181003000233 |
| Provider Name | Jasmine Jiao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124507132 PECOS PAC ID: 9032461967 Enrollment ID: I20181004000303 |
| Provider Name | Szuhuei Wu Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861874356 PECOS PAC ID: 4688977721 Enrollment ID: I20181004001007 |
| Provider Name | Shrey Carpenter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821475823 PECOS PAC ID: 6608185459 Enrollment ID: I20181004002082 |
| Provider Name | Kavita Thangavelu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871070169 PECOS PAC ID: 5395097018 Enrollment ID: I20181008003269 |
| Provider Name | Danso Ako-adjei |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1205248853 PECOS PAC ID: 5890910061 Enrollment ID: I20181009000773 |
| Provider Name | Haroon Hussain |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871859710 PECOS PAC ID: 7911148879 Enrollment ID: I20181010000896 |
| Provider Name | Ryan Nagele |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457794844 PECOS PAC ID: 4082915905 Enrollment ID: I20181015001425 |
| Provider Name | Brittany Lynn Heffner |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1861806457 PECOS PAC ID: 6002168150 Enrollment ID: I20181017003432 |
| Provider Name | Oluchi Dike |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740660679 PECOS PAC ID: 6507173796 Enrollment ID: I20181018000595 |
| Provider Name | Leena Kosandal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679710776 PECOS PAC ID: 6305029380 Enrollment ID: I20181019000180 |
| Provider Name | Richard B Sisson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508020918 PECOS PAC ID: 0345414256 Enrollment ID: I20181022000176 |
| Provider Name | Kolawole Oloniyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063806131 PECOS PAC ID: 3476806472 Enrollment ID: I20181022000414 |
| Provider Name | Ganiyat Oa Oladapo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578957932 PECOS PAC ID: 9931470770 Enrollment ID: I20181022003148 |
| Provider Name | Win Phyu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770978272 PECOS PAC ID: 2668790809 Enrollment ID: I20181023000093 |
| Provider Name | Claria Prior |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215374640 PECOS PAC ID: 6002111994 Enrollment ID: I20181023000731 |
| Provider Name | Aisulu Nurgozha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366829921 PECOS PAC ID: 2466705363 Enrollment ID: I20181023001175 |
| Provider Name | Jennifer Coulter |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306264379 PECOS PAC ID: 6608193529 Enrollment ID: I20181023002456 |
| Provider Name | Susete Carneiro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003170853 PECOS PAC ID: 1951654805 Enrollment ID: I20181023003399 |
| Provider Name | Katherine Babiarz Huffman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386918548 PECOS PAC ID: 8426301219 Enrollment ID: I20181024001988 |
| Provider Name | Swapna Sayeneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669899134 PECOS PAC ID: 2163775990 Enrollment ID: I20181025000468 |
| Provider Name | Kamyar Haghayeghi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629370614 PECOS PAC ID: 9234482910 Enrollment ID: I20181025002825 |
| Provider Name | Soor Nilesh Kothari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508243627 PECOS PAC ID: 3971814815 Enrollment ID: I20181029000060 |
| Provider Name | Sonia T Kannadan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457617524 PECOS PAC ID: 3375830409 Enrollment ID: I20181105001135 |
| Provider Name | William Clark Gray |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942239496 PECOS PAC ID: 7214965383 Enrollment ID: I20181105002054 |
| Provider Name | Catherine Twimasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669853222 PECOS PAC ID: 9436466745 Enrollment ID: I20181106000762 |
| Provider Name | Adriana Montesinos Araujo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275928921 PECOS PAC ID: 0648524835 Enrollment ID: I20181106001968 |
| Provider Name | Deidra Foreman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801048509 PECOS PAC ID: 5890049019 Enrollment ID: I20181106003187 |
| Provider Name | Kunal Dipak Kothari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952692584 PECOS PAC ID: 7416247424 Enrollment ID: I20181107000620 |
| Provider Name | Jennifer Yee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033597679 PECOS PAC ID: 9830402825 Enrollment ID: I20181107000999 |
| Provider Name | Kelsey O'donnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932684362 PECOS PAC ID: 1254685381 Enrollment ID: I20181112000912 |
| Provider Name | Maria A Del Castillo Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922357110 PECOS PAC ID: 9830484260 Enrollment ID: I20181114002244 |
| Provider Name | Kristin N Stupiansky |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912310673 PECOS PAC ID: 5395961510 Enrollment ID: I20181115001033 |
| Provider Name | Mandeep G Gauthier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821381369 PECOS PAC ID: 3577872050 Enrollment ID: I20181119002974 |
| Provider Name | Nazish A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285811299 PECOS PAC ID: 6608060041 Enrollment ID: I20181120000591 |
| Provider Name | Richard Lapin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598784969 PECOS PAC ID: 1456322254 Enrollment ID: I20181126002964 |
| Provider Name | Natalia Glebova |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053519983 PECOS PAC ID: 4183873177 Enrollment ID: I20181127001126 |
| Provider Name | Purwaai Chand Matriya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740673276 PECOS PAC ID: 3375832702 Enrollment ID: I20181203000905 |
| Provider Name | Rashonda Dennis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427444157 PECOS PAC ID: 6406143874 Enrollment ID: I20181203001929 |
| Provider Name | Johnny L. Noblezada |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316900715 PECOS PAC ID: 1759316342 Enrollment ID: I20181204001391 |
| Provider Name | Irene Chidiebere Ndukwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932689007 PECOS PAC ID: 7517201270 Enrollment ID: I20181206001301 |
| Provider Name | Edward Len |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033477310 PECOS PAC ID: 3274765821 Enrollment ID: I20181212000396 |
| Provider Name | Pankaj Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699017095 PECOS PAC ID: 9032453493 Enrollment ID: I20181212000647 |
| Provider Name | Tania Vora |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265758122 PECOS PAC ID: 1254575673 Enrollment ID: I20181212003392 |
| Provider Name | Bethune Grindley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992130983 PECOS PAC ID: 4880939461 Enrollment ID: I20181231001930 |
| Provider Name | Oluwafunmilayo Deborah Fatuyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790171940 PECOS PAC ID: 7719223205 Enrollment ID: I20190103001420 |
| Provider Name | Firoozeh Etaati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225448830 PECOS PAC ID: 4284853201 Enrollment ID: I20190107001318 |
| Provider Name | Alean I Cook-palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366454290 PECOS PAC ID: 5799784542 Enrollment ID: I20190108001701 |
| Provider Name | Mary Eddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871931147 PECOS PAC ID: 9133429905 Enrollment ID: I20190114000327 |
| Provider Name | Andy T Cheng |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104113703 PECOS PAC ID: 4981876364 Enrollment ID: I20190117002533 |
| Provider Name | Mir I Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427495175 PECOS PAC ID: 9638311608 Enrollment ID: I20190131000072 |
| Provider Name | Lorette Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275945982 PECOS PAC ID: 1951648856 Enrollment ID: I20190131000531 |
| Provider Name | Teemu Tha |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366752792 PECOS PAC ID: 7012136641 Enrollment ID: I20190131001396 |
| Provider Name | Michele Phulsuksombati |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386014819 PECOS PAC ID: 9133466832 Enrollment ID: I20190201001977 |
| Provider Name | Jessica Dawn Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710489646 PECOS PAC ID: 8224376868 Enrollment ID: I20190206002647 |
| Provider Name | Paulina Chanel Codera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396100756 PECOS PAC ID: 6901109933 Enrollment ID: I20190207000238 |
| Provider Name | Conor Kain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760625685 PECOS PAC ID: 6709100126 Enrollment ID: I20190218000171 |
| Provider Name | Daniel Albertus |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902148679 PECOS PAC ID: 8224260443 Enrollment ID: I20190225000173 |
| Provider Name | Janora Payne |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215282637 PECOS PAC ID: 6406088574 Enrollment ID: I20190225000965 |
| Provider Name | Sonja Borgstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184942989 PECOS PAC ID: 9638302284 Enrollment ID: I20190226001264 |
| Provider Name | Joy Y Kim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497060040 PECOS PAC ID: 5890965578 Enrollment ID: I20190226002138 |
| Provider Name | Gwendolyn Garnett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265692818 PECOS PAC ID: 7416260625 Enrollment ID: I20190226002513 |
| Provider Name | Omaya Hussein Youssef |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770783342 PECOS PAC ID: 3476787201 Enrollment ID: I20190228001135 |
| Provider Name | Ross Elliott Goodwin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447693403 PECOS PAC ID: 2365744083 Enrollment ID: I20190301000158 |
| Provider Name | Jon Klinton Peebles |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1144563313 PECOS PAC ID: 5597988931 Enrollment ID: I20190305001535 |
| Provider Name | Esonija Shavon Fulgham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346674140 PECOS PAC ID: 6901177039 Enrollment ID: I20190307001558 |
| Provider Name | Oluwafunke Ives |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134532633 PECOS PAC ID: 2365782166 Enrollment ID: I20190313002652 |
| Provider Name | Mamta Bhasker Jhaveri |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174813448 PECOS PAC ID: 5395053565 Enrollment ID: I20190318000622 |
| Provider Name | Ruchika Bhatt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871729681 PECOS PAC ID: 5092022079 Enrollment ID: I20190320001989 |
| Provider Name | Michelle Buckingham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972016129 PECOS PAC ID: 4385984756 Enrollment ID: I20190321000620 |
| Provider Name | Deepika Mittal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336452523 PECOS PAC ID: 9537475967 Enrollment ID: I20190329000590 |
| Provider Name | Stanley Joseph Kulewicz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952424293 PECOS PAC ID: 7911248984 Enrollment ID: I20190402000230 |
| Provider Name | Alice A Grabowski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841244001 PECOS PAC ID: 3678577202 Enrollment ID: I20190403000156 |
| Provider Name | Margot E. Clasquin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710963905 PECOS PAC ID: 4688670201 Enrollment ID: I20190403001409 |
| Provider Name | Kasandra Rae Dassoulas |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1063702223 PECOS PAC ID: 7810126844 Enrollment ID: I20190403001470 |
| Provider Name | Laban Tsuma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902245798 PECOS PAC ID: 1254554637 Enrollment ID: I20190411001818 |
| Provider Name | Cecilia Dalmau |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265855159 PECOS PAC ID: 9436491859 Enrollment ID: I20190503000552 |
| Provider Name | Laura Eastburn Keck Gifford |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508184557 PECOS PAC ID: 5597089631 Enrollment ID: I20190508001110 |
| Provider Name | Isabella A Ahanogbe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821381849 PECOS PAC ID: 6002036035 Enrollment ID: I20190509001523 |
| Provider Name | Atif Kidwai Jensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346465838 PECOS PAC ID: 8123171683 Enrollment ID: I20190517000748 |
| Provider Name | Marla Kelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184881021 PECOS PAC ID: 5496801136 Enrollment ID: I20190605000023 |
| Provider Name | Leslie Bizovi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518005594 PECOS PAC ID: 8123299138 Enrollment ID: I20190605003078 |
| Provider Name | Ekenesenarienrien Cynthia Omokaro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992115737 PECOS PAC ID: 9830465251 Enrollment ID: I20190607000515 |
| Provider Name | Khaled Attia Madi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134489867 PECOS PAC ID: 0648583757 Enrollment ID: I20190614002275 |
| Provider Name | Adina T Paulk |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821437781 PECOS PAC ID: 4587997911 Enrollment ID: I20190617003081 |
| Provider Name | Tara Zandi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952708125 PECOS PAC ID: 6901130384 Enrollment ID: I20190619002556 |
| Provider Name | Nwamaka Tagbo Fadahunsi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619128659 PECOS PAC ID: 1658543335 Enrollment ID: I20190620001516 |
| Provider Name | Lori Ford Plater |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770768806 PECOS PAC ID: 9638186901 Enrollment ID: I20190621002648 |
| Provider Name | Danita H Akingba |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467417592 PECOS PAC ID: 9032175237 Enrollment ID: I20190624002629 |
| Provider Name | Jack E. Manns |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366603433 PECOS PAC ID: 6709056997 Enrollment ID: I20190626001374 |
| Provider Name | Brian Alexander Dummett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891028486 PECOS PAC ID: 0345415949 Enrollment ID: I20190627000364 |
| Provider Name | Louisa Agyeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124478631 PECOS PAC ID: 8527351022 Enrollment ID: I20190627002104 |
| Provider Name | Tashelle Samuels |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912033671 PECOS PAC ID: 2466590435 Enrollment ID: I20190628000435 |
| Provider Name | Katherine Ohlhausen Mccabe |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114313269 PECOS PAC ID: 3173867678 Enrollment ID: I20190711003537 |
| Provider Name | Naznin Daginawala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811296080 PECOS PAC ID: 9234361882 Enrollment ID: I20190719002510 |
| Provider Name | Natasha Rodney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306105093 PECOS PAC ID: 0547582264 Enrollment ID: I20190722002527 |
| Provider Name | Stephanie Addison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881816866 PECOS PAC ID: 0143463653 Enrollment ID: I20190729002225 |
| Provider Name | Megan Gaddis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760709380 PECOS PAC ID: 4880810811 Enrollment ID: I20190730002157 |
| Provider Name | Earl Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124280060 PECOS PAC ID: 1254653843 Enrollment ID: I20190731001306 |
| Provider Name | Heather Murphy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376777342 PECOS PAC ID: 3072757756 Enrollment ID: I20190801003062 |
| Provider Name | Bridget Aurora Sharpe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902045933 PECOS PAC ID: 5193029395 Enrollment ID: I20190802001879 |
| Provider Name | Gwendolynn T Naraghi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942726302 PECOS PAC ID: 7113254863 Enrollment ID: I20190805000152 |
| Provider Name | Gabriella Sackrin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558873612 PECOS PAC ID: 8426316480 Enrollment ID: I20190805001130 |
| Provider Name | Chioma Uzoamaka Nnamdi-emetarom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114389814 PECOS PAC ID: 4981931656 Enrollment ID: I20190805001279 |
| Provider Name | Ifeoma Okadigbo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316366388 PECOS PAC ID: 9931436458 Enrollment ID: I20190807000045 |
| Provider Name | Bess Yeh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255772927 PECOS PAC ID: 4981931144 Enrollment ID: I20190809002092 |
| Provider Name | Zahra Nooshin Rezvani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851734693 PECOS PAC ID: 8224336417 Enrollment ID: I20190812003199 |
| Provider Name | Alisha Tuteja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114373107 PECOS PAC ID: 1355629510 Enrollment ID: I20190813000120 |
| Provider Name | Niloofar Ghassemzadeh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578887238 PECOS PAC ID: 1456579978 Enrollment ID: I20190814000327 |
| Provider Name | Poonam Maru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780974329 PECOS PAC ID: 8123260197 Enrollment ID: I20190814001563 |
| Provider Name | Keisha Sullivan |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1437545720 PECOS PAC ID: 4082908140 Enrollment ID: I20190815001901 |
| Provider Name | Christopher D Presley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285286351 PECOS PAC ID: 2163759929 Enrollment ID: I20190816001169 |
| Provider Name | Khalid Ebrahim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346637634 PECOS PAC ID: 5597067090 Enrollment ID: I20190822002764 |
| Provider Name | Andrew Sunhoo Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417032814 PECOS PAC ID: 7214210772 Enrollment ID: I20190826003042 |
| Provider Name | Salil Desai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891058855 PECOS PAC ID: 4183853773 Enrollment ID: I20190828000981 |
| Provider Name | Arpan H Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033475983 PECOS PAC ID: 5597065565 Enrollment ID: I20190903002058 |
| Provider Name | Adam Toren |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639313646 PECOS PAC ID: 8426207358 Enrollment ID: I20190904001158 |
| Provider Name | Christopher Morrison |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790027100 PECOS PAC ID: 3870897960 Enrollment ID: I20190905000222 |
| Provider Name | Soshana Clerizier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083092647 PECOS PAC ID: 1355650805 Enrollment ID: I20190905000724 |
| Provider Name | Mubarak Ali Mubarak Hassan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861855405 PECOS PAC ID: 9931407533 Enrollment ID: I20190909000055 |
| Provider Name | Taylor Cecile Corley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053774265 PECOS PAC ID: 0042549693 Enrollment ID: I20190909000593 |
| Provider Name | Andrew L Golden |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093058570 PECOS PAC ID: 1052640489 Enrollment ID: I20190911000657 |
| Provider Name | Amita Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841363009 PECOS PAC ID: 4486688488 Enrollment ID: I20190911003859 |
| Provider Name | Nneka Bagwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417436684 PECOS PAC ID: 4789925702 Enrollment ID: I20190912003451 |
| Provider Name | Josephine Tracy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255674818 PECOS PAC ID: 8820371479 Enrollment ID: I20190916000429 |
| Provider Name | Nicholas C Monu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093031684 PECOS PAC ID: 2264650902 Enrollment ID: I20190917003108 |
| Provider Name | Christopher Bourke |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225456361 PECOS PAC ID: 2264721091 Enrollment ID: I20190930000351 |
| Provider Name | Darren Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659828374 PECOS PAC ID: 0345570693 Enrollment ID: I20190930000812 |
| Provider Name | Carolyn Michelle Payne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598144107 PECOS PAC ID: 8628377215 Enrollment ID: I20190930002308 |
| Provider Name | Chuck M Ng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750690814 PECOS PAC ID: 6204115561 Enrollment ID: I20191001002484 |
| Provider Name | Pamela Coffey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952629024 PECOS PAC ID: 6507009040 Enrollment ID: I20191001002891 |
| Provider Name | David Taehee Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023491412 PECOS PAC ID: 3173853371 Enrollment ID: I20191002001054 |
| Provider Name | Michael Yim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518385012 PECOS PAC ID: 9537499629 Enrollment ID: I20191003000854 |
| Provider Name | Gallane Dabela Abraham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275859696 PECOS PAC ID: 2961533047 Enrollment ID: I20191008000003 |
| Provider Name | Ari Jason Avram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750524682 PECOS PAC ID: 3476709890 Enrollment ID: I20191010002423 |
| Provider Name | Deborah Alema-mensah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255787800 PECOS PAC ID: 7315232014 Enrollment ID: I20191010003160 |
| Provider Name | Pankaj Arora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033110044 PECOS PAC ID: 8224073465 Enrollment ID: I20191011000377 |
| Provider Name | Cassandra Batichon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962865352 PECOS PAC ID: 9436440294 Enrollment ID: I20191011000413 |
| Provider Name | Natalia Berry |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780810291 PECOS PAC ID: 3173786746 Enrollment ID: I20191011001679 |
| Provider Name | Sunana Chatrath |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235524398 PECOS PAC ID: 9739487018 Enrollment ID: I20191014002284 |
| Provider Name | Sheerin Habibullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518321264 PECOS PAC ID: 2961748694 Enrollment ID: I20191016000030 |
| Provider Name | Sukhdeep Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770930406 PECOS PAC ID: 9638469570 Enrollment ID: I20191016000053 |
| Provider Name | Travis Maestas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073977542 PECOS PAC ID: 2668763079 Enrollment ID: I20191016001530 |
| Provider Name | Nandakishore Nemarugommula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114102225 PECOS PAC ID: 7113074576 Enrollment ID: I20191021000940 |
| Provider Name | Hyacinth Norris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376924894 PECOS PAC ID: 0244562452 Enrollment ID: I20191021002154 |
| Provider Name | Alyssa N Small Layne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972914430 PECOS PAC ID: 2062722689 Enrollment ID: I20191021003071 |
| Provider Name | Ruby Parikh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558781401 PECOS PAC ID: 5597984351 Enrollment ID: I20191021003100 |
| Provider Name | Joyce Wong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619101102 PECOS PAC ID: 5799955852 Enrollment ID: I20191022000101 |
| Provider Name | Jamie Lynn Vanartsdalen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053793687 PECOS PAC ID: 3678875796 Enrollment ID: I20191022002193 |
| Provider Name | Christopher Tebrock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558328930 PECOS PAC ID: 9133451222 Enrollment ID: I20191022002351 |
| Provider Name | Rodica Retezar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437293875 PECOS PAC ID: 6103919105 Enrollment ID: I20191022003745 |
| Provider Name | Ibironke Oduyebo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164576633 PECOS PAC ID: 0446398085 Enrollment ID: I20191023001057 |
| Provider Name | Sujina Pradhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003260373 PECOS PAC ID: 1759676216 Enrollment ID: I20191023001067 |
| Provider Name | Lauren Train |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235593039 PECOS PAC ID: 7719219682 Enrollment ID: I20191025000202 |
| Provider Name | Azadeh Sami |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134356488 PECOS PAC ID: 4486883055 Enrollment ID: I20191028001639 |
| Provider Name | Huijun Shi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376540922 PECOS PAC ID: 6901082635 Enrollment ID: I20191028002236 |
| Provider Name | Malori Callender |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992153407 PECOS PAC ID: 3072845759 Enrollment ID: I20191030000381 |
| Provider Name | Katherine T Ramsey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881089837 PECOS PAC ID: 6103158837 Enrollment ID: I20191030002507 |
| Provider Name | Milly Turakhia Rambhia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992123533 PECOS PAC ID: 7113200973 Enrollment ID: I20191031000729 |
| Provider Name | Coleen Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235513664 PECOS PAC ID: 9032462932 Enrollment ID: I20191104002548 |
| Provider Name | Lucienne Yemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194299479 PECOS PAC ID: 2567894884 Enrollment ID: I20191107000280 |
| Provider Name | Angelina Bonner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598027799 PECOS PAC ID: 4981839610 Enrollment ID: I20191112001116 |
| Provider Name | Lulit Negash Dessie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750744272 PECOS PAC ID: 0446543177 Enrollment ID: I20191120002769 |
| Provider Name | Elizabeth Eunbee Suh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497188155 PECOS PAC ID: 7012208879 Enrollment ID: I20191205000026 |
| Provider Name | Chukwunonyeluanyi Okocha |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669578597 PECOS PAC ID: 9234137530 Enrollment ID: I20191210001061 |
| Provider Name | Christopher Mcginn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871835413 PECOS PAC ID: 1456660687 Enrollment ID: I20191212000193 |
| Provider Name | Jason Michael Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508209263 PECOS PAC ID: 5395044226 Enrollment ID: I20191213000900 |
| Provider Name | Paula Whittington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922327295 PECOS PAC ID: 6002136215 Enrollment ID: I20191214000084 |
| Provider Name | David Juan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528300076 PECOS PAC ID: 5991009490 Enrollment ID: I20191216002475 |
| Provider Name | Alexandra Lea Yu |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003450446 PECOS PAC ID: 5799119186 Enrollment ID: I20191217002583 |
| Provider Name | Chen-yu Kuo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669514709 PECOS PAC ID: 9830327220 Enrollment ID: I20191218000185 |
| Provider Name | Helina Tedla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386205037 PECOS PAC ID: 1658705504 Enrollment ID: I20191231000323 |
| Provider Name | Priya Agrawal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184088080 PECOS PAC ID: 3274897640 Enrollment ID: I20191231000455 |
| Provider Name | Martina Zink Liu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669890778 PECOS PAC ID: 2466886296 Enrollment ID: I20200102001290 |
| Provider Name | Ramaz Metreveli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457350159 PECOS PAC ID: 8628035250 Enrollment ID: I20200102001688 |
| Provider Name | Maria Yolanda Giraldo Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518301779 PECOS PAC ID: 3971938929 Enrollment ID: I20200121001504 |
| Provider Name | Jae W Choe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447458328 PECOS PAC ID: 1456480052 Enrollment ID: I20200123000615 |
| Provider Name | Anh Ha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528455417 PECOS PAC ID: 0547503021 Enrollment ID: I20200129000601 |
| Provider Name | Sebastian Cohen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518458983 PECOS PAC ID: 8426399668 Enrollment ID: I20200129001799 |
| Provider Name | Lauren K Nickum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992342984 PECOS PAC ID: 2668809393 Enrollment ID: I20200219000587 |
| Provider Name | Anne W Dubrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588806764 PECOS PAC ID: 8325944911 Enrollment ID: I20200221000426 |
| Provider Name | Tinku Biswas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568826139 PECOS PAC ID: 0143657692 Enrollment ID: I20200224001618 |
| Provider Name | Idrees Mian |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548525793 PECOS PAC ID: 2668777954 Enrollment ID: I20200227001404 |
| Provider Name | Karen Anita Giles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912193293 PECOS PAC ID: 0446687594 Enrollment ID: I20200302000693 |
| Provider Name | Lisa C Mausser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386912285 PECOS PAC ID: 6305273244 Enrollment ID: I20200305001278 |
| Provider Name | Victoria Dowling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619038809 PECOS PAC ID: 7012068943 Enrollment ID: I20200317001243 |
| Provider Name | Nancy Huang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780895870 PECOS PAC ID: 3274704838 Enrollment ID: I20200325000982 |
| Provider Name | Sarah Muradian Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700205895 PECOS PAC ID: 8921374208 Enrollment ID: I20200326001282 |
| Provider Name | Kai Li |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912310905 PECOS PAC ID: 9931326790 Enrollment ID: I20200327000182 |
| Provider Name | Laura Loomis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952869158 PECOS PAC ID: 9133558117 Enrollment ID: I20200327000289 |
| Provider Name | Ramatoulaye Dia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255992145 PECOS PAC ID: 0547699308 Enrollment ID: I20200331001889 |
| Provider Name | Jeremy Becker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184043762 PECOS PAC ID: 4981950284 Enrollment ID: I20200401000131 |
| Provider Name | Pulkit Saxena |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649684283 PECOS PAC ID: 7810222734 Enrollment ID: I20200401002263 |
| Provider Name | Abiy A Aregawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154602837 PECOS PAC ID: 4486978913 Enrollment ID: I20200413000268 |
| Provider Name | John Barrett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598854853 PECOS PAC ID: 6507007143 Enrollment ID: I20200414000095 |
| Provider Name | Shreyas Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1114363025 PECOS PAC ID: 9739329012 Enrollment ID: I20200414000428 |
| Provider Name | Rita Mathur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619076338 PECOS PAC ID: 0143206342 Enrollment ID: I20200417001346 |
| Provider Name | Rebecca Wolfinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972746790 PECOS PAC ID: 1254761034 Enrollment ID: I20200417002756 |
| Provider Name | Stephany Venero |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568099471 PECOS PAC ID: 8325478670 Enrollment ID: I20200429000078 |
| Provider Name | Suzanne Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497161319 PECOS PAC ID: 4587973615 Enrollment ID: I20200429000624 |
| Provider Name | Amanda Bauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083849392 PECOS PAC ID: 1355497785 Enrollment ID: I20200430000138 |
| Provider Name | Bharati Srivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306956339 PECOS PAC ID: 8628002433 Enrollment ID: I20200430000410 |
| Provider Name | Anita Bansal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285075853 PECOS PAC ID: 8820221427 Enrollment ID: I20200430000694 |
| Provider Name | Allison Rene Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043788672 PECOS PAC ID: 1951732197 Enrollment ID: I20200504001207 |
| Provider Name | Nicole A Lyte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194040170 PECOS PAC ID: 3072944891 Enrollment ID: I20200512001587 |
| Provider Name | Diane Boykin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497714802 PECOS PAC ID: 4880689116 Enrollment ID: I20200512001930 |
| Provider Name | Clarence Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285672006 PECOS PAC ID: 5799684809 Enrollment ID: I20200519000521 |
| Provider Name | Marina S Jungwirth |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164819066 PECOS PAC ID: 6305135211 Enrollment ID: I20200519001280 |
| Provider Name | Lisa Sirian Stear |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396904397 PECOS PAC ID: 0345661666 Enrollment ID: I20200521003133 |
| Provider Name | Ayan Saleh Farah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205154473 PECOS PAC ID: 2769803949 Enrollment ID: I20200526000260 |
| Provider Name | Ghazaleh Rahbari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427412824 PECOS PAC ID: 3072934231 Enrollment ID: I20200527000866 |
| Provider Name | Jaya Swami-kamboj |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467653675 PECOS PAC ID: 5395972277 Enrollment ID: I20200602001848 |
| Provider Name | Abigail Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548338973 PECOS PAC ID: 1153343843 Enrollment ID: I20200608001867 |
| Provider Name | Nidhi Gupta |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568521367 PECOS PAC ID: 7719155316 Enrollment ID: I20200609000063 |
| Provider Name | Eric Brantley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932324928 PECOS PAC ID: 3072745124 Enrollment ID: I20200615002903 |
