| Med Center Health Neurology | |
|
350 Park St Ste 100 Bowling Green KY 42101-1784 | |
| (270) 782-9424 | |
| (270) 782-9445 |
| Full Name | Med Center Health Neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 350 Park St Ste 100, Bowling Green, Kentucky |
| Authorized Official Name and Position | Ronald Gene Sowell (EXEC. VICE PRESIDENT) |
| Authorized Official Contact | 2707451510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Med Center Health Neurology Po Box 2697 Bowling Green KY 42102-7697 Ph: (270) 782-9424 | Med Center Health Neurology 350 Park St Ste 100 Bowling Green KY 42101-1784 Ph: (270) 782-9424 |
| NPI Number | 1881109304 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 01/25/2021 |
| Certification Date | 01/25/2021 |
| Medicare PECOS PAC ID | 5496667628 |
|---|---|
| Medicare Enrollment ID | O20040916000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881109304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Tage F Haase |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376547117 PECOS PAC ID: 3779481932 Enrollment ID: I20031224000042 |
| Provider Name | Leigh K Lindsey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326034133 PECOS PAC ID: 2961396965 Enrollment ID: I20040211000241 |
| Provider Name | Takasha L Stewart-hubbard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467423491 PECOS PAC ID: 3173418043 Enrollment ID: I20040219000050 |
| Provider Name | Grover Cleveland Dils |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720044191 PECOS PAC ID: 1759271752 Enrollment ID: I20040316000009 |
| Provider Name | Linda G Stovall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689655987 PECOS PAC ID: 1850296807 Enrollment ID: I20040317000207 |
| Provider Name | Dave M Purcell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235241183 PECOS PAC ID: 3173516614 Enrollment ID: I20040408000334 |
| Provider Name | Wesley J Sturgill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679567218 PECOS PAC ID: 4981698297 Enrollment ID: I20040412000013 |
| Provider Name | Teresia F Huddleston |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649553041 PECOS PAC ID: 3779578885 Enrollment ID: I20040419000204 |
| Provider Name | Frederick R Ueland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518908995 PECOS PAC ID: 0648260232 Enrollment ID: I20040515000067 |
| Provider Name | John D Gover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467450635 PECOS PAC ID: 4789654021 Enrollment ID: I20040726001419 |
| Provider Name | Phillip Wayne Turner |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295790004 PECOS PAC ID: 6103721154 Enrollment ID: I20040802000759 |
| Provider Name | Mark L Ritter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932194404 PECOS PAC ID: 0345214516 Enrollment ID: I20040824000026 |
| Provider Name | Bruce Weickel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093709545 PECOS PAC ID: 8527016997 Enrollment ID: I20050112000477 |
| Provider Name | Tracy G Cross |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699778423 PECOS PAC ID: 0446287494 Enrollment ID: I20050720001115 |
| Provider Name | Michael Lang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518950807 PECOS PAC ID: 3779567730 Enrollment ID: I20050803000774 |
| Provider Name | Eduardo G De Los Reyes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972599660 PECOS PAC ