| Kfhp Portland Metropolitan Area | |
|
500 Ne Multnomah St Portland OR 97232-2023 | |
| (503) 813-2440 | |
| (503) 813-2507 |
| Full Name | Kfhp Portland Metropolitan Area |
|---|---|
| Speciality | General Practice |
| Location | 500 Ne Multnomah St, Portland, Oregon |
| Authorized Official Name and Position | Stephen Shawn Barton (EXECUTIVE DIRECTOR, REVENUE CYCLE) |
| Authorized Official Contact | 5038132440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kfhp Portland Metropolitan Area 500 Ne Multnomah St Portland OR 97232-2023 Ph: (503) 813-2440 | Kfhp Portland Metropolitan Area 500 Ne Multnomah St Portland OR 97232-2023 Ph: (503) 813-2440 |
| NPI Number | 1184786527 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 06/01/2021 |
| Certification Date | 06/01/2021 |
| Medicare PECOS PAC ID | 5799688230 |
|---|---|
| Medicare Enrollment ID | O20040130000799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184786527 | NPI | - | NPPES |
| 147090 | Medicaid | OR | |
| 7857501 | Medicaid | WA |
| Provider Name | Ramiah Ramasubramanian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689689366 PECOS PAC ID: 5799684338 Enrollment ID: I20040102000733 |
| Provider Name | Casey James Rucker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770614992 PECOS PAC ID: 7214822949 Enrollment ID: I20040220000133 |
| Provider Name | Brian L Dunkley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497702062 PECOS PAC ID: 0941196778 Enrollment ID: I20040226001058 |
| Provider Name | Susan E Slater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184639676 PECOS PAC ID: 8921996554 Enrollment ID: I20040305001012 |
| Provider Name | David Bruce Witkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649289810 PECOS PAC ID: 9638068570 Enrollment ID: I20040310001535 |
| Provider Name | Gayle M Waitches |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679667422 PECOS PAC ID: 7315839016 Enrollment ID: I20040326001310 |
| Provider Name | Jeffrey D Shrock |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255439162 PECOS PAC ID: 5294720819 Enrollment ID: I20040414001769 |
| Provider Name | Richard Segal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841252558 PECOS PAC ID: 9133114945 Enrollment ID: I20040419001761 |
| Provider Name | Kristen Flemmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972522019 PECOS PAC ID: 5991791220 Enrollment ID: I20040422000780 |
| Provider Name | Jason L Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184651853 PECOS PAC ID: 7517954712 Enrollment ID: I20040429000231 |
| Provider Name | Jodi Arnoff Farrera |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285692012 PECOS PAC ID: 0648268482 Enrollment ID: I20040503000326 |
| Provider Name | Kim M Heydon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881649705 PECOS PAC ID: 6204824055 Enrollment ID: I20040503000362 |
| Provider Name | Dan N Vasend |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154357580 PECOS PAC ID: 7416946363 Enrollment ID: I20040507000134 |
| Provider Name | David Karl White |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548247075 PECOS PAC ID: 3577557800 Enrollment ID: I20040511001155 |
| Provider Name | Samudyatha A Shivalingappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841286960 PECOS PAC ID: 1557350741 Enrollment ID: I20040512000005 |
| Provider Name | Gwendolyn A Oran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851372650 PECOS PAC ID: 5496745820 Enrollment ID: I20040517000694 |
| Provider Name | Jennifer M Gibson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144299900 PECOS PAC ID: 4385634682 Enrollment ID: I20040518000231 |
| Provider Name | Chase M Katich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477637072 PECOS PAC ID: 8426039652 Enrollment ID: I20040525001043 |
| Provider Name | Sandra J Barton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881773893 PECOS PAC ID: 8022099977 Enrollment ID: I20040526001024 |
| Provider Name | Michael J O'toole |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053422287 PECOS PAC ID: 0244227346 Enrollment ID: I20040609001347 |
| Provider Name | Dale F Lamberton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073690665 PECOS PAC ID: 8224021985 Enrollment ID: I20040610001456 |
| Provider Name | Jean S Verheyden |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760464812 PECOS PAC ID: 5991780454 Enrollment ID: I20040621000551 |
| Provider Name | Susan Theresa Haney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700912003 PECOS PAC ID: 0547245938 Enrollment ID: I20040621000829 |
| Provider Name | Elisa M Hawley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518941467 PECOS PAC ID: 6305822024 Enrollment ID: I20040624001446 |
| Provider Name | Jaishanker Nautiyal |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043208820 PECOS PAC ID: 3375529472 Enrollment ID: I20040629000335 |
| Provider Name | Lina M Takano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760574941 PECOS PAC ID: 6204812225 Enrollment ID: I20040629000556 |
| Provider Name | Joseph P Whitson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376686659 PECOS PAC ID: 3678559606 Enrollment ID: I20040629000625 |
| Provider Name | Lynn A Bentson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619916483 PECOS PAC ID: 2062490063 Enrollment ID: I20040707001256 |
| Provider Name | Kenneth J Kolarsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760424121 PECOS PAC ID: 1254319106 Enrollment ID: I20040708000881 |
| Provider Name | Solange M Wyatt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750399218 PECOS PAC ID: 4183602550 Enrollment ID: I20040712000865 |
| Provider Name | Jennifer R Briggs |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205130473 PECOS PAC ID: 0143200790 Enrollment ID: I20040723000215 |
| Provider Name | James V Skavaril |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336172956 PECOS PAC ID: 5092785279 Enrollment ID: I20040727000300 |
| Provider Name | Darren R Jones |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1306844683 PECOS PAC ID: 5294705448 Enrollment ID: I20040727000758 |
| Provider Name | Karla L Hennebold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265535694 PECOS PAC ID: 7113997511 Enrollment ID: I20040730000898 |
| Provider Name | Jeffrey S Olson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730380791 PECOS PAC ID: 9335111822 Enrollment ID: I20040806000011 |
| Provider Name | Jennifer M Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427031699 PECOS PAC ID: 4981676053 Enrollment ID: I20040809001482 |
| Provider Name | Sandeep Hasmukh Mashru |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629053855 PECOS PAC ID: 4981676988 Enrollment ID: I20040810001156 |
| Provider Name | Felicia A Ferguson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972511491 PECOS PAC ID: 1658343413 Enrollment ID: I20040811000899 |
| Provider Name | Azita Fakher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821123027 PECOS PAC ID: 8022080662 Enrollment ID: I20040812000716 |
| Provider Name | Nilana S Gunasekaran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942393673 PECOS PAC ID: 5890769293 Enrollment ID: I20040823000335 |
| Provider Name | Laura Yun Morrison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366521981 PECOS PAC ID: 0648246207 Enrollment ID: I20040903001021 |
| Provider Name | Eric H Kilber |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336352087 PECOS PAC ID: 2163490988 Enrollment ID: I20040920001054 |
| Provider Name | Michelle L Ritter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417061433 PECOS PAC ID: 8921076563 Enrollment ID: I20040921000827 |
| Provider Name | Christine J Olson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780760355 PECOS PAC ID: 7416925086 Enrollment ID: I20040921001049 |
| Provider Name | Anneliis Juurma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164512489 PECOS PAC ID: 0941196570 Enrollment ID: I20040923000489 |
| Provider Name | David A Siegel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528179090 PECOS PAC ID: 1658340880 Enrollment ID: I20040924000972 |
| Provider Name | Leonard Joseph Marcel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649383563 PECOS PAC ID: 2466421698 Enrollment ID: I20040924000987 |
| Provider Name | Cynthia Falk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972693380 PECOS PAC ID: 2466421532 Enrollment ID: I20040927000747 |
| Provider Name | Melanie M Sauvain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437164928 PECOS PAC ID: 0749259471 Enrollment ID: I20040929001022 |
| Provider Name | Pei-li Wang |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891801429 PECOS PAC ID: 8729057369 Enrollment ID: I20040929001146 |
| Provider Name | Jeanne A Mowry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699877258 PECOS PAC ID: 4385603547 Enrollment ID: I20041005000423 |
| Provider Name | Winthrop H Hall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538241765 PECOS PAC ID: 5294794467 Enrollment ID: I20041005000515 |
| Provider Name | Roderick S Mercurio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659481687 PECOS PAC ID: 6305805474 Enrollment ID: I20041005000563 |
| Provider Name | Kenneth H Bookstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588758742 PECOS PAC ID: 9830159086 Enrollment ID: I20041013000304 |
| Provider Name | Wayne W Nussbaum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730299397 PECOS PAC ID: 8820051873 Enrollment ID: I20041110000490 |
| Provider Name | James M Snell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811007628 PECOS PAC ID: 1456314277 Enrollment ID: I20041111000928 |
| Provider Name | Carol L Unitan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417063686 PECOS PAC ID: 7315901097 Enrollment ID: I20041112000563 |
| Provider Name | Reynold G Orchard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205919958 PECOS PAC ID: 4587560347 Enrollment ID: I20041115000274 |
| Provider Name | Sun J Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811914484 PECOS PAC ID: 5193789626 Enrollment ID: I20041115001156 |
| Provider Name | Cheryl A Layne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902917214 PECOS PAC ID: 1557325933 Enrollment ID: I20041116000244 |
| Provider Name | Christina Y Lee |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467568386 PECOS PAC ID: 7810951183 Enrollment ID: I20041116000888 |
| Provider Name | Margo A Mcgehee-kelly |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1437247343 PECOS PAC ID: 8426012394 Enrollment ID: I20041119000304 |
| Provider Name | Kimya-anhcina Lan Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073596243 PECOS PAC ID: 0749265478 Enrollment ID: I20041215000633 |
| Provider Name | Cynthia D Caraballo Hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366471732 PECOS PAC ID: 3375500895 Enrollment ID: I20041216000527 |
| Provider Name | Benjamin L Brody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245243799 PECOS PAC ID: 7517925472 Enrollment ID: I20041222000662 |
| Provider Name | Yee T Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871566539 PECOS PAC ID: 1052379914 Enrollment ID: I20041222000673 |
| Provider Name | Kerry J Rasmussen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871693341 PECOS PAC ID: 6800854746 Enrollment ID: I20041227000060 |
| Provider Name | Wui Leong Koh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033211511 PECOS PAC ID: 6204894157 Enrollment ID: I20041227000132 |
| Provider Name | Yanina M Benikova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538115597 PECOS PAC ID: 0840258695 Enrollment ID: I20041227000238 |
| Provider Name | Julie L Matteson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922111822 PECOS PAC ID: 6002874872 Enrollment ID: I20041227000371 |
| Provider Name | Sharon Louise Kenny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225124639 PECOS PAC ID: 1850359431 Enrollment ID: I20041229000443 |
| Provider Name | Stephen T Gancher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285741538 PECOS PAC ID: 2860450442 Enrollment ID: I20041229000503 |
| Provider Name | Edith A Kahrhoff |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952414773 PECOS PAC ID: 8921056250 Enrollment ID: I20050104000406 |
| Provider Name | Diane M Cockburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275627325 PECOS PAC ID: 3870541105 Enrollment ID: I20050104000448 |
| Provider Name | Alistair J Scriven |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629081179 PECOS PAC ID: 8325096779 Enrollment ID: I20050112000344 |
| Provider Name | Rowena Lor Manalo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689776163 PECOS PAC ID: 2365491750 Enrollment ID: I20050112000735 |
| Provider Name | John C Workinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851402895 PECOS PAC ID: 9335198084 Enrollment ID: I20050119001119 |
| Provider Name | Beata Anasz Kopecka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477558807 PECOS PAC ID: 6800873811 Enrollment ID: I20050126000653 |
| Provider Name | Jennifer G Garnand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750495768 PECOS PAC ID: 3072564988 Enrollment ID: I20050208001038 |
| Provider Name | Marilyn F Hashimoto |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174639884 PECOS PAC ID: 0042261810 Enrollment ID: I20050209000440 |
| Provider Name | Arash Malekzadeh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518979756 PECOS PAC ID: 3678524451 Enrollment ID: I20050209000524 |
| Provider Name | Christopher Jason Rae |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831202043 PECOS PAC ID: 1456302231 Enrollment ID: I20050209000560 |
| Provider Name | Christopher W Rabin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912016601 PECOS PAC ID: 3678525276 Enrollment ID: I20050211000230 |
| Provider Name | Robert Ludemann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356354161 PECOS PAC ID: 2860394400 Enrollment ID: I20050211000887 |
| Provider Name | James Y Kim |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1457468993 PECOS PAC ID: 0042262321 Enrollment ID: I20050215000488 |
| Provider Name | Tiffany J Gilbey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497862585 PECOS PAC ID: 6305897307 Enrollment ID: I20050216000145 |
| Provider Name | Jencina M Butler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295823847 PECOS PAC ID: 1951353911 Enrollment ID: I20050217000698 |
| Provider Name | Kenneth A Jacobs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417055518 PECOS PAC ID: 2466406632 Enrollment ID: I20050311000366 |
| Provider Name | Patricia L Fletter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124288386 PECOS PAC ID: 8426003435 Enrollment ID: I20050312000086 |
| Provider Name | Scott A Garvey |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1093717795 PECOS PAC ID: 6507764081 Enrollment ID: I20050315000159 |
| Provider Name | Pamela J Edwards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225117260 PECOS PAC ID: 3577518133 Enrollment ID: I20050316000517 |
| Provider Name | Sahra V Rahimtoola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124197199 PECOS PAC ID: 6901851138 Enrollment ID: I20050321000433 |
| Provider Name | Carolyn Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881705093 PECOS PAC ID: 5698720779 Enrollment ID: I20050322000559 |
| Provider Name | Molly S Stenzel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174635874 PECOS PAC ID: 7810943883 Enrollment ID: I20050323000985 |
| Provider Name | Fern G Russak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831201334 PECOS PAC ID: 1153377478 Enrollment ID: I20050329001173 |
| Provider Name | Rebecca S Mooty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538270186 PECOS PAC ID: 9133175474 Enrollment ID: I20050329001373 |
| Provider Name | Scott A Ruplin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417059270 PECOS PAC ID: 5193771301 Enrollment ID: I20050330000552 |
| Provider Name | Timothy H Hudson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164516845 PECOS PAC ID: 8325094543 Enrollment ID: I20050330000664 |
| Provider Name | Kathleen C Goldstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619983129 PECOS PAC ID: 9436106515 Enrollment ID: I20050331000753 |
| Provider Name | Dorothy M Pao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669485157 PECOS PAC ID: 1355397746 Enrollment ID: I20050331000804 |
| Provider Name | Darian V Minkunas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467534909 PECOS PAC ID: 3072560077 Enrollment ID: I20050401000376 |
| Provider Name | Patrick Spensley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346221900 PECOS PAC ID: 3971559154 Enrollment ID: I20050404000125 |
| Provider Name | Susan D Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366547762 PECOS PAC ID: 2860449774 Enrollment ID: I20050404000276 |
| Provider Name | Gregory C Ruttan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295702306 PECOS PAC ID: 7214984970 Enrollment ID: I20050405000492 |
| Provider Name | Malina O Neville |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598877656 PECOS PAC ID: 0143277814 Enrollment ID: I20050405000565 |
| Provider Name | Laura A Ryan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053404020 PECOS PAC ID: 9032181698 Enrollment ID: I20050407000632 |
| Provider Name | May Sing Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538158597 PECOS PAC ID: 6305883232 Enrollment ID: I20050412001482 |
| Provider Name | Elizabeth Clare Kavanaugh |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265539035 PECOS PAC ID: 3971540410 Enrollment ID: I20050415000173 |
| Provider Name | Brett C Corbett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215975214 PECOS PAC ID: 0840239232 Enrollment ID: I20050426000476 |
| Provider Name | Patrick W Holleran |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407831290 PECOS PAC ID: 5193765790 Enrollment ID: I20050503000921 |
| Provider Name | David J Van De Lindt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275646796 PECOS PAC ID: 2264424183 Enrollment ID: I20050504000274 |
| Provider Name | Christopher A Obuchowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356354609 PECOS PAC ID: 9537109749 Enrollment ID: I20050506000555 |
| Provider Name | Karen L Oppenheimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164430443 PECOS PAC ID: 9638119647 Enrollment ID: I20050510000315 |
| Provider Name | Karen Ogryzlo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598791022 PECOS PAC ID: 1052352531 Enrollment ID: I20050514000005 |
| Provider Name | Diana C Peterson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1366602682 PECOS PAC ID: 6406897206 Enrollment ID: I20050520000815 |
| Provider Name | James E Ruf |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225052640 PECOS PAC ID: 0749222990 Enrollment ID: I20050601000768 |
| Provider Name | Page Y Dardis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831296367 PECOS PAC ID: 7618919572 Enrollment ID: I20050601000785 |
| Provider Name | Joseph P Shen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356458871 PECOS PAC ID: 1052354941 Enrollment ID: I20050601001077 |
| Provider Name | Jeffrey E Ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750478558 PECOS PAC ID: 3577506112 Enrollment ID: I20050606000448 |
| Provider Name | Homer L Chin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376572537 PECOS PAC ID: 7012950413 Enrollment ID: I20050607000462 |
| Provider Name | Diana Antoniskis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922116953 PECOS PAC ID: 7911940325 Enrollment ID: I20050607000572 |
| Provider Name | Kenneth M Kang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1760495980 PECOS PAC ID: 8123061413 Enrollment ID: I20050607001338 |
| Provider Name | Thomas H Gibbs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043326572 PECOS PAC ID: 4082657374 Enrollment ID: I20050607001381 |
| Provider Name | David M Schmidt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477655983 PECOS PAC ID: 6709820988 Enrollment ID: I20050617000904 |
| Provider Name | Michael Schiedler |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164528600 PECOS PAC ID: 3274578232 Enrollment ID: I20050621001004 |
| Provider Name | Mark F Surbaugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396794251 PECOS PAC ID: 2567408305 Enrollment ID: I20050701000768 |
| Provider Name | Mark Nelson Margoles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871645093 PECOS PAC ID: 5294771879 Enrollment ID: I20050705000941 |
| Provider Name | Wayne F Gilbert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205849791 PECOS PAC ID: 4789610510 Enrollment ID: I20050713000625 |
| Provider Name | James A Moore |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811901457 PECOS PAC ID: 9032145750 Enrollment ID: I20050714000229 |
| Provider Name | Blair D Halperin |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1447258710 PECOS PAC ID: 5991732786 Enrollment ID: I20050723000039 |
| Provider Name | Juliann K Williams |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912011198 PECOS PAC ID: 0244269645 Enrollment ID: I20050805000598 |
| Provider Name | Mary Shen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144337270 PECOS PAC ID: 3173552585 Enrollment ID: I20050805000639 |
| Provider Name | Louise H Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396831178 PECOS PAC ID: 9335178227 Enrollment ID: I20050811000061 |
| Provider Name | Marcel W Dupre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326000944 PECOS PAC ID: 9638109366 Enrollment ID: I20050816000850 |
| Provider Name | Jill E Sheasley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982774360 PECOS PAC ID: 6608806724 Enrollment ID: I20050818000453 |
| Provider Name | Preston L Peterson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1245201508 PECOS PAC ID: 5991736761 Enrollment ID: I20050822001449 |
| Provider Name | Jennifer Leigh Rupert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538272919 PECOS PAC ID: 1052342664 Enrollment ID: I20050823001194 |
| Provider Name | Rodica N Meyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285731166 PECOS PAC ID: 8224069836 Enrollment ID: I20050823001197 |
| Provider Name | Jonathan A Rettmann |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558478255 PECOS PAC ID: 2466409941 Enrollment ID: I20050824000372 |
| Provider Name | Timothy J Connelly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750492559 PECOS PAC ID: 9335170992 Enrollment ID: I20050824000390 |
| Provider Name | Kathleen Mccartan Myers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164446498 PECOS PAC ID: 5496747875 Enrollment ID: I20050829000559 |
| Provider Name | Slater Tai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063597516 PECOS PAC ID: 7517998628 Enrollment ID: I20050829000724 |
| Provider Name | Kesavan Prakash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538275276 PECOS PAC ID: 8527090034 Enrollment ID: I20050906000865 |
| Provider Name | Wendy Lin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639182181 PECOS PAC ID: 3274565684 Enrollment ID: I20050907000439 |
| Provider Name | Shari Ann Sanders |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1861589038 PECOS PAC ID: 5799717120 Enrollment ID: I20050907000531 |
| Provider Name | Anna Portland Peter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962580837 PECOS PAC ID: 2668404997 Enrollment ID: I20050907000668 |
| Provider Name | Xianghong Zhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275546640 PECOS PAC ID: 7810929148 Enrollment ID: I20050907000690 |
| Provider Name | Te-yu Ruth Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902910185 PECOS PAC ID: 3678505914 Enrollment ID: I20050907000751 |
| Provider Name | Seth L Goldsmith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194817569 PECOS PAC ID: 3476585712 Enrollment ID: I20050907000771 |
| Provider Name | Louis H Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336259274 PECOS PAC ID: 3971535253 Enrollment ID: I20050907001083 |
| Provider Name | Craig Isamu Fujiwara |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619911245 PECOS PAC ID: 3577595875 Enrollment ID: I20050907001222 |
| Provider Name | Matthew G Pearce |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457376691 PECOS PAC ID: 8123083235 Enrollment ID: I20050907001241 |
| Provider Name | Kimberly L Kisor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649380734 PECOS PAC ID: 5395777536 Enrollment ID: I20050908000421 |
| Provider Name | Colleen A Finnegan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104909936 PECOS PAC ID: 0840222014 Enrollment ID: I20050908000622 |
| Provider Name | Daniel J Constien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447204086 PECOS PAC ID: 2466484639 Enrollment ID: I20050908000641 |
| Provider Name | Anthony J Domenigoni |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124137187 PECOS PAC ID: 5890728661 Enrollment ID: I20050913000282 |
| Provider Name | Scott K Miyake |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013022425 PECOS PAC ID: 2163455940 Enrollment ID: I20050913000376 |
| Provider Name | Ann F Lauritsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568614873 PECOS PAC ID: 0143254995 Enrollment ID: I20050921000993 |
| Provider Name | Brandon Zane Horowitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720082357 PECOS PAC ID: 0042116410 Enrollment ID: I20050921001115 |
| Provider Name | Susan Carla Dahlberg Noble |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720011521 PECOS PAC ID: 5799719241 Enrollment ID: I20050923000221 |
| Provider Name | David J Nibler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447332564 PECOS PAC ID: 0547294761 Enrollment ID: I20050926001255 |
| Provider Name | Stuart L Oken |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235240441 PECOS PAC ID: 3577598721 Enrollment ID: I20050927001069 |
| Provider Name | Anne Katharine Avery |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831207372 PECOS PAC ID: 6305871583 Enrollment ID: I20050927001376 |
| Provider Name | Richard A Varan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871604892 PECOS PAC ID: 2163457250 Enrollment ID: I20050927001543 |
| Provider Name | Tamara L Oren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932213048 PECOS PAC ID: 1153356241 Enrollment ID: I20050927001553 |
| Provider Name | Susan L Mikkelsen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538274048 PECOS PAC ID: 3779518865 Enrollment ID: I20050927001563 |
| Provider Name | Robert B Ellis |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1972729044 PECOS PAC ID: 2860427952 Enrollment ID: I20050927001576 |
| Provider Name | Tonya J Lundsgaarde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194814913 PECOS PAC ID: 3375514276 Enrollment ID: I20050927001583 |
| Provider Name | Carla J Bowman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093874901 PECOS PAC ID: 5395770481 Enrollment ID: I20050927001592 |
| Provider Name | Gregory L Clark |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225141823 PECOS PAC ID: 5294760385 Enrollment ID: I20050927001597 |
| Provider Name | Kin Tak John Yu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477561959 PECOS PAC ID: 1850326802 Enrollment ID: I20050928001450 |
| Provider Name | Jason J Powers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033222609 PECOS PAC ID: 3779518238 Enrollment ID: I20051004000199 |
| Provider Name | Aijiro Pascal Suzuki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720114002 PECOS PAC ID: 8527093004 Enrollment ID: I20051004000333 |
| Provider Name | Hien M Nguyen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659441699 PECOS PAC ID: 1052345535 Enrollment ID: I20051006000364 |
| Provider Name | Jean M Takaesu |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700861804 PECOS PAC ID: 8820013048 Enrollment ID: I20051006000897 |
| Provider Name | Claudia D Ostermeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891867800 PECOS PAC ID: 0244255412 Enrollment ID: I20051007000194 |
| Provider Name | Jennifer L Bass |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730296351 PECOS PAC ID: 4880619956 Enrollment ID: I20051007000283 |
| Provider Name | Douglas S Whitten |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366524589 PECOS PAC ID: 2961427919 Enrollment ID: I20051010000580 |
| Provider Name | Anuja Mittal-henkle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972518470 PECOS PAC ID: 2264457217 Enrollment ID: I20051010000624 |
| Provider Name | Leah A Swetnam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093835332 PECOS PAC ID: 2668497520 Enrollment ID: I20051010000754 |
| Provider Name | Sharon F Maxey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023120672 PECOS PAC ID: 1850316746 Enrollment ID: I20051010000951 |
| Provider Name | Ali Reza Faheeh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457566507 PECOS PAC ID: 7810912664 Enrollment ID: I20051011000204 |
| Provider Name | Debora Dee Fresch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245340090 PECOS PAC ID: 8729003512 Enrollment ID: I20051011000525 |
| Provider Name | Patra Ann Behary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083716773 PECOS PAC ID: 8921023524 Enrollment ID: I20051012001150 |
| Provider Name | Lori L Mcmullan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013938141 PECOS PAC ID: 1850316381 Enrollment ID: I20051013000225 |
| Provider Name | Karen A Mcclish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851364350 PECOS PAC ID: 0749205185 Enrollment ID: I20051013000983 |
| Provider Name | Ming H Hsieh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609932763 PECOS PAC ID: 1759307457 Enrollment ID: I20051021000489 |
| Provider Name | Michael R Wray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790730059 PECOS PAC ID: 1456377944 Enrollment ID: I20051024000863 |
| Provider Name | William W Shely |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1215920236 PECOS PAC ID: 0244138881 Enrollment ID: I20051024001182 |
| Provider Name | Jenny R Silberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740396415 PECOS PAC ID: 2860458841 Enrollment ID: I20051027001186 |
| Provider Name | Kirthika Balakrishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881655256 PECOS PAC ID: 1254358864 Enrollment ID: I20051101001148 |
| Provider Name | Daniel L Platter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972614865 PECOS PAC ID: 3375561830 Enrollment ID: I20051103000707 |
| Provider Name | Misha W Amagasu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992741920 PECOS PAC ID: 0749209088 Enrollment ID: I20051116000616 |
| Provider Name | Tracy Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871607234 PECOS PAC ID: 4183643380 Enrollment ID: I20051116001052 |
| Provider Name | Leslie Ann Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558313817 PECOS PAC ID: 7618956426 Enrollment ID: I20051118000550 |
| Provider Name | Valli E Stager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710090956 PECOS PAC ID: 7810920329 Enrollment ID: I20051128000292 |
| Provider Name | John R Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700975174 PECOS PAC ID: 3375525520 Enrollment ID: I20051129000161 |
| Provider Name | Michael J May |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649380874 PECOS PAC ID: 0244203156 Enrollment ID: I20051130000962 |
| Provider Name | Thorsten Lundsgaarde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033208848 PECOS PAC ID: 5496775736 Enrollment ID: I20051130000984 |
| Provider Name | Lyle H Regimbald |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548372717 PECOS PAC ID: 2769402007 Enrollment ID: I20051130000990 |
| Provider Name | Sarah A Rozeboom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770699795 PECOS PAC ID: 2466484324 Enrollment ID: I20051130000992 |
| Provider Name | Joseph Doran Murphy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437243896 PECOS PAC ID: 6901864586 Enrollment ID: I20051130000996 |
| Provider Name | Brigitte K Nixon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619014388 PECOS PAC ID: 5092735365 Enrollment ID: I20051201000180 |
| Provider Name | Rebecca L Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962594341 PECOS PAC ID: 3577584416 Enrollment ID: I20051207000784 |
| Provider Name | John R Reichle |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1447354436 PECOS PAC ID: 1951322643 Enrollment ID: I20051209000031 |
| Provider Name | Khurram Naqvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689632861 PECOS PAC ID: 5496707267 Enrollment ID: I20051213000867 |
| Provider Name | Jodie B Oltmans |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306946017 PECOS PAC ID: 9133140254 Enrollment ID: I20051215000822 |
| Provider Name | Uhng Choon Brenda Shim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619079423 PECOS PAC ID: 5193747194 Enrollment ID: I20051219000650 |
| Provider Name | Michael Paul Traynor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720141914 PECOS PAC ID: 7012982754 Enrollment ID: I20051219000680 |
| Provider Name | Lori Siegal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376656561 PECOS PAC ID: 2062434095 Enrollment ID: I20051219000839 |
| Provider Name | Matthew G Basco |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1386732923 PECOS PAC ID: 0749202794 Enrollment ID: I20051219000954 |
| Provider Name | Michele Lynn Sequeira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013937473 PECOS PAC ID: 8729005251 Enrollment ID: I20051227000580 |
| Provider Name | Melissa L.r. Burchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700891215 PECOS PAC ID: 6709808900 Enrollment ID: I20060103000275 |
| Provider Name | Heather J Dennett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619122611 PECOS PAC ID: 1557384682 Enrollment ID: I20060104000475 |
| Provider Name | Bradford C Ashley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215980099 PECOS PAC ID: 5294722187 Enrollment ID: I20060109001052 |
| Provider Name | Ritu Manocha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285659433 PECOS PAC ID: 3971522590 Enrollment ID: I20060110000304 |
| Provider Name | Jonathan A Helwig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972538411 PECOS PAC ID: 3173546595 Enrollment ID: I20060111000469 |
| Provider Name | Briar L Ertz Berger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508866203 PECOS PAC ID: 7416971502 Enrollment ID: I20060117000095 |
| Provider Name | Nancy M Mcmanus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114033487 PECOS PAC ID: 0446264188 Enrollment ID: I20060201000531 |
| Provider Name | Maria H Kowalewska |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306957212 PECOS PAC ID: 1850305426 Enrollment ID: I20060202000739 |
| Provider Name | Catherine Ann Chester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730298803 PECOS PAC ID: 4688646896 Enrollment ID: I20060209000052 |
| Provider Name | Timothy Van Ert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568574549 PECOS PAC ID: 8224043781 Enrollment ID: I20060220000632 |
| Provider Name | Denise M Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598704041 PECOS PAC ID: 9739194226 Enrollment ID: I20060221000331 |
| Provider Name | Helen Bellanca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588658918 PECOS PAC ID: 3375559875 Enrollment ID: I20060221000527 |
| Provider Name | Debra K Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811081300 PECOS PAC ID: 1759397029 Enrollment ID: I20060223000203 |
| Provider Name | Antony M Poothullil |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053418228 PECOS PAC ID: 5395633184 Enrollment ID: I20060227000201 |
| Provider Name | Cynthia Tai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336154830 PECOS PAC ID: 3678552593 Enrollment ID: I20060303000375 |
| Provider Name | Rafael Gray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992810352 PECOS PAC ID: 3577579275 Enrollment ID: I20060306000230 |
| Provider Name | Heather B Crummett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033291505 PECOS PAC ID: 3971510371 Enrollment ID: I20060309000378 |
| Provider Name | Anthony C Cirino |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235245218 PECOS PAC ID: 4183631096 Enrollment ID: I20060320000159 |
| Provider Name | Cynthia Jane Goldor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508971607 PECOS PAC ID: 9537176367 Enrollment ID: I20060320000197 |
| Provider Name | Jennifer M Soyke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407827694 PECOS PAC ID: 3779591706 Enrollment ID: I20060404000527 |
| Provider Name | Mark T Chan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1689779530 PECOS PAC ID: 2860401304 Enrollment ID: I20060412000091 |
| Provider Name | David S Hindahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811989353 PECOS PAC ID: 7618933136 Enrollment ID: I20060417000360 |
| Provider Name | Stefani K Cozine |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1417958885 PECOS PAC ID: 9739151457 Enrollment ID: I20060417000637 |
| Provider Name | Ethan A Berry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710094941 PECOS PAC ID: 8325057318 Enrollment ID: I20060419000739 |
| Provider Name | John P Seymour |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1285647719 PECOS PAC ID: 6608886981 Enrollment ID: I20060502000072 |
| Provider Name | Laurie A Kress |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659485662 PECOS PAC ID: 1355351479 Enrollment ID: I20060503000331 |
| Provider Name | Megan Catherine Lammers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457469066 PECOS PAC ID: 3072524065 Enrollment ID: I20060504000940 |
| Provider Name | Nathan Anderson Bay |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982647855 PECOS PAC ID: 2466465703 Enrollment ID: I20060803000110 |
| Provider Name | Erik W Foss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003884016 PECOS PAC ID: 5991752396 Enrollment ID: I20060810000217 |
| Provider Name | Katie A Deming |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770520892 PECOS PAC ID: 7810990249 Enrollment ID: I20060824000235 |
| Provider Name | Karen C Griffis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699714956 PECOS PAC ID: 0143213744 Enrollment ID: I20060921000419 |
| Provider Name | Brian L Gumbs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194732552 PECOS PAC ID: 9830117472 Enrollment ID: I20061002000695 |
| Provider Name | Stephen Christopher Hoffelt |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194747733 PECOS PAC ID: 5294635181 Enrollment ID: I20061004000454 |
| Provider Name | Kerry E Watkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952339194 PECOS PAC ID: 1254391063 Enrollment ID: I20061005000580 |
| Provider Name | Justin S Treat |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1801826516 PECOS PAC ID: 8426054958 Enrollment ID: I20061006000007 |
| Provider Name | Jason R Leong |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982623674 PECOS PAC ID: 6406852516 Enrollment ID: I20061012000626 |
| Provider Name | Duncan J York |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184666471 PECOS PAC ID: 2264439348 Enrollment ID: I20061102000385 |
| Provider Name | Paul M Stasik |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841222064 PECOS PAC ID: 5890793640 Enrollment ID: I20061113000400 |
| Provider Name | Margot R Bolstad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124082458 PECOS PAC ID: 1254339856 Enrollment ID: I20061114000618 |
| Provider Name | Randall J Mcclellan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215947932 PECOS PAC ID: 6608875885 Enrollment ID: I20061218000058 |
| Provider Name | Sharon E Meieran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497825806 PECOS PAC ID: 3971502006 Enrollment ID: I20061218000534 |
| Provider Name | Heather N Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255322269 PECOS PAC ID: 6002827508 Enrollment ID: I20061220000066 |
| Provider Name | Marc A Zenoniani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801802392 PECOS PAC ID: 5597765560 Enrollment ID: I20061226000004 |
| Provider Name | Tawny M Childs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225127442 PECOS PAC ID: 0143220764 Enrollment ID: I20070105000037 |
| Provider Name | Peter H Chang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003926189 PECOS PAC ID: 2860492378 Enrollment ID: I20070108000185 |
| Provider Name | Sonia U Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245300342 PECOS PAC ID: 2668473570 Enrollment ID: I20070119000288 |
| Provider Name | James E Unger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558339051 PECOS PAC ID: 1557362357 Enrollment ID: I20070122000463 |
| Provider Name | Jessica Nupur Mehta |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346289923 PECOS PAC ID: 0840291258 Enrollment ID: I20070129000287 |
| Provider Name | Jennifer W Miller Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508890179 PECOS PAC ID: 1759382062 Enrollment ID: I20070129000385 |
| Provider Name | Philip E Lund |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447322912 PECOS PAC ID: 8224039557 Enrollment ID: I20070129000615 |
| Provider Name | Ahmed F Alshaarawi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336175553 PECOS PAC ID: 4587666805 Enrollment ID: I20070215000153 |
| Provider Name | Hussain M Lakdawalla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255360327 PECOS PAC ID: 5799888657 Enrollment ID: I20070313000618 |
| Provider Name | Scott J Hein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477593424 PECOS PAC ID: 4385747211 Enrollment ID: I20070314000526 |
| Provider Name | Thomas A Passmore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104834647 PECOS PAC ID: 4880797471 Enrollment ID: I20070320000480 |
| Provider Name | Jason M Deville |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255440459 PECOS PAC ID: 1557464062 Enrollment ID: I20070321000098 |
| Provider Name | Nancy L Alexander |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1912949694 PECOS PAC ID: 8729182993 Enrollment ID: I20070327000659 |
| Provider Name | Nancy Formosan Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447388442 PECOS PAC ID: 9032214960 Enrollment ID: I20070420000272 |
| Provider Name | Cynthia A Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912090895 PECOS PAC ID: 8527045137 Enrollment ID: I20070507000435 |
| Provider Name | Masuma Chowdhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861572604 PECOS PAC ID: 5294831228 Enrollment ID: I20070508000112 |
| Provider Name | Huey J Meeker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437242997 PECOS PAC ID: 0648378422 Enrollment ID: I20070601000065 |
| Provider Name | Anita P Bacon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366583684 PECOS PAC ID: 3779681416 Enrollment ID: I20070605000029 |
| Provider Name | Karen M Kruse |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1447310859 PECOS PAC ID: 5092814632 Enrollment ID: I20070622000564 |
| Provider Name | Jessie Fan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932179439 PECOS PAC ID: 4486545365 Enrollment ID: I20070709000339 |
| Provider Name | Willscott E Naugler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689698342 PECOS PAC ID: 6507868767 Enrollment ID: I20070803000179 |
| Provider Name | Angela Z Minavi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356486815 PECOS PAC ID: 2365477387 Enrollment ID: I20070806000846 |
| Provider Name | Thomas H Johnson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083601835 PECOS PAC ID: 7719918622 Enrollment ID: I20070822000010 |
| Provider Name | Jeffrey C Hulse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184637548 PECOS PAC ID: 9537177381 Enrollment ID: I20070823000841 |
| Provider Name | Jennifer S Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114996485 PECOS PAC ID: 0143202390 Enrollment ID: I20070823000927 |
| Provider Name | Deborah Sailler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588746036 PECOS PAC ID: 8426140005 Enrollment ID: I20070828000242 |
| Provider Name | James C Opton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760682447 PECOS PAC ID: 9638261142 Enrollment ID: I20070828000545 |
| Provider Name | Keith H Bachman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528177169 PECOS PAC ID: 0648363788 Enrollment ID: I20070906000452 |
| Provider Name | Martin S Altschul |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386755510 PECOS PAC ID: 9133212129 Enrollment ID: I20070907000101 |
| Provider Name | Robert Lee Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881617488 PECOS PAC ID: 1355434291 Enrollment ID: I20070907000567 |
| Provider Name | Noelle Elizabeth Montano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174698088 PECOS PAC ID: 2668565565 Enrollment ID: I20070910000156 |
| Provider Name | Christine E Choo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932215951 PECOS PAC ID: 4082707682 Enrollment ID: I20070912000094 |
| Provider Name | Amanda L Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689682205 PECOS PAC ID: 2567555188 Enrollment ID: I20070912000339 |
| Provider Name | Susan D Gass |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1184738122 PECOS PAC ID: 7315030970 Enrollment ID: I20070912000630 |
| Provider Name | Douglas J Hamill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053324509 PECOS PAC ID: 2567556152 Enrollment ID: I20070913000072 |
| Provider Name | Martin Donohoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770690844 PECOS PAC ID: 4981798519 Enrollment ID: I20070913000391 |
| Provider Name | Adrianne C Feldstein |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1679669295 PECOS PAC ID: 7911091434 Enrollment ID: I20070914000259 |
| Provider Name | Emily E Nam |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609989433 PECOS PAC ID: 8224122791 Enrollment ID: I20070915000045 |
| Provider Name | David W Lin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023124088 PECOS PAC ID: 3476647942 Enrollment ID: I20070915000076 |
| Provider Name | Annette D Guido |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538265426 PECOS PAC ID: 9830283308 Enrollment ID: I20070915000085 |
| Provider Name | Leslie A Sorweide |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962516724 PECOS PAC ID: 0648364117 Enrollment ID: I20070915000094 |
| Provider Name | Tori A Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902977184 PECOS PAC ID: 8123932415 Enrollment ID: I20070915000113 |
| Provider Name | Bina Mehta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619089356 PECOS PAC ID: 5991899361 Enrollment ID: I20070915000126 |
| Provider Name | Stella Marie Dantas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982798641 PECOS PAC ID: 1254425622 Enrollment ID: I20070915000137 |
| Provider Name | Charles Y Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437377405 PECOS PAC ID: 2163516535 Enrollment ID: I20070915000140 |
| Provider Name | Jennifer Vines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598857153 PECOS PAC ID: 1052405479 Enrollment ID: I20070917000261 |
| Provider Name | Luanne B Nilsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144337221 PECOS PAC ID: 6800980160 Enrollment ID: I20070917000598 |
| Provider Name | Mark W Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043392012 PECOS PAC ID: 4486748746 Enrollment ID: I20070917000638 |
| Provider Name | Kathryn Calladine Landauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194838953 PECOS PAC ID: 1658465919 Enrollment ID: I20070917000648 |
| Provider Name | Becky R Overbeck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326157967 PECOS PAC ID: 2062506355 Enrollment ID: I20070918000071 |
| Provider Name | Kevin S Overbeck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245341114 PECOS PAC ID: 8123112414 Enrollment ID: I20070918000087 |
| Provider Name | Sandra M Reed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043308562 PECOS PAC ID: 9830283134 Enrollment ID: I20070918000105 |
| Provider Name | Cara N Steinkeler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023101003 PECOS PAC ID: 6305930603 Enrollment ID: I20070918000170 |
| Provider Name | Francine M Laverty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982818191 PECOS PAC ID: 6901990159 Enrollment ID: I20070919000007 |
| Provider Name | Cara L Rozell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003929571 PECOS PAC ID: 9133213218 Enrollment ID: I20070920000117 |
| Provider Name | Brandon K Millar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780792796 PECOS PAC ID: 1850485947 Enrollment ID: I20070920000135 |
| Provider Name | Jennifer E Slickers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184839979 PECOS PAC ID: 6305930405 Enrollment ID: I20070920000220 |
| Provider Name | Patricia S Otis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215963509 PECOS PAC ID: 6709819949 Enrollment ID: I20070920000399 |
| Provider Name | Julie K Volpel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316049836 PECOS PAC ID: 1557455672 Enrollment ID: I20070920000443 |
| Provider Name | Samer H Abufadil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750437653 PECOS PAC ID: 5597655209 Enrollment ID: I20070928000164 |
| Provider Name | Kenneth E Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073627006 PECOS PAC ID: 2961597299 Enrollment ID: I20071002000551 |
| Provider Name | Richard R Beam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760584098 PECOS PAC ID: 1658466982 Enrollment ID: I20071002000594 |
| Provider Name | Tania Mila Shaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184665416 PECOS PAC ID: 6305825282 Enrollment ID: I20071003000603 |
| Provider Name | Justin E Rosenfeld |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316148836 PECOS PAC ID: 0648365775 Enrollment ID: I20071003000740 |
| Provider Name | Laurie H Vessely |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528171212 PECOS PAC ID: 8729173752 Enrollment ID: I20071004000723 |
| Provider Name | Kristina M Ruybalid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285712166 PECOS PAC ID: 9931294840 Enrollment ID: I20071005000633 |
| Provider Name | Anne C Zymkowitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740391093 PECOS PAC ID: 3274628185 Enrollment ID: I20071005000647 |
| Provider Name | John R Steeh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447359914 PECOS PAC ID: 5890880728 Enrollment ID: I20071005000788 |
| Provider Name | Emily M Ludwig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851582456 PECOS PAC ID: 5597850305 Enrollment ID: I20071008000576 |
| Provider Name | Colin R Cave |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427152503 PECOS PAC ID: 2567558273 Enrollment ID: I20071010000784 |
| Provider Name | Atanu Prasad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457453755 PECOS PAC ID: 9638265135 Enrollment ID: I20071015000172 |
| Provider Name | Timothy D Jacobson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285647669 PECOS PAC ID: 9830285360 Enrollment ID: I20071015000449 |
| Provider Name | Lisa A Powell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356446850 PECOS PAC ID: 3476649823 Enrollment ID: I20071016000135 |
| Provider Name | Mark Alan Harvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619068848 PECOS PAC ID: 4880655752 Enrollment ID: I20071016000227 |
| Provider Name | Frank Taggart Lippy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669586822 PECOS PAC ID: 9739275967 Enrollment ID: I20071018000463 |
| Provider Name | Terry A Morrow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194837765 PECOS PAC ID: 2466548615 Enrollment ID: I20071018000551 |
| Provider Name | Susan K Scott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629183231 PECOS PAC ID: 3870689029 Enrollment ID: I20071018000572 |
| Provider Name | Carol S Kircher Sampson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184726168 PECOS PAC ID: 1153417043 Enrollment ID: I20071024000158 |
| Provider Name | Robert J Saldivar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235233701 PECOS PAC ID: 4688761323 Enrollment ID: I20071029000179 |
| Provider Name | Tony John Carnevale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518052927 PECOS PAC ID: 6406943166 Enrollment ID: I20071029000333 |
| Provider Name | Wendy S Meyers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447357033 PECOS PAC ID: 5890882450 Enrollment ID: I20071029000418 |
| Provider Name | Robert S Mahan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932291309 PECOS PAC ID: 8325135908 Enrollment ID: I20071029000606 |
| Provider Name | Karoline S Brock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255436507 PECOS PAC ID: 2365539459 Enrollment ID: I20071107000010 |
| Provider Name | Richard A Mularski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780699256 PECOS PAC ID: 4385678879 Enrollment ID: I20071107000174 |
| Provider Name | Greg J Passmore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770685281 PECOS PAC ID: 0143317156 Enrollment ID: I20071107000229 |
| Provider Name | Julia H Obadiah |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326020561 PECOS PAC ID: 7214999630 Enrollment ID: I20071107000548 |
| Provider Name | Jeremy Todd Mills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689787798 PECOS PAC ID: 6507954542 Enrollment ID: I20071108000646 |
| Provider Name | Jayesh Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770697070 PECOS PAC ID: 3577651520 Enrollment ID: I20071108000675 |
| Provider Name | James C Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730281502 PECOS PAC ID: 7810085875 Enrollment ID: I20071109000032 |
| Provider Name | Jennifer L Horner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841372919 PECOS PAC ID: 9436247194 Enrollment ID: I20071113000486 |
| Provider Name | Angela N Kreps |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659443075 PECOS PAC ID: 1658469788 Enrollment ID: I20071126000586 |
| Provider Name | Mary Jo Clarke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760586796 PECOS PAC ID: 2769570803 Enrollment ID: I20071126000745 |
| Provider Name | Karen S Mularski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194802462 PECOS PAC ID: 2365531464 Enrollment ID: I20071127000499 |
| Provider Name | Rosalina P Manzon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821193210 PECOS PAC ID: 3072602838 Enrollment ID: I20071130000376 |
| Provider Name | Marie A Miles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104979111 PECOS PAC ID: 7810086642 Enrollment ID: I20071203000130 |
| Provider Name | Frederic E Cirillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417923665 PECOS PAC ID: 0042243743 Enrollment ID: I20071203000185 |
| Provider Name | Beryl M Burns |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194827626 PECOS PAC ID: 7618066465 Enrollment ID: I20071203000236 |
| Provider Name | Andrew H Felcher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780780056 PECOS PAC ID: 4789773466 Enrollment ID: I20071203000682 |
| Provider Name | Ronald J Turker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386755379 PECOS PAC ID: 4183713720 Enrollment ID: I20071204000542 |
| Provider Name | Andrew J Cox |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689861122 PECOS PAC ID: 3779672027 Enrollment ID: I20071210000264 |
| Provider Name | Paul Francis Lewis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093721557 PECOS PAC ID: 2062501364 Enrollment ID: I20071210000536 |
| Provider Name | Kyle I Fuchs |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063503100 PECOS PAC ID: 2466541602 Enrollment ID: I20071211000274 |
| Provider Name | Daniel J Granville |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174623714 PECOS PAC ID: 5294824447 Enrollment ID: I20071211000349 |
| Provider Name | Melvin D Herd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568443794 PECOS PAC ID: 2062404304 Enrollment ID: I20071211000355 |
| Provider Name | Stephen E Renwick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588733489 PECOS PAC ID: 1456440627 Enrollment ID: I20071211000532 |
| Provider Name | Matthew Abrahams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467667428 PECOS PAC ID: 3971692146 Enrollment ID: I20071211000553 |
| Provider Name | Peter R Rega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639273147 PECOS PAC ID: 6406945690 Enrollment ID: I20071211000691 |
| Provider Name | Mary E Giswold |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164509733 PECOS PAC ID: 0143260463 Enrollment ID: I20071211000713 |
| Provider Name | Jeffrey D Sy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588677942 PECOS PAC ID: 8729178942 Enrollment ID: I20071212000141 |
| Provider Name | Steven Alan Friedman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225171986 PECOS PAC ID: 3870683006 Enrollment ID: I20071212000256 |
| Provider Name | Jane O Drummond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225142862 PECOS PAC ID: 1850481094 Enrollment ID: I20071212000289 |
| Provider Name | Charles R Elder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346352077 PECOS PAC ID: 7416047675 Enrollment ID: I20071212000428 |
| Provider Name | Eric D Evans |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700899051 PECOS PAC ID: 5496845653 Enrollment ID: I20071212000445 |
| Provider Name | Stephanie Detlefsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831209980 PECOS PAC ID: 2264522234 Enrollment ID: I20071213000606 |
| Provider Name | Kimberly F Luft |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588776777 PECOS PAC ID: 0648360610 Enrollment ID: I20071213000650 |
| Provider Name | Sean E Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245337641 PECOS PAC ID: 7315037306 Enrollment ID: I20071213000798 |
| Provider Name | Karin Thea Jacobson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295806958 PECOS PAC ID: 9436249448 Enrollment ID: I20071214000071 |
| Provider Name | Peter B Marsh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629081435 PECOS PAC ID: 5597855437 Enrollment ID: I20071217000164 |
| Provider Name | Sarah K Krakauer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073526521 PECOS PAC ID: 8224128160 Enrollment ID: I20071217000168 |
| Provider Name | Alexandra C Borok |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255433777 PECOS PAC ID: 7012007958 Enrollment ID: I20071217000185 |
| Provider Name | Jeffrey E Johnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659487692 PECOS PAC ID: 8224128095 Enrollment ID: I20071217000480 |
| Provider Name | Janet Marie Sherman Howard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336245539 PECOS PAC ID: 5991895633 Enrollment ID: I20071218000154 |
| Provider Name | Lorissa E Klaus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831296979 PECOS PAC ID: 5395793939 Enrollment ID: I20071218000251 |
| Provider Name | Andrea N Hinkley-hynes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548273071 PECOS PAC ID: 3870683535 Enrollment ID: I20071218000363 |
| Provider Name | Kathryn R Van Beeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043315898 PECOS PAC ID: 5799875456 Enrollment ID: I20071218000364 |
| Provider Name | Vandana Khurma |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1104859958 PECOS PAC ID: 9830289594 Enrollment ID: I20071218000397 |
| Provider Name | William A Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922110543 PECOS PAC ID: 7911097688 Enrollment ID: I20071218000416 |
| Provider Name | Karen A Oyama |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609981075 PECOS PAC ID: 1456441120 Enrollment ID: I20071218000427 |
| Provider Name | Derrick E Custino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013097146 PECOS PAC ID: 6406946177 Enrollment ID: I20071218000465 |
| Provider Name | Stephanie Coronado |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942213491 PECOS PAC ID: 6406946102 Enrollment ID: I20071219000067 |
| Provider Name | Amy L Morris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184719759 PECOS PAC ID: 7315037025 Enrollment ID: I20071219000145 |
| Provider Name | Richard C Cohen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104844489 PECOS PAC ID: 3476643180 Enrollment ID: I20071219000167 |
| Provider Name | Lisa Burton |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1043315690 PECOS PAC ID: 0345330908 Enrollment ID: I20071219000550 |
| Provider Name | Thomas A Beaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215019112 PECOS PAC ID: 5597855171 Enrollment ID: I20071219000689 |
| Provider Name | Zheru Liu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225141054 PECOS PAC ID: 3476643065 Enrollment ID: I20071219000715 |
| Provider Name | Audrey A Crist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790888907 PECOS PAC ID: 9537259155 Enrollment ID: I20071220000031 |