| Provider Name | Veena K. Rajpal |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548231061 PECOS PAC ID: 6901228246 Enrollment ID: I20200616000014 |
| Provider Name | Nicole Tate |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962401901 PECOS PAC ID: 3173415999 Enrollment ID: I20200617001609 |
| Provider Name | Sushmita Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477189322 PECOS PAC ID: 0345662375 Enrollment ID: I20200622001319 |
| Provider Name | Crystal Xue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316573314 PECOS PAC ID: 2466874409 Enrollment ID: I20200622001841 |
| Provider Name | Daniel Tadeo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144856287 PECOS PAC ID: 7719309657 Enrollment ID: I20200622001961 |
| Provider Name | Maria Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750807889 PECOS PAC ID: 2466874300 Enrollment ID: I20200622002446 |
| Provider Name | Hoon Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457987364 PECOS PAC ID: 8224451760 Enrollment ID: I20200701000310 |
| Provider Name | Huai En Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972130524 PECOS PAC ID: 0042633356 Enrollment ID: I20200706000561 |
| Provider Name | Karim Lashin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053647685 PECOS PAC ID: 1153744982 Enrollment ID: I20200713000120 |
| Provider Name | Samwiri Mukasa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982014817 PECOS PAC ID: 2961730437 Enrollment ID: I20200715003461 |
| Provider Name | Folabomi Ajanaku |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851719777 PECOS PAC ID: 4981828795 Enrollment ID: I20200724001336 |
| Provider Name | Fereshteh Sani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467742312 PECOS PAC ID: 5395048631 Enrollment ID: I20200727003710 |
| Provider Name | Fariha Ramay |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902149099 PECOS PAC ID: 7719286673 Enrollment ID: I20200728000008 |
| Provider Name | Katherine D Saina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710416482 PECOS PAC ID: 2567887227 Enrollment ID: I20200729001525 |
| Provider Name | Cynthia Cesaire |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427017839 PECOS PAC ID: 1355330341 Enrollment ID: I20200803000498 |
| Provider Name | Annalise Abiodun |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437545498 PECOS PAC ID: 8729306998 Enrollment ID: I20200805000294 |
| Provider Name | Jaideep Singh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699138594 PECOS PAC ID: 3870918972 Enrollment ID: I20200806002045 |
| Provider Name | Mitchell Kang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528408952 PECOS PAC ID: 6204118276 Enrollment ID: I20200806002910 |
| Provider Name | Ruth Tamrat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952641094 PECOS PAC ID: 5799918314 Enrollment ID: I20200807000234 |
| Provider Name | Reuben Steele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558790063 PECOS PAC ID: 1254757065 Enrollment ID: I20200811002285 |
| Provider Name | Rubiliatu Akinwande |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336598366 PECOS PAC ID: 7517382682 Enrollment ID: I20200814001382 |
| Provider Name | Paul Paetow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588013171 PECOS PAC ID: 2769778653 Enrollment ID: I20200817002951 |
| Provider Name | Chris Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649348087 PECOS PAC ID: 6002704194 Enrollment ID: I20200827001414 |
| Provider Name | Beth A Carella |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992931182 PECOS PAC ID: 6103103676 Enrollment ID: I20200827002201 |
| Provider Name | Anna H Isfort |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528320645 PECOS PAC ID: 4385867233 Enrollment ID: I20200827002664 |
| Provider Name | Michael Fenstermaker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679952006 PECOS PAC ID: 8426363458 Enrollment ID: I20200827003086 |
| Provider Name | Yves Chretien |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437597267 PECOS PAC ID: 4082842018 Enrollment ID: I20200901001427 |
| Provider Name | Sierra Jonita Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235740655 PECOS PAC ID: 1557788601 Enrollment ID: I20200903001089 |
| Provider Name | Gregory Silver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316138282 PECOS PAC ID: 4880721174 Enrollment ID: I20200903001419 |
| Provider Name | Alyssa Hammer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952764433 PECOS PAC ID: 1557788171 Enrollment ID: I20200903001631 |
| Provider Name | Laura Schreeder Hubona |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437299245 PECOS PAC ID: 4789784745 Enrollment ID: I20200904000100 |
| Provider Name | Sarah Aley Chacko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336636893 PECOS PAC ID: 2567711138 Enrollment ID: I20200908002761 |
| Provider Name | Samuel Jonas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851718985 PECOS PAC ID: 1850524729 Enrollment ID: I20200909003071 |
| Provider Name | Moshe Chinn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316380421 PECOS PAC ID: 0749610046 Enrollment ID: I20200915002499 |
| Provider Name | Karin Kuhn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861403560 PECOS PAC ID: 0648375857 Enrollment ID: I20200915003174 |
| Provider Name | Tina Musa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033572268 PECOS PAC ID: 7719305218 Enrollment ID: I20200915003594 |
| Provider Name | Michael Mcardle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588924872 PECOS PAC ID: 3577892918 Enrollment ID: I20200915003750 |
| Provider Name | Jason Denney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407233604 PECOS PAC ID: 2163741224 Enrollment ID: I20200916001443 |
| Provider Name | Emily Mirkin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811383177 PECOS PAC ID: 9638462104 Enrollment ID: I20200916001491 |
| Provider Name | Courtney J Ensslin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598151144 PECOS PAC ID: 7911296256 Enrollment ID: I20200916002362 |
| Provider Name | Jihyun Ann Jun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639607773 PECOS PAC ID: 6608294095 Enrollment ID: I20200917000230 |
| Provider Name | Erin Deihl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063707859 PECOS PAC ID: 0244472850 Enrollment ID: I20200917000386 |
| Provider Name | Roselyn Itoe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487827044 PECOS PAC ID: 8820249634 Enrollment ID: I20200918000643 |
| Provider Name | Ke Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457892655 PECOS PAC ID: 7214289487 Enrollment ID: I20200921000059 |
| Provider Name | Payam Sajedi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316200769 PECOS PAC ID: 9133427545 Enrollment ID: I20200921000395 |
| Provider Name | Jessica Traylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689094377 PECOS PAC ID: 7517212186 Enrollment ID: I20200923001025 |
| Provider Name | Sahar Jahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669993523 PECOS PAC ID: 6406275528 Enrollment ID: I20200923001169 |
| Provider Name | An Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720473366 PECOS PAC ID: 7911236310 Enrollment ID: I20200924002599 |
| Provider Name | Tawfiq Khoury |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750709432 PECOS PAC ID: 2567797806 Enrollment ID: I20200925000536 |
| Provider Name | Shawn Chawla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659734523 PECOS PAC ID: 6507285343 Enrollment ID: I20200929001348 |
| Provider Name | Mowree Choudhury |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770019309 PECOS PAC ID: 6406126002 Enrollment ID: I20200929002718 |
| Provider Name | Kymia Khosrowani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962930065 PECOS PAC ID: 6406121391 Enrollment ID: I20201005002385 |
| Provider Name | Lauren Newland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043875446 PECOS PAC ID: 6204255615 Enrollment ID: I20201005002413 |
| Provider Name | Songoli Umeh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356635163 PECOS PAC ID: 6709194541 Enrollment ID: I20201013002877 |
| Provider Name | Nika Vinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811197015 PECOS PAC ID: 8729388863 Enrollment ID: I20201014001117 |
| Provider Name | Naeem Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952520330 PECOS PAC ID: 2668597402 Enrollment ID: I20201014001996 |
| Provider Name | Adeel Khalid Choudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093179806 PECOS PAC ID: 1759612351 Enrollment ID: I20201014002794 |
| Provider Name | Catherine Abban |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053617738 PECOS PAC ID: 8224345814 Enrollment ID: I20201015000178 |
| Provider Name | Diane Franchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538159199 PECOS PAC ID: 9931281268 Enrollment ID: I20201015000664 |
| Provider Name | Eva Dicocco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598990624 PECOS PAC ID: 5193977759 Enrollment ID: I20201015000786 |
| Provider Name | Riley Dubois |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538556220 PECOS PAC ID: 9739488974 Enrollment ID: I20201015001894 |
| Provider Name | Camille Madison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013352301 PECOS PAC ID: 9638476088 Enrollment ID: I20201016000191 |
| Provider Name | Laura Emmanuel-allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114312352 PECOS PAC ID: 5395040497 Enrollment ID: I20201016000490 |
| Provider Name | Jamille Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497141402 PECOS PAC ID: 4981953924 Enrollment ID: I20201016001154 |
| Provider Name | David Leng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003074428 PECOS PAC ID: 6204126634 Enrollment ID: I20201016002229 |
| Provider Name | Alin Ionescu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659675080 PECOS PAC ID: 5496041097 Enrollment ID: I20201019000309 |
| Provider Name | Patrick Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184044422 PECOS PAC ID: 2264708254 Enrollment ID: I20201019000429 |
| Provider Name | Faryal Zehra Nadeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699138537 PECOS PAC ID: 4486986684 Enrollment ID: I20201019002761 |
| Provider Name | Sowjanya Bhagavatula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003020975 PECOS PAC ID: 9133275522 Enrollment ID: I20201020001192 |
| Provider Name | Beryl K Kompancaril |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568872059 PECOS PAC ID: 7214157932 Enrollment ID: I20201020002520 |
| Provider Name | Zahra Dawson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184087215 PECOS PAC ID: 9638591977 Enrollment ID: I20201022004043 |
| Provider Name | Catherine Denkler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861887903 PECOS PAC ID: 5991009169 Enrollment ID: I20201026000056 |
| Provider Name | Erin Yee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316479363 PECOS PAC ID: 6901179795 Enrollment ID: I20201026001235 |
| Provider Name | Virginia Parks |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659768554 PECOS PAC ID: 1759701006 Enrollment ID: I20201026002520 |
| Provider Name | Aileen Cayanan Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720454804 PECOS PAC ID: 2163842436 Enrollment ID: I20201027000535 |
| Provider Name | Justin Capasso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457713331 PECOS PAC ID: 7618206350 Enrollment ID: I20201027001719 |
| Provider Name | Richard Liu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841394392 PECOS PAC ID: 3678704236 Enrollment ID: I20201029000165 |
| Provider Name | Robin Donald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083742621 PECOS PAC ID: 3678610714 Enrollment ID: I20201029000266 |
| Provider Name | Katherine Garfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447612973 PECOS PAC ID: 8820380942 Enrollment ID: I20201029000385 |
| Provider Name | Ryan Cho |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770031023 PECOS PAC ID: 1355751355 Enrollment ID: I20201103000952 |
| Provider Name | Melinda Jorge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568862399 PECOS PAC ID: 3173898772 Enrollment ID: I20201106002082 |
| Provider Name | Sandra L Settles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508107137 PECOS PAC ID: 0143630707 Enrollment ID: I20201110002293 |
| Provider Name | Darcy Mandell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306364856 PECOS PAC ID: 1557635448 Enrollment ID: I20201116003280 |
| Provider Name | Alicia Sussman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427273739 PECOS PAC ID: 8022202167 Enrollment ID: I20201120000029 |
| Provider Name | Morgan Elizabeth Fullerton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497147805 PECOS PAC ID: 3375820574 Enrollment ID: I20201120000139 |
| Provider Name | Luis Toledo-espiett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235353384 PECOS PAC ID: 7416126495 Enrollment ID: I20201123000353 |
| Provider Name | Chen Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255710109 PECOS PAC ID: 0244542462 Enrollment ID: I20201123003039 |
| Provider Name | Tolani Abdulkadir |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699734293 PECOS PAC ID: 9537188115 Enrollment ID: I20201218000049 |
| Provider Name | Kashif Malik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235254004 PECOS PAC ID: 2860565694 Enrollment ID: I20201222003031 |
| Provider Name | Nilika Chaudhary |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396163986 PECOS PAC ID: 9830501436 Enrollment ID: I20201223000369 |
| Provider Name | Joseph Anekwe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871660605 PECOS PAC ID: 6103906995 Enrollment ID: I20201223001563 |
| Provider Name | Ethan Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710412101 PECOS PAC ID: 5698015402 Enrollment ID: I20201228000102 |
| Provider Name | Carma Yaghi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811423171 PECOS PAC ID: 6608127857 Enrollment ID: I20201229000279 |
| Provider Name | Katrina Castillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922419282 PECOS PAC ID: 5890051072 Enrollment ID: I20210106000727 |
| Provider Name | Rajani Kancharla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710267091 PECOS PAC ID: 9436325313 Enrollment ID: I20210111001116 |
| Provider Name | Rebecca King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568816478 PECOS PAC ID: 0648550145 Enrollment ID: I20210112002060 |
| Provider Name | Lane Neidig |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851779573 PECOS PAC ID: 9234432287 Enrollment ID: I20210114001441 |
| Provider Name | Teja Danda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104133388 PECOS PAC ID: 3577708775 Enrollment ID: I20210115000416 |
| Provider Name | Saif Al-bustani |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1578767653 PECOS PAC ID: 3577788918 Enrollment ID: I20210121002265 |
| Provider Name | Monica Fish |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427112333 PECOS PAC ID: 8820022791 Enrollment ID: I20210127002970 |
| Provider Name | Ryan Posse |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477938520 PECOS PAC ID: 7618278540 Enrollment ID: I20210204001677 |
| Provider Name | Kirsten E Evans |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548362957 PECOS PAC ID: 3971538919 Enrollment ID: I20210216001702 |
| Provider Name | Andra Distefano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144421975 PECOS PAC ID: 5799971545 Enrollment ID: I20210222000096 |
| Provider Name | Jonathan Ho |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174811194 PECOS PAC ID: 3577795210 Enrollment ID: I20210222001490 |
| Provider Name | Amy Gillis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760677348 PECOS PAC ID: 1153499959 Enrollment ID: I20210223000035 |
| Provider Name | Eva Devience |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346689437 PECOS PAC ID: 2466751557 Enrollment ID: I20210224001094 |
| Provider Name | Anthea S Kim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497051734 PECOS PAC ID: 9638344922 Enrollment ID: I20210308000858 |
| Provider Name | Nandir Temlong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396101291 PECOS PAC ID: 5496161978 Enrollment ID: I20210308002185 |
| Provider Name | Gina Koo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437709383 PECOS PAC ID: 7719393123 Enrollment ID: I20210310000973 |
| Provider Name | Spencer Philips |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972039808 PECOS PAC ID: 6204243041 Enrollment ID: I20210324000070 |
| Provider Name | Lysa Charles |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497832083 PECOS PAC ID: 1355306101 Enrollment ID: I20210324001178 |
| Provider Name | Alexander Choo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265723266 PECOS PAC ID: 2567752496 Enrollment ID: I20210325000662 |
| Provider Name | Chukwuma Umunakwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013276815 PECOS PAC ID: 6002120292 Enrollment ID: I20210407001070 |
| Provider Name | John Long |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043388499 PECOS PAC ID: 6103953831 Enrollment ID: I20210412000254 |
| Provider Name | Megan Campion |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134485592 PECOS PAC ID: 8820357684 Enrollment ID: I20210416000028 |
| Provider Name | Janet Diane Gill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467476283 PECOS PAC ID: 1456353416 Enrollment ID: I20210419002541 |
| Provider Name | Lytia Fisher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073932810 PECOS PAC ID: 2163773367 Enrollment ID: I20210427000168 |
| Provider Name | John Edgar Tis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649363797 PECOS PAC ID: 2466559406 Enrollment ID: I20210427001259 |
| Provider Name | Teresa Ojode |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447677745 PECOS PAC ID: 9436377538 Enrollment ID: I20210506000281 |
| Provider Name | Christina Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699064758 PECOS PAC ID: 0840506333 Enrollment ID: I20210507000943 |
| Provider Name | Andrei Teodosescu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689068504 PECOS PAC ID: 6103159116 Enrollment ID: I20210510000342 |
| Provider Name | Brooks Briel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336632421 PECOS PAC ID: 1153675962 Enrollment ID: I20210512002133 |
| Provider Name | Helen Gamada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376142315 PECOS PAC ID: 9335558816 Enrollment ID: I20210513001558 |
| Provider Name | Neha Bhatia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407242878 PECOS PAC ID: 8628320504 Enrollment ID: I20210524000858 |
| Provider Name | Emina Ong |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215285531 PECOS PAC ID: 0042619009 Enrollment ID: I20210524001516 |
| Provider Name | Emily Bergman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427219146 PECOS PAC ID: 2769651678 Enrollment ID: I20210524002541 |
| Provider Name | Arica Fratarcangelli |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225420748 PECOS PAC ID: 3577880848 Enrollment ID: I20210525000585 |
| Provider Name | Jessica Davis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699213769 PECOS PAC ID: 4789083718 Enrollment ID: I20210525001407 |
| Provider Name | Molly C Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184086522 PECOS PAC ID: 2860775830 Enrollment ID: I20210528000089 |
| Provider Name | Michael E Centra |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093334732 PECOS PAC ID: 3870992431 Enrollment ID: I20210602000367 |
| Provider Name | Pardeep Dhanoa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730295155 PECOS PAC ID: 9638271356 Enrollment ID: I20210603000569 |
| Provider Name | Mital Sarada |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467990309 PECOS PAC ID: 2062812290 Enrollment ID: I20210610000098 |
| Provider Name | Tejal Dharia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306133913 PECOS PAC ID: 9739496514 Enrollment ID: I20210614000527 |
| Provider Name | Le-ann Mancio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942647300 PECOS PAC ID: 9830323260 Enrollment ID: I20210614003107 |
| Provider Name | Brandon Mcelroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740620657 PECOS PAC ID: 3274855945 Enrollment ID: I20210615003729 |
| Provider Name | Ming Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578092417 PECOS PAC ID: 6507131315 Enrollment ID: I20210616000075 |
| Provider Name | Jose Mira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669823118 PECOS PAC ID: 6204114432 Enrollment ID: I20210616000385 |
| Provider Name | Zain Javed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437592888 PECOS PAC ID: 3476853821 Enrollment ID: I20210616001636 |
| Provider Name | Padmini D Herath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083866081 PECOS PAC ID: 7719172782 Enrollment ID: I20210616003772 |
| Provider Name | Roshan Kalim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003832502 PECOS PAC ID: 8022068824 Enrollment ID: I20210617000019 |
| Provider Name | Juan Ortiz Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992118061 PECOS PAC ID: 8325304512 Enrollment ID: I20210617000087 |
| Provider Name | Hycenta Halle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225640907 PECOS PAC ID: 2365851359 Enrollment ID: I20210617000461 |
| Provider Name | Michelle Pryslak |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326450347 PECOS PAC ID: 1850791559 Enrollment ID: I20210617001488 |
| Provider Name | Charis James |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881936136 PECOS PAC ID: 4486942968 Enrollment ID: I20210621003160 |
| Provider Name | Elena Short |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023499514 PECOS PAC ID: 1951654953 Enrollment ID: I20210622000004 |
| Provider Name | Jason Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851667893 PECOS PAC ID: 6305154618 Enrollment ID: I20210622000557 |
| Provider Name | Eunice Chai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811563844 PECOS PAC ID: 4587065081 Enrollment ID: I20210622000692 |
| Provider Name | Amy Prescott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184129942 PECOS PAC ID: 5799186219 Enrollment ID: I20210622001520 |
| Provider Name | Rashmi Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285943720 PECOS PAC ID: 8527255777 Enrollment ID: I20210622001531 |
| Provider Name | Florence Tchouaffi-nana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780889337 PECOS PAC ID: 2466633623 Enrollment ID: I20210622002465 |
| Provider Name | Chelsea Cho |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750957700 PECOS PAC ID: 6901207257 Enrollment ID: I20210624002157 |
| Provider Name | Otibhor Igene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134501471 PECOS PAC ID: 0648550038 Enrollment ID: I20210630000691 |
| Provider Name | Florence Deza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659340560 PECOS PAC ID: 8426006388 Enrollment ID: I20210630001560 |
| Provider Name | Chong Fang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306171897 PECOS PAC ID: 1052632940 Enrollment ID: I20210630002112 |
| Provider Name | Nkechinyerem Eseonu Ewoh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114247541 PECOS PAC ID: 9335389428 Enrollment ID: I20210630002280 |
| Provider Name | Stephanie Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013976091 PECOS PAC ID: 2062488026 Enrollment ID: I20210630002997 |
| Provider Name | Zahir Jimenez-tosado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003058538 PECOS PAC ID: 3870748189 Enrollment ID: I20210701000889 |
| Provider Name | Raymond Dormevil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245627892 PECOS PAC ID: 5698029304 Enrollment ID: I20210701001523 |
| Provider Name | Alan Wynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821153149 PECOS PAC ID: 1557440856 Enrollment ID: I20210701001524 |
| Provider Name | Leopoldine Modjo Kenmogne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114312444 PECOS PAC ID: 6901150119 Enrollment ID: I20210701002251 |
| Provider Name | Alyssa Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144640269 PECOS PAC ID: 4183939200 Enrollment ID: I20210701002972 |
| Provider Name | Shanita Chase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487650891 PECOS PAC ID: 8921031352 Enrollment ID: I20210702000411 |
| Provider Name | Anise Henry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376768184 PECOS PAC ID: 0345540548 Enrollment ID: I20210702001113 |
| Provider Name | Tamischer Nettles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285778225 PECOS PAC ID: 7012067606 Enrollment ID: I20210702002242 |
| Provider Name | Marissa Moultrie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235591769 PECOS PAC ID: 3971898651 Enrollment ID: I20210702002665 |
| Provider Name | Shanshan Elissa Gustafson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417537259 PECOS PAC ID: 4486056074 Enrollment ID: I20210702002720 |
| Provider Name | Dione Chua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457668832 PECOS PAC ID: 0345435962 Enrollment ID: I20210706002879 |
| Provider Name | Miranda Kai Lingenfelter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083292619 PECOS PAC ID: 5597167072 Enrollment ID: I20210706003096 |
| Provider Name | Amy Bernardino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043699515 PECOS PAC ID: 8820348972 Enrollment ID: I20210707001821 |
| Provider Name | Minoo Pakdaman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356972368 PECOS PAC ID: 8022410406 Enrollment ID: I20210707003070 |
| Provider Name | Zaw Tun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346587060 PECOS PAC ID: 3375842412 Enrollment ID: I20210712002285 |
| Provider Name | Jason Victor Chavez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083294409 PECOS PAC ID: 8123420270 Enrollment ID: I20210712002509 |
| Provider Name | Rosina Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760895346 PECOS PAC ID: 5799902466 Enrollment ID: I20210712004181 |
| Provider Name | Umme Yasmin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164702874 PECOS PAC ID: 1658590658 Enrollment ID: I20210713002359 |
| Provider Name | Amitosh Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831779677 PECOS PAC ID: 3971905803 Enrollment ID: I20210714001677 |
| Provider Name | Naeha Quasba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609119049 PECOS PAC ID: 5496053837 Enrollment ID: I20210714003192 |
| Provider Name | Anthony Camarda |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316436561 PECOS PAC ID: 8224385372 Enrollment ID: I20210715003708 |
| Provider Name | Praphopphat Adhatamsoontra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215426515 PECOS PAC ID: 5597168252 Enrollment ID: I20210720000181 |
| Provider Name | Daren Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396163424 PECOS PAC ID: 3678899093 Enrollment ID: I20210722002727 |
| Provider Name | Andrew Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104212737 PECOS PAC ID: 4486981594 Enrollment ID: I20210722003222 |
| Provider Name | Farah Ansari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487073391 PECOS PAC ID: 8820363740 Enrollment ID: I20210723001276 |
| Provider Name | Tasnim Azim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851880504 PECOS PAC ID: 0749537165 Enrollment ID: I20210723001447 |
| Provider Name | Katrina Hsieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326626250 PECOS PAC ID: 4587067715 Enrollment ID: I20210727000265 |
| Provider Name | Dina Al-joburi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154734192 PECOS PAC ID: 1254602758 Enrollment ID: I20210729004019 |
| Provider Name | Nidhi Agrawal |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1043625726 PECOS PAC ID: 4082960356 Enrollment ID: I20210811004175 |
| Provider Name | Stephanie Bowles Jenkins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326455494 PECOS PAC ID: 0244634129 Enrollment ID: I20210816000001 |
| Provider Name | Monica Bajracharya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548602865 PECOS PAC ID: 2062709033 Enrollment ID: I20210817002896 |
| Provider Name | Zachary Kozel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568825602 PECOS PAC ID: 5799029666 Enrollment ID: I20210819000024 |
| Provider Name | Jeffrey Glicksman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043674708 PECOS PAC ID: 1850638222 Enrollment ID: I20210825000145 |
| Provider Name | Jessica Ubanyionwu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679004105 PECOS PAC ID: 3274801295 Enrollment ID: I20210825001237 |
| Provider Name | Saadi Darvish |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003822834 PECOS PAC ID: 4688847478 Enrollment ID: I20210826000164 |
| Provider Name | Joseph Okai |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1295198448 PECOS PAC ID: 2769776665 Enrollment ID: I20210830000575 |
| Provider Name | Donique Cross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598296337 PECOS PAC ID: 7416225388 Enrollment ID: I20210831000639 |
| Provider Name | Neena Malik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790162352 PECOS PAC ID: 6507106226 Enrollment ID: I20210831003562 |
| Provider Name | Vernesha Montgomery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902048234 PECOS PAC ID: 8729235890 Enrollment ID: I20210902000298 |
| Provider Name | Elizabeth Halloran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275501900 PECOS PAC ID: 5597739243 Enrollment ID: I20210914002841 |
| Provider Name | Jaspreet Ahuja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710483862 PECOS PAC ID: 1254689979 Enrollment ID: I20210914002977 |
| Provider Name | Jennifer Gillman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023405636 PECOS PAC ID: 3072919919 Enrollment ID: I20210915000396 |
| Provider Name | Charlotte Watts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336481951 PECOS PAC ID: 6103124524 Enrollment ID: I20210915001042 |
| Provider Name | Luis Telles Hernandez |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1841431343 PECOS PAC ID: 4789732702 Enrollment ID: I20210915001691 |
| Provider Name | Elizabeth Koh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407248024 PECOS PAC ID: 0648519892 Enrollment ID: I20210916000030 |
| Provider Name | Sahra Hossainzadha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336644426 PECOS PAC ID: 3375892946 Enrollment ID: I20210916000467 |
| Provider Name | Jessica Gelfarb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710569892 PECOS PAC ID: 8426455403 Enrollment ID: I20210916003505 |
| Provider Name | Monica Peravali |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629464904 PECOS PAC ID: 9335441583 Enrollment ID: I20210917000169 |
| Provider Name | Archana Jadhav |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194164418 PECOS PAC ID: 6204174691 Enrollment ID: I20210920000294 |
| Provider Name | Mohammed Zuaiter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700231065 PECOS PAC ID: 2466747969 Enrollment ID: I20210920000943 |
| Provider Name | Joshpaul Jolly |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174941611 PECOS PAC ID: 3870910037 Enrollment ID: I20210920001313 |
| Provider Name | Qiuyu Zhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053991554 PECOS PAC ID: 8628475530 Enrollment ID: I20210920002788 |
| Provider Name | Haymanot Yitagesu Gebre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013370394 PECOS PAC ID: 9830482082 Enrollment ID: I20210922001846 |
| Provider Name | Contah Nimely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538350335 PECOS PAC ID: 0547340770 Enrollment ID: I20210927002048 |
| Provider Name | Michelle Hoang-my Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578025862 PECOS PAC ID: 3971832379 Enrollment ID: I20211005000664 |
| Provider Name | Maya Sukkari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750878310 PECOS PAC ID: 9739587809 Enrollment ID: I20211005001494 |
| Provider Name | Angele Brenda Wafo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326545427 PECOS PAC ID: 2961800974 Enrollment ID: I20211006000036 |
| Provider Name | Antora Yazdan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902396021 PECOS PAC ID: 6103161153 Enrollment ID: I20211007002858 |
| Provider Name | Jacqueline Wulu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194127704 PECOS PAC ID: 1557671310 Enrollment ID: I20211008001959 |
| Provider Name | Brittany Brooks |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1033553367 PECOS PAC ID: 1658647649 Enrollment ID: I20211018001442 |
