| Kaiser Permanente Loudoun Medical Center | |
|
19450 Deerfield Avenue Lansdowne VA 20176-6821 | |
| (703) 726-2100 | |
| (703) 726-4550 |
| Full Name | Kaiser Permanente Loudoun Medical Center |
|---|---|
| Speciality | Health Maintenance Organization |
| Location | 19450 Deerfield Avenue, Lansdowne, Virginia |
| 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 Loudoun Medical Center 2101 E Jefferson Street 3 West Data Management Dept Attn Sanjay Mathur Rockville MD 20852-4908 Ph: (301) 816-7446 | Kaiser Permanente Loudoun Medical Center 19450 Deerfield Avenue Lansdowne VA 20176-6821 Ph: (703) 726-2100 |
| NPI Number | 1861552721 |
|---|---|
| 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 | O20031105000744 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861552721 | NPI | - | NPPES |
| Provider Name | Deepshikha Goyal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265577753 PECOS PAC ID: 1557264736 Enrollment ID: I20040127001178 |
| Provider Name | Anna A Kraszewska |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538237938 PECOS PAC ID: 9537056189 Enrollment ID: I20040301000179 |
| Provider Name | Jill K Denney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215901954 PECOS PAC ID: 0345138905 Enrollment ID: I20040306000033 |
| Provider Name | Thuan Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386741395 PECOS PAC ID: 1153229893 Enrollment ID: I20040329001078 |
| Provider Name | Deirdre U Kato |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205904646 PECOS PAC ID: 8628044922 Enrollment ID: I20040908000949 |
| Provider Name | Mohamed Mazid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851440838 PECOS PAC ID: 0244209120 Enrollment ID: I20040928000432 |
| Provider Name | Xiaodong Luo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043206808 PECOS PAC ID: 1951362086 Enrollment ID: I20041022000159 |
| Provider Name | Albert Y Cheung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245398866 PECOS PAC ID: 7012967961 Enrollment ID: I20050127000897 |
| Provider Name | Kimberly L Kader |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326246307 PECOS PAC ID: 1759285737 Enrollment ID: I20050211000040 |
| Provider Name | Beverly J Pfister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811052087 PECOS PAC ID: 2961449509 Enrollment ID: I20050414000618 |
| Provider Name | Tariq Khurshid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427119965 PECOS PAC ID: 9335187384 Enrollment ID: I20050420000483 |
| Provider Name | Kondeh Greaves |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790854099 PECOS PAC ID: 1355382458 Enrollment ID: I20050520000157 |
| Provider Name | Vu T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457400160 PECOS PAC ID: 3870529118 Enrollment ID: I20050708000838 |
| Provider Name | Mrunalini Chakurkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144210295 PECOS PAC ID: 7012900665 Enrollment ID: I20050818000143 |
| Provider Name | Patience B Daniels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972660900 PECOS PAC ID: 1153351275 Enrollment ID: I20050818000459 |
| Provider Name | Douglas Benkelman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518926567 PECOS PAC ID: 1759364151 Enrollment ID: I20050830000747 |
| Provider Name | Amir R Batouli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053379800 PECOS PAC ID: 0749250975 Enrollment ID: I20050906000274 |
| Provider Name | Cristina Natalia P Policarpio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316948086 PECOS PAC ID: 5395770002 Enrollment ID: I20050930000758 |
| Provider Name | Kenneth Harrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649311754 PECOS PAC ID: 3375581291 Enrollment ID: I20051122000763 |
| Provider Name | Stuart Q Hopkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962569996 PECOS PAC ID: 8325068901 Enrollment ID: I20051128000613 |
| Provider Name | Valencia J Cobb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548268352 PECOS PAC ID: 9739100124 Enrollment ID: I20051213000615 |
| Provider Name | Abigail Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548338973 PECOS PAC ID: 1153343843 Enrollment ID: I20051221001007 |
| Provider Name | Banti D Chand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073670006 PECOS PAC ID: 6406879436 Enrollment ID: I20060105000363 |
| Provider Name | Jane A Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437199171 PECOS PAC ID: 4082638119 Enrollment ID: I20060119000096 |
| Provider Name | Sharat K Narayanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194796060 PECOS PAC ID: 3375551500 Enrollment ID: I20060330000315 |
| Provider Name | David E Page |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992865414 PECOS PAC ID: 1355350851 Enrollment ID: I20060411000607 |
| Provider Name | Sarah V Kringer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467400895 PECOS PAC ID: 9638130446 Enrollment ID: I20060622000153 |
| Provider Name | Nora R Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659441574 PECOS PAC ID: 7416059423 Enrollment ID: I20070222000173 |
| Provider Name | Matthew Joseph Webber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225182231 PECOS PAC ID: 9335246339 Enrollment ID: I20070529000158 |
| Provider Name | Sabrina Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881794360 PECOS PAC ID: 8224139894 Enrollment ID: I20070726000332 |
| Provider Name | Ana S Fuentes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750425146 PECOS PAC ID: 0244324515 Enrollment ID: I20071009000868 |
| Provider Name | Nelsson Becerra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508882994 PECOS PAC ID: 7214932383 Enrollment ID: I20071119000517 |
| Provider Name | Tanuja A Mainkar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386643849 PECOS PAC ID: 1658369541 Enrollment ID: I20071204000038 |
| Provider Name | Fetnat Faye Masri-imadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922158716 PECOS PAC ID: 0143301549 Enrollment ID: I20080111000028 |
| Provider Name | Diane Franchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538159199 PECOS PAC ID: 9931281268 Enrollment ID: I20080125000349 |
| Provider Name | Afzal Rasheed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073585766 PECOS PAC ID: 3678507860 Enrollment ID: I20080129000790 |
| Provider Name | William Edmund Prominski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699749788 PECOS PAC ID: 3274583414 Enrollment ID: I20080211000857 |
| Provider Name | Emily B Woodard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609061381 PECOS PAC ID: 1456434398 Enrollment ID: I20080214000556 |
| Provider Name | Richard H Haar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033270558 PECOS PAC ID: 4880770965 Enrollment ID: I20080424000681 |
| Provider Name | Linda Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174593818 PECOS PAC ID: 4385714344 Enrollment ID: I20080603000071 |
| Provider Name | Deepak Kumar Kashyap |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679637136 PECOS PAC ID: 5698877074 Enrollment ID: I20080820000536 |
| Provider Name | Sebastian A Sicari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235138991 PECOS PAC ID: 4486714870 Enrollment ID: I20081114000388 |
| Provider Name | Anitha Subbanna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851550453 PECOS PAC ID: 9234298829 Enrollment ID: I20081125000699 |
| Provider Name | Andrea R Giacometti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851367254 PECOS PAC ID: 9830266501 Enrollment ID: I20081218000546 |
| Provider Name | John A Long |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821062704 PECOS PAC ID: 7911997838 Enrollment ID: I20081219000400 |
| Provider Name | Tamatha E Barber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386882652 PECOS PAC ID: 4385709401 Enrollment ID: I20090224000373 |
| Provider Name | Melodie H Hogan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871745315 PECOS PAC ID: 3779640164 Enrollment ID: I20090330000722 |
| Provider Name | Sherri L Franklin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154390680 PECOS PAC ID: 1557359643 Enrollment ID: I20090519000165 |
| Provider Name | Akila V Iyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629189956 PECOS PAC ID: 7315906419 Enrollment ID: I20090618000076 |
| Provider Name | Sherlonda S Asante |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871701417 PECOS PAC ID: 4880749902 Enrollment ID: I20090825000764 |
| Provider Name | Edgard A Segura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326109778 PECOS PAC ID: 9234284308 Enrollment ID: I20090826000462 |
| Provider Name | Sumitra D Easwaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871535302 PECOS PAC ID: 2668418906 Enrollment ID: I20090826000473 |
| Provider Name | David Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235294406 PECOS PAC ID: 8123173291 Enrollment ID: I20090826000486 |
| Provider Name | Herbert N Furst |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033269790 PECOS PAC ID: 2163577370 Enrollment ID: I20090910000622 |
| Provider Name | Marla Kelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184881021 PECOS PAC ID: 5496801136 Enrollment ID: I20090921000656 |
| Provider Name | Lisa Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588863112 PECOS PAC ID: 5193871648 Enrollment ID: I20090924000239 |
| Provider Name | Avtar S Chana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447473020 PECOS PAC ID: 3577609841 Enrollment ID: I20090930000545 |
| Provider Name | Suma Doppalapudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154493641 PECOS PAC ID: 0244376432 Enrollment ID: I20091001000021 |
| Provider Name | Samreen Hameed Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801054333 PECOS PAC ID: 5991841645 Enrollment ID: I20091009000209 |
| Provider Name | Bethanne Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447224167 PECOS PAC ID: 8820136633 Enrollment ID: I20091117000136 |
| Provider Name | Jean A Marcelin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558414490 PECOS PAC ID: 9739255951 Enrollment ID: I20091210000139 |
| Provider Name | Alan Wynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821153149 PECOS PAC ID: 1557440856 Enrollment ID: I20100112000851 |
| Provider Name | Marleine S Clay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962610287 PECOS PAC ID: 6709937980 Enrollment ID: I20100223000466 |
| Provider Name | John Long |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043388499 PECOS PAC ID: 6103953831 Enrollment ID: I20100428000672 |
| Provider Name | Keith B Boykin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619045028 PECOS PAC ID: 7113054859 Enrollment ID: I20100428000766 |
| Provider Name | Azka Sophie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023239399 PECOS PAC ID: 1052449055 Enrollment ID: I20100512000842 |
| Provider Name | Daniella E Hines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619088911 PECOS PAC ID: 1355332743 Enrollment ID: I20100520000935 |
| Provider Name | Julie Sim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912985276 PECOS PAC ID: 0840397782 Enrollment ID: I20100525000860 |
| Provider Name | Clementina F Battad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295895746 PECOS PAC ID: 8426188004 Enrollment ID: I20100608000413 |
| Provider Name | Sandeep K Sandhu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295956563 PECOS PAC ID: 0941330591 Enrollment ID: I20100609000241 |
| Provider Name | David K. Yoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689767584 PECOS PAC ID: 4880692326 Enrollment ID: I20100619000108 |
| Provider Name | Sara Mccormack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386805760 PECOS PAC ID: 9739219627 Enrollment ID: I20100621000413 |
| Provider Name | Patricia Watkis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215094255 PECOS PAC ID: 3577588854 Enrollment ID: I20100720000825 |
| Provider Name | Amardeep S Athwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538357934 PECOS PAC ID: 3274665583 Enrollment ID: I20100722000650 |
| Provider Name | Sabuhi Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417019472 PECOS PAC ID: 1850295403 Enrollment ID: I20100726000320 |
| Provider Name | Lubna Rana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023133469 PECOS PAC ID: 2466553789 Enrollment ID: I20100726000747 |
| Provider Name | Edward Deyee Tsong |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578641312 PECOS PAC ID: 6305811258 Enrollment ID: I20100727000385 |
| Provider Name | Hong-hanh T Chau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164590519 PECOS PAC ID: 7416944384 Enrollment ID: I20100727000438 |
| Provider Name | Veena K Chawla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457566796 PECOS PAC ID: 7810023389 Enrollment ID: I20100802000346 |
| Provider Name | Eurice Moody |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497810659 PECOS PAC ID: 0840245411 Enrollment ID: I20100803000387 |
| Provider Name | Jessica Bullard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750592895 PECOS PAC ID: 5698856284 Enrollment ID: I20100803000421 |
| Provider Name | Seraphine A Soosaimanickam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073615530 PECOS PAC ID: 8426059080 Enrollment ID: I20100804000854 |
| Provider Name | Gary Gordon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124177167 PECOS PAC ID: 3971540501 Enrollment ID: I20100811000745 |
| Provider Name | Hoang-an N Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114095528 PECOS PAC ID: 2961536933 Enrollment ID: I20100812000246 |
| Provider Name | Shalini Dogra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164620977 PECOS PAC ID: 0547399040 Enrollment ID: I20100812000345 |
| Provider Name | David M Cooley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275682981 PECOS PAC ID: 4385771799 Enrollment ID: I20100812000368 |
| Provider Name | Haramol K. Nagi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346380730 PECOS PAC ID: 1850433947 Enrollment ID: I20100817000893 |
| Provider Name | Rajiv Goyal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710042056 PECOS PAC ID: 6406911809 Enrollment ID: I20100817001089 |
| Provider Name | Nicole Tate |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962401901 PECOS PAC ID: 3173415999 Enrollment ID: I20100820000377 |
| Provider Name | Adilakshmi S Kansal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972777944 PECOS PAC ID: 7416021118 Enrollment ID: I20100820000400 |
| Provider Name | Christopher Della Santina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356496178 PECOS PAC ID: 6901942796 Enrollment ID: I20100820000425 |
| Provider Name | Celerino M Magbuhos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346391380 PECOS PAC ID: 0840201547 Enrollment ID: I20100901000298 |