| Provider Name | Arthur D Hayward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013020171 PECOS PAC ID: 9436249976 Enrollment ID: I20071220000179 |
| Provider Name | Christopher E Mershon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912011677 PECOS PAC ID: 6204926744 Enrollment ID: I20071220000206 |
| Provider Name | Suzanne C Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770679458 PECOS PAC ID: 7113017617 Enrollment ID: I20071220000611 |
| Provider Name | Laurel M Westly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922194430 PECOS PAC ID: 6709976210 Enrollment ID: I20071220000644 |
| Provider Name | Ellen L Singer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689687279 PECOS PAC ID: 9638269004 Enrollment ID: I20071221000404 |
| Provider Name | Michael S Salinsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124181920 PECOS PAC ID: 6901996388 Enrollment ID: I20071221000482 |
| Provider Name | Katherine A Soyars |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609982339 PECOS PAC ID: 0244310555 Enrollment ID: I20071227000438 |
| Provider Name | Douglas L Beal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164530747 PECOS PAC ID: 3577643899 Enrollment ID: I20071227000546 |
| Provider Name | Travis P Lafayette |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871606293 PECOS PAC ID: 5496835720 Enrollment ID: I20071228000010 |
| Provider Name | Robin R Leslie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275545337 PECOS PAC ID: 6204916547 Enrollment ID: I20071228000032 |
| Provider Name | Ralph C Lewis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710948351 PECOS PAC ID: 6800976143 Enrollment ID: I20071228000064 |
| Provider Name | Jeffrey S Liebo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831132414 PECOS PAC ID: 2769562016 Enrollment ID: I20071228000090 |
| Provider Name | Michael C Lipke |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104811801 PECOS PAC ID: 1254361744 Enrollment ID: I20071228000102 |
| Provider Name | Trevor H Hay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700874492 PECOS PAC ID: 7416037767 Enrollment ID: I20071228000140 |
| Provider Name | Joan D Sage |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700974219 PECOS PAC ID: 8729168901 Enrollment ID: I20071228000394 |
| Provider Name | Christopher D Pearce |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043259419 PECOS PAC ID: 0840370037 Enrollment ID: I20071228000453 |
| Provider Name | Maung W Myint |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386747319 PECOS PAC ID: 4284714486 Enrollment ID: I20071228000469 |
| Provider Name | Joseph Mark Evans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063527471 PECOS PAC ID: 1254411457 Enrollment ID: I20071228000484 |
| Provider Name | Teresa M Zahariades |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831205780 PECOS PAC ID: 4082794201 Enrollment ID: I20071231000090 |
| Provider Name | Andrew F Zigman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205934866 PECOS PAC ID: 0042390262 Enrollment ID: I20071231000110 |
| Provider Name | Jonathan E Pugmire |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033113055 PECOS PAC ID: 0244310472 Enrollment ID: I20071231000179 |
| Provider Name | David E Sax |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427141548 PECOS PAC ID: 8527148766 Enrollment ID: I20071231000273 |
| Provider Name | Micah L Thorp |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912010893 PECOS PAC ID: 6608956842 Enrollment ID: I20071231000281 |
| Provider Name | John Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154437945 PECOS PAC ID: 1355421504 Enrollment ID: I20071231000359 |
| Provider Name | Thomas D Harburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659384022 PECOS PAC ID: 2466532627 Enrollment ID: I20071231000439 |
| Provider Name | Eric E Bosworth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770628844 PECOS PAC ID: 7719067974 Enrollment ID: I20071231000444 |
| Provider Name | Homayon Hajarizadeh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750477170 PECOS PAC ID: 1052491222 Enrollment ID: I20071231000480 |
| Provider Name | John P Kuzma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831102383 PECOS PAC ID: 6901986173 Enrollment ID: I20071231000521 |
| Provider Name | Warren Y Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053400556 PECOS PAC ID: 2365522539 Enrollment ID: I20071231000525 |
| Provider Name | Paramjit Chandhoke |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568578029 PECOS PAC ID: 0840279071 Enrollment ID: I20071231000592 |
| Provider Name | Timothy W Fleming |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265546659 PECOS PAC ID: 1355421454 Enrollment ID: I20080102000166 |
| Provider Name | John Alferes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679680805 PECOS PAC ID: 6103906243 Enrollment ID: I20080102000476 |
| Provider Name | Carol A Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801809389 PECOS PAC ID: 1254411226 Enrollment ID: I20080103000071 |
| Provider Name | Dana S Smith |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699855437 PECOS PAC ID: 8426073057 Enrollment ID: I20080104000137 |
| Provider Name | Gail Elizabeth Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174638167 PECOS PAC ID: 6901986793 Enrollment ID: I20080107000330 |
| Provider Name | Mark A Wozniak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972610095 PECOS PAC ID: 7618057050 Enrollment ID: I20080110000319 |
| Provider Name | Mona T Labar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407960834 PECOS PAC ID: 9739269192 Enrollment ID: I20080110000430 |
| Provider Name | Marlaina D Watkins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679683668 PECOS PAC ID: 6901986363 Enrollment ID: I20080110000437 |
| Provider Name | Jeanne L Ewen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366554123 PECOS PAC ID: 9436239894 Enrollment ID: I20080110000466 |
| Provider Name | Heather M Jensen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053413047 PECOS PAC ID: 6507946977 Enrollment ID: I20080110000487 |
| Provider Name | Patricia T Campbell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053493908 PECOS PAC ID: 1557441938 Enrollment ID: I20080110000600 |
| Provider Name | Mith M Leng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457306458 PECOS PAC ID: 0749256550 Enrollment ID: I20080111000652 |
| Provider Name | Mary K Beland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821001355 PECOS PAC ID: 9537240874 Enrollment ID: I20080114000069 |
| Provider Name | Yu Cynthia Xu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437251121 PECOS PAC ID: 5890876130 Enrollment ID: I20080114000075 |
| Provider Name | Sarah E Lambert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821177338 PECOS PAC ID: 3577583715 Enrollment ID: I20080114000077 |
| Provider Name | Douglas M Lackowski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831292861 PECOS PAC ID: 7012098361 Enrollment ID: I20080114000115 |
| Provider Name | Maria R Constien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154416535 PECOS PAC ID: 9436230786 Enrollment ID: I20080114000151 |
| Provider Name | Kimberly L Vigil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295848430 PECOS PAC ID: 2860573128 Enrollment ID: I20080114000176 |
| Provider Name | Margot Emily David |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811091218 PECOS PAC ID: 2365523628 Enrollment ID: I20080114000209 |
| Provider Name | Christopher O Thomas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821106410 PECOS PAC ID: 1850472127 Enrollment ID: I20080114000258 |
| Provider Name | Kathleen C Dalke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154434678 PECOS PAC ID: 7618058884 Enrollment ID: I20080114000297 |
| Provider Name | Sara L Cuthill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124139001 PECOS PAC ID: 7113008384 Enrollment ID: I20080114000329 |
| Provider Name | Suzanne Lubarsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134239338 PECOS PAC ID: 4183705353 Enrollment ID: I20080114000342 |
| Provider Name | Jeffrey T Swanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326153719 PECOS PAC ID: 1456432624 Enrollment ID: I20080114000345 |
| Provider Name | David P Parsons |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1558476101 PECOS PAC ID: 8527149707 Enrollment ID: I20080114000363 |
| Provider Name | Michael Adam Marlowe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104839679 PECOS PAC ID: 1153402334 Enrollment ID: I20080114000369 |
| Provider Name | Kenneth G Lie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538277595 PECOS PAC ID: 3870674054 Enrollment ID: I20080114000370 |
| Provider Name | Brian L Ryder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245243724 PECOS PAC ID: 2769563949 Enrollment ID: I20080114000396 |
| Provider Name | Jane A Izmirlian |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760588800 PECOS PAC ID: 7214018407 Enrollment ID: I20080114000489 |
| Provider Name | Carol J Pelmas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093818163 PECOS PAC ID: 1658452859 Enrollment ID: I20080114000521 |
| Provider Name | Richard R Jenkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174633986 PECOS PAC ID: 3072694272 Enrollment ID: I20080114000549 |
| Provider Name | Ezra Rabie |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1902819105 PECOS PAC ID: 3678654878 Enrollment ID: I20080114000581 |
| Provider Name | Dieter F Hoffmann |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801982442 PECOS PAC ID: 8022199223 Enrollment ID: I20080114000594 |
| Provider Name | Sara J Schultz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780799197 PECOS PAC ID: 1759462963 Enrollment ID: I20080114000601 |
| Provider Name | See S Woo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588759526 PECOS PAC ID: 3375624588 Enrollment ID: I20080114000615 |
| Provider Name | Julia Elizabeth Barnes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649368606 PECOS PAC ID: 6406937614 Enrollment ID: I20080114000656 |
| Provider Name | Douglas A Ackerman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174636344 PECOS PAC ID: 9032290267 Enrollment ID: I20080114000722 |
| Provider Name | Ann G Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871678565 PECOS PAC ID: 5092896225 Enrollment ID: I20080114000762 |
| Provider Name | William G Nyone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982714200 PECOS PAC ID: 9436230661 Enrollment ID: I20080114000788 |
| Provider Name | Lawrence A Dworkin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649283193 PECOS PAC ID: 6608957832 Enrollment ID: I20080114000800 |
| Provider Name | Judy P Rose |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275646135 PECOS PAC ID: 9335220573 Enrollment ID: I20080114000853 |
| Provider Name | Neil F Blair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730275496 PECOS PAC ID: 1052492204 Enrollment ID: I20080115000000 |
| Provider Name | Richard A Burt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881791457 PECOS PAC ID: 4688755838 Enrollment ID: I20080115000003 |
| Provider Name | Carmelo Mejia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346468451 PECOS PAC ID: 1153402318 Enrollment ID: I20080115000074 |
| Provider Name | Leesa M Linck |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1053424846 PECOS PAC ID: 2264532795 Enrollment ID: I20080115000134 |
| Provider Name | Brian R Willis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902913288 PECOS PAC ID: 0143301218 Enrollment ID: I20080115000185 |
| Provider Name | James B Wentzien |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629171954 PECOS PAC ID: 9739260803 Enrollment ID: I20080115000219 |
| Provider Name | Alla M Comardelle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558397034 PECOS PAC ID: 6608842802 Enrollment ID: I20080115000232 |
| Provider Name | Carol A Ortegon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710080072 PECOS PAC ID: 8628159704 Enrollment ID: I20080115000247 |
| Provider Name | Michelle B Ruby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750493078 PECOS PAC ID: 1254412331 Enrollment ID: I20080115000249 |
| Provider Name | James R Loch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326136367 PECOS PAC ID: 5799866885 Enrollment ID: I20080115000307 |
| Provider Name | Audrey E Tarr |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1922110972 PECOS PAC ID: 9931280039 Enrollment ID: I20080115000347 |
| Provider Name | Matthew J Forsyth |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598778060 PECOS PAC ID: 0345321444 Enrollment ID: I20080115000380 |
| Provider Name | Robert M Davis |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1427150408 PECOS PAC ID: 6800977919 Enrollment ID: I20080115000433 |
| Provider Name | Helen S Duewel |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1962552364 PECOS PAC ID: 5496836512 Enrollment ID: I20080115000482 |
| Provider Name | Robert R Crawford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285713719 PECOS PAC ID: 5395826416 Enrollment ID: I20080115000493 |
| Provider Name | Patrick L Fitzgerald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487753331 PECOS PAC ID: 3072694199 Enrollment ID: I20080115000530 |
| Provider Name | Christine F Finucane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295837706 PECOS PAC ID: 4789765801 Enrollment ID: I20080115000545 |
| Provider Name | Steven J Spindel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982760484 PECOS PAC ID: 0042391179 Enrollment ID: I20080115000561 |
| Provider Name | Ronald D Jaecks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750406039 PECOS PAC ID: 9436230562 Enrollment ID: I20080115000601 |
| Provider Name | Mark U Rarick |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114019825 PECOS PAC ID: 8426139569 Enrollment ID: I20080115000618 |
| Provider Name | Lacinda R Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770666430 PECOS PAC ID: 6305927443 Enrollment ID: I20080115000635 |
| Provider Name | Daniel S Tamashiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720191596 PECOS PAC ID: 1456432509 Enrollment ID: I20080115000729 |
| Provider Name | Suzanne C Zarling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265542138 PECOS PAC ID: 6507947520 Enrollment ID: I20080116000298 |
| Provider Name | Joseph Stalfire |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487768396 PECOS PAC ID: 1153402185 Enrollment ID: I20080116000382 |
| Provider Name | Martha L Maclin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447366638 PECOS PAC ID: 7012975873 Enrollment ID: I20080116000427 |
| Provider Name | Richard S Krahnke |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851400493 PECOS PAC ID: 6901987262 Enrollment ID: I20080116000545 |
| Provider Name | Elizabeth S Ehrlich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609069681 PECOS PAC ID: 6002997913 Enrollment ID: I20080117000105 |
| Provider Name | Dawn M Damori |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992812457 PECOS PAC ID: 2365523289 Enrollment ID: I20080117000191 |
| Provider Name | Mark E Mclain |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356446900 PECOS PAC ID: 4880775691 Enrollment ID: I20080118000086 |
| Provider Name | Susan E Koch |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912092693 PECOS PAC ID: 5698856300 Enrollment ID: I20080121000014 |
| Provider Name | Joseph D Neary |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639260318 PECOS PAC ID: 5991885204 Enrollment ID: I20080121000032 |
| Provider Name | John T Mcguire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346354487 PECOS PAC ID: 7113008772 Enrollment ID: I20080122000046 |
| Provider Name | Katrin I Book |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215011333 PECOS PAC ID: 8022199504 Enrollment ID: I20080123000150 |
| Provider Name | Bradford D Johnston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487868105 PECOS PAC ID: 3870674872 Enrollment ID: I20080123000465 |
| Provider Name | Rachel Algenio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083720395 PECOS PAC ID: 1456433820 Enrollment ID: I20080124000593 |
| Provider Name | Bradley M Anderson |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1245323724 PECOS PAC ID: 5395827604 Enrollment ID: I20080125000197 |
| Provider Name | Suzanne M Deschamps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851584700 PECOS PAC ID: 9739261058 Enrollment ID: I20080125000296 |
| Provider Name | Shobana Rajagopal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366455883 PECOS PAC ID: 0143302489 Enrollment ID: I20080125000400 |
| Provider Name | Scott A Sandberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467565119 PECOS PAC ID: 2769564004 Enrollment ID: I20080125000425 |
| Provider Name | Wayne Wong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275676843 PECOS PAC ID: 2264514470 Enrollment ID: I20080128000200 |
| Provider Name | Jennifer L Lycette |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801847355 PECOS PAC ID: 1557372752 Enrollment ID: I20080128000475 |
| Provider Name | Marcus M Giebels |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093896748 PECOS PAC ID: 9234193673 Enrollment ID: I20080128000610 |
| Provider Name | Jeanne B Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841341880 PECOS PAC ID: 9234211301 Enrollment ID: I20080128000794 |
| Provider Name | Gloria A Marlowe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285647750 PECOS PAC ID: 7214019306 Enrollment ID: I20080129000141 |
| Provider Name | Waleed L Lutfiyya |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1770652752 PECOS PAC ID: 7517049653 Enrollment ID: I20080129000465 |
| Provider Name | Yara L Delgado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942286596 PECOS PAC ID: 8022012624 Enrollment ID: I20080130000638 |
| Provider Name | Kathleen Anne Kennedy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174659353 PECOS PAC ID: 0345322293 Enrollment ID: I20080130000646 |
| Provider Name | Mary N Kilo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992924393 PECOS PAC ID: 7416039375 Enrollment ID: I20080130000723 |
| Provider Name | Steven E Laxson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336236124 PECOS PAC ID: 5496837320 Enrollment ID: I20080204000064 |
| Provider Name | Roger A Wicklund |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417065848 PECOS PAC ID: 1355423914 Enrollment ID: I20080205000152 |
| Provider Name | Steven E Lester |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336365295 PECOS PAC ID: 3779666367 Enrollment ID: I20080205000456 |
| Provider Name | Travis J Widman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1700928397 PECOS PAC ID: 4183707755 Enrollment ID: I20080206000332 |
| Provider Name | Hilary A Wells |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194830299 PECOS PAC ID: 6709969389 Enrollment ID: I20080206000356 |
| Provider Name | Michele M Hall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588768501 PECOS PAC ID: 3870676935 Enrollment ID: I20080212000636 |
| Provider Name | Albert S Oh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396718912 PECOS PAC ID: 6507949674 Enrollment ID: I20080212000729 |
| Provider Name | Alexander M Kositch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023021516 PECOS PAC ID: 0143315986 Enrollment ID: I20080213000643 |
| Provider Name | Sarah M York |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497976807 PECOS PAC ID: 8527141456 Enrollment ID: I20080214000477 |
| Provider Name | Linda Okereke |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1104964915 PECOS PAC ID: 8022191725 Enrollment ID: I20080218000484 |
| Provider Name | Ryan A Gingrich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437186004 PECOS PAC ID: 9931115755 Enrollment ID: I20080218000618 |
| Provider Name | Andre R Leger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932292299 PECOS PAC ID: 2062595788 Enrollment ID: I20080218000652 |
| Provider Name | Mark B Heinonen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194727081 PECOS PAC ID: 9739262403 Enrollment ID: I20080219000341 |
| Provider Name | Terry L Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265531784 PECOS PAC ID: 2163505843 Enrollment ID: I20080219000432 |
| Provider Name | Casey E Ferguson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447375233 PECOS PAC ID: 1759373319 Enrollment ID: I20080219000510 |
| Provider Name | David H Ruud |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760594063 PECOS PAC ID: 7113001819 Enrollment ID: I20080219000644 |
| Provider Name | Michelle L Rodgers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881607240 PECOS PAC ID: 6709968936 Enrollment ID: I20080220000009 |
| Provider Name | Melissa S Rockefeller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134329410 PECOS PAC ID: 9032292958 Enrollment ID: I20080225000600 |
| Provider Name | Ginny Lee Laferriere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639271406 PECOS PAC ID: 1658455993 Enrollment ID: I20080226000584 |
| Provider Name | John Roddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306951041 PECOS PAC ID: 7113001330 Enrollment ID: I20080227000288 |
| Provider Name | Naun Chang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073607081 PECOS PAC ID: 8022192160 Enrollment ID: I20080227000558 |
| Provider Name | Randy J Cima |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407874704 PECOS PAC ID: 4082798137 Enrollment ID: I20080227000599 |
| Provider Name | Megan E Danish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558459495 PECOS PAC ID: 1254415300 Enrollment ID: I20080227000611 |
| Provider Name | Robert W Peterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104938380 PECOS PAC ID: 7012091077 Enrollment ID: I20080228000641 |
| Provider Name | Mark A Gilbert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477613412 PECOS PAC ID: 0446334437 Enrollment ID: I20080229000178 |
| Provider Name | Siobhan H Gray |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861506057 PECOS PAC ID: 6709960719 Enrollment ID: I20080229000283 |
| Provider Name | Greg R Zarelli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831208479 PECOS PAC ID: 2769566777 Enrollment ID: I20080229000335 |
| Provider Name | Patricia C Ramos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932292448 PECOS PAC ID: 6406836030 Enrollment ID: I20080229000375 |
| Provider Name | Elizabeth Lygo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821109265 PECOS PAC ID: 8123102043 Enrollment ID: I20080229000523 |
| Provider Name | Nancy Anne Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952495657 PECOS PAC ID: 1658455589 Enrollment ID: I20080229000636 |
| Provider Name | Kevin C La Cour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407855786 PECOS PAC ID: 7810945870 Enrollment ID: I20080303000251 |
| Provider Name | Cynthia A Mcphee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265538268 PECOS PAC ID: 5799869533 Enrollment ID: I20080303000645 |
| Provider Name | Elizabeth G Liles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124233317 PECOS PAC ID: 5597840181 Enrollment ID: I20080306000375 |
| Provider Name | Richard Strauss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629175294 PECOS PAC ID: 9537120043 Enrollment ID: I20080307000174 |
| Provider Name | Marla K Gardner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649383456 PECOS PAC ID: 4385729862 Enrollment ID: I20080307000318 |
| Provider Name | Gawain M Gilkey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962595462 PECOS PAC ID: 6800971391 Enrollment ID: I20080307000341 |
| Provider Name | Edward R Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336255587 PECOS PAC ID: 2567547086 Enrollment ID: I20080307000567 |
| Provider Name | Kristen J Woofter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417068644 PECOS PAC ID: 8527143999 Enrollment ID: I20080310000229 |
| Provider Name | Patricia S Rotter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407826050 PECOS PAC ID: 5991880379 Enrollment ID: I20080310000296 |
| Provider Name | Kelly D Block |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396831913 PECOS PAC ID: 5395820781 Enrollment ID: I20080310000337 |
| Provider Name | Peggy A Bradley Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114106598 PECOS PAC ID: 9638163488 Enrollment ID: I20080310000362 |
| Provider Name | Lisa K Molina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376634931 PECOS PAC ID: 1759466949 Enrollment ID: I20080312000310 |
| Provider Name | Richard W Wise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215043245 PECOS PAC ID: 2860577061 Enrollment ID: I20080312000392 |
| Provider Name | Xiang-hong Song |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043327109 PECOS PAC ID: 3375628571 Enrollment ID: I20080312000416 |
| Provider Name | Attilia M Sawyer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477663268 PECOS PAC ID: 4880779081 Enrollment ID: I20080312000443 |
| Provider Name | Marc R Lutz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326095654 PECOS PAC ID: 2860462629 Enrollment ID: I20080313000039 |
| Provider Name | Barry K Coplon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679681662 PECOS PAC ID: 6709961618 Enrollment ID: I20080317000142 |
| Provider Name | Nagendra R Tirumali |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669565230 PECOS PAC ID: 2062598998 Enrollment ID: I20080318000566 |
| Provider Name | Kelly A Riordan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417027418 PECOS PAC ID: 0648356501 Enrollment ID: I20080318000796 |
| Provider Name | Mahnaz Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124046727 PECOS PAC ID: 6901796747 Enrollment ID: I20080319000074 |
| Provider Name | Naseem K Bains |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801004890 PECOS PAC ID: 7719063593 Enrollment ID: I20080319000128 |
| Provider Name | Scott G Dunlap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568576510 PECOS PAC ID: 8527144138 Enrollment ID: I20080324000474 |
| Provider Name | Jennifer Jo Donohue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912912411 PECOS PAC ID: 7810073434 Enrollment ID: I20080324000551 |
| Provider Name | Robert S Unitan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780697243 PECOS PAC ID: 0345326740 Enrollment ID: I20080326000302 |
| Provider Name | Keith B Riley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609983766 PECOS PAC ID: 4082790407 Enrollment ID: I20080326000446 |
| Provider Name | Benjamin Wachsmuth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275739658 PECOS PAC ID: 1850477282 Enrollment ID: I20080326000524 |
| Provider Name | Noel R Wardwell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528160462 PECOS PAC ID: 0446336770 Enrollment ID: I20080326000578 |
| Provider Name | Thomas Harbison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073604781 PECOS PAC ID: 1951487214 Enrollment ID: I20080326000856 |
| Provider Name | Ann M Stanek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306992516 PECOS PAC ID: 5092891382 Enrollment ID: I20080327000046 |
| Provider Name | David Levitt Shenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689687121 PECOS PAC ID: 7113003435 Enrollment ID: I20080327000342 |
| Provider Name | Abbie M Jordan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275616930 PECOS PAC ID: 3779669908 Enrollment ID: I20080327000519 |
| Provider Name | James M Bertola |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1811917750 PECOS PAC ID: 3274536966 Enrollment ID: I20080327000792 |
| Provider Name | Daniel M Rappaport |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215012885 PECOS PAC ID: 5799861969 Enrollment ID: I20080328000012 |
| Provider Name | Susan A Huang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801979869 PECOS PAC ID: 0143306316 Enrollment ID: I20080328000024 |
| Provider Name | Bradley W Strong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679506992 PECOS PAC ID: 8224114368 Enrollment ID: I20080328000652 |
| Provider Name | Rory E Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245344266 PECOS PAC ID: 0840376802 Enrollment ID: I20080401000132 |
| Provider Name | Robert J Krum |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912016973 PECOS PAC ID: 2668558651 Enrollment ID: I20080401000372 |
| Provider Name | Chieko Misaki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225093172 PECOS PAC ID: 9335226968 Enrollment ID: I20080408000042 |
| Provider Name | Thomas W Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114039765 PECOS PAC ID: 0840377479 Enrollment ID: I20080408000081 |
| Provider Name | Petr N Miksovsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285647735 PECOS PAC ID: 1557448057 Enrollment ID: I20080408000749 |
| Provider Name | Mitch E Brock |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295847440 PECOS PAC ID: 8224115514 Enrollment ID: I20080410000721 |
| Provider Name | Christine Shin-yi Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639251705 PECOS PAC ID: 6901853472 Enrollment ID: I20080410000725 |
| Provider Name | Adam Edward Silverblatt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811070741 PECOS PAC ID: 1759468044 Enrollment ID: I20080410000747 |
| Provider Name | Kathy A Thigpen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417164161 PECOS PAC ID: 6305923608 Enrollment ID: I20080410000818 |
| Provider Name | Anna H Grosz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144398017 PECOS PAC ID: 0648357855 Enrollment ID: I20080411000143 |
| Provider Name | Daniel W Bytnar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144317934 PECOS PAC ID: 4082791207 Enrollment ID: I20080411000165 |
| Provider Name | Jane Y Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700993615 PECOS PAC ID: 1153408372 Enrollment ID: I20080411000194 |
| Provider Name | Anne D Sherwood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518015551 PECOS PAC ID: 6103903349 Enrollment ID: I20080411000306 |
| Provider Name | Nicole J Laske |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740390558 PECOS PAC ID: 4183701345 Enrollment ID: I20080411000488 |
| Provider Name | Gregory S Rubin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326269721 PECOS PAC ID: 1254418353 Enrollment ID: I20080414000024 |
| Provider Name | Susan I Wolf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285730267 PECOS PAC ID: 2062599160 Enrollment ID: I20080414000029 |
| Provider Name | Kimberly L Workman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487737003 PECOS PAC ID: 1951488055 Enrollment ID: I20080414000045 |
| Provider Name | Susan E Johnson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043434814 PECOS PAC ID: 0648358572 Enrollment ID: I20080417000533 |
| Provider Name | James B Kilway |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154477511 PECOS PAC ID: 7719884519 Enrollment ID: I20080422000719 |
| Provider Name | Terance G Kordash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194948877 PECOS PAC ID: 3779661244 Enrollment ID: I20080424000015 |
| Provider Name | Steven L Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134225725 PECOS PAC ID: 4981782406 Enrollment ID: I20080424000369 |
| Provider Name | Steven A Long |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235246703 PECOS PAC ID: 6608954037 Enrollment ID: I20080424000577 |
| Provider Name | Richard A Hunt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225140940 PECOS PAC ID: 8426136813 Enrollment ID: I20080425000289 |
| Provider Name | Lee A Jones |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1063532422 PECOS PAC ID: 7416035811 Enrollment ID: I20080425000313 |
| Provider Name | Thomas D Wynne |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1417945106 PECOS PAC ID: 3274529268 Enrollment ID: I20080428000379 |
| Provider Name | Cecilia S Muraki |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598873028 PECOS PAC ID: 2062591266 Enrollment ID: I20080429000696 |
| Provider Name | Rahul Rastogi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548373632 PECOS PAC ID: 1759355134 Enrollment ID: I20080501000551 |
| Provider Name | Alicia M Ahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811109283 PECOS PAC ID: 7214016070 Enrollment ID: I20080505000533 |
| Provider Name | Brenda R Annotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255335295 PECOS PAC ID: 8729167226 Enrollment ID: I20080508000848 |
| Provider Name | Scott L Nasson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033171772 PECOS PAC ID: 8921187220 Enrollment ID: I20080512000063 |
| Provider Name | Ramu R Kotamarti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982711172 PECOS PAC ID: 7416026786 Enrollment ID: I20080513000631 |
| Provider Name | Arnold J Klein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427162536 PECOS PAC ID: 7315016573 Enrollment ID: I20080514000705 |
| Provider Name | Mara M Christensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457411449 PECOS PAC ID: 7214006956 Enrollment ID: I20080520000885 |
| Provider Name | Christian A Speer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407826563 PECOS PAC ID: 2466554340 Enrollment ID: I20080528000168 |
| Provider Name | Stacey L Wilson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629102272 PECOS PAC ID: 4183794464 Enrollment ID: I20080529000161 |
| Provider Name | Xiaofeng Fu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518933019 PECOS PAC ID: 9133160823 Enrollment ID: I20080529000783 |
| Provider Name | Maureen M Upton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407951429 PECOS PAC ID: 2567532740 Enrollment ID: I20080530000106 |
| Provider Name | Dana Kostiner Simpson |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1255346771 PECOS PAC ID: 4284704461 Enrollment ID: I20080530000109 |
| Provider Name | Michael K Herson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780797472 PECOS PAC ID: 4183794373 Enrollment ID: I20080530000133 |
| Provider Name | Loretta Scheler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033160031 PECOS PAC ID: 9335231026 Enrollment ID: I20080602000811 |
| Provider Name | Sanjay D Chakrapani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801068374 PECOS PAC ID: 8527138197 Enrollment ID: I20080609000570 |
| Provider Name | Zakary S Hoffelt |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093821613 PECOS PAC ID: 0840360434 Enrollment ID: I20080609000709 |
| Provider Name | Rebecah Schwartz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417051947 PECOS PAC ID: 4880673599 Enrollment ID: I20080611000055 |
| Provider Name | Jason Naoki Hashima |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295812402 PECOS PAC ID: 7012088412 Enrollment ID: I20080612000241 |
| Provider Name | Laura D Iuga |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558331793 PECOS PAC ID: 9537066790 Enrollment ID: I20080612000321 |
| Provider Name | Nina R Shapiro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336359512 PECOS PAC ID: 7113098450 Enrollment ID: I20080613000604 |
| Provider Name | Evan Deutsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538111497 PECOS PAC ID: 2961439245 Enrollment ID: I20080613000609 |
| Provider Name | Josephine O Cho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518063973 PECOS PAC ID: 2163593419 Enrollment ID: I20080616000022 |
| Provider Name | Jocelyn A Segall |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1790906410 PECOS PAC ID: 6800967019 Enrollment ID: I20080616000608 |
| Provider Name | Linda Smieja |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326219098 PECOS PAC ID: 4183795792 Enrollment ID: I20080625000063 |
| Provider Name | Arun Kuchela |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366478810 PECOS PAC ID: 6709847965 Enrollment ID: I20080626000125 |
| Provider Name | Krzysztof J Ostrowski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225092505 PECOS PAC ID: 1052483518 Enrollment ID: I20080630000004 |
| Provider Name | Walter P Robertson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013071042 PECOS PAC ID: 6901978089 Enrollment ID: I20080707000391 |
| Provider Name | Christopher R Olivares |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568630010 PECOS PAC ID: 5092887034 Enrollment ID: I20080708000184 |
| Provider Name | Amit Sadana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043285711 PECOS PAC ID: 0547221046 Enrollment ID: I20080708000692 |
| Provider Name | Gary M Greenberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720070683 PECOS PAC ID: 3971683517 Enrollment ID: I20080709000690 |
| Provider Name | Jenny E Pompilio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881701969 PECOS PAC ID: 3274605167 Enrollment ID: I20080709000712 |
| Provider Name | Beth H Paraskeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720183825 PECOS PAC ID: 0244303832 Enrollment ID: I20080715000435 |
| Provider Name | Eugene Pendleton Nicholson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710197991 PECOS PAC ID: 4183797558 Enrollment ID: I20080717000392 |
| Provider Name | Katherine M Gesteland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124155007 PECOS PAC ID: 2961575113 Enrollment ID: I20080721000614 |
| Provider Name | Lloyd G Connelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326254871 PECOS PAC ID: 1052484276 Enrollment ID: I20080722000313 |
| Provider Name | Fengping Xu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295933752 PECOS PAC ID: 8527131580 Enrollment ID: I20080723000937 |
| Provider Name | Scott D Finkelstein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326250028 PECOS PAC ID: 6608949466 Enrollment ID: I20080728000082 |
| Provider Name | Reva St J Ricketts Loriaux |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508044595 PECOS PAC ID: 8022182724 Enrollment ID: I20080729000591 |
| Provider Name | Kailin F Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922268382 PECOS PAC ID: 9234203951 Enrollment ID: I20080729000734 |
| Provider Name | Yashail Y Vora |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215043716 PECOS PAC ID: 5991893331 Enrollment ID: I20080730000249 |
| Provider Name | Matthew D Wagner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487869996 PECOS PAC ID: 5698849263 Enrollment ID: I20080730000422 |
| Provider Name | Diane S Santesson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457448797 PECOS PAC ID: 4082655170 Enrollment ID: I20080730000455 |
| Provider Name | Amy Wang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841364783 PECOS PAC ID: 9830263466 Enrollment ID: I20080731000049 |
| Provider Name | Alma Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285897009 PECOS PAC ID: 6103990742 Enrollment ID: I20080731000133 |
| Provider Name | Susan A Brewer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902911506 PECOS PAC ID: 6800960378 Enrollment ID: I20080731000449 |
| Provider Name | Melanie Dawn Jeske |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083878268 PECOS PAC ID: 5890869390 Enrollment ID: I20080731000766 |
| Provider Name | Alison K Bahr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609034545 PECOS PAC ID: 4486728938 Enrollment ID: I20080801000331 |
| Provider Name | Danielle Gessford |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053575241 PECOS PAC ID: 5890869291 Enrollment ID: I20080804000077 |
| Provider Name | Samuel Ivan Wasmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376754515 PECOS PAC ID: 7911071139 Enrollment ID: I20080806000724 |
| Provider Name | Weitian Liu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225254436 PECOS PAC ID: 1951475904 Enrollment ID: I20080808000473 |
| Provider Name | Susie Lim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700057320 PECOS PAC ID: 8325112386 Enrollment ID: I20080808000550 |
| Provider Name | Bronwyn Baz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093936486 PECOS PAC ID: 7315031523 Enrollment ID: I20080808000568 |
| Provider Name | Ted K Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518092683 PECOS PAC ID: 6204931603 Enrollment ID: I20080815000542 |
| Provider Name | Launa D Gunderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871715714 PECOS PAC ID: 7416022884 Enrollment ID: I20080819000836 |
| Provider Name | Ulrike Guempel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912956897 PECOS PAC ID: 9931274925 Enrollment ID: I20080827000109 |
| Provider Name | John A Borgoy |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1255369617 PECOS PAC ID: 3072519263 Enrollment ID: I20080827000236 |
| Provider Name | Jeremy D Fields |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366577983 PECOS PAC ID: 9234237637 Enrollment ID: I20080829000190 |
| Provider Name | Jennifer A Murphy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1962465138 PECOS PAC ID: 1153497094 Enrollment ID: I20080829000288 |
| Provider Name | Matthew Halsey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063445401 PECOS PAC ID: 2961416839 Enrollment ID: I20080829000329 |
| Provider Name | Wayne R Lo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356373047 PECOS PAC ID: 5496768889 Enrollment ID: I20080904000693 |
| Provider Name | Peter C Carty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326004250 PECOS PAC ID: 9133295736 Enrollment ID: I20080905000183 |
| Provider Name | Derek A Rasheed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720291156 PECOS PAC ID: 5294801809 Enrollment ID: I20080905000221 |
| Provider Name | Raymond Chin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235351974 PECOS PAC ID: 2466528799 Enrollment ID: I20080910000168 |
| Provider Name | Cheryl C Laplante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306803077 PECOS PAC ID: 7517951635 Enrollment ID: I20080910000502 |
| Provider Name | Laura L Jacobsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356545107 PECOS PAC ID: 9436225745 Enrollment ID: I20080911000125 |
| Provider Name | Ileana Lee |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437305315 PECOS PAC ID: 9032286166 Enrollment ID: I20080916000179 |
| Provider Name | Radhika Suryadevara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518142504 PECOS PAC ID: 7911074901 Enrollment ID: I20080917000096 |
| Provider Name | Shikha Arun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306881834 PECOS PAC ID: 0840367868 Enrollment ID: I20080917000292 |
| Provider Name | Hitomi Nakai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205031283 PECOS PAC ID: 1557438314 Enrollment ID: I20080919000155 |
| Provider Name | Harpreet K Dhillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366556516 PECOS PAC ID: 8628078128 Enrollment ID: I20080925000545 |
| Provider Name | Hisham A Bismar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477714749 PECOS PAC ID: 9931276276 Enrollment ID: I20080929000178 |
| Provider Name | Michele Rice Bergmann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992780407 PECOS PAC ID: 8426089798 Enrollment ID: I20080929000283 |
| Provider Name | Rebecca M Baird |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659339737 PECOS PAC ID: 9638246994 Enrollment ID: I20080929000320 |
| Provider Name | Joshua Joseph Filner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669663431 PECOS PAC ID: 4385711662 Enrollment ID: I20080929000500 |
| Provider Name | Patricia H Sandholm |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1487874707 PECOS PAC ID: 0446327720 Enrollment ID: I20080929000524 |
| Provider Name | Steven Donald Simon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346290871 PECOS PAC ID: 2264509553 Enrollment ID: I20080929000627 |
| Provider Name | Praseeda R Sridharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447460779 PECOS PAC ID: 0244307544 Enrollment ID: I20080929000647 |
| Provider Name | Supriya Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023190469 PECOS PAC ID: 4688660129 Enrollment ID: I20081003000144 |
| Provider Name | Cassandra Stell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598951501 PECOS PAC ID: 7113095035 Enrollment ID: I20081006000313 |
| Provider Name | Eileen M Sparks |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467617019 PECOS PAC ID: 2567530249 Enrollment ID: I20081008000155 |
| Provider Name | Lauren M Morr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871758961 PECOS PAC ID: 0244398899 Enrollment ID: I20081025000157 |
| Provider Name | Jennifer R Allen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235395252 PECOS PAC ID: 8729146238 Enrollment ID: I20081027000680 |
| Provider Name | Sarah K Woodell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346253879 PECOS PAC ID: 4082772512 Enrollment ID: I20081027000795 |
| Provider Name | Alison M Gilbert |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265696454 PECOS PAC ID: 5890853360 Enrollment ID: I20081028000355 |
| Provider Name | Vyacheslav Y Melnikov |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780832998 PECOS PAC ID: 7517026974 Enrollment ID: I20081030000567 |
| Provider Name | Belinda R Pearl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245490176 PECOS PAC ID: 9234297839 Enrollment ID: I20081105000074 |
| Provider Name | Asha Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225230725 PECOS PAC ID: 5395804322 Enrollment ID: I20081106000080 |
| Provider Name | Patricia A Thoma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083723290 PECOS PAC ID: 5991865313 Enrollment ID: I20081114000643 |
| Provider Name | Seema Kapadia Steel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770664146 PECOS PAC ID: 0547350563 Enrollment ID: I20081202000513 |
| Provider Name | Tracy L Ruby |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083713580 PECOS PAC ID: 1052472495 Enrollment ID: I20081204000208 |
| Provider Name | Keri Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982863528 PECOS PAC ID: 0042371346 Enrollment ID: I20081204000897 |
| Provider Name | Thomas W Albert |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1841208303 PECOS PAC ID: 7012078322 Enrollment ID: I20081204000929 |
| Provider Name | Mark W Isackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396877130 PECOS PAC ID: 9335200161 Enrollment ID: I20081211000297 |
| Provider Name | David Guarraia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710196811 PECOS PAC ID: 5395806129 Enrollment ID: I20081211000323 |
| Provider Name | Candye R Andrus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942247226 PECOS PAC ID: 2769543503 Enrollment ID: I20081211000413 |
| Provider Name | Lori D Nading |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629224373 PECOS PAC ID: 8820159528 Enrollment ID: I20081212000131 |
| Provider Name | Jill Sydney Ginsberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770690851 PECOS PAC ID: 5698790657 Enrollment ID: I20081215000377 |
| Provider Name | David S Rice |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760587117 PECOS PAC ID: 5294829701 Enrollment ID: I20081215000623 |
| Provider Name | Kerry A Matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508972159 PECOS PAC ID: 0547352650 Enrollment ID: I20081217000359 |
| Provider Name | Angie M Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528270212 PECOS PAC ID: 2567562564 Enrollment ID: I20081229000152 |
| Provider Name | Antje Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518970946 PECOS PAC ID: 7719040567 Enrollment ID: I20090106000376 |
| Provider Name | Camille J Yu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831345040 PECOS PAC ID: 3072676733 Enrollment ID: I20090107000442 |
| Provider Name | Bryan D Walls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710982129 PECOS PAC ID: 7719040708 Enrollment ID: I20090119000042 |
| Provider Name | Rebekah B Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700980422 PECOS PAC ID: 2567555196 Enrollment ID: I20090121000191 |
| Provider Name | Laura Wozniak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487642047 PECOS PAC ID: 5395809271 Enrollment ID: I20090122000261 |
| Provider Name | Craig E Foss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720044654 PECOS PAC ID: 8325102163 Enrollment ID: I20090123000087 |
| Provider Name | Michele D Mccallum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922103092 PECOS PAC ID: 0446314082 Enrollment ID: I20090127000518 |
| Provider Name | Mary K Calderon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285874933 PECOS PAC ID: 8729142765 Enrollment ID: I20090205000445 |
| Provider Name | Elizabeth P Levesque |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1518096114 PECOS PAC ID: 5496811226 Enrollment ID: I20090303000674 |
| Provider Name | Amy T Conway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972609246 PECOS PAC ID: 2668538497 Enrollment ID: I20090303000690 |
| Provider Name | Lisa A Ashcraft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801851746 PECOS PAC ID: 9234295742 Enrollment ID: I20090309000416 |
| Provider Name | Thilo R Weissflog |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689611477 PECOS PAC ID: 0547326787 Enrollment ID: I20090312000646 |
| Provider Name | Sharon R Mirarchi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144249467 PECOS PAC ID: 7012004716 Enrollment ID: I20090318000484 |
| Provider Name | Cigdem T Bytnar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659577740 PECOS PAC ID: 4587721592 Enrollment ID: I20090318000626 |
| Provider Name | Lesley Ann Defazio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447498886 PECOS PAC ID: 3870640642 Enrollment ID: I20090414000138 |
| Provider Name | Cheryl L Boedigheimer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972610251 PECOS PAC ID: 7719034537 Enrollment ID: I20090414000640 |
| Provider Name | Alissa Zea Mcmaken Roberts |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861656621 PECOS PAC ID: 0446308720 Enrollment ID: I20090423000786 |
| Provider Name | Gretchen L Hittle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356304042 PECOS PAC ID: 3072661388 Enrollment ID: I20090424000301 |
| Provider Name | Richard D Gardner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003924879 PECOS PAC ID: 6507807666 Enrollment ID: I20090520000652 |
| Provider Name | Yasutake Fuke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558402248 PECOS PAC ID: 0648184689 Enrollment ID: I20090527000265 |
| Provider Name | Scott M Chadderdon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811068752 PECOS PAC ID: 6103855747 Enrollment ID: I20090527000624 |
| Provider Name | Erin J Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497919252 PECOS PAC ID: 2264582758 Enrollment ID: I20090603000452 |
| Provider Name | Anitha Raj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881676013 PECOS PAC ID: 9537198486 Enrollment ID: I20090610000214 |
| Provider Name | Jessie Hann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104083492 PECOS PAC ID: 2365592201 Enrollment ID: I20090615000353 |
| Provider Name | Thomas W Garges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255314290 PECOS PAC ID: 4981613106 Enrollment ID: I20090617000010 |
| Provider Name | Christina T Derstine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962613133 PECOS PAC ID: 5991855652 Enrollment ID: I20090618000341 |
| Provider Name | Valerie A Downey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902905540 PECOS PAC ID: 1658305164 Enrollment ID: I20090702000448 |
| Provider Name | Emmylou Boyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558426916 PECOS PAC ID: 8820149792 Enrollment ID: I20090706000662 |
| Provider Name | Gina Marie Carter-beard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083815922 PECOS PAC ID: 8628120425 Enrollment ID: I20090708000525 |
| Provider Name | Thomas J Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306047881 PECOS PAC ID: 4880746692 Enrollment ID: I20090708000637 |
| Provider Name | Shaun L Ageno |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760692529 PECOS PAC ID: 4183776909 Enrollment ID: I20090708000706 |
| Provider Name | Kalpana R Injety |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467658773 PECOS PAC ID: 6507919271 Enrollment ID: I20090728000323 |
| Provider Name | Devan C Romans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720275183 PECOS PAC ID: 6608929369 Enrollment ID: I20090729000242 |
| Provider Name | Michael J Naillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881649994 PECOS PAC ID: 5890708747 Enrollment ID: I20090731000403 |
| Provider Name | Duncan K Hodge |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407934508 PECOS PAC ID: 3779501192 Enrollment ID: I20090807000072 |
| Provider Name | Jennifer L Bard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346348596 PECOS PAC ID: 4981797859 Enrollment ID: I20090807000185 |
| Provider Name | Dawn L Estelle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619994043 PECOS PAC ID: 9234167396 Enrollment ID: I20090810000037 |
| Provider Name | Jennifer S Garner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043238629 PECOS PAC ID: 2668576653 Enrollment ID: I20090811000243 |
| Provider Name | Gautam Sehgal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598830150 PECOS PAC ID: 2860550480 Enrollment ID: I20090812000232 |
| Provider Name | Samuel D Weirich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093814642 PECOS PAC ID: 2567548241 Enrollment ID: I20090813000462 |
| Provider Name | Melissa Brandon Weimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972708675 PECOS PAC ID: 8022162726 Enrollment ID: I20090814000241 |
| Provider Name | Pamela M Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043412190 PECOS PAC ID: 6103970835 Enrollment ID: I20090814000527 |
| Provider Name | Clayton A Gibbons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891829388 PECOS PAC ID: 8729042460 Enrollment ID: I20090814000635 |
| Provider Name | Jaswinder Kaur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780635722 PECOS PAC ID: 8729090394 Enrollment ID: I20090819000340 |
| Provider Name | Maria Socorro F Flores |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174626444 PECOS PAC ID: 4385798792 Enrollment ID: I20090820000004 |
| Provider Name | Brendan Patrick Kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033233192 PECOS PAC ID: 8921152257 Enrollment ID: I20090820000346 |
| Provider Name | Gabriela B Mctyier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437136611 PECOS PAC ID: 9537121108 Enrollment ID: I20090824000162 |
| Provider Name | Marisa D Preston-kuntz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548404288 PECOS PAC ID: 4486709532 Enrollment ID: I20090826000264 |
| Provider Name | Parsa Shahinpoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447399456 PECOS PAC ID: 5496824849 Enrollment ID: I20090827000362 |
| Provider Name | John W Boucher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558374538 PECOS PAC ID: 0547294035 Enrollment ID: I20090827000408 |
| Provider Name | Holly E Vanni |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437328143 PECOS PAC ID: 8628123684 Enrollment ID: I20090827000579 |
| Provider Name | Teran Wilson Colen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629182209 PECOS PAC ID: 5698833317 Enrollment ID: I20090827000660 |
| Provider Name | Kenneth P Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568690832 PECOS PAC ID: 8426103045 Enrollment ID: I20090903000486 |
| Provider Name | Jeffrey Degen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952422578 PECOS PAC ID: 4284789736 Enrollment ID: I20090904000079 |
| Provider Name | Lisa R Beck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760592299 PECOS PAC ID: 8325193774 Enrollment ID: I20090908000585 |
| Provider Name | Adam F Braganza |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063669539 PECOS PAC ID: 0345395638 Enrollment ID: I20090910000446 |
| Provider Name | Chau T Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801096912 PECOS PAC ID: 7315092525 Enrollment ID: I20090910000646 |
| Provider Name | Maxine E Dexter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306959580 PECOS PAC ID: 7911983481 Enrollment ID: I20090914000491 |
| Provider Name | Susan Paulena Corzilius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205907268 PECOS PAC ID: 1557426152 Enrollment ID: I20090914000736 |
| Provider Name | Joy E Eberhardt De Master |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972769552 PECOS PAC ID: 6800942970 Enrollment ID: I20090915000839 |
| Provider Name | Kimberly A Rydbom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912184516 PECOS PAC ID: 3072669878 Enrollment ID: I20090921000171 |
| Provider Name | Nathan W Greene |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154404812 PECOS PAC ID: 8729042130 Enrollment ID: I20090921000719 |
| Provider Name | Nicky J Leeborg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790921005 PECOS PAC ID: 0042366676 Enrollment ID: I20090922000784 |
| Provider Name | Robert C Haugen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538276613 PECOS PAC ID: 8820175045 Enrollment ID: I20090925000463 |
| Provider Name | Jacob A Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831316892 PECOS PAC ID: 7618023920 Enrollment ID: I20090928000468 |
| Provider Name | Norma P Steiner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124288329 PECOS PAC ID: 7214083534 Enrollment ID: I20090928000617 |
| Provider Name | Dana Marie Bailey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821109232 PECOS PAC ID: 9234285578 Enrollment ID: I20090928000799 |
| Provider Name | Austin D Jou |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1740448257 PECOS PAC ID: 7012053259 Enrollment ID: I20091001000506 |
| Provider Name | Thomas G Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396967279 PECOS PAC ID: 8123178233 Enrollment ID: I20091002000076 |
| Provider Name | Catherine E Decampos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912015546 PECOS PAC ID: 0244299352 Enrollment ID: I20091006000392 |
| Provider Name | Daniel P Lavery |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023236783 PECOS PAC ID: 5496891343 Enrollment ID: I20091006000539 |
| Provider Name | Amarprit S Bains |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295939395 PECOS PAC ID: 8628114543 Enrollment ID: I20091007000426 |
| Provider Name | Tricia D Berry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952559544 PECOS PAC ID: 1951447366 Enrollment ID: I20091014000775 |
| Provider Name | Mary P Boyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508901752 PECOS PAC ID: 9739226838 Enrollment ID: I20091022000057 |
| Provider Name | Suzette S I Leonard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982624631 PECOS PAC ID: 0547307654 Enrollment ID: I20091022000177 |
| Provider Name | Jie Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356310601 PECOS PAC ID: 0941203905 Enrollment ID: I20091027000054 |
| Provider Name | Maureen L Mulcahy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609036953 PECOS PAC ID: 9638216542 Enrollment ID: I20091027000086 |
| Provider Name | Wijan Prapong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184804437 PECOS PAC ID: 8426195348 Enrollment ID: I20091027000130 |
| Provider Name | Sarah M Cowgill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447283171 PECOS PAC ID: 8921003385 Enrollment ID: I20091030000253 |
| Provider Name | Carolin T Yeung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881728541 PECOS PAC ID: 5890866909 Enrollment ID: I20091030000465 |
| Provider Name | Stephanie Mary Belinge |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538347588 PECOS PAC ID: 0143367748 Enrollment ID: I20091030000602 |
| Provider Name | Andy I Chen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902900384 PECOS PAC ID: 0143270728 Enrollment ID: I20091106000430 |
| Provider Name | Peterson T Tsai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629054879 PECOS PAC ID: 9234143546 Enrollment ID: I20091117000696 |
| Provider Name | Madhu M Potla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457386583 PECOS PAC ID: 8224176987 Enrollment ID: I20091117000704 |
| Provider Name | Anthony T Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275726960 PECOS PAC ID: 4082752787 Enrollment ID: I20091118000358 |
| Provider Name | Howard M Graitzer |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1215953724 PECOS PAC ID: 9335244466 Enrollment ID: I20091118000476 |
| Provider Name | Molly K Molloy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548376817 PECOS PAC ID: 0143309815 Enrollment ID: I20091123000429 |
| Provider Name | Geri L Cullers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285667964 PECOS PAC ID: 8022038827 Enrollment ID: I20091130000381 |
| Provider Name | Sande B Irwin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437262094 PECOS PAC ID: 0749250280 Enrollment ID: I20091201000726 |
| Provider Name | Nazanin Sharifi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093912016 PECOS PAC ID: 4486793387 Enrollment ID: I20091207000395 |
| Provider Name | Anita G Rao |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215013578 PECOS PAC ID: 8820047350 Enrollment ID: I20091208000654 |
| Provider Name | Ethan E Corcoran |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841417532 PECOS PAC ID: 6406945534 Enrollment ID: I20091211000737 |
| Provider Name | Shefaa George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508067075 PECOS PAC ID: 0840330817 Enrollment ID: I20091223000137 |
| Provider Name | Elizabeth T Sass |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639281801 PECOS PAC ID: 9931281284 Enrollment ID: I20100105000459 |
| Provider Name | Mark J Furin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407077712 PECOS PAC ID: 2062482672 Enrollment ID: I20100106000566 |
| Provider Name | Rachel Marian Effros |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356436554 PECOS PAC ID: 7315098845 Enrollment ID: I20100108000820 |
| Provider Name | Ariane I Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326144353 PECOS PAC ID: 9739220740 Enrollment ID: I20100112000557 |
| Provider Name | Michael C Hsu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073526869 PECOS PAC ID: 5496750945 Enrollment ID: I20100113000975 |
| Provider Name | Sonia Huntley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245355700 PECOS PAC ID: 2567504103 Enrollment ID: I20100120000881 |
| Provider Name | Craig S Hersh |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1003922279 PECOS PAC ID: 4789609520 Enrollment ID: I20100127000827 |
| Provider Name | Shauna M Hicks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508922667 PECOS PAC ID: 1759463995 Enrollment ID: I20100127000844 |
| Provider Name | Cynthia K Seitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851348270 PECOS PAC ID: 0840203287 Enrollment ID: I20100128000846 |
| Provider Name | George W Go |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447353693 PECOS PAC ID: 4183616550 Enrollment ID: I20100129000140 |
| Provider Name | Leslie E Hojem |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992828644 PECOS PAC ID: 3072675354 Enrollment ID: I20100203000098 |
| Provider Name | Ana T Freeby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649363987 PECOS PAC ID: 2769566124 Enrollment ID: I20100203000204 |
| Provider Name | Cathleen J Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316935752 PECOS PAC ID: 9537259817 Enrollment ID: I20100203000946 |
| Provider Name | Robert E Dexter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265562029 PECOS PAC ID: 3779553045 Enrollment ID: I20100208000494 |
| Provider Name | Mary A Shepard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669485165 PECOS PAC ID: 8527143569 Enrollment ID: I20100209000733 |
| Provider Name | Simmy Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386846673 PECOS PAC ID: 9335282490 Enrollment ID: I20100211000541 |
| Provider Name | Kathryn Jo Glassberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821274069 PECOS PAC ID: 9739223215 Enrollment ID: I20100222000576 |
| Provider Name | Joan L Reeder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831241082 PECOS PAC ID: 7315082245 Enrollment ID: I20100303000801 |
| Provider Name | Dawnrenee Cinocco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851596837 PECOS PAC ID: 5597800094 Enrollment ID: I20100309000319 |
| Provider Name | Kathleen Mccabe Hanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528190139 PECOS PAC ID: 3375678006 Enrollment ID: I20100318000968 |
| Provider Name | Katherine R Strelich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639161425 PECOS PAC ID: 3678653219 Enrollment ID: I20100323000414 |
| Provider Name | Cynthia A Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790862084 PECOS PAC ID: 9436238912 Enrollment ID: I20100323000793 |
| Provider Name | Kristin M Wheeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730230368 PECOS PAC ID: 1951437508 Enrollment ID: I20100407000477 |
| Provider Name | Ellen Schiaffino Purvis |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1295774099 PECOS PAC ID: 8820125057 Enrollment ID: I20100420000966 |
| Provider Name | Robert L Klobucnik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609899012 PECOS PAC ID: 8921135930 Enrollment ID: I20100423000066 |
| Provider Name | Chelsea W Ban |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891836268 PECOS PAC ID: 7810057890 Enrollment ID: I20100427000749 |
| Provider Name | Angelein E Daniel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871688143 PECOS PAC ID: 6103953864 Enrollment ID: I20100428000909 |
| Provider Name | Katie M Goodwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740465970 PECOS PAC ID: 8628105384 Enrollment ID: I20100428000934 |
| Provider Name | Christin N Snyder |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780632455 PECOS PAC ID: 4183751720 Enrollment ID: I20100429001062 |
| Provider Name | Jennifer T Bowman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1063579969 PECOS PAC ID: 1850393489 Enrollment ID: I20100504000691 |
| Provider Name | Jack Ce Ji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730358789 PECOS PAC ID: 2567590730 Enrollment ID: I20100507000759 |
| Provider Name | Joy L Pretcher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992809396 PECOS PAC ID: 5991713943 Enrollment ID: I20100510000677 |
| Provider Name | Christine M Barnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679772743 PECOS PAC ID: 7012045164 Enrollment ID: I20100511000204 |
| Provider Name | Maggie M Conser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528243185 PECOS PAC ID: 3870621824 Enrollment ID: I20100512000366 |
| Provider Name | Ronda G Keller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477573889 PECOS PAC ID: 2163565201 Enrollment ID: I20100512000415 |
| Provider Name | Kristin A Lottig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700994316 PECOS PAC ID: 8628160751 Enrollment ID: I20100517000320 |
| Provider Name | Kelly R Pettit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659454544 PECOS PAC ID: 1254393002 Enrollment ID: I20100518000465 |
| Provider Name | Allicia K Beach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255419271 PECOS PAC ID: 9931205366 Enrollment ID: I20100519000830 |
| Provider Name | Caroline Marie Josette Orsini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407091341 PECOS PAC ID: 4880723402 Enrollment ID: I20100520000093 |
| Provider Name | Frank Manley Warren |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780637363 PECOS PAC ID: 2961405105 Enrollment ID: I20100520000698 |
| Provider Name | Peter J Beard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821112491 PECOS PAC ID: 6204965742 Enrollment ID: I20100521000570 |
| Provider Name | Brian R Sheufelt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174694335 PECOS PAC ID: 4880508233 Enrollment ID: I20100527000672 |
| Provider Name | Kenrick A Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194813774 PECOS PAC ID: 8426187311 Enrollment ID: I20100602000911 |
| Provider Name | Erin Vs Van Kleek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679724298 PECOS PAC ID: 2567591357 Enrollment ID: I20100604000227 |
| Provider Name | Janet R Macdonell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427163005 PECOS PAC ID: 2466582275 Enrollment ID: I20100604000495 |
| Provider Name | Roxana G Cooley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992716849 PECOS PAC ID: 6608857396 Enrollment ID: I20100607000572 |
| Provider Name | Bruce A Chevalier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497857288 PECOS PAC ID: 8325016884 Enrollment ID: I20100608000590 |
| Provider Name | Edward A Chasteney |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043325426 PECOS PAC ID: 6901987254 Enrollment ID: I20100610001105 |
| Provider Name | Michael R Wilmington |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770696403 PECOS PAC ID: 0840384889 Enrollment ID: I20100610001206 |
| Provider Name | Pavan Somusetty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033317136 PECOS PAC ID: 6305976572 Enrollment ID: I20100615000204 |
| Provider Name | Jeffrey M Markovics |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598927352 PECOS PAC ID: 6709942345 Enrollment ID: I20100616000955 |
| Provider Name | Richard M Mishler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609832161 PECOS PAC ID: 9032165352 Enrollment ID: I20100625000098 |
| Provider Name | Michael S Alberts |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639262223 PECOS PAC ID: 9032209556 Enrollment ID: I20100629000733 |
| Provider Name | Gregg Stanley Densmore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184624975 PECOS PAC ID: 3870624299 Enrollment ID: I20100629000736 |
| Provider Name | Kaori D Nomi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497086458 PECOS PAC ID: 7517098791 Enrollment ID: I20100702000222 |
| Provider Name | Jinho Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316073661 PECOS PAC ID: 3375674302 Enrollment ID: I20100708000184 |
| Provider Name | Shaun Lan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528224474 PECOS PAC ID: 2365574365 Enrollment ID: I20100709000049 |
| Provider Name | Saleen D Manternach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235146655 PECOS PAC ID: 7810998275 Enrollment ID: I20100722000581 |
| Provider Name | Jonathan Andrew Russell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558576546 PECOS PAC ID: 6406988658 Enrollment ID: I20100723000196 |
| Provider Name | Ken J Park |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649436585 PECOS PAC ID: 5193858264 Enrollment ID: I20100727000725 |
| Provider Name | Laura Lynn Waliczek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750459673 PECOS PAC ID: 7719010727 Enrollment ID: I20100728000195 |
| Provider Name | Robin Michele Telerant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124236963 PECOS PAC ID: 5991838526 Enrollment ID: I20100803001370 |
| Provider Name | Rajasekhara Reddy Mummadi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134323710 PECOS PAC ID: 0143372805 Enrollment ID: I20100804000444 |
| Provider Name | Annie S Mack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932125184 PECOS PAC ID: 2062441058 Enrollment ID: I20100804000670 |
| Provider Name | Tasha Lee Mcdonald |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871617126 PECOS PAC ID: 3173657343 Enrollment ID: I20100810001162 |
| Provider Name | Vesna Ann Jovanovic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780640508 PECOS PAC ID: 4385778331 Enrollment ID: I20100813000028 |
| Provider Name | Janis J Strickler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336228774 PECOS PAC ID: 8820196504 Enrollment ID: I20100813001001 |
| Provider Name | Alicia F Liang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447407689 PECOS PAC ID: 3779617576 Enrollment ID: I20100816000786 |
| Provider Name | Kenneth D Favour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104873231 PECOS PAC ID: 1254471097 Enrollment ID: I20100817000224 |
| Provider Name | Angeline K Noriega |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659563617 PECOS PAC ID: 2062546690 Enrollment ID: I20100817001454 |
| Provider Name | Danette Elliott Mullens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417977042 PECOS PAC ID: 1456365709 Enrollment ID: I20100818001075 |
| Provider Name | Panagiotis D Fourtounis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700889748 PECOS PAC ID: 7618909136 Enrollment ID: I20100819000341 |
| Provider Name | Aaron P Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528087400 PECOS PAC ID: 0042279994 Enrollment ID: I20100819000381 |
| Provider Name | Andrew S Baek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427290717 PECOS PAC ID: 7113072695 Enrollment ID: I20100825000361 |
| Provider Name | Caroline Louise King Widdall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336267707 PECOS PAC ID: 0749323798 Enrollment ID: I20100825001157 |
| Provider Name | Jessica Blake C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336195858 PECOS PAC ID: 6901879832 Enrollment ID: I20100831000192 |
| Provider Name | Sean J Clark |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669682092 PECOS PAC ID: 5991829467 Enrollment ID: I20100907000197 |
| Provider Name | Gretchen A Hein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477745826 PECOS PAC ID: 6002931284 Enrollment ID: I20100913000597 |
| Provider Name | Kristine M Schwinof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174723787 PECOS PAC ID: 4880719954 Enrollment ID: I20100913000680 |
| Provider Name | Patrick R Inscore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720208234 PECOS PAC ID: 9133244072 Enrollment ID: I20100915000406 |
| Provider Name | Joshua R Hill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134330285 PECOS PAC ID: 8123143062 Enrollment ID: I20100915000419 |
| Provider Name | Darren J Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548466873 PECOS PAC ID: 8224153176 Enrollment ID: I20100915000526 |
| Provider Name | Philip B Zald |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669638243 PECOS PAC ID: 3274658133 Enrollment ID: I20100915000611 |
| Provider Name | Ronald D Im |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891841334 PECOS PAC ID: 5799800678 Enrollment ID: I20100915000904 |
| Provider Name | Daniel Forrest Lotspeich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003038332 PECOS PAC ID: 6305961285 Enrollment ID: I20100915000946 |
| Provider Name | Ashley R Stanford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912227406 PECOS PAC ID: 3678698586 Enrollment ID: I20100915001195 |
| Provider Name | Marcie M Cottell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801907241 PECOS PAC ID: 9739204561 Enrollment ID: I20100916000353 |
| Provider Name | Renee N Goodreau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770787681 PECOS PAC ID: 5991820763 Enrollment ID: I20100916000806 |
| Provider Name | Gerald A Dunlap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144497009 PECOS PAC ID: 9537284351 Enrollment ID: I20100917000115 |
| Provider Name | Han-chun Liang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225229396 PECOS PAC ID: 6305961020 Enrollment ID: I20100917000198 |
| Provider Name | Kim M Finucan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114239811 PECOS PAC ID: 0749305357 Enrollment ID: I20100918000296 |
| Provider Name | Jason S Weinstein |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215145396 PECOS PAC ID: 7517083009 Enrollment ID: I20100921001203 |
| Provider Name | Annamarie Bain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588814172 PECOS PAC ID: 9436275831 Enrollment ID: I20100922001098 |
| Provider Name | Joshua H Nelson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740355403 PECOS PAC ID: 0840316006 Enrollment ID: I20100924000453 |
| Provider Name | Christopher Clements |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093978025 PECOS PAC ID: 7517083793 Enrollment ID: I20100924000605 |
| Provider Name | Aaron P Bayne |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578779492 PECOS PAC ID: 2062538952 Enrollment ID: I20100928001697 |
| Provider Name | Neoma I Palmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093029415 PECOS PAC ID: 4789700519 Enrollment ID: I20100929000467 |
| Provider Name | Lynn K Hashimoto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740386374 PECOS PAC ID: 5890987218 Enrollment ID: I20101004001216 |
| Provider Name | Joyce C Liu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447368980 PECOS PAC ID: 4486738523 Enrollment ID: I20101006000492 |
| Provider Name | Eric M Poolman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508028226 PECOS PAC ID: 0345432142 Enrollment ID: I20101012001081 |
| Provider Name | Minette C Lukban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518287739 PECOS PAC ID: 7315139029 Enrollment ID: I20101012001259 |
| Provider Name | Heather M Penny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235386111 PECOS PAC ID: 1254523855 Enrollment ID: I20101013001071 |
| Provider Name | Eric J Bonura |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386658102 PECOS PAC ID: 1850398769 Enrollment ID: I20101019000651 |
| Provider Name | Amy V Asher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013153865 PECOS PAC ID: 9830382068 Enrollment ID: I20101020001269 |
| Provider Name | Bethany J Moyses |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457663015 PECOS PAC ID: 9537352687 Enrollment ID: I20101020001606 |
| Provider Name | Tara R Workman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497946875 PECOS PAC ID: 9830382894 Enrollment ID: I20101022000039 |
| Provider Name | Charles F Stein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912166018 PECOS PAC ID: 1153515770 Enrollment ID: I20101027001488 |
| Provider Name | Christy P Coss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164452306 PECOS PAC ID: 4183818651 Enrollment ID: I20101028000674 |
| Provider Name | Shannon A Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104965110 PECOS PAC ID: 2567559941 Enrollment ID: I20101028000836 |
| Provider Name | Lois S Neet |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679668966 PECOS PAC ID: 7416141874 Enrollment ID: I20101029000265 |
| Provider Name | Erin Fisher Ryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548466485 PECOS PAC ID: 3375737737 Enrollment ID: I20101029000337 |
| Provider Name | Marie Sherleen Nera Brigham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629206073 PECOS PAC ID: 5193919413 Enrollment ID: I20101101000763 |
| Provider Name | Anne M Houff |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1013116565 PECOS PAC ID: 2062606304 Enrollment ID: I20101101000984 |
| Provider Name | Bassel Beitinjaneh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659547677 PECOS PAC ID: 6709947443 Enrollment ID: I20101102000617 |
| Provider Name | Tracey K Tracy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073760955 PECOS PAC ID: 9739373887 Enrollment ID: I20101102001013 |
| Provider Name | Sheena R Rolston |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174759161 PECOS PAC ID: 6709070758 Enrollment ID: I20101103000750 |
| Provider Name | Gennadiy Bakis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184614455 PECOS PAC ID: 0749221042 Enrollment ID: I20101104001447 |
| Provider Name | Laurel R Berge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811944853 PECOS PAC ID: 6204749351 Enrollment ID: I20101105000474 |
| Provider Name | Kari M Komlofske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538489158 PECOS PAC ID: 1557555331 Enrollment ID: I20101105000483 |
| Provider Name | Andrew Asher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871766774 PECOS PAC ID: 5890869705 Enrollment ID: I20101108001107 |
| Provider Name | Lisa Louise Rishel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851597975 PECOS PAC ID: 2062607799 Enrollment ID: I20101108001229 |
| Provider Name | Frank Y Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144484767 PECOS PAC ID: 7315132040 Enrollment ID: I20101108001247 |
| Provider Name | Rachel Finn White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972812006 PECOS PAC ID: 9133314669 Enrollment ID: I20101110000762 |
| Provider Name | Charlotte L Tsai |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427271170 PECOS PAC ID: 2466472162 Enrollment ID: I20101111000165 |
| Provider Name | Lisa Kroonen Aebi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699888453 PECOS PAC ID: 8426243825 Enrollment ID: I20101111000248 |
| Provider Name | Paula Wynn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437367059 PECOS PAC ID: 1153483300 Enrollment ID: I20101111001201 |
| Provider Name | Bella Nelson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1801087713 PECOS PAC ID: 1355536640 Enrollment ID: I20101111001580 |
| Provider Name | Stephen Knox |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437101920 PECOS PAC ID: 4082809298 Enrollment ID: I20101113000262 |
| Provider Name | John A Holland |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1972618346 PECOS PAC ID: 8224223391 Enrollment ID: I20101115000897 |
| Provider Name | Chulachak Sukachevin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386644417 PECOS PAC ID: 7214129311 Enrollment ID: I20101115000957 |
| Provider Name | Julie A Hill |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063525657 PECOS PAC ID: 9032304134 Enrollment ID: I20101115001181 |
| Provider Name | Alan Reid Hay |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710048061 PECOS PAC ID: 9234324245 Enrollment ID: I20101115001415 |
| Provider Name | Zakary S Benson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386767341 PECOS PAC ID: 6709071723 Enrollment ID: I20101116000270 |
| Provider Name | Amy L Sutkus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588869119 PECOS PAC ID: 2668667585 Enrollment ID: I20101117000406 |
| Provider Name | Laura P Jordhen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538116314 PECOS PAC ID: 4981657665 Enrollment ID: I20101117001275 |
| Provider Name | Hillary A Nicholson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215007596 PECOS PAC ID: 2567658396 Enrollment ID: I20101118001427 |
| Provider Name | Susan C Day |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538266200 PECOS PAC ID: 6608896816 Enrollment ID: I20101119000794 |
| Provider Name | Nathaniel S Brigham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851362578 PECOS PAC ID: 5991991143 Enrollment ID: I20101130000525 |
| Provider Name | Brooke K Walter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861502361 PECOS PAC ID: 4981777638 Enrollment ID: I20101202000739 |
| Provider Name | Eric C Walter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699886291 PECOS PAC ID: 5496841454 Enrollment ID: I20101203000455 |
| Provider Name | John J Koo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043356470 PECOS PAC ID: 9133297245 Enrollment ID: I20101208001135 |
| Provider Name | Teresa R Hall |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1215104484 PECOS PAC ID: 5294922779 Enrollment ID: I20101209000604 |
| Provider Name | Kyla N Pepper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578786778 PECOS PAC ID: 3375730864 Enrollment ID: I20101209000767 |
| Provider Name | Anjana L Ganeshappa |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891952479 PECOS PAC ID: 3173710605 Enrollment ID: I20101209001379 |
| Provider Name | Deniese Elaine Jensen Granville |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134291438 PECOS PAC ID: 1254531056 Enrollment ID: I20101215001145 |
| Provider Name | Sara R Devaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346484391 PECOS PAC ID: 7214125053 Enrollment ID: I20101221000829 |
| Provider Name | Dinelli M Monson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992940613 PECOS PAC ID: 3779771340 Enrollment ID: I20101223000239 |
| Provider Name | Marina Mezey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346234606 PECOS PAC ID: 9537116348 Enrollment ID: I20110105000463 |
| Provider Name | Ian T Mcclure |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518014471 PECOS PAC ID: 1850469156 Enrollment ID: I20110105001070 |
| Provider Name | Matthew C Upshaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407842487 PECOS PAC ID: 6709937220 Enrollment ID: I20110106000625 |
| Provider Name | Lissa C Daimaru-enoki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083699078 PECOS PAC ID: 3678548427 Enrollment ID: I20110106000852 |
| Provider Name | Elizabeth Randi Brass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124165493 PECOS PAC ID: 8426104019 Enrollment ID: I20110111000470 |
| Provider Name | Barbara Harris |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326353988 PECOS PAC ID: 7416146931 Enrollment ID: I20110113000675 |
| Provider Name | Marcie D Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518060433 PECOS PAC ID: 6507958907 Enrollment ID: I20110114000509 |
| Provider Name | Jannatul Nayeem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205027331 PECOS PAC ID: 4385833714 Enrollment ID: I20110114000947 |
| Provider Name | Lyndsey Mccartney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568585859 PECOS PAC ID: 1052590122 Enrollment ID: I20110120001031 |
| Provider Name | Joshua M Meador |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538149653 PECOS PAC ID: 1759560873 Enrollment ID: I20110121000308 |
| Provider Name | John M Morton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598837197 PECOS PAC ID: 8921184771 Enrollment ID: I20110121000326 |
| Provider Name | Kevin C Walters |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1235276700 PECOS PAC ID: 9133309206 Enrollment ID: I20110207000357 |
| Provider Name | Tracey Leslie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407968118 PECOS PAC ID: 3375724016 Enrollment ID: I20110301000026 |
| Provider Name | Lauren Mackenzie |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043367501 PECOS PAC ID: 9335321140 Enrollment ID: I20110315000269 |
| Provider Name | Robin L Davis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902110083 PECOS PAC ID: 4183806839 Enrollment ID: I20110316000894 |
| Provider Name | Samuel C Crane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801031588 PECOS PAC ID: 0345424743 Enrollment ID: I20110408000624 |
| Provider Name | Todd L Hixson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740426006 PECOS PAC ID: 2062697089 Enrollment ID: I20110505000847 |
| Provider Name | Lisa A Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487972741 PECOS PAC ID: 9133305725 Enrollment ID: I20110516000838 |
| Provider Name | Asad Mahmood Qalbani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659543874 PECOS PAC ID: 3870669385 Enrollment ID: I20110524000331 |
| Provider Name | Chinwe Oraka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710042395 PECOS PAC ID: 1456548106 Enrollment ID: I20110527000281 |
| Provider Name | Yong T Shin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003925017 PECOS PAC ID: 9537155940 Enrollment ID: I20110615000467 |
| Provider Name | Nathan F E Ullrich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518067339 PECOS PAC ID: 0941233399 Enrollment ID: I20110722000074 |
| Provider Name | Trisha M Copeland |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1811145246 PECOS PAC ID: 8527237635 Enrollment ID: I20110805000806 |
| Provider Name | Kristin A Rarey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811156144 PECOS PAC ID: 7113196056 Enrollment ID: I20110809000787 |
| Provider Name | Nikhil Batra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205091576 PECOS PAC ID: 6305015199 Enrollment ID: I20110811000871 |
| Provider Name | Erin J Madriago |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073723656 PECOS PAC ID: 4789853201 Enrollment ID: I20110817000607 |
| Provider Name | Sharon R Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336304138 PECOS PAC ID: 1658541172 Enrollment ID: I20110818000829 |
| Provider Name | Aneet J Deo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013107556 PECOS PAC ID: 2466622592 Enrollment ID: I20110829000694 |
| Provider Name | Emily Danielle Bertani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396945713 PECOS PAC ID: 7214107085 Enrollment ID: I20110903000013 |
| Provider Name | Ronald Prince Davis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356543086 PECOS PAC ID: 3577640226 Enrollment ID: I20110906000746 |
| Provider Name | James Patrick Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245463975 PECOS PAC ID: 9739359399 Enrollment ID: I20110909002422 |
| Provider Name | Cameron D Klug |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114139029 PECOS PAC ID: 2062683584 Enrollment ID: I20110913000927 |
| Provider Name | Christina A Kemper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427213230 PECOS PAC ID: 3971774498 Enrollment ID: I20110913000931 |
| Provider Name | Tiffany N Cherry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205002334 PECOS PAC ID: 7315118858 Enrollment ID: I20110914000171 |
| Provider Name | Trent E Corpron |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871760603 PECOS PAC ID: 3072784511 Enrollment ID: I20110914000266 |
| Provider Name | Jerry M Tran |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366618340 PECOS PAC ID: 8325219793 Enrollment ID: I20110914000647 |
| Provider Name | Wesley Dennis Crockett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417243874 PECOS PAC ID: 4789855941 Enrollment ID: I20110919000784 |
| Provider Name | Samir Shehab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851536791 PECOS PAC ID: 6709057920 Enrollment ID: I20110920000698 |
| Provider Name | Richard X Gil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023300837 PECOS PAC ID: 6103097142 Enrollment ID: I20110922000421 |
| Provider Name | Cesar Alberte Lista |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144297789 PECOS PAC ID: 1456439579 Enrollment ID: I20110927000138 |
| Provider Name | Lara M Knudsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386803682 PECOS PAC ID: 9638216062 Enrollment ID: I20110927000727 |
| Provider Name | Christine D Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932344199 PECOS PAC ID: 0547431348 Enrollment ID: I20110928000423 |
| Provider Name | Robyn Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447387360 PECOS PAC ID: 2567559164 Enrollment ID: I20110928000580 |
| Provider Name | Leonidez De Guzman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699900340 PECOS PAC ID: 5597936211 Enrollment ID: I20110928000760 |
| Provider Name | Richard M Shuey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659340735 PECOS PAC ID: 6901870807 Enrollment ID: I20110929000677 |
| Provider Name | Samuel A Hughes |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750591350 PECOS PAC ID: 2860664117 Enrollment ID: I20111007000643 |
| Provider Name | Teresa A Daly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063703213 PECOS PAC ID: 5597937755 Enrollment ID: I20111012000086 |
| Provider Name | Ami D Kapadia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366565509 PECOS PAC ID: 2961579909 Enrollment ID: I20111012000561 |
| Provider Name | David Andrew Stenstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265607485 PECOS PAC ID: 9133391345 Enrollment ID: I20111012000617 |
| Provider Name | Andrew P Seaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801022959 PECOS PAC ID: 9537331764 Enrollment ID: I20111013000095 |
| Provider Name | Renata Rusa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053356568 PECOS PAC ID: 3678745775 Enrollment ID: I20111014000320 |
| Provider Name | Lydia Stender |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144555228 PECOS PAC ID: 5294907259 Enrollment ID: I20111017000569 |
| Provider Name | Suzanne Zurasky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386621423 PECOS PAC ID: 8426018359 Enrollment ID: I20111021000203 |
| Provider Name | Kacy Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972816593 PECOS PAC ID: 1254504764 Enrollment ID: I20111028000263 |
| Provider Name | Abigail L Hilton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710202809 PECOS PAC ID: 8325178924 Enrollment ID: I20111101000432 |
| Provider Name | Joyce M Preston-kuntz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245481621 PECOS PAC ID: 3779756994 Enrollment ID: I20111103000915 |
| Provider Name | Noami M Mcclure |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104089754 PECOS PAC ID: 4688847585 Enrollment ID: I20111108000842 |
| Provider Name | Eric S Reid |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164632998 PECOS PAC ID: 2466625363 Enrollment ID: I20111108000895 |
| Provider Name | James Obrien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750494175 PECOS PAC ID: 2466421714 Enrollment ID: I20111109000396 |
| Provider Name | Simone Louise Vanswam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922127752 PECOS PAC ID: 3971776840 Enrollment ID: I20111109000814 |
| Provider Name | Ryan E Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639344625 PECOS PAC ID: 3173679032 Enrollment ID: I20111123000367 |
| Provider Name | Chauncey T Griggs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811074487 PECOS PAC ID: 8729985528 Enrollment ID: I20111207000885 |
| Provider Name | Natalie Ku |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003943382 PECOS PAC ID: 9931374519 Enrollment ID: I20111209000222 |
| Provider Name | Brian Barlag |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760791255 PECOS PAC ID: 3476728981 Enrollment ID: I20111212000929 |
| Provider Name | Philip B Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780673343 PECOS PAC ID: 8325009053 Enrollment ID: I20111216000026 |
| Provider Name | Michelle A Chin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659533214 PECOS PAC ID: 1557537131 Enrollment ID: I20120103000401 |
| Provider Name | Cora M Ludwig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881856052 PECOS PAC ID: 7719153394 Enrollment ID: I20120103000422 |
| Provider Name | Kristopher C Dozier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366606717 PECOS PAC ID: 2163698747 Enrollment ID: I20120103000440 |
| Provider Name | Lindsay M Laux Pittman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053512830 PECOS PAC ID: 8729254107 Enrollment ID: I20120106000190 |
| Provider Name | Kellie R Foster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093916470 PECOS PAC ID: 7618143819 Enrollment ID: I20120109000883 |
| Provider Name | Penelope H Lobdell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174630255 PECOS PAC ID: 0547354151 Enrollment ID: I20120111000441 |
| Provider Name | Ching Wen A Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053556035 PECOS PAC ID: 4688717002 Enrollment ID: I20120112000131 |
| Provider Name | Heidi Moss Bours |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174768451 PECOS PAC ID: 2567639263 Enrollment ID: I20120120000515 |
| Provider Name | Evan C Inman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811202567 PECOS PAC ID: 4385826205 Enrollment ID: I20120120000766 |
| Provider Name | Srinivasan Subramanian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710180724 PECOS PAC ID: 1254508807 Enrollment ID: I20120123000139 |
| Provider Name | Brian L Greenberg |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609074723 PECOS PAC ID: 6901943885 Enrollment ID: I20120123000570 |
| Provider Name | Michaeline M Greenlee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144422114 PECOS PAC ID: 2062689599 Enrollment ID: I20120124000258 |
| Provider Name | David Arndt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962677955 PECOS PAC ID: 7517134026 Enrollment ID: I20120125000105 |
| Provider Name | Sashi K Pedapati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679783237 PECOS PAC ID: 0446316418 Enrollment ID: I20120125000203 |
| Provider Name | Maria Theresa Victoria Grino |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346572294 PECOS PAC ID: 0345378543 Enrollment ID: I20120214000290 |
| Provider Name | Mukesh K Thawani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174716427 PECOS PAC ID: 5890832810 Enrollment ID: I20120216000232 |
| Provider Name | Stasha A Hornbeck |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144210949 PECOS PAC ID: 0547289886 Enrollment ID: I20120220000414 |
| Provider Name | Thuy Lien T Hoang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083812788 PECOS PAC ID: 3476646779 Enrollment ID: I20120222000344 |
| Provider Name | Jonathan J Ebbing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952416380 PECOS PAC ID: 8527140672 Enrollment ID: I20120222000473 |
| Provider Name | Andy Stuart Barnett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194717819 PECOS PAC ID: 6901805597 Enrollment ID: I20120223000480 |
| Provider Name | Denise Michelle Bilbao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538173943 PECOS PAC ID: 5395748727 Enrollment ID: I20120305000323 |
| Provider Name | Judy S Choe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538230511 PECOS PAC ID: 3173505468 Enrollment ID: I20120314000064 |
| Provider Name | Timothy S Pederson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154353399 PECOS PAC ID: 6800828708 Enrollment ID: I20120315000037 |
| Provider Name | Deborah S Pederson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700912482 PECOS PAC ID: 3870686264 Enrollment ID: I20120315000177 |
| Provider Name | David G Tse |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255490850 PECOS PAC ID: 7911077482 Enrollment ID: I20120315000617 |
| Provider Name | Kathryn Mary Vanmeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629221577 PECOS PAC ID: 8921267626 Enrollment ID: I20120316000115 |
| Provider Name | Briana J Mejia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063678720 PECOS PAC ID: 0648317958 Enrollment ID: I20120319000551 |
| Provider Name | Julie A Bigler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821326869 PECOS PAC ID: 8426218819 Enrollment ID: I20120321000807 |
| Provider Name | Christopher P Matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700825916 PECOS PAC ID: 3375588395 Enrollment ID: I20120322000107 |
| Provider Name | Sungeyun D Cho |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1386843894 PECOS PAC ID: 2365602331 Enrollment ID: I20120328000870 |
| Provider Name | Jessica Marie Glover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295007243 PECOS PAC ID: 3779743513 Enrollment ID: I20120402000227 |
| Provider Name | Alistair Bahar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306918842 PECOS PAC ID: 4981775657 Enrollment ID: I20120404000991 |
| Provider Name | Mark Andrew Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932318078 PECOS PAC ID: 2769568674 Enrollment ID: I20120405000684 |
| Provider Name | Matthew Simons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336151034 PECOS PAC ID: 0547209223 Enrollment ID: I20120409000103 |
| Provider Name | Sarah Jane Leitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306013776 PECOS PAC ID: 0244491751 Enrollment ID: I20120410000524 |
| Provider Name | Kraig M Russell |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1760414916 PECOS PAC ID: 1052317070 Enrollment ID: I20120412000730 |
| Provider Name | Sheila R Bachand |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063658508 PECOS PAC ID: 0547421844 Enrollment ID: I20120413000065 |
| Provider Name | Robert C Foege |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1679728950 PECOS PAC ID: 5092856047 Enrollment ID: I20120418000425 |
| Provider Name | Laila J Ayyoub |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083818124 PECOS PAC ID: 6901068790 Enrollment ID: I20120423000796 |
| Provider Name | Andrea L Ferreiro |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1003953381 PECOS PAC ID: 1153495767 Enrollment ID: I20120424000611 |
| Provider Name | Debra M Clement |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689990368 PECOS PAC ID: 6608038203 Enrollment ID: I20120426000601 |
| Provider Name | Shaanti Foerster Abbruzzese |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063577815 PECOS PAC ID: 1355503848 Enrollment ID: I20120430000096 |
| Provider Name | Karen J Borgoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871891663 PECOS PAC ID: 1557523818 Enrollment ID: I20120502000371 |
| Provider Name | Benjamin Michael Sherman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891957791 PECOS PAC ID: 5294923736 Enrollment ID: I20120507000674 |
| Provider Name | David A Kallberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578890596 PECOS PAC ID: 0941462964 Enrollment ID: I20120508000447 |
| Provider Name | Sukhee So Chinn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689989881 PECOS PAC ID: 3375705288 Enrollment ID: I20120509000680 |
| Provider Name | Christopher John Moran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679503825 PECOS PAC ID: 6608849187 Enrollment ID: I20120511000036 |
| Provider Name | Michael Patrick Hahn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841315348 PECOS PAC ID: 7113012477 Enrollment ID: I20120514000632 |
| Provider Name | Anne M Denys |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730161126 PECOS PAC ID: 7012938723 Enrollment ID: I20120518000066 |
| Provider Name | Cezary Wojcik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841437134 PECOS PAC ID: 3072770098 Enrollment ID: I20120521000550 |
| Provider Name | Bonita Jane Marie Seubert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194017665 PECOS PAC ID: 0345403622 Enrollment ID: I20120524000151 |
| Provider Name | Gina Brown |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295881977 PECOS PAC ID: 7113057647 Enrollment ID: I20120531000565 |
| Provider Name | Amy A Barnes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053534313 PECOS PAC ID: 1254595267 Enrollment ID: I20120601000519 |
| Provider Name | Cara L Kawahara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801055801 PECOS PAC ID: 1052575396 Enrollment ID: I20120618000056 |
| Provider Name | Clark J Brixey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912916008 PECOS PAC ID: 8123198025 Enrollment ID: I20120726000138 |
| Provider Name | Joseph Ahn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497770416 PECOS PAC ID: 5799778882 Enrollment ID: I20120727000327 |
| Provider Name | Ramya Ramraj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770731671 PECOS PAC ID: 9436315918 Enrollment ID: I20120727000483 |
| Provider Name | Christopher Gordon Hale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780826362 PECOS PAC ID: 1456507524 Enrollment ID: I20120806000058 |
| Provider Name | Diane L Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386872737 PECOS PAC ID: 9133375298 Enrollment ID: I20120807000033 |
| Provider Name | James Michael Jackman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639198849 PECOS PAC ID: 4284689720 Enrollment ID: I20120810000158 |
| Provider Name | Ann Elizabeth Stevens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669666152 PECOS PAC ID: 0749436475 Enrollment ID: I20120810000587 |
| Provider Name | Puneet Bandi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801030382 PECOS PAC ID: 2466608062 Enrollment ID: I20120815000194 |
| Provider Name | Sharlene Lillian D'souza |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295821890 PECOS PAC ID: 3476722000 Enrollment ID: I20120815000680 |
| Provider Name | Jake M Waits |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093982845 PECOS PAC ID: 6002084241 Enrollment ID: I20120820001079 |
| Provider Name | Amber R An |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1538335443 PECOS PAC ID: 9739336850 Enrollment ID: I20120824000443 |
| Provider Name | Jane Frances I Akpamgbo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871535625 PECOS PAC ID: 9436174927 Enrollment ID: I20120828000244 |
| Provider Name | Guljit S Sodhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871619213 PECOS PAC ID: 2961558374 Enrollment ID: I20120828000539 |
| Provider Name | Rowan G Casey-ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215162235 PECOS PAC ID: 5496902306 Enrollment ID: I20120829000102 |
| Provider Name | Daniel J Bristow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205152832 PECOS PAC ID: 2062669609 Enrollment ID: I20120904000373 |
| Provider Name | Yun-sheen S Liu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245436310 PECOS PAC ID: 1456509983 Enrollment ID: I20120907000140 |
| Provider Name | Jason J De Young |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811911050 PECOS PAC ID: 6204028665 Enrollment ID: I20120907000147 |
| Provider Name | David Cheng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811194525 PECOS PAC ID: 2062660590 Enrollment ID: I20120907000173 |
| Provider Name | Dovie A Desirey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669506614 PECOS PAC ID: 9638327810 Enrollment ID: I20120912000756 |
| Provider Name | Cari L Young |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235365651 PECOS PAC ID: 6901950450 Enrollment ID: I20120921000175 |
| Provider Name | Nitesh Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669736419 PECOS PAC ID: 9436308590 Enrollment ID: I20121004000404 |
| Provider Name | Julie Thibodeaux Radloff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427282938 PECOS PAC ID: 9537319165 Enrollment ID: I20121017000311 |
| Provider Name | Matthew Allen Wilson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659525665 PECOS PAC ID: 5991955544 Enrollment ID: I20121017000560 |
| Provider Name | Christine Ann Mcburney |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326230889 PECOS PAC ID: 7517117161 Enrollment ID: I20121017000578 |
| Provider Name | Juliette Power |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073565305 PECOS PAC ID: 0244480895 Enrollment ID: I20121017000583 |
| Provider Name | Yekaterina Gincherman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568668929 PECOS PAC ID: 0648420117 Enrollment ID: I20121017000895 |
| Provider Name | Kevin L Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992021505 PECOS PAC ID: 4688824857 Enrollment ID: I20121024000378 |
| Provider Name | Patricia Maria Jimenez Mendez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851532238 PECOS PAC ID: 7012053184 Enrollment ID: I20121026000556 |
| Provider Name | Sarah A Zapata |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124279997 PECOS PAC ID: 0244417368 Enrollment ID: I20121027000031 |
| Provider Name | Diego F Diaz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407019532 PECOS PAC ID: 4486804358 Enrollment ID: I20121031000060 |
| Provider Name | Zsoka Vajtai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467697318 PECOS PAC ID: 1456501337 Enrollment ID: I20121031000201 |
| Provider Name | Danielle Ann Cataxinos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295964310 PECOS PAC ID: 5092965806 Enrollment ID: I20121031000564 |
| Provider Name | Caroline Tse |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1629202106 PECOS PAC ID: 8820249287 Enrollment ID: I20121112000312 |
| Provider Name | Christian M Molstrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912134552 PECOS PAC ID: 8729245097 Enrollment ID: I20121112000318 |
| Provider Name | Dawn Marie Stanek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619144789 PECOS PAC ID: 6901057371 Enrollment ID: I20121112000348 |
| Provider Name | Lucie Krenek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801125521 PECOS PAC ID: 1052562428 Enrollment ID: I20121112000392 |
| Provider Name | Julia A Rothgery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609020072 PECOS PAC ID: 5294928271 Enrollment ID: I20121112000535 |
| Provider Name | Patrick Kwong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427041961 PECOS PAC ID: 1658412978 Enrollment ID: I20121112000663 |
| Provider Name | Jill M Lowers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619104049 PECOS PAC ID: 7315198702 Enrollment ID: I20121112000680 |
| Provider Name | Vaibhav V Maheshwari |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588821334 PECOS PAC ID: 6103077508 Enrollment ID: I20121112000732 |
| Provider Name | Natalie Ann Melrose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427282409 PECOS PAC ID: 5799936100 Enrollment ID: I20121113000190 |
| Provider Name | Carolyn B Yang |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1649321217 PECOS PAC ID: 7416108832 Enrollment ID: I20121113000204 |
| Provider Name | Cory A Ogden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255648010 PECOS PAC ID: 5597916916 Enrollment ID: I20121113000229 |
| Provider Name | Bichson Thi Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548437338 PECOS PAC ID: 9234297375 Enrollment ID: I20121113000260 |
| Provider Name | Kelly A Probst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346476496 PECOS PAC ID: 8527219963 Enrollment ID: I20121113000438 |
| Provider Name | Marc Chagall Rothgery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366677874 PECOS PAC ID: 9335390673 Enrollment ID: I20121113000583 |
| Provider Name | Crystal A Weis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164657375 PECOS PAC ID: 0941451223 Enrollment ID: I20121114000326 |
| Provider Name | Karen M.l. Piper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710042981 PECOS PAC ID: 9133312291 Enrollment ID: I20121127000123 |
| Provider Name | Evie K Precechtil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174788582 PECOS PAC ID: 7911158860 Enrollment ID: I20121127000324 |
| Provider Name | Wei Wang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639280266 PECOS PAC ID: 5799885711 Enrollment ID: I20121128000176 |
| Provider Name | Laura R Jenson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720226970 PECOS PAC ID: 6507018314 Enrollment ID: I20121130000151 |
| Provider Name | Andrea S Gepner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003193640 PECOS PAC ID: 2567614126 Enrollment ID: I20121205000099 |
| Provider Name | Jeffery C Wheat |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124144415 PECOS PAC ID: 0042462665 Enrollment ID: I20121206000064 |
| Provider Name | Erin E Schneider |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982864724 PECOS PAC ID: 4587842182 Enrollment ID: I20121207000148 |
| Provider Name | Robyn Oxley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831237643 PECOS PAC ID: 4688585409 Enrollment ID: I20121212000524 |
| Provider Name | Minh Q Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932374295 PECOS PAC ID: 5092967000 Enrollment ID: I20121219000470 |
| Provider Name | Emma Simpson Germann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710141007 PECOS PAC ID: 1456529825 Enrollment ID: I20121220000373 |
| Provider Name | Liisa O Carden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346474392 PECOS PAC ID: 0840443800 Enrollment ID: I20121227000217 |
| Provider Name | Anna L Raphael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437476405 PECOS PAC ID: 3971756933 Enrollment ID: I20121227000273 |
| Provider Name | Jim X Hall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235217050 PECOS PAC ID: 5698963791 Enrollment ID: I20130117000457 |
| Provider Name | Rex Klein Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891834891 PECOS PAC ID: 1052483849 Enrollment ID: I20130124000423 |
| Provider Name | Sonia Valeria Bynum |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154518504 PECOS PAC ID: 2769636513 Enrollment ID: I20130204000343 |
| Provider Name | Priya Kansal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699931212 PECOS PAC ID: 5395896641 Enrollment ID: I20130204000496 |
| Provider Name | Craig Edward Tanner |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1477662112 PECOS PAC ID: 0042384810 Enrollment ID: I20130207000218 |
| Provider Name | Matthew V Reid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861461782 PECOS PAC ID: 9638142938 Enrollment ID: I20130211000248 |
| Provider Name | Andrijano Kolonic |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740468024 PECOS PAC ID: 4082769518 Enrollment ID: I20130213000185 |
| Provider Name | Vanessa Vanderpool |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154555498 PECOS PAC ID: 3173777406 Enrollment ID: I20130213000494 |
| Provider Name | Phoebe E Harvey |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932386414 PECOS PAC ID: 9739357872 Enrollment ID: I20130221000518 |
| Provider Name | Daniel E Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033411228 PECOS PAC ID: 7214182278 Enrollment ID: I20130225000355 |
| Provider Name | Jennifer L Urquhart |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184846990 PECOS PAC ID: 1456506880 Enrollment ID: I20130308000324 |
| Provider Name | Aisha Chohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043454051 PECOS PAC ID: 7315192747 Enrollment ID: I20130308000364 |
| Provider Name | Matthew D Budge |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679795876 PECOS PAC ID: 6002088572 Enrollment ID: I20130308000396 |
| Provider Name | Emily H Watson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770599045 PECOS PAC ID: 2961482518 Enrollment ID: I20130315000446 |
| Provider Name | Debra J Gadbois |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790855021 PECOS PAC ID: 5890709562 Enrollment ID: I20130326000631 |
| Provider Name | Eric John Leavitt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942462486 PECOS PAC ID: 0547398331 Enrollment ID: I20130411000152 |
| Provider Name | Merav Sendowski |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1295747327 PECOS PAC ID: 9335385665 Enrollment ID: I20130411000326 |
| Provider Name | Mindy Patricia French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053614669 PECOS PAC ID: 5698956738 Enrollment ID: I20130412000336 |
| Provider Name | Antonio Bueso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447306030 PECOS PAC ID: 9638324817 Enrollment ID: I20130416000171 |
| Provider Name | Dawson Cabbage |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609108398 PECOS PAC ID: 8527195106 Enrollment ID: I20130418000171 |
| Provider Name | Mark A Aldape |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083670731 PECOS PAC ID: 3274663331 Enrollment ID: I20130418000375 |
| Provider Name | Cynthia P Horak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457536849 PECOS PAC ID: 3577613132 Enrollment ID: I20130424000902 |
| Provider Name | Matthew P Kaul |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841307238 PECOS PAC ID: 4486890126 Enrollment ID: I20130424000944 |
| Provider Name | Michael H Herndon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952628588 PECOS PAC ID: 1951556737 Enrollment ID: I20130425000523 |
| Provider Name | Victoria Ann Edwards |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104910892 PECOS PAC ID: 2961648597 Enrollment ID: I20130426000082 |
| Provider Name | Archibald Nyamekye |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124279047 PECOS PAC ID: 4385700038 Enrollment ID: I20130508000607 |
| Provider Name | George S Oji |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619299989 PECOS PAC ID: 2163619644 Enrollment ID: I20130509000321 |
| Provider Name | Ryo Shohara |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023296126 PECOS PAC ID: 7810171881 Enrollment ID: I20130509000324 |
| Provider Name | Dianna J Soelberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245542687 PECOS PAC ID: 9537342738 Enrollment ID: I20130510000111 |
| Provider Name | Christina M Lippert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205115037 PECOS PAC ID: 3870731425 Enrollment ID: I20130521000620 |
| Provider Name | Thomas D Lampros |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871691832 PECOS PAC ID: 5698790483 Enrollment ID: I20130522000269 |
| Provider Name | Kristin S Biggee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376719591 PECOS PAC ID: 3971646753 Enrollment ID: I20130523000746 |
| Provider Name | Cynthia M Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598915167 PECOS PAC ID: 9739327198 Enrollment ID: I20130524000669 |
| Provider Name | Lesley I Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710038203 PECOS PAC ID: 4880671411 Enrollment ID: I20130528000507 |
| Provider Name | Janet S Hodge |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225216815 PECOS PAC ID: 5799923009 Enrollment ID: I20130528000695 |
| Provider Name | Adriene Shilo Daigneault |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215123757 PECOS PAC ID: 9830337906 Enrollment ID: I20130530000768 |
| Provider Name | Joseph Tristan N Oconer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942400858 PECOS PAC ID: 9234377300 Enrollment ID: I20130531000053 |
| Provider Name | Molly Ann Prideaux |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427166966 PECOS PAC ID: 3870731946 Enrollment ID: I20130531000060 |
| Provider Name | Jamie L Dailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841434990 PECOS PAC ID: 6709021561 Enrollment ID: I20130603000709 |
| Provider Name | Olukayode Ogunrinde |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1124213251 PECOS PAC ID: 8426182122 Enrollment ID: I20130604000871 |
| Provider Name | Mark M Prochnau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164784310 PECOS PAC ID: 6608014568 Enrollment ID: I20130604000883 |
| Provider Name | Philippe Justel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568567089 PECOS PAC ID: 2567600380 Enrollment ID: I20130605000760 |
| Provider Name | Navasuma Havaligi |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1902934375 PECOS PAC ID: 8022102607 Enrollment ID: I20130610000745 |
| Provider Name | Samielle K Brancato |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659599496 PECOS PAC ID: 4486893070 Enrollment ID: I20130611000521 |
| Provider Name | Jodi D Southam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942422167 PECOS PAC ID: 3274726427 Enrollment ID: I20130614000004 |
| Provider Name | Michael J Mooney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609985647 PECOS PAC ID: 7315984622 Enrollment ID: I20130614000124 |
| Provider Name | Vivian S Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679806574 PECOS PAC ID: 6204075583 Enrollment ID: I20130618000098 |
| Provider Name | Joel D Mclarry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023211018 PECOS PAC ID: 2567607328 Enrollment ID: I20130618000129 |
| Provider Name | Michael Douglas Connor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407065287 PECOS PAC ID: 9032253364 Enrollment ID: I20130618000622 |
| Provider Name | Amber M Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457519068 PECOS PAC ID: 5698830016 Enrollment ID: I20130619000000 |
| Provider Name | James E Rapson |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1508837071 PECOS PAC ID: 4880833037 Enrollment ID: I20130619000011 |
| Provider Name | Tatyana D Yefremova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306041637 PECOS PAC ID: 5698936680 Enrollment ID: I20130620000461 |
| Provider Name | Jessica Catherine Lohff-phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760619506 PECOS PAC ID: 7214176304 Enrollment ID: I20130621000101 |
| Provider Name | Michael John Wheatley |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1376658773 PECOS PAC ID: 9537308408 Enrollment ID: I20130626000006 |
| Provider Name | James D O'hern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821253139 PECOS PAC ID: 3678712486 Enrollment ID: I20130626000521 |
| Provider Name | Jennifer Swanlund |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477543395 PECOS PAC ID: 0446499271 Enrollment ID: I20130626000721 |
| Provider Name | Bhavini B Bhavsar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861581928 PECOS PAC ID: 5193724979 Enrollment ID: I20130715000203 |
| Provider Name | Bradley R Plant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023322377 PECOS PAC ID: 5890935894 Enrollment ID: I20130716000642 |
| Provider Name | Daniel Ilfrey Lincoln |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215258595 PECOS PAC ID: 1850532565 Enrollment ID: I20130723000502 |
| Provider Name | Dwight Hager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487692026 PECOS PAC ID: 5597953570 Enrollment ID: I20130725000071 |
| Provider Name | Brady W Wagner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649405671 PECOS PAC ID: 2062662539 Enrollment ID: I20130726000662 |
| Provider Name | Steven C Pitman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922113356 PECOS PAC ID: 1254572639 Enrollment ID: I20130726000767 |
| Provider Name | Jon W Hughes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851382493 PECOS PAC ID: 2860458361 Enrollment ID: I20130727000268 |
| Provider Name | Linda A Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891923454 PECOS PAC ID: 9537300934 Enrollment ID: I20130727000279 |
| Provider Name | Jeannine Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083715999 PECOS PAC ID: 5294808333 Enrollment ID: I20130729000837 |
| Provider Name | Cynthia Girres |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447542212 PECOS PAC ID: 4183865371 Enrollment ID: I20130731000352 |
| Provider Name | Christopher Lee Mclaughlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912206749 PECOS PAC ID: 3476737115 Enrollment ID: I20130731000390 |
| Provider Name | Branaven Mahadeva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720138274 PECOS PAC ID: 9335243997 Enrollment ID: I20130731000460 |
| Provider Name | Jennifer B Wallis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821285628 PECOS PAC ID: 3476795451 Enrollment ID: I20130805000717 |
| Provider Name | Kathryn N Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124193073 PECOS PAC ID: 2769624642 Enrollment ID: I20130805000837 |
| Provider Name | Belinda C Holland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699790733 PECOS PAC ID: 2365445897 Enrollment ID: I20130806000068 |
| Provider Name | Hella Nordberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629052832 PECOS PAC ID: 9931382462 Enrollment ID: I20130807001038 |
| Provider Name | Nobuhiko Kira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285786772 PECOS PAC ID: 1759459381 Enrollment ID: I20130808000060 |
| Provider Name | Chris Changkyu Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902021280 PECOS PAC ID: 1052418597 Enrollment ID: I20130813000360 |
| Provider Name | Julie N Warnock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265871255 PECOS PAC ID: 1456593946 Enrollment ID: I20130813000462 |
| Provider Name | Bennett E Barch |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386817112 PECOS PAC ID: 0143462333 Enrollment ID: I20130819000403 |
| Provider Name | Michael J Yao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811132335 PECOS PAC ID: 2163664350 Enrollment ID: I20130819000518 |
| Provider Name | Ellen A Hall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760570592 PECOS PAC ID: 7113002320 Enrollment ID: I20130819000718 |
| Provider Name | Christopher W Lucius |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760591762 PECOS PAC ID: 0941240535 Enrollment ID: I20130819000776 |
| Provider Name | Patrick J Roach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205035623 PECOS PAC ID: 9638251788 Enrollment ID: I20130820000126 |
| Provider Name | Alicia Marie Tonnies |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548202013 PECOS PAC ID: 0648219741 Enrollment ID: I20130820000787 |
| Provider Name | Daniel L Tarbox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437360567 PECOS PAC ID: 8224193412 Enrollment ID: I20130820000846 |
| Provider Name | Bruce M Stelmack |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851370191 PECOS PAC ID: 4183611940 Enrollment ID: I20130821000110 |
| Provider Name | Filza Akhtar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356667737 PECOS PAC ID: 8123273935 Enrollment ID: I20130821000925 |
| Provider Name | David M Coss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851340939 PECOS PAC ID: 8022001494 Enrollment ID: I20130826000435 |
| Provider Name | Nancy Brown |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083728216 PECOS PAC ID: 3375624562 Enrollment ID: I20130826000572 |
| Provider Name | Rohan Priyanka Calnaido |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104031426 PECOS PAC ID: 5890876791 Enrollment ID: I20130826000829 |
| Provider Name | Kimberly K Vesco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295820611 PECOS PAC ID: 9032152590 Enrollment ID: I20130827000061 |
| Provider Name | Julie C Hong |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1609093871 PECOS PAC ID: 9830349307 Enrollment ID: I20130827000255 |
| Provider Name | Erica Empey Benthin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669600904 PECOS PAC ID: 7810153707 Enrollment ID: I20130827000405 |
| Provider Name | Whitney Freeman Holmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306089883 PECOS PAC ID: 1052554888 Enrollment ID: I20130827000433 |
| Provider Name | Keith Gingerich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114972742 PECOS PAC ID: 8224004726 Enrollment ID: I20130827000658 |
| Provider Name | Jill M Zurawski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013981513 PECOS PAC ID: 3375522931 Enrollment ID: I20130828000286 |
| Provider Name | Philip Z Wirganowicz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972681773 PECOS PAC ID: 7618151762 Enrollment ID: I20130830000043 |
| Provider Name | Alexis D Mason |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558647727 PECOS PAC ID: 5395911432 Enrollment ID: I20130830000167 |
| Provider Name | Matthew B Kaufman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700014503 PECOS PAC ID: 9133362627 Enrollment ID: I20130903000105 |
| Provider Name | Kristophe Jemel Karami |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902929714 PECOS PAC ID: 3678737210 Enrollment ID: I20130903000369 |
| Provider Name | Juan Miguel A Dela Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497984975 PECOS PAC ID: 3476796822 Enrollment ID: I20130904000118 |
| Provider Name | Katherine P Rushton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306108881 PECOS PAC ID: 9537302989 Enrollment ID: I20130904000145 |
| Provider Name | Christine Hall-brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588793996 PECOS PAC ID: 4789827130 Enrollment ID: I20130904000198 |
| Provider Name | Barry L Schlansky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770692428 PECOS PAC ID: 6103062567 Enrollment ID: I20130904000294 |
| Provider Name | Erin K O'kane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831539709 PECOS PAC ID: 3173766409 Enrollment ID: I20130905000251 |
| Provider Name | Matthew S Mccoy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851332886 PECOS PAC ID: 3971530932 Enrollment ID: I20130906000090 |
| Provider Name | Eric N. Shamo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144547837 PECOS PAC ID: 2860637923 Enrollment ID: I20130906000466 |
| Provider Name | Omar S Malik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295998961 PECOS PAC ID: 6901099332 Enrollment ID: I20130909000096 |
| Provider Name | Danna Janell Ogden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700010089 PECOS PAC ID: 4183867344 Enrollment ID: I20130909000127 |
| Provider Name | Corinne M Klykov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356502397 PECOS PAC ID: 0648447193 Enrollment ID: I20130909000522 |
| Provider Name | Monica J Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699092411 PECOS PAC ID: 5294979480 Enrollment ID: I20130909000635 |
| Provider Name | John M Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245672286 PECOS PAC ID: 2163666306 Enrollment ID: I20130910000411 |
| Provider Name | Bridget M Dorsey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497875371 PECOS PAC ID: 6800972092 Enrollment ID: I20130911000872 |
| Provider Name | Tara M Wayt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710207204 PECOS PAC ID: 3476797358 Enrollment ID: I20130916000065 |
| Provider Name | Jenny Nordeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871789024 PECOS PAC ID: 2163614389 Enrollment ID: I20130918000607 |
| Provider Name | Erin R Gee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720215056 PECOS PAC ID: 8325282114 Enrollment ID: I20130919000399 |
| Provider Name | Lara H Bickford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891008728 PECOS PAC ID: 6103060751 Enrollment ID: I20130920000378 |
| Provider Name | Margo Hendrickson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760470777 PECOS PAC ID: 5991895419 Enrollment ID: I20130920000776 |
| Provider Name | Anil A Thomas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699947333 PECOS PAC ID: 6406022102 Enrollment ID: I20130923000277 |
| Provider Name | Megan B Swift |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437581170 PECOS PAC ID: 3971747452 Enrollment ID: I20130924000302 |
| Provider Name | Jamie S Khaw |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437129012 PECOS PAC ID: 0941226492 Enrollment ID: I20130924000484 |
| Provider Name | Heather Mitsuru Motonaga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104143106 PECOS PAC ID: 5496900201 Enrollment ID: I20130924000894 |
| Provider Name | Jennifer Bimberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356578090 PECOS PAC ID: 3173767506 Enrollment ID: I20130924000895 |
| Provider Name | Jeremy L Gibson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821265430 PECOS PAC ID: 5991950503 Enrollment ID: I20130925000148 |
| Provider Name | Andreana M Gentile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134428378 PECOS PAC ID: 3870737240 Enrollment ID: I20130925000488 |
| Provider Name | Cynthia G Estes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912167800 PECOS PAC ID: 3577707876 Enrollment ID: I20130925000940 |
| Provider Name | Brian Fong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346317708 PECOS PAC ID: 8729222021 Enrollment ID: I20130925000968 |
| Provider Name | Mara O Colbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699086355 PECOS PAC ID: 4486898723 Enrollment ID: I20130926000337 |
| Provider Name | Usman Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326288697 PECOS PAC ID: 7618111956 Enrollment ID: I20130926000382 |
| Provider Name | Suzanne M Jagger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174652473 PECOS PAC ID: 4587760830 Enrollment ID: I20130926000765 |
| Provider Name | Daniel John Spiger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912297011 PECOS PAC ID: 3072757350 Enrollment ID: I20130926000881 |
| Provider Name | Bonnie S Huber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104029545 PECOS PAC ID: 4082858378 Enrollment ID: I20130927000228 |
| Provider Name | Christopher M Starr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316171515 PECOS PAC ID: 5890955900 Enrollment ID: I20130927000426 |
| Provider Name | Daniel H Cooper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326486234 PECOS PAC ID: 2668606914 Enrollment ID: I20130930000118 |
| Provider Name | Kristen L Rohde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215249057 PECOS PAC ID: 1254565443 Enrollment ID: I20131001000112 |
| Provider Name | Samuel T Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760611941 PECOS PAC ID: 9830323039 Enrollment ID: I20131001000301 |
| Provider Name | Salam Jafari Lehrfeld |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528224722 PECOS PAC ID: 7517136047 Enrollment ID: I20131002000596 |
| Provider Name | Alan F Rope |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619056181 PECOS PAC ID: 8527015403 Enrollment ID: I20131002000609 |
| Provider Name | Amena T Syed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588787261 PECOS PAC ID: 9931293453 Enrollment ID: I20131015001244 |
| Provider Name | Tyson A Summers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679907323 PECOS PAC ID: 2466687835 Enrollment ID: I20131021001993 |
| Provider Name | Benton D Fong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700926532 PECOS PAC ID: 5799886826 Enrollment ID: I20131026000122 |
| Provider Name | Cheryl A Chessick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083707897 PECOS PAC ID: 0244379543 Enrollment ID: I20131026000124 |
| Provider Name | Elise Blinder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730408030 PECOS PAC ID: 1153556261 Enrollment ID: I20131026000126 |
| Provider Name | Lynette S Malik |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1023209897 PECOS PAC ID: 6305003831 Enrollment ID: I20131026000130 |
| Provider Name | Natalie C Kramer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013262310 PECOS PAC ID: 0042445066 Enrollment ID: I20131029001537 |
| Provider Name | Vicky P Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356667257 PECOS PAC ID: 8820243090 Enrollment ID: I20131029002214 |
| Provider Name | Kathy L Wood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538395132 PECOS PAC ID: 3971738915 Enrollment ID: I20131030000122 |
| Provider Name | Joseph P Mulcare |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033253315 PECOS PAC ID: 4385673888 Enrollment ID: I20131031001234 |
| Provider Name | Juliette A Humsi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922201573 PECOS PAC ID: 6709067481 Enrollment ID: I20131104000400 |
| Provider Name | Lauren E Kaplan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659697639 PECOS PAC ID: 8921253428 Enrollment ID: I20131104001542 |
| Provider Name | Kelly A Dezura |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1306009881 PECOS PAC ID: 1254566987 Enrollment ID: I20131104001683 |
| Provider Name | Mary K Meyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982850962 PECOS PAC ID: 1254477987 Enrollment ID: I20131105001146 |
| Provider Name | Angela N Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144583378 PECOS PAC ID: 6103052543 Enrollment ID: I20131113001639 |
| Provider Name | Kathy K Bak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861412884 PECOS PAC ID: 9335177476 Enrollment ID: I20131114000034 |
| Provider Name | Jim E Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982042503 PECOS PAC ID: 2961638291 Enrollment ID: I20131115000487 |
| Provider Name | Sean C Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558686683 PECOS PAC ID: 5991950529 Enrollment ID: I20131118001185 |
| Provider Name | Andrea K Veryser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982820056 PECOS PAC ID: 7113050675 Enrollment ID: I20131118001915 |
| Provider Name | Todd D Lovelace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619917747 PECOS PAC ID: 4981689254 Enrollment ID: I20131121000396 |
| Provider Name | Amber Mckinnie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851530570 PECOS PAC ID: 9638305410 Enrollment ID: I20131127000376 |
| Provider Name | Hannah Edwards |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1952491540 PECOS PAC ID: 7719902014 Enrollment ID: I20131205000327 |
| Provider Name | Ritu Kumar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891997284 PECOS PAC ID: 8921277096 Enrollment ID: I20131205000386 |
| Provider Name | Pierre Q Pham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598778979 PECOS PAC ID: 3274620273 Enrollment ID: I20131211000621 |
| Provider Name | Benjamin D Herring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770727224 PECOS PAC ID: 6103066816 Enrollment ID: I20131220000635 |
| Provider Name | Rou Wang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093831380 PECOS PAC ID: 9830384023 Enrollment ID: I20140122001942 |
| Provider Name | Lynda L G Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225365596 PECOS PAC ID: 0547499907 Enrollment ID: I20140204001866 |
| Provider Name | Jeremy T Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144415233 PECOS PAC ID: 7416045448 Enrollment ID: I20140213001159 |
| Provider Name | Lucinda A Griffith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366692444 PECOS PAC ID: 6709046527 Enrollment ID: I20140217000547 |
| Provider Name | Kellen T Martyn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255637237 PECOS PAC ID: 1355571209 Enrollment ID: I20140220001480 |
| Provider Name | Irina A Stolerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699752402 PECOS PAC ID: 0345371738 Enrollment ID: I20140221000379 |
| Provider Name | Amber C Carlson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538494414 PECOS PAC ID: 1456581289 Enrollment ID: I20140224000369 |
| Provider Name | Mariska Cirera Probst |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851522882 PECOS PAC ID: 8224268073 Enrollment ID: I20140224000867 |
| Provider Name | Andrea P Fyffe-burris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235111915 PECOS PAC ID: 4789601857 Enrollment ID: I20140224001996 |
| Provider Name | Sophie Elisabeth Helene Snow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215252838 PECOS PAC ID: 3375796428 Enrollment ID: I20140226002191 |
| Provider Name | Tracy M Rushing |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447576939 PECOS PAC ID: 6204081805 Enrollment ID: I20140226002272 |
| Provider Name | Soames Fitzpatrick Boyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205031010 PECOS PAC ID: 4082738315 Enrollment ID: I20140226002300 |
| Provider Name | Shawn Ellington Mccann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194761817 PECOS PAC ID: 8123054558 Enrollment ID: I20140303000999 |
| Provider Name | Michael W Niedermeier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558599209 PECOS PAC ID: 0446401947 Enrollment ID: I20140312001422 |
| Provider Name | Mary Anne Loeb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982663001 PECOS PAC ID: 6800970690 Enrollment ID: I20140313000809 |
| Provider Name | Jason Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548497225 PECOS PAC ID: 9830347251 Enrollment ID: I20140403002295 |
| Provider Name | Tracey Marie Columb |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1912178526 PECOS PAC ID: 8628263449 Enrollment ID: I20140415000336 |
| Provider Name | Lianne Mari Dyche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043520836 PECOS PAC ID: 2567694706 Enrollment ID: I20140422001363 |
| Provider Name | Ly Y Tieu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043400179 PECOS PAC ID: 1355437237 Enrollment ID: I20140428001752 |
| Provider Name | Heidi Michelle Sheridan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1215060017 PECOS PAC ID: 5294814422 Enrollment ID: I20140429000878 |
| Provider Name | Seema A Dewani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710120324 PECOS PAC ID: 7214193390 Enrollment ID: I20140501001607 |
| Provider Name | Sean Mcgowan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376847384 PECOS PAC ID: 3870775778 Enrollment ID: I20140512001504 |
| Provider Name | Gabriella Mcgowan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194020784 PECOS PAC ID: 4082898119 Enrollment ID: I20140512001629 |
| Provider Name | Nathan Windham Bronson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669637740 PECOS PAC ID: 2567609076 Enrollment ID: I20140515000472 |
| Provider Name | Ryan D Clay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710278718 PECOS PAC ID: 5991949695 Enrollment ID: I20140516001909 |
| Provider Name | Daniel H Copp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093903700 PECOS PAC ID: 8729119037 Enrollment ID: I20140519000353 |
| Provider Name | Allison Rebecca Carroll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649569310 PECOS PAC ID: 4183879919 Enrollment ID: I20140520001069 |
| Provider Name | Tonya Kaye Lippert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306035977 PECOS PAC ID: 4486877487 Enrollment ID: I20140520001534 |
| Provider Name | Kristin M Vandomelen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710117122 PECOS PAC ID: 3577716919 Enrollment ID: I20140527000515 |
| Provider Name | Michelle Dezura Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649314220 PECOS PAC ID: 4284727082 Enrollment ID: I20140529000430 |
| Provider Name | Nundhini Thukkani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619185527 PECOS PAC ID: 3678697521 Enrollment ID: I20140529001967 |
| Provider Name | Ying Zhang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346488434 PECOS PAC ID: 6406079896 Enrollment ID: I20140604000832 |
| Provider Name | Miguel Alonso-diez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558799890 PECOS PAC ID: 4486878873 Enrollment ID: I20140604001299 |
| Provider Name | Ashley Marie Treece |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376833616 PECOS PAC ID: 5698920221 Enrollment ID: I20140613000648 |
| Provider Name | Jacob W Heck |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083916241 PECOS PAC ID: 9234300476 Enrollment ID: I20140616000422 |
| Provider Name | Moira K Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255622494 PECOS PAC ID: 2860637048 Enrollment ID: I20140617002447 |
| Provider Name | Gregory R Pollard-hermann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932251048 PECOS PAC ID: 7113141771 Enrollment ID: I20140623000178 |
| Provider Name | Nicholas A Boncher |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255546982 PECOS PAC ID: 3375708761 Enrollment ID: I20140627001712 |
| Provider Name | John Christopher Goddard |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730278375 PECOS PAC ID: 7517135783 Enrollment ID: I20140701000162 |
| Provider Name | Kathryn L Maxwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972827913 PECOS PAC ID: 3072759901 Enrollment ID: I20140701000250 |
| Provider Name | Kristen J Stephenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154650745 PECOS PAC ID: 2466614854 Enrollment ID: I20140702002671 |
| Provider Name | Juan Piantino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588866586 PECOS PAC ID: 7315162435 Enrollment ID: I20140703001778 |
| Provider Name | Christa B Blecher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376525790 PECOS PAC ID: 7113166919 Enrollment ID: I20140710001276 |
| Provider Name | Eva B Patil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285959965 PECOS PAC ID: 9133372220 Enrollment ID: I20140712000159 |
| Provider Name | Vikas Garg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174775951 PECOS PAC ID: 4183849839 Enrollment ID: I20140714000560 |
| Provider Name | Andrew J. Leitz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740423334 PECOS PAC ID: 8527213230 Enrollment ID: I20140715001323 |
| Provider Name | Vladislav V Yurlov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154633287 PECOS PAC ID: 2264557156 Enrollment ID: I20140716001638 |
| Provider Name | Craig Adam Hutto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346653953 PECOS PAC ID: 5395961718 Enrollment ID: I20140721001786 |
| Provider Name | Susan Elizabeth Sligh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710277330 PECOS PAC ID: 6002032307 Enrollment ID: I20140722002636 |
| Provider Name | Qian Leng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154637015 PECOS PAC ID: 1658524723 Enrollment ID: I20140724000599 |
| Provider Name | Daniel I Da Graca |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659534527 PECOS PAC ID: 6204052442 Enrollment ID: I20140724002125 |
| Provider Name | Melinda A Caskey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134212202 PECOS PAC ID: 1456353739 Enrollment ID: I20140724002463 |
| Provider Name | Jaime M Cutland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821176918 PECOS PAC ID: 6709879372 Enrollment ID: I20140725000844 |
| Provider Name | Andrea S Hatchette |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003010893 PECOS PAC ID: 6800082314 Enrollment ID: I20140725002324 |
| Provider Name | Jessica M Nindel-edwards |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093092983 PECOS PAC ID: 2860618725 Enrollment ID: I20140729002842 |
| Provider Name | Daniel R Ernest |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588077556 PECOS PAC ID: 7810113701 Enrollment ID: I20140730000832 |
| Provider Name | Pamela M Scherer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508186297 PECOS PAC ID: 2466684253 Enrollment ID: I20140730002756 |
| Provider Name | Jessica H Piantino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598967689 PECOS PAC ID: 3577748540 Enrollment ID: I20140731000452 |
| Provider Name | Atul Karki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114205747 PECOS PAC ID: 7214154921 Enrollment ID: I20140804001030 |
| Provider Name | Alexandra M Mcpencow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083872329 PECOS PAC ID: 8921272204 Enrollment ID: I20140806001175 |
| Provider Name | Tamir P Rogson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386943025 PECOS PAC ID: 9931332046 Enrollment ID: I20140808001188 |
| Provider Name | Adam Parks Baker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558533273 PECOS PAC ID: 9335393602 Enrollment ID: I20140808002378 |
| Provider Name | Dallas D Regan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053323170 PECOS PAC ID: 0648276055 Enrollment ID: I20140811001909 |
| Provider Name | Nina Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639465271 PECOS PAC ID: 7911122924 Enrollment ID: I20140814000541 |
| Provider Name | Pamela Hughes |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1497727911 PECOS PAC ID: 0244250173 Enrollment ID: I20140814002592 |
| Provider Name | Stephanie L Ahmed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447269170 PECOS PAC ID: 4183770787 Enrollment ID: I20140818001948 |
| Provider Name | Tin Z Aung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194019190 PECOS PAC ID: 5193943942 Enrollment ID: I20140820001673 |
| Provider Name | Yan Lin He |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538470331 PECOS PAC ID: 7012135684 Enrollment ID: I20140822001020 |
| Provider Name | Lisa Mclain |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649507377 PECOS PAC ID: 7214155860 Enrollment ID: I20140825000463 |
| Provider Name | Paul David Anderson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487870846 PECOS PAC ID: 3375788334 Enrollment ID: I20140827000020 |
| Provider Name | Juan C Esguerra |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346402500 PECOS PAC ID: 1759509144 Enrollment ID: I20140827000026 |
| Provider Name | Earl M Kono |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396852299 PECOS PAC ID: 0345330932 Enrollment ID: I20140902002227 |
| Provider Name | Dena B Witthaus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528354966 PECOS PAC ID: 1254559115 Enrollment ID: I20140905002538 |
| Provider Name | Katie Anne Sharff |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215196530 PECOS PAC ID: 9931354701 Enrollment ID: I20140908002609 |
| Provider Name | Maria S Kling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386897809 PECOS PAC ID: 9436210747 Enrollment ID: I20140909002063 |
| Provider Name | Erin M Wallace |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730405598 PECOS PAC ID: 4981849684 Enrollment ID: I20140910002169 |
| Provider Name | Marcia Patricia Diaz Medina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467746206 PECOS PAC ID: 6002052578 Enrollment ID: I20140911000618 |
| Provider Name | Benjamin J Bryant |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215158704 PECOS PAC ID: 6608095351 Enrollment ID: I20140911002197 |
| Provider Name | Clay A Elrod |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104132497 PECOS PAC ID: 7810121803 Enrollment ID: I20140917000527 |
| Provider Name | Kelly D George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265728117 PECOS PAC ID: 9032137435 Enrollment ID: I20140918002702 |
| Provider Name | Lorna J Shanks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982999322 PECOS PAC ID: 0143449363 Enrollment ID: I20140919000614 |
| Provider Name | Ryan P Morrissey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013176841 PECOS PAC ID: 5991961716 Enrollment ID: I20140923000509 |
| Provider Name | Peter A Marcovici |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356540314 PECOS PAC ID: 6800045840 Enrollment ID: I20140923002697 |
| Provider Name | Punprapai Boriboonsomsin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114176856 PECOS PAC ID: 2163610759 Enrollment ID: I20140923002699 |
| Provider Name | Richard H Mcaffee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043538879 PECOS PAC ID: 1456483916 Enrollment ID: I20140924000001 |
| Provider Name | Karin Ljungquist |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275781395 PECOS PAC ID: 7618196643 Enrollment ID: I20140924000118 |
| Provider Name | Jeffrey J Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942205752 PECOS PAC ID: 5991704413 Enrollment ID: I20140924000371 |
| Provider Name | Sarah Melissa Margulies |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194772145 PECOS PAC ID: 3375514813 Enrollment ID: I20140926001526 |
| Provider Name | Juliana Ogbeama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730372905 PECOS PAC ID: 8729203666 Enrollment ID: I20140930003119 |
| Provider Name | Alexis L Kleinman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1316217540 PECOS PAC ID: 2062632771 Enrollment ID: I20141001000844 |
| Provider Name | Alexandra E Stanculescu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932342722 PECOS PAC ID: 4789824376 Enrollment ID: I20141002001680 |
| Provider Name | Kelsey M Brody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538457064 PECOS PAC ID: 9234359720 Enrollment ID: I20141006000450 |
| Provider Name | Kathy Tran Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417273426 PECOS PAC ID: 4486874906 Enrollment ID: I20141006001278 |
| Provider Name | Jean B Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730323510 PECOS PAC ID: 5890916696 Enrollment ID: I20141020002647 |
| Provider Name | Richard C Krubel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619979853 PECOS PAC ID: 3072568302 Enrollment ID: I20141021000000 |
| Provider Name | Shiliang Chang |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1710140215 PECOS PAC ID: 3577735034 Enrollment ID: I20141021003146 |
| Provider Name | James D Barger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114144193 PECOS PAC ID: 6103047881 Enrollment ID: I20141021003174 |
| Provider Name | Linda T Vu-holbrook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366768426 PECOS PAC ID: 1557585700 Enrollment ID: I20141022001171 |
| Provider Name | Teresa A Crutchley |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760492102 PECOS PAC ID: 5890795181 Enrollment ID: I20141022002371 |
| Provider Name | Tom Shi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538454723 PECOS PAC ID: 2860613460 Enrollment ID: I20141023002505 |
| Provider Name | Enrique Gomez Morayta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548417405 PECOS PAC ID: 8426221987 Enrollment ID: I20141023002567 |
| Provider Name | Valentina M Antonova |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760642565 PECOS PAC ID: 6103086988 Enrollment ID: I20141028002077 |
| Provider Name | Diane D Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154752723 PECOS PAC ID: 4486875853 Enrollment ID: I20141028002171 |
| Provider Name | Sean Sha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932416716 PECOS PAC ID: 2961623087 Enrollment ID: I20141103000754 |
| Provider Name | April Milan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114965753 PECOS PAC ID: 7517014939 Enrollment ID: I20141103002431 |
| Provider Name | Justin Gathercoal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861705865 PECOS PAC ID: 0446472682 Enrollment ID: I20141104000695 |
| Provider Name | Debrin P Goubert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326048539 PECOS PAC ID: 7214986074 Enrollment ID: I20141104002418 |
| Provider Name | Thongphanh Phanthavady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932472669 PECOS PAC ID: 5092969485 Enrollment ID: I20141104002862 |
| Provider Name | Mary C Pasquesi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215266101 PECOS PAC ID: 9032331079 Enrollment ID: I20141107000001 |
| Provider Name | Brenna Burnette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447488788 PECOS PAC ID: 5597817684 Enrollment ID: I20141108000013 |
| Provider Name | Daniel Molinaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114287513 PECOS PAC ID: 0648411959 Enrollment ID: I20141111001041 |
| Provider Name | Mika T Mcdougall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477797538 PECOS PAC ID: 1254553035 Enrollment ID: I20141111001204 |
| Provider Name | Melissa H Hayden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295025518 PECOS PAC ID: 2264678556 Enrollment ID: I20141112000825 |
| Provider Name | Oxsana V Stenersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003043332 PECOS PAC ID: 7416179015 Enrollment ID: I20141114002316 |
| Provider Name | Kathleen M Laughlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346282720 PECOS PAC ID: 0143265348 Enrollment ID: I20141115000262 |
| Provider Name | Heidi U Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306810858 PECOS PAC ID: 9638317662 Enrollment ID: I20141120001406 |
| Provider Name | Emily V West |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144545229 PECOS PAC ID: 3173745429 Enrollment ID: I20141120002696 |
| Provider Name | Antonia L Mcclune |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285923714 PECOS PAC ID: 2567784523 Enrollment ID: I20141202000028 |
| Provider Name | Jonathan C Samuel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457570723 PECOS PAC ID: 6406000546 Enrollment ID: I20141204001323 |
| Provider Name | Keith E Moree |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750490462 PECOS PAC ID: 6901128537 Enrollment ID: I20141209001773 |
| Provider Name | John Wichert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982644282 PECOS PAC ID: 2961468434 Enrollment ID: I20141212000728 |
| Provider Name | Christopher D Andre |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578709564 PECOS PAC ID: 0749502177 Enrollment ID: I20141213000008 |
| Provider Name | Gregory N Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356317150 PECOS PAC ID: 2365344157 Enrollment ID: I20141216002375 |
| Provider Name | Guadalupe Clementina Gabba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063701126 PECOS PAC ID: 7911220058 Enrollment ID: I20141222002680 |
| Provider Name | Lisa M Crandall |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245342278 PECOS PAC ID: 5698098655 Enrollment ID: I20141223001151 |
| Provider Name | Brandon J Yeager |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831499300 PECOS PAC ID: 6800119454 Enrollment ID: I20150106002170 |
| Provider Name | Kurt M. Smudzinski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134248396 PECOS PAC ID: 7214033802 Enrollment ID: I20150109000030 |
| Provider Name | Beck O Longstreet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821331513 PECOS PAC ID: 3476796673 Enrollment ID: I20150112000000 |
| Provider Name | Anna Pierzchala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265728802 PECOS PAC ID: 1153645437 Enrollment ID: I20150114001373 |
| Provider Name | Jennifer H Lincoln |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528275815 PECOS PAC ID: 3173794369 Enrollment ID: I20150119000000 |
| Provider Name | Cindy Hm Peng |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578853768 PECOS PAC ID: 6901120997 Enrollment ID: I20150122001079 |
| Provider Name | Lyndsay M Stewart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528490992 PECOS PAC ID: 5698904381 Enrollment ID: I20150131000149 |
| Provider Name | Trixy J Franke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124241211 PECOS PAC ID: 3375697972 Enrollment ID: I20150204000518 |
| Provider Name | Leslie Ann Sanchez Goettler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306985312 PECOS PAC ID: 6608919568 Enrollment ID: I20150204001247 |
| Provider Name | Sarah E Bodian |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104252097 PECOS PAC ID: 0749505071 Enrollment ID: I20150209001765 |
| Provider Name | Yuri Imanishi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184760712 PECOS PAC ID: 1254326945 Enrollment ID: I20150210002454 |
| Provider Name | Kendra C Parkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689004053 PECOS PAC ID: 1456676477 Enrollment ID: I20150216001960 |
| Provider Name | Beth Rachel Gabbard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518902089 PECOS PAC ID: 7810996154 Enrollment ID: I20150219001757 |
| Provider Name | Susannah L Daniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215211016 PECOS PAC ID: 0941446322 Enrollment ID: I20150220001701 |
| Provider Name | Julia Grace Head |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629204292 PECOS PAC ID: 0143456996 Enrollment ID: I20150226000351 |
| Provider Name | Kathleen M Medwar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972892693 PECOS PAC ID: 2062675978 Enrollment ID: I20150302000036 |
| Provider Name | Rebecca K Stepaniak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891733028 PECOS PAC ID: 1355245770 Enrollment ID: I20150302002180 |
| Provider Name | Catherine K Lum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295719193 PECOS PAC ID: 2264481639 Enrollment ID: I20150303001519 |
| Provider Name | Catherine Dalton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982726865 PECOS PAC ID: 6204903768 Enrollment ID: I20150303001588 |
| Provider Name | Alyson L Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972785244 PECOS PAC ID: 4082746805 Enrollment ID: I20150306000486 |
| Provider Name | Emmanuel R Ariola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912341108 PECOS PAC ID: 7315264967 Enrollment ID: I20150319002476 |
| Provider Name | Priti P Khanijou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265640007 PECOS PAC ID: 5092804617 Enrollment ID: I20150320000069 |
| Provider Name | Dipti Kale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548682925 PECOS PAC ID: 8820315096 Enrollment ID: I20150327000108 |
| Provider Name | John C Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619292240 PECOS PAC ID: 3476706532 Enrollment ID: I20150331000996 |
| Provider Name | Kendra E Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184959629 PECOS PAC ID: 8820315880 Enrollment ID: I20150401000004 |
| Provider Name | Joshua D Dillard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982954715 PECOS PAC ID: 6901123991 Enrollment ID: I20150401001422 |
| Provider Name | Timothy Michael Rowland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265636211 PECOS PAC ID: 6204889041 Enrollment ID: I20150409000716 |
| Provider Name | Laura K Fisk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962800615 PECOS PAC ID: 4789902032 Enrollment ID: I20150416001033 |
| Provider Name | Shayna Lee Bowman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508192386 PECOS PAC ID: 9234380627 Enrollment ID: I20150417001010 |
| Provider Name | Bernadette M Pye |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881979938 PECOS PAC ID: 5698093623 Enrollment ID: I20150423000219 |
| Provider Name | Michael Neal Marcus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225013956 PECOS PAC ID: 6608918164 Enrollment ID: I20150429000834 |
| Provider Name | Elizabeth M Olivera |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902104219 PECOS PAC ID: 6204012537 Enrollment ID: I20150430000318 |
| Provider Name | Bina D Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669566451 PECOS PAC ID: 7214909738 Enrollment ID: I20150430001144 |
| Provider Name | Rebecca Poliskin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346312154 PECOS PAC ID: 8921000902 Enrollment ID: I20150504002483 |
| Provider Name | Marty D Surface |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710994058 PECOS PAC ID: 4688806573 Enrollment ID: I20150515002048 |
| Provider Name | Paul F Gately |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114066818 PECOS PAC ID: 2163618737 Enrollment ID: I20150516000144 |
| Provider Name | Marc F Kurtzman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609133784 PECOS PAC ID: 2769628940 Enrollment ID: I20150520002113 |
| Provider Name | Kelly N. Ma |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346535267 PECOS PAC ID: 8820220742 Enrollment ID: I20150522001339 |
| Provider Name | Matthew R Takos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619261260 PECOS PAC ID: 2567782089 Enrollment ID: I20150526000815 |
| Provider Name | Melissa Denny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073849501 PECOS PAC ID: 0547427072 Enrollment ID: I20150528002448 |
| Provider Name | Britania J Latronica |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811253461 PECOS PAC ID: 1951621176 Enrollment ID: I20150528002597 |
| Provider Name | Erik W Kroger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649420712 PECOS PAC ID: 9335377530 Enrollment ID: I20150529001898 |
| Provider Name | Matthew H Richards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245596048 PECOS PAC ID: 8527212828 Enrollment ID: I20150602001021 |
| Provider Name | Hannah I Rose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174880470 PECOS PAC ID: 4789829631 Enrollment ID: I20150602001426 |
| Provider Name | Kathleen A Cutter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114139201 PECOS PAC ID: 9133440746 Enrollment ID: I20150608002945 |
| Provider Name | Jennifer Mueller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093740268 PECOS PAC ID: 1850368168 Enrollment ID: I20150609002940 |
| Provider Name | Veronica Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639459191 PECOS PAC ID: 5991016792 Enrollment ID: I20150619002344 |
| Provider Name | Jason Cole |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013302678 PECOS PAC ID: 7517278310 Enrollment ID: I20150619002382 |
| Provider Name | Heidi A Egan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114277886 PECOS PAC ID: 6406167162 Enrollment ID: I20150622001757 |
| Provider Name | Nicole L Gaumont |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083724942 PECOS PAC ID: 5395056089 Enrollment ID: I20150622002427 |
| Provider Name | Erin K Snell |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1528242021 PECOS PAC ID: 4284812439 Enrollment ID: I20150622002702 |
| Provider Name | Ben Lawrence Pederson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073856142 PECOS PAC ID: 8022259613 Enrollment ID: I20150623002865 |
| Provider Name | Saskia Van Der Wal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417088618 PECOS PAC ID: 6507999463 Enrollment ID: I20150625000279 |
| Provider Name | Nishanie J Bisorca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801052477 PECOS PAC ID: 6406902014 Enrollment ID: I20150625000690 |
| Provider Name | Kathleen T Oldread |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225273204 PECOS PAC ID: 6709198088 Enrollment ID: I20150629001818 |
| Provider Name | Astrid S. Platteau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629204938 PECOS PAC ID: 3173778016 Enrollment ID: I20150629002667 |
| Provider Name | Alexis Hunt Manchio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801913090 PECOS PAC ID: 6406040104 Enrollment ID: I20150629003161 |
| Provider Name | Wilfredo Giordano-perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902148141 PECOS PAC ID: 3072748722 Enrollment ID: I20150702002378 |
| Provider Name | Seth M Robbins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902108335 PECOS PAC ID: 7517148851 Enrollment ID: I20150706001826 |
| Provider Name | Alison W Shapiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437537669 PECOS PAC ID: 9739492257 Enrollment ID: I20150713002137 |
| Provider Name | Kamala M. Nyamathi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174841969 PECOS PAC ID: 0749435923 Enrollment ID: I20150716001654 |
| Provider Name | Abraham J Reichlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023321619 PECOS PAC ID: 9830402031 Enrollment ID: I20150716002610 |
| Provider Name | Aaron B Case |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134495567 PECOS PAC ID: 1254586068 Enrollment ID: I20150716002622 |
| Provider Name | Ashley K Althaus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649657990 PECOS PAC ID: 2062725104 Enrollment ID: I20150720001074 |
| Provider Name | Eric B Roth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982869657 PECOS PAC ID: 8921285594 Enrollment ID: I20150721001075 |
| Provider Name | Robert J Wendland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366593709 PECOS PAC ID: 7618054651 Enrollment ID: I20150721003099 |
| Provider Name | Katherine M Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447651799 PECOS PAC ID: 1254644156 Enrollment ID: I20150721003177 |
| Provider Name | Carmen M Doom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386935609 PECOS PAC ID: 8426361254 Enrollment ID: I20150722004194 |
| Provider Name | My N Tran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528201456 PECOS PAC ID: 5193971695 Enrollment ID: I20150729009660 |
| Provider Name | Brandon Reed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154659480 PECOS PAC ID: 5890009120 Enrollment ID: I20150730013954 |
| Provider Name | Arwen Mohr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740311885 PECOS PAC ID: 3274634480 Enrollment ID: I20150730013989 |
| Provider Name | Saneea Tanwir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275893828 PECOS PAC ID: 3072754498 Enrollment ID: I20150807013089 |
| Provider Name | Alireza Shabani Ardali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083862403 PECOS PAC ID: 4789730508 Enrollment ID: I20150811006094 |
| Provider Name | Matthew G St Peter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639445976 PECOS PAC ID: 5799090106 Enrollment ID: I20150813012034 |
| Provider Name | Ivonne M Daly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639379811 PECOS PAC ID: 4789775404 Enrollment ID: I20150818003614 |
| Provider Name | Grace Sun |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831385095 PECOS PAC ID: 2163688615 Enrollment ID: I20150819009266 |
| Provider Name | Hassan Irshad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821225566 PECOS PAC ID: 9133351877 Enrollment ID: I20150820010480 |
| Provider Name | Mark Robert Mueller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497017354 PECOS PAC ID: 2567606171 Enrollment ID: I20150820011513 |
| Provider Name | Danita Tom |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538349196 PECOS PAC ID: 8426197211 Enrollment ID: I20150820011859 |
| Provider Name | Elizabeth A Bearden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407112535 PECOS PAC ID: 3678736055 Enrollment ID: I20150820012151 |
| Provider Name | Jennifer Black |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1184791055 PECOS PAC ID: 6709860695 Enrollment ID: I20150820012428 |
| Provider Name | Han Hsuan Chang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730404773 PECOS PAC ID: 3779736301 Enrollment ID: I20150820012578 |
| Provider Name | Melanie Sue Gipp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558688572 PECOS PAC ID: 2668699141 Enrollment ID: I20150821014841 |
| Provider Name | Lourdes Quintanilla-dieck |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528293545 PECOS PAC ID: 3870748429 Enrollment ID: I20150828001460 |
| Provider Name | Cheryl Boyd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528135332 PECOS PAC ID: 1850376716 Enrollment ID: I20150831002331 |
| Provider Name | John Pires Ervoes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790928406 PECOS PAC ID: 9638313489 Enrollment ID: I20150831002911 |
| Provider Name | Brian T Garvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558604694 PECOS PAC ID: 2567603079 Enrollment ID: I20150905000055 |
| Provider Name | Abdul Hai Mansoor |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1790934149 PECOS PAC ID: 1153468418 Enrollment ID: I20150909001603 |
| Provider Name | Gregory Hayward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649563792 PECOS PAC ID: 3870713886 Enrollment ID: I20150910002876 |
| Provider Name | Manya D Dobaj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639368590 PECOS PAC ID: 7315035730 Enrollment ID: I20150911001655 |
| Provider Name | Angeline Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598141194 PECOS PAC ID: 3779890017 Enrollment ID: I20150917003014 |
| Provider Name | Aarti Mahadeva |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922264472 PECOS PAC ID: 2163580572 Enrollment ID: I20150918001483 |
| Provider Name | Tom C Deroche |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407021512 PECOS PAC ID: 7719160415 Enrollment ID: I20150921001264 |
| Provider Name | Kaitlyn Tomic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184090177 PECOS PAC ID: 3971810094 Enrollment ID: I20150922000485 |
| Provider Name | Amir Goharbin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942584545 PECOS PAC ID: 3476703851 Enrollment ID: I20150922001284 |
| Provider Name | Kristyn E Anthony |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1326364753 PECOS PAC ID: 7012231327 Enrollment ID: I20150923003042 |
| Provider Name | Andrew D Kroeker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194953471 PECOS PAC ID: 9335318872 Enrollment ID: I20150925002418 |
| Provider Name | Margaret Elizabeth Savransky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801157284 PECOS PAC ID: 4981928538 Enrollment ID: I20151001001530 |
| Provider Name | Jared Taylor Gilbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477810505 PECOS PAC ID: 2062657950 Enrollment ID: I20151002001371 |
| Provider Name | Andrea Louise Payne Osterlund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447567292 PECOS PAC ID: 1456678416 Enrollment ID: I20151005001928 |
| Provider Name | Darbi L Seely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538429022 PECOS PAC ID: 4587805866 Enrollment ID: I20151006001019 |
| Provider Name | Nanette Curtis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881952166 PECOS PAC ID: 4587972666 Enrollment ID: I20151009001710 |
| Provider Name | Hannah Shinoda |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386032431 PECOS PAC ID: 0446569586 Enrollment ID: I20151012002155 |
| Provider Name | Azadeh Rezvan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508022781 PECOS PAC ID: 2163670118 Enrollment ID: I20151013000791 |
| Provider Name | Marcy Lake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174550123 PECOS PAC ID: 0547579500 Enrollment ID: I20151014002624 |
| Provider Name | Dina Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366705766 PECOS PAC ID: 9032428941 Enrollment ID: I20151015001769 |
| Provider Name | Frances A Derook |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1922098060 PECOS PAC ID: 2668453929 Enrollment ID: I20151023001133 |
| Provider Name | Jean Yoo-campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982861779 PECOS PAC ID: 7012169816 Enrollment ID: I20151027000862 |
| Provider Name | Amy E Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093057036 PECOS PAC ID: 1254566466 Enrollment ID: I20151028000052 |
| Provider Name | Brandon M Duft |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467778803 PECOS PAC ID: 0941519227 Enrollment ID: I20151028000514 |
| Provider Name | Jacquelyn M Collura |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255596011 PECOS PAC ID: 0244549459 Enrollment ID: I20151028002048 |
| Provider Name | Christian O'haire |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982949723 PECOS PAC ID: 8224344221 Enrollment ID: I20151030001359 |
| Provider Name | Dana J Ulrich |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356717359 PECOS PAC ID: 0345550596 Enrollment ID: I20151030001504 |
| Provider Name | Asmarawork T Measho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881789204 PECOS PAC ID: 2961416201 Enrollment ID: I20151104001499 |
| Provider Name | Sarah A Copeland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285818823 PECOS PAC ID: 7214019744 Enrollment ID: I20151106002401 |
| Provider Name | Trisha A Conner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366588683 PECOS PAC ID: 7719050962 Enrollment ID: I20151111002266 |
| Provider Name | Emilia C Samuel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649420175 PECOS PAC ID: 0042529331 Enrollment ID: I20151117002525 |
| Provider Name | Christopher J Schmitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578616272 PECOS PAC ID: 6002999091 Enrollment ID: I20151125001824 |
| Provider Name | Jacquia De La Cruz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922269653 PECOS PAC ID: 2961659248 Enrollment ID: I20151229000947 |
| Provider Name | Tony Shuo-wen Clinton-merrell |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1982675690 PECOS PAC ID: 2567613151 Enrollment ID: I20160105001363 |
| Provider Name | Adityanant Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184940934 PECOS PAC ID: 8022236710 Enrollment ID: I20160105001599 |
| Provider Name | Sujen K Kunugiyama |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477948628 PECOS PAC ID: 6103130489 Enrollment ID: I20160119000879 |
| Provider Name | Emily Judith Doss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871724203 PECOS PAC ID: 4183861222 Enrollment ID: I20160121002705 |
| Provider Name | Karl H Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902958671 PECOS PAC ID: 0648241018 Enrollment ID: I20160127002554 |
| Provider Name | Sasha D Mallett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275899122 PECOS PAC ID: 5294980082 Enrollment ID: I20160205002421 |
| Provider Name | Stefanie J Friberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285007195 PECOS PAC ID: 7416251731 Enrollment ID: I20160208000664 |
| Provider Name | Timothy Gerke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568895845 PECOS PAC ID: 6103120332 Enrollment ID: I20160209002494 |
| Provider Name | Cecilia S Mckay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386622587 PECOS PAC ID: 1052213030 Enrollment ID: I20160211002531 |
| Provider Name | Anna A Muchnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508028952 PECOS PAC ID: 1850553314 Enrollment ID: I20160217001521 |
| Provider Name | Andre Sinclair Chavez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790968337 PECOS PAC ID: 3173653649 Enrollment ID: I20160218002267 |
| Provider Name | Qing Yu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871755322 PECOS PAC ID: 0345492336 Enrollment ID: I20160226001517 |
| Provider Name | Alison B Carrigg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245554211 PECOS PAC ID: 8628373735 Enrollment ID: I20160229000814 |
| Provider Name | Paul Pickering |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881751071 PECOS PAC ID: 5092732644 Enrollment ID: I20160301002571 |
| Provider Name | Karen Maury |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528152071 PECOS PAC ID: 3577635945 Enrollment ID: I20160304000458 |
| Provider Name | Pavlos Papavasiliou |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1356551782 PECOS PAC ID: 8729118500 Enrollment ID: I20160310002148 |
| Provider Name | Rachel Jo Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063592699 PECOS PAC ID: 0244267490 Enrollment ID: I20160317002156 |
| Provider Name | Andrea Gough-goldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013273861 PECOS PAC ID: 7416254420 Enrollment ID: I20160317002392 |
| Provider Name | Teresa S Chen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124307871 PECOS PAC ID: 0840504478 Enrollment ID: I20160318001430 |
| Provider Name | Amy Baxi Deroche |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538331707 PECOS PAC ID: 0749326395 Enrollment ID: I20160323001918 |
| Provider Name | Darling Maria Mendoza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174868301 PECOS PAC ID: 1153628656 Enrollment ID: I20160329001110 |
| Provider Name | Fernanda V Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861756470 PECOS PAC ID: 4587961974 Enrollment ID: I20160330001208 |
| Provider Name | Catherine E Willeford |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356698682 PECOS PAC ID: 5294032397 Enrollment ID: I20160404001476 |
| Provider Name | Anna R Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376707984 PECOS PAC ID: 0345386249 Enrollment ID: I20160408001683 |
| Provider Name | Richard T Claiborne |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841578119 PECOS PAC ID: 1254552235 Enrollment ID: I20160415001775 |
| Provider Name | Lauren Andrus Tomeny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497072433 PECOS PAC ID: 3274767603 Enrollment ID: I20160418002441 |
| Provider Name | Orlene Hoskinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396078937 PECOS PAC ID: 1759697980 Enrollment ID: I20160502000991 |
| Provider Name | Paul C Gale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285736686 PECOS PAC ID: 0648274183 Enrollment ID: I20160517002442 |
| Provider Name | David Loren Simons |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942568670 PECOS PAC ID: 1355587841 Enrollment ID: I20160518002152 |
| Provider Name | Dale G Wilson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891051314 PECOS PAC ID: 7719122480 Enrollment ID: I20160520001571 |
| Provider Name | Lee M Kiang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518252469 PECOS PAC ID: 6800100686 Enrollment ID: I20160523001334 |
| Provider Name | David B Rubin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588841399 PECOS PAC ID: 7911065719 Enrollment ID: I20160531000813 |
| Provider Name | Kathryn C Schlegel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740501253 PECOS PAC ID: 9739321555 Enrollment ID: I20160602000700 |
| Provider Name | Janice Adele Lindstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720184013 PECOS PAC ID: 2961303193 Enrollment ID: I20160603000205 |
| Provider Name | Michelle Stacey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861758799 PECOS PAC ID: 6709031586 Enrollment ID: I20160706002436 |
| Provider Name | Rachel Ann Pilliod |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093071391 PECOS PAC ID: 6103070966 Enrollment ID: I20160708000579 |
| Provider Name | Daniel Youngchan Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578820759 PECOS PAC ID: 1658663695 Enrollment ID: I20160712000855 |
| Provider Name | Isabel A Lind |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659475978 PECOS PAC ID: 2264433655 Enrollment ID: I20160720001610 |
| Provider Name | Scott Yang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093959330 PECOS PAC ID: 3476784430 Enrollment ID: I20160721001305 |
| Provider Name | Gregory A Wolgamott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487648432 PECOS PAC ID: 8527061282 Enrollment ID: I20160722001515 |
| Provider Name | Benjamin A Katz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598907883 PECOS PAC ID: 6305088808 Enrollment ID: I20160801002430 |
| Provider Name | Thomas P Huber |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740205830 PECOS PAC ID: 5496885881 Enrollment ID: I20160801002764 |
| Provider Name | Mayura S Madden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174842785 PECOS PAC ID: 2769625201 Enrollment ID: I20160802001773 |
| Provider Name | Arsheeya Mashaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760683536 PECOS PAC ID: 0042385296 Enrollment ID: I20160802002511 |
| Provider Name | Steven G Moylan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518304559 PECOS PAC ID: 8527200138 Enrollment ID: I20160803003108 |
| Provider Name | Alyse Niccole Rymer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356609085 PECOS PAC ID: 2668618703 Enrollment ID: I20160805001026 |
| Provider Name | Rekha Chandran |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1457393878 PECOS PAC ID: 4688768872 Enrollment ID: I20160811002736 |
| Provider Name | Ran Huo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235405580 PECOS PAC ID: 8527352616 Enrollment ID: I20160812000578 |
| Provider Name | Megan Lea Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003159716 PECOS PAC ID: 5193025567 Enrollment ID: I20160816002179 |
| Provider Name | Fayza Sohail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376982504 PECOS PAC ID: 5799070686 Enrollment ID: I20160816002317 |
| Provider Name | Jefferson Loa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336304773 PECOS PAC ID: 7416122775 Enrollment ID: I20160816002714 |
| Provider Name | Justin L Mcallister |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598024887 PECOS PAC ID: 0244530020 Enrollment ID: I20160817000539 |
| Provider Name | Kristen B Castro Alicea |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710383179 PECOS PAC ID: 5991090789 Enrollment ID: I20160817003014 |
| Provider Name | Summer D Stears-ellis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013138130 PECOS PAC ID: 1759434392 Enrollment ID: I20160817003205 |
| Provider Name | Mandrill R Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760781520 PECOS PAC ID: 4587891460 Enrollment ID: I20160818000613 |
| Provider Name | Cody J Benthin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619144490 PECOS PAC ID: 6507013174 Enrollment ID: I20160818001195 |
| Provider Name | Abhimanyu Uberoi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902115520 PECOS PAC ID: 4486832144 Enrollment ID: I20160818001959 |
| Provider Name | Frank A Santoli |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639272073 PECOS PAC ID: 1759445604 Enrollment ID: I20160818002035 |
| Provider Name | Danielle Desrochers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669673000 PECOS PAC ID: 8325125677 Enrollment ID: I20160819001197 |
| Provider Name | Joseph Robert Perry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134354244 PECOS PAC ID: 8426285917 Enrollment ID: I20160819001216 |
| Provider Name | Dinah G Loa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699058511 PECOS PAC ID: 3274750666 Enrollment ID: I20160819001911 |