| Provider Name | Anh Butz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891181327 PECOS PAC ID: 8325352057 Enrollment ID: I20211025000002 |
| Provider Name | David Loeffler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558756379 PECOS PAC ID: 4486963659 Enrollment ID: I20211027000012 |
| Provider Name | Renata Medina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437545753 PECOS PAC ID: 6800100116 Enrollment ID: I20211103000342 |
| Provider Name | Malav Joshi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285948265 PECOS PAC ID: 3678798022 Enrollment ID: I20211108000833 |
| Provider Name | Sara Wadden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972856003 PECOS PAC ID: 1658627617 Enrollment ID: I20211108001576 |
| Provider Name | Floreana Kebaish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972914760 PECOS PAC ID: 6800104563 Enrollment ID: I20211118001813 |
| Provider Name | Hang T Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518443654 PECOS PAC ID: 7113275785 Enrollment ID: I20211120000024 |
| Provider Name | Michael Nzeogu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336520345 PECOS PAC ID: 9537490479 Enrollment ID: I20211129000022 |
| Provider Name | Ravi Datla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053596270 PECOS PAC ID: 1052488400 Enrollment ID: I20211129001392 |
| Provider Name | Jonathan De Shields |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043717424 PECOS PAC ID: 7113273806 Enrollment ID: I20211130002159 |
| Provider Name | May Alattar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154523371 PECOS PAC ID: 3678739893 Enrollment ID: I20211202000570 |
| Provider Name | Rinal Goel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982066114 PECOS PAC ID: 1052710050 Enrollment ID: I20211202001230 |
| Provider Name | Jahangir Syed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972066504 PECOS PAC ID: 9739418021 Enrollment ID: I20211203000009 |
| Provider Name | Maeve Elizabeth Gleason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811337298 PECOS PAC ID: 3375862063 Enrollment ID: I20211210002386 |
| Provider Name | Oluwadamilola Adeyanju Adewumi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295224988 PECOS PAC ID: 5395135040 Enrollment ID: I20211213000001 |
| Provider Name | Erin Tracy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932461290 PECOS PAC ID: 5890088603 Enrollment ID: I20211215000815 |
| Provider Name | Wendy Louise Weisblatt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689338048 PECOS PAC ID: 3274924832 Enrollment ID: I20211216000008 |
| Provider Name | Reza Sedighi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912169202 PECOS PAC ID: 2163693664 Enrollment ID: I20220103000062 |
| Provider Name | Rachel Marquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487068268 PECOS PAC ID: 4486962933 Enrollment ID: I20220103001377 |
| Provider Name | Dawn Torres |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063443968 PECOS PAC ID: 5294972279 Enrollment ID: I20220110000066 |
| Provider Name | Lauren E Agyekum |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790277846 PECOS PAC ID: 7810244126 Enrollment ID: I20220120000140 |
| Provider Name | Jennifer Henaghan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063788917 PECOS PAC ID: 7315291499 Enrollment ID: I20220207002459 |
| Provider Name | Sandeep Dhaliwal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811108103 PECOS PAC ID: 7113041609 Enrollment ID: I20220209000099 |
| Provider Name | Ravi Chandra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396073706 PECOS PAC ID: 1850546599 Enrollment ID: I20220209000584 |
| Provider Name | Richard Huang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275045122 PECOS PAC ID: 2567873680 Enrollment ID: I20220217000170 |
| Provider Name | Shadonna Williams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639758733 PECOS PAC ID: 4486056025 Enrollment ID: I20220309000834 |
| Provider Name | Mahnoor Saad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265936462 PECOS PAC ID: 5092100032 Enrollment ID: I20220309003133 |
| Provider Name | Vasiliki Poulaki |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255495651 PECOS PAC ID: 0840388500 Enrollment ID: I20220310000004 |
| Provider Name | Roger Lee |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1174010276 PECOS PAC ID: 8820347537 Enrollment ID: I20220401000683 |
| Provider Name | Holly Duncan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1902215502 PECOS PAC ID: 3375939234 Enrollment ID: I20220404000059 |
| Provider Name | Jonathan Day Oakes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861700668 PECOS PAC ID: 4789806480 Enrollment ID: I20220404000305 |
| Provider Name | Chirag Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881852770 PECOS PAC ID: 0941378558 Enrollment ID: I20220404000788 |
| Provider Name | Daphne Ferrer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750724852 PECOS PAC ID: 1951606490 Enrollment ID: I20220421002162 |
| Provider Name | Cynthia Peng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952789463 PECOS PAC ID: 7214237528 Enrollment ID: I20220421002232 |
| Provider Name | Masozi Muwowo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316112535 PECOS PAC ID: 2163617192 Enrollment ID: I20220421002757 |
| Provider Name | Ruchika Passi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841580537 PECOS PAC ID: 4284021163 Enrollment ID: I20220422001485 |
| Provider Name | Hyein Kim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1720372873 PECOS PAC ID: 0446559892 Enrollment ID: I20220425000736 |
| Provider Name | Stephen Facchina |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215979570 PECOS PAC ID: 8022007202 Enrollment ID: I20220425001334 |
| Provider Name | Daisy Huang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275858722 PECOS PAC ID: 5395066898 Enrollment ID: I20220514000058 |
| Provider Name | Emily Reeves |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346230935 PECOS PAC ID: 9335182575 Enrollment ID: I20220516000757 |
| Provider Name | Caitlyn Lazorka |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417629247 PECOS PAC ID: 9032517727 Enrollment ID: I20220517000223 |
| Provider Name | Etan Eitches |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407176233 PECOS PAC ID: 9638313943 Enrollment ID: I20220517000775 |
| Provider Name | Nicholas Longstreet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245593623 PECOS PAC ID: 1658693023 Enrollment ID: I20220518001185 |
| Provider Name | Richelle Gaskin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932177730 PECOS PAC ID: 4486685203 Enrollment ID: I20220518002284 |
| Provider Name | Shereene Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760626600 PECOS PAC ID: 1951543776 Enrollment ID: I20220523002213 |
| Provider Name | Omid Manoochehri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609373638 PECOS PAC ID: 8729323209 Enrollment ID: I20220621000922 |
| Provider Name | John Aristotle Solomon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508189135 PECOS PAC ID: 5799164406 Enrollment ID: I20220625000113 |
| Provider Name | David Bonnin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770143067 PECOS PAC ID: 8628304854 Enrollment ID: I20220713003886 |
| Provider Name | Kaila Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184080582 PECOS PAC ID: 6002297645 Enrollment ID: I20220714000094 |
| Provider Name | Amarachi Chioma Eseonu |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164886099 PECOS PAC ID: 2769769736 Enrollment ID: I20220714000521 |
| Provider Name | Hamdi Abdeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245972413 PECOS PAC ID: 6800277120 Enrollment ID: I20220719000137 |
| Provider Name | Rohini Adhikarla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316146863 PECOS PAC ID: 3274515861 Enrollment ID: I20220721000015 |
| Provider Name | Waalande Assefa Lintiso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477293215 PECOS PAC ID: 7214318237 Enrollment ID: I20220721001215 |
| Provider Name | Taylor English |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871975326 PECOS PAC ID: 4385991157 Enrollment ID: I20220721002383 |
| Provider Name | Jacqueline Marie Kowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407505571 PECOS PAC ID: 2062893936 Enrollment ID: I20220725000005 |
| Provider Name | Nadia Smati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992447387 PECOS PAC ID: 4880075753 Enrollment ID: I20220725000015 |
| Provider Name | Sam Baker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992887798 PECOS PAC ID: 5395934566 Enrollment ID: I20220725001592 |
| Provider Name | John Gracely |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053874594 PECOS PAC ID: 4183951494 Enrollment ID: I20220726000867 |
| Provider Name | Peter Huh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366946931 PECOS PAC ID: 5395156152 Enrollment ID: I20220728001902 |
| Provider Name | Ernest Mavunga |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710286133 PECOS PAC ID: 0749419141 Enrollment ID: I20220802000058 |
| Provider Name | Asha Manohar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750606661 PECOS PAC ID: 4587835533 Enrollment ID: I20220802001355 |
| Provider Name | Graham Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467747436 PECOS PAC ID: 6608006465 Enrollment ID: I20220804000592 |
| Provider Name | Rachel Sennett |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1588195184 PECOS PAC ID: 5395148795 Enrollment ID: I20220804002565 |
| Provider Name | Edwin Contreras |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790340073 PECOS PAC ID: 7416355987 Enrollment ID: I20220808000401 |
| Provider Name | Kelly Ferguson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730527300 PECOS PAC ID: 8325337728 Enrollment ID: I20220808001145 |
| Provider Name | Michael Bechara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639632680 PECOS PAC ID: 0244612240 Enrollment ID: I20220808003035 |
| Provider Name | Adeola Jolayemi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093962466 PECOS PAC ID: 8022179324 Enrollment ID: I20220809000549 |
| Provider Name | Xu He |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851822738 PECOS PAC ID: 8820367568 Enrollment ID: I20220809000911 |
| Provider Name | Melody Chung |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1013394196 PECOS PAC ID: 4284992264 Enrollment ID: I20220809000988 |
| Provider Name | Chase Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619468667 PECOS PAC ID: 0244588440 Enrollment ID: I20220809003982 |
| Provider Name | Maria-ramona Evidente |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639234693 PECOS PAC ID: 1759577489 Enrollment ID: I20220810000350 |
| Provider Name | Mahendra Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124047568 PECOS PAC ID: 5395702351 Enrollment ID: I20220810001065 |
| Provider Name | Manan Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447748991 PECOS PAC ID: 1254739006 Enrollment ID: I20220810001191 |
| Provider Name | Myoung Kwak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891350013 PECOS PAC ID: 3173850732 Enrollment ID: I20220810001778 |
| Provider Name | Alexander Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740457308 PECOS PAC ID: 1850463449 Enrollment ID: I20220810003206 |
| Provider Name | Allison Borda Silva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619437381 PECOS PAC ID: 7618350588 Enrollment ID: I20220810003373 |
| Provider Name | Carrah Riddle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942743026 PECOS PAC ID: 4880952365 Enrollment ID: I20220811002074 |
| Provider Name | Jason Singer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639600406 PECOS PAC ID: 3678908365 Enrollment ID: I20220811002840 |
| Provider Name | Gene Schiappa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477874329 PECOS PAC ID: 9234357716 Enrollment ID: I20220817000369 |
| Provider Name | Abrahm J Behnam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902337421 PECOS PAC ID: 5890051726 Enrollment ID: I20220817001238 |
| Provider Name | Mandy Garber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629091962 PECOS PAC ID: 0840267407 Enrollment ID: I20220818001374 |
| Provider Name | Kelsey Boyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083271019 PECOS PAC ID: 5496081309 Enrollment ID: I20220818001546 |
| Provider Name | Kathryn Elgin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790744837 PECOS PAC ID: 2567649676 Enrollment ID: I20220819002736 |
| Provider Name | Theresa Jackson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164818993 PECOS PAC ID: 4183902562 Enrollment ID: I20220822001347 |
| Provider Name | Sangwon Moon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093211583 PECOS PAC ID: 8820471063 Enrollment ID: I20220822002036 |
| Provider Name | Hanan Tafesse |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578051827 PECOS PAC ID: 1052794096 Enrollment ID: I20220824001562 |
| Provider Name | Luciano Roman Banegas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245730720 PECOS PAC ID: 7911381934 Enrollment ID: I20220825000099 |
| Provider Name | Brock Gamez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467956151 PECOS PAC ID: 5890179758 Enrollment ID: I20220826002899 |
| Provider Name | Jennifer Chu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639667298 PECOS PAC ID: 0648529701 Enrollment ID: I20220831004021 |
| Provider Name | Bassel Beitinjaneh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1659547677 PECOS PAC ID: 6709947443 Enrollment ID: I20220902002841 |
| Provider Name | Olivia Katherine Gada |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831767821 PECOS PAC ID: 4981088309 Enrollment ID: I20220902002967 |
| Provider Name | Amberly Ann Fix |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992344436 PECOS PAC ID: 8022492446 Enrollment ID: I20220903000188 |
| Provider Name | Darrell Wright |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184074536 PECOS PAC ID: 0749564235 Enrollment ID: I20220905000139 |
| Provider Name | Jhon Nogales Pimienta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114583762 PECOS PAC ID: 2365776101 Enrollment ID: I20220905000296 |
| Provider Name | Na Yon Nam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942466149 PECOS PAC ID: 9931372919 Enrollment ID: I20220906000078 |
| Provider Name | Kent Buxton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740749746 PECOS PAC ID: 3870826332 Enrollment ID: I20220906001361 |
| Provider Name | Aaron Michael Cheatham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326545286 PECOS PAC ID: 5395129696 Enrollment ID: I20220906002675 |
| Provider Name | Austin Hu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811377955 PECOS PAC ID: 0547509713 Enrollment ID: I20220906002931 |
| Provider Name | Ren Ariizumi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255832762 PECOS PAC ID: 4486038668 Enrollment ID: I20220907003030 |
| Provider Name | Neda Najimi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952835894 PECOS PAC ID: 4183033509 Enrollment ID: I20220908000800 |
| Provider Name | Alana Eason Wilhite |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285131078 PECOS PAC ID: 9739564725 Enrollment ID: I20220912001580 |
| Provider Name | Mohammed Loya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174940266 PECOS PAC ID: 8224375787 Enrollment ID: I20220912002246 |
| Provider Name | Rich S. Rana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932323862 PECOS PAC ID: 7517145964 Enrollment ID: I20220912002310 |
| Provider Name | Ibilola Adekunle |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1801243621 PECOS PAC ID: 5092084491 Enrollment ID: I20220912002721 |
| Provider Name | Saman Azam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578025268 PECOS PAC ID: 2567847593 Enrollment ID: I20220912002904 |
| Provider Name | Mpepera Simango-yiadom |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902460942 PECOS PAC ID: 3971988908 Enrollment ID: I20220912003358 |
| Provider Name | Susan Gansor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427415702 PECOS PAC ID: 8921483967 Enrollment ID: I20220912003364 |
| Provider Name | Syed Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578943379 PECOS PAC ID: 3274801709 Enrollment ID: I20220913000951 |