| Provider Name | Steven P Guarnaccia |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235299850 PECOS PAC ID: 6103978564 Enrollment ID: I20100902000527 |
| Provider Name | Bhavisha Menezes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659534998 PECOS PAC ID: 9335263920 Enrollment ID: I20100903000258 |
| Provider Name | Sandeep Dhaliwal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811108103 PECOS PAC ID: 7113041609 Enrollment ID: I20100907000358 |
| Provider Name | Naeem Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952520330 PECOS PAC ID: 2668597402 Enrollment ID: I20100916000456 |
| Provider Name | Britta Mayer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922063650 PECOS PAC ID: 7517984966 Enrollment ID: I20100923001344 |
| Provider Name | Ronaldo S Mayuga |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780720185 PECOS PAC ID: 4486545605 Enrollment ID: I20100923001459 |
| Provider Name | Seung Chae |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780744193 PECOS PAC ID: 3173655834 Enrollment ID: I20100924000040 |
| Provider Name | Jesus A Henson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073651006 PECOS PAC ID: 1759423387 Enrollment ID: I20100924000105 |
| Provider Name | Daniel J Wolde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780748038 PECOS PAC ID: 0749336162 Enrollment ID: I20100924000662 |
| Provider Name | Jonas P Wiltz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245499698 PECOS PAC ID: 4385782291 Enrollment ID: I20100927000439 |
| Provider Name | Jasmin K Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720061476 PECOS PAC ID: 1557425543 Enrollment ID: I20100929001228 |
| Provider Name | Susan E Deren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588713192 PECOS PAC ID: 6406900174 Enrollment ID: I20101014001368 |
| Provider Name | Julie L Mullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639226723 PECOS PAC ID: 7113918152 Enrollment ID: I20101014001407 |
| Provider Name | Ommar Win |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437218070 PECOS PAC ID: 1658427232 Enrollment ID: I20101020001147 |
| Provider Name | My D Hoang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508904541 PECOS PAC ID: 1951442854 Enrollment ID: I20101020001256 |
| Provider Name | Constantine Tziros |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215193529 PECOS PAC ID: 6305972803 Enrollment ID: I20101020001294 |
| Provider Name | Christopher P Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467508135 PECOS PAC ID: 4789877929 Enrollment ID: I20101020001374 |
| Provider Name | Paul Bujanauskas |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366409534 PECOS PAC ID: 0244221174 Enrollment ID: I20101021000654 |
| Provider Name | Ashwin B Chakurkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700875226 PECOS PAC ID: 3678767233 Enrollment ID: I20101028000346 |
| Provider Name | Charles Hollcraft |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427084748 PECOS PAC ID: 4284736364 Enrollment ID: I20101028000740 |
| Provider Name | David S Yoho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760403166 PECOS PAC ID: 7416055223 Enrollment ID: I20101028001037 |
| Provider Name | Olakunle O Abisuga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841358835 PECOS PAC ID: 1759346489 Enrollment ID: I20101029000064 |
| Provider Name | Niosha Razi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245326941 PECOS PAC ID: 4789635889 Enrollment ID: I20101119000911 |
| Provider Name | Vasudha M Narayana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336200773 PECOS PAC ID: 2365638772 Enrollment ID: I20101210000773 |
| Provider Name | Lo-an T. Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033284971 PECOS PAC ID: 5092903070 Enrollment ID: I20101220000809 |
| Provider Name | Nisha Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447450531 PECOS PAC ID: 7113066614 Enrollment ID: I20101220000996 |
| Provider Name | Doreen H Mar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528032737 PECOS PAC ID: 8921295262 Enrollment ID: I20101220001034 |
| Provider Name | Shashikalaa Kura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265637540 PECOS PAC ID: 2769558980 Enrollment ID: I20101230000590 |
| Provider Name | Mahnaz Parveen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235299918 PECOS PAC ID: 6103713565 Enrollment ID: I20101230001044 |
| Provider Name | Mina Salehi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346408580 PECOS PAC ID: 2062600364 Enrollment ID: I20110103000063 |
| Provider Name | Sheela Raghuram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437140035 PECOS PAC ID: 6406827096 Enrollment ID: I20110110000386 |
| Provider Name | Surinder P Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922168681 PECOS PAC ID: 3375552417 Enrollment ID: I20110111000625 |
| Provider Name | Marion R Cohen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356475065 PECOS PAC ID: 8527051457 Enrollment ID: I20110125001149 |
| Provider Name | Wilbur Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770675928 PECOS PAC ID: 6305997479 Enrollment ID: I20110128000224 |
| Provider Name | David B Wollman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407933351 PECOS PAC ID: 1759415219 Enrollment ID: I20110131000115 |
| Provider Name | Uzma T Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770527814 PECOS PAC ID: 2264440809 Enrollment ID: I20110210000737 |
| Provider Name | Farah N Saeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134395817 PECOS PAC ID: 9234291402 Enrollment ID: I20110217000487 |
| Provider Name | Yaning Liu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831250281 PECOS PAC ID: 5991830838 Enrollment ID: I20110221000444 |
| Provider Name | Florence Tchouaffi-nana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780889337 PECOS PAC ID: 2466633623 Enrollment ID: I20110221000794 |
| Provider Name | Annie Mclenahan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437325552 PECOS PAC ID: 8022145226 Enrollment ID: I20110303000186 |
| Provider Name | Priya Mathur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346407418 PECOS PAC ID: 1355499229 Enrollment ID: I20110303000215 |
| Provider Name | Elias B. Awad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508943192 PECOS PAC ID: 5991608408 Enrollment ID: I20110314000162 |
| Provider Name | Renate Austin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437163300 PECOS PAC ID: 5496748964 Enrollment ID: I20110314000280 |
| Provider Name | Roshan Kalim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003832502 PECOS PAC ID: 8022068824 Enrollment ID: I20110314000587 |
| Provider Name | Manijeh Akbarzadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639331929 PECOS PAC ID: 5496937369 Enrollment ID: I20110314000779 |
| Provider Name | Michael S Wenzel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699776591 PECOS PAC ID: 3476749839 Enrollment ID: I20110407000089 |
| Provider Name | Mark F Carney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972797991 PECOS PAC ID: 0143397430 Enrollment ID: I20110415000525 |
| Provider Name | Ellen Dena Finkelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134287030 PECOS PAC ID: 7416071972 Enrollment ID: I20110502000062 |
| Provider Name | Murali Nagubandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073582037 PECOS PAC ID: 6901831288 Enrollment ID: I20110503000146 |
| Provider Name | Aklilu Yishak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417012691 PECOS PAC ID: 0840282349 Enrollment ID: I20110510000178 |
| Provider Name | Nidhi Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487722807 PECOS PAC ID: 1658427208 Enrollment ID: I20110516000648 |
| Provider Name | Jason Rashkin |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1831171800 PECOS PAC ID: 2567402464 Enrollment ID: I20110516000828 |
| Provider Name | Adam Blitstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518113398 PECOS PAC ID: 5698824571 Enrollment ID: I20110518000510 |
| Provider Name | Lubna M Rashid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245377373 PECOS PAC ID: 6002910809 Enrollment ID: I20110524000217 |
| Provider Name | Xuwan Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518100288 PECOS PAC ID: 8325220528 Enrollment ID: I20110525000816 |
| Provider Name | Summer Herlihy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043458847 PECOS PAC ID: 0749313880 Enrollment ID: I20110613000566 |
| Provider Name | Jawad Arshad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518171172 PECOS PAC ID: 8820164189 Enrollment ID: I20110613000628 |
| Provider Name | Jonathan Ratliff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104092709 PECOS PAC ID: 0244418150 Enrollment ID: I20110623000735 |
| Provider Name | Sherry C Cipriano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447393145 PECOS PAC ID: 2668578113 Enrollment ID: I20110624000445 |
| Provider Name | Amanda L Curling |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922263433 PECOS PAC ID: 3173792371 Enrollment ID: I20110804000142 |
| Provider Name | Thorsten Sundberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417097684 PECOS PAC ID: 2860560141 Enrollment ID: I20110819000268 |
| Provider Name | Ainsley Maclean |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033283494 PECOS PAC ID: 3375712946 Enrollment ID: I20110823001060 |
| Provider Name | Naett I Asgill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164679866 PECOS PAC ID: 0547431850 Enrollment ID: I20110919000085 |
| Provider Name | Chinye S Obidi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285899187 PECOS PAC ID: 7416128277 Enrollment ID: I20110927000850 |
| Provider Name | Davina Gabriela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215005632 PECOS PAC ID: 0446421143 Enrollment ID: I20110928000446 |
| Provider Name | Christopher Wu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518039734 PECOS PAC ID: 5092849737 Enrollment ID: I20110930000430 |
| Provider Name | Yonathan Habtemariam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174785174 PECOS PAC ID: 9436321908 Enrollment ID: I20111004000897 |
| Provider Name | Seung J Yo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922025618 PECOS PAC ID: 0941275879 Enrollment ID: I20111013000302 |
| Provider Name | Rosemary T Enright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811996564 PECOS PAC ID: 1254504954 Enrollment ID: I20111025000242 |
| Provider Name | Sheneika M Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265608103 PECOS PAC ID: 5991871816 Enrollment ID: I20111027000165 |
| Provider Name | Muhammad L Jamal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891719365 PECOS PAC ID: 6608871199 Enrollment ID: I20111101000002 |
| Provider Name | Khadija I Alvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225196678 PECOS PAC ID: 6901900471 Enrollment ID: I20111121001018 |
| Provider Name | Julia Fullerton |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942477443 PECOS PAC ID: 2466627427 Enrollment ID: I20111202000700 |
| Provider Name | Girish A Kori |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972830206 PECOS PAC ID: 4385778265 Enrollment ID: I20111221000790 |
| Provider Name | Shashi Ranganath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780757740 PECOS PAC ID: 6305984881 Enrollment ID: I20120123000024 |
| Provider Name | David M Herr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619031960 PECOS PAC ID: 3173661337 Enrollment ID: I20120217000000 |
| Provider Name | Almuhannad Alhammood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114095551 PECOS PAC ID: 9335286475 Enrollment ID: I20120229000271 |
| Provider Name | Jeffrey D Kin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639165574 PECOS PAC ID: 9739081456 Enrollment ID: I20120314000010 |
| Provider Name | Vincent Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679626774 PECOS PAC ID: 7719031327 Enrollment ID: I20120515000702 |
| Provider Name | Haesun Hwang |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598095853 PECOS PAC ID: 1951590934 Enrollment ID: I20120519000009 |
| Provider Name | Ethiopia Abebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588732580 PECOS PAC ID: 6709931322 Enrollment ID: I20120531000546 |
| Provider Name | Trushar Sarang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548386097 PECOS PAC ID: 9234314287 Enrollment ID: I20120622000553 |
| Provider Name | Bonita Banerjee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780767053 PECOS PAC ID: 8325204746 Enrollment ID: I20120730000146 |
| Provider Name | Julia Sone |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1154489730 PECOS PAC ID: 9931163946 Enrollment ID: I20120820001181 |
| Provider Name | Virginia Madey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659538478 PECOS PAC ID: 8022264951 Enrollment ID: I20120828000352 |
| Provider Name | Lynn C Healey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588741995 PECOS PAC ID: 4082753488 Enrollment ID: I20120917000724 |
| Provider Name | Faisal A Chaudri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750430682 PECOS PAC ID: 3274784418 Enrollment ID: I20121115000297 |
| Provider Name | Amanda Barner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184885444 PECOS PAC ID: 9931239274 Enrollment ID: I20121204000170 |
| Provider Name | Charlotte O Koeniger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700064680 PECOS PAC ID: 0143473959 Enrollment ID: I20130103000233 |
| Provider Name | Devika Wijesekera |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508911603 PECOS PAC ID: 4789647421 Enrollment ID: I20130207000545 |
| Provider Name | Nicholas J Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912267196 PECOS PAC ID: 4981858248 Enrollment ID: I20130214000201 |
| Provider Name | Hafsa S Mir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639354517 PECOS PAC ID: 3476732892 Enrollment ID: I20130304000096 |
| Provider Name | Zahir Jimenez-tosado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003058538 PECOS PAC ID: 3870748189 Enrollment ID: I20130312000177 |
| Provider Name | Bhavin Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326131061 PECOS PAC ID: 5698844793 Enrollment ID: I20130529000389 |
| Provider Name | Behyar D Badiee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588781975 PECOS PAC ID: 2860677069 Enrollment ID: I20130607000126 |
| Provider Name | Jordan Z Tacktill |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942560727 PECOS PAC ID: 0446490916 Enrollment ID: I20130703000414 |
| Provider Name | Jonathan J Chou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154641298 PECOS PAC ID: 8022259548 Enrollment ID: I20130725000947 |
| Provider Name | Lisa Renee Blackwood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912298191 PECOS PAC ID: 5496997249 Enrollment ID: I20130807001040 |
| Provider Name | Wendy S Rudolph |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982912101 PECOS PAC ID: 6709063548 Enrollment ID: I20130827000754 |
| Provider Name | Helen Schneider |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558375113 PECOS PAC ID: 4880590439 Enrollment ID: I20130905000786 |
| Provider Name | Monica L Riley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255344404 PECOS PAC ID: 2668434861 Enrollment ID: I20130905000809 |
| Provider Name | Renee E Funches |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023293701 PECOS PAC ID: 4880841543 Enrollment ID: I20130910000618 |
| Provider Name | Paul J Millea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326099177 PECOS PAC ID: 3971657560 Enrollment ID: I20130910001007 |
| Provider Name | Shadi Yousefi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174770606 PECOS PAC ID: 7113197096 Enrollment ID: I20130911000169 |
| Provider Name | Liana Renee' Toyer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1306080684 PECOS PAC ID: 3779727730 Enrollment ID: I20130913000480 |
| Provider Name | Kuna Lim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104266642 PECOS PAC ID: 8527201524 Enrollment ID: I20130919000008 |
| Provider Name | Ginine M Beyer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780864579 PECOS PAC ID: 9133268287 Enrollment ID: I20130926000292 |
| Provider Name | Harman P Bajwa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962619122 PECOS PAC ID: 0244368447 Enrollment ID: I20131001000445 |
| Provider Name | Jared B Goldberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235356254 PECOS PAC ID: 4284709965 Enrollment ID: I20131015002101 |
| Provider Name | Sujatha Ramaseshan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720272149 PECOS PAC ID: 1557449725 Enrollment ID: I20131029000026 |
| Provider Name | June Cheng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598930414 PECOS PAC ID: 4486811056 Enrollment ID: I20131029001739 |
| Provider Name | Marie P Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740247154 PECOS PAC ID: 5991981169 Enrollment ID: I20131206001640 |
| Provider Name | Patricia A Mcnally |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1033270483 PECOS PAC ID: 3870649585 Enrollment ID: I20131206001696 |
| Provider Name | Shane P. Toussaint |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205262979 PECOS PAC ID: 6608003165 Enrollment ID: I20131210000538 |
| Provider Name | Aloysius C Pereira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417023698 PECOS PAC ID: 3870643182 Enrollment ID: I20131218001516 |
| Provider Name | Vivek V. Mathur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023281573 PECOS PAC ID: 8628267341 Enrollment ID: I20140109000407 |
| Provider Name | Stanley Drake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841363041 PECOS PAC ID: 7618912502 Enrollment ID: I20140109001231 |
| Provider Name | Matthew Testani |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104800606 PECOS PAC ID: 4587618095 Enrollment ID: I20140115001451 |
| Provider Name | Jesse K Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649470915 PECOS PAC ID: 5395933253 Enrollment ID: I20140130000317 |
| Provider Name | Brian J Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689723793 PECOS PAC ID: 9133161250 Enrollment ID: I20140210001521 |
| Provider Name | Omar Javery |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275732505 PECOS PAC ID: 5193981389 Enrollment ID: I20140217000078 |
| Provider Name | Seyeda M Abedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982871588 PECOS PAC ID: 3577755982 Enrollment ID: I20140218002114 |
| Provider Name | Christopher Selhorst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780861864 PECOS PAC ID: 5395992176 Enrollment ID: I20140221001661 |
| Provider Name | Amanda E Lemarier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134559891 PECOS PAC ID: 7719118330 Enrollment ID: I20140325001233 |
| Provider Name | Gayatri K Vaddadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902034655 PECOS PAC ID: 5991935884 Enrollment ID: I20140327000749 |
| Provider Name | Teja Danda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104133388 PECOS PAC ID: 3577708775 Enrollment ID: I20140425001911 |
| Provider Name | Kalonji R Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619126711 PECOS PAC ID: 9436345956 Enrollment ID: I20140620000677 |
| Provider Name | Eleanor Wilson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215003546 PECOS PAC ID: 3577690981 Enrollment ID: I20140620001501 |
| Provider Name | Chi-tsui V Liang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487729331 PECOS PAC ID: 7012048416 Enrollment ID: I20140623000126 |
| Provider Name | Amit Suri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255327573 PECOS PAC ID: 7012973381 Enrollment ID: I20140624000415 |
| Provider Name | Sarita Kaza |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639125370 PECOS PAC ID: 6002892718 Enrollment ID: I20140624000657 |
| Provider Name | Nagui N. Saleh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366500274 PECOS PAC ID: 5890822480 Enrollment ID: I20140624000749 |
| Provider Name | Michelle Forman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750563896 PECOS PAC ID: 1456508241 Enrollment ID: I20140624001182 |
| Provider Name | Eric Wollins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518976778 PECOS PAC ID: 7719013309 Enrollment ID: I20140624001364 |
| Provider Name | Karim Yacoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801021134 PECOS PAC ID: 0244482925 Enrollment ID: I20140625000944 |
| Provider Name | Toriseju Whyte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811158579 PECOS PAC ID: 7618120973 Enrollment ID: I20140630001915 |
| Provider Name | Tania Chao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235305509 PECOS PAC ID: 8921169277 Enrollment ID: I20140701000100 |
| Provider Name | Neil M Stern |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871666099 PECOS PAC ID: 5799814208 Enrollment ID: I20140701001837 |
| Provider Name | Anna B Korzan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639178098 PECOS PAC ID: 9931126174 Enrollment ID: I20140708000468 |
| Provider Name | Su H Kim |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447574934 PECOS PAC ID: 2668616400 Enrollment ID: I20140708000582 |
| Provider Name | Charles Brennt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881741999 PECOS PAC ID: 9830385699 Enrollment ID: I20140708000683 |
| Provider Name | Hania Qutub |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629141940 PECOS PAC ID: 1658405469 Enrollment ID: I20140714002140 |
| Provider Name | Navreet Chowla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184784621 PECOS PAC ID: 2466442496 Enrollment ID: I20140729000133 |
| Provider Name | Harini Gudavalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306918891 PECOS PAC ID: 5991845273 Enrollment ID: I20140729000209 |
| Provider Name | Mark A Tretiak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851451322 PECOS PAC ID: 6507917531 Enrollment ID: I20140729000311 |
| Provider Name | John Golden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780744268 PECOS PAC ID: 2567512973 Enrollment ID: I20140730001451 |
| Provider Name | Kathryn Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902058605 PECOS PAC ID: 0749459378 Enrollment ID: I20140730001614 |
| Provider Name | Christopher Shen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164642039 PECOS PAC ID: 5092869149 Enrollment ID: I20140819002501 |
| Provider Name | Nahed M Ezmerli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356497085 PECOS PAC ID: 4183762230 Enrollment ID: I20140821001612 |
| Provider Name | Eileen Hsu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881601300 PECOS PAC ID: 7113921933 Enrollment ID: I20140822002629 |
| Provider Name | Gene Schiappa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477874329 PECOS PAC ID: 9234357716 Enrollment ID: I20140825001867 |
| Provider Name | Eun-hee S Kang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205165297 PECOS PAC ID: 4688868839 Enrollment ID: I20140909002045 |
| Provider Name | Quadeer M Fasihuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942464839 PECOS PAC ID: 2961681317 Enrollment ID: I20140926001741 |
| Provider Name | Kimberly Suri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104084060 PECOS PAC ID: 6204080567 Enrollment ID: I20140929002301 |
| Provider Name | Amey R Kulkarni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952562365 PECOS PAC ID: 4082868146 Enrollment ID: I20140929002347 |
| Provider Name | Yodit B Benalfew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699847186 PECOS PAC ID: 2163578824 Enrollment ID: I20141015001928 |
| Provider Name | Mridula Banaji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174660633 PECOS PAC ID: 0042271918 Enrollment ID: I20141031002255 |
| Provider Name | Gopi V Masalia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528244936 PECOS PAC ID: 6709063647 Enrollment ID: I20141105001813 |
| Provider Name | Sowjanya Bhagavatula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003020975 PECOS PAC ID: 9133275522 Enrollment ID: I20141208000189 |
| Provider Name | Chris Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134381791 PECOS PAC ID: 8426297730 Enrollment ID: I20141209001228 |
| Provider Name | Leslie R Sims |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407021249 PECOS PAC ID: 4486889532 Enrollment ID: I20141211000557 |
| Provider Name | Muhammad Yousef |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568664530 PECOS PAC ID: 8921134685 Enrollment ID: I20141211000885 |
| Provider Name | Andrew Peng |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710183199 PECOS PAC ID: 7113007063 Enrollment ID: I20141229002012 |
| Provider Name | Natalia Moreva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134354517 PECOS PAC ID: 7810132875 Enrollment ID: I20141229002184 |
| Provider Name | Frederick K Goodwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164536355 PECOS PAC ID: 0547245375 Enrollment ID: I20150114000148 |
| Provider Name | Thu B Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124189659 PECOS PAC ID: 5294620233 Enrollment ID: I20150116000393 |
| Provider Name | Daniel F Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710132485 PECOS PAC ID: 7416071543 Enrollment ID: I20150128001773 |
| Provider Name | Phong Nguyen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215080668 PECOS PAC ID: 1254472145 Enrollment ID: I20150128002161 |
| Provider Name | Dieu-thi T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134419419 PECOS PAC ID: 5092944835 Enrollment ID: I20150210001832 |
| Provider Name | Latoya M Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740447861 PECOS PAC ID: 8820157118 Enrollment ID: I20150212000525 |
| Provider Name | Emily Bergman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427219146 PECOS PAC ID: 2769651678 Enrollment ID: I20150220002249 |
| Provider Name | Afsoon Khoshnevis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710099056 PECOS PAC ID: 3274636519 Enrollment ID: I20150305000623 |
| Provider Name | Karen S Hilger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811239825 PECOS PAC ID: 8123267044 Enrollment ID: I20150310001116 |
| Provider Name | Brent C Thibodeaux |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386705721 PECOS PAC ID: 3072645332 Enrollment ID: I20150326001468 |
| Provider Name | Jennifer J Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083992762 PECOS PAC ID: 5799003695 Enrollment ID: I20150403000886 |
| Provider Name | Loraine Wu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588981112 PECOS PAC ID: 3870731714 Enrollment ID: I20150406001403 |
| Provider Name | Maleeha R Chaudary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386786382 PECOS PAC ID: 8729133350 Enrollment ID: I20150406001662 |
| Provider Name | Akbar Abyaneh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528388824 PECOS PAC ID: 3072834712 Enrollment ID: I20150605001027 |
| Provider Name | Christine C Sweigart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114126901 PECOS PAC ID: 7214158179 Enrollment ID: I20150618000758 |
| Provider Name | Alexander L Zhang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497747364 PECOS PAC ID: 0345439295 Enrollment ID: I20150624002782 |
| Provider Name | Jules Marie Antonios Chehade |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831354273 PECOS PAC ID: 3577882695 Enrollment ID: I20150629000350 |
| Provider Name | Seyed A Emamian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609847060 PECOS PAC ID: 0547287690 Enrollment ID: I20150713002699 |
| Provider Name | Troy W Baker |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1023164910 PECOS PAC ID: 2860637840 Enrollment ID: I20150722005430 |
| Provider Name | Catherine Abban |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053617738 PECOS PAC ID: 8224345814 Enrollment ID: I20150915000837 |
| Provider Name | Wyndy L Marthinussen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881616852 PECOS PAC ID: 3870620982 Enrollment ID: I20150928000281 |
| Provider Name | Jason Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851667893 PECOS PAC ID: 6305154618 Enrollment ID: I20151007000997 |
| Provider Name | Kiila N Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023304771 PECOS PAC ID: 9638488463 Enrollment ID: I20151019001471 |
| Provider Name | Erika R Hales |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497940696 PECOS PAC ID: 2567610538 Enrollment ID: I20151117000342 |
| Provider Name | Adeline C Viyuoh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417037003 PECOS PAC ID: 0446203996 Enrollment ID: I20151124002480 |
| Provider Name | Chaitanya S Mangalmurti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659466225 PECOS PAC ID: 2769520147 Enrollment ID: I20151221002332 |
| Provider Name | Harneet R Kohli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336288554 PECOS PAC ID: 1355401712 Enrollment ID: I20151222001529 |
| Provider Name | Ton V Du |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518966563 PECOS PAC ID: 0941294045 Enrollment ID: I20160114002584 |
| Provider Name | Rachel Anne Burchard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164559100 PECOS PAC ID: 2264503044 Enrollment ID: I20160121002590 |
| Provider Name | Veronica A Babineaux |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386956001 PECOS PAC ID: 6002001351 Enrollment ID: I20160202001434 |
| Provider Name | Rupali K Singh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619108313 PECOS PAC ID: 7315260080 Enrollment ID: I20160420001763 |
| Provider Name | Jill M Bruno |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578719928 PECOS PAC ID: 4880749704 Enrollment ID: I20160503001379 |