| Provider Name | Joel P Womack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093058554 PECOS PAC ID: 9234372442 Enrollment ID: I20160822002722 |
| Provider Name | Geoffrey Sheppard Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386081545 PECOS PAC ID: 0143443283 Enrollment ID: I20160822002800 |
| Provider Name | Lisa Leavitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982040960 PECOS PAC ID: 7416271069 Enrollment ID: I20160822002993 |
| Provider Name | Katelyn Powers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194278382 PECOS PAC ID: 2264728104 Enrollment ID: I20160901001506 |
| Provider Name | Krista M Moylan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346632254 PECOS PAC ID: 3274842182 Enrollment ID: I20160912000103 |
| Provider Name | Tina Corey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346419959 PECOS PAC ID: 8729374889 Enrollment ID: I20160915002347 |
| Provider Name | Alise N Roberson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871956136 PECOS PAC ID: 1951698018 Enrollment ID: I20160919000269 |
| Provider Name | Connie Y Kuo |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245523067 PECOS PAC ID: 6204138134 Enrollment ID: I20160923001364 |
| Provider Name | Michael Aaron Weathers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972821072 PECOS PAC ID: 2860708716 Enrollment ID: I20160923001448 |
| Provider Name | Mariah N Mason |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1558629188 PECOS PAC ID: 6901047281 Enrollment ID: I20160923001624 |
| Provider Name | Ehrine Manzana Deloriea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104269521 PECOS PAC ID: 5799000758 Enrollment ID: I20160923001741 |
| Provider Name | Jesse Y Howell |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1356633689 PECOS PAC ID: 0749596674 Enrollment ID: I20160923002038 |
| Provider Name | Lindsay Anne Alaishuski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083811954 PECOS PAC ID: 9133363674 Enrollment ID: I20160923002213 |
| Provider Name | Nathaniel S Baer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386987030 PECOS PAC ID: 0143461657 Enrollment ID: I20160927000253 |
| Provider Name | Peter A Leahey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104143726 PECOS PAC ID: 5698920148 Enrollment ID: I20160927001364 |
| Provider Name | Julia Amolia Heinze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265870430 PECOS PAC ID: 6608163191 Enrollment ID: I20160927002636 |
| Provider Name | Cesareo U Tongco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639311681 PECOS PAC ID: 3274781489 Enrollment ID: I20160927002827 |
| Provider Name | Samantha Lee Shira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558702811 PECOS PAC ID: 0941429914 Enrollment ID: I20160927003086 |
| Provider Name | Christine Mock |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972974582 PECOS PAC ID: 5092002469 Enrollment ID: I20160928002266 |
| Provider Name | Britt W Belling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992042808 PECOS PAC ID: 7517112733 Enrollment ID: I20160929000049 |
| Provider Name | Nicole M Ruegsegger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720430044 PECOS PAC ID: 6901193259 Enrollment ID: I20160929002106 |
| Provider Name | Kamran Aghaie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104056936 PECOS PAC ID: 9931365608 Enrollment ID: I20161005002000 |
| Provider Name | Sirajul Hasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144561499 PECOS PAC ID: 5597053504 Enrollment ID: I20161006001893 |
| Provider Name | Una Clare Miniter |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073879128 PECOS PAC ID: 1850526187 Enrollment ID: I20161010001067 |
| Provider Name | Benjamin M Jager |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811340300 PECOS PAC ID: 4880982420 Enrollment ID: I20161013001381 |
| Provider Name | Marissa L Huebner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497198477 PECOS PAC ID: 4688815293 Enrollment ID: I20161014001875 |
| Provider Name | Penelope D Lang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245556984 PECOS PAC ID: 0547581068 Enrollment ID: I20161017001506 |
| Provider Name | Tony J Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760707608 PECOS PAC ID: 1557504917 Enrollment ID: I20161017001961 |
| Provider Name | Joshua D Shinoda |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255748265 PECOS PAC ID: 1254629660 Enrollment ID: I20161017002556 |
| Provider Name | Venu Gopal Parachuri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437314143 PECOS PAC ID: 5890914238 Enrollment ID: I20161018001552 |
| Provider Name | Sunshine M Dwojak |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134388671 PECOS PAC ID: 3971763301 Enrollment ID: I20161018001859 |
| Provider Name | Natasha K Kye |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023377595 PECOS PAC ID: 6204073422 Enrollment ID: I20161018002457 |
| Provider Name | Juan E Munoz Oca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659706935 PECOS PAC ID: 5799073060 Enrollment ID: I20161020000133 |
| Provider Name | Rasanamar Kaur Sandhu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457612145 PECOS PAC ID: 5799929733 Enrollment ID: I20161020001884 |
| Provider Name | Anne C Toledo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215370614 PECOS PAC ID: 9830321462 Enrollment ID: I20161020002307 |
| Provider Name | Anna R Snyder |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184171738 PECOS PAC ID: 9739467879 Enrollment ID: I20161025001717 |
| Provider Name | Vidyashree D Chikkaramanjegowda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659605558 PECOS PAC ID: 6608091509 Enrollment ID: I20161027000213 |
| Provider Name | Yanan Shang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174674006 PECOS PAC ID: 7719150846 Enrollment ID: I20161027002089 |
| Provider Name | Vandana Chatterjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063767531 PECOS PAC ID: 9133432065 Enrollment ID: I20161031001667 |
| Provider Name | Elizabeth Melendez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679596118 PECOS PAC ID: 4789698358 Enrollment ID: I20161031002117 |
| Provider Name | Leah B Baruch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407292592 PECOS PAC ID: 3577883701 Enrollment ID: I20161031002606 |
| Provider Name | Madhvi Wanchu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407112071 PECOS PAC ID: 3870730401 Enrollment ID: I20161101002581 |
| Provider Name | Katherine E Tierney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669702502 PECOS PAC ID: 9638323231 Enrollment ID: I20161101002609 |
| Provider Name | Matthew B Presson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588793764 PECOS PAC ID: 9234205980 Enrollment ID: I20161102001514 |
| Provider Name | Mara H Hegel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598992455 PECOS PAC ID: 3870871395 Enrollment ID: I20161103000095 |
| Provider Name | Bei Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194088427 PECOS PAC ID: 0446498232 Enrollment ID: I20161104000051 |
| Provider Name | Christopher P Kargel |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1053674317 PECOS PAC ID: 7214215714 Enrollment ID: I20161104000368 |
| Provider Name | Amer F Salam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265870489 PECOS PAC ID: 8527293448 Enrollment ID: I20161104002060 |
| Provider Name | Mark Anthony C Cabrera |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659524924 PECOS PAC ID: 6406989698 Enrollment ID: I20161108002149 |
| Provider Name | Scott Carra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275777856 PECOS PAC ID: 0840432209 Enrollment ID: I20161111001486 |
| Provider Name | Roberta F Huang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427026871 PECOS PAC ID: 9234123704 Enrollment ID: I20161123001131 |
| Provider Name | Nathaniel Roland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811981624 PECOS PAC ID: 8527018308 Enrollment ID: I20161123001330 |
| Provider Name | Mihaela Beloiu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124118062 PECOS PAC ID: 8224118542 Enrollment ID: I20161129002839 |
| Provider Name | Amy V Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760517098 PECOS PAC ID: 6507939634 Enrollment ID: I20161130000857 |
| Provider Name | Anne Ziemba |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083097083 PECOS PAC ID: 9830479195 Enrollment ID: I20161205000415 |
| Provider Name | Evgenia Krotova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972897338 PECOS PAC ID: 6608019245 Enrollment ID: I20161216001679 |
| Provider Name | Bryan T Lin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467586305 PECOS PAC ID: 5698924421 Enrollment ID: I20161219001278 |
| Provider Name | John C Doan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609194398 PECOS PAC ID: 7416102934 Enrollment ID: I20161219001595 |
| Provider Name | Milette B Oliveros |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548437957 PECOS PAC ID: 3274698147 Enrollment ID: I20161220000300 |
| Provider Name | Michael Grandfield Mazzotta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841427572 PECOS PAC ID: 3072748185 Enrollment ID: I20170109001556 |
| Provider Name | Thomas James Henderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578721866 PECOS PAC ID: 1052466125 Enrollment ID: I20170118000909 |
| Provider Name | Krishna S Kasturi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649474214 PECOS PAC ID: 0547422768 Enrollment ID: I20170124002041 |
| Provider Name | Jennifer J Magbitang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831503325 PECOS PAC ID: 3072895291 Enrollment ID: I20170124002076 |
| Provider Name | Jonathan B Greene |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437302320 PECOS PAC ID: 6709032568 Enrollment ID: I20170125002586 |
| Provider Name | Jesse R Hall |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588068522 PECOS PAC ID: 7012230634 Enrollment ID: I20170208001730 |
| Provider Name | Rachel F Bauer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437228871 PECOS PAC ID: 2668430075 Enrollment ID: I20170213002638 |
| Provider Name | Courtney M Mcgirr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679835342 PECOS PAC ID: 6305091851 Enrollment ID: I20170213002702 |
| Provider Name | Derrick Ong Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689768061 PECOS PAC ID: 3476520248 Enrollment ID: I20170220001584 |
| Provider Name | Tina L Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932560067 PECOS PAC ID: 6406146240 Enrollment ID: I20170221000323 |
| Provider Name | Ashleigh L Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720489644 PECOS PAC ID: 6608150552 Enrollment ID: I20170221002637 |
| Provider Name | Hanieh Rad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265582233 PECOS PAC ID: 4587726062 Enrollment ID: I20170223000998 |
| Provider Name | Joshua Russell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417274200 PECOS PAC ID: 2567616840 Enrollment ID: I20170228000800 |
| Provider Name | Ryan R Downey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134326283 PECOS PAC ID: 8325233877 Enrollment ID: I20170320002305 |
| Provider Name | Christopher Gordon Yheulon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770894602 PECOS PAC ID: 5092090589 Enrollment ID: I20170324000304 |
| Provider Name | Daniel P Lavery |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871758078 PECOS PAC ID: 5193968345 Enrollment ID: I20170404002384 |
| Provider Name | Autumn S Davidson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588824833 PECOS PAC ID: 5092951442 Enrollment ID: I20170405002146 |
| Provider Name | Anthony R Cordaro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346387610 PECOS PAC ID: 5294907432 Enrollment ID: I20170411001385 |
| Provider Name | Ian Stephen Odgear |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225488786 PECOS PAC ID: 0042596744 Enrollment ID: I20170412001264 |
| Provider Name | Mindy Anne Tseng |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922386895 PECOS PAC ID: 6204112790 Enrollment ID: I20170418001164 |
| Provider Name | James Michael Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518167600 PECOS PAC ID: 4385739796 Enrollment ID: I20170419002701 |
| Provider Name | Shannon J Woznick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912187568 PECOS PAC ID: 6305927104 Enrollment ID: I20170421001345 |
| Provider Name | Nae-hwa Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699978247 PECOS PAC ID: 6800046830 Enrollment ID: I20170428000484 |
| Provider Name | Heather B Offenstein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679696033 PECOS PAC ID: 4385798156 Enrollment ID: I20170504001954 |
| Provider Name | Jeffrey Hsu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366700353 PECOS PAC ID: 9638456999 Enrollment ID: I20170516000240 |
| Provider Name | Andrea D Lopez Avila |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184773434 PECOS PAC ID: 8123181500 Enrollment ID: I20170517002909 |
| Provider Name | Nourolhoda Birouti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407101678 PECOS PAC ID: 8628212727 Enrollment ID: I20170523001772 |
| Provider Name | Grace E Yuh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881631745 PECOS PAC ID: 4880639152 Enrollment ID: I20170530001299 |
| Provider Name | Meghan Jane Higley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811258296 PECOS PAC ID: 5890938377 Enrollment ID: I20170530002325 |
| Provider Name | Katie Alton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831494087 PECOS PAC ID: 5294027991 Enrollment ID: I20170530002400 |
| Provider Name | Joanna B Uretsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689920837 PECOS PAC ID: 2668622242 Enrollment ID: I20170601001514 |
| Provider Name | Alan E Nolasco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306946165 PECOS PAC ID: 7517859556 Enrollment ID: I20170601002816 |
| Provider Name | Yujin Zhao |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942698097 PECOS PAC ID: 3476878919 Enrollment ID: I20170615001673 |
| Provider Name | Eugene Earl Carneal |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538485487 PECOS PAC ID: 3971758707 Enrollment ID: I20170616002347 |
| Provider Name | Kathryn Dimiceli |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427217512 PECOS PAC ID: 9537330709 Enrollment ID: I20170619002858 |
| Provider Name | Camille M Santarpio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497781702 PECOS PAC ID: 3072510338 Enrollment ID: I20170621001319 |
| Provider Name | Eugene C Somphone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619940194 PECOS PAC ID: 4385692052 Enrollment ID: I20170621002273 |
| Provider Name | Ravikiran Ellandula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356623177 PECOS PAC ID: 7517183304 Enrollment ID: I20170621003015 |
| Provider Name | Michele K Mcelroy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396040648 PECOS PAC ID: 1658512066 Enrollment ID: I20170621003166 |
| Provider Name | Gregory B Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316909310 PECOS PAC ID: 6305734583 Enrollment ID: I20170706002934 |
| Provider Name | Kaveh Sharzehi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770786378 PECOS PAC ID: 1254594468 Enrollment ID: I20170710002817 |
| Provider Name | Carl B Anderson |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1871619080 PECOS PAC ID: 3173686110 Enrollment ID: I20170713002016 |
| Provider Name | Cheryl Rutherford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538528047 PECOS PAC ID: 8022308782 Enrollment ID: I20170714001628 |
| Provider Name | Sumit Singhal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629208053 PECOS PAC ID: 6901058353 Enrollment ID: I20170714002776 |
| Provider Name | Jay Joo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023307501 PECOS PAC ID: 2466675814 Enrollment ID: I20170717002392 |
| Provider Name | Laura M Keels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619925286 PECOS PAC ID: 5698851517 Enrollment ID: I20170719000036 |
| Provider Name | Jeffrey D Mudrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669592697 PECOS PAC ID: 9931254273 Enrollment ID: I20170719003187 |
| Provider Name | Jason M Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710284328 PECOS PAC ID: 7618154030 Enrollment ID: I20170727001561 |
| Provider Name | Divya U Soman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750547535 PECOS PAC ID: 7315115128 Enrollment ID: I20170801003811 |
| Provider Name | Jake D Lenington |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1922365816 PECOS PAC ID: 8729223623 Enrollment ID: I20170804002004 |
| Provider Name | Anil Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497172530 PECOS PAC ID: 1951529650 Enrollment ID: I20170804002131 |
| Provider Name | Kimberly Od Le |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881904159 PECOS PAC ID: 2466723796 Enrollment ID: I20170804002632 |
| Provider Name | Robert M Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316025224 PECOS PAC ID: 4486606142 Enrollment ID: I20170804002923 |
| Provider Name | Yang Ye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013327436 PECOS PAC ID: 2163712571 Enrollment ID: I20170804003211 |
| Provider Name | Maryam Jamshidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295775294 PECOS PAC ID: 7012804255 Enrollment ID: I20170804003362 |
| Provider Name | Benjamin J Koo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801154695 PECOS PAC ID: 0244501484 Enrollment ID: I20170804003369 |
| Provider Name | Sierra C Ford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568721405 PECOS PAC ID: 7416175344 Enrollment ID: I20170809002981 |
| Provider Name | Wei-lin Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265722367 PECOS PAC ID: 3577877612 Enrollment ID: I20170809003052 |
| Provider Name | Ian Patrick Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457550956 PECOS PAC ID: 3678605300 Enrollment ID: I20170809003745 |
| Provider Name | Donald Alexander Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982022448 PECOS PAC ID: 6709004377 Enrollment ID: I20170811002086 |
| Provider Name | Rebecca G Lindsay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972850717 PECOS PAC ID: 1254641798 Enrollment ID: I20170814001515 |
| Provider Name | Julien A Chirouze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407273543 PECOS PAC ID: 2567689359 Enrollment ID: I20170815002306 |
| Provider Name | Edgar A Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093053449 PECOS PAC ID: 0143592659 Enrollment ID: I20170817003958 |
| Provider Name | Devin M Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174960132 PECOS PAC ID: 0840419206 Enrollment ID: I20170823003948 |
| Provider Name | Zachariah Kramer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1689991655 PECOS PAC ID: 1153576335 Enrollment ID: I20170823004334 |
| Provider Name | Carter Collings Wystrach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639411895 PECOS PAC ID: 7113200478 Enrollment ID: I20170823004460 |
| Provider Name | Keith C Olsen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235472473 PECOS PAC ID: 0244457547 Enrollment ID: I20170823004467 |
| Provider Name | Jennifer L Dwyer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861659369 PECOS PAC ID: 5698910685 Enrollment ID: I20170825002213 |
| Provider Name | Kristina K Leinwand |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760775225 PECOS PAC ID: 7012220429 Enrollment ID: I20170825002759 |
| Provider Name | Nicholas A Mulcahy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144665902 PECOS PAC ID: 0143457895 Enrollment ID: I20170825003144 |
| Provider Name | Nicholas Asakawa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790103463 PECOS PAC ID: 0042509390 Enrollment ID: I20170825003341 |
| Provider Name | Matthew Aaron Fellin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740625300 PECOS PAC ID: 3072813054 Enrollment ID: I20170825003426 |
| Provider Name | Sarah Larsen Barr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780002246 PECOS PAC ID: 7315165321 Enrollment ID: I20170829004346 |
| Provider Name | Christina Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700258530 PECOS PAC ID: 2668745332 Enrollment ID: I20170830003539 |
| Provider Name | Bob Wynn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992061436 PECOS PAC ID: 0547564239 Enrollment ID: I20170901000284 |
| Provider Name | Jami Lynn Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912428798 PECOS PAC ID: 9931472511 Enrollment ID: I20170901001025 |
| Provider Name | Judy L Shih |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912076035 PECOS PAC ID: 3072651173 Enrollment ID: I20170901003006 |
| Provider Name | Cindi N Chapman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1396182176 PECOS PAC ID: 2860627270 Enrollment ID: I20170905003058 |
| Provider Name | Monica A Skordilis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184913782 PECOS PAC ID: 8729399639 Enrollment ID: I20170905003135 |
| Provider Name | Jennifer P Brow |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710116603 PECOS PAC ID: 2668638503 Enrollment ID: I20170905003583 |
| Provider Name | Siobhan J Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407811433 PECOS PAC ID: 7113938473 Enrollment ID: I20170906003517 |
| Provider Name | Maria E Budds |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881128973 PECOS PAC ID: 3072886332 Enrollment ID: I20170907002940 |
| Provider Name | Erika Kc Osterholzer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669739769 PECOS PAC ID: 8729220256 Enrollment ID: I20170907003297 |
| Provider Name | Rowan V Sill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386011690 PECOS PAC ID: 1355646472 Enrollment ID: I20170907003469 |
| Provider Name | Zhenni Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538507223 PECOS PAC ID: 8729398847 Enrollment ID: I20170908001176 |
| Provider Name | Levanto Gershon Schachter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093031668 PECOS PAC ID: 4880836469 Enrollment ID: I20170908002128 |
| Provider Name | Gurpreet Singh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972896330 PECOS PAC ID: 9335462399 Enrollment ID: I20170908002510 |
| Provider Name | Megan Elizabeth Oborn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447642921 PECOS PAC ID: 4486972007 Enrollment ID: I20170909000020 |
| Provider Name | Rebecca L Collins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215376173 PECOS PAC ID: 0042434805 Enrollment ID: I20170912001070 |
| Provider Name | Robert T Darnell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629358262 PECOS PAC ID: 5991925869 Enrollment ID: I20170914000036 |
| Provider Name | Joshua Goldner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164765293 PECOS PAC ID: 5193041531 Enrollment ID: I20170929003437 |
| Provider Name | Hong Zhao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497160683 PECOS PAC ID: 7719104777 Enrollment ID: I20171003005907 |
| Provider Name | Aaron Nathaniel Sabolch |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1033402995 PECOS PAC ID: 3375843352 Enrollment ID: I20171003006803 |
| Provider Name | Gary Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841556552 PECOS PAC ID: 8921392465 Enrollment ID: I20171003007100 |
| Provider Name | Kenneth Kaleoaloha Ortiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356761571 PECOS PAC ID: 3971878810 Enrollment ID: I20171003007330 |
| Provider Name | Jan D Weichsel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558776591 PECOS PAC ID: 9931491313 Enrollment ID: I20171003007734 |
| Provider Name | Jarrod L Larson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003251133 PECOS PAC ID: 3476828203 Enrollment ID: I20171004003006 |
| Provider Name | Richard Hugh Rigby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093129470 PECOS PAC ID: 5496971574 Enrollment ID: I20171005000768 |
| Provider Name | Mary M Mcclelland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952721466 PECOS PAC ID: 1759688401 Enrollment ID: I20171010001764 |
| Provider Name | Samantha M Potter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043572746 PECOS PAC ID: 5193944106 Enrollment ID: I20171011002895 |
| Provider Name | Carolyn C Piszczek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023161262 PECOS PAC ID: 1456626712 Enrollment ID: I20171012001377 |
| Provider Name | Donne Nieuwoudt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356753396 PECOS PAC ID: 8224303417 Enrollment ID: I20171016000382 |
| Provider Name | Alexander Mackenzie Ritter |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1154664860 PECOS PAC ID: 5294026530 Enrollment ID: I20171016003012 |
| Provider Name | Leiora Kortvely |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265749311 PECOS PAC ID: 9436425287 Enrollment ID: I20171023000258 |
| Provider Name | Adam T Waterman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457662967 PECOS PAC ID: 1850531591 Enrollment ID: I20171024003598 |
| Provider Name | Quoc H Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477764728 PECOS PAC ID: 9032485503 Enrollment ID: I20171027001507 |
| Provider Name | James B Cowan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174816052 PECOS PAC ID: 3779701164 Enrollment ID: I20171101001766 |
| Provider Name | Maja Stefanovic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447512132 PECOS PAC ID: 0941441208 Enrollment ID: I20171102001533 |
| Provider Name | Jessica Hubbs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346684578 PECOS PAC ID: 5991000234 Enrollment ID: I20171102003350 |
| Provider Name | Amelia L Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346536950 PECOS PAC ID: 2163655374 Enrollment ID: I20171103000049 |
| Provider Name | Ashley G Winter |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295050102 PECOS PAC ID: 1759669492 Enrollment ID: I20171106003059 |
| Provider Name | Catherine Yin-san Wong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013200302 PECOS PAC ID: 8628360278 Enrollment ID: I20171107002164 |
| Provider Name | Yue Linda Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285052597 PECOS PAC ID: 1355560236 Enrollment ID: I20171107003253 |
| Provider Name | Tetyana O Odarich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437460193 PECOS PAC ID: 8123260817 Enrollment ID: I20171107003465 |
| Provider Name | Nancy A Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710241559 PECOS PAC ID: 5799927802 Enrollment ID: I20171108003004 |
| Provider Name | Emma Gale Fite-wassilak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548673510 PECOS PAC ID: 5294024212 Enrollment ID: I20171108003695 |
| Provider Name | Jean M Haggerty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194704445 PECOS PAC ID: 7113980012 Enrollment ID: I20171109000512 |
| Provider Name | Kelly E Newman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053830968 PECOS PAC ID: 2163788969 Enrollment ID: I20171110002317 |
| Provider Name | Bethany C Wohletz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003235474 PECOS PAC ID: 8527365071 Enrollment ID: I20171113000340 |
| Provider Name | Heather N De Jesus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659783595 PECOS PAC ID: 7214234962 Enrollment ID: I20171113000485 |
| Provider Name | Kyle Pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376961771 PECOS PAC ID: 0547565293 Enrollment ID: I20171113002147 |
| Provider Name | Nathan D Orvets |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063702611 PECOS PAC ID: 7911139738 Enrollment ID: I20171113002302 |
| Provider Name | Melinda F Binkley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508209040 PECOS PAC ID: 2062653264 Enrollment ID: I20171113002475 |
| Provider Name | Jun Ying Ao |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548396450 PECOS PAC ID: 1456617026 Enrollment ID: I20171115000211 |
| Provider Name | Lindsay Kay Borg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336406008 PECOS PAC ID: 2961794946 Enrollment ID: I20171116001236 |
| Provider Name | Amy N Callahan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437319209 PECOS PAC ID: 2466718952 Enrollment ID: I20171116001826 |
| Provider Name | Jessica Lee Smiley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841601846 PECOS PAC ID: 6800152216 Enrollment ID: I20171116002877 |
| Provider Name | Jennifer K Schneider |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316171242 PECOS PAC ID: 1658526488 Enrollment ID: I20171117001517 |
| Provider Name | Steven Grandt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790820728 PECOS PAC ID: 9638362510 Enrollment ID: I20171120001958 |
| Provider Name | Sara L Holthuis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912312034 PECOS PAC ID: 7012137557 Enrollment ID: I20171120002362 |
| Provider Name | David E Benjamin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134533839 PECOS PAC ID: 0143587576 Enrollment ID: I20171120002447 |
| Provider Name | Rahul Kasukurthi |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1821312760 PECOS PAC ID: 1153639695 Enrollment ID: I20171121002024 |
| Provider Name | Jennifer A Rosenbaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366881088 PECOS PAC ID: 4688977044 Enrollment ID: I20171122001637 |
| Provider Name | Timothy Papsidero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770920969 PECOS PAC ID: 0244520096 Enrollment ID: I20171122001825 |
| Provider Name | Jonathan T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609215631 PECOS PAC ID: 3375846843 Enrollment ID: I20171130001010 |
| Provider Name | Jacob B Beckstrand |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730566852 PECOS PAC ID: 1658680178 Enrollment ID: I20171130001129 |
| Provider Name | Margaret Horton Yarnall Heine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649549155 PECOS PAC ID: 5395983183 Enrollment ID: I20171201001872 |
| Provider Name | Catherine Lm Kent |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992116099 PECOS PAC ID: 7315168713 Enrollment ID: I20171205003128 |
| Provider Name | Shaili H Rajput |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427344829 PECOS PAC ID: 2062725492 Enrollment ID: I20171205003536 |
| Provider Name | Mara K Sagmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760912943 PECOS PAC ID: 6800153313 Enrollment ID: I20171207001960 |
| Provider Name | Simon Kotlyar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629273941 PECOS PAC ID: 9638259930 Enrollment ID: I20171207003332 |
| Provider Name | Richard D Southgate |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720303308 PECOS PAC ID: 0648577270 Enrollment ID: I20171208002733 |
| Provider Name | Jonathan D Wildi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710298583 PECOS PAC ID: 7517197361 Enrollment ID: I20171211001219 |
| Provider Name | Hao-jun J Chong |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1316262603 PECOS PAC ID: 7416264833 Enrollment ID: I20171211001793 |
| Provider Name | Fredy Toiber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194722322 PECOS PAC ID: 6901713551 Enrollment ID: I20171213001034 |
| Provider Name | Christina A Franck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528584455 PECOS PAC ID: 5890053953 Enrollment ID: I20171218003196 |
| Provider Name | Chelsea R Tieszen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518200377 PECOS PAC ID: 6002057510 Enrollment ID: I20171219001151 |
| Provider Name | Justin V Diegel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497193718 PECOS PAC ID: 0143524009 Enrollment ID: I20171219001398 |
| Provider Name | Kevin Yarbrough |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1215237870 PECOS PAC ID: 3870747157 Enrollment ID: I20171219002319 |
| Provider Name | Molly M Daughety |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124361472 PECOS PAC ID: 7416186333 Enrollment ID: I20171228001474 |
| Provider Name | Jasminka Mujcic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427461789 PECOS PAC ID: 2961728993 Enrollment ID: I20180110002181 |
| Provider Name | Alison B Herson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346684412 PECOS PAC ID: 0749549020 Enrollment ID: I20180116002953 |
| Provider Name | Anna L Hemphill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942591813 PECOS PAC ID: 0840426367 Enrollment ID: I20180124001474 |
| Provider Name | Lauren E Mutrie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083875066 PECOS PAC ID: 4587800495 Enrollment ID: I20180124002231 |
| Provider Name | Samita Garg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285780890 PECOS PAC ID: 2860545704 Enrollment ID: I20180201001850 |
| Provider Name | Amber J Vogt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548400682 PECOS PAC ID: 4183750979 Enrollment ID: I20180205002775 |
| Provider Name | Sarah Ll Frey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619264074 PECOS PAC ID: 5991018251 Enrollment ID: I20180209001256 |
| Provider Name | Dekey Yangzom Lhewa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518166438 PECOS PAC ID: 9830479310 Enrollment ID: I20180215000918 |
| Provider Name | Christopher J Mutrie |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679757157 PECOS PAC ID: 1951561281 Enrollment ID: I20180221002186 |
| Provider Name | Jessica L Holzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326209420 PECOS PAC ID: 4284806639 Enrollment ID: I20180221002881 |
| Provider Name | Kyle Scott Norman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407295322 PECOS PAC ID: 9032406426 Enrollment ID: I20180222000944 |
| Provider Name | Oleg Nefalimovich Zbirun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760635833 PECOS PAC ID: 2961673793 Enrollment ID: I20180227002256 |
| Provider Name | Ricky A Nicoski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831172717 PECOS PAC ID: 3274550686 Enrollment ID: I20180306000935 |
| Provider Name | Susan Marie Rowland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952771560 PECOS PAC ID: 3779844790 Enrollment ID: I20180307001437 |
| Provider Name | Katherine Cox |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1366990483 PECOS PAC ID: 9739440728 Enrollment ID: I20180308001656 |
| Provider Name | Erin P O'hollaren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346756269 PECOS PAC ID: 8628339611 Enrollment ID: I20180308001723 |
| Provider Name | Brianna Lynne Welch |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053750687 PECOS PAC ID: 3375805245 Enrollment ID: I20180313002319 |
| Provider Name | Joseph Langston |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780942128 PECOS PAC ID: 4183879737 Enrollment ID: I20180314002592 |
| Provider Name | Anna Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528478401 PECOS PAC ID: 5597028274 Enrollment ID: I20180410003185 |
| Provider Name | Lisa Rogien |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871752782 PECOS PAC ID: 8022184928 Enrollment ID: I20180424000720 |
| Provider Name | Edward Ken Lew |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114233558 PECOS PAC ID: 8729203401 Enrollment ID: I20180522002739 |
| Provider Name | Jason I Lifshutz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215011960 PECOS PAC ID: 6608842307 Enrollment ID: I20180525001090 |
| Provider Name | Amanda Holland Yang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295997237 PECOS PAC ID: 5496926792 Enrollment ID: I20180525001258 |
| Provider Name | Andrew Treister |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518385293 PECOS PAC ID: 4688939374 Enrollment ID: I20180530001679 |
| Provider Name | Stewart A Weber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609118009 PECOS PAC ID: 3870712680 Enrollment ID: I20180530003212 |
| Provider Name | Lorena Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497911929 PECOS PAC ID: 2062569270 Enrollment ID: I20180531002603 |
| Provider Name | Joe Thomas Kofoed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114246212 PECOS PAC ID: 2163675232 Enrollment ID: I20180604001833 |
| Provider Name | Richard F Guo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275970733 PECOS PAC ID: 0345553665 Enrollment ID: I20180604001939 |
| Provider Name | Collin Patrick Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700179272 PECOS PAC ID: 9830318401 Enrollment ID: I20180607002780 |
| Provider Name | Evan N Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356616858 PECOS PAC ID: 2264695741 Enrollment ID: I20180614001473 |
| Provider Name | Sajeevani Gunasinghe Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487830493 PECOS PAC ID: 9133297476 Enrollment ID: I20180618000608 |
| Provider Name | James Cyriac |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265453559 PECOS PAC ID: 9830197052 Enrollment ID: I20180619000459 |
| Provider Name | Tara L Wofford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700028578 PECOS PAC ID: 6406002146 Enrollment ID: I20180620001284 |
| Provider Name | Samuel W Wong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598059198 PECOS PAC ID: 2961628151 Enrollment ID: I20180625001157 |
| Provider Name | Nathan Paul Wilkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548394802 PECOS PAC ID: 2365487329 Enrollment ID: I20180625001568 |
| Provider Name | Nancy J Fulton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871976076 PECOS PAC ID: 7416203666 Enrollment ID: I20180702001754 |
| Provider Name | Laura Elaine Poellet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538588637 PECOS PAC ID: 5395043004 Enrollment ID: I20180702001879 |
| Provider Name | Robin Eisenhut Robbins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427494335 PECOS PAC ID: 3274827779 Enrollment ID: I20180705002199 |
| Provider Name | Daniel E Carl |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811928336 PECOS PAC ID: 9537165386 Enrollment ID: I20180709003388 |
| Provider Name | John D Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790974038 PECOS PAC ID: 2264507334 Enrollment ID: I20180710000722 |
| Provider Name | Donald H Chamberlain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760432363 PECOS PAC ID: 7810903085 Enrollment ID: I20180710002480 |
| Provider Name | Cheryl F Sacco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174523757 PECOS PAC ID: 7618914144 Enrollment ID: I20180710002799 |
| Provider Name | Sarah D Fitzmaurice |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508184763 PECOS PAC ID: 3577788314 Enrollment ID: I20180712002865 |
| Provider Name | Jill S Bachmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578729059 PECOS PAC ID: 0941342711 Enrollment ID: I20180712002944 |
| Provider Name | Joaquin E Espinoza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407242977 PECOS PAC ID: 6608182118 Enrollment ID: I20180717002767 |
| Provider Name | Ian Farrell Cely |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164862017 PECOS PAC ID: 9638482409 Enrollment ID: I20180717003031 |
| Provider Name | Leah Christen Cely |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962842823 PECOS PAC ID: 5890008429 Enrollment ID: I20180718003572 |
| Provider Name | Ciara D Engerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285056077 PECOS PAC ID: 6305194986 Enrollment ID: I20180731000472 |
| Provider Name | Stephen Marc Amrock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952796443 PECOS PAC ID: 4688980105 Enrollment ID: I20180813001598 |
| Provider Name | Benjamin Michael Illich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508277609 PECOS PAC ID: 4981929015 Enrollment ID: I20180813002214 |
| Provider Name | Stefan J Mlot |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962726760 PECOS PAC ID: 7416264601 Enrollment ID: I20180813002417 |
| Provider Name | Andrew J Pasetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033341409 PECOS PAC ID: 8820385727 Enrollment ID: I20180813003252 |
| Provider Name | Mario Padilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023458825 PECOS PAC ID: 1850607011 Enrollment ID: I20180814000780 |
| Provider Name | Jesse L Nye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093197782 PECOS PAC ID: 2163737966 Enrollment ID: I20180814001514 |
| Provider Name | Armine Avanesyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609018159 PECOS PAC ID: 1355506213 Enrollment ID: I20180814001654 |
| Provider Name | Jesus Alvarez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871816397 PECOS PAC ID: 6103941943 Enrollment ID: I20180814001829 |
| Provider Name | Damilola E Olupona |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477864932 PECOS PAC ID: 6709020100 Enrollment ID: I20180814002292 |
| Provider Name | Mark Lussier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528356698 PECOS PAC ID: 2264748441 Enrollment ID: I20180815002460 |
| Provider Name | Kevin H. Carroll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811337629 PECOS PAC ID: 0648588996 Enrollment ID: I20180820003615 |
| Provider Name | Adesiji Joseph Adewunmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811322308 PECOS PAC ID: 5193951812 Enrollment ID: I20180821002029 |
| Provider Name | Brian A Stevens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417362104 PECOS PAC ID: 5193074219 Enrollment ID: I20180823001319 |
| Provider Name | Elizabeth S Lio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467715722 PECOS PAC ID: 9032436886 Enrollment ID: I20180823002567 |
| Provider Name | Sarah B Shubert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417343401 PECOS PAC ID: 1850607243 Enrollment ID: I20180824001284 |
| Provider Name | Amy Dorius |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093135824 PECOS PAC ID: 8921357930 Enrollment ID: I20180824001660 |
| Provider Name | Hsin-hsuan Juo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134495617 PECOS PAC ID: 1052629839 Enrollment ID: I20180825000242 |
| Provider Name | Nii O Koney |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1649536301 PECOS PAC ID: 0345519252 Enrollment ID: I20180827003354 |
| Provider Name | Brian J Marcus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386080935 PECOS PAC ID: 9638460744 Enrollment ID: I20180827003522 |
| Provider Name | Mackenzie A Kamm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427436047 PECOS PAC ID: 7911257712 Enrollment ID: I20180828004076 |
| Provider Name | Shawn Nash |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801203088 PECOS PAC ID: 0648586917 Enrollment ID: I20180904002600 |
| Provider Name | James Rood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174901227 PECOS PAC ID: 8921358102 Enrollment ID: I20180910001248 |
| Provider Name | Leo J Daab |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245274851 PECOS PAC ID: 9739317728 Enrollment ID: I20180917001727 |
| Provider Name | Sean P Glass |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083938955 PECOS PAC ID: 8921224627 Enrollment ID: I20180918003494 |
| Provider Name | Basma Saadoun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215377049 PECOS PAC ID: 8527319235 Enrollment ID: I20180919002346 |
| Provider Name | Jonathan S Silberlicht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346401635 PECOS PAC ID: 0042484008 Enrollment ID: I20180919003101 |
| Provider Name | Brant A Granger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467834150 PECOS PAC ID: 0042520405 Enrollment ID: I20180920003290 |
| Provider Name | Kevin C Loh |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1437386281 PECOS PAC ID: 2961646831 Enrollment ID: I20181001000991 |
| Provider Name | Seth E Meyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679913289 PECOS PAC ID: 0749554244 Enrollment ID: I20181003002354 |
| Provider Name | Alison M Uyemura |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922438704 PECOS PAC ID: 6901158815 Enrollment ID: I20181003003367 |
| Provider Name | Jason P Hogaboam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770847139 PECOS PAC ID: 0244525814 Enrollment ID: I20181004001595 |
| Provider Name | Joshua Willem Pluim |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669959524 PECOS PAC ID: 8022360825 Enrollment ID: I20181005000914 |
| Provider Name | James Joyner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245643642 PECOS PAC ID: 0042587271 Enrollment ID: I20181008003526 |
| Provider Name | Kirsten P Reinecke |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1063830164 PECOS PAC ID: 4688890353 Enrollment ID: I20181009001098 |
| Provider Name | Ann B Welsh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821403171 PECOS PAC ID: 9638421217 Enrollment ID: I20181009002811 |
| Provider Name | Fadi M Balla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255626016 PECOS PAC ID: 0941503163 Enrollment ID: I20181009002944 |
| Provider Name | Carrie Lynn Binder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083068589 PECOS PAC ID: 2163774753 Enrollment ID: I20181009003343 |
| Provider Name | Annie Y Liu |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1154615300 PECOS PAC ID: 8729304266 Enrollment ID: I20181010000588 |
| Provider Name | Randolph Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487176657 PECOS PAC ID: 7517220668 Enrollment ID: I20181010000855 |
| Provider Name | Lisa M Cuneo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447632146 PECOS PAC ID: 7719293372 Enrollment ID: I20181010001028 |
| Provider Name | Brian Coleman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053768465 PECOS PAC ID: 0547512170 Enrollment ID: I20181010001223 |
| Provider Name | Margaret C Bower |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962664128 PECOS PAC ID: 2466688684 Enrollment ID: I20181010002575 |
| Provider Name | Zoe J Gombart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811337579 PECOS PAC ID: 0547540056 Enrollment ID: I20181011000140 |
| Provider Name | Justin W Bruno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528452901 PECOS PAC ID: 9931460391 Enrollment ID: I20181011001395 |
| Provider Name | Michael J Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700271103 PECOS PAC ID: 1456668201 Enrollment ID: I20181012000848 |
| Provider Name | Amira N Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861794414 PECOS PAC ID: 0648422873 Enrollment ID: I20181025002296 |
| Provider Name | Jason P Mannion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467847681 PECOS PAC ID: 4284942384 Enrollment ID: I20181030002272 |
| Provider Name | Aaron Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871989855 PECOS PAC ID: 0941553408 Enrollment ID: I20181030002693 |
| Provider Name | Kaitlin Brooke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821483272 PECOS PAC ID: 2163730326 Enrollment ID: I20181030003035 |
| Provider Name | Arwa K Mesiwala |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205218666 PECOS PAC ID: 2466753504 Enrollment ID: I20181030003340 |
| Provider Name | Stefan Alexander Law |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316280829 PECOS PAC ID: 4789828377 Enrollment ID: I20181105002954 |
| Provider Name | Jennifer Josephine Walker Kinde |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972922896 PECOS PAC ID: 2769602663 Enrollment ID: I20181105002992 |
| Provider Name | Lisa K Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093128571 PECOS PAC ID: 9537384623 Enrollment ID: I20181105003497 |
| Provider Name | Christina C Chaney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487998639 PECOS PAC ID: 7810130341 Enrollment ID: I20181108000945 |
| Provider Name | Patti Lee Henry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417140930 PECOS PAC ID: 2163653916 Enrollment ID: I20181109000424 |
| Provider Name | Maria A Gaspar Oishi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962630376 PECOS PAC ID: 6608001193 Enrollment ID: I20181109000653 |
| Provider Name | Sarah A Markham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013273473 PECOS PAC ID: 2961790365 Enrollment ID: I20181112000651 |
| Provider Name | Joel M Vanderschuur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831584671 PECOS PAC ID: 8729395710 Enrollment ID: I20181112002605 |
| Provider Name | Nicholas A Richmond |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811316243 PECOS PAC ID: 8123332475 Enrollment ID: I20181113003393 |
| Provider Name | Bennie Lavet Patmon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932468394 PECOS PAC ID: 9638470537 Enrollment ID: I20181114001974 |
| Provider Name | Misha Rose Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063850881 PECOS PAC ID: 3577889765 Enrollment ID: I20181114002207 |
| Provider Name | Kristina L Thornton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700227782 PECOS PAC ID: 9931405099 Enrollment ID: I20181114002554 |
| Provider Name | Christine M Woolsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184149437 PECOS PAC ID: 0941554661 Enrollment ID: I20181116000160 |
| Provider Name | Christina Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679003313 PECOS PAC ID: 4789933698 Enrollment ID: I20181121000256 |
| Provider Name | Katreece Ellis |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1942512249 PECOS PAC ID: 2860615317 Enrollment ID: I20181121001892 |
| Provider Name | Rajeev Krishnan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487910451 PECOS PAC ID: 4486959830 Enrollment ID: I20181121002245 |
| Provider Name | Jennifer Thompson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265728919 PECOS PAC ID: 9032357280 Enrollment ID: I20181126001828 |
| Provider Name | Jason Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154702538 PECOS PAC ID: 6204140080 Enrollment ID: I20181126003535 |
| Provider Name | Richard E Shanteau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326146689 PECOS PAC ID: 2860388998 Enrollment ID: I20181126003962 |
| Provider Name | Dustin N Tawatao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487044723 PECOS PAC ID: 7113244187 Enrollment ID: I20181127000695 |
| Provider Name | Sean V Bhatia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386039550 PECOS PAC ID: 8426340019 Enrollment ID: I20181127002436 |
| Provider Name | Megha Miglani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861792491 PECOS PAC ID: 9739328527 Enrollment ID: I20181127002762 |
| Provider Name | Ellen Greenfield |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841770013 PECOS PAC ID: 0345584280 Enrollment ID: I20181204003110 |
| Provider Name | Sarah Baca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902260425 PECOS PAC ID: 6002150679 Enrollment ID: I20181207002622 |
| Provider Name | Kimberly Michiko Nakayama |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1083195317 PECOS PAC ID: 3678817129 Enrollment ID: I20181210003456 |
| Provider Name | Kyla Dirks |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750798955 PECOS PAC ID: 3274877642 Enrollment ID: I20181212001311 |
| Provider Name | Gene De Haan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538587654 PECOS PAC ID: 5193946515 Enrollment ID: I20181212002202 |
| Provider Name | Andrea Hargis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598127557 PECOS PAC ID: 4587951322 Enrollment ID: I20181219001878 |
| Provider Name | Robert B Goy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053407320 PECOS PAC ID: 0547217408 Enrollment ID: I20181227001432 |
| Provider Name | Elizabeth G Herskovitz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861771123 PECOS PAC ID: 2163644253 Enrollment ID: I20181228001228 |
| Provider Name | Taj N Becker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497976864 PECOS PAC ID: 6901707512 Enrollment ID: I20181228002206 |
| Provider Name | Rosa Zareie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588893309 PECOS PAC ID: 2264758648 Enrollment ID: I20181231000837 |
| Provider Name | Matthew Cockett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598732372 PECOS PAC ID: 5193710465 Enrollment ID: I20181231001249 |
| Provider Name | Dana M Cummings |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114451671 PECOS PAC ID: 2466726229 Enrollment ID: I20181231001827 |
| Provider Name | Tovi Marit Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902225725 PECOS PAC ID: 9931325651 Enrollment ID: I20190102002001 |
| Provider Name | Leila August |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1114916095 PECOS PAC ID: 3870502107 Enrollment ID: I20190102002330 |
| Provider Name | Michelle Ann Gruner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124445499 PECOS PAC ID: 3375867088 Enrollment ID: I20190103001158 |
| Provider Name | Peggy L Bandy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265414700 PECOS PAC ID: 9032203583 Enrollment ID: I20190103001878 |
| Provider Name | Louis Holmes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356781017 PECOS PAC ID: 7113204447 Enrollment ID: I20190104000954 |
| Provider Name | Seblewongel S Wondyrad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033554431 PECOS PAC ID: 4880978949 Enrollment ID: I20190104001628 |
| Provider Name | Verni Logendran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104205269 PECOS PAC ID: 5799097317 Enrollment ID: I20190104002091 |
| Provider Name | Swee Foong Ng |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1619182193 PECOS PAC ID: 8426101577 Enrollment ID: I20190107002301 |
| Provider Name | Amit Sharma |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1841584067 PECOS PAC ID: 9739332842 Enrollment ID: I20190107003360 |
| Provider Name | Mona B Mirchandani |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154760460 PECOS PAC ID: 0547532822 Enrollment ID: I20190110003081 |
| Provider Name | Julia J Boncher |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851594964 PECOS PAC ID: 2961749585 Enrollment ID: I20190121000719 |
| Provider Name | Stephanie M Odobasic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023292760 PECOS PAC ID: 5991042533 Enrollment ID: I20190121001364 |
| Provider Name | Alison D Armour |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003227596 PECOS PAC ID: 5092052647 Enrollment ID: I20190122000207 |
| Provider Name | Melody C Weitkamp |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1831665397 PECOS PAC ID: 7416294095 Enrollment ID: I20190122001154 |
| Provider Name | Allyson L Goodwyn-craine |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1235279464 PECOS PAC ID: 4880867225 Enrollment ID: I20190124001428 |
| Provider Name | Maura R Gabriel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497835037 PECOS PAC ID: 4587901897 Enrollment ID: I20190124001854 |
| Provider Name | Pamela Commodore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033547393 PECOS PAC ID: 4082951397 Enrollment ID: I20190124002034 |
| Provider Name | Tiffiney Oleyte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720319825 PECOS PAC ID: 8325385669 Enrollment ID: I20190124002951 |
| Provider Name | Jaclyn Whitney Short |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699144774 PECOS PAC ID: 7113264292 Enrollment ID: I20190128001770 |
| Provider Name | Dannielle C Woodruff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659651941 PECOS PAC ID: 8224272646 Enrollment ID: I20190128003029 |
| Provider Name | Dolly Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053707661 PECOS PAC ID: 4981949765 Enrollment ID: I20190129003568 |
| Provider Name | Jarod Spencer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619394061 PECOS PAC ID: 2264722958 Enrollment ID: I20190131001606 |
| Provider Name | Emily M Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366917411 PECOS PAC ID: 9537406236 Enrollment ID: I20190201001788 |
| Provider Name | Rebecca K Buddington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831648146 PECOS PAC ID: 2062791148 Enrollment ID: I20190204001146 |
| Provider Name | Henry S Juan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952474009 PECOS PAC ID: 6406985050 Enrollment ID: I20190204002357 |
| Provider Name | Kelli Unzicker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750735387 PECOS PAC ID: 5890032585 Enrollment ID: I20190204002425 |
| Provider Name | Brianna Da Silva Bhatia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144646704 PECOS PAC ID: 4688975121 Enrollment ID: I20190204002578 |
| Provider Name | Marion E Howard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457519019 PECOS PAC ID: 7618123589 Enrollment ID: I20190205000919 |
| Provider Name | Alexander Kogan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902112337 PECOS PAC ID: 4688898273 Enrollment ID: I20190205002742 |
| Provider Name | Katherine Lynn Brown |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942359799 PECOS PAC ID: 1557534542 Enrollment ID: I20190206000679 |
| Provider Name | John Green |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811240252 PECOS PAC ID: 4789836958 Enrollment ID: I20190208001855 |
| Provider Name | Stephanie Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528267226 PECOS PAC ID: 7911171269 Enrollment ID: I20190213000881 |
| Provider Name | Isaiah L Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639560329 PECOS PAC ID: 3476891672 Enrollment ID: I20190213002923 |
| Provider Name | Jessica Kay Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245389782 PECOS PAC ID: 6103071915 Enrollment ID: I20190214000666 |
| Provider Name | Abigail Silao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265836514 PECOS PAC ID: 5597056770 Enrollment ID: I20190214001380 |
| Provider Name | Tamarine J Nathan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225430002 PECOS PAC ID: 3375854854 Enrollment ID: I20190218001930 |
| Provider Name | Carol Y Endo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114945409 PECOS PAC ID: 8426396359 Enrollment ID: I20190219000517 |
| Provider Name | Julia Chang Bullick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497172316 PECOS PAC ID: 6406140250 Enrollment ID: I20190219002289 |
| Provider Name | Jason M Bischoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467497370 PECOS PAC ID: 5092715318 Enrollment ID: I20190219003089 |
| Provider Name | Cheryl E Payton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366693764 PECOS PAC ID: 5597003343 Enrollment ID: I20190220003247 |
| Provider Name | Marco R Valencia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487966107 PECOS PAC ID: 2365683968 Enrollment ID: I20190221001158 |
| Provider Name | Brooke M Holmes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902246663 PECOS PAC ID: 6709150493 Enrollment ID: I20190222000836 |
| Provider Name | Sheila Jhansale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922049030 PECOS PAC ID: 5092742734 Enrollment ID: I20190222001423 |
| Provider Name | Claudia Vizireanu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659700193 PECOS PAC ID: 1658502539 Enrollment ID: I20190222001553 |
| Provider Name | Stephanie Khouw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902201957 PECOS PAC ID: 8527389006 Enrollment ID: I20190225001438 |
| Provider Name | Teresa B Keirns |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114231016 PECOS PAC ID: 6608061288 Enrollment ID: I20190301001649 |
| Provider Name | Anna R Hadley-sprecher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063600070 PECOS PAC ID: 4880933167 Enrollment ID: I20190304002404 |
| Provider Name | Jeffrey A Fries |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407821499 PECOS PAC ID: 9931270170 Enrollment ID: I20190305000833 |
| Provider Name | Amber L Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508094699 PECOS PAC ID: 3476793795 Enrollment ID: I20190305001426 |
| Provider Name | Brenda Joy Schmidt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881758951 PECOS PAC ID: 5193064350 Enrollment ID: I20190305002851 |
| Provider Name | Michael Hirata |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558761460 PECOS PAC ID: 0042559098 Enrollment ID: I20190308001646 |
| Provider Name | Silvia Skripenova |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891955092 PECOS PAC ID: 1052462777 Enrollment ID: I20190308002246 |
| Provider Name | Fernando Tondato |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205048071 PECOS PAC ID: 0143412056 Enrollment ID: I20190311001237 |
| Provider Name | Emily K Nolan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659893592 PECOS PAC ID: 4082953591 Enrollment ID: I20190311001847 |
| Provider Name | Martin Nicholas Bomalaski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508109349 PECOS PAC ID: 2860792512 Enrollment ID: I20190312001200 |
| Provider Name | Bradley Geyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740696640 PECOS PAC ID: 7810202603 Enrollment ID: I20190314001276 |
| Provider Name | Laura H Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386809960 PECOS PAC ID: 5698959583 Enrollment ID: I20190319000705 |