| Provider Name | Blanca Jenny Gomez Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821559873 PECOS PAC ID: 3779968649 Enrollment ID: I20220913001173 |
| Provider Name | Emilie Petula Biondokin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225564867 PECOS PAC ID: 3072884527 Enrollment ID: I20220913002417 |
| Provider Name | Allison Michelle Onken |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669827663 PECOS PAC ID: 5496130338 Enrollment ID: I20220914000223 |
| Provider Name | Geoffrey Ray |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1457589608 PECOS PAC ID: 3072750553 Enrollment ID: I20220914000462 |
| Provider Name | Andrew Biskal Haddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780147090 PECOS PAC ID: 8426433368 Enrollment ID: I20220914000479 |
| Provider Name | Anita Kumary Motwani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194220335 PECOS PAC ID: 0042695900 Enrollment ID: I20220914001088 |
| Provider Name | Monique Mcdermoth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972007102 PECOS PAC ID: 2163807025 Enrollment ID: I20220914001507 |
| Provider Name | Alexis Schupp |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053803973 PECOS PAC ID: 3779968532 Enrollment ID: I20220914001548 |
| Provider Name | Tejan Diwanji |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790129765 PECOS PAC ID: 9234437401 Enrollment ID: I20220914001653 |
| Provider Name | Sarah Seifu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912469164 PECOS PAC ID: 2769719582 Enrollment ID: I20220914002633 |
| Provider Name | Mark Raymond Debuse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043449408 PECOS PAC ID: 8123269651 Enrollment ID: I20220915000814 |
| Provider Name | Rahul Sindhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841635646 PECOS PAC ID: 5092001354 Enrollment ID: I20220915002832 |
| Provider Name | Sameer Oak |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154784049 PECOS PAC ID: 3274826292 Enrollment ID: I20220916002872 |
| Provider Name | Laura Houenou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063918043 PECOS PAC ID: 6507241064 Enrollment ID: I20220920000409 |
| Provider Name | Christopher Zarraga |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1568858157 PECOS PAC ID: 5890045090 Enrollment ID: I20220920001982 |
| Provider Name | Cheryl Moore |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134857576 PECOS PAC ID: 0840675245 Enrollment ID: I20220921002895 |
| Provider Name | Ariel Cohen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497109334 PECOS PAC ID: 2668766411 Enrollment ID: I20220923000906 |
| Provider Name | Phoebe Chen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427639426 PECOS PAC ID: 2264817436 Enrollment ID: I20220923003065 |
| Provider Name | Shayla Lorraine Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982063004 PECOS PAC ID: 1052796240 Enrollment ID: I20220926000023 |
| Provider Name | Dockmias Kassahun Demeke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437619749 PECOS PAC ID: 2860878071 Enrollment ID: I20220926001325 |
| Provider Name | Vaishnavi Lanka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609335967 PECOS PAC ID: 0648507582 Enrollment ID: I20220927001121 |
| Provider Name | Seyedeh Mahsa Alaie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356847792 PECOS PAC ID: 4587040639 Enrollment ID: I20220928000068 |
| Provider Name | Samantha Ward Nealon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053775171 PECOS PAC ID: 7315341336 Enrollment ID: I20220928000227 |
| Provider Name | Jennifer Fullem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891345674 PECOS PAC ID: 5193117612 Enrollment ID: I20221005000002 |
| Provider Name | Michael Urdang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578744744 PECOS PAC ID: 4385010610 Enrollment ID: I20221012000019 |
| Provider Name | Kim M Barnhill Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023459617 PECOS PAC ID: 9537535588 Enrollment ID: I20221018000044 |
| Provider Name | Ashley Cristina Augustus King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902462005 PECOS PAC ID: 4587030127 Enrollment ID: I20221021002055 |
| Provider Name | Sarah Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134890908 PECOS PAC ID: 7719353374 Enrollment ID: I20221022000004 |
| Provider Name | Joy J Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245896174 PECOS PAC ID: 0840666418 Enrollment ID: I20221022000264 |
| Provider Name | Omkar Baxi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811317845 PECOS PAC ID: 8921423062 Enrollment ID: I20221024000450 |
| Provider Name | Carol Tran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700205069 PECOS PAC ID: 5597984401 Enrollment ID: I20221024001781 |
| Provider Name | Karma Parmar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326402942 PECOS PAC ID: 6709112667 Enrollment ID: I20221025000036 |
| Provider Name | Ifeolumipo O Sofola |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578621256 PECOS PAC ID: 3072574771 Enrollment ID: I20221026001679 |
| Provider Name | Tesia George |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255074720 PECOS PAC ID: 1759759012 Enrollment ID: I20221118000117 |
| Provider Name | Karandeep Othee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851885008 PECOS PAC ID: 1850636960 Enrollment ID: I20221121000111 |
| Provider Name | Roya O'neal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487970869 PECOS PAC ID: 4082898192 Enrollment ID: I20221122003401 |
| Provider Name | Akhil Andrews |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770978553 PECOS PAC ID: 2062718638 Enrollment ID: I20221206000046 |
| Provider Name | Anastasia Grivoyannis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295027837 PECOS PAC ID: 3779858451 Enrollment ID: I20221206002780 |
| Provider Name | Hyun Ju Nam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053871939 PECOS PAC ID: 5597095646 Enrollment ID: I20221207000372 |
| Provider Name | Tara Kulkarni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164865788 PECOS PAC ID: 9638457542 Enrollment ID: I20221208000020 |
| Provider Name | Sowmya Oza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639394836 PECOS PAC ID: 6406909050 Enrollment ID: I20221208000748 |
| Provider Name | Kate P Dominguez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982022430 PECOS PAC ID: 7517336803 Enrollment ID: I20221208000840 |
| Provider Name | Kuo Jung Lu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659891851 PECOS PAC ID: 8820361157 Enrollment ID: I20221208000884 |
| Provider Name | Yiran Xu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902287998 PECOS PAC ID: 8224392675 Enrollment ID: I20221208000974 |
| Provider Name | William Wolfe |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992115026 PECOS PAC ID: 4789933227 Enrollment ID: I20221208001860 |
| Provider Name | Elizabeth Darroch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093233314 PECOS PAC ID: 4082083175 Enrollment ID: I20221213000019 |
| Provider Name | Seth Cowan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134731896 PECOS PAC ID: 3779952676 Enrollment ID: I20221215003259 |
| Provider Name | Magdalena Malgorzata Wyszogrodzka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023744232 PECOS PAC ID: 3678942570 Enrollment ID: I20221216000029 |
| Provider Name | Abisola Osifade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699028787 PECOS PAC ID: 3274945688 Enrollment ID: I20221226000012 |
| Provider Name | Sukirti Sharma |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558800201 PECOS PAC ID: 1456751296 Enrollment ID: I20221227000116 |
| Provider Name | Mona Gahunia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619168937 PECOS PAC ID: 6901958925 Enrollment ID: I20221228000927 |
| Provider Name | Shannon Eunhwa Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558919449 PECOS PAC ID: 5496087595 Enrollment ID: I20221229000039 |
| Provider Name | Rubina Khair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316259542 PECOS PAC ID: 6901042571 Enrollment ID: I20221230002007 |
| Provider Name | Than Win |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184085425 PECOS PAC ID: 3577801513 Enrollment ID: I20230103000919 |
| Provider Name | Sam Hash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356751739 PECOS PAC ID: 5294009239 Enrollment ID: I20230103002322 |
| Provider Name | Christopher Robert Chanock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053817130 PECOS PAC ID: 7012387210 Enrollment ID: I20230104002536 |
| Provider Name | Justin Gregory Delong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306318647 PECOS PAC ID: 6608246640 Enrollment ID: I20230109000009 |
| Provider Name | Olubukunola Awosika |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902283302 PECOS PAC ID: 4688924830 Enrollment ID: I20230109000883 |
| Provider Name | Ei Ei Phyu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407206311 PECOS PAC ID: 9234468331 Enrollment ID: I20230110003131 |
| Provider Name | Lauren Jeanine Woodley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003565508 PECOS PAC ID: 3971973876 Enrollment ID: I20230111001028 |
| Provider Name | Kelly Meadows |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205420387 PECOS PAC ID: 8921479676 Enrollment ID: I20230117002790 |
| Provider Name | Lacey D Hexter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528504883 PECOS PAC ID: 3173892114 Enrollment ID: I20230118000014 |
| Provider Name | Elizabeth Levin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417214198 PECOS PAC ID: 9537496948 Enrollment ID: I20230120000016 |
| Provider Name | Arun Rajaratnam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629451414 PECOS PAC ID: 2961759725 Enrollment ID: I20230124002879 |
| Provider Name | Athreya Tata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538651468 PECOS PAC ID: 3971858564 Enrollment ID: I20230126000326 |
| Provider Name | Sonia Louis-lapierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295355832 PECOS PAC ID: 3870964802 Enrollment ID: I20230130001098 |
| Provider Name | Ron Menorca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124407275 PECOS PAC ID: 1052681780 Enrollment ID: I20230131001337 |
| Provider Name | Mahesh Pampati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477014892 PECOS PAC ID: 7012388911 Enrollment ID: I20230131002083 |
| Provider Name | Charlotte O Koeniger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700064680 PECOS PAC ID: 0143473959 Enrollment ID: I20230201000279 |
| Provider Name | Seyedehferyal Mousavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962964080 PECOS PAC ID: 7810368776 Enrollment ID: I20230201000820 |
| Provider Name | Omolola Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205320199 PECOS PAC ID: 2365795721 Enrollment ID: I20230201003399 |
| Provider Name | Lauren Watson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053085878 PECOS PAC ID: 9133591068 Enrollment ID: I20230202001158 |
| Provider Name | Hulya Gudenler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609528975 PECOS PAC ID: 8729450408 Enrollment ID: I20230206001538 |
| Provider Name | Camille Richards |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912342825 PECOS PAC ID: 6709122278 Enrollment ID: I20230216003115 |
| Provider Name | Benjamin Silverman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205195096 PECOS PAC ID: 2264664622 Enrollment ID: I20230217000076 |
| Provider Name | Etasha Crowder |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205263548 PECOS PAC ID: 1456630110 Enrollment ID: I20230217001254 |
| Provider Name | Morgan Carlile |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730685942 PECOS PAC ID: 0345613352 Enrollment ID: I20230222000747 |
| Provider Name | Katherine L Serio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427614353 PECOS PAC ID: 3072848324 Enrollment ID: I20230227000011 |
| Provider Name | Michael Hexter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104361823 PECOS PAC ID: 1355614868 Enrollment ID: I20230302000080 |
| Provider Name | Katherine Arthur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366718033 PECOS PAC ID: 2668730102 Enrollment ID: I20230302001099 |
| Provider Name | Max Lingamfelter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902293558 PECOS PAC ID: 0840604161 Enrollment ID: I20230303002469 |
| Provider Name | Douglas Benkelman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518926567 PECOS PAC ID: 1759364151 Enrollment ID: I20230304000011 |
| Provider Name | Laura S Stone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568441582 PECOS PAC ID: 7012915507 Enrollment ID: I20230308002984 |
| Provider Name | Melissa Natale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679533947 PECOS PAC ID: 4981675006 Enrollment ID: I20230309000201 |
| Provider Name | Alondra Sharae Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215313622 PECOS PAC ID: 7214301506 Enrollment ID: I20230329000083 |
| Provider Name | Janice Deroche Kretz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184335747 PECOS PAC ID: 8729452966 Enrollment ID: I20230329002970 |
| Provider Name | Sinem Ozgon Meneses |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245943448 PECOS PAC ID: 4981078128 Enrollment ID: I20230329003085 |
| Provider Name | Mary Tatum Chappell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831661727 PECOS PAC ID: 2466826623 Enrollment ID: I20230330000416 |
| Provider Name | Mohini Bedi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518224252 PECOS PAC ID: 9335433911 Enrollment ID: I20230330000428 |
| Provider Name | Sabah Sumo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598991143 PECOS PAC ID: 8729453659 Enrollment ID: I20230406002869 |
| Provider Name | Beverly M. Knott |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1255565792 PECOS PAC ID: 7911372784 Enrollment ID: I20230407001993 |
| Provider Name | Karen Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043476716 PECOS PAC ID: 0749459519 Enrollment ID: I20230417000169 |
| Provider Name | Natalie Mette-bory |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144944968 PECOS PAC ID: 8022487248 Enrollment ID: I20230421001213 |
| Provider Name | Oluwafunmilayo Ifeolu Atanda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760989628 PECOS PAC ID: 1557726619 Enrollment ID: I20230426000203 |
| Provider Name | Sara Mccormack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386805760 PECOS PAC ID: 9739219627 Enrollment ID: I20230426000797 |
| Provider Name | Padam Bogati |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710353743 PECOS PAC ID: 7012340821 Enrollment ID: I20230517002244 |
| Provider Name | Arshad Banday |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336473495 PECOS PAC ID: 9830345859 Enrollment ID: I20230518000878 |
| Provider Name | Brian Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548713696 PECOS PAC ID: 8628304755 Enrollment ID: I20230518001853 |
| Provider Name | Marion Dellamonica |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1447616677 PECOS PAC ID: 2860763984 Enrollment ID: I20230518002492 |
| Provider Name | Johnica Bennett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932520616 PECOS PAC ID: 6800017948 Enrollment ID: I20230518002829 |
| Provider Name | Sonal Kachroo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790849016 PECOS PAC ID: 0345498267 Enrollment ID: I20230519002159 |
| Provider Name | Gregory Prendergast |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881156719 PECOS PAC ID: 4587044235 Enrollment ID: I20230522000081 |
| Provider Name | Daniel Demarest |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336669084 PECOS PAC ID: 0446525364 Enrollment ID: I20230602000816 |
| Provider Name | Christina Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831397504 PECOS PAC ID: 2668660507 Enrollment ID: I20230607000165 |
| Provider Name | Christine Mativo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760697924 PECOS PAC ID: 3870619703 Enrollment ID: I20230613001951 |
| Provider Name | Mahrukh Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922068592 PECOS PAC ID: 6002854023 Enrollment ID: I20230619001826 |
| Provider Name | Corey Tong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770900177 PECOS PAC ID: 1456616317 Enrollment ID: I20230623003117 |