| Provider Name | Stephanie Swanson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811285612 PECOS PAC ID: 0840598934 Enrollment ID: I20160516001995 |
| Provider Name | Gabriela A Mandolesi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700094422 PECOS PAC ID: 6800089277 Enrollment ID: I20160718001114 |
| Provider Name | Saad Manzoul |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346432796 PECOS PAC ID: 7214190248 Enrollment ID: I20160720000973 |
| Provider Name | Han Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396716205 PECOS PAC ID: 3577711597 Enrollment ID: I20160729002211 |
| Provider Name | Daniel Gianella |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306026133 PECOS PAC ID: 7719014935 Enrollment ID: I20160815001941 |
| Provider Name | Kelly Meehan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841474020 PECOS PAC ID: 7911145933 Enrollment ID: I20161018002272 |
| Provider Name | Zain Javed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437592888 PECOS PAC ID: 3476853821 Enrollment ID: I20161028001783 |
| Provider Name | David Leng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003074428 PECOS PAC ID: 6204126634 Enrollment ID: I20161108000665 |
| Provider Name | Tanikka Fevrier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619316932 PECOS PAC ID: 1951680230 Enrollment ID: I20161108002597 |
| Provider Name | Kasandra Scales |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023378247 PECOS PAC ID: 1658650999 Enrollment ID: I20161109001935 |
| Provider Name | Chineta R Eure Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356377238 PECOS PAC ID: 5698703999 Enrollment ID: I20161128001960 |
| Provider Name | Michael P O Reilly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730355447 PECOS PAC ID: 4789751991 Enrollment ID: I20161128002042 |
| Provider Name | Vincent Dam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700014602 PECOS PAC ID: 0345467130 Enrollment ID: I20161201001236 |
| Provider Name | Hetti Thantrige Hiruni Wathsala Wickramasinghe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730496415 PECOS PAC ID: 8527201375 Enrollment ID: I20161205001330 |
| Provider Name | Amy W Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962660985 PECOS PAC ID: 8729304589 Enrollment ID: I20161207002179 |
| Provider Name | Kamyar Sartip |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417089624 PECOS PAC ID: 0749453470 Enrollment ID: I20161209000717 |
| Provider Name | Anthony G Ho |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780900498 PECOS PAC ID: 2668760232 Enrollment ID: I20170109001403 |
| Provider Name | Colin Grant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790912368 PECOS PAC ID: 9436432697 Enrollment ID: I20170220002013 |
| Provider Name | Corina Freitas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699118471 PECOS PAC ID: 7810206703 Enrollment ID: I20170306002247 |
| Provider Name | Rupali Singla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285046508 PECOS PAC ID: 8022392372 Enrollment ID: I20170315000515 |
| Provider Name | Lisa Watts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992926158 PECOS PAC ID: 5698820116 Enrollment ID: I20170327002202 |
| Provider Name | Lindsey Nelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568478758 PECOS PAC ID: 7517949621 Enrollment ID: I20170531001055 |
| Provider Name | Mary Eddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871931147 PECOS PAC ID: 9133429905 Enrollment ID: I20170622000238 |
| Provider Name | Ramin R Saket |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457564460 PECOS PAC ID: 8527198779 Enrollment ID: I20170627000245 |
| Provider Name | Merkeza Grant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316177066 PECOS PAC ID: 6901046390 Enrollment ID: I20170628000610 |
| Provider Name | Peter Y Shen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396900734 PECOS PAC ID: 8325223498 Enrollment ID: I20170628001797 |
| Provider Name | Alean I Cook-palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366454290 PECOS PAC ID: 5799784542 Enrollment ID: I20170727002969 |
| Provider Name | Brenna E Reilly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497136998 PECOS PAC ID: 2961794540 Enrollment ID: I20170802003005 |
| Provider Name | Mark Mamlouk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720248388 PECOS PAC ID: 0749403244 Enrollment ID: I20170802003486 |
| Provider Name | Viola I Winata |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255724456 PECOS PAC ID: 8325318256 Enrollment ID: I20170822002889 |
| Provider Name | Sam Baker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992887798 PECOS PAC ID: 5395934566 Enrollment ID: I20170829002897 |
| Provider Name | Deepa Mony |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699953117 PECOS PAC ID: 4688947914 Enrollment ID: I20170907001566 |
| Provider Name | Michael S Baek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215377742 PECOS PAC ID: 7517191091 Enrollment ID: I20170918001113 |
| Provider Name | Wallisa T Vaughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992990238 PECOS PAC ID: 7618021502 Enrollment ID: I20170918002301 |
| Provider Name | Krystilyn Washington |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831432251 PECOS PAC ID: 4284909243 Enrollment ID: I20171002002901 |
| Provider Name | Sarah Muradian Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700205895 PECOS PAC ID: 8921374208 Enrollment ID: I20171101001898 |
| Provider Name | Juan Ortiz Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992118061 PECOS PAC ID: 8325304512 Enrollment ID: I20171103000424 |
| Provider Name | Lindsay Schmid-fertig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306285333 PECOS PAC ID: 1557627445 Enrollment ID: I20171109000282 |
| Provider Name | Zakiya Sadeq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922448513 PECOS PAC ID: 0244502003 Enrollment ID: I20171115001854 |
| Provider Name | Rachel Marquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487068268 PECOS PAC ID: 4486962933 Enrollment ID: I20171201002522 |
| Provider Name | Poonam Maru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780974329 PECOS PAC ID: 8123260197 Enrollment ID: I20171205003075 |
| Provider Name | Sachin Nagrani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790945624 PECOS PAC ID: 9931371515 Enrollment ID: I20180305000420 |
| Provider Name | Deepinder Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356734917 PECOS PAC ID: 7618295478 Enrollment ID: I20180516001966 |
| Provider Name | Zachary Fisher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235105073 PECOS PAC ID: 6507914579 Enrollment ID: I20180529000099 |
| Provider Name | Amarnath G Sortur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730171950 PECOS PAC ID: 1355236399 Enrollment ID: I20180530000014 |
| Provider Name | Humaira Siddiqi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245536283 PECOS PAC ID: 6709037393 Enrollment ID: I20180613001899 |
| Provider Name | Prabhat P Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942597463 PECOS PAC ID: 1456571595 Enrollment ID: I20180807002197 |
| Provider Name | Riley Dubois |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538556220 PECOS PAC ID: 9739488974 Enrollment ID: I20180907001065 |
| Provider Name | Hanan Elmasry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679008445 PECOS PAC ID: 2365793114 Enrollment ID: I20180918003817 |
| Provider Name | Timothy Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578893947 PECOS PAC ID: 9234307026 Enrollment ID: I20181009000680 |
| Provider Name | Elena Short |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023499514 PECOS PAC ID: 1951654953 Enrollment ID: I20181022000263 |
| Provider Name | Coleen Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235513664 PECOS PAC ID: 9032462932 Enrollment ID: I20181023001508 |
| Provider Name | Shannon M Dawson-richardson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194796250 PECOS PAC ID: 1254510563 Enrollment ID: I20181119000120 |
| Provider Name | Brandon Mcelroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740620657 PECOS PAC ID: 3274855945 Enrollment ID: I20181119001995 |
| Provider Name | Marium Mujahid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336553528 PECOS PAC ID: 6507170107 Enrollment ID: I20181203003446 |
| Provider Name | Anil Taneja |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396736005 PECOS PAC ID: 5193977742 Enrollment ID: I20181205003233 |
| Provider Name | Benjamin Galper |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104085141 PECOS PAC ID: 3375677461 Enrollment ID: I20181205003752 |
| Provider Name | Jocelyn Scheinert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295998227 PECOS PAC ID: 8729221411 Enrollment ID: I20181206000172 |
| Provider Name | Merav Galper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881980977 PECOS PAC ID: 6103110440 Enrollment ID: I20181206002945 |
| Provider Name | Mark Naftanel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1801913561 PECOS PAC ID: 4082751474 Enrollment ID: I20181210000491 |
| Provider Name | Patrice Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083113401 PECOS PAC ID: 4385988781 Enrollment ID: I20181211002329 |
| Provider Name | Sudip Saha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588809552 PECOS PAC ID: 8426207341 Enrollment ID: I20181212001561 |
| Provider Name | Anjum Bandarkar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336463090 PECOS PAC ID: 8921139411 Enrollment ID: I20181214002242 |
| Provider Name | Mala Bakshi Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881744324 PECOS PAC ID: 4385635838 Enrollment ID: I20181218001139 |
| Provider Name | Daniel John Short |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366704066 PECOS PAC ID: 5991026510 Enrollment ID: I20181218003269 |
| Provider Name | David Krug |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356516298 PECOS PAC ID: 8628128592 Enrollment ID: I20181218003382 |
| Provider Name | Jeffry Hatcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821023920 PECOS PAC ID: 1355347451 Enrollment ID: I20181219000350 |
| Provider Name | Kurt S Wenk |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639337033 PECOS PAC ID: 7911295449 Enrollment ID: I20181219001246 |
| Provider Name | Jonathan Abraham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831486232 PECOS PAC ID: 3072824119 Enrollment ID: I20181220000899 |
| Provider Name | Nikhil Oak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174844914 PECOS PAC ID: 5294013694 Enrollment ID: I20181220003463 |
| Provider Name | Dawn C Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356328413 PECOS PAC ID: 3274705009 Enrollment ID: I20181228002504 |
| Provider Name | Ogechi Opara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811264971 PECOS PAC ID: 4486973492 Enrollment ID: I20190104002300 |
| Provider Name | Alexander Jow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336383587 PECOS PAC ID: 4284899238 Enrollment ID: I20190107000920 |
| Provider Name | Adebunmi Adeyiga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801057062 PECOS PAC ID: 4486827912 Enrollment ID: I20190109002574 |
| Provider Name | Nancy Selim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750516340 PECOS PAC ID: 5193862142 Enrollment ID: I20190110002486 |
| Provider Name | Farah Zeshan Abdulsalam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417952367 PECOS PAC ID: 1850367616 Enrollment ID: I20190114002503 |
| Provider Name | Amy Lynne Banulis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730240920 PECOS PAC ID: 8123055167 Enrollment ID: I20190123004130 |
| Provider Name | Romy Ott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205078557 PECOS PAC ID: 3971891383 Enrollment ID: I20190124003850 |
| Provider Name | Kunal Dipak Kothari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952692584 PECOS PAC ID: 7416247424 Enrollment ID: I20190313001125 |
| Provider Name | Hussan Mohammed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982963914 PECOS PAC ID: 5698042737 Enrollment ID: I20190320000156 |
| Provider Name | Alexis Crawley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063703072 PECOS PAC ID: 4183980881 Enrollment ID: I20190327001659 |
| Provider Name | Anita Tang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386779494 PECOS PAC ID: 0446490395 Enrollment ID: I20190417002314 |
| Provider Name | Zuleima Chism |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861864225 PECOS PAC ID: 0840589040 Enrollment ID: I20190430000023 |
| Provider Name | Brittany Lynn Heffner |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1861806457 PECOS PAC ID: 6002168150 Enrollment ID: I20190503001205 |
| Provider Name | Lynda Seeta Tilluckdharry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477617397 PECOS PAC ID: 3375826167 Enrollment ID: I20190515001996 |
| Provider Name | Mojgan Afshari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831520352 PECOS PAC ID: 8820316581 Enrollment ID: I20190614002611 |
| Provider Name | Tejal Dharia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306133913 PECOS PAC ID: 9739496514 Enrollment ID: I20190618003516 |
| Provider Name | Elizabeth Miles Whitman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942435896 PECOS PAC ID: 1850555178 Enrollment ID: I20190620002817 |
| Provider Name | Alexis Mccabe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124446349 PECOS PAC ID: 7618222357 Enrollment ID: I20190624002302 |
| Provider Name | Sonja Borgstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184942989 PECOS PAC ID: 9638302284 Enrollment ID: I20190627000947 |
| Provider Name | Yasmin Kimberly Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104064583 PECOS PAC ID: 2668616855 Enrollment ID: I20190701001383 |
| Provider Name | Anh Butz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891181327 PECOS PAC ID: 8325352057 Enrollment ID: I20190723000905 |
| Provider Name | Iva Ferreira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750547477 PECOS PAC ID: 6103042528 Enrollment ID: I20190723002854 |
| Provider Name | My-linh Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538422050 PECOS PAC ID: 9931340551 Enrollment ID: I20190725001006 |
| Provider Name | Neal Desai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376742379 PECOS PAC ID: 9032281233 Enrollment ID: I20190725002031 |
| Provider Name | Pankaj Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699017095 PECOS PAC ID: 9032453493 Enrollment ID: I20190725002079 |
| Provider Name | Musaab Esmael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902251648 PECOS PAC ID: 8628305703 Enrollment ID: I20190820002804 |
| Provider Name | Linda Ruth Ojo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831432038 PECOS PAC ID: 9234435827 Enrollment ID: I20190826001204 |