| Provider Name | Candy Burkenbine-yamaguchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154567857 PECOS PAC ID: 2668520206 Enrollment ID: I20190320001671 |
| Provider Name | Kathryn M Kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053544783 PECOS PAC ID: 5092979336 Enrollment ID: I20190322001623 |
| Provider Name | Patricia Sturgeon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275951246 PECOS PAC ID: 4981944204 Enrollment ID: I20190325002350 |
| Provider Name | Haki K Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710442926 PECOS PAC ID: 8820338825 Enrollment ID: I20190328001190 |
| Provider Name | Yvonne Yang |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1780847624 PECOS PAC ID: 4183965130 Enrollment ID: I20190401002031 |
| Provider Name | Marcel M Tam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083978472 PECOS PAC ID: 4183841034 Enrollment ID: I20190408000511 |
| Provider Name | Diana L Nulliner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649650847 PECOS PAC ID: 8820337934 Enrollment ID: I20190408001882 |
| Provider Name | Gregory Wong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952769127 PECOS PAC ID: 0143507715 Enrollment ID: I20190416002256 |
| Provider Name | Meveshni Govender |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730592288 PECOS PAC ID: 0749406056 Enrollment ID: I20190416002620 |
| Provider Name | Melissa Hockett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336286582 PECOS PAC ID: 7315289444 Enrollment ID: I20190422000508 |
| Provider Name | Angela Corvera Connelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750497822 PECOS PAC ID: 9931441813 Enrollment ID: I20190426001421 |
| Provider Name | Robert W Silver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396843934 PECOS PAC ID: 3779646948 Enrollment ID: I20190429001915 |
| Provider Name | Nadia A Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881779205 PECOS PAC ID: 6103880463 Enrollment ID: I20190501000218 |
| Provider Name | Amy Catherine Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194760132 PECOS PAC ID: 3274545850 Enrollment ID: I20190501001804 |
| Provider Name | Paige A Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457735466 PECOS PAC ID: 4183966708 Enrollment ID: I20190501002284 |
| Provider Name | Olubukola O Okafor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427287796 PECOS PAC ID: 8921259276 Enrollment ID: I20190501002797 |
| Provider Name | Samantha Adriana Berovic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700141983 PECOS PAC ID: 9931441490 Enrollment ID: I20190502001079 |
| Provider Name | Allan Lee Korff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770643231 PECOS PAC ID: 9739224114 Enrollment ID: I20190502001667 |
| Provider Name | Michael Peter Lamore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831445394 PECOS PAC ID: 3870835390 Enrollment ID: I20190503000184 |
| Provider Name | Kimberly A Fleck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235596792 PECOS PAC ID: 0648512954 Enrollment ID: I20190506002340 |
| Provider Name | Ellany C Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083005748 PECOS PAC ID: 9830431071 Enrollment ID: I20190508001881 |
| Provider Name | Valerie A Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699291427 PECOS PAC ID: 9234472408 Enrollment ID: I20190510001561 |
| Provider Name | Timothy J. Mann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790151538 PECOS PAC ID: 3476854597 Enrollment ID: I20190513002711 |
| Provider Name | Jordana Ariel Joseph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336538214 PECOS PAC ID: 8426338039 Enrollment ID: I20190514000392 |
| Provider Name | Matthew Blacke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518220169 PECOS PAC ID: 7517182645 Enrollment ID: I20190514002454 |
| Provider Name | Jung Y Jin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205899929 PECOS PAC ID: 1254402563 Enrollment ID: I20190515002925 |
| Provider Name | Caitlyn Elise Gust |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194179804 PECOS PAC ID: 7315286200 Enrollment ID: I20190517001249 |
| Provider Name | Charles Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790929602 PECOS PAC ID: 3274667084 Enrollment ID: I20190517002150 |
| Provider Name | Emily A Vanlaningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922513910 PECOS PAC ID: 8527301969 Enrollment ID: I20190528001476 |
| Provider Name | Matthew Douglas Bryant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558795641 PECOS PAC ID: 2860796174 Enrollment ID: I20190531000590 |
| Provider Name | Naomi Dimon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659704435 PECOS PAC ID: 8224332846 Enrollment ID: I20190531001383 |
| Provider Name | Nancy G Richman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508974403 PECOS PAC ID: 9234472804 Enrollment ID: I20190531001759 |
| Provider Name | Kathryn A Leavitt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467871277 PECOS PAC ID: 8426272824 Enrollment ID: I20190603000418 |
| Provider Name | Victoria Celeste Porter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154524650 PECOS PAC ID: 5799018834 Enrollment ID: I20190605001405 |
| Provider Name | Jacob R Hagenbucher |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275927576 PECOS PAC ID: 9830405810 Enrollment ID: I20190605003132 |
| Provider Name | Colleen Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396157814 PECOS PAC ID: 4183957194 Enrollment ID: I20190606001155 |
| Provider Name | Micah F Wakamatsu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649462243 PECOS PAC ID: 2567501042 Enrollment ID: I20190607001867 |
| Provider Name | Patricia M Mcelhinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215999644 PECOS PAC ID: 1759614688 Enrollment ID: I20190610000517 |
| Provider Name | Peggy E Gurrad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568558153 PECOS PAC ID: 6002985280 Enrollment ID: I20190611001560 |
| Provider Name | Matthew C Egalka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255516910 PECOS PAC ID: 6608005335 Enrollment ID: I20190612000301 |
| Provider Name | Alice C Svoboda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780629543 PECOS PAC ID: 7214971639 Enrollment ID: I20190613001775 |
| Provider Name | Aaron Erez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184018079 PECOS PAC ID: 9638402217 Enrollment ID: I20190613001828 |
| Provider Name | Lori R Mcclure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912966078 PECOS PAC ID: 6002852928 Enrollment ID: I20190614001216 |
| Provider Name | Melissa A Sheffield |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487617502 PECOS PAC ID: 9234149634 Enrollment ID: I20190619001578 |
| Provider Name | Dawn E Foreman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992006522 PECOS PAC ID: 3870827181 Enrollment ID: I20190620000525 |
| Provider Name | Erin C Donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720558323 PECOS PAC ID: 0547594863 Enrollment ID: I20190620000661 |
| Provider Name | William Y Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033258033 PECOS PAC ID: 5890964837 Enrollment ID: I20190620000852 |
| Provider Name | Michelle M Merzoian |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326138454 PECOS PAC ID: 0941275143 Enrollment ID: I20190621001313 |
| Provider Name | Kyle A Schwalbe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912226192 PECOS PAC ID: 9739326703 Enrollment ID: I20190625000190 |
| Provider Name | John M Roberts |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942460167 PECOS PAC ID: 0042457533 Enrollment ID: I20190625000624 |
| Provider Name | Victor Manuel Sandoval |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1326304924 PECOS PAC ID: 7517106347 Enrollment ID: I20190625002104 |
| Provider Name | Jenna L Walters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528441953 PECOS PAC ID: 9931406071 Enrollment ID: I20190625002125 |
| Provider Name | Thuan H Nguyen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699146696 PECOS PAC ID: 6608165378 Enrollment ID: I20190704000006 |
| Provider Name | Ahson Saeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457743536 PECOS PAC ID: 3274889159 Enrollment ID: I20190709002043 |
| Provider Name | Gregory James Blair |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104269117 PECOS PAC ID: 3678792207 Enrollment ID: I20190711001689 |
| Provider Name | Robi Mara Jaspin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043263650 PECOS PAC ID: 3577736958 Enrollment ID: I20190716000679 |
| Provider Name | Chelsea K Sathoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548731748 PECOS PAC ID: 9739415373 Enrollment ID: I20190719001769 |
| Provider Name | Melissa Heilman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811188972 PECOS PAC ID: 6204086234 Enrollment ID: I20190725001050 |
| Provider Name | David B Cotteleer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194265421 PECOS PAC ID: 6002167111 Enrollment ID: I20190729000445 |
| Provider Name | Eric Hinds |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093160269 PECOS PAC ID: 7911234646 Enrollment ID: I20190802002841 |
| Provider Name | Kendra Kathryn Mundstock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679041115 PECOS PAC ID: 6507101037 Enrollment ID: I20190813000847 |
| Provider Name | Arnab Mitra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003175464 PECOS PAC ID: 8527282797 Enrollment ID: I20190815000748 |
| Provider Name | Katharine F Marshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891143327 PECOS PAC ID: 0648563445 Enrollment ID: I20190815000907 |
| Provider Name | James Houston Beckwith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093164386 PECOS PAC ID: 1759656887 Enrollment ID: I20190820001015 |
| Provider Name | Michaela Bailey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467990978 PECOS PAC ID: 5496083008 Enrollment ID: I20190821000381 |
| Provider Name | Casey P Nicol |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871989178 PECOS PAC ID: 7810204591 Enrollment ID: I20190822000759 |
| Provider Name | Elizabeth Apollo-loomis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083147334 PECOS PAC ID: 2062774417 Enrollment ID: I20190822002130 |
| Provider Name | Aaron Halfpenny |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629368816 PECOS PAC ID: 4284934357 Enrollment ID: I20190827001204 |
| Provider Name | Vivian S Liu |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679806574 PECOS PAC ID: 6204075583 Enrollment ID: I20190904002741 |
| Provider Name | Chatt Johnson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1184605347 PECOS PAC ID: 5092816306 Enrollment ID: I20190905000662 |
| Provider Name | Deborah L Rink |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881844652 PECOS PAC ID: 1850634676 Enrollment ID: I20190905001705 |
| Provider Name | Rachel L Zubko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578737342 PECOS PAC ID: 7012189889 Enrollment ID: I20190909003266 |
| Provider Name | David J Stawski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972846178 PECOS PAC ID: 9032435516 Enrollment ID: I20190910002334 |
| Provider Name | Jessica R Rucker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306288790 PECOS PAC ID: 2365720141 Enrollment ID: I20190911001474 |
| Provider Name | Jenna Kahn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366855793 PECOS PAC ID: 6103141940 Enrollment ID: I20190913001017 |
| Provider Name | Mary E Rotberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053866764 PECOS PAC ID: 9335479005 Enrollment ID: I20190923001826 |
| Provider Name | Joseph B Alsberge |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740623792 PECOS PAC ID: 2961644851 Enrollment ID: I20190925001177 |
| Provider Name | Swetha L Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275773202 PECOS PAC ID: 6709070766 Enrollment ID: I20190926001807 |
| Provider Name | Kevin P Connolly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215314257 PECOS PAC ID: 9234494675 Enrollment ID: I20190927002313 |
| Provider Name | Cynthia W Colven |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104883552 PECOS PAC ID: 1557352267 Enrollment ID: I20190927002954 |
| Provider Name | Totka R. Koutzeva-dussel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821495607 PECOS PAC ID: 1153677711 Enrollment ID: I20190927003151 |
| Provider Name | Daniel B Sonshine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083956296 PECOS PAC ID: 2466782693 Enrollment ID: I20191001001337 |
| Provider Name | Karen C Dugan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447514724 PECOS PAC ID: 4284940479 Enrollment ID: I20191001001815 |
| Provider Name | Darshika Goswami |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083025464 PECOS PAC ID: 7012208606 Enrollment ID: I20191001001990 |
| Provider Name | Seth H Goldberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801453816 PECOS PAC ID: 4880924075 Enrollment ID: I20191002000247 |
| Provider Name | Neeza Hassan Kamil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568740983 PECOS PAC ID: 6002059136 Enrollment ID: I20191002000394 |
| Provider Name | Pavan R Parasu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750624847 PECOS PAC ID: 0840590097 Enrollment ID: I20191002000471 |
| Provider Name | Courtney Nicole Corral |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497195143 PECOS PAC ID: 6507168309 Enrollment ID: I20191002001939 |
| Provider Name | Melissa J Strom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306219209 PECOS PAC ID: 1254637416 Enrollment ID: I20191002002159 |
| Provider Name | Stephen Wanta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528454048 PECOS PAC ID: 9638471295 Enrollment ID: I20191002002609 |
| Provider Name | Nadine A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205082062 PECOS PAC ID: 5294976106 Enrollment ID: I20191003000669 |
| Provider Name | Matthew J Flynn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245506237 PECOS PAC ID: 4880812924 Enrollment ID: I20191003003000 |
| Provider Name | Cody Macmillan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578906525 PECOS PAC ID: 2567683808 Enrollment ID: I20191004002319 |
| Provider Name | Brandon Propper |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1033320213 PECOS PAC ID: 9931358868 Enrollment ID: I20191007003492 |
| Provider Name | Lauren Amanda Choy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851885479 PECOS PAC ID: 8921339672 Enrollment ID: I20191009003673 |
| Provider Name | Paul Rhoniel Evangelista Barbaza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972843787 PECOS PAC ID: 3678716115 Enrollment ID: I20191010000229 |
| Provider Name | Bryan T Frost |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932544004 PECOS PAC ID: 6901178417 Enrollment ID: I20191010000415 |
| Provider Name | Crystal L Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609290063 PECOS PAC ID: 8426273186 Enrollment ID: I20191010000809 |
| Provider Name | Cheryl Diana Richie |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1013275841 PECOS PAC ID: 6305146499 Enrollment ID: I20191010002350 |
| Provider Name | Ashley B Austin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285097543 PECOS PAC ID: 0042543027 Enrollment ID: I20191011001140 |
| Provider Name | Lisa Christine Young |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033371612 PECOS PAC ID: 9234447657 Enrollment ID: I20191014000526 |
| Provider Name | Brandon Dean Hardaway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952786873 PECOS PAC ID: 8123359346 Enrollment ID: I20191018001339 |
| Provider Name | Helena Franco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619339538 PECOS PAC ID: 3870824006 Enrollment ID: I20191018001722 |
| Provider Name | Jill C Lobingier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962854828 PECOS PAC ID: 6002186079 Enrollment ID: I20191018001814 |
| Provider Name | Kathryn Margaret Breslin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235574989 PECOS PAC ID: 3779723952 Enrollment ID: I20191022000060 |
| Provider Name | Andrew Moon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255641668 PECOS PAC ID: 7416107271 Enrollment ID: I20191023002343 |
| Provider Name | Michelle Boyle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831169440 PECOS PAC ID: 5496775694 Enrollment ID: I20191026000141 |
| Provider Name | My Chuong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245650324 PECOS PAC ID: 0143444141 Enrollment ID: I20191028001071 |
| Provider Name | Jenny Goldberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982141347 PECOS PAC ID: 0446535074 Enrollment ID: I20191028002185 |
| Provider Name | Tess Elizabeth Macfife Ishshalom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952706137 PECOS PAC ID: 9739470329 Enrollment ID: I20191028002373 |
| Provider Name | Jessica A Smith |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1720498116 PECOS PAC ID: 3577871367 Enrollment ID: I20191028002846 |
| Provider Name | Sarah Jessica Mcbryde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114371911 PECOS PAC ID: 1658665815 Enrollment ID: I20191028003187 |
| Provider Name | Nisha Devika Varadarajan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1871939322 PECOS PAC ID: 6204168008 Enrollment ID: I20191028003274 |
| Provider Name | Anne Elizabeth Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346895075 PECOS PAC ID: 8729310529 Enrollment ID: I20191029000036 |
| Provider Name | Huy Do |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811476351 PECOS PAC ID: 1658619416 Enrollment ID: I20191108000628 |
| Provider Name | Sean Phillip Becker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710438973 PECOS PAC ID: 9931531134 Enrollment ID: I20191108001259 |
| Provider Name | Kim J Waarvick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972527968 PECOS PAC ID: 7214967744 Enrollment ID: I20191112002686 |
| Provider Name | Alexander J Gougoutas |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1821154790 PECOS PAC ID: 1951567916 Enrollment ID: I20191113000333 |
| Provider Name | Megan Baerny |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659723740 PECOS PAC ID: 0840570651 Enrollment ID: I20191113001554 |
| Provider Name | Eric B Schub |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1194103077 PECOS PAC ID: 1254604440 Enrollment ID: I20191113002198 |
| Provider Name | Roheet Kakaday |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427481803 PECOS PAC ID: 0345513560 Enrollment ID: I20191113002606 |
| Provider Name | Michael K Lam |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841618741 PECOS PAC ID: 6103044896 Enrollment ID: I20191113003105 |
| Provider Name | Tiffany Vanna Quach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174054308 PECOS PAC ID: 5890127872 Enrollment ID: I20191114000428 |
| Provider Name | Ruth R Moen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124437595 PECOS PAC ID: 9032425020 Enrollment ID: I20191114000928 |
| Provider Name | Daniel Slowey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255872503 PECOS PAC ID: 0648542647 Enrollment ID: I20191114001191 |
| Provider Name | Robert B Goltzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336699149 PECOS PAC ID: 1759623150 Enrollment ID: I20191118001998 |
| Provider Name | Lindsey A Decampos-stairiker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679935738 PECOS PAC ID: 5799025490 Enrollment ID: I20191119001587 |
| Provider Name | Abigail A Cary |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316363443 PECOS PAC ID: 3577995034 Enrollment ID: I20191121001415 |
| Provider Name | Crystal Edison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386953461 PECOS PAC ID: 0143458638 Enrollment ID: I20191122000578 |
| Provider Name | Amanda D Ball |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003116112 PECOS PAC ID: 7618112137 Enrollment ID: I20191122001593 |
| Provider Name | Emelia Hutto |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518514710 PECOS PAC ID: 8628401031 Enrollment ID: I20191125001999 |
| Provider Name | Lucia P Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740382365 PECOS PAC ID: 8224257647 Enrollment ID: I20191126000615 |
| Provider Name | Christine Neou Henderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033555727 PECOS PAC ID: 7911200795 Enrollment ID: I20191126000998 |
| Provider Name | Ryan J Golden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477947745 PECOS PAC ID: 9739483504 Enrollment ID: I20191126001066 |
| Provider Name | Simrun I Kaur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487031464 PECOS PAC ID: 0446563050 Enrollment ID: I20191126001676 |
| Provider Name | Benjamin A Winston |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740523265 PECOS PAC ID: 6305072075 Enrollment ID: I20191126001850 |
| Provider Name | Katherine E Bentley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134267875 PECOS PAC ID: 4486087863 Enrollment ID: I20191126002107 |
| Provider Name | Charissa E Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275980955 PECOS PAC ID: 5294027793 Enrollment ID: I20191126002156 |
| Provider Name | Anthony V Maiolino |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518385285 PECOS PAC ID: 9032417076 Enrollment ID: I20191126002420 |
| Provider Name | Diane J Bader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700109717 PECOS PAC ID: 3870734130 Enrollment ID: I20191126002648 |
| Provider Name | Marisa Hopkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316594989 PECOS PAC ID: 9739512039 Enrollment ID: I20191126003111 |
| Provider Name | Catalina Hernandez Torres |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043778954 PECOS PAC ID: 6103259437 Enrollment ID: I20191127001067 |
| Provider Name | Daniel Do Hoon Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477816049 PECOS PAC ID: 7618275603 Enrollment ID: I20191202001141 |
| Provider Name | Brittany H Mastin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457713984 PECOS PAC ID: 5294090338 Enrollment ID: I20191204002300 |
| Provider Name | Jesse Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306237250 PECOS PAC ID: 9638441777 Enrollment ID: I20191205001656 |
| Provider Name | Luca S Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114398252 PECOS PAC ID: 2769784628 Enrollment ID: I20191205002566 |
| Provider Name | Jessica Lynn Williams |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477819449 PECOS PAC ID: 3274811153 Enrollment ID: I20191207000102 |
| Provider Name | Rebecca Carrasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801441787 PECOS PAC ID: 1759714488 Enrollment ID: I20191210002195 |
| Provider Name | Jeffrey R Mosher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124377627 PECOS PAC ID: 6901182575 Enrollment ID: I20191211001174 |
| Provider Name | Arpan Shrivastava |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801230024 PECOS PAC ID: 7113231515 Enrollment ID: I20191212000545 |
| Provider Name | Rebecca Lorraine Logan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518221233 PECOS PAC ID: 7315179546 Enrollment ID: I20191212001108 |
| Provider Name | Theresa Wang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881021186 PECOS PAC ID: 2163746397 Enrollment ID: I20191212003175 |
| Provider Name | Angela C Chiodo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205144540 PECOS PAC ID: 0345410908 Enrollment ID: I20191213000471 |
| Provider Name | Adriana Sandoval |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902440910 PECOS PAC ID: 8123452620 Enrollment ID: I20191216001455 |
| Provider Name | Jennifer S Bertapelle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144425638 PECOS PAC ID: 1456785922 Enrollment ID: I20191217001487 |
| Provider Name | Tyler Joy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457602195 PECOS PAC ID: 2860826344 Enrollment ID: I20191217001711 |
| Provider Name | Chynna R Tang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942786082 PECOS PAC ID: 7315371705 Enrollment ID: I20191217002646 |
| Provider Name | Elizabeth R Nelsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467860494 PECOS PAC ID: 6608192844 Enrollment ID: I20191220001509 |
| Provider Name | Arfassa Shiferaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093036774 PECOS PAC ID: 3072747005 Enrollment ID: I20191220002237 |
| Provider Name | Joshua B Goldstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164786083 PECOS PAC ID: 9335360486 Enrollment ID: I20191220002366 |
| Provider Name | Julia Ray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770756868 PECOS PAC ID: 9537593686 Enrollment ID: I20191223001341 |
| Provider Name | Sabeen J Chohan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083016422 PECOS PAC ID: 6406130772 Enrollment ID: I20191224000256 |
| Provider Name | Tsering Lhamo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740694132 PECOS PAC ID: 7911202189 Enrollment ID: I20191230001300 |
| Provider Name | Erika Mariko Barbero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508284274 PECOS PAC ID: 1052606894 Enrollment ID: I20191230001368 |
| Provider Name | Briana M Cranmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780947143 PECOS PAC ID: 9739333022 Enrollment ID: I20191230001491 |
| Provider Name | Dilip S Babu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285904615 PECOS PAC ID: 4284874900 Enrollment ID: I20191230001933 |
| Provider Name | Melissa Anne Vidoni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073758702 PECOS PAC ID: 8224462197 Enrollment ID: I20191231001134 |
| Provider Name | Benjamin Pon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851944656 PECOS PAC ID: 3779917539 Enrollment ID: I20200102002481 |
| Provider Name | Barry K Wilson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568641298 PECOS PAC ID: 4688855067 Enrollment ID: I20200108001341 |
| Provider Name | Chinyere I Ekechuku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649354911 PECOS PAC ID: 4284616301 Enrollment ID: I20200109001908 |
| Provider Name | Justin Holt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902225709 PECOS PAC ID: 9133346778 Enrollment ID: I20200115000983 |
| Provider Name | Benjamin Ashby Goodrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861893414 PECOS PAC ID: 4981825361 Enrollment ID: I20200116000841 |
| Provider Name | Andrew Jensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831442235 PECOS PAC ID: 4880830504 Enrollment ID: I20200120000516 |
| Provider Name | Katherine S Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083907273 PECOS PAC ID: 0840411591 Enrollment ID: I20200122001472 |
| Provider Name | Kristin Jeanne Livingston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831451061 PECOS PAC ID: 4284936436 Enrollment ID: I20200123001188 |
| Provider Name | Elizabeth Joan Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841385507 PECOS PAC ID: 8123453933 Enrollment ID: I20200123002232 |
| Provider Name | Madelynne M Jensen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275902876 PECOS PAC ID: 6103251640 Enrollment ID: I20200123003104 |
| Provider Name | Adam A Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295933968 PECOS PAC ID: 2365877883 Enrollment ID: I20200124001433 |
| Provider Name | Karen M Guenther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790804763 PECOS PAC ID: 3274790175 Enrollment ID: I20200124001754 |
| Provider Name | Alison J Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083166029 PECOS PAC ID: 5698100329 Enrollment ID: I20200127001239 |
| Provider Name | Kellen Plomski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902461361 PECOS PAC ID: 4183050784 Enrollment ID: I20200129002906 |
| Provider Name | Ekaterina Pletinskaya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245267202 PECOS PAC ID: 0840223491 Enrollment ID: I20200131001997 |
| Provider Name | Bartlomiej Rog |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851719264 PECOS PAC ID: 1355683061 Enrollment ID: I20200131002698 |
| Provider Name | Jesse Iwanski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659301356 PECOS PAC ID: 1153405899 Enrollment ID: I20200203000190 |
| Provider Name | Heather Anne Jacobs |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548776842 PECOS PAC ID: 1456613710 Enrollment ID: I20200224002592 |
| Provider Name | Dawn A O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730295791 PECOS PAC ID: 4486820990 Enrollment ID: I20200225000784 |
| Provider Name | Elizabeth Winans |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821355900 PECOS PAC ID: 1759715840 Enrollment ID: I20200227000745 |
| Provider Name | Margie Uy Apacible |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992014385 PECOS PAC ID: 1153555925 Enrollment ID: I20200227001780 |
| Provider Name | Mary E Martel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497897466 PECOS PAC ID: 4284822503 Enrollment ID: I20200227002618 |
| Provider Name | Chloe Rusca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982180766 PECOS PAC ID: 4688001514 Enrollment ID: I20200305000791 |
| Provider Name | Amanda Aninwene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033573167 PECOS PAC ID: 2264728609 Enrollment ID: I20200305001998 |
| Provider Name | Chong Yang Tan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588691521 PECOS PAC ID: 5991731515 Enrollment ID: I20200310000991 |
| Provider Name | Isidore Dinga Madou |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1720340862 PECOS PAC ID: 8426379918 Enrollment ID: I20200310002444 |
| Provider Name | Faye D Dahuyag |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295202737 PECOS PAC ID: 7911243860 Enrollment ID: I20200311001784 |
| Provider Name | Andrea K Street |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679745624 PECOS PAC ID: 1355410044 Enrollment ID: I20200312000520 |
| Provider Name | Rachel Stanziola |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437526811 PECOS PAC ID: 0648608109 Enrollment ID: I20200316001239 |
| Provider Name | Obinna C Ugwu-oju |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427495365 PECOS PAC ID: 1254573132 Enrollment ID: I20200317000647 |
| Provider Name | Czarino Silao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821474396 PECOS PAC ID: 6709166473 Enrollment ID: I20200318001031 |
| Provider Name | Thomas S Rogers |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124445218 PECOS PAC ID: 1254634603 Enrollment ID: I20200319002783 |
| Provider Name | Tenzin D Gorab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700277001 PECOS PAC ID: 0941638431 Enrollment ID: I20200323000970 |
| Provider Name | Julie K Luckart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477111789 PECOS PAC ID: 0345677712 Enrollment ID: I20200331000413 |
| Provider Name | Jill Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477870715 PECOS PAC ID: 0244484202 Enrollment ID: I20200403001877 |
| Provider Name | Sean W Luenebrink |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326184078 PECOS PAC ID: 3072942572 Enrollment ID: I20200404000239 |
| Provider Name | Emery Lin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871869362 PECOS PAC ID: 5395053854 Enrollment ID: I20200406000397 |
| Provider Name | Maricris E Lapinid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780998450 PECOS PAC ID: 8820304785 Enrollment ID: I20200408000764 |
| Provider Name | Surita D Persaud |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427325562 PECOS PAC ID: 2365600772 Enrollment ID: I20200408001373 |
| Provider Name | Nathan Denson Savage-lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588212906 PECOS PAC ID: 1759710056 Enrollment ID: I20200408001695 |
| Provider Name | Lara J Lackey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780875427 PECOS PAC ID: 0840532818 Enrollment ID: I20200408001892 |
| Provider Name | Janice Hsu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922236561 PECOS PAC ID: 0345467577 Enrollment ID: I20200413000034 |
| Provider Name | Brian J Gould |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073535266 PECOS PAC ID: 3870599962 Enrollment ID: I20200413002756 |
| Provider Name | Keirstalyn Wade |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144850074 PECOS PAC ID: 8527498963 Enrollment ID: I20200424002936 |
| Provider Name | Alison R Agnetta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336432129 PECOS PAC ID: 3072745835 Enrollment ID: I20200429002821 |
| Provider Name | Leandra I Monreal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770955049 PECOS PAC ID: 2961706676 Enrollment ID: I20200430000510 |
| Provider Name | Lija L Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891135125 PECOS PAC ID: 3779807300 Enrollment ID: I20200430001104 |
| Provider Name | Karla Zehren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184869885 PECOS PAC ID: 1153610746 Enrollment ID: I20200505001013 |
| Provider Name | Alexei Ku |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164840732 PECOS PAC ID: 9739306200 Enrollment ID: I20200508000656 |
| Provider Name | Brendan Case |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821470980 PECOS PAC ID: 1658683750 Enrollment ID: I20200508001062 |
| Provider Name | David Putnam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437599388 PECOS PAC ID: 3870800659 Enrollment ID: I20200508001379 |
| Provider Name | Dianna Howard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790171585 PECOS PAC ID: 2769786300 Enrollment ID: I20200511000090 |
| Provider Name | Hannah E Bronsky Pena |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548632540 PECOS PAC ID: 7416237300 Enrollment ID: I20200511000293 |
| Provider Name | Juan Carlos Lopez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861604159 PECOS PAC ID: 9739195181 Enrollment ID: I20200513000013 |
| Provider Name | Sarah Meyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518263235 PECOS PAC ID: 9436309341 Enrollment ID: I20200527000879 |
| Provider Name | Maggie E Wells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073900957 PECOS PAC ID: 7517276991 Enrollment ID: I20200609000586 |
| Provider Name | Scott Lawrence Cohan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962954115 PECOS PAC ID: 0840572475 Enrollment ID: I20200610002533 |
| Provider Name | Eric M Chang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114304870 PECOS PAC ID: 5496000879 Enrollment ID: I20200630003094 |
| Provider Name | Kalyn Jennifer English |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902298052 PECOS PAC ID: 6002175635 Enrollment ID: I20200701001451 |
| Provider Name | Kendra L Thoren |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1598925968 PECOS PAC ID: 6901049303 Enrollment ID: I20200708000941 |
| Provider Name | Caroline R Tadros |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427107770 PECOS PAC ID: 8022047117 Enrollment ID: I20200708003553 |
| Provider Name | Karen Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427447457 PECOS PAC ID: 4183934987 Enrollment ID: I20200715001944 |
| Provider Name | Steven Tersigni |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598184525 PECOS PAC ID: 5496091894 Enrollment ID: I20200715002948 |
| Provider Name | Emilie Helen Regner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942643143 PECOS PAC ID: 0941521835 Enrollment ID: I20200716003554 |
| Provider Name | Kyle Mitcham Masters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194040840 PECOS PAC ID: 3678702602 Enrollment ID: I20200720001420 |
| Provider Name | Joshua Alexander Buehler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558795971 PECOS PAC ID: 7214207489 Enrollment ID: I20200727000449 |
| Provider Name | Nathan M Boyer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871707208 PECOS PAC ID: 2062631146 Enrollment ID: I20200812001359 |
| Provider Name | Dia Hazra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912438953 PECOS PAC ID: 0749558724 Enrollment ID: I20200812002903 |
| Provider Name | Charles George Colip |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063856268 PECOS PAC ID: 2365674397 Enrollment ID: I20200825001046 |
| Provider Name | Christa L Slaught |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1861840308 PECOS PAC ID: 8123312998 Enrollment ID: I20200825001578 |
| Provider Name | Mina Lotfi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568880813 PECOS PAC ID: 0749400497 Enrollment ID: I20200826003505 |
| Provider Name | Cherry Ann C Valino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982987483 PECOS PAC ID: 1557582350 Enrollment ID: I20200826003540 |
| Provider Name | Selena M Sideras |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356733463 PECOS PAC ID: 2567705049 Enrollment ID: I20200826003984 |
| Provider Name | Mootaz Subhi Said Younis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598103673 PECOS PAC ID: 2365736832 Enrollment ID: I20200827001497 |
| Provider Name | Henry Lin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730573973 PECOS PAC ID: 6901142215 Enrollment ID: I20200827002245 |
| Provider Name | Ross Patrick Vimr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467719641 PECOS PAC ID: 2668772518 Enrollment ID: I20200827003011 |
| Provider Name | Olga Milgrom |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780023002 PECOS PAC ID: 3072882273 Enrollment ID: I20200827003119 |
| Provider Name | Jessica L Lea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902104078 PECOS PAC ID: 0840617247 Enrollment ID: I20200831002650 |
| Provider Name | Maye Mohamed Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376078923 PECOS PAC ID: 8921341413 Enrollment ID: I20200901001353 |
| Provider Name | Matthew R Campbell |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1558431494 PECOS PAC ID: 0446677447 Enrollment ID: I20200903003028 |
| Provider Name | Benjamin D Mcdowell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942543046 PECOS PAC ID: 6305147539 Enrollment ID: I20200904000159 |
| Provider Name | Kelly Smucker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538693767 PECOS PAC ID: 1153748108 Enrollment ID: I20200904001469 |
| Provider Name | Chloe B Manchester |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1154716900 PECOS PAC ID: 1052739737 Enrollment ID: I20200911001637 |
| Provider Name | Cynthia H Griebler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750316865 PECOS PAC ID: 2668414566 Enrollment ID: I20200911002019 |
| Provider Name | Kristen M Strength |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346694916 PECOS PAC ID: 1254693435 Enrollment ID: I20200911002245 |
| Provider Name | Amelia Priesthoff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265965016 PECOS PAC ID: 1759654635 Enrollment ID: I20200914002910 |
| Provider Name | Jill Beth Smolevitz |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1801235791 PECOS PAC ID: 8325346331 Enrollment ID: I20200915000715 |
| Provider Name | Lawrence M House |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326427147 PECOS PAC ID: 4688925258 Enrollment ID: I20200915002294 |
| Provider Name | Nicholas E. Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619403938 PECOS PAC ID: 0244574796 Enrollment ID: I20200915002376 |
| Provider Name | Andrew T. Harger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700016540 PECOS PAC ID: 9537317755 Enrollment ID: I20200915002818 |
| Provider Name | Dallas R. Holladay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871834382 PECOS PAC ID: 0648578484 Enrollment ID: I20200915003106 |
| Provider Name | Caroline Tabobo Evanado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740508431 PECOS PAC ID: 9931528171 Enrollment ID: I20201007001798 |
| Provider Name | Leanna Wendy Mah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649682592 PECOS PAC ID: 2961821103 Enrollment ID: I20201007002219 |
| Provider Name | Steven Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417306713 PECOS PAC ID: 3870835408 Enrollment ID: I20201012002754 |
| Provider Name | Lauren Cass |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356785679 PECOS PAC ID: 0941502470 Enrollment ID: I20201013000604 |
| Provider Name | Matthew Tipping |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104245190 PECOS PAC ID: 2961708060 Enrollment ID: I20201013001721 |
| Provider Name | Lucy Bollinger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669904660 PECOS PAC ID: 1557639663 Enrollment ID: I20201013002647 |
| Provider Name | Rafaelani T Uy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578807442 PECOS PAC ID: 9537380662 Enrollment ID: I20201013002662 |
| Provider Name | Joshua Hawkin Hollabaugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356872535 PECOS PAC ID: 9830469303 Enrollment ID: I20201013002969 |
| Provider Name | Edward A Uram |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700263282 PECOS PAC ID: 6002122918 Enrollment ID: I20201013003188 |
| Provider Name | Elizabeth Diane Doty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720697501 PECOS PAC ID: 3870913726 Enrollment ID: I20201015001315 |
| Provider Name | Khac On Lai Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982055521 PECOS PAC ID: 9335470970 Enrollment ID: I20201016002455 |
| Provider Name | Natasha D White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194197640 PECOS PAC ID: 5092143610 Enrollment ID: I20201021002726 |
| Provider Name | Brian N Pfeiffer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356746697 PECOS PAC ID: 6204128887 Enrollment ID: I20201023000464 |
| Provider Name | Denise Jenn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457839318 PECOS PAC ID: 9133549520 Enrollment ID: I20201023002782 |
| Provider Name | Enoh E Akpandak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992805964 PECOS PAC ID: 9739114471 Enrollment ID: I20201026002252 |
| Provider Name | Michael Fusaro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194109785 PECOS PAC ID: 0345546511 Enrollment ID: I20201027003142 |
| Provider Name | Vivian L Wang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417392671 PECOS PAC ID: 8527395573 Enrollment ID: I20201027003351 |
| Provider Name | Emily J Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295236271 PECOS PAC ID: 6901161322 Enrollment ID: I20201028003144 |
| Provider Name | Bryan Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629460316 PECOS PAC ID: 1254603830 Enrollment ID: I20201029000009 |
| Provider Name | Brit Amalie Nilsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477917011 PECOS PAC ID: 4688961717 Enrollment ID: I20201029001449 |
| Provider Name | Dolly Do |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982085460 PECOS PAC ID: 8123388790 Enrollment ID: I20201029001878 |
| Provider Name | Tory J Olsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003336686 PECOS PAC ID: 4981976560 Enrollment ID: I20201109002077 |
| Provider Name | Mark C Johansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932257979 PECOS PAC ID: 6406926120 Enrollment ID: I20201109003143 |
| Provider Name | Brian C Moon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679815773 PECOS PAC ID: 6608165444 Enrollment ID: I20201110000300 |
| Provider Name | Lindsay Dale Kiyama |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447645254 PECOS PAC ID: 9739497587 Enrollment ID: I20201110000830 |
| Provider Name | Jessie Sara Coleman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679932347 PECOS PAC ID: 8628352010 Enrollment ID: I20201110001296 |
| Provider Name | Ella J Doerge |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154734044 PECOS PAC ID: 0042528382 Enrollment ID: I20201110002407 |
| Provider Name | Melanie A Henriksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881757540 PECOS PAC ID: 8123438793 Enrollment ID: I20201110002460 |
| Provider Name | James A Wright |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407863228 PECOS PAC ID: 3476695677 Enrollment ID: I20201110002542 |
| Provider Name | Mustafa M Mahmood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083076731 PECOS PAC ID: 2961780143 Enrollment ID: I20201110003245 |
| Provider Name | Cara M Katzer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003201690 PECOS PAC ID: 5799081402 Enrollment ID: I20201111002375 |
| Provider Name | James J Heid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336165919 PECOS PAC ID: 0143245654 Enrollment ID: I20201112002507 |
| Provider Name | Christin A Isik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700157872 PECOS PAC ID: 9335562040 Enrollment ID: I20201113000850 |
| Provider Name | Mark L Janzen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932329265 PECOS PAC ID: 6608976139 Enrollment ID: I20201117000701 |
| Provider Name | Chelsea Marie Mcguire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871970152 PECOS PAC ID: 8628385937 Enrollment ID: I20201123003138 |
| Provider Name | Matthew John Garced |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548303654 PECOS PAC ID: 0042319139 Enrollment ID: I20201124001105 |
| Provider Name | Michele Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245333640 PECOS PAC ID: 2264843028 Enrollment ID: I20201130001359 |
| Provider Name | Bryon A Clough |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154974129 PECOS PAC ID: 0345672028 Enrollment ID: I20201207001698 |
| Provider Name | Sadia Yousaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346773355 PECOS PAC ID: 9830501196 Enrollment ID: I20201211001677 |
| Provider Name | Leah Sutton Cordero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235519117 PECOS PAC ID: 7810309093 Enrollment ID: I20201214000454 |
| Provider Name | Patrick D Langan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306033345 PECOS PAC ID: 9830255678 Enrollment ID: I20201214002867 |
| Provider Name | Lisa M Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699255109 PECOS PAC ID: 1254743214 Enrollment ID: I20201215003063 |
| Provider Name | Noreen A Mercando |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033220132 PECOS PAC ID: 7618017674 Enrollment ID: I20201215003359 |
| Provider Name | Jennifer White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285899864 PECOS PAC ID: 7214349216 Enrollment ID: I20201216001209 |
| Provider Name | Leleng Lu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346630167 PECOS PAC ID: 3779995709 Enrollment ID: I20201216002514 |
| Provider Name | Margaret B Algranati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225561756 PECOS PAC ID: 8729351507 Enrollment ID: I20201217000804 |
| Provider Name | Sarah J Breeze |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053733352 PECOS PAC ID: 5597177451 Enrollment ID: I20201217000933 |
| Provider Name | Ryan D Manns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386007920 PECOS PAC ID: 0042506644 Enrollment ID: I20201217002221 |
| Provider Name | Trisha Mendoza Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063867158 PECOS PAC ID: 0840534756 Enrollment ID: I20201217002906 |
| Provider Name | Diane M Langer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750493623 PECOS PAC ID: 5092762591 Enrollment ID: I20201218001280 |
| Provider Name | Nancy Kelly-culberson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245617273 PECOS PAC ID: 8628372406 Enrollment ID: I20201224000054 |
| Provider Name | Amie Eliza Davis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063645935 PECOS PAC ID: 5698187276 Enrollment ID: I20201226000023 |
| Provider Name | John C Shaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528175239 PECOS PAC ID: 7618908658 Enrollment ID: I20201228001613 |
| Provider Name | Amy Louise Kerfoot |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1235471640 PECOS PAC ID: 8527209014 Enrollment ID: I20201230002428 |
| Provider Name | Michael Martel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295977551 PECOS PAC ID: 3375956774 Enrollment ID: I20210104000210 |
| Provider Name | Kathryn L Hunter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699069773 PECOS PAC ID: 0648683078 Enrollment ID: I20210104001501 |
| Provider Name | Rebecca J Hammon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285955427 PECOS PAC ID: 4183884513 Enrollment ID: I20210107001348 |
| Provider Name | Sarah E Bruno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992205223 PECOS PAC ID: 3375974447 Enrollment ID: I20210111002767 |
| Provider Name | Lauren M Alderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871933796 PECOS PAC ID: 4183927528 Enrollment ID: I20210114000348 |
| Provider Name | Helena L Pang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225418874 PECOS PAC ID: 2264791805 Enrollment ID: I20210114000524 |
| Provider Name | Reydominique Gumboc |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710990403 PECOS PAC ID: 5193963940 Enrollment ID: I20210120003055 |
| Provider Name | Cami Hilsendager |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164835658 PECOS PAC ID: 4183849235 Enrollment ID: I20210121000348 |
| Provider Name | Hami Ramani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871819284 PECOS PAC ID: 2466760939 Enrollment ID: I20210122000762 |
| Provider Name | Jana Balas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396150652 PECOS PAC ID: 2163789678 Enrollment ID: I20210122002056 |
| Provider Name | Chinar S Mehta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407168735 PECOS PAC ID: 2264601715 Enrollment ID: I20210125000346 |
| Provider Name | Sarah S Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043345168 PECOS PAC ID: 9032523568 Enrollment ID: I20210125001991 |
| Provider Name | Mia Hosaka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649596552 PECOS PAC ID: 6901049386 Enrollment ID: I20210201002687 |
| Provider Name | Prashant Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043552862 PECOS PAC ID: 6507161858 Enrollment ID: I20210204002664 |
| Provider Name | Risa Rothmann Siegel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619267887 PECOS PAC ID: 6204052004 Enrollment ID: I20210209001816 |
| Provider Name | Stuart Zeltzer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780046326 PECOS PAC ID: 3173818242 Enrollment ID: I20210211000862 |
| Provider Name | Lara E Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215069182 PECOS PAC ID: 3678669306 Enrollment ID: I20210211002298 |
| Provider Name | Jacob A Stutheit |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588270466 PECOS PAC ID: 8426463027 Enrollment ID: I20210211003001 |
| Provider Name | David Gillingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376617159 PECOS PAC ID: 1557559515 Enrollment ID: I20210219000444 |
| Provider Name | Erin E Freyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760917173 PECOS PAC ID: 7113283656 Enrollment ID: I20210222002214 |
| Provider Name | Kyle Bowling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063997898 PECOS PAC ID: 3577978691 Enrollment ID: I20210222002998 |
| Provider Name | Tyler Chagnon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457836223 PECOS PAC ID: 9436564507 Enrollment ID: I20210223001962 |
| Provider Name | Claire Unruh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467959098 PECOS PAC ID: 9537418678 Enrollment ID: I20210223002192 |
| Provider Name | Justin E Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205269081 PECOS PAC ID: 8527318765 Enrollment ID: I20210225001534 |
| Provider Name | Melissa Ann Hillman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154717924 PECOS PAC ID: 9436451382 Enrollment ID: I20210225002941 |
| Provider Name | Anna Xie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861052573 PECOS PAC ID: 1254669625 Enrollment ID: I20210310000914 |
| Provider Name | Christopher Deig |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043743883 PECOS PAC ID: 5698026771 Enrollment ID: I20210315000301 |
| Provider Name | Grace J Mcbride |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316260433 PECOS PAC ID: 0547677122 Enrollment ID: I20210326000620 |
| Provider Name | Matthew Svymbersky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669599601 PECOS PAC ID: 5991112526 Enrollment ID: I20210329000527 |
| Provider Name | Eric Albright |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114989563 PECOS PAC ID: 6406887009 Enrollment ID: I20210331000973 |
| Provider Name | Jordan M Dobrovolny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184815631 PECOS PAC ID: 2769890656 Enrollment ID: I20210413003016 |
| Provider Name | Nirav Patel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1003171109 PECOS PAC ID: 6709020134 Enrollment ID: I20210415002997 |
| Provider Name | Chau Bui |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861054769 PECOS PAC ID: 5698183242 Enrollment ID: I20210420000743 |
| Provider Name | Erica Julie Chang-patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184147126 PECOS PAC ID: 8921420530 Enrollment ID: I20210422001538 |
| Provider Name | Maureen Hidalgo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306485909 PECOS PAC ID: 7315375219 Enrollment ID: I20210422001863 |
| Provider Name | Victor W Boomer-jenks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760891014 PECOS PAC ID: 8527496876 Enrollment ID: I20210429002989 |
| Provider Name | Jessica L Grimm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699103671 PECOS PAC ID: 3678702537 Enrollment ID: I20210506001721 |
| Provider Name | Rachel Kumari Sircar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629464284 PECOS PAC ID: 5799094231 Enrollment ID: I20210513002688 |
| Provider Name | Brian A Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114313145 PECOS PAC ID: 7911283056 Enrollment ID: I20210514000118 |
| Provider Name | Brittany S Houston |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437684925 PECOS PAC ID: 1658641576 Enrollment ID: I20210514002244 |
| Provider Name | Martin G Halum |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598096364 PECOS PAC ID: 1557558228 Enrollment ID: I20210520001123 |
| Provider Name | Michelle Eugenia Wei |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538644372 PECOS PAC ID: 8426457672 Enrollment ID: I20210520002364 |
| Provider Name | Matthew D. Lail |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386058386 PECOS PAC ID: 6406076355 Enrollment ID: I20210520003139 |
| Provider Name | Stephen D Ducey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962817478 PECOS PAC ID: 7113146226 Enrollment ID: I20210521001912 |
| Provider Name | Wai M Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104928084 PECOS PAC ID: 8224053145 Enrollment ID: I20210524002632 |
| Provider Name | Paul G Krabill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538726468 PECOS PAC ID: 8527480714 Enrollment ID: I20210527000767 |
| Provider Name | Kristian E Flores |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1104120195 PECOS PAC ID: 9335417179 Enrollment ID: I20210527001776 |
| Provider Name | Alise M Chin-shreffler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689150609 PECOS PAC ID: 8426484056 Enrollment ID: I20210527002268 |
| Provider Name | Meghan J Teague |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760987234 PECOS PAC ID: 6002168697 Enrollment ID: I20210527002498 |
| Provider Name | Joseph Gardiner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073891909 PECOS PAC ID: 7911306436 Enrollment ID: I20210602003061 |
| Provider Name | Sarah Catherine D'ambrosio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932413911 PECOS PAC ID: 7618161100 Enrollment ID: I20210602003218 |
| Provider Name | William Richard Wurster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598269391 PECOS PAC ID: 6901157643 Enrollment ID: I20210609002472 |
| Provider Name | Jonielle Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790120376 PECOS PAC ID: 3678973633 Enrollment ID: I20210611002240 |
| Provider Name | Margo Ora Kaller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619472487 PECOS PAC ID: 2668883554 Enrollment ID: I20210618000001 |
| Provider Name | Nicole J Meunier |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457662561 PECOS PAC ID: 8628318755 Enrollment ID: I20210618000858 |
| Provider Name | Ruby Hoang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770976623 PECOS PAC ID: 7911250774 Enrollment ID: I20210621000894 |
| Provider Name | Patrick Anthony Hogan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235634619 PECOS PAC ID: 0042561557 Enrollment ID: I20210623001019 |
| Provider Name | Stephen Shen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699125799 PECOS PAC ID: 8022302264 Enrollment ID: I20210625002612 |
| Provider Name | Collin A. Wulff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366896581 PECOS PAC ID: 0345597233 Enrollment ID: I20210628001764 |
| Provider Name | Thomas M Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740860147 PECOS PAC ID: 1951702992 Enrollment ID: I20210628002071 |
| Provider Name | Mindy L Seybold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386146686 PECOS PAC ID: 0840691788 Enrollment ID: I20210629002035 |
| Provider Name | Nayana Kode |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982972147 PECOS PAC ID: 1153582325 Enrollment ID: I20210629002545 |
| Provider Name | Brandon Mansell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508464199 PECOS PAC ID: 2567863392 Enrollment ID: I20210630001355 |
| Provider Name | Alia Abida Ashraf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699165944 PECOS PAC ID: 1658640180 Enrollment ID: I20210706001177 |
| Provider Name | Jonathan Deane Bale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952765349 PECOS PAC ID: 7416227939 Enrollment ID: I20210709001580 |
| Provider Name | Jennie Hooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417395021 PECOS PAC ID: 6800017609 Enrollment ID: I20210712000972 |
| Provider Name | Leanora W Merwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740673078 PECOS PAC ID: 9931479631 Enrollment ID: I20210713003533 |
| Provider Name | Janel Desalvo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770089468 PECOS PAC ID: 0143570283 Enrollment ID: I20210715000931 |
| Provider Name | Brittany S Bassitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053815241 PECOS PAC ID: 1254682990 Enrollment ID: I20210715003054 |
| Provider Name | Alice Han |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679100812 PECOS PAC ID: 9234531948 Enrollment ID: I20210716001089 |
| Provider Name | Yifan Xu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104287002 PECOS PAC ID: 1052608593 Enrollment ID: I20210719001654 |
| Provider Name | Samantha J Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881687473 PECOS PAC ID: 7719058858 Enrollment ID: I20210719001884 |
| Provider Name | Marcus L Asby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104112697 PECOS PAC ID: 6901025840 Enrollment ID: I20210720001394 |
| Provider Name | Timothy Scott Elzinga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841497211 PECOS PAC ID: 9739227299 Enrollment ID: I20210720001922 |
| Provider Name | Cheryl R Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205027000 PECOS PAC ID: 1355744954 Enrollment ID: I20210720001945 |
| Provider Name | Natalie Anna Kulaga |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659935633 PECOS PAC ID: 1557764925 Enrollment ID: I20210722001282 |
| Provider Name | Kathleen Balazy Jaffe |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1386031649 PECOS PAC ID: 6406259803 Enrollment ID: I20210722002545 |
| Provider Name | Brody Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013309962 PECOS PAC ID: 3274871421 Enrollment ID: I20210727001822 |
| Provider Name | James Howard Kurtz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992046825 PECOS PAC ID: 9537469663 Enrollment ID: I20210727003768 |
| Provider Name | Peter Lawrence Sunaryo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255741435 PECOS PAC ID: 6103163670 Enrollment ID: I20210729001059 |
| Provider Name | Ryan D Johnsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083107783 PECOS PAC ID: 9133476765 Enrollment ID: I20210729001601 |
| Provider Name | Awbrey Nicole Gilliam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447614367 PECOS PAC ID: 3173872173 Enrollment ID: I20210804002671 |
| Provider Name | Eleanor Anne Vega |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609010974 PECOS PAC ID: 1254586100 Enrollment ID: I20210805000576 |
| Provider Name | Kelly Anne Mcgonigle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316479207 PECOS PAC ID: 7113299397 Enrollment ID: I20210805000982 |
| Provider Name | Cassandra P Loren |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083119341 PECOS PAC ID: 8820349533 Enrollment ID: I20210806000743 |
| Provider Name | Maria C Babaran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881014454 PECOS PAC ID: 6002108537 Enrollment ID: I20210809002388 |