| Provider Name | Phillip Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619363231 PECOS PAC ID: 0547507931 Enrollment ID: I20230627000323 |
| Provider Name | Kenneth C Olumba |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548438625 PECOS PAC ID: 2668596347 Enrollment ID: I20230628002888 |
| Provider Name | Damien Parker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083875819 PECOS PAC ID: 0244669414 Enrollment ID: I20230629003911 |
| Provider Name | Lauren Ramos Alarcon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952789109 PECOS PAC ID: 3476826470 Enrollment ID: I20230704000117 |
| Provider Name | Mariah Hearne |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861102659 PECOS PAC ID: 4183083538 Enrollment ID: I20230704000466 |
| Provider Name | Pravin Rao |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356510366 PECOS PAC ID: 0749452456 Enrollment ID: I20230705003032 |
| Provider Name | Shauna Leigh Figueroa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679157457 PECOS PAC ID: 3870952740 Enrollment ID: I20230711000122 |
| Provider Name | Lidia Veremenko-lobenberg |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083142004 PECOS PAC ID: 0244503886 Enrollment ID: I20230724000104 |
| Provider Name | Nika Safaie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205274594 PECOS PAC ID: 5496052029 Enrollment ID: I20230724001681 |
| Provider Name | Ashley Noble |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275027245 PECOS PAC ID: 5799023909 Enrollment ID: I20230730000143 |
| Provider Name | Kerri Lynn Murphy-auito |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619187515 PECOS PAC ID: 3678938537 Enrollment ID: I20230801000372 |
| Provider Name | Reid Vegeler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043471121 PECOS PAC ID: 5294955100 Enrollment ID: I20230803001911 |
| Provider Name | Tatek Teshome |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225430184 PECOS PAC ID: 2365742509 Enrollment ID: I20230803002377 |
| Provider Name | Hiba Bilal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164912432 PECOS PAC ID: 6608112628 Enrollment ID: I20230807003613 |
| Provider Name | Jamil Bayram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174599310 PECOS PAC ID: 6709853898 Enrollment ID: I20230807003889 |
| Provider Name | Fernando Antonio Aguilar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134854540 PECOS PAC ID: 3072974054 Enrollment ID: I20230808000319 |
| Provider Name | Kyle Burton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912468745 PECOS PAC ID: 8224362496 Enrollment ID: I20230808000421 |
| Provider Name | Dania Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386104974 PECOS PAC ID: 1254663362 Enrollment ID: I20230809001055 |
| Provider Name | Melanie Pham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841797370 PECOS PAC ID: 4789096157 Enrollment ID: I20230809004270 |
| Provider Name | Ivy Wicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093247769 PECOS PAC ID: 2163786690 Enrollment ID: I20230811003064 |
| Provider Name | Traci Brinkley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1891489233 PECOS PAC ID: 8325400047 Enrollment ID: I20230814000063 |
| Provider Name | Victoria Barg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467081968 PECOS PAC ID: 9032530076 Enrollment ID: I20230814000658 |
| Provider Name | Malcolm Forbes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346702628 PECOS PAC ID: 9032445994 Enrollment ID: I20230815001469 |
| Provider Name | Kelly Liesse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013458454 PECOS PAC ID: 1759784333 Enrollment ID: I20230815002144 |
| Provider Name | Jacquelyn Klicka-skeels |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548640055 PECOS PAC ID: 9234481748 Enrollment ID: I20230815003036 |
| Provider Name | Julia Freling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386030302 PECOS PAC ID: 8426302985 Enrollment ID: I20230815003494 |
| Provider Name | Stephen Lesche |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992160303 PECOS PAC ID: 2163804782 Enrollment ID: I20230816003808 |
| Provider Name | Syed N Hasan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700402898 PECOS PAC ID: 1355703745 Enrollment ID: I20230817000067 |
| Provider Name | Deepan Paul |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497284962 PECOS PAC ID: 1355619230 Enrollment ID: I20230818000682 |
| Provider Name | Dhaval Mehta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417419003 PECOS PAC ID: 4486016789 Enrollment ID: I20230818000716 |
| Provider Name | Shideh Shadan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497827224 PECOS PAC ID: 9133318827 Enrollment ID: I20230818001586 |
| Provider Name | Jesse Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649774548 PECOS PAC ID: 0042565814 Enrollment ID: I20230820000048 |
| Provider Name | Tonda Wooten |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841641974 PECOS PAC ID: 8325373145 Enrollment ID: I20230822003705 |
| Provider Name | Faryal Afridi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184145245 PECOS PAC ID: 6608149216 Enrollment ID: I20230825001528 |
| Provider Name | Lucas Gu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154862316 PECOS PAC ID: 5890064083 Enrollment ID: I20230828002430 |
| Provider Name | Kristina Stockman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336833508 PECOS PAC ID: 3072976406 Enrollment ID: I20230831003026 |
| Provider Name | Daniel Hewes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558850784 PECOS PAC ID: 1557617032 Enrollment ID: I20230831003452 |
| Provider Name | Sarah Ferguson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1609555903 PECOS PAC ID: 0941663330 Enrollment ID: I20230901000841 |
| Provider Name | Krysta Stephanie Frye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336776228 PECOS PAC ID: 0244693406 Enrollment ID: I20230906000764 |
| Provider Name | Adrian Edgardo Castro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649430372 PECOS PAC ID: 2264895457 Enrollment ID: I20230906002033 |
| Provider Name | Amit Mehta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891104485 PECOS PAC ID: 1850792748 Enrollment ID: I20230907000014 |
| Provider Name | Erika Schilling |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700333564 PECOS PAC ID: 2163886250 Enrollment ID: I20230907002322 |
| Provider Name | Dalgis Joshefina Dunker Del Rosario |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386271922 PECOS PAC ID: 8527461037 Enrollment ID: I20230907004136 |
| Provider Name | Inna Sverdlova |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114555653 PECOS PAC ID: 5698139749 Enrollment ID: I20230908000197 |
| Provider Name | David Zimmerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609165687 PECOS PAC ID: 3577793454 Enrollment ID: I20230909000217 |
| Provider Name | Rameel Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790313534 PECOS PAC ID: 8921462847 Enrollment ID: I20230912000306 |
| Provider Name | Zachary Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306340062 PECOS PAC ID: 2668737172 Enrollment ID: I20230912001356 |
| Provider Name | Tiffany Howard |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003007055 PECOS PAC ID: 5193038982 Enrollment ID: I20230914000429 |
| Provider Name | Shari Jarrett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669933628 PECOS PAC ID: 9739419870 Enrollment ID: I20230914003600 |
| Provider Name | Vaeman Chintamaneni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811426141 PECOS PAC ID: 3375924251 Enrollment ID: I20230918000305 |
| Provider Name | Frederick K Goodwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164536355 PECOS PAC ID: 0547245375 Enrollment ID: I20230918003495 |
| Provider Name | Kaitlin Harper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114350501 PECOS PAC ID: 8224303292 Enrollment ID: I20230918003713 |
| Provider Name | Monica Chan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679078570 PECOS PAC ID: 7315283702 Enrollment ID: I20230919001204 |
| Provider Name | Ian Christopher Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437788189 PECOS PAC ID: 5092179358 Enrollment ID: I20230919004341 |
| Provider Name | Christina Gabrielle Lipscombe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548720766 PECOS PAC ID: 2062876444 Enrollment ID: I20230920000524 |
| Provider Name | Avonelle Henry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134774490 PECOS PAC ID: 2860856143 Enrollment ID: I20230920000788 |
| Provider Name | Caitlyn De Kanter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053791624 PECOS PAC ID: 2769836071 Enrollment ID: I20230920002275 |
| Provider Name | Victoria Clark |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619362183 PECOS PAC ID: 2163715335 Enrollment ID: I20230920004377 |
| Provider Name | Ahmad Khawaja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588291405 PECOS PAC ID: 8820416183 Enrollment ID: I20230922000241 |
| Provider Name | Kyle D Miller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245869536 PECOS PAC ID: 7012361132 Enrollment ID: I20230925001019 |
| Provider Name | Jeet Lund |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275977753 PECOS PAC ID: 7113149964 Enrollment ID: I20230927002501 |
| Provider Name | Ankita Nagirimadugu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568993913 PECOS PAC ID: 3375889611 Enrollment ID: I20230929002379 |
| Provider Name | Boyana Zhelyazkova Yankulova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306475884 PECOS PAC ID: 4880048453 Enrollment ID: I20230930000376 |
| Provider Name | Jina Theresa Zablan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740809656 PECOS PAC ID: 3072967686 Enrollment ID: I20231002000905 |
| Provider Name | Marietta Tan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932342698 PECOS PAC ID: 3870742919 Enrollment ID: I20231003003517 |
| Provider Name | Matthew Needleman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1972583409 PECOS PAC ID: 1557664059 Enrollment ID: I20231005000639 |
| Provider Name | Shamil Roman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891386090 PECOS PAC ID: 3577960723 Enrollment ID: I20231005003094 |
| Provider Name | Jisun Hahn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043470628 PECOS PAC ID: 8527204023 Enrollment ID: I20231005003256 |
| Provider Name | Nishita Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588124168 PECOS PAC ID: 6305291600 Enrollment ID: I20231005003464 |
| Provider Name | Janelle Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376003335 PECOS PAC ID: 2961812946 Enrollment ID: I20231005003725 |
| Provider Name | Swee Teh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548462815 PECOS PAC ID: 3274620406 Enrollment ID: I20231006000830 |
| Provider Name | Saira Memon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912522236 PECOS PAC ID: 8325467848 Enrollment ID: I20231006001086 |
| Provider Name | Shama Lalani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144845124 PECOS PAC ID: 2769837012 Enrollment ID: I20231006001566 |
| Provider Name | Jessica Rea |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1497173975 PECOS PAC ID: 1850670662 Enrollment ID: I20231006002727 |
| Provider Name | Adarshjit Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124686209 PECOS PAC ID: 2365897634 Enrollment ID: I20231007000021 |
| Provider Name | Fatima Shekhani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295121580 PECOS PAC ID: 5698078152 Enrollment ID: I20231007000053 |
| Provider Name | Yuzana Myint Soe |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720599814 PECOS PAC ID: 8426403601 Enrollment ID: I20231007000133 |
| Provider Name | Bianca Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316494677 PECOS PAC ID: 9537563739 Enrollment ID: I20231007000479 |
| Provider Name | Marika Tate-richards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679130140 PECOS PAC ID: 5597110783 Enrollment ID: I20231007000878 |
| Provider Name | Vinod Valluri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1275074494 PECOS PAC ID: 8325397474 Enrollment ID: I20231009003057 |
| Provider Name | Carrie Ann Clancy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023757184 PECOS PAC ID: 5294114484 Enrollment ID: I20231010004093 |
| Provider Name | Kevin Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114480068 PECOS PAC ID: 2264763606 Enrollment ID: I20231011000259 |
| Provider Name | Jeffrey Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396366803 PECOS PAC ID: 2466883145 Enrollment ID: I20231011000400 |
| Provider Name | Tiffany Bell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386204261 PECOS PAC ID: 7911326293 Enrollment ID: I20231011001044 |
| Provider Name | Seokyeong Yee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376171132 PECOS PAC ID: 1658726658 Enrollment ID: I20231011002129 |
| Provider Name | Max Simonsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568923936 PECOS PAC ID: 4688902513 Enrollment ID: I20231011003109 |
| Provider Name | Christopher Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396308334 PECOS PAC ID: 2163759267 Enrollment ID: I20231017002982 |
| Provider Name | Ganesh Mohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396365987 PECOS PAC ID: 5597110080 Enrollment ID: I20231019000202 |
| Provider Name | Talha Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427687573 PECOS PAC ID: 3678929098 Enrollment ID: I20231020002819 |
| Provider Name | Matthew Dong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427347095 PECOS PAC ID: 3173825122 Enrollment ID: I20231021000653 |
| Provider Name | Stanley Chioma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831652536 PECOS PAC ID: 6406217074 Enrollment ID: I20231021000690 |
| Provider Name | Priya Vohra Dukes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144726654 PECOS PAC ID: 0446605257 Enrollment ID: I20231024000006 |
| Provider Name | Christina Ji Eun Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881218410 PECOS PAC ID: 0345696670 Enrollment ID: I20231024000414 |
| Provider Name | Alexis Mccabe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124446349 PECOS PAC ID: 7618222357 Enrollment ID: I20231027000322 |
| Provider Name | Shahida Khatoon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376103721 PECOS PAC ID: 0941656961 Enrollment ID: I20231027001229 |
| Provider Name | Kulsoom Fatima Naqvi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982233607 PECOS PAC ID: 3577919505 Enrollment ID: I20231027001874 |
| Provider Name | Sindhuja Surapaneni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992267561 PECOS PAC ID: 1850747700 Enrollment ID: I20231027003364 |
| Provider Name | Amanuel Berhanu Shitaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578188199 PECOS PAC ID: 6103272059 Enrollment ID: I20231028000027 |
| Provider Name | Minh Vo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801021100 PECOS PAC ID: 0840456208 Enrollment ID: I20231028000335 |
| Provider Name | Lydia Williams |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1720438559 PECOS PAC ID: 1456643022 Enrollment ID: I20231030000122 |
| Provider Name | Lisa Crisalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962031575 PECOS PAC ID: 5193189454 Enrollment ID: I20231030000274 |
| Provider Name | Andrew Brigg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215184783 PECOS PAC ID: 4688986482 Enrollment ID: I20231030001002 |
| Provider Name | Michael Grzeskowiak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215469218 PECOS PAC ID: 2961895370 Enrollment ID: I20231031000477 |
| Provider Name | Lisa Renee Blackwood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912298191 PECOS PAC ID: 5496997249 Enrollment ID: I20231031002605 |
| Provider Name | James Comotto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326542622 PECOS PAC ID: 9537407879 Enrollment ID: I20231102003231 |
| Provider Name | Jacqueline Fleuriscar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235690058 PECOS PAC ID: 6305176413 Enrollment ID: I20231103000056 |
| Provider Name | Akash Mukesh Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215463583 PECOS PAC ID: 9931452679 Enrollment ID: I20231104000292 |
| Provider Name | Thaddeaus Samuel Foster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871159475 PECOS PAC ID: 1153778634 Enrollment ID: I20231104000396 |