| Provider Name | Susete Carneiro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003170853 PECOS PAC ID: 1951654805 Enrollment ID: I20190827000657 |
| Provider Name | Thomas Rammelkamp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336545326 PECOS PAC ID: 5193092492 Enrollment ID: I20190828002551 |
| Provider Name | Marissa Moultrie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235591769 PECOS PAC ID: 3971898651 Enrollment ID: I20190828002779 |
| Provider Name | Tanya Dhiren Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033381298 PECOS PAC ID: 2264624659 Enrollment ID: I20190828003929 |
| Provider Name | Robin Sinn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255537262 PECOS PAC ID: 4981798238 Enrollment ID: I20190829002060 |
| Provider Name | Sonya Adam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366692592 PECOS PAC ID: 1759448152 Enrollment ID: I20190904001247 |
| Provider Name | Teresa Ojode |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447677745 PECOS PAC ID: 9436377538 Enrollment ID: I20190921000105 |
| Provider Name | Carolyn Ming-wai Kwok Sanchez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316152200 PECOS PAC ID: 4880867837 Enrollment ID: I20191002002101 |
| Provider Name | Carolyn Mcdonald |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891957924 PECOS PAC ID: 8921318726 Enrollment ID: I20191004003048 |
| Provider Name | Lauren Irene White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720465941 PECOS PAC ID: 9032469184 Enrollment ID: I20191008002278 |
| Provider Name | Umair Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396033254 PECOS PAC ID: 4981857554 Enrollment ID: I20191016003509 |
| Provider Name | Karen M. Wells |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902062011 PECOS PAC ID: 1254573975 Enrollment ID: I20191016003783 |
| Provider Name | Molly C Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184086522 PECOS PAC ID: 2860775830 Enrollment ID: I20191028000119 |
| Provider Name | Jose Mira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669823118 PECOS PAC ID: 6204114432 Enrollment ID: I20191104000811 |
| Provider Name | Jayashree Seshadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659699718 PECOS PAC ID: 3870737851 Enrollment ID: I20191113001413 |
| Provider Name | Robert Antoniuk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285849117 PECOS PAC ID: 9436258944 Enrollment ID: I20191122002735 |
| Provider Name | Naznin Daginawala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811296080 PECOS PAC ID: 9234361882 Enrollment ID: I20191203001566 |
| Provider Name | Greg Bennett Buehler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407917719 PECOS PAC ID: 7113094004 Enrollment ID: I20191203002179 |
| Provider Name | Gretchen Leaman Brandt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659465292 PECOS PAC ID: 3870551864 Enrollment ID: I20191203002493 |
| Provider Name | Melissa Matthews |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669663993 PECOS PAC ID: 8224122072 Enrollment ID: I20191204002274 |
| Provider Name | Richard B Sisson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508020918 PECOS PAC ID: 0345414256 Enrollment ID: I20191205000008 |
| Provider Name | Gwendolynn T Naraghi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942726302 PECOS PAC ID: 7113254863 Enrollment ID: I20191206000337 |
| Provider Name | Michael Staloch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902831449 PECOS PAC ID: 0547264780 Enrollment ID: I20191206000674 |
| Provider Name | Reginald M Wallen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225194210 PECOS PAC ID: 6800784315 Enrollment ID: I20191210000007 |
| Provider Name | Hoang-anh Dang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629397849 PECOS PAC ID: 0446474050 Enrollment ID: I20191210002507 |
| Provider Name | Kathleen A Leary |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598891418 PECOS PAC ID: 8123166618 Enrollment ID: I20191211002314 |
| Provider Name | Jeffery A Gould |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992770275 PECOS PAC ID: 8729393327 Enrollment ID: I20191211002419 |
| Provider Name | Sameer Deshmukh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487881215 PECOS PAC ID: 6800053166 Enrollment ID: I20191213001594 |
| Provider Name | Jennifer Mary George Morcos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932207560 PECOS PAC ID: 7416914718 Enrollment ID: I20191216002112 |
| Provider Name | Dennis Truong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548478100 PECOS PAC ID: 3274727672 Enrollment ID: I20191217001069 |
| Provider Name | Leah Schulte |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134381783 PECOS PAC ID: 5991821761 Enrollment ID: I20191217002416 |
| Provider Name | Artur Treyster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275754475 PECOS PAC ID: 5991803579 Enrollment ID: I20191217003402 |
| Provider Name | Jason Michael Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508209263 PECOS PAC ID: 5395044226 Enrollment ID: I20191220002137 |
| Provider Name | Jonathan Bernard Menezes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023329802 PECOS PAC ID: 3870713654 Enrollment ID: I20191228000282 |
| Provider Name | Laurie Loope Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497162093 PECOS PAC ID: 2365663275 Enrollment ID: I20200113001149 |
| Provider Name | Nicholas C Monu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093031684 PECOS PAC ID: 2264650902 Enrollment ID: I20200115002470 |
| Provider Name | Sabriya Ansari |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295080687 PECOS PAC ID: 3779700802 Enrollment ID: I20200129002460 |
| Provider Name | David Insoo An |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972922862 PECOS PAC ID: 5092081000 Enrollment ID: I20200212001054 |
| Provider Name | Verniese L Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679969406 PECOS PAC ID: 4183051550 Enrollment ID: I20200224002669 |
| Provider Name | Nuru Robi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851558555 PECOS PAC ID: 9436305430 Enrollment ID: I20200310001160 |
| Provider Name | Christopher Bourke |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225456361 PECOS PAC ID: 2264721091 Enrollment ID: I20200408000590 |
| Provider Name | Terrence M Mulligan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548203920 PECOS PAC ID: 5597723627 Enrollment ID: I20200408001877 |
| Provider Name | Damien Parker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083875819 PECOS PAC ID: 0244669414 Enrollment ID: I20200409001518 |
| Provider Name | Emily Catherine Pastore |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336399195 PECOS PAC ID: 5092865634 Enrollment ID: I20200410002308 |
| Provider Name | Sonya Krolik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114090487 PECOS PAC ID: 2961439526 Enrollment ID: I20200417000406 |
| Provider Name | Nitinkumar Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104147602 PECOS PAC ID: 1759697956 Enrollment ID: I20200417001035 |
| Provider Name | Christopher Chan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750655403 PECOS PAC ID: 9335304161 Enrollment ID: I20200417001649 |
| Provider Name | Megha Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194144196 PECOS PAC ID: 7012283401 Enrollment ID: I20200420000091 |
| Provider Name | David Orange |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770557621 PECOS PAC ID: 7618909805 Enrollment ID: I20200420002243 |
| Provider Name | Christopher Mcginn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871835413 PECOS PAC ID: 1456660687 Enrollment ID: I20200420002517 |
| Provider Name | Jennifer Huckabee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689017345 PECOS PAC ID: 3375885551 Enrollment ID: I20200421000060 |
| Provider Name | Anita Mantha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598008740 PECOS PAC ID: 5395032114 Enrollment ID: I20200513000350 |
| Provider Name | Linda Thong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871723650 PECOS PAC ID: 9234277963 Enrollment ID: I20200608003102 |
| Provider Name | Mehran Khajavi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013136464 PECOS PAC ID: 8527155639 Enrollment ID: I20200616000003 |
| Provider Name | Rahiba Noor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871026807 PECOS PAC ID: 7214209675 Enrollment ID: I20200619000019 |
| Provider Name | Shreyas Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114363025 PECOS PAC ID: 9739329012 Enrollment ID: I20200629001689 |
| Provider Name | Nicole Scripsema |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386082261 PECOS PAC ID: 0244586147 Enrollment ID: I20200728002887 |
| Provider Name | Neil Kansal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457545477 PECOS PAC ID: 4880734250 Enrollment ID: I20200816000141 |
| Provider Name | Thuy-anh Melvin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790821767 PECOS PAC ID: 8729255500 Enrollment ID: I20200826003294 |
| Provider Name | Kimberly Fordham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881127173 PECOS PAC ID: 4385902824 Enrollment ID: I20200831001173 |
| Provider Name | Sarah Aley Chacko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336636893 PECOS PAC ID: 2567711138 Enrollment ID: I20200908002132 |
| Provider Name | William Stallard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740694561 PECOS PAC ID: 5092017012 Enrollment ID: I20201019000087 |
| Provider Name | Kai Li |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912310905 PECOS PAC ID: 9931326790 Enrollment ID: I20201020000055 |
| Provider Name | Samwiri Mukasa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982014817 PECOS PAC ID: 2961730437 Enrollment ID: I20201102000878 |
| Provider Name | Mitchell Axelrod |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134278252 PECOS PAC ID: 0446146849 Enrollment ID: I20201109001105 |
| Provider Name | Alice Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235558214 PECOS PAC ID: 5294007241 Enrollment ID: I20201120000010 |
| Provider Name | Janet Alcorn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780754549 PECOS PAC ID: 8527244490 Enrollment ID: I20201202000641 |
| Provider Name | Bill Alexander |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982744371 PECOS PAC ID: 9032341862 Enrollment ID: I20201209001779 |
| Provider Name | Brandon Lewis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548636129 PECOS PAC ID: 8820306251 Enrollment ID: I20210202001584 |
| Provider Name | Hemapriya Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750582318 PECOS PAC ID: 2163560798 Enrollment ID: I20210322000429 |
| Provider Name | Tulsi Mehta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104890185 PECOS PAC ID: 8224073853 Enrollment ID: I20210326000405 |
| Provider Name | Abdel Baset Al Shaar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740401710 PECOS PAC ID: 8426078114 Enrollment ID: I20210524000679 |
| Provider Name | Julie Ambrose |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043263163 PECOS PAC ID: 1456537760 Enrollment ID: I20210524002079 |
| Provider Name | Holly Batal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700811361 PECOS PAC ID: 4880652106 Enrollment ID: I20210526000427 |
| Provider Name | Shrey Carpenter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821475823 PECOS PAC ID: 6608185459 Enrollment ID: I20210526001495 |
| Provider Name | Alejandra Bustillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326466442 PECOS PAC ID: 5991074643 Enrollment ID: I20210527000972 |
| Provider Name | Shuo Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114260312 PECOS PAC ID: 0446557466 Enrollment ID: I20210527001966 |
| Provider Name | Leigh Boldt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841368198 PECOS PAC ID: 6305035163 Enrollment ID: I20210527002056 |
| Provider Name | Idongesit Attang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114312758 PECOS PAC ID: 1658660634 Enrollment ID: I20210527002117 |
| Provider Name | Beverly Darnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003004839 PECOS PAC ID: 6901848787 Enrollment ID: I20210527002411 |
| Provider Name | Rebecca Fitch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184849796 PECOS PAC ID: 9739210832 Enrollment ID: I20210603000086 |
| Provider Name | Janet Dougherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669443644 PECOS PAC ID: 0547441396 Enrollment ID: I20210604000791 |
| Provider Name | Jasmine Finch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558780726 PECOS PAC ID: 3375845985 Enrollment ID: I20210604000945 |
| Provider Name | Sevag Bananian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770578460 PECOS PAC ID: 7810992427 Enrollment ID: I20210604001406 |
| Provider Name | Liliana Gomez-medley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992945257 PECOS PAC ID: 7517017544 Enrollment ID: I20210608002140 |
| Provider Name | Yu Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053568436 PECOS PAC ID: 9739228982 Enrollment ID: I20210615001454 |
| Provider Name | Sukirti Sharma |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558800201 PECOS PAC ID: 1456751296 Enrollment ID: I20210615002768 |
| Provider Name | Omid Rashidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972711943 PECOS PAC ID: 0143378547 Enrollment ID: I20210617000055 |
| Provider Name | Esther Rhee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801156096 PECOS PAC ID: 7012130552 Enrollment ID: I20210617000173 |
| Provider Name | Kusuma Nanduri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336247113 PECOS PAC ID: 7416979703 Enrollment ID: I20210617000414 |
| Provider Name | Adriana Montesinos Araujo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275928921 PECOS PAC ID: 0648524835 Enrollment ID: I20210617002338 |
| Provider Name | Leena Kosandal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679710776 PECOS PAC ID: 6305029380 Enrollment ID: I20210617003125 |
| Provider Name | Azadeh Sami |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134356488 PECOS PAC ID: 4486883055 Enrollment ID: I20210618000045 |
| Provider Name | Aisulu Nurgozha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366829921 PECOS PAC ID: 2466705363 Enrollment ID: I20210618000764 |
| Provider Name | Meaza Gebreselassie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164595450 PECOS PAC ID: 1850381229 Enrollment ID: I20210618000910 |
| Provider Name | Minh-hai Ngo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467835215 PECOS PAC ID: 5890084909 Enrollment ID: I20210618001191 |
| Provider Name | Andaleeb Rahman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013367564 PECOS PAC ID: 4284926155 Enrollment ID: I20210621000899 |