| Provider Name | Elizabeth Tronstein |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205214053 PECOS PAC ID: 5193065167 Enrollment ID: I20210809002921 |
| Provider Name | Sarra Borhanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285096057 PECOS PAC ID: 3274873526 Enrollment ID: I20210809003207 |
| Provider Name | Kimberly Chesteen |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1104289768 PECOS PAC ID: 8628365418 Enrollment ID: I20210811002912 |
| Provider Name | Angela J Steichen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316434426 PECOS PAC ID: 8820331267 Enrollment ID: I20210811003224 |
| Provider Name | Eric T Schmidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255835609 PECOS PAC ID: 5890046320 Enrollment ID: I20210811003374 |
| Provider Name | Siatta Bree Dunbar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528358793 PECOS PAC ID: 3072749308 Enrollment ID: I20210812001274 |
| Provider Name | Christine N Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407351620 PECOS PAC ID: 1153672845 Enrollment ID: I20210812002739 |
| Provider Name | Mareli Coetzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760987192 PECOS PAC ID: 1951652064 Enrollment ID: I20210813003290 |
| Provider Name | Stephen A Proctor |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487009163 PECOS PAC ID: 8426453002 Enrollment ID: I20210819001845 |
| Provider Name | James Jong-kyu Yoon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750735700 PECOS PAC ID: 0648675298 Enrollment ID: I20210820000936 |
| Provider Name | Khanh K D Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396232062 PECOS PAC ID: 2365864329 Enrollment ID: I20210820001558 |
| Provider Name | Sudheer Earanky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184071896 PECOS PAC ID: 7113254483 Enrollment ID: I20210823002659 |
| Provider Name | Nathan James Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730685678 PECOS PAC ID: 5294086922 Enrollment ID: I20210824002002 |
| Provider Name | Nhat Minh Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386026086 PECOS PAC ID: 3476980400 Enrollment ID: I20210824003425 |
| Provider Name | Rosario Blanca Nieves Salarzon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407116189 PECOS PAC ID: 4981912839 Enrollment ID: I20210830003198 |
| Provider Name | Kaela K Frizzell Hutchinson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881019982 PECOS PAC ID: 3375820095 Enrollment ID: I20210831001213 |
| Provider Name | Elena Hamilton |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1518340322 PECOS PAC ID: 6709159122 Enrollment ID: I20210901001182 |
| Provider Name | Sarah Haejung Yoon |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164878427 PECOS PAC ID: 5991101834 Enrollment ID: I20210901001919 |
| Provider Name | Sarah Elizabeth Curry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285090241 PECOS PAC ID: 9638477250 Enrollment ID: I20210901002458 |
| Provider Name | Frederick R White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487690590 PECOS PAC ID: 9739083361 Enrollment ID: I20210903001949 |
| Provider Name | Sandra Y Han |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1841456662 PECOS PAC ID: 1355591058 Enrollment ID: I20210908003700 |
| Provider Name | Kathryn B Cooperstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477993624 PECOS PAC ID: 9436554383 Enrollment ID: I20210909000493 |
| Provider Name | Jeffrey Barton |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1295988350 PECOS PAC ID: 0042455792 Enrollment ID: I20210909002836 |
| Provider Name | Andrew Nguyen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811383912 PECOS PAC ID: 8729339049 Enrollment ID: I20210909003135 |
| Provider Name | Ryan Michael Nesbit Deane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245764075 PECOS PAC ID: 8729312715 Enrollment ID: I20210910001555 |
| Provider Name | Kara Elise Walter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467727776 PECOS PAC ID: 4587988167 Enrollment ID: I20210910001943 |
| Provider Name | Jennifer R Farley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154810836 PECOS PAC ID: 4284982257 Enrollment ID: I20210910001983 |
| Provider Name | Ahren Allen Wippermann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699269324 PECOS PAC ID: 2567710353 Enrollment ID: I20210913000856 |
| Provider Name | Zednia Carolina Linares |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598364689 PECOS PAC ID: 3274939400 Enrollment ID: I20210913003117 |
| Provider Name | Aimee Lynn Parks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518446723 PECOS PAC ID: 5294131488 Enrollment ID: I20210915000187 |
| Provider Name | Elizabeth Suzanne Teeling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972970010 PECOS PAC ID: 2062774086 Enrollment ID: I20210915001617 |
| Provider Name | Bryan J Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013332915 PECOS PAC ID: 3173744265 Enrollment ID: I20210916001969 |
| Provider Name | Po-shen Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609889062 PECOS PAC ID: 2365533874 Enrollment ID: I20210916002896 |
| Provider Name | Michael Cowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891142410 PECOS PAC ID: 8628361102 Enrollment ID: I20210917000416 |
| Provider Name | Benjamin Edward Jeppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598702367 PECOS PAC ID: 9234227240 Enrollment ID: I20210917001330 |
| Provider Name | Michelle Lum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255860987 PECOS PAC ID: 1658641618 Enrollment ID: I20210922000994 |
| Provider Name | Vinayak Muralidhar |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811345655 PECOS PAC ID: 0446522775 Enrollment ID: I20210922001187 |
| Provider Name | Dikshya Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063919223 PECOS PAC ID: 5991102659 Enrollment ID: I20210922001741 |
| Provider Name | Samantha Katherine Wiseman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346604675 PECOS PAC ID: 5799033742 Enrollment ID: I20210924001684 |
| Provider Name | Chengda Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629429667 PECOS PAC ID: 0941592240 Enrollment ID: I20210927003110 |
| Provider Name | Matthew Frager |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881040533 PECOS PAC ID: 2163764846 Enrollment ID: I20210928002385 |
| Provider Name | Dayna Ann Stierley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346489770 PECOS PAC ID: 4880091099 Enrollment ID: I20210929003880 |
| Provider Name | Christal Rousseau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093842015 PECOS PAC ID: 2860473063 Enrollment ID: I20210930000209 |
| Provider Name | Holly C Liberatore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811928625 PECOS PAC ID: 5991736860 Enrollment ID: I20211001001153 |
| Provider Name | Thomas Stocklin-enright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972967909 PECOS PAC ID: 6406142694 Enrollment ID: I20211006003021 |
| Provider Name | Mercedes Darlene Wilder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336619071 PECOS PAC ID: 7012250004 Enrollment ID: I20211006003070 |
| Provider Name | Stephen Edward Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043227564 PECOS PAC ID: 3072513068 Enrollment ID: I20211007002008 |
| Provider Name | Gene R Conley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063858645 PECOS PAC ID: 3577701564 Enrollment ID: I20211008001081 |
| Provider Name | Margaret Youngah Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073002119 PECOS PAC ID: 4789933623 Enrollment ID: I20211012002644 |
| Provider Name | Di Deng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427589019 PECOS PAC ID: 6002189297 Enrollment ID: I20211013003406 |
| Provider Name | Kyle Gillis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932594504 PECOS PAC ID: 1456668383 Enrollment ID: I20211020002791 |
| Provider Name | James H.t. Tan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841398518 PECOS PAC ID: 2466435508 Enrollment ID: I20211021002927 |
| Provider Name | Sienna Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326508912 PECOS PAC ID: 6901135524 Enrollment ID: I20211025001725 |
| Provider Name | Ali Chisti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639582133 PECOS PAC ID: 8628349560 Enrollment ID: I20211027003074 |
| Provider Name | Alyssa Horne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679005623 PECOS PAC ID: 6002183571 Enrollment ID: I20211101002889 |
| Provider Name | Caitlin H Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396274940 PECOS PAC ID: 9830447887 Enrollment ID: I20211103001689 |
| Provider Name | Kathryn Ann Cunin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831364587 PECOS PAC ID: 8426118860 Enrollment ID: I20211104001759 |
| Provider Name | Ramnish J Mandrelle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982865739 PECOS PAC ID: 4082769401 Enrollment ID: I20211111002353 |
| Provider Name | Samuel Presley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710642863 PECOS PAC ID: 7517356520 Enrollment ID: I20211112002033 |
| Provider Name | Raghuram Sampath |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003047150 PECOS PAC ID: 9335459353 Enrollment ID: I20211117001634 |
| Provider Name | Kyle Besaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407344872 PECOS PAC ID: 8921355868 Enrollment ID: I20211117001717 |
| Provider Name | Gretchen Lambert Kryss-peak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891115440 PECOS PAC ID: 9739580200 Enrollment ID: I20211119001104 |
| Provider Name | Bailey Kristine Udy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023680212 PECOS PAC ID: 1456740976 Enrollment ID: I20211122001895 |
| Provider Name | Sean Peterson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619362001 PECOS PAC ID: 6305142928 Enrollment ID: I20211122001923 |
| Provider Name | Laura M Webster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679862726 PECOS PAC ID: 2769624501 Enrollment ID: I20211130000570 |
| Provider Name | Misty Dawn Van Cleave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285305870 PECOS PAC ID: 6406246552 Enrollment ID: I20211202002924 |
| Provider Name | Johanna R Heymann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033491147 PECOS PAC ID: 6204899776 Enrollment ID: I20211206002249 |
| Provider Name | Sara Joanna Kluge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629534730 PECOS PAC ID: 0143631978 Enrollment ID: I20211208001197 |
| Provider Name | Wudeneh Molla Mulugeta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922397918 PECOS PAC ID: 0941517833 Enrollment ID: I20211208002776 |
| Provider Name | Gabriella Szilvia Skuta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346486297 PECOS PAC ID: 1153484191 Enrollment ID: I20211208003170 |
| Provider Name | Shannon L Emerick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760800684 PECOS PAC ID: 5193096253 Enrollment ID: I20211209000362 |
| Provider Name | Hannah Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326494584 PECOS PAC ID: 9739442336 Enrollment ID: I20211209002245 |
| Provider Name | Anuradha Bakshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689894586 PECOS PAC ID: 9830384825 Enrollment ID: I20211210000928 |
| Provider Name | Jennifer Fleischer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699271924 PECOS PAC ID: 5193115822 Enrollment ID: I20211210001984 |
| Provider Name | Amy Fuller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366898710 PECOS PAC ID: 3779876610 Enrollment ID: I20211210002193 |
| Provider Name | John Randles |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811139256 PECOS PAC ID: 0042524415 Enrollment ID: I20211214002152 |
| Provider Name | Juno Liu |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528571429 PECOS PAC ID: 2668731100 Enrollment ID: I20211216002036 |
| Provider Name | Blair Ryan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114440161 PECOS PAC ID: 5698041150 Enrollment ID: I20211217001565 |
| Provider Name | Karen Lyn Murrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538247259 PECOS PAC ID: 7012196447 Enrollment ID: I20211220001558 |
| Provider Name | Dao Pham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184792418 PECOS PAC ID: 9234284639 Enrollment ID: I20211222002186 |
| Provider Name | Ryan Coe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194229492 PECOS PAC ID: 5092066795 Enrollment ID: I20211229000338 |
| Provider Name | Elizabeth G Finigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780610048 PECOS PAC ID: 3173580057 Enrollment ID: I20211229001038 |
| Provider Name | Jennifer Rosenbaum |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104263987 PECOS PAC ID: 2860627288 Enrollment ID: I20211229001757 |
| Provider Name | Tracy Kim Townsend |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386029759 PECOS PAC ID: 9830518190 Enrollment ID: I20211230000858 |
| Provider Name | Mary Ruppert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346372026 PECOS PAC ID: 3779750575 Enrollment ID: I20220104002222 |
| Provider Name | Sarah Janine Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710300223 PECOS PAC ID: 0345631099 Enrollment ID: I20220106002510 |
| Provider Name | Zinnat Begum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821415720 PECOS PAC ID: 7012135767 Enrollment ID: I20220110000247 |
| Provider Name | Adam John Fishback |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083295166 PECOS PAC ID: 7214329986 Enrollment ID: I20220110002261 |
| Provider Name | Archana Balasubramanya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912197443 PECOS PAC ID: 3476647033 Enrollment ID: I20220114002063 |
| Provider Name | Justin Yan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306290093 PECOS PAC ID: 8022409242 Enrollment ID: I20220117000243 |
| Provider Name | Meredith Todd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770564585 PECOS PAC ID: 8426191545 Enrollment ID: I20220117000555 |
| Provider Name | Rachelle C Hutchinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497045439 PECOS PAC ID: 4587823703 Enrollment ID: I20220121000405 |
| Provider Name | Joanne P Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962452433 PECOS PAC ID: 4587655527 Enrollment ID: I20220121002135 |
| Provider Name | Amanda Gittelman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578095402 PECOS PAC ID: 1557797834 Enrollment ID: I20220124001237 |
| Provider Name | Amanda Gelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003233990 PECOS PAC ID: 1052537834 Enrollment ID: I20220201001473 |
| Provider Name | David Gevorgyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770997959 PECOS PAC ID: 6305161415 Enrollment ID: I20220207002335 |
| Provider Name | Robert Dickason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225473788 PECOS PAC ID: 3072883115 Enrollment ID: I20220211001700 |
| Provider Name | Kevin Thomas Scheppke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609004068 PECOS PAC ID: 9234394545 Enrollment ID: I20220214002183 |
| Provider Name | Patty J Koker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053887109 PECOS PAC ID: 4183018971 Enrollment ID: I20220221000791 |
| Provider Name | Ying Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477852663 PECOS PAC ID: 8729210364 Enrollment ID: I20220224001005 |
| Provider Name | Karla Acosta-monroe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003306705 PECOS PAC ID: 5698169027 Enrollment ID: I20220302002321 |
| Provider Name | Allison Marie Bail |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063857548 PECOS PAC ID: 5991097156 Enrollment ID: I20220308002418 |
| Provider Name | David M Impastato |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891114468 PECOS PAC ID: 7810211943 Enrollment ID: I20220308002572 |
| Provider Name | Natalie Scandurro |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740764315 PECOS PAC ID: 1254670813 Enrollment ID: I20220309002953 |
| Provider Name | Mi-kyoung Song |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619962131 PECOS PAC ID: 6103965314 Enrollment ID: I20220310001203 |
| Provider Name | Jennifer K Ching |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073052049 PECOS PAC ID: 5092091769 Enrollment ID: I20220310002432 |
| Provider Name | Kelli Grace Knudsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841700366 PECOS PAC ID: 5597150219 Enrollment ID: I20220316001244 |
| Provider Name | Jessica Cheung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356962179 PECOS PAC ID: 2860887676 Enrollment ID: I20220316002812 |
| Provider Name | Lea E Manlapaz Villavicencio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740315407 PECOS PAC ID: 9638191091 Enrollment ID: I20220317001796 |
| Provider Name | Gurusidda Prabhu Manu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083058374 PECOS PAC ID: 7517190499 Enrollment ID: I20220318002175 |
| Provider Name | Kristyn C Demello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104585298 PECOS PAC ID: 4082009410 Enrollment ID: I20220321001874 |
| Provider Name | Rachel Elizabeth Ternan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619276292 PECOS PAC ID: 8022234095 Enrollment ID: I20220321001956 |
| Provider Name | Miriah Elise Benarroch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811658826 PECOS PAC ID: 0547655912 Enrollment ID: I20220322000615 |
| Provider Name | Keene A Roadman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114501178 PECOS PAC ID: 5395143549 Enrollment ID: I20220322001370 |
| Provider Name | Jacqueline W Chen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578977963 PECOS PAC ID: 1658599576 Enrollment ID: I20220323000766 |
| Provider Name | Alexander William Hull |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942658828 PECOS PAC ID: 6800144940 Enrollment ID: I20220323002115 |
| Provider Name | Anna E Augustin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407343528 PECOS PAC ID: 5294131231 Enrollment ID: I20220328001843 |
| Provider Name | Doniel G Drazin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790195790 PECOS PAC ID: 2062709678 Enrollment ID: I20220330000994 |
| Provider Name | Omar Fares |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609335785 PECOS PAC ID: 6406186287 Enrollment ID: I20220331002792 |
| Provider Name | Elizabeth L Baker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447409735 PECOS PAC ID: 7618237215 Enrollment ID: I20220401002014 |
| Provider Name | Elia R Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881198745 PECOS PAC ID: 4880005552 Enrollment ID: I20220404002490 |
| Provider Name | Neil Steven Alex |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528139433 PECOS PAC ID: 4789870247 Enrollment ID: I20220405001935 |
| Provider Name | Adam Wayne Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295358018 PECOS PAC ID: 7618363169 Enrollment ID: I20220408001330 |
| Provider Name | Adam Berens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386253276 PECOS PAC ID: 8527454958 Enrollment ID: I20220411002031 |
| Provider Name | Emily Frances Dollar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932662897 PECOS PAC ID: 3577891217 Enrollment ID: I20220412001163 |
| Provider Name | Shannon Leann Mabie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124502190 PECOS PAC ID: 7113271289 Enrollment ID: I20220414000298 |
| Provider Name | Daniel Anthony Turano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821740937 PECOS PAC ID: 8921494147 Enrollment ID: I20220414002244 |
| Provider Name | Allison Gerig |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891184073 PECOS PAC ID: 1153715701 Enrollment ID: I20220419002072 |
| Provider Name | Michael Adam Walton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538837141 PECOS PAC ID: 0648667709 Enrollment ID: I20220420002247 |
| Provider Name | Debra L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689027153 PECOS PAC ID: 2466730296 Enrollment ID: I20220427001603 |
| Provider Name | Graham Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730844838 PECOS PAC ID: 0345637013 Enrollment ID: I20220427001763 |
| Provider Name | Brandi Lynn Harlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053070730 PECOS PAC ID: 7113314683 Enrollment ID: I20220502001136 |
| Provider Name | Molly Rose Vila |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649579491 PECOS PAC ID: 1658664404 Enrollment ID: I20220502002463 |
| Provider Name | Nicole Cairns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235633280 PECOS PAC ID: 3678824000 Enrollment ID: I20220505001536 |
| Provider Name | Segolene Emilienne Weller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386177418 PECOS PAC ID: 0547510349 Enrollment ID: I20220505002075 |
| Provider Name | Jian Xu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689012585 PECOS PAC ID: 2668691593 Enrollment ID: I20220509001872 |
| Provider Name | Julia Gibbons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700439288 PECOS PAC ID: 9931538816 Enrollment ID: I20220510001666 |
| Provider Name | Samuel Huie |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1063921807 PECOS PAC ID: 2264790088 Enrollment ID: I20220512000730 |
| Provider Name | Stephanie F De Jesus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700870193 PECOS PAC ID: 3173415080 Enrollment ID: I20220512002530 |
| Provider Name | Kristina V Fisher |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578223681 PECOS PAC ID: 8022495670 Enrollment ID: I20220519002341 |
| Provider Name | Michelle F Scheurich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184187809 PECOS PAC ID: 3476882192 Enrollment ID: I20220525002578 |
| Provider Name | Marilyn Sears |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174906531 PECOS PAC ID: 6103204581 Enrollment ID: I20220526001914 |
| Provider Name | Shannon D Paris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912386459 PECOS PAC ID: 9931587151 Enrollment ID: I20220531002051 |
| Provider Name | Megan Worthley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639585474 PECOS PAC ID: 6901126044 Enrollment ID: I20220608002801 |
| Provider Name | Eric Peters |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1023378171 PECOS PAC ID: 8123282431 Enrollment ID: I20220613001615 |
| Provider Name | Madison Hefner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699323303 PECOS PAC ID: 6305225863 Enrollment ID: I20220614001817 |
| Provider Name | William Paul Kabele |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801180419 PECOS PAC ID: 6204014061 Enrollment ID: I20220614002942 |
| Provider Name | Skyler August Gideon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669136131 PECOS PAC ID: 0648659987 Enrollment ID: I20220616002637 |
| Provider Name | Vuong Duc Vu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215384953 PECOS PAC ID: 4486947504 Enrollment ID: I20220620001358 |
| Provider Name | Kelvin D Monroe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033600374 PECOS PAC ID: 3072917954 Enrollment ID: I20220621002356 |
| Provider Name | Caleb P Prentice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700231347 PECOS PAC ID: 2668738642 Enrollment ID: I20220628003005 |
| Provider Name | John Michael Grubbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174636740 PECOS PAC ID: 8325139728 Enrollment ID: I20220705000569 |
| Provider Name | Kris Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437560646 PECOS PAC ID: 0042512592 Enrollment ID: I20220708002883 |
| Provider Name | Geoffrey Peter Noble |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1801322938 PECOS PAC ID: 9537410865 Enrollment ID: I20220712002953 |
| Provider Name | Jeffrey Young-yueh Lin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326381732 PECOS PAC ID: 4880819242 Enrollment ID: I20220713002960 |
| Provider Name | Olaseni Alexander Shoroye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053376509 PECOS PAC ID: 1557346418 Enrollment ID: I20220714001113 |
| Provider Name | Cindy Brooke Firman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194172239 PECOS PAC ID: 8921489352 Enrollment ID: I20220718000829 |
| Provider Name | Natalie Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962768317 PECOS PAC ID: 6709187651 Enrollment ID: I20220718001872 |
| Provider Name | Suhail G Bahu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851562946 PECOS PAC ID: 0042356164 Enrollment ID: I20220722000359 |
| Provider Name | Rebecca Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447225685 PECOS PAC ID: 3072405034 Enrollment ID: I20220725001936 |
| Provider Name | Chyna Turnbull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578082632 PECOS PAC ID: 4789942640 Enrollment ID: I20220725002274 |
| Provider Name | Gyorgy Pataki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700950847 PECOS PAC ID: 6507995107 Enrollment ID: I20220802002063 |
| Provider Name | Justine J Summers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376907998 PECOS PAC ID: 4981028099 Enrollment ID: I20220802003468 |
| Provider Name | Mohammad Roostan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417480534 PECOS PAC ID: 3577989474 Enrollment ID: I20220808002490 |
| Provider Name | Bryan Dryer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639136922 PECOS PAC ID: 5496941825 Enrollment ID: I20220812001593 |
| Provider Name | Daniel E Markowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184155335 PECOS PAC ID: 9537580741 Enrollment ID: I20220815001470 |
| Provider Name | Fidel Gerardo Garcia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689243214 PECOS PAC ID: 8729480694 Enrollment ID: I20220819002857 |
| Provider Name | Molly Hames |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104116862 PECOS PAC ID: 4587883228 Enrollment ID: I20220823001237 |
| Provider Name | Ayesha Akhter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134174469 PECOS PAC ID: 0345378527 Enrollment ID: I20220826001922 |
| Provider Name | Elizabeth Rachel Corwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619474327 PECOS PAC ID: 9133470859 Enrollment ID: I20220829000591 |
| Provider Name | Page Tomlinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447877311 PECOS PAC ID: 9739504556 Enrollment ID: I20220829001265 |
| Provider Name | Hollie Lynn Gaeto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114310687 PECOS PAC ID: 4284931718 Enrollment ID: I20220829001377 |
| Provider Name | Jessica Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841786688 PECOS PAC ID: 7416295126 Enrollment ID: I20220830004025 |
| Provider Name | Tiffany R Phillips |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265811012 PECOS PAC ID: 6305177049 Enrollment ID: I20220831001732 |
| Provider Name | Sara L Kowalczyk |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982253423 PECOS PAC ID: 1557745965 Enrollment ID: I20220902002880 |
| Provider Name | Emily J Marsh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720616527 PECOS PAC ID: 9335545524 Enrollment ID: I20220907002740 |
| Provider Name | Ashley R Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003588047 PECOS PAC ID: 3870977952 Enrollment ID: I20220908003665 |
| Provider Name | Michelle Barnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831623198 PECOS PAC ID: 1052796174 Enrollment ID: I20220909002166 |
| Provider Name | Hyun J Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104322262 PECOS PAC ID: 7517367634 Enrollment ID: I20220912001176 |
| Provider Name | Kourosh F Ghassemi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215016969 PECOS PAC ID: 7416028584 Enrollment ID: I20220914003762 |
| Provider Name | David W Nutter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912946757 PECOS PAC ID: 3375608664 Enrollment ID: I20220915002983 |
| Provider Name | Yesenia Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356844674 PECOS PAC ID: 5395084453 Enrollment ID: I20220916001374 |
| Provider Name | Eric A Ardman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790312809 PECOS PAC ID: 6406279660 Enrollment ID: I20220916003244 |
| Provider Name | Holly Kay Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932641180 PECOS PAC ID: 7911382528 Enrollment ID: I20220919001343 |
| Provider Name | Ross Moran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447304100 PECOS PAC ID: 2860877230 Enrollment ID: I20220921001841 |
| Provider Name | Joanne Tuyet Stowell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639701063 PECOS PAC ID: 9032509468 Enrollment ID: I20220926002433 |
| Provider Name | Juliet Tran |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1740522812 PECOS PAC ID: 8123404381 Enrollment ID: I20220926003240 |
| Provider Name | Adam Z Khan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568812675 PECOS PAC ID: 7810373834 Enrollment ID: I20220929002048 |
| Provider Name | Vineet K Mehndiratta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649634940 PECOS PAC ID: 2062760192 Enrollment ID: I20220929003416 |
| Provider Name | Daniel L Hackett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982775961 PECOS PAC ID: 8628136603 Enrollment ID: I20220930002498 |
| Provider Name | Kershena Shien Liao |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467985002 PECOS PAC ID: 7810373552 Enrollment ID: I20221003002358 |
| Provider Name | Chase W Mussard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760010557 PECOS PAC ID: 6709201148 Enrollment ID: I20221003002714 |
| Provider Name | Claire Sylvester Smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346745494 PECOS PAC ID: 8921434077 Enrollment ID: I20221005001162 |
| Provider Name | Mary K Holt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689137259 PECOS PAC ID: 9830578764 Enrollment ID: I20221006003263 |
| Provider Name | Jerry P Jiang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861019358 PECOS PAC ID: 3072916139 Enrollment ID: I20221007001285 |
| Provider Name | Michael Chew |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487912697 PECOS PAC ID: 0143511121 Enrollment ID: I20221010003360 |
| Provider Name | Janice Cho |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457715054 PECOS PAC ID: 2769774074 Enrollment ID: I20221012002257 |
| Provider Name | Payam R Lahiji |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265895270 PECOS PAC ID: 7911281787 Enrollment ID: I20221013000846 |
| Provider Name | Maria Chuop |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891293247 PECOS PAC ID: 5991035248 Enrollment ID: I20221013002760 |
| Provider Name | Nicholas E Calvo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972958593 PECOS PAC ID: 4183918279 Enrollment ID: I20221014002260 |
| Provider Name | Tina Marie Hawley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699764472 PECOS PAC ID: 2163565912 Enrollment ID: I20221016000000 |
| Provider Name | Shane Alexander Sobrio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295298834 PECOS PAC ID: 0749689750 Enrollment ID: I20221016000031 |
| Provider Name | Claire Kendall Learmonth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720583727 PECOS PAC ID: 7012268246 Enrollment ID: I20221018000676 |
| Provider Name | Jeffrey Scott Carlton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649853052 PECOS PAC ID: 4082018080 Enrollment ID: I20221018002891 |
| Provider Name | Madison P Meltebeke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972173987 PECOS PAC ID: 9335515253 Enrollment ID: I20221019002394 |
| Provider Name | Suzanne Lynn Groth |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275131682 PECOS PAC ID: 2769866649 Enrollment ID: I20221019002571 |
| Provider Name | Pratyusha D Banik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689135659 PECOS PAC ID: 1456680966 Enrollment ID: I20221020001184 |
| Provider Name | Stephen Albert Toth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023515954 PECOS PAC ID: 3678949443 Enrollment ID: I20221020001729 |
| Provider Name | Ambereen Sarwat Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407347073 PECOS PAC ID: 9436400934 Enrollment ID: I20221020003454 |
| Provider Name | Laurence Nicholas Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275030850 PECOS PAC ID: 9133470735 Enrollment ID: I20221021002467 |
| Provider Name | Dennis Andresovitch Barbon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427510700 PECOS PAC ID: 4880004084 Enrollment ID: I20221024000939 |
| Provider Name | Jonathon Lee Gross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750840054 PECOS PAC ID: 5799101085 Enrollment ID: I20221024001227 |
| Provider Name | Kenneth Donovan Norman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1306297338 PECOS PAC ID: 0941584684 Enrollment ID: I20221025002843 |
| Provider Name | Raquel Bell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699104703 PECOS PAC ID: 3476826207 Enrollment ID: I20221026000244 |
| Provider Name | Chelsea Hogan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225598345 PECOS PAC ID: 8224362025 Enrollment ID: I20221031000437 |
| Provider Name | Bonnie Diep |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164806642 PECOS PAC ID: 3779852488 Enrollment ID: I20221031002149 |
| Provider Name | Tara Elizabeth Henn |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902338510 PECOS PAC ID: 4486927712 Enrollment ID: I20221101002050 |
| Provider Name | Dylan Wolman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265828081 PECOS PAC ID: 7012348600 Enrollment ID: I20221101003501 |
| Provider Name | Alexander Shar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033280920 PECOS PAC ID: 2062546195 Enrollment ID: I20221102000749 |
| Provider Name | Simranjit K Kang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275915977 PECOS PAC ID: 9638484561 Enrollment ID: I20221102002618 |
| Provider Name | Lauren Cowen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215593769 PECOS PAC ID: 9638545122 Enrollment ID: I20221103002972 |
| Provider Name | Tatyana Viktorovna Aleksandrova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740719103 PECOS PAC ID: 0143554766 Enrollment ID: I20221104002188 |
| Provider Name | Benjamin James Dossetter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346709664 PECOS PAC ID: 9739422692 Enrollment ID: I20221107002957 |
| Provider Name | Stuart James Thomas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639445471 PECOS PAC ID: 1850513185 Enrollment ID: I20221108001162 |
| Provider Name | Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215253240 PECOS PAC ID: 0143475095 Enrollment ID: I20221108002761 |
| Provider Name | Mike Geng-li Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558474569 PECOS PAC ID: 1254400187 Enrollment ID: I20221109000658 |
| Provider Name | Trevor Jansen Mooney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932693165 PECOS PAC ID: 4385993641 Enrollment ID: I20221109001233 |
| Provider Name | Jacqueline Fernandez Adlawan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598708125 PECOS PAC ID: 8022016070 Enrollment ID: I20221109001501 |
| Provider Name | Emily Bolton |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1285124958 PECOS PAC ID: 3779839329 Enrollment ID: I20221109002962 |
| Provider Name | Kathleen Mcmanus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851589287 PECOS PAC ID: 6709944366 Enrollment ID: I20221110002388 |
| Provider Name | Justin Sovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629425475 PECOS PAC ID: 5395030878 Enrollment ID: I20221111000354 |
| Provider Name | Khalid A Hararah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053808501 PECOS PAC ID: 3678801552 Enrollment ID: I20221111000627 |
| Provider Name | Patricia Bharti Aswani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891215620 PECOS PAC ID: 3971901158 Enrollment ID: I20221114001612 |
| Provider Name | Summer Lee Ashley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295107795 PECOS PAC ID: 8022485507 Enrollment ID: I20221114001679 |
| Provider Name | Cole Meade Erickson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558894832 PECOS PAC ID: 5991131641 Enrollment ID: I20221114001799 |
| Provider Name | Tapati Chowdhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184287021 PECOS PAC ID: 2961870456 Enrollment ID: I20221114002298 |
| Provider Name | Jessica Woods Bosley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821325796 PECOS PAC ID: 8820466386 Enrollment ID: I20221115001787 |
| Provider Name | Alice Koech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669105656 PECOS PAC ID: 4880062264 Enrollment ID: I20221115002858 |
| Provider Name | Julie Lynn Mertes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326105677 PECOS PAC ID: 5496123838 Enrollment ID: I20221116001607 |
| Provider Name | Zachary Croy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508359894 PECOS PAC ID: 1052647369 Enrollment ID: I20221117000185 |
| Provider Name | Teal Clocksin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780212621 PECOS PAC ID: 1951727833 Enrollment ID: I20221117000201 |
| Provider Name | Scott Douglas Bailey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831159490 PECOS PAC ID: 0446152532 Enrollment ID: I20221118000340 |
| Provider Name | Kimberly Anne Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427573229 PECOS PAC ID: 8729456983 Enrollment ID: I20221118000652 |
| Provider Name | Dar-jen Michael Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497178016 PECOS PAC ID: 6608147202 Enrollment ID: I20221118000973 |
| Provider Name | Cosmas Okaru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346668548 PECOS PAC ID: 8628349172 Enrollment ID: I20221118001693 |
| Provider Name | Daniel Evan Parecki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730618927 PECOS PAC ID: 2567884059 Enrollment ID: I20221118002459 |
| Provider Name | Trang Ngoc Minh Vu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912273905 PECOS PAC ID: 1153571286 Enrollment ID: I20221121000461 |
| Provider Name | Monica Quinlan Paulson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790246445 PECOS PAC ID: 3971838640 Enrollment ID: I20221122003194 |
| Provider Name | Arvy Wuysang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275191280 PECOS PAC ID: 3678941689 Enrollment ID: I20221123001015 |
| Provider Name | Amanda Grace Fobare |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1639564941 PECOS PAC ID: 0941678874 Enrollment ID: I20221123002324 |
| Provider Name | Heamin Thomas Shin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396817524 PECOS PAC ID: 8820089667 Enrollment ID: I20221125000185 |
| Provider Name | Jason Yiu Wong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285053793 PECOS PAC ID: 3173844180 Enrollment ID: I20221125000241 |
| Provider Name | Nathanael Mark Eisenhut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992157424 PECOS PAC ID: 5092056572 Enrollment ID: I20221125000496 |
| Provider Name | Michael Zatt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033643192 PECOS PAC ID: 0042581167 Enrollment ID: I20221128000464 |
| Provider Name | Vladimir Tchikrizov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295222867 PECOS PAC ID: 6002165164 Enrollment ID: I20221128000517 |
| Provider Name | Lark Marie Allison-damitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689016701 PECOS PAC ID: 5698143196 Enrollment ID: I20221128000972 |
| Provider Name | Dan Calabrese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366978157 PECOS PAC ID: 2264800044 Enrollment ID: I20221129001725 |
| Provider Name | Joseph Caleb Smoot |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013437920 PECOS PAC ID: 7810261286 Enrollment ID: I20221130001672 |
| Provider Name | Christian Alyssa Speich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689235756 PECOS PAC ID: 1052789740 Enrollment ID: I20221130003124 |
| Provider Name | Nycole Ashley Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497232383 PECOS PAC ID: 0749520021 Enrollment ID: I20221130003289 |
| Provider Name | Brittany Bashamra Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386203719 PECOS PAC ID: 3678805009 Enrollment ID: I20221130003290 |
| Provider Name | Cara Suzanne Ninivaggio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548420383 PECOS PAC ID: 6507012929 Enrollment ID: I20221201001344 |
| Provider Name | Stephanie N Mazzawi-lockwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952967382 PECOS PAC ID: 8820466469 Enrollment ID: I20221201002073 |
| Provider Name | Ross Robert Vyhmeister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912357187 PECOS PAC ID: 2860768934 Enrollment ID: I20221201002191 |
| Provider Name | Danielle L Henson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982999413 PECOS PAC ID: 4082857107 Enrollment ID: I20221201002581 |
| Provider Name | Kashiff Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194989723 PECOS PAC ID: 3476742297 Enrollment ID: I20221201002900 |
| Provider Name | Benjamin Jacob Colburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104357714 PECOS PAC ID: 6103182621 Enrollment ID: I20221202002758 |
| Provider Name | Elizabeth Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245978709 PECOS PAC ID: 0840669420 Enrollment ID: I20221205001374 |
| Provider Name | Christopher Paul Zinsmeister |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962066886 PECOS PAC ID: 9335474840 Enrollment ID: I20221205002904 |
| Provider Name | Gregory Anton Rufener |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538663703 PECOS PAC ID: 4981954120 Enrollment ID: I20221205003118 |
| Provider Name | Kawen Zhang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326609413 PECOS PAC ID: 6204205727 Enrollment ID: I20221205003334 |
| Provider Name | Sherman Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144603044 PECOS PAC ID: 1456784719 Enrollment ID: I20221206001151 |
| Provider Name | Ana Paula Santos Lima |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962051342 PECOS PAC ID: 7911304233 Enrollment ID: I20221206001433 |
| Provider Name | Maribonn Tiangson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982157996 PECOS PAC ID: 3274828603 Enrollment ID: I20221206002240 |
| Provider Name | Jeffrey L Shuster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770922668 PECOS PAC ID: 3375843519 Enrollment ID: I20221206003118 |
| Provider Name | Kristin Sachiko Yasuda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598224610 PECOS PAC ID: 1052729209 Enrollment ID: I20221206003326 |
| Provider Name | Pedro Alberto Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871145193 PECOS PAC ID: 8527459536 Enrollment ID: I20221207000370 |
| Provider Name | Reuel Christopher Young Uy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235546516 PECOS PAC ID: 4183844160 Enrollment ID: I20221207000398 |
| Provider Name | Susan B Carol |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1508963596 PECOS PAC ID: 3678469731 Enrollment ID: I20221207000442 |
| Provider Name | Janan R Lane |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1154449809 PECOS PAC ID: 9739352071 Enrollment ID: I20221207001715 |
| Provider Name | Tina Zhu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568957884 PECOS PAC ID: 7911257019 Enrollment ID: I20221208000804 |
| Provider Name | Camelia Forton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124420252 PECOS PAC ID: 8628329083 Enrollment ID: I20221208001979 |
| Provider Name | Amarjot Singh Kang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124685524 PECOS PAC ID: 5092184325 Enrollment ID: I20221208002368 |
| Provider Name | Ryan Andrew Menghini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245623586 PECOS PAC ID: 6002283652 Enrollment ID: I20221208003020 |
| Provider Name | Sarah Ellen Hiam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083751333 PECOS PAC ID: 3678662061 Enrollment ID: I20221209000870 |
| Provider Name | Olga Boltenkov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700292596 PECOS PAC ID: 5294104477 Enrollment ID: I20221210000009 |
| Provider Name | Melissa Q Chen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174252761 PECOS PAC ID: 9739558719 Enrollment ID: I20221214000662 |
| Provider Name | Paul Sholar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528593746 PECOS PAC ID: 5395114961 Enrollment ID: I20221214000687 |
| Provider Name | Sobiya Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427374149 PECOS PAC ID: 6204950728 Enrollment ID: I20221214001426 |
| Provider Name | Suzanne Garnet Mccann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649581901 PECOS PAC ID: 0941679948 Enrollment ID: I20221214001652 |
| Provider Name | Tamara Renee Sanderson Dissanayake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457771305 PECOS PAC ID: 5193945806 Enrollment ID: I20221215003161 |
| Provider Name | Ashray Maniar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750813101 PECOS PAC ID: 9537432497 Enrollment ID: I20221216000886 |
| Provider Name | Domingo Caparas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457648362 PECOS PAC ID: 9032339759 Enrollment ID: I20221216001408 |
| Provider Name | Marisa Alexandra Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992326136 PECOS PAC ID: 0345644548 Enrollment ID: I20221216001761 |
| Provider Name | Tara Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336643105 PECOS PAC ID: 4880063627 Enrollment ID: I20221216002230 |
| Provider Name | Fazeelah Ibrahim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053975722 PECOS PAC ID: 4880921022 Enrollment ID: I20221216002638 |
| Provider Name | Won Seok Cha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174903140 PECOS PAC ID: 6901184373 Enrollment ID: I20221219001422 |
| Provider Name | Hannah Robertson-stumes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700484136 PECOS PAC ID: 9032529805 Enrollment ID: I20221220001065 |
| Provider Name | Linda Buu Buu Truong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497196281 PECOS PAC ID: 8224304563 Enrollment ID: I20221221002743 |
| Provider Name | Jasper Howes Erickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205457181 PECOS PAC ID: 6507288685 Enrollment ID: I20221221002871 |
| Provider Name | Scott P Landreth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558859900 PECOS PAC ID: 9234488339 Enrollment ID: I20221223000397 |
| Provider Name | Eric Patterson Wecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609396365 PECOS PAC ID: 9739410101 Enrollment ID: I20230103001263 |
| Provider Name | Deanna M Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598819138 PECOS PAC ID: 1759486152 Enrollment ID: I20230103002129 |
| Provider Name | Hong-diep Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093370132 PECOS PAC ID: 3072983337 Enrollment ID: I20230104002393 |
| Provider Name | Jaimie L Harper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447442561 PECOS PAC ID: 1951771187 Enrollment ID: I20230105001599 |
| Provider Name | Sydney Anne Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063988103 PECOS PAC ID: 0143690107 Enrollment ID: I20230109000880 |
| Provider Name | Reginald Vanness Gilmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679129217 PECOS PAC ID: 3375913346 Enrollment ID: I20230109001156 |
| Provider Name | Marshall Albert Canizalez |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1376205278 PECOS PAC ID: 4880064732 Enrollment ID: I20230110002296 |
| Provider Name | John Houston Campbell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013478270 PECOS PAC ID: 9638403207 Enrollment ID: I20230111001832 |
| Provider Name | Alexa Erin Rawlins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770044901 PECOS PAC ID: 7810226693 Enrollment ID: I20230111002354 |
| Provider Name | Brittany Claire Mcadams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154882033 PECOS PAC ID: 2668700295 Enrollment ID: I20230111002513 |
| Provider Name | Lakesha Lord-sunamoto |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134191992 PECOS PAC ID: 1254347669 Enrollment ID: I20230116000224 |
| Provider Name | Veronica Gallegos-lozano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689853913 PECOS PAC ID: 5890166672 Enrollment ID: I20230116000445 |
| Provider Name | Lisa Klavans-rekosh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255864526 PECOS PAC ID: 2860863644 Enrollment ID: I20230116000470 |
| Provider Name | Emina Bajrovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720493281 PECOS PAC ID: 7618272550 Enrollment ID: I20230116000909 |
| Provider Name | Bagrat Mkrtchyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013398916 PECOS PAC ID: 3870835846 Enrollment ID: I20230117001018 |
| Provider Name | Sara Alison Kaplan Irwin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639321524 PECOS PAC ID: 4587804372 Enrollment ID: I20230117001222 |
| Provider Name | Kathryn Taylor Holt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174151229 PECOS PAC ID: 8123441359 Enrollment ID: I20230119002912 |
| Provider Name | Lin-lin Chen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609039536 PECOS PAC ID: 5890827844 Enrollment ID: I20230120001079 |
| Provider Name | Shauna B. Raffety Schatz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508982729 PECOS PAC ID: 8123299070 Enrollment ID: I20230120001842 |
| Provider Name | Clifford Andrew Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497389811 PECOS PAC ID: 7113398561 Enrollment ID: I20230120002591 |
| Provider Name | Claudiu Adrian Vlada |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1780817270 PECOS PAC ID: 8820231343 Enrollment ID: I20230121000046 |
| Provider Name | Ryan Alan Williamson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003234204 PECOS PAC ID: 9133458581 Enrollment ID: I20230123000079 |
| Provider Name | Ariana B Foster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124088729 PECOS PAC ID: 0345611877 Enrollment ID: I20230123001899 |
| Provider Name | Sara Elizabeth Holt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225026354 PECOS PAC ID: 9739151671 Enrollment ID: I20230123002050 |
| Provider Name | Madeline Grace Aden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881280204 PECOS PAC ID: 4284005695 Enrollment ID: I20230123002085 |
| Provider Name | Dhriti Mukhopadhyay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639490725 PECOS PAC ID: 3476834631 Enrollment ID: I20230123002955 |
| Provider Name | Matthew Haglund |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154044956 PECOS PAC ID: 9739559709 Enrollment ID: I20230124002011 |
| Provider Name | Cindy Lin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962883579 PECOS PAC ID: 5294028411 Enrollment ID: I20230126002399 |
| Provider Name | Tess Fabrick Klaristenfeld |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881878023 PECOS PAC ID: 5597944868 Enrollment ID: I20230127000913 |
| Provider Name | Ramail Danish Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366061194 PECOS PAC ID: 5698153625 Enrollment ID: I20230127001056 |
| Provider Name | Julie Bergman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700248309 PECOS PAC ID: 8224360920 Enrollment ID: I20230127001330 |
| Provider Name | Deborah Falch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568849545 PECOS PAC ID: 4880010206 Enrollment ID: I20230127001824 |
| Provider Name | Megan E Salisbury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730606989 PECOS PAC ID: 0345599684 Enrollment ID: I20230130000255 |
| Provider Name | Eric Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326543539 PECOS PAC ID: 9335496371 Enrollment ID: I20230130000768 |
| Provider Name | Keeona Gay Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528636156 PECOS PAC ID: 1557732989 Enrollment ID: I20230130001969 |
| Provider Name | Laura K Fisk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962800615 PECOS PAC ID: 4789902032 Enrollment ID: I20230131000860 |
| Provider Name | Michael Grant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841748225 PECOS PAC ID: 1456722362 Enrollment ID: I20230131002221 |
| Provider Name | Lauren Elizabeth Stoner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376900878 PECOS PAC ID: 8022489954 Enrollment ID: I20230131003609 |
| Provider Name | Vivek Krishna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295920320 PECOS PAC ID: 7719148238 Enrollment ID: I20230202001641 |
| Provider Name | Callista Smith Sigalov |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801548490 PECOS PAC ID: 1658743521 Enrollment ID: I20230202003042 |
| Provider Name | Caeli Brannon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235757386 PECOS PAC ID: 2567834443 Enrollment ID: I20230203000178 |
| Provider Name | Maggie Spleet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093064701 PECOS PAC ID: 9335567981 Enrollment ID: I20230203002500 |
| Provider Name | Deidre Nicole Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174854467 PECOS PAC ID: 2668886821 Enrollment ID: I20230205000036 |
| Provider Name | Kelly Rae Dominici |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841386059 PECOS PAC ID: 2062884737 Enrollment ID: I20230206001342 |
| Provider Name | Jason Gabriel Trummer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932315702 PECOS PAC ID: 7315037926 Enrollment ID: I20230208002339 |
| Provider Name | Jesse Tyler Crosland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952068017 PECOS PAC ID: 4385016807 Enrollment ID: I20230209002987 |
| Provider Name | Dominique Sebastian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245707397 PECOS PAC ID: 7315319845 Enrollment ID: I20230210000068 |
| Provider Name | Lisa Ann Denike |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073614954 PECOS PAC ID: 9739269960 Enrollment ID: I20230210001173 |
| Provider Name | Siwi S Saraswati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689184814 PECOS PAC ID: 2860863032 Enrollment ID: I20230213000093 |
| Provider Name | Whitney Ann Fabrizio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770007635 PECOS PAC ID: 8921470196 Enrollment ID: I20230216001104 |
| Provider Name | Adam Kiepert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447773379 PECOS PAC ID: 9830448018 Enrollment ID: I20230216001745 |
| Provider Name | Jessica Pace |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457721409 PECOS PAC ID: 0749566271 Enrollment ID: I20230220000841 |
| Provider Name | Mellany Penetrante Manaig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477670644 PECOS PAC ID: 9032206461 Enrollment ID: I20230221001203 |
| Provider Name | James Edward Palmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407485980 PECOS PAC ID: 1052733250 Enrollment ID: I20230222001077 |
| Provider Name | Julia Ann Pierce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669468245 PECOS PAC ID: 3476578147 Enrollment ID: I20230222001949 |
| Provider Name | Carrie L Geibel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457530305 PECOS PAC ID: 1355585415 Enrollment ID: I20230224002287 |
| Provider Name | Nicholas Andrew Pagliari |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033627260 PECOS PAC ID: 3678835352 Enrollment ID: I20230228001657 |
| Provider Name | Gena Dario Fuaga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821481854 PECOS PAC ID: 9537408463 Enrollment ID: I20230228002669 |
| Provider Name | Christa Anne Witt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073900395 PECOS PAC ID: 7719293679 Enrollment ID: I20230228003213 |
| Provider Name | Philip Lindstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649342494 PECOS PAC ID: 9931398799 Enrollment ID: I20230302002094 |
| Provider Name | Zachariah Omar Adham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588290431 PECOS PAC ID: 9234552670 Enrollment ID: I20230302002283 |
| Provider Name | Marissa M Mcgurr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902516438 PECOS PAC ID: 3678946142 Enrollment ID: I20230303001048 |
| Provider Name | Maria Cristina Soriano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376733899 PECOS PAC ID: 9133200199 Enrollment ID: I20230303002439 |
| Provider Name | Shyam Praful Bhansali |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1013396068 PECOS PAC ID: 5092069708 Enrollment ID: I20230306001239 |
| Provider Name | Ivan Javier Reyes-rufo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780078733 PECOS PAC ID: 6305143702 Enrollment ID: I20230307000903 |
| Provider Name | Daniella Renee Arrogante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831270677 PECOS PAC ID: 7810062577 Enrollment ID: I20230308002371 |
| Provider Name | Mandilyn Yuk Jin Suzuki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558849844 PECOS PAC ID: 5799158895 Enrollment ID: I20230309002162 |
| Provider Name | Conor Mccartney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003158221 PECOS PAC ID: 9537461082 Enrollment ID: I20230310002461 |
| Provider Name | Holly Friesz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386014025 PECOS PAC ID: 2860866977 Enrollment ID: I20230313000782 |
| Provider Name | Elizabeth Susan Gary |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215308796 PECOS PAC ID: 8820344500 Enrollment ID: I20230313000791 |
| Provider Name | Lindsay Madeline Thimmig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225657430 PECOS PAC ID: 4981027240 Enrollment ID: I20230314001754 |
| Provider Name | David Franklin Pruette |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477710176 PECOS PAC ID: 9537304514 Enrollment ID: I20230316001376 |
| Provider Name | Cole Olmon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861941460 PECOS PAC ID: 3274811187 Enrollment ID: I20230317001509 |
| Provider Name | Rachel Garry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659913242 PECOS PAC ID: 5092189787 Enrollment ID: I20230320002829 |
| Provider Name | Frank Lien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003254145 PECOS PAC ID: 2567755200 Enrollment ID: I20230327000661 |
| Provider Name | Leah Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770866634 PECOS PAC ID: 2668645003 Enrollment ID: I20230328000142 |
| Provider Name | Scott P Douglas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659919736 PECOS PAC ID: 6901205236 Enrollment ID: I20230328001155 |
| Provider Name | Daniel Christian Tautenhan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750515599 PECOS PAC ID: 3476927690 Enrollment ID: I20230329002159 |
| Provider Name | Soniya Pimparkar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174150734 PECOS PAC ID: 8022431303 Enrollment ID: I20230329002604 |
| Provider Name | Tracy Peck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073748638 PECOS PAC ID: 6507018017 Enrollment ID: I20230403000654 |
| Provider Name | Wesley M Allen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154878643 PECOS PAC ID: 7214302389 Enrollment ID: I20230404001506 |
| Provider Name | Priscilla Owusu-frimpong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487044640 PECOS PAC ID: 0345537379 Enrollment ID: I20230406002602 |
| Provider Name | Carol Chiu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043458839 PECOS PAC ID: 4486809118 Enrollment ID: I20230413000566 |
| Provider Name | Rachael Michelle Scoones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003524109 PECOS PAC ID: 4183099799 Enrollment ID: I20230413001479 |
| Provider Name | Erin Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073192415 PECOS PAC ID: 1456752138 Enrollment ID: I20230414000190 |
| Provider Name | Wayne Allen Roberto Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346797461 PECOS PAC ID: 2163800558 Enrollment ID: I20230417000542 |
| Provider Name | Mahdis Rokni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922626779 PECOS PAC ID: 0547678351 Enrollment ID: I20230419000726 |
| Provider Name | Christiane Kubit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386832210 PECOS PAC ID: 6608900279 Enrollment ID: I20230424000183 |
| Provider Name | Natalia A Johnsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518072107 PECOS PAC ID: 1951333467 Enrollment ID: I20230424001530 |
| Provider Name | Vu Viet Ngo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982717682 PECOS PAC ID: 3870525223 Enrollment ID: I20230425001921 |
| Provider Name | Kelsey Marie Streeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710617089 PECOS PAC ID: 5991160780 Enrollment ID: I20230501001320 |
| Provider Name | Mojgan Amani |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1144508755 PECOS PAC ID: 5799918637 Enrollment ID: I20230501001775 |
| Provider Name | Danaya Lee Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003573825 PECOS PAC ID: 1355706961 Enrollment ID: I20230504001757 |
| Provider Name | Idelee Garcia Miranda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821328055 PECOS PAC ID: 0345415667 Enrollment ID: I20230505000899 |
| Provider Name | Emily Lauren Yang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356874689 PECOS PAC ID: 2365710332 Enrollment ID: I20230509001755 |