| Provider Name | Suzy Nashed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629062492 PECOS PAC ID: 8426050766 Enrollment ID: I20231107002102 |
| Provider Name | Fariha Kamran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063645513 PECOS PAC ID: 5496094336 Enrollment ID: I20231108000025 |
| Provider Name | Hiwot Abebaw Hunegnaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528697844 PECOS PAC ID: 4789031048 Enrollment ID: I20231108000098 |
| Provider Name | Oluwasola Morakinyo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184129074 PECOS PAC ID: 5496001448 Enrollment ID: I20231108000315 |
| Provider Name | Sahar Alee Koloukani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730635988 PECOS PAC ID: 3971890278 Enrollment ID: I20231108001756 |
| Provider Name | Hershita Raheja |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427546407 PECOS PAC ID: 3274980420 Enrollment ID: I20231108004003 |
| Provider Name | Lan Chang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871792002 PECOS PAC ID: 2567618853 Enrollment ID: I20231109000035 |
| Provider Name | Sunu Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710515101 PECOS PAC ID: 7810344082 Enrollment ID: I20231109000359 |
| Provider Name | Rewina Gebrechristos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831727478 PECOS PAC ID: 4183071384 Enrollment ID: I20231109001766 |
| Provider Name | Saima Qureshi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003137480 PECOS PAC ID: 9234354994 Enrollment ID: I20231109003396 |
| Provider Name | Shika Mukkamala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609304245 PECOS PAC ID: 1355767682 Enrollment ID: I20231109003808 |
| Provider Name | Sabrina Kimrey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437318318 PECOS PAC ID: 0648437665 Enrollment ID: I20231120000549 |
| Provider Name | Bansi Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487283420 PECOS PAC ID: 8921421959 Enrollment ID: I20231128002566 |
| Provider Name | Freddy Carreras Alvarado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184057648 PECOS PAC ID: 0345539516 Enrollment ID: I20231204000034 |
| Provider Name | Karan Chawdhary |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730492471 PECOS PAC ID: 7618298829 Enrollment ID: I20231204000569 |
| Provider Name | Lea Harracksingh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679560007 PECOS PAC ID: 5698795011 Enrollment ID: I20231204001396 |
| Provider Name | Nicole Scripsema |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386082261 PECOS PAC ID: 0244586147 Enrollment ID: I20231204003745 |
| Provider Name | Yekaterina Schultz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790245843 PECOS PAC ID: 6305294620 Enrollment ID: I20231205002712 |
| Provider Name | Patrick Narcisse |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508397092 PECOS PAC ID: 1951757962 Enrollment ID: I20231206001273 |
| Provider Name | Elizabeth Melton-mendoza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033770318 PECOS PAC ID: 9032445796 Enrollment ID: I20231207001445 |
| Provider Name | Claudia Pastorelli |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1811221120 PECOS PAC ID: 8123164456 Enrollment ID: I20231213000038 |
| Provider Name | Liam Gaugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174143564 PECOS PAC ID: 7315352143 Enrollment ID: I20231219002189 |
| Provider Name | Cynthia Sturdivant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710187976 PECOS PAC ID: 5799863015 Enrollment ID: I20231223000109 |
| Provider Name | Jessica Rhee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336415959 PECOS PAC ID: 7911269576 Enrollment ID: I20240104002539 |
| Provider Name | Mary Grace Shuker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144794157 PECOS PAC ID: 8224371364 Enrollment ID: I20240106000037 |
| Provider Name | Vijaya Guduri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386825271 PECOS PAC ID: 1759428766 Enrollment ID: I20240110005154 |
| Provider Name | Jonathan Treem |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1427493006 PECOS PAC ID: 9234445180 Enrollment ID: I20240112000190 |
| Provider Name | Michael Holdsworth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184990095 PECOS PAC ID: 5395014476 Enrollment ID: I20240117003231 |
| Provider Name | Rashika J Rentie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255564183 PECOS PAC ID: 0345692000 Enrollment ID: I20240118000097 |
| Provider Name | Karanpreet Kaur Khahera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053808972 PECOS PAC ID: 8224436050 Enrollment ID: I20240126000166 |
| Provider Name | Sean Dennig |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447690730 PECOS PAC ID: 2466708060 Enrollment ID: I20240207000177 |
| Provider Name | Dianne Glass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427379221 PECOS PAC ID: 0446517775 Enrollment ID: I20240207002655 |
| Provider Name | Saidat Sola-rufai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144780396 PECOS PAC ID: 7214261387 Enrollment ID: I20240207004117 |
| Provider Name | Nidhi Khosla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811227267 PECOS PAC ID: 5496046815 Enrollment ID: I20240208002688 |
| Provider Name | Osagie Ighile |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992236236 PECOS PAC ID: 1658794367 Enrollment ID: I20240209000762 |
| Provider Name | Khadijah Fuller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790427854 PECOS PAC ID: 0840634838 Enrollment ID: I20240217000680 |
| Provider Name | Karin Brooks |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083638977 PECOS PAC ID: 0547308918 Enrollment ID: I20240223003244 |
| Provider Name | Desmond Brown |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689080533 PECOS PAC ID: 3779700489 Enrollment ID: I20240226003595 |
| Provider Name | Davina Gabriela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215005632 PECOS PAC ID: 0446421143 Enrollment ID: I20240226003720 |
| Provider Name | Scott Stevens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245693183 PECOS PAC ID: 2062871106 Enrollment ID: I20240307000221 |
| Provider Name | Artice Weston |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396173266 PECOS PAC ID: 9537453345 Enrollment ID: I20240311002878 |
| Provider Name | Tao Hong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033188248 PECOS PAC ID: 4183695760 Enrollment ID: I20240312002049 |
| Provider Name | Kelly Alice Andrews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518479914 PECOS PAC ID: 3375989262 Enrollment ID: I20240314000383 |
| Provider Name | Hawraa Akhond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386373777 PECOS PAC ID: 5991141897 Enrollment ID: I20240314000844 |
| Provider Name | Edward Michael Andrews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972620177 PECOS PAC ID: 8921444753 Enrollment ID: I20240314002442 |
| Provider Name | Pamela Atueyi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467831628 PECOS PAC ID: 2163868878 Enrollment ID: I20240315001204 |
| Provider Name | Robyn Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891361010 PECOS PAC ID: 3870939507 Enrollment ID: I20240315002102 |
| Provider Name | Asha S Vyas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740769736 PECOS PAC ID: 9335586023 Enrollment ID: I20240318000246 |
| Provider Name | Vanessa Jenkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306392667 PECOS PAC ID: 1153768759 Enrollment ID: I20240319000704 |
| Provider Name | Sergine Cadet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679110092 PECOS PAC ID: 0345687968 Enrollment ID: I20240319001343 |
| Provider Name | Kelsey Gibby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326638065 PECOS PAC ID: 8224475850 Enrollment ID: I20240319001865 |
| Provider Name | Carrie Victoria Mchale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588122048 PECOS PAC ID: 4981041431 Enrollment ID: I20240320002375 |
| Provider Name | Chevon Taneik Mathews-green |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568989127 PECOS PAC ID: 7911344478 Enrollment ID: I20240320002585 |
| Provider Name | Dennis Gabriel Ramos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639387277 PECOS PAC ID: 1759728157 Enrollment ID: I20240321000021 |
| Provider Name | Monica Barrett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669605671 PECOS PAC ID: 2062859465 Enrollment ID: I20240321000210 |
| Provider Name | Sarah Warfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174957872 PECOS PAC ID: 9830536259 Enrollment ID: I20240321000885 |
| Provider Name | Rebecca Victoria Maylum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356833768 PECOS PAC ID: 4486091816 Enrollment ID: I20240321001249 |
| Provider Name | Mikyala W Akers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518547348 PECOS PAC ID: 1254778681 Enrollment ID: I20240321001427 |
| Provider Name | Robeena Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467819011 PECOS PAC ID: 2163869421 Enrollment ID: I20240321002745 |
| Provider Name | Anna Breaux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962978080 PECOS PAC ID: 6800233198 Enrollment ID: I20240321004028 |
| Provider Name | Jewna Bonita Ehlke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679092019 PECOS PAC ID: 0345687653 Enrollment ID: I20240322000530 |
| Provider Name | Renee Kallio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194380618 PECOS PAC ID: 4688011901 Enrollment ID: I20240322000708 |
| Provider Name | Bryan R. Buchanan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750524377 PECOS PAC ID: 9133566375 Enrollment ID: I20240322002423 |
| Provider Name | Lashonda Nicole Boone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679945364 PECOS PAC ID: 0345687596 Enrollment ID: I20240322002720 |
| Provider Name | Chesay Copeland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427307321 PECOS PAC ID: 8123465267 Enrollment ID: I20240325001768 |
| Provider Name | Guy Starling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679109938 PECOS PAC ID: 4587001656 Enrollment ID: I20240325002870 |
| Provider Name | Amee Patel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356790968 PECOS PAC ID: 5496192585 Enrollment ID: I20240325003392 |
| Provider Name | Lafonda M Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316053119 PECOS PAC ID: 5597102608 Enrollment ID: I20240326000127 |
| Provider Name | Cecilia Howell-canada |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548269384 PECOS PAC ID: 2567788482 Enrollment ID: I20240405002985 |
| Provider Name | Caitlyn Weinhold |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598107849 PECOS PAC ID: 2163860339 Enrollment ID: I20240406000269 |
| Provider Name | Vijiladevi Dhas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609085448 PECOS PAC ID: 1052348828 Enrollment ID: I20240408000533 |
| Provider Name | Jing Yuan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134748007 PECOS PAC ID: 9234577453 Enrollment ID: I20240409000097 |
| Provider Name | Eric Candler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962481416 PECOS PAC ID: 0345144994 Enrollment ID: I20240409002838 |
| Provider Name | Amel Logan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841341682 PECOS PAC ID: 4486092582 Enrollment ID: I20240409002912 |
| Provider Name | Ashish K Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174083430 PECOS PAC ID: 9931437886 Enrollment ID: I20240410001708 |
| Provider Name | Veronica R Franklin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699085795 PECOS PAC ID: 9931547833 Enrollment ID: I20240410001999 |
| Provider Name | Anwar Isabell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457627754 PECOS PAC ID: 1052614849 Enrollment ID: I20240410002650 |
| Provider Name | Emmanuel Onyeyirim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790281897 PECOS PAC ID: 2264822469 Enrollment ID: I20240410003495 |
| Provider Name | John O'boyle |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1306808381 PECOS PAC ID: 6901171636 Enrollment ID: I20240410004046 |
| Provider Name | Angela Vines Vines |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639513807 PECOS PAC ID: 9032557996 Enrollment ID: I20240410004080 |
| Provider Name | Pranav Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477041739 PECOS PAC ID: 8325486210 Enrollment ID: I20240411000936 |
| Provider Name | Amy O'boyle |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1679548341 PECOS PAC ID: 9638447949 Enrollment ID: I20240412002125 |
| Provider Name | Patrice Tracy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972901775 PECOS PAC ID: 4880033257 Enrollment ID: I20240417004266 |
| Provider Name | Monica L Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568525517 PECOS PAC ID: 1759720063 Enrollment ID: I20240419001124 |
| Provider Name | Peter Whang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407246127 PECOS PAC ID: 8325487390 Enrollment ID: I20240424000045 |
| Provider Name | Michael Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073550794 PECOS PAC ID: 3870545049 Enrollment ID: I20240424003169 |
| Provider Name | Dezheen Zebari |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346636677 PECOS PAC ID: 2062706468 Enrollment ID: I20240426000808 |
| Provider Name | Shadae Cardoza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720841448 PECOS PAC ID: 3870933302 Enrollment ID: I20240501002935 |
| Provider Name | Mark Lorthe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295364495 PECOS PAC ID: 1951762236 Enrollment ID: I20240502000262 |
| Provider Name | Jason Valladares |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598151987 PECOS PAC ID: 5092020396 Enrollment ID: I20240502001075 |
| Provider Name | Waroot Nimjareansuk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356878292 PECOS PAC ID: 7618381872 Enrollment ID: I20240502003819 |
| Provider Name | Julianne Lynn Pramas |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821583386 PECOS PAC ID: 1456791714 Enrollment ID: I20240503000027 |
| Provider Name | Jiayan Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659665321 PECOS PAC ID: 0749431674 Enrollment ID: I20240503001245 |
| Provider Name | Arianna Vessal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235832502 PECOS PAC ID: 5092155309 Enrollment ID: I20240503002035 |
| Provider Name | Cecily Fitzgerald |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275761959 PECOS PAC ID: 3375682859 Enrollment ID: I20240506000092 |
| Provider Name | Sameer Goel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073044897 PECOS PAC ID: 5193089779 Enrollment ID: I20240506001495 |
| Provider Name | Kathleen George |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407321177 PECOS PAC ID: 7911449129 Enrollment ID: I20240603003929 |
| Provider Name | Lindsey Nelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568478758 PECOS PAC ID: 7517949621 Enrollment ID: I20240605001213 |
| Provider Name | Kara Mitchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295398386 PECOS PAC ID: 9335681295 Enrollment ID: I20240606001632 |
| Provider Name | Susan Lovich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548347065 PECOS PAC ID: 5597863993 Enrollment ID: I20240608000323 |
| Provider Name | Oghuz Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326742552 PECOS PAC ID: 0345782728 Enrollment ID: I20240613000954 |
Tricia Burke, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1187 Saint George Dr, Annapolis, MD 21409 Phone: 808-341-4742 | |
Lumate Florida Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3151 Catrina Ln, Annapolis, MD 21403 Phone: 917-304-0679 | |
Guiding Minds Therapeutic Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Riva Rd, Annapolis, MD 21401 Phone: 240-277-3422 | |
Grow On Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1702 Marissa Way, Annapolis, MD 21401 Phone: 443-203-8469 | |
Lee F. Owens, Ed.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Defense Hwy, Suite 210, Annapolis, MD 21401 Phone: 410-224-2021 Fax: 410-224-2420 | |
Project Chesapeake Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Old Solomons Island Rd, Building 2 Suite 1, Annapolis, MD 21401 Phone: 443-214-5097 Fax: 443-378-8538 | |
Rogue River Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2007 Tidewater Colony Dr Ste 1a, Annapolis, MD 21401 Phone: 410-294-9300 Fax: 410-294-9300 |