| Provider Name | Claria Prior |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215374640 PECOS PAC ID: 6002111994 Enrollment ID: I20210621001033 |
| Provider Name | Carole Shaddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750611919 PECOS PAC ID: 3870771678 Enrollment ID: I20210621001363 |
| Provider Name | Rukmani Sivalingam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245422732 PECOS PAC ID: 3173662285 Enrollment ID: I20210621001387 |
| Provider Name | Jeannette Tao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528295342 PECOS PAC ID: 5597993709 Enrollment ID: I20210622000624 |
| Provider Name | Cassandra Sims |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790986594 PECOS PAC ID: 6507939717 Enrollment ID: I20210622000629 |
| Provider Name | Christopher Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871975235 PECOS PAC ID: 9335447374 Enrollment ID: I20210622000794 |
| Provider Name | Getachew Tefferra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770625907 PECOS PAC ID: 6507950136 Enrollment ID: I20210622000934 |
| Provider Name | Minh-chau Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679913230 PECOS PAC ID: 0143440834 Enrollment ID: I20210622001820 |
| Provider Name | Margaret Rockwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457662660 PECOS PAC ID: 1557538030 Enrollment ID: I20210622002026 |
| Provider Name | Ashley Tennyson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811283385 PECOS PAC ID: 2466607924 Enrollment ID: I20210623001650 |
| Provider Name | Donna Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750468344 PECOS PAC ID: 2668518895 Enrollment ID: I20210630001811 |
| Provider Name | Natasha Ang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134418650 PECOS PAC ID: 8325263593 Enrollment ID: I20210701003637 |
| Provider Name | Karin Dodge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124186028 PECOS PAC ID: 2264427699 Enrollment ID: I20210702000489 |
| Provider Name | Beatrice Digen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114344165 PECOS PAC ID: 7214236405 Enrollment ID: I20210708002209 |
| Provider Name | Matthew Hahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841454600 PECOS PAC ID: 6709922271 Enrollment ID: I20210712001400 |
| Provider Name | Kajal Dasgupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003882150 PECOS PAC ID: 1850304122 Enrollment ID: I20210712002141 |
| Provider Name | Anne A Halsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265870703 PECOS PAC ID: 6608179080 Enrollment ID: I20210712002212 |
| Provider Name | Nivedita Mohanty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215000427 PECOS PAC ID: 3072641802 Enrollment ID: I20210714001263 |
| Provider Name | Christie Youssef |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902112923 PECOS PAC ID: 4486807575 Enrollment ID: I20210714002606 |
| Provider Name | Brandon M Lewko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255865275 PECOS PAC ID: 6608144506 Enrollment ID: I20210715000044 |
| Provider Name | Andy Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487016051 PECOS PAC ID: 6305182411 Enrollment ID: I20210715001546 |
| Provider Name | Dan Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760528095 PECOS PAC ID: 6002961786 Enrollment ID: I20210715003528 |
| Provider Name | Angela Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629252663 PECOS PAC ID: 4688868862 Enrollment ID: I20210720000780 |
| Provider Name | Geoffrey S Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962579037 PECOS PAC ID: 8820083744 Enrollment ID: I20210722000445 |
| Provider Name | Maurice Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396825378 PECOS PAC ID: 3870621550 Enrollment ID: I20210723001903 |
| Provider Name | Heather Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700223195 PECOS PAC ID: 9537455050 Enrollment ID: I20210805001864 |
| Provider Name | Gurleen Pahal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831694470 PECOS PAC ID: 0042568198 Enrollment ID: I20210810002094 |
| Provider Name | Rhanda Abd-elfattah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306286968 PECOS PAC ID: 8628391042 Enrollment ID: I20210901002540 |
| Provider Name | Humaira Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407909781 PECOS PAC ID: 0244379394 Enrollment ID: I20210901003112 |
| Provider Name | Ashlee Metcalf Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649536293 PECOS PAC ID: 2567778012 Enrollment ID: I20210902000501 |
| Provider Name | Sherry Weinstein Mayer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013072271 PECOS PAC ID: 6204868235 Enrollment ID: I20210902002413 |
| Provider Name | Lisa Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790846889 PECOS PAC ID: 2668502543 Enrollment ID: I20210902003438 |
| Provider Name | Nidhi Khosla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811227267 PECOS PAC ID: 5496046815 Enrollment ID: I20210907001043 |
| Provider Name | Jennifer Gourdin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194168385 PECOS PAC ID: 0840599098 Enrollment ID: I20210915000466 |
| Provider Name | Carma Yaghi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811423171 PECOS PAC ID: 6608127857 Enrollment ID: I20210915003300 |
| Provider Name | Glen Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780757062 PECOS PAC ID: 6507902822 Enrollment ID: I20210916000071 |
| Provider Name | Elizabeth Biru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457342230 PECOS PAC ID: 5597704767 Enrollment ID: I20210916000100 |
| Provider Name | Athreya Tata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538651468 PECOS PAC ID: 3971858564 Enrollment ID: I20210916000206 |
| Provider Name | Sonal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568535888 PECOS PAC ID: 7012068828 Enrollment ID: I20210927000398 |
| Provider Name | Shamil Roman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891386090 PECOS PAC ID: 3577960723 Enrollment ID: I20210930001554 |
| Provider Name | Ron Menorca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124407275 PECOS PAC ID: 1052681780 Enrollment ID: I20211007001654 |
| Provider Name | Manan Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447748991 PECOS PAC ID: 1254739006 Enrollment ID: I20211007002625 |
| Provider Name | Katrice Goff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194275032 PECOS PAC ID: 5193123461 Enrollment ID: I20211018002303 |
| Provider Name | Taylor English |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871975326 PECOS PAC ID: 4385991157 Enrollment ID: I20211129001131 |
| Provider Name | Luis Ruiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386802700 PECOS PAC ID: 5294793972 Enrollment ID: I20211129001419 |
| Provider Name | Karin Kuhn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861403560 PECOS PAC ID: 0648375857 Enrollment ID: I20211129001839 |
| Provider Name | Yves Chretien |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437597267 PECOS PAC ID: 4082842018 Enrollment ID: I20211203001751 |
| Provider Name | Samuel Jonas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851718985 PECOS PAC ID: 1850524729 Enrollment ID: I20211220001647 |
| Provider Name | Constance Raines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801467493 PECOS PAC ID: 9739571340 Enrollment ID: I20220119002106 |
| Provider Name | Marina Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033713680 PECOS PAC ID: 8527479302 Enrollment ID: I20220218001562 |
| Provider Name | Nidhi Agrawal |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1043625726 PECOS PAC ID: 4082960356 Enrollment ID: I20220310002529 |
| Provider Name | Monica Bajracharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548602865 PECOS PAC ID: 2062709033 Enrollment ID: I20220418000401 |
| Provider Name | Ashley Wongk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295120723 PECOS PAC ID: 4082012968 Enrollment ID: I20220607000480 |
| Provider Name | Mohammad Sheraz Waris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427373638 PECOS PAC ID: 2860629243 Enrollment ID: I20220617000039 |
| Provider Name | Ngoc Hanh Thi Vo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598404709 PECOS PAC ID: 0446630727 Enrollment ID: I20220705000141 |
| Provider Name | Amelie Bumatay Brasher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114593332 PECOS PAC ID: 3476933482 Enrollment ID: I20220708000994 |
| Provider Name | Omid Manoochehri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609373638 PECOS PAC ID: 8729323209 Enrollment ID: I20220714001400 |
| Provider Name | Hengameh Mesbahi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538101266 PECOS PAC ID: 0941293559 Enrollment ID: I20220726003129 |
| Provider Name | Stephen Lesche |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992160303 PECOS PAC ID: 2163804782 Enrollment ID: I20220729000092 |
| Provider Name | Shahine Baghai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831414374 PECOS PAC ID: 0840581302 Enrollment ID: I20220729002289 |
| Provider Name | Sara Mukherjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235207671 PECOS PAC ID: 5597811646 Enrollment ID: I20220802000939 |
| Provider Name | Nicole A Lyte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194040170 PECOS PAC ID: 3072944891 Enrollment ID: I20220803001285 |
| Provider Name | Amanda Glynne Borden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770043002 PECOS PAC ID: 8921480195 Enrollment ID: I20220804000782 |
| Provider Name | Matthew Kinney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457609323 PECOS PAC ID: 0749536621 Enrollment ID: I20220816002641 |
| Provider Name | Richa Tahiliani Katyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073177093 PECOS PAC ID: 2961737028 Enrollment ID: I20220819000574 |
| Provider Name | Gina Koo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437709383 PECOS PAC ID: 7719393123 Enrollment ID: I20220822000803 |
| Provider Name | Natalia Berry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780810291 PECOS PAC ID: 3173786746 Enrollment ID: I20220822000906 |
| Provider Name | Frank Mullens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720050198 PECOS PAC ID: 1254734940 Enrollment ID: I20220822000993 |
| Provider Name | Patricia Obrien |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760558902 PECOS PAC ID: 4789671678 Enrollment ID: I20220830001556 |
| Provider Name | Payam Sajedi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316200769 PECOS PAC ID: 9133427545 Enrollment ID: I20220830004115 |
| Provider Name | Kanesha Kierra Mcbee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245809391 PECOS PAC ID: 2062896475 Enrollment ID: I20220902002492 |
| Provider Name | Victor Josiah Wongk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386027175 PECOS PAC ID: 2567846652 Enrollment ID: I20220909000394 |
| Provider Name | Jennifer Gillman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023405636 PECOS PAC ID: 3072919919 Enrollment ID: I20220912001322 |
| Provider Name | Sameer Oak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154784049 PECOS PAC ID: 3274826292 Enrollment ID: I20220917000138 |
| Provider Name | Sha Nita Brennan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134410202 PECOS PAC ID: 0446472823 Enrollment ID: I20220927000352 |
| Provider Name | James Liu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013391457 PECOS PAC ID: 8729336961 Enrollment ID: I20220928001837 |
| Provider Name | Darrell Wright |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184074536 PECOS PAC ID: 0749564235 Enrollment ID: I20220928002593 |
| Provider Name | Bassel Beitinjaneh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1659547677 PECOS PAC ID: 6709947443 Enrollment ID: I20220929001710 |
| Provider Name | Chana-rivka Abramson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285037291 PECOS PAC ID: 4688947898 Enrollment ID: I20220929002893 |
| Provider Name | Omkar Baxi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811317845 PECOS PAC ID: 8921423062 Enrollment ID: I20221014003009 |
| Provider Name | Kahlil Ashley Gaiters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982257960 PECOS PAC ID: 2365854148 Enrollment ID: I20221024000313 |
| Provider Name | Ifeolumipo O Sofola |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578621256 PECOS PAC ID: 3072574771 Enrollment ID: I20221026000761 |
| Provider Name | Joshpaul Jolly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174941611 PECOS PAC ID: 3870910037 Enrollment ID: I20221109003125 |
| Provider Name | Gabriela Ponce |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568968337 PECOS PAC ID: 5092183426 Enrollment ID: I20221116001293 |
| Provider Name | Joseph Okai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295198448 PECOS PAC ID: 2769776665 Enrollment ID: I20221205000672 |
| Provider Name | Spencer T Tseng |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1790853117 PECOS PAC ID: 2062474364 Enrollment ID: I20221223001134 |
| Provider Name | John J Reyes-castano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073770145 PECOS PAC ID: 1254593056 Enrollment ID: I20230119000228 |
| Provider Name | Wendy Ann Hutcheson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326111667 PECOS PAC ID: 8224170493 Enrollment ID: I20230120001920 |
| Provider Name | Janet Tuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396898698 PECOS PAC ID: 5294625182 Enrollment ID: I20230123000242 |
| Provider Name | Mital Sarada |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467990309 PECOS PAC ID: 2062812290 Enrollment ID: I20230125000450 |
| Provider Name | Elizabeth Levin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417214198 PECOS PAC ID: 9537496948 Enrollment ID: I20230125002697 |
| Provider Name | Jason Singer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639600406 PECOS PAC ID: 3678908365 Enrollment ID: I20230126001120 |
| Provider Name | Lakshmi Lattimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629242680 PECOS PAC ID: 6709059058 Enrollment ID: I20230126002648 |
| Provider Name | Gwendolyn Garnett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265692818 PECOS PAC ID: 7416260625 Enrollment ID: I20230126002897 |
| Provider Name | Colleen Meehan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639599772 PECOS PAC ID: 6709159346 Enrollment ID: I20230127001311 |
| Provider Name | Michael Bechara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639632680 PECOS PAC ID: 0244612240 Enrollment ID: I20230127002466 |
| Provider Name | Ifeoma Nwaneri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356579262 PECOS PAC ID: 1759501513 Enrollment ID: I20230127002842 |
| Provider Name | Saman Azam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578025268 PECOS PAC ID: 2567847593 Enrollment ID: I20230130000903 |
| Provider Name | Duosha Hu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174940381 PECOS PAC ID: 6901039189 Enrollment ID: I20230130001580 |