| Provider Name | Colleen Jeanette Scheiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659847580 PECOS PAC ID: 1850635814 Enrollment ID: I20230515001509 |
| Provider Name | Tejas Ranade |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043702459 PECOS PAC ID: 9830563873 Enrollment ID: I20230517003388 |
| Provider Name | Anna M. Teague |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770086878 PECOS PAC ID: 3072932334 Enrollment ID: I20230518000714 |
| Provider Name | Grace Kaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790077303 PECOS PAC ID: 3678735602 Enrollment ID: I20230518002406 |
| Provider Name | Eli Lambert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396848412 PECOS PAC ID: 6002834686 Enrollment ID: I20230518003189 |
| Provider Name | Greggory Mortensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376927541 PECOS PAC ID: 8325307804 Enrollment ID: I20230518003384 |
| Provider Name | Mary Ludwiczak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780678805 PECOS PAC ID: 6800899568 Enrollment ID: I20230519001130 |
| Provider Name | Kathy Y Chang |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1043357742 PECOS PAC ID: 6204829757 Enrollment ID: I20230519002528 |
| Provider Name | Sarah Lynn Anthony |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356689863 PECOS PAC ID: 7810353679 Enrollment ID: I20230519002768 |
| Provider Name | Erica Lee Thygesen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710290598 PECOS PAC ID: 1557727179 Enrollment ID: I20230523003013 |
| Provider Name | Amanda Sue Andersen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033504410 PECOS PAC ID: 8628342854 Enrollment ID: I20230525000779 |
| Provider Name | Kimetha Kaye Fairchild |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205098266 PECOS PAC ID: 3274705876 Enrollment ID: I20230526001894 |
| Provider Name | Gian Lozano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154408052 PECOS PAC ID: 9133586514 Enrollment ID: I20230530001849 |
| Provider Name | Kacie G Brumley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518333483 PECOS PAC ID: 7911288311 Enrollment ID: I20230530002533 |
| Provider Name | Jesse Martin Papac |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316156540 PECOS PAC ID: 7810063351 Enrollment ID: I20230530002841 |
| Provider Name | Sara F Baldauf-wilcox |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598996811 PECOS PAC ID: 1759748106 Enrollment ID: I20230531001121 |
| Provider Name | Astrid Melton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396872321 PECOS PAC ID: 4789040916 Enrollment ID: I20230605001438 |
| Provider Name | Sara Elizabeth Bell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841303682 PECOS PAC ID: 1759355381 Enrollment ID: I20230605003115 |
| Provider Name | Ariel M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154081974 PECOS PAC ID: 3173980141 Enrollment ID: I20230606003263 |
| Provider Name | Nancy Mcmahon Brown |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003054149 PECOS PAC ID: 5193182129 Enrollment ID: I20230607001869 |
| Provider Name | Merlita C Cruzat-blanco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164451993 PECOS PAC ID: 2466517453 Enrollment ID: I20230609002177 |
| Provider Name | Jaron A Christianson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770529851 PECOS PAC ID: 5597660779 Enrollment ID: I20230612001592 |
| Provider Name | Elizabeth Kate Owczarzak |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427446681 PECOS PAC ID: 5597122283 Enrollment ID: I20230612002466 |
| Provider Name | Christina Casnar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063017895 PECOS PAC ID: 6608280235 Enrollment ID: I20230612003267 |
| Provider Name | Alyssa K Petterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790446854 PECOS PAC ID: 1658739271 Enrollment ID: I20230614000584 |
| Provider Name | Muen Yang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659823938 PECOS PAC ID: 4183905375 Enrollment ID: I20230615000404 |
| Provider Name | Larissa Hellen Viegas Bennett |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1932826872 PECOS PAC ID: 1254799539 Enrollment ID: I20230619000434 |
| Provider Name | Kris Clarke Wieland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184934630 PECOS PAC ID: 2961860259 Enrollment ID: I20230619001056 |
| Provider Name | Brianne Keebler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881078814 PECOS PAC ID: 4587072913 Enrollment ID: I20230619001491 |
| Provider Name | Daniel Jared Sacks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518209287 PECOS PAC ID: 8224257530 Enrollment ID: I20230621001122 |
| Provider Name | Calvin Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316983091 PECOS PAC ID: 2163324690 Enrollment ID: I20230623002998 |
| Provider Name | Autumn Elizabeth Crisp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205507589 PECOS PAC ID: 7810355641 Enrollment ID: I20230626002843 |
| Provider Name | Catharine Bon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114230406 PECOS PAC ID: 9436379815 Enrollment ID: I20230703001396 |
| Provider Name | Stephanie Boehm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558055798 PECOS PAC ID: 5092174342 Enrollment ID: I20230705000318 |
| Provider Name | Jeffrey K Gori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811024888 PECOS PAC ID: 8123166535 Enrollment ID: I20230705000929 |
| Provider Name | Divya Singh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235264540 PECOS PAC ID: 5395751861 Enrollment ID: I20230705001227 |
| Provider Name | Alejandro Molina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790361798 PECOS PAC ID: 1759785942 Enrollment ID: I20230705001342 |
| Provider Name | Lisa Thomas Larman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104918010 PECOS PAC ID: 6002870425 Enrollment ID: I20230710003351 |
| Provider Name | Hughey Randall Joiner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154058741 PECOS PAC ID: 6406216662 Enrollment ID: I20230719002385 |
| Provider Name | Gina Springer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619203528 PECOS PAC ID: 1355482050 Enrollment ID: I20230720001363 |
| Provider Name | Cherrylene Lindgren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043272834 PECOS PAC ID: 7618928920 Enrollment ID: I20230720002473 |
| Provider Name | Jason Luong Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558622902 PECOS PAC ID: 0143443341 Enrollment ID: I20230721000011 |
| Provider Name | Yara D Nazzal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477845584 PECOS PAC ID: 3173832995 Enrollment ID: I20230721001493 |
| Provider Name | Scout Jean Stanley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922731538 PECOS PAC ID: 2365802329 Enrollment ID: I20230721002478 |
| Provider Name | Maxwell Daniel Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689019911 PECOS PAC ID: 1052603370 Enrollment ID: I20230724002074 |
| Provider Name | Lisa Dawn Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316135866 PECOS PAC ID: 4183708225 Enrollment ID: I20230725003461 |
| Provider Name | Abdelrahman Beltagy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013250216 PECOS PAC ID: 0840592572 Enrollment ID: I20230726003268 |
| Provider Name | Eleanor Grace Love |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417537226 PECOS PAC ID: 8921482902 Enrollment ID: I20230727002796 |
| Provider Name | Kenna Lynn Kacillas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114447893 PECOS PAC ID: 8921469644 Enrollment ID: I20230727003164 |
| Provider Name | Sarah Christine White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588678759 PECOS PAC ID: 1254790983 Enrollment ID: I20230727003809 |
| Provider Name | Jerusha E Stahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083894638 PECOS PAC ID: 2567541998 Enrollment ID: I20230801002169 |
| Provider Name | Milly Suk Yee Pau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306473764 PECOS PAC ID: 0941620579 Enrollment ID: I20230802003186 |
| Provider Name | Leonidas Koniaris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215991146 PECOS PAC ID: 1759288715 Enrollment ID: I20230802004252 |
| Provider Name | Kristian Allen Ingebretsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891402814 PECOS PAC ID: 7113388398 Enrollment ID: I20230803003627 |
| Provider Name | Jamar Pierre Uzzell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598269664 PECOS PAC ID: 7810357415 Enrollment ID: I20230804003333 |
| Provider Name | Amy Anne Van Goey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114492642 PECOS PAC ID: 1658732664 Enrollment ID: I20230807001471 |
| Provider Name | Gordon Shyu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871088229 PECOS PAC ID: 2466700687 Enrollment ID: I20230807002398 |
| Provider Name | Erick Frederick Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124436373 PECOS PAC ID: 1850753849 Enrollment ID: I20230808000999 |
| Provider Name | Nicholas Sytsma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255969085 PECOS PAC ID: 2264890425 Enrollment ID: I20230810002119 |
| Provider Name | Margaret Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265939359 PECOS PAC ID: 3072863885 Enrollment ID: I20230810002190 |
| Provider Name | David Macias |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245724996 PECOS PAC ID: 3375896079 Enrollment ID: I20230810002493 |
| Provider Name | Jean-phillip Okhovat |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497103105 PECOS PAC ID: 0941595862 Enrollment ID: I20230811001496 |
| Provider Name | Erron Michael Rourke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356961569 PECOS PAC ID: 7315360930 Enrollment ID: I20230811001917 |
| Provider Name | Saba Arshad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871025957 PECOS PAC ID: 8426380437 Enrollment ID: I20230822004368 |
| Provider Name | Marlene L Dicristina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558368597 PECOS PAC ID: 6204832918 Enrollment ID: I20230823000782 |
| Provider Name | Brian Christopher Templet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871957415 PECOS PAC ID: 3577851237 Enrollment ID: I20230823003488 |
| Provider Name | Rachael Dyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861688905 PECOS PAC ID: 8123212248 Enrollment ID: I20230825000950 |
| Provider Name | Samuel Lindner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538694096 PECOS PAC ID: 9436427424 Enrollment ID: I20230829000080 |
| Provider Name | Maher Shawky Kozman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700957602 PECOS PAC ID: 9335338672 Enrollment ID: I20230829001288 |
| Provider Name | Lila Ann Statz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649219494 PECOS PAC ID: 1557316908 Enrollment ID: I20230831000813 |
| Provider Name | Serena Ruth Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518056050 PECOS PAC ID: 6800837725 Enrollment ID: I20230905001440 |
| Provider Name | James Nicholas Wolfe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306466925 PECOS PAC ID: 4082037775 Enrollment ID: I20230905002430 |
| Provider Name | Anthony G. Romero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770029084 PECOS PAC ID: 1456767391 Enrollment ID: I20230905003559 |
| Provider Name | Jessica Dawn Sexton-dorsett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003433517 PECOS PAC ID: 9436512662 Enrollment ID: I20230905003771 |
| Provider Name | Kristina Grim Barley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891145462 PECOS PAC ID: 0547539124 Enrollment ID: I20230906002390 |
| Provider Name | Laura Dutcher Rollins-martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669748273 PECOS PAC ID: 0840653747 Enrollment ID: I20230906002721 |
| Provider Name | Yi Mao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629327986 PECOS PAC ID: 0547538118 Enrollment ID: I20230906003000 |
| Provider Name | Jennifer L Darnell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407381254 PECOS PAC ID: 0547658650 Enrollment ID: I20230907000773 |
| Provider Name | Natalie Lacey Zusman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750813523 PECOS PAC ID: 4587937537 Enrollment ID: I20230908003033 |
| Provider Name | Adriana Romero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043487838 PECOS PAC ID: 1658643846 Enrollment ID: I20230918004033 |
| Provider Name | Julie Ann Schafer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316575251 PECOS PAC ID: 9335553247 Enrollment ID: I20230919001069 |
| Provider Name | Bethany J Banke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891123212 PECOS PAC ID: 1951765288 Enrollment ID: I20230919003910 |
| Provider Name | Emily Rose Cedarbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679969992 PECOS PAC ID: 0345595724 Enrollment ID: I20230920001747 |
| Provider Name | Juliana Marie Kuenzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295412476 PECOS PAC ID: 6800240136 Enrollment ID: I20230920003095 |
| Provider Name | Kaitlyn Ruth Eaton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043996739 PECOS PAC ID: 9234583428 Enrollment ID: I20230921001608 |
| Provider Name | Kimberley Chiu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356795561 PECOS PAC ID: 6103164785 Enrollment ID: I20230921001749 |
| Provider Name | Kristen Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851023451 PECOS PAC ID: 6800250341 Enrollment ID: I20230921002056 |
| Provider Name | Marielle Rendira Lucille Reno Meurice |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720510779 PECOS PAC ID: 5698008738 Enrollment ID: I20230921002732 |
| Provider Name | Michael James |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912650185 PECOS PAC ID: 5193179315 Enrollment ID: I20230921002754 |
| Provider Name | Kathryn Strahl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184951212 PECOS PAC ID: 3072640986 Enrollment ID: I20230921002755 |
| Provider Name | Emily Nebzydoski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386987873 PECOS PAC ID: 7315233673 Enrollment ID: I20230921003070 |
| Provider Name | Bethany J Banke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891123212 PECOS PAC ID: 1951765288 Enrollment ID: I20230921003851 |
| Provider Name | Sun Koo Yoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083235675 PECOS PAC ID: 8921462888 Enrollment ID: I20230922000630 |
| Provider Name | Jennifer Chang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124481841 PECOS PAC ID: 9032447933 Enrollment ID: I20230922001022 |
| Provider Name | Kevin Charles Hein |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538732391 PECOS PAC ID: 7012361199 Enrollment ID: I20230922001831 |
| Provider Name | Katherine Brianna Bloodgood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285251637 PECOS PAC ID: 9830543941 Enrollment ID: I20230922002804 |
| Provider Name | Peter Toan Le |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518638816 PECOS PAC ID: 7315391430 Enrollment ID: I20230922003652 |
| Provider Name | Charles Hoyt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619563947 PECOS PAC ID: 5890149934 Enrollment ID: I20230925000166 |
| Provider Name | Gerald Joseph Hutfles |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417449992 PECOS PAC ID: 6709132228 Enrollment ID: I20230926001412 |
| Provider Name | Aaron Livingston |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1467911578 PECOS PAC ID: 1951634724 Enrollment ID: I20230926002765 |
| Provider Name | Glenn Mcfadden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649732405 PECOS PAC ID: 6800121245 Enrollment ID: I20230927000858 |
| Provider Name | Julia Lindsay Boland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922637891 PECOS PAC ID: 6406200435 Enrollment ID: I20230927001334 |
| Provider Name | Heather Lyn Garza |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972739639 PECOS PAC ID: 3274997846 Enrollment ID: I20230927002086 |
| Provider Name | Matthew Leary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891324489 PECOS PAC ID: 2961823802 Enrollment ID: I20230928002694 |
| Provider Name | Erik Stephen Keating |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326657115 PECOS PAC ID: 5991159618 Enrollment ID: I20230929001059 |
| Provider Name | Kasey Reed Calwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124719299 PECOS PAC ID: 7012361793 Enrollment ID: I20230929002056 |
| Provider Name | Maggie Layne Diller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861759698 PECOS PAC ID: 9830429638 Enrollment ID: I20230929002872 |
| Provider Name | Pia B Lisle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124223102 PECOS PAC ID: 5395837066 Enrollment ID: I20230929002993 |
| Provider Name | Catherine Lillian Wetzel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437654019 PECOS PAC ID: 5395096762 Enrollment ID: I20230929003142 |
| Provider Name | Christopher Ryan Frias |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972852721 PECOS PAC ID: 7719313246 Enrollment ID: I20231002000734 |
| Provider Name | Chibuzo C Ohanaja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720609001 PECOS PAC ID: 7315368909 Enrollment ID: I20231002001386 |
| Provider Name | Christienne P Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679775738 PECOS PAC ID: 8325118250 Enrollment ID: I20231002002952 |
| Provider Name | Garrett Alan Mockler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205356144 PECOS PAC ID: 9638443054 Enrollment ID: I20231004000763 |
| Provider Name | Christopher Michael Sprinzyk |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306115837 PECOS PAC ID: 4082068739 Enrollment ID: I20231005001739 |
| Provider Name | Rakesh Reddy Tekulapally |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164659793 PECOS PAC ID: 4183859341 Enrollment ID: I20231005001909 |
| Provider Name | Miguel I Sotelo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770102782 PECOS PAC ID: 7911319942 Enrollment ID: I20231006000985 |
| Provider Name | Gopi Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942827126 PECOS PAC ID: 0648625905 Enrollment ID: I20231006002203 |
| Provider Name | Charles Jacob Mayer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487739298 PECOS PAC ID: 0749226306 Enrollment ID: I20231009002022 |
| Provider Name | Katherine Amanda Hopson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831769371 PECOS PAC ID: 2769837913 Enrollment ID: I20231009002372 |
| Provider Name | Riney Clare Bennett |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083497226 PECOS PAC ID: 8426403528 Enrollment ID: I20231010001595 |
| Provider Name | Codie-anne Crew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174985873 PECOS PAC ID: 8527355080 Enrollment ID: I20231010002576 |
| Provider Name | Cameron Dyer Sprowles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679068431 PECOS PAC ID: 1658709746 Enrollment ID: I20231010002619 |
| Provider Name | Lindsey Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619371325 PECOS PAC ID: 8729433859 Enrollment ID: I20231010002976 |
| Provider Name | Deshka Ramirez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811660475 PECOS PAC ID: 3072992692 Enrollment ID: I20231010003324 |
| Provider Name | Patricia Jean Regan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104070663 PECOS PAC ID: 7618322587 Enrollment ID: I20231012001745 |
| Provider Name | Marilynn Jane Bohnstedt-casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124598057 PECOS PAC ID: 4880049626 Enrollment ID: I20231013000673 |
| Provider Name | Geoffrey Yoshiaki Kunita |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952967333 PECOS PAC ID: 4688009962 Enrollment ID: I20231013001692 |
| Provider Name | Austin Curry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992322341 PECOS PAC ID: 3678928496 Enrollment ID: I20231016000397 |
| Provider Name | Alan Louis Keller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346743176 PECOS PAC ID: 9234481102 Enrollment ID: I20231016000767 |
| Provider Name | Travis John Morrison-mckell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619111903 PECOS PAC ID: 5496060642 Enrollment ID: I20231016002215 |
| Provider Name | Lily Chen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235878448 PECOS PAC ID: 4789039488 Enrollment ID: I20231016002784 |
| Provider Name | Daniel Madden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578024238 PECOS PAC ID: 5698001469 Enrollment ID: I20231016002838 |
| Provider Name | Boyeong Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902985989 PECOS PAC ID: 6507948841 Enrollment ID: I20231017002066 |
| Provider Name | Eric Ronald Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699936930 PECOS PAC ID: 3274703012 Enrollment ID: I20231018003731 |
| Provider Name | Ilan D Kolkowitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245760818 PECOS PAC ID: 1153690557 Enrollment ID: I20231020002783 |
| Provider Name | Joseph Labrum |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770015125 PECOS PAC ID: 8820475486 Enrollment ID: I20231023000143 |
| Provider Name | Kyle James Kinderknecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649618729 PECOS PAC ID: 8527281245 Enrollment ID: I20231023000774 |
| Provider Name | Dennis Hong Shu Kan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174280531 PECOS PAC ID: 3678929973 Enrollment ID: I20231023002838 |
| Provider Name | Katherine Elizabeth Staley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174005870 PECOS PAC ID: 3779939053 Enrollment ID: I20231024001272 |
| Provider Name | Hemasudha Ratakonda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568145407 PECOS PAC ID: 6901252162 Enrollment ID: I20231024001942 |
| Provider Name | Liat Martha Litwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710506779 PECOS PAC ID: 9537584479 Enrollment ID: I20231024002884 |
| Provider Name | Kenneth Fondren Starnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851772065 PECOS PAC ID: 9032476270 Enrollment ID: I20231025000861 |
| Provider Name | Laura Marie Kane |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992959258 PECOS PAC ID: 4981050036 Enrollment ID: I20231025001506 |
| Provider Name | Melissa V Murray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871090878 PECOS PAC ID: 9537416631 Enrollment ID: I20231025003477 |
| Provider Name | Hyun Jung Ahn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245014703 PECOS PAC ID: 1951757061 Enrollment ID: I20231026000109 |
| Provider Name | Ariel Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730684184 PECOS PAC ID: 4981938297 Enrollment ID: I20231026001016 |
| Provider Name | Zummera Bhatti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710135314 PECOS PAC ID: 3971752171 Enrollment ID: I20231026001404 |
| Provider Name | Denise Lynn Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356026942 PECOS PAC ID: 7810343852 Enrollment ID: I20231026002340 |
| Provider Name | Justin Richard Shirley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508111691 PECOS PAC ID: 3375761570 Enrollment ID: I20231027002470 |
| Provider Name | Anthony An Yang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790288736 PECOS PAC ID: 5395168710 Enrollment ID: I20231030000920 |
| Provider Name | Janelle Karissa Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760001945 PECOS PAC ID: 8325479132 Enrollment ID: I20231030001253 |
| Provider Name | Samantha Jo Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578299772 PECOS PAC ID: 8527414341 Enrollment ID: I20231030002391 |
| Provider Name | Shereen Hullum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811317704 PECOS PAC ID: 0244686897 Enrollment ID: I20231102001242 |
| Provider Name | Elizabeth Waddington Lagerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548899594 PECOS PAC ID: 6608240916 Enrollment ID: I20231107000739 |
| Provider Name | Lizelle Chandler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013319532 PECOS PAC ID: 1557718962 Enrollment ID: I20231107001369 |
| Provider Name | Rhoda Leichter |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548286958 PECOS PAC ID: 5799794103 Enrollment ID: I20231107002725 |
| Provider Name | Alyssa Meltzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639731649 PECOS PAC ID: 1951632330 Enrollment ID: I20231107003558 |
| Provider Name | Raffi Natoli Serafino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164965471 PECOS PAC ID: 3476900622 Enrollment ID: I20231108003912 |
| Provider Name | Marta Caroline Schenck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043847452 PECOS PAC ID: 2668877689 Enrollment ID: I20231109003734 |
| Provider Name | Pritpal Singh Araich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447870761 PECOS PAC ID: 2769805837 Enrollment ID: I20231110000777 |
| Provider Name | Katherine Mary Perlberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669849600 PECOS PAC ID: 2860849965 Enrollment ID: I20231110002383 |
| Provider Name | Theoram Michael Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376320077 PECOS PAC ID: 4183071210 Enrollment ID: I20231113000634 |
| Provider Name | Carissa Marie Bowman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508569799 PECOS PAC ID: 9234586215 Enrollment ID: I20231113003050 |
| Provider Name | Nicole Bies |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609220359 PECOS PAC ID: 7618324922 Enrollment ID: I20231114002416 |
| Provider Name | Darvin Lamagna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396119541 PECOS PAC ID: 8325495344 Enrollment ID: I20231115000693 |
| Provider Name | Anthony J Valentine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619270519 PECOS PAC ID: 8729354345 Enrollment ID: I20231115002795 |
| Provider Name | Christopher Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538946215 PECOS PAC ID: 4981051760 Enrollment ID: I20231116000709 |
| Provider Name | Simran Bhakta |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285419390 PECOS PAC ID: 6507214202 Enrollment ID: I20231117002592 |
| Provider Name | Christina Mateo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700179645 PECOS PAC ID: 6901026087 Enrollment ID: I20231119000137 |
| Provider Name | Jeremy Eliezar Adler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548617483 PECOS PAC ID: 1153779749 Enrollment ID: I20231120002519 |
| Provider Name | Simone Lucia Vernez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821524570 PECOS PAC ID: 4587934666 Enrollment ID: I20231121001133 |
| Provider Name | Hanna Rashkovsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922578269 PECOS PAC ID: 5496101057 Enrollment ID: I20231121002699 |
| Provider Name | Aammar Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982058715 PECOS PAC ID: 7517213226 Enrollment ID: I20231127002889 |
| Provider Name | Dana Clark Kuriakose |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1760619357 PECOS PAC ID: 7416114848 Enrollment ID: I20231129000295 |
| Provider Name | Sara Ann Ulrich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679687628 PECOS PAC ID: 7618130006 Enrollment ID: I20231130000263 |
| Provider Name | Evelina Avetisova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609657816 PECOS PAC ID: 4688022783 Enrollment ID: I20231130003554 |
| Provider Name | John Warren Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811424401 PECOS PAC ID: 1052769916 Enrollment ID: I20231204000357 |
| Provider Name | Jesse Gerber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124522990 PECOS PAC ID: 6305197096 Enrollment ID: I20231204000655 |
| Provider Name | Hannah Jane Winchester |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952822272 PECOS PAC ID: 0345698213 Enrollment ID: I20231204001035 |
| Provider Name | Jenny Lynn Wadman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346352051 PECOS PAC ID: 7517315344 Enrollment ID: I20231204003282 |
| Provider Name | Lucia A Botez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306126321 PECOS PAC ID: 5496103822 Enrollment ID: I20231205000380 |
| Provider Name | Rachelle Louise Preston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538613435 PECOS PAC ID: 6507214590 Enrollment ID: I20231205002185 |
| Provider Name | Michael Curtin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821277039 PECOS PAC ID: 7719334432 Enrollment ID: I20231205003093 |
| Provider Name | Priscilla Merli Palomar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942821848 PECOS PAC ID: 7911352521 Enrollment ID: I20231205003318 |
| Provider Name | Daniel Chafe Thornbury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780024794 PECOS PAC ID: 8022467729 Enrollment ID: I20231206002946 |
| Provider Name | Hamilton Read Caulkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568951614 PECOS PAC ID: 3173932621 Enrollment ID: I20231206004288 |
| Provider Name | Joseph Conroy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316722002 PECOS PAC ID: 4486003134 Enrollment ID: I20231207000670 |
| Provider Name | Ashley M Brignac |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144717729 PECOS PAC ID: 4981052768 Enrollment ID: I20231207003464 |
| Provider Name | Nina Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619213352 PECOS PAC ID: 1355798885 Enrollment ID: I20231211003379 |
| Provider Name | Melissa Margaret Trimberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851082945 PECOS PAC ID: 3678922689 Enrollment ID: I20231214003725 |
| Provider Name | Jennifer Michelle Wolf Stuth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790915791 PECOS PAC ID: 3870742398 Enrollment ID: I20231215000055 |
| Provider Name | Jennifer Wycoff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639553571 PECOS PAC ID: 1759730740 Enrollment ID: I20231215002946 |
| Provider Name | Lynn Louise Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407071186 PECOS PAC ID: 6103275029 Enrollment ID: I20231218000870 |
| Provider Name | Lisa Marie Di Giannantonio |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477944247 PECOS PAC ID: 7416306337 Enrollment ID: I20231218002515 |
| Provider Name | Suraja Shrestha Bastola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407566771 PECOS PAC ID: 2264881135 Enrollment ID: I20231218003005 |
| Provider Name | Brian S Sturgill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417390139 PECOS PAC ID: 0042578619 Enrollment ID: I20231218003743 |
| Provider Name | Matthew P Sommers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427381516 PECOS PAC ID: 7719337633 Enrollment ID: I20231219000754 |
| Provider Name | Meghan Kathleen Edmundson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225337496 PECOS PAC ID: 5092947531 Enrollment ID: I20231219001322 |
| Provider Name | Margaret Elizabeth Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235807884 PECOS PAC ID: 5799135570 Enrollment ID: I20231219003438 |
| Provider Name | Jordon Richard Lovell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003311283 PECOS PAC ID: 3678923455 Enrollment ID: I20231219003567 |
| Provider Name | Nicole Marie Stroup |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184052177 PECOS PAC ID: 2466802152 Enrollment ID: I20231220003851 |
| Provider Name | Jeffrey James Gulliford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881709046 PECOS PAC ID: 3779933486 Enrollment ID: I20231221000667 |
| Provider Name | Kelley Nicole Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023400421 PECOS PAC ID: 6002266533 Enrollment ID: I20231227000195 |
| Provider Name | Camille Sue Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174821730 PECOS PAC ID: 8224266028 Enrollment ID: I20231227000989 |
| Provider Name | Caitlin R Carr |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104534643 PECOS PAC ID: 0446622849 Enrollment ID: I20231227002136 |
| Provider Name | Christine Eble |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770219537 PECOS PAC ID: 5193175487 Enrollment ID: I20231228003177 |
| Provider Name | Trisha Lynn Zander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023713690 PECOS PAC ID: 1052760105 Enrollment ID: I20240102000065 |
| Provider Name | Jonathan Salgado Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902684491 PECOS PAC ID: 5092165209 Enrollment ID: I20240102000330 |
| Provider Name | Alison Joy Weaver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538595426 PECOS PAC ID: 7012367105 Enrollment ID: I20240102003280 |
| Provider Name | Teresa A Naimo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194886929 PECOS PAC ID: 7719337815 Enrollment ID: I20240102003707 |
| Provider Name | Brian Andrew Chapman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427544790 PECOS PAC ID: 7719337740 Enrollment ID: I20240103000749 |
| Provider Name | Shawn Criswell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295846483 PECOS PAC ID: 4587014543 Enrollment ID: I20240103001964 |
| Provider Name | Katelyn Rose Westerfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528385812 PECOS PAC ID: 2668823683 Enrollment ID: I20240103004699 |
| Provider Name | Tiffani O'neill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285142802 PECOS PAC ID: 4789922824 Enrollment ID: I20240104001301 |
| Provider Name | Martha R Witt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750572327 PECOS PAC ID: 6901257898 Enrollment ID: I20240104002202 |
| Provider Name | Susan Rae Mortenson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821461146 PECOS PAC ID: 8921459835 Enrollment ID: I20240104002865 |
| Provider Name | In Kyu Yoo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033452073 PECOS PAC ID: 1850533233 Enrollment ID: I20240104003612 |
| Provider Name | Luke Oakley |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548571656 PECOS PAC ID: 1355563339 Enrollment ID: I20240105003339 |
| Provider Name | Karen Leigh Wisner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740453430 PECOS PAC ID: 5395196083 Enrollment ID: I20240106000985 |
| Provider Name | Joylynn Comia Penaloza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114475993 PECOS PAC ID: 4183024078 Enrollment ID: I20240109000033 |
| Provider Name | Stephen Swearingen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518378280 PECOS PAC ID: 2860843497 Enrollment ID: I20240109000680 |
| Provider Name | Stephanie Sireix |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902218787 PECOS PAC ID: 6507217056 Enrollment ID: I20240109001796 |
| Provider Name | Alberto Vazquez-molina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467853184 PECOS PAC ID: 6204287766 Enrollment ID: I20240109002303 |
| Provider Name | Mary Coffey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346639010 PECOS PAC ID: 3678924149 Enrollment ID: I20240109002592 |
| Provider Name | Natalie Adams Seibel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750569877 PECOS PAC ID: 7618328196 Enrollment ID: I20240109002807 |
| Provider Name | Mechelle M Millmaker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669885695 PECOS PAC ID: 8628429123 Enrollment ID: I20240109003679 |
| Provider Name | Michelle E Long |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972663615 PECOS PAC ID: 5698126126 Enrollment ID: I20240109004671 |
| Provider Name | Lyndsay Katherine Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396082145 PECOS PAC ID: 3274878848 Enrollment ID: I20240110001422 |
| Provider Name | Lisa Bevans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093075996 PECOS PAC ID: 9335590108 Enrollment ID: I20240110001911 |
| Provider Name | Jennifer R Scarborough |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235515198 PECOS PAC ID: 9436500824 Enrollment ID: I20240110002501 |
| Provider Name | Victoria Ellen Lathos |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831285592 PECOS PAC ID: 0840640124 Enrollment ID: I20240110002547 |
| Provider Name | Constance Bravos-williams |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003153768 PECOS PAC ID: 8729439146 Enrollment ID: I20240110003598 |
| Provider Name | Melissa Fivecoat-borger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255421780 PECOS PAC ID: 9739530056 Enrollment ID: I20240110004013 |
| Provider Name | Alyssa Christine Phariss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689852030 PECOS PAC ID: 4587015219 Enrollment ID: I20240110004517 |
| Provider Name | Akosuah Agyei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447887716 PECOS PAC ID: 4981020716 Enrollment ID: I20240110005140 |
| Provider Name | Thuylan N Huynh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720228182 PECOS PAC ID: 5991156259 Enrollment ID: I20240110005312 |
| Provider Name | Ewa Cech |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790940492 PECOS PAC ID: 0143671404 Enrollment ID: I20240111000107 |
| Provider Name | Amanda Hall |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841680535 PECOS PAC ID: 9133570401 Enrollment ID: I20240111000553 |
| Provider Name | Sara Ann Post |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477625093 PECOS PAC ID: 5799136925 Enrollment ID: I20240111002977 |
| Provider Name | Erik Alfred Metzger |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033681879 PECOS PAC ID: 0345691598 Enrollment ID: I20240111003766 |
| Provider Name | Miriam Joy Hunter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275070682 PECOS PAC ID: 0345691531 Enrollment ID: I20240112000356 |
| Provider Name | Karen T Waters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467806059 PECOS PAC ID: 4082065610 Enrollment ID: I20240112001804 |
| Provider Name | Crystal Anne Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780064048 PECOS PAC ID: 5193176246 Enrollment ID: I20240112002429 |
| Provider Name | Ladawn Day Sheffield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528363538 PECOS PAC ID: 2264883313 Enrollment ID: I20240112002485 |
| Provider Name | Ashwini Baitmangalkar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457886087 PECOS PAC ID: 7517318686 Enrollment ID: I20240112003283 |
| Provider Name | Kristy C Makowichuk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366946451 PECOS PAC ID: 2769833813 Enrollment ID: I20240112004256 |
| Provider Name | Tina Lynette Hadley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922173947 PECOS PAC ID: 2860844982 Enrollment ID: I20240114000016 |
| Provider Name | Monika Regina Urena |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073931051 PECOS PAC ID: 9537518659 Enrollment ID: I20240114000096 |
| Provider Name | Peter Christopher Bryant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043644008 PECOS PAC ID: 6103278239 Enrollment ID: I20240114000157 |
| Provider Name | Elizabeth Perez Quigley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750494431 PECOS PAC ID: 8628428539 Enrollment ID: I20240114000195 |
| Provider Name | Joanna Miller Deshmukh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851440960 PECOS PAC ID: 1052763182 Enrollment ID: I20240115000111 |
| Provider Name | Kevin Scott Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710468244 PECOS PAC ID: 0345692471 Enrollment ID: I20240115000661 |
| Provider Name | Heidi Jean Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083847453 PECOS PAC ID: 7618329772 Enrollment ID: I20240115001038 |
| Provider Name | Glenn David Maia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114353521 PECOS PAC ID: 1759733827 Enrollment ID: I20240115001274 |
| Provider Name | William Herbert Soles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679670996 PECOS PAC ID: 6800246976 Enrollment ID: I20240115001589 |
| Provider Name | Thomas William Aichele |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093821068 PECOS PAC ID: 1456703438 Enrollment ID: I20240115001877 |
| Provider Name | Allen Gu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750822185 PECOS PAC ID: 5890045736 Enrollment ID: I20240116000738 |
| Provider Name | Daniel Minki Cho |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881197622 PECOS PAC ID: 4587016522 Enrollment ID: I20240116001838 |
| Provider Name | Marco Giorgio Aru |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730685090 PECOS PAC ID: 8224389952 Enrollment ID: I20240117003575 |
| Provider Name | Gregory C Dalton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437672193 PECOS PAC ID: 5092167189 Enrollment ID: I20240117004900 |
| Provider Name | Kathleen Anne Hittner-mcconahy |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912148461 PECOS PAC ID: 0446602403 Enrollment ID: I20240117004928 |
| Provider Name | Allison Miwa Kato |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194839571 PECOS PAC ID: 4688026370 Enrollment ID: I20240118001379 |
| Provider Name | Sonja Blondeau-heglin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104216290 PECOS PAC ID: 8729430368 Enrollment ID: I20240118003240 |
| Provider Name | David Macintyre Marshall |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831574995 PECOS PAC ID: 1658723242 Enrollment ID: I20240118004671 |
| Provider Name | Jeffrey D Obermeier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245459148 PECOS PAC ID: 9335591932 Enrollment ID: I20240119000419 |
| Provider Name | Ward Aaron Lofgren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366576357 PECOS PAC ID: 8628420270 Enrollment ID: I20240119001783 |
| Provider Name | Andrew Lakshman Strait Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548523939 PECOS PAC ID: 8628420189 Enrollment ID: I20240119002531 |
| Provider Name | Jillian Marie Fitzner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467936724 PECOS PAC ID: 0941652432 Enrollment ID: I20240119003632 |
| Provider Name | Laura Anne Goll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922512219 PECOS PAC ID: 5193050607 Enrollment ID: I20240120000004 |
| Provider Name | Rebecca Nelson Babener |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295126985 PECOS PAC ID: 1355793779 Enrollment ID: I20240122000758 |
| Provider Name | Greg Allen Mulkey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740346790 PECOS PAC ID: 5890147268 Enrollment ID: I20240122002392 |
| Provider Name | Lara K Abraham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649450339 PECOS PAC ID: 4486005774 Enrollment ID: I20240122003074 |
| Provider Name | Megan Melissa Kautz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124457031 PECOS PAC ID: 7012369416 Enrollment ID: I20240122003916 |
| Provider Name | Grant Donnell Partridge |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477737575 PECOS PAC ID: 1557712825 Enrollment ID: I20240122004538 |
| Provider Name | Kelsey Ludwig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023449113 PECOS PAC ID: 5698127652 Enrollment ID: I20240123000490 |
| Provider Name | Nora Church |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528122553 PECOS PAC ID: 9830541192 Enrollment ID: I20240123000799 |
| Provider Name | Giselle Barone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427431170 PECOS PAC ID: 2163875352 Enrollment ID: I20240124000739 |
| Provider Name | Beth Elaina Owens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821302217 PECOS PAC ID: 0547611816 Enrollment ID: I20240124002742 |
| Provider Name | Hannah Whitney Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790263366 PECOS PAC ID: 7810233632 Enrollment ID: I20240124004700 |
| Provider Name | Sherrie Lynn Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558524421 PECOS PAC ID: 5799138814 Enrollment ID: I20240125000646 |
| Provider Name | Alexander William Ohmes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164941878 PECOS PAC ID: 7315345295 Enrollment ID: I20240125004288 |
| Provider Name | Lindsay Dawn Craft |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245559129 PECOS PAC ID: 7911350947 Enrollment ID: I20240125004797 |
| Provider Name | Carli Jo Nicholson Irons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215137484 PECOS PAC ID: 5799138541 Enrollment ID: I20240127000795 |
| Provider Name | Mary Elyse Beckman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851659759 PECOS PAC ID: 6608229455 Enrollment ID: I20240127000799 |
| Provider Name | Mitchell Tyler Bacon |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083967442 PECOS PAC ID: 5698126589 Enrollment ID: I20240129000235 |
| Provider Name | Jennifer Gomoll Daugherty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558498428 PECOS PAC ID: 9133572084 Enrollment ID: I20240129001697 |
| Provider Name | Marilyn Sue Eubanks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508179029 PECOS PAC ID: 6002266384 Enrollment ID: I20240129001994 |
| Provider Name | Ryan Joseph Huntsman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609281534 PECOS PAC ID: 9638449960 Enrollment ID: I20240130003523 |
| Provider Name | Jaynita Kumar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700318995 PECOS PAC ID: 6709239171 Enrollment ID: I20240201002235 |
| Provider Name | Colleen Sara Mathew |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164083671 PECOS PAC ID: 7911359377 Enrollment ID: I20240201002330 |
| Provider Name | Dylan Colette West |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962691030 PECOS PAC ID: 5496108896 Enrollment ID: I20240201003099 |
| Provider Name | Jerrod David Boles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962646133 PECOS PAC ID: 2163875469 Enrollment ID: I20240201003337 |
| Provider Name | Ha Ngoc Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538452974 PECOS PAC ID: 4284856014 Enrollment ID: I20240202002250 |
| Provider Name | Frank Yeh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710102959 PECOS PAC ID: 5193913572 Enrollment ID: I20240202003074 |
| Provider Name | Megan Louie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548842578 PECOS PAC ID: 3577965011 Enrollment ID: I20240203000244 |
| Provider Name | Kristen Kay Tucker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992077267 PECOS PAC ID: 9335582642 Enrollment ID: I20240205000984 |
| Provider Name | Zeba Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417931262 PECOS PAC ID: 4587845722 Enrollment ID: I20240205002148 |
| Provider Name | Marlissa Suzanne Dix |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063602886 PECOS PAC ID: 3274976485 Enrollment ID: I20240205002810 |
| Provider Name | Stephen Paul Schale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235592023 PECOS PAC ID: 6002142726 Enrollment ID: I20240205003663 |
| Provider Name | Jazmin Ivette Yepez Kuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285995365 PECOS PAC ID: 4688964505 Enrollment ID: I20240206001478 |
| Provider Name | Sanja Ognjenovic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952921702 PECOS PAC ID: 1759703812 Enrollment ID: I20240206004582 |
| Provider Name | Sarah Christine Petke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912546888 PECOS PAC ID: 4981057130 Enrollment ID: I20240207001634 |
| Provider Name | Tammy Dowd Shearer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225812506 PECOS PAC ID: 8325491442 Enrollment ID: I20240208001201 |
| Provider Name | Jose Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962568741 PECOS PAC ID: 6608219274 Enrollment ID: I20240211000032 |
| Provider Name | Dale John Troutman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457852824 PECOS PAC ID: 4688017015 Enrollment ID: I20240213001285 |
| Provider Name | Caleb Terence Hughes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104435809 PECOS PAC ID: 5698118065 Enrollment ID: I20240213002505 |
| Provider Name | Marta Beth Michniewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497472906 PECOS PAC ID: 0345684460 Enrollment ID: I20240216002289 |
| Provider Name | Jeffery Kempel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659437689 PECOS PAC ID: 3476997875 Enrollment ID: I20240216002535 |
| Provider Name | Courtney Rohrig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124740634 PECOS PAC ID: 2567806573 Enrollment ID: I20240219000392 |
| Provider Name | Ann M Augustine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548354079 PECOS PAC ID: 6608210331 Enrollment ID: I20240221001596 |
| Provider Name | Nicholas Nunez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154470672 PECOS PAC ID: 4183706740 Enrollment ID: I20240222001726 |
| Provider Name | Matthew James Swagerty |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609584549 PECOS PAC ID: 2264876739 Enrollment ID: I20240223000888 |
| Provider Name | Carrie Conte |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306828439 PECOS PAC ID: 3779927264 Enrollment ID: I20240223001514 |
| Provider Name | Sheena Bali-chaudhary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508480658 PECOS PAC ID: 4183041197 Enrollment ID: I20240226003124 |
| Provider Name | Darienne Marie Veri |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366609562 PECOS PAC ID: 9537504857 Enrollment ID: I20240227001029 |
| Provider Name | Chi-yan Amber Ng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992169155 PECOS PAC ID: 4981951472 Enrollment ID: I20240227003825 |
| Provider Name | Stephen M Dodge |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609903624 PECOS PAC ID: 2163582339 Enrollment ID: I20240227004149 |
| Provider Name | Jennifer Brooks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356622195 PECOS PAC ID: 1759726961 Enrollment ID: I20240227004612 |
| Provider Name | Kelly Pamela Caceres |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992570956 PECOS PAC ID: 6800231796 Enrollment ID: I20240301001321 |
| Provider Name | Jennifer Troobnick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306081112 PECOS PAC ID: 0547605826 Enrollment ID: I20240301002418 |
| Provider Name | Ellen E Cox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568012375 PECOS PAC ID: 8729318316 Enrollment ID: I20240302000413 |
| Provider Name | Jackson Timothy Wilshire |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609273168 PECOS PAC ID: 6800231366 Enrollment ID: I20240303000099 |
| Provider Name | Eleanor Kelleher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629478961 PECOS PAC ID: 7517303118 Enrollment ID: I20240305004645 |
| Provider Name | Sunny A. Hunter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588815872 PECOS PAC ID: 9133565559 Enrollment ID: I20240307003657 |
| Provider Name | Jenna Leann Li |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972878338 PECOS PAC ID: 6800232133 Enrollment ID: I20240308003588 |
| Provider Name | Ann S Gottling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528353950 PECOS PAC ID: 9133565666 Enrollment ID: I20240311001567 |
| Provider Name | Steven Jeffrey Urbick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821551490 PECOS PAC ID: 1052733573 Enrollment ID: I20240311001916 |
| Provider Name | Michelle Nicole Osara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003115114 PECOS PAC ID: 2163868308 Enrollment ID: I20240311002880 |
| Provider Name | Emily Goble |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992416820 PECOS PAC ID: 2466898507 Enrollment ID: I20240311003592 |
| Provider Name | Alicia M Teausant |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417115239 PECOS PAC ID: 9830244508 Enrollment ID: I20240311003670 |
| Provider Name | Margaret E Sokal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699073601 PECOS PAC ID: 8729424817 Enrollment ID: I20240312002211 |
| Provider Name | Jeremy K Gardner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942522966 PECOS PAC ID: 1254782675 Enrollment ID: I20240312003460 |
| Provider Name | Charles Dickerman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548433261 PECOS PAC ID: 3870939713 Enrollment ID: I20240313003003 |
| Provider Name | Abigail Marie Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790059624 PECOS PAC ID: 6406292218 Enrollment ID: I20240314001500 |
| Provider Name | Brianna C Abbey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710133665 PECOS PAC ID: 1557707387 Enrollment ID: I20240314002130 |
| Provider Name | Melissa Dawn Hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003206236 PECOS PAC ID: 1557707239 Enrollment ID: I20240316000337 |
| Provider Name | Cynthia Jo Veum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821265851 PECOS PAC ID: 0547607251 Enrollment ID: I20240318000893 |
| Provider Name | Jenna Alane Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992028427 PECOS PAC ID: 8325485006 Enrollment ID: I20240318003312 |
| Provider Name | Anant Kamalakar Sonpatki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407877343 PECOS PAC ID: 2567468606 Enrollment ID: I20240322003021 |
| Provider Name | Derek Fink |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396086120 PECOS PAC ID: 8921243312 Enrollment ID: I20240326002412 |
| Provider Name | Khang Nguyen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134896780 PECOS PAC ID: 0345687281 Enrollment ID: I20240327001135 |
| Provider Name | Erik Lutz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356440143 PECOS PAC ID: 5698112548 Enrollment ID: I20240327001609 |
| Provider Name | Annie Ho Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215336144 PECOS PAC ID: 6800181827 Enrollment ID: I20240327002739 |
| Provider Name | Diane Lynn Music |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619312907 PECOS PAC ID: 7315384146 Enrollment ID: I20240328000862 |
| Provider Name | Naomi J Caster |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912038183 PECOS PAC ID: 0648618413 Enrollment ID: I20240329002524 |
| Provider Name | Shane Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164978052 PECOS PAC ID: 4082052857 Enrollment ID: I20240329002588 |
| Provider Name | Colton Dewayne Cypert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184322992 PECOS PAC ID: 0143668657 Enrollment ID: I20240403001767 |
| Provider Name | Stephanie Pozuelos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629566450 PECOS PAC ID: 4183062458 Enrollment ID: I20240404004101 |
| Provider Name | Chen Yan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1639582125 PECOS PAC ID: 1557651288 Enrollment ID: I20240408001662 |
| Provider Name | Hannelie Vermeulen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962574301 PECOS PAC ID: 5698113801 Enrollment ID: I20240408001679 |
| Provider Name | Adriana Barrera Montoya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700303740 PECOS PAC ID: 8123466166 Enrollment ID: I20240409004769 |
| Provider Name | Timothy Winslow West |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013055748 PECOS PAC ID: 7214375294 Enrollment ID: I20240410000873 |
| Provider Name | Collin Bryant Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235535097 PECOS PAC ID: 3870931710 Enrollment ID: I20240410003539 |
| Provider Name | Kimberley Lynne Smith Daly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134407299 PECOS PAC ID: 3375982101 Enrollment ID: I20240412002756 |
| Provider Name | Jennifer Raser Compton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306211487 PECOS PAC ID: 2860831583 Enrollment ID: I20240415001893 |
| Provider Name | Claire Andrus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831753417 PECOS PAC ID: 4789023953 Enrollment ID: I20240420000046 |
| Provider Name | John Steven Raven |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609069921 PECOS PAC ID: 1153760780 Enrollment ID: I20240422001291 |
| Provider Name | Jade Funtanilla Kekaualua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235823857 PECOS PAC ID: 0345689444 Enrollment ID: I20240423001339 |
| Provider Name | Adrienne Brett Perkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871015347 PECOS PAC ID: 1759720758 Enrollment ID: I20240423001999 |
| Provider Name | Noah Charles Stroup |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619384773 PECOS PAC ID: 4385083302 Enrollment ID: I20240423002809 |
| Provider Name | Brian Sturgill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083728521 PECOS PAC ID: 8729438494 Enrollment ID: I20240424001369 |
| Provider Name | Sara Mae Verga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013449099 PECOS PAC ID: 7113257403 Enrollment ID: I20240426003518 |
| Provider Name | James Hussey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770750416 PECOS PAC ID: 7911347612 Enrollment ID: I20240429001567 |
| Provider Name | Anne E Hettick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346504917 PECOS PAC ID: 6305093170 Enrollment ID: I20240502000335 |
| Provider Name | Manola April Kerr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275249583 PECOS PAC ID: 3072953264 Enrollment ID: I20240506000946 |
| Provider Name | Miranda Joy Whitehead |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306097431 PECOS PAC ID: 7012358039 Enrollment ID: I20240508002183 |
| Provider Name | Kara W Morris |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861574733 PECOS PAC ID: 3870934458 Enrollment ID: I20240514002171 |
| Provider Name | Kathryn Jane Chaimov |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245670264 PECOS PAC ID: 0143458430 Enrollment ID: I20240515003374 |
| Provider Name | Leslie Anne White Moon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710744727 PECOS PAC ID: 8325489644 Enrollment ID: I20240516002985 |
| Provider Name | Jewel Lisa Sandy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578833802 PECOS PAC ID: 8628228061 Enrollment ID: I20240522003622 |
| Provider Name | Ross Tyler Avila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144759168 PECOS PAC ID: 2163793191 Enrollment ID: I20240523001320 |
| Provider Name | Christian Davis Logerstedt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356917249 PECOS PAC ID: 4385086172 Enrollment ID: I20240524000885 |
| Provider Name | Kyle Johnstone |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457118895 PECOS PAC ID: 2769824358 Enrollment ID: I20240528003867 |
| Provider Name | David Anisfeld Tay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639759046 PECOS PAC ID: 6901201458 Enrollment ID: I20240529003848 |
| Provider Name | Thuy Uyen Huynh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346827011 PECOS PAC ID: 1355745548 Enrollment ID: I20240530003741 |
| Provider Name | Laura Reilly Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275111759 PECOS PAC ID: 0547664625 Enrollment ID: I20240531003629 |
| Provider Name | Magen Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336545805 PECOS PAC ID: 7810348943 Enrollment ID: I20240601000549 |
| Provider Name | Jacob Alexander Timmerman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629350095 PECOS PAC ID: 5991247256 Enrollment ID: I20240603001843 |
| Provider Name | Alina Gur |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942807193 PECOS PAC ID: 6002226420 Enrollment ID: I20240604001984 |
| Provider Name | Therese Alyanna Tomacruz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396500146 PECOS PAC ID: 4688116858 Enrollment ID: I20240604002080 |
| Provider Name | Justin Edward Vranic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336551993 PECOS PAC ID: 7416260955 Enrollment ID: I20240604004371 |
| Provider Name | Kerry E Martinson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861658122 PECOS PAC ID: 0547337115 Enrollment ID: I20240605002413 |
| Provider Name | Tod J. Carrig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477699429 PECOS PAC ID: 4587106224 Enrollment ID: I20240610000575 |
| Provider Name | Koosje Boyd |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790403038 PECOS PAC ID: 4981146305 Enrollment ID: I20240612003283 |
| Provider Name | Alyssa Beth Carey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972353589 PECOS PAC ID: 7719429182 Enrollment ID: I20240613000617 |
| Provider Name | Husna Shaik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497250625 PECOS PAC ID: 2365782299 Enrollment ID: I20240614000694 |
| Provider Name | Eriberto Ebora Katigbak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902920002 PECOS PAC ID: 3971046236 Enrollment ID: I20240614003738 |
Sandra M. Gonzalez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Sw Morrison St, Suite 411, Portland, OR 97205 Phone: 503-228-0939 Fax: 503-226-8069 | |
Cascadia Behavioral Healthcare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9125 Sw 55th Ave, Portland, OR 97219 Phone: 503-238-0769 Fax: 503-477-4598 | |
Edwards Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St, Suite 1100, Portland, OR 97205 Phone: 503-222-0557 | |
Wellpath Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Se Milwaukie Ave Ste D, Portland, OR 97202 Phone: 503-784-2377 | |
Daniel C Donohue, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2931 Ne Broadway St, Portland, OR 97232 Phone: 503-819-2515 | |
Cultivating A New Life Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Se Spokane St Ste 300, Portland, OR 97202 Phone: 541-904-0468 | |
Tiffany Kettermann, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2926 Ne Flanders St Ste 3c, Portland, OR 97232 Phone: 971-270-0167 |