| Provider Name | Rebecca King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568816478 PECOS PAC ID: 0648550145 Enrollment ID: I20230131000512 |
| Provider Name | Edwin Contreras |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790340073 PECOS PAC ID: 7416355987 Enrollment ID: I20230131001101 |
| Provider Name | Rinal Goel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982066114 PECOS PAC ID: 1052710050 Enrollment ID: I20230131001447 |
| Provider Name | Gao Chen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437418977 PECOS PAC ID: 2769709625 Enrollment ID: I20230131001636 |
| Provider Name | Ryan Ahalt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932126737 PECOS PAC ID: 3971504689 Enrollment ID: I20230201002728 |
| Provider Name | Plomarz Irani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407038383 PECOS PAC ID: 4082791249 Enrollment ID: I20230201003378 |
| Provider Name | Gebremedhin Yohannes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619916087 PECOS PAC ID: 9133136013 Enrollment ID: I20230202000733 |
| Provider Name | Fereshteh Sani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467742312 PECOS PAC ID: 5395048631 Enrollment ID: I20230203000534 |
| Provider Name | Rubina Khair |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316259542 PECOS PAC ID: 6901042571 Enrollment ID: I20230222001143 |
| Provider Name | Alexa Thompson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669148177 PECOS PAC ID: 0840689972 Enrollment ID: I20230227001646 |
| Provider Name | Kaitlin Harper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114350501 PECOS PAC ID: 8224303292 Enrollment ID: I20230308002099 |
| Provider Name | Louisa Agyeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124478631 PECOS PAC ID: 8527351022 Enrollment ID: I20230328000604 |
| Provider Name | Neda Ahmadi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649429549 PECOS PAC ID: 8123274669 Enrollment ID: I20230331001094 |
| Provider Name | Carrie Battaglia |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316692098 PECOS PAC ID: 8426423328 Enrollment ID: I20230406001436 |
| Provider Name | Ashley Humphrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346952538 PECOS PAC ID: 0446625016 Enrollment ID: I20230412003015 |
| Provider Name | Priyesh Kurup |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962685206 PECOS PAC ID: 6305913849 Enrollment ID: I20230420000431 |
| Provider Name | Kim Jiramongkolchai |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639480676 PECOS PAC ID: 0749408375 Enrollment ID: I20230427001635 |
| Provider Name | Kerri Lynn Murphy-auito |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619187515 PECOS PAC ID: 3678938537 Enrollment ID: I20230427001690 |
| Provider Name | Jonathan Perry Kruger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538220041 PECOS PAC ID: 4284773185 Enrollment ID: I20230504001094 |
| Provider Name | John J Whyte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881713378 PECOS PAC ID: 9335386580 Enrollment ID: I20230519001956 |
| Provider Name | Kishore Jayakumar |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1104321942 PECOS PAC ID: 2769851971 Enrollment ID: I20230523002566 |
| Provider Name | Phoebe Chen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427639426 PECOS PAC ID: 2264817436 Enrollment ID: I20230524000456 |
| Provider Name | Mitchell Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528408952 PECOS PAC ID: 6204118276 Enrollment ID: I20230606000033 |
| Provider Name | Amit Luhadiya |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376565259 PECOS PAC ID: 6507868775 Enrollment ID: I20230607000972 |
| Provider Name | Charu Maheshwary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902088404 PECOS PAC ID: 3274679584 Enrollment ID: I20230608002444 |
| Provider Name | Christine Mativo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760697924 PECOS PAC ID: 3870619703 Enrollment ID: I20230612001844 |
| Provider Name | Malkit Singh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497175681 PECOS PAC ID: 2668734997 Enrollment ID: I20230613002288 |
| Provider Name | Mohammad Mehmood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033438791 PECOS PAC ID: 5092984344 Enrollment ID: I20230613002678 |
| Provider Name | Archana Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972862860 PECOS PAC ID: 4284942400 Enrollment ID: I20230615003128 |
| Provider Name | Ryan Cho |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770031023 PECOS PAC ID: 1355751355 Enrollment ID: I20230615003332 |
| Provider Name | Tawfiq Khoury |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750709432 PECOS PAC ID: 2567797806 Enrollment ID: I20230707000209 |
| Provider Name | Ren Ariizumi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255832762 PECOS PAC ID: 4486038668 Enrollment ID: I20230711003325 |
| Provider Name | Margaret Schwiesow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346561610 PECOS PAC ID: 9537456488 Enrollment ID: I20230720001423 |
| Provider Name | Katherine Arthur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366718033 PECOS PAC ID: 2668730102 Enrollment ID: I20230720001931 |
| Provider Name | Stephen Scranton |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1336174671 PECOS PAC ID: 4284863077 Enrollment ID: I20230724000087 |
| Provider Name | Changjin Seo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689986432 PECOS PAC ID: 2769625607 Enrollment ID: I20230725001128 |
| Provider Name | Naeem Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821012360 PECOS PAC ID: 5991708026 Enrollment ID: I20230726001691 |
| Provider Name | Mutsa Nyakabau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568859437 PECOS PAC ID: 3173827490 Enrollment ID: I20230726001918 |
| Provider Name | Tatek Teshome |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225430184 PECOS PAC ID: 2365742509 Enrollment ID: I20230801001218 |
| Provider Name | Alicia Sussman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427273739 PECOS PAC ID: 8022202167 Enrollment ID: I20230802002464 |
| Provider Name | Kyle Burton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912468745 PECOS PAC ID: 8224362496 Enrollment ID: I20230803000967 |
| Provider Name | Jamil Bayram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174599310 PECOS PAC ID: 6709853898 Enrollment ID: I20230807003784 |
| Provider Name | Melanie Josephine Bukhari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083058226 PECOS PAC ID: 8921240276 Enrollment ID: I20230808001703 |
| Provider Name | Brooks Briel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336632421 PECOS PAC ID: 1153675962 Enrollment ID: I20230808001992 |
| Provider Name | Alexandra Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467895284 PECOS PAC ID: 3173764768 Enrollment ID: I20230808002497 |
| Provider Name | Joseph Goodman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871760140 PECOS PAC ID: 2466608518 Enrollment ID: I20230810000814 |
| Provider Name | Danoucheka I Gelin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811526130 PECOS PAC ID: 7315309119 Enrollment ID: I20230810002398 |
| Provider Name | Reid Vegeler |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1043471121 PECOS PAC ID: 5294955100 Enrollment ID: I20230810003003 |
| Provider Name | Tami Tiamfook-morgan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689659666 PECOS PAC ID: 7416021431 Enrollment ID: I20230810004333 |
| Provider Name | Melanie Pham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841797370 PECOS PAC ID: 4789096157 Enrollment ID: I20230811001779 |
| Provider Name | Dawn Torres |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063443968 PECOS PAC ID: 5294972279 Enrollment ID: I20230811002765 |
| Provider Name | Kelly Liesse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013458454 PECOS PAC ID: 1759784333 Enrollment ID: I20230816000691 |
| Provider Name | Adam Toren |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639313646 PECOS PAC ID: 8426207358 Enrollment ID: I20230816002821 |
| Provider Name | Shideh Shadan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497827224 PECOS PAC ID: 9133318827 Enrollment ID: I20230817001521 |
| Provider Name | Tonda Wooten |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841641974 PECOS PAC ID: 8325373145 Enrollment ID: I20230818003454 |
| Provider Name | Tim Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346425634 PECOS PAC ID: 8325173289 Enrollment ID: I20230818003507 |
| Provider Name | Matthew Dong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427347095 PECOS PAC ID: 3173825122 Enrollment ID: I20230828002991 |
| Provider Name | Eldrige Pineda |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033378922 PECOS PAC ID: 4789832676 Enrollment ID: I20230830004453 |
| Provider Name | Faryal Afridi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184145245 PECOS PAC ID: 6608149216 Enrollment ID: I20230905004169 |
| Provider Name | Amit Mehta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891104485 PECOS PAC ID: 1850792748 Enrollment ID: I20230906001747 |
| Provider Name | Daniel Hewes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558850784 PECOS PAC ID: 1557617032 Enrollment ID: I20230906003604 |
| Provider Name | Daniel Tadeo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144856287 PECOS PAC ID: 7719309657 Enrollment ID: I20230907000462 |
| Provider Name | Huai En Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972130524 PECOS PAC ID: 0042633356 Enrollment ID: I20230907001924 |
| Provider Name | Sameer Goel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073044897 PECOS PAC ID: 5193089779 Enrollment ID: I20230912002005 |
| Provider Name | Farah Ansari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487073391 PECOS PAC ID: 8820363740 Enrollment ID: I20230913000623 |
| Provider Name | Ayesha Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669000576 PECOS PAC ID: 4082078753 Enrollment ID: I20230913003061 |
| Provider Name | Victoria Clark |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619362183 PECOS PAC ID: 2163715335 Enrollment ID: I20230915000111 |
| Provider Name | Lisa Crisalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962031575 PECOS PAC ID: 5193189454 Enrollment ID: I20230921002687 |
| Provider Name | Avonelle Henry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134774490 PECOS PAC ID: 2860856143 Enrollment ID: I20230922001152 |
| Provider Name | Ian Christopher Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437788189 PECOS PAC ID: 5092179358 Enrollment ID: I20230922001258 |
| Provider Name | Christina Gabrielle Lipscombe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548720766 PECOS PAC ID: 2062876444 Enrollment ID: I20230922003494 |
| Provider Name | Moshe Chinn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316380421 PECOS PAC ID: 0749610046 Enrollment ID: I20230928000081 |
| Provider Name | Rameel Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790313534 PECOS PAC ID: 8921462847 Enrollment ID: I20230928001257 |
| Provider Name | Marietta Tan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932342698 PECOS PAC ID: 3870742919 Enrollment ID: I20231002000057 |
| Provider Name | Ankita Nagirimadugu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568993913 PECOS PAC ID: 3375889611 Enrollment ID: I20231002001619 |
| Provider Name | Gregory Prendergast |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881156719 PECOS PAC ID: 4587044235 Enrollment ID: I20231005000910 |
| Provider Name | Amy Prescott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184129942 PECOS PAC ID: 5799186219 Enrollment ID: I20231005003010 |
| Provider Name | Nishita Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588124168 PECOS PAC ID: 6305291600 Enrollment ID: I20231005003623 |
| Provider Name | Saleh Rachidi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447609615 PECOS PAC ID: 4183916497 Enrollment ID: I20231005003849 |
| Provider Name | Zachary Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306340062 PECOS PAC ID: 2668737172 Enrollment ID: I20231006001975 |
| Provider Name | Fatima Shekhani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295121580 PECOS PAC ID: 5698078152 Enrollment ID: I20231006002138 |
| Provider Name | Adarshjit Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124686209 PECOS PAC ID: 2365897634 Enrollment ID: I20231006002733 |
| Provider Name | Swee Teh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548462815 PECOS PAC ID: 3274620406 Enrollment ID: I20231006003072 |
| Provider Name | Michelle Ashely To |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952034910 PECOS PAC ID: 5597110759 Enrollment ID: I20231009002870 |
| Provider Name | Jason Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932364585 PECOS PAC ID: 7315013364 Enrollment ID: I20231011001975 |
| Provider Name | Inna Sverdlova |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114555653 PECOS PAC ID: 5698139749 Enrollment ID: I20231012003036 |
| Provider Name | Crystal Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992352272 PECOS PAC ID: 3971958711 Enrollment ID: I20231013000662 |
| Provider Name | Sushmita Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477189322 PECOS PAC ID: 0345662375 Enrollment ID: I20231014000528 |
| Provider Name | Stanley Chioma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831652536 PECOS PAC ID: 6406217074 Enrollment ID: I20231017004039 |
| Provider Name | Janelle Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376003335 PECOS PAC ID: 2961812946 Enrollment ID: I20231019001521 |
| Provider Name | Matthew Needleman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1972583409 PECOS PAC ID: 1557664059 Enrollment ID: I20231019002628 |
| Provider Name | Karim Lashin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053647685 PECOS PAC ID: 1153744982 Enrollment ID: I20231019003271 |
| Provider Name | Julia Freling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386030302 PECOS PAC ID: 8426302985 Enrollment ID: I20231019003721 |
| Provider Name | Malcolm Forbes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346702628 PECOS PAC ID: 9032445994 Enrollment ID: I20231020002493 |
| Provider Name | Ganesh Mohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396365987 PECOS PAC ID: 5597110080 Enrollment ID: I20231024000809 |
| Provider Name | Kyle D Miller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245869536 PECOS PAC ID: 7012361132 Enrollment ID: I20231025001483 |
| Provider Name | Hyun Ju Nam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053871939 PECOS PAC ID: 5597095646 Enrollment ID: I20231026001601 |
| Provider Name | Priya Vohra Dukes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144726654 PECOS PAC ID: 0446605257 Enrollment ID: I20231026002037 |
| Provider Name | Jeet Lund |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275977753 PECOS PAC ID: 7113149964 Enrollment ID: I20231027000834 |
| Provider Name | Lydia Williams |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1720438559 PECOS PAC ID: 1456643022 Enrollment ID: I20231030003939 |
| Provider Name | Lazaros Volikas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275609596 PECOS PAC ID: 3678539756 Enrollment ID: I20231101000056 |
| Provider Name | Eboni Jeanine Woodard |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700177821 PECOS PAC ID: 7416129192 Enrollment ID: I20231102001563 |
| Provider Name | Virginia Parks |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659768554 PECOS PAC ID: 1759701006 Enrollment ID: I20231102001590 |
| Provider Name | Christopher Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396308334 PECOS PAC ID: 2163759267 Enrollment ID: I20231103001982 |
| Provider Name | Jessica Rea |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1497173975 PECOS PAC ID: 1850670662 Enrollment ID: I20231106000437 |
| Provider Name | Tiffany Bell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386204261 PECOS PAC ID: 7911326293 Enrollment ID: I20231107000505 |
| Provider Name | Saima Qureshi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003137480 PECOS PAC ID: 9234354994 Enrollment ID: I20231108000043 |
| Provider Name | Jisun Hahn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043470628 PECOS PAC ID: 8527204023 Enrollment ID: I20231108003870 |
| Provider Name | Marika Tate-richards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679130140 PECOS PAC ID: 5597110783 Enrollment ID: I20231110002246 |
| Provider Name | Jessica Traylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689094377 PECOS PAC ID: 7517212186 Enrollment ID: I20231110002414 |
| Provider Name | Elizabeth Warner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407924434 PECOS PAC ID: 8921264409 Enrollment ID: I20231117002536 |
| Provider Name | Sabrina Kimrey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437318318 PECOS PAC ID: 0648437665 Enrollment ID: I20231120001935 |
| Provider Name | Jacqueline Fleuriscar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235690058 PECOS PAC ID: 6305176413 Enrollment ID: I20231122000193 |
| Provider Name | Minh Vo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801021100 PECOS PAC ID: 0840456208 Enrollment ID: I20231122000414 |
| Provider Name | Katherine Garfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447612973 PECOS PAC ID: 8820380942 Enrollment ID: I20231125000043 |
| Provider Name | Yekaterina Schultz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790245843 PECOS PAC ID: 6305294620 Enrollment ID: I20231128000997 |
| Provider Name | Bilal Khan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831360031 PECOS PAC ID: 4981763844 Enrollment ID: I20231129000760 |
| Provider Name | Bansi Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487283420 PECOS PAC ID: 8921421959 Enrollment ID: I20231130001108 |
| Provider Name | Sindhuja Surapaneni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992267561 PECOS PAC ID: 1850747700 Enrollment ID: I20231130003646 |
| Provider Name | Patrick Narcisse |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508397092 PECOS PAC ID: 1951757962 Enrollment ID: I20231205001225 |
| Provider Name | Michelle Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295117133 PECOS PAC ID: 5890095152 Enrollment ID: I20231206000144 |
| Provider Name | Fayanne Maria Fraser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518193606 PECOS PAC ID: 0648497149 Enrollment ID: I20231215002220 |
| Provider Name | Christina Ji Eun Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881218410 PECOS PAC ID: 0345696670 Enrollment ID: I20231220000005 |
| Provider Name | Saira Memon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912522236 PECOS PAC ID: 8325467848 Enrollment ID: I20231222000334 |
| Provider Name | Nneka Bagwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417436684 PECOS PAC ID: 4789925702 Enrollment ID: I20231222003190 |
| Provider Name | Brittany Brooks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033553367 PECOS PAC ID: 1658647649 Enrollment ID: I20231229002725 |
| Provider Name | Vijaya Guduri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386825271 PECOS PAC ID: 1759428766 Enrollment ID: I20240103002725 |
| Provider Name | Vera Ibe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164580122 PECOS PAC ID: 2062488232 Enrollment ID: I20240104002078 |
| Provider Name | Jeffrey Gambel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063428233 PECOS PAC ID: 1658515416 Enrollment ID: I20240104002118 |
| Provider Name | Elizabeth Melton-mendoza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033770318 PECOS PAC ID: 9032445796 Enrollment ID: I20240108006274 |
| Provider Name | Michael Holdsworth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184990095 PECOS PAC ID: 5395014476 Enrollment ID: I20240110002518 |
| Provider Name | Lan Chang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871792002 PECOS PAC ID: 2567618853 Enrollment ID: I20240111000115 |
| Provider Name | Abhishek Tomar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255979282 PECOS PAC ID: 3870913080 Enrollment ID: I20240112000239 |
| Provider Name | Floreana Kebaish |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972914760 PECOS PAC ID: 6800104563 Enrollment ID: I20240118004067 |
| Provider Name | Anthony Camarda |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316436561 PECOS PAC ID: 8224385372 Enrollment ID: I20240124001863 |
| Provider Name | Daniela L Wiggins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962460584 PECOS PAC ID: 2860449329 Enrollment ID: I20240125000068 |
| Provider Name | Katherine Klos |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982849550 PECOS PAC ID: 2466601828 Enrollment ID: I20240125002237 |
| Provider Name | Cynthia Sturdivant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710187976 PECOS PAC ID: 5799863015 Enrollment ID: I20240125003907 |
| Provider Name | John Gracely |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053874594 PECOS PAC ID: 4183951494 Enrollment ID: I20240129003338 |
| Provider Name | Natalia Glebova |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053519983 PECOS PAC ID: 4183873177 Enrollment ID: I20240130000523 |
| Provider Name | Debra Coe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265500516 PECOS PAC ID: 1355478231 Enrollment ID: I20240206002581 |
| Provider Name | Olubukunola Awosika |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902283302 PECOS PAC ID: 4688924830 Enrollment ID: I20240208001294 |
| Provider Name | Jonathan Collins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669467411 PECOS PAC ID: 9032350426 Enrollment ID: I20240208003673 |
| Provider Name | Jemilat Badamas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427292093 PECOS PAC ID: 8426207135 Enrollment ID: I20240213000167 |
| Provider Name | Stella Blosser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962678649 PECOS PAC ID: 6204083967 Enrollment ID: I20240213003814 |
| Provider Name | Diane Boykin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497714802 PECOS PAC ID: 4880689116 Enrollment ID: I20240214000171 |
| Provider Name | Joseph Anekwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871660605 PECOS PAC ID: 6103906995 Enrollment ID: I20240214002189 |
| Provider Name | Robert Gallagher |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043396120 PECOS PAC ID: 4981820594 Enrollment ID: I20240220003037 |
| Provider Name | Alin Ionescu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659675080 PECOS PAC ID: 5496041097 Enrollment ID: I20240223002340 |
| Provider Name | Michael Fenstermaker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679952006 PECOS PAC ID: 8426363458 Enrollment ID: I20240228001221 |
| Provider Name | Brian Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699957191 PECOS PAC ID: 3072665918 Enrollment ID: I20240301003565 |
| Provider Name | Anna Childson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659647915 PECOS PAC ID: 6709184104 Enrollment ID: I20240304001948 |
| Provider Name | Naomi Britton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144619305 PECOS PAC ID: 8123463775 Enrollment ID: I20240305002209 |
| Provider Name | Folabomi Ajanaku |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851719777 PECOS PAC ID: 4981828795 Enrollment ID: I20240305004065 |
| Provider Name | Nkechinyere Nwaobasi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346497047 PECOS PAC ID: 9638461064 Enrollment ID: I20240307004204 |
| Provider Name | Justin Karlitz-grodin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275651549 PECOS PAC ID: 8325163256 Enrollment ID: I20240312000584 |
| Provider Name | Jessica Rhee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336415959 PECOS PAC ID: 7911269576 Enrollment ID: I20240314001539 |
| Provider Name | Dorothea Dobson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972599769 PECOS PAC ID: 6103891429 Enrollment ID: I20240315002909 |
| Provider Name | Dianne Glass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427379221 PECOS PAC ID: 0446517775 Enrollment ID: I20240317000060 |
| Provider Name | Jacqueline Wulu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194127704 PECOS PAC ID: 1557671310 Enrollment ID: I20240318001024 |
| Provider Name | Larry Joseph Colby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023443389 PECOS PAC ID: 6103263454 Enrollment ID: I20240321002597 |
| Provider Name | Ebony Richards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235496811 PECOS PAC ID: 5193031490 Enrollment ID: I20240329000918 |
| Provider Name | Kevin Brathwaite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669526661 PECOS PAC ID: 3678476116 Enrollment ID: I20240408000239 |
| Provider Name | Eric Candler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962481416 PECOS PAC ID: 0345144994 Enrollment ID: I20240409003000 |
| Provider Name | Romana Baig |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437409844 PECOS PAC ID: 1153635677 Enrollment ID: I20240411003212 |
| Provider Name | Kavitha Chunchu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770595019 PECOS PAC ID: 8123216322 Enrollment ID: I20240411004126 |
| Provider Name | Khalid Ebrahim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346637634 PECOS PAC ID: 5597067090 Enrollment ID: I20240415002101 |
| Provider Name | Laura Houenou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063918043 PECOS PAC ID: 6507241064 Enrollment ID: I20240415004064 |
| Provider Name | John O'boyle |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1306808381 PECOS PAC ID: 6901171636 Enrollment ID: I20240416001617 |
| Provider Name | Shaun Robert Mullins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396979399 PECOS PAC ID: 1557700515 Enrollment ID: I20240423004384 |
| Provider Name | Robert Olson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477093961 PECOS PAC ID: 7719326776 Enrollment ID: I20240423004462 |
| Provider Name | Waroot Nimjareansuk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356878292 PECOS PAC ID: 7618381872 Enrollment ID: I20240507004209 |
| Provider Name | Jiayan Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659665321 PECOS PAC ID: 0749431674 Enrollment ID: I20240508001857 |
| Provider Name | Katherine H Mekolik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487680112 PECOS PAC ID: 3072526730 Enrollment ID: I20240509001181 |
| Provider Name | Jason Valladares |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598151987 PECOS PAC ID: 5092020396 Enrollment ID: I20240509001428 |
| Provider Name | Amy O'boyle |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1679548341 PECOS PAC ID: 9638447949 Enrollment ID: I20240521003034 |
| Provider Name | Eleanore Anne Gubitosa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396040408 PECOS PAC ID: 2567804537 Enrollment ID: I20240522000736 |
| Provider Name | Chandra Graham Parker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720018831 PECOS PAC ID: 4880853316 Enrollment ID: I20240524003623 |
| Provider Name | Monica Dale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528235959 PECOS PAC ID: 9638216906 Enrollment ID: I20240529000695 |
| Provider Name | Mohammed Zuaiter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700231065 PECOS PAC ID: 2466747969 Enrollment ID: I20240603000792 |
| Provider Name | Brittany Michelle Chadsey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649804840 PECOS PAC ID: 3870035975 Enrollment ID: I20240604003719 |
| Provider Name | Neena Malik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790162352 PECOS PAC ID: 6507106226 Enrollment ID: I20240605001807 |
| Provider Name | Neil Horlick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770717969 PECOS PAC ID: 7012063068 Enrollment ID: I20240606001702 |
| Provider Name | Nila Chauhan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164647160 PECOS PAC ID: 2769555671 Enrollment ID: I20240610002060 |
| Provider Name | Nikhila Iruku |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316230790 PECOS PAC ID: 7911217799 Enrollment ID: I20240610002644 |
| Provider Name | Neil Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639320187 PECOS PAC ID: 8022169028 Enrollment ID: I20240611000356 |
| Provider Name | Ning Guo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376858936 PECOS PAC ID: 5799910774 Enrollment ID: I20240611004682 |
| Provider Name | Nini Khozeimeh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750510228 PECOS PAC ID: 5496981888 Enrollment ID: I20240612002821 |
Loudoun Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19441 Golf Vista Plz, Suite 110, Lansdowne, VA 20176 Phone: 703-944-8573 | |
Aram Counseling And Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19415 Deerfield Ave Ste 316, Lansdowne, VA 20176 Phone: 571-831-0999 | |
Gentille Counseling Services, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19420 Golf Vista Plz Ste 350, Lansdowne, VA 20176 Phone: 703-869-4633 Fax: 571-410-0204 | |
Neurology Consultant Services, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19450 Deerfield Ave, 175, Lansdowne, VA 20176 Phone: 703-858-5454 | |
Adult And Geriatric Psychiatry Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 19415 Deerfield Ave, Ste 310, Lansdowne, VA 20176 Phone: 703-858-0076 Fax: 703-726-6394 | |
Neurology Associates, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19415 Deerfield Ave Ste 310, Lansdowne, VA 20176 Phone: 703-726-6393 Fax: 703-726-6394 | |
Healthy Minds Psychiatry Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 19415 Deerfield Ave Ste 209, Lansdowne, VA 20176 Phone: 571-559-2100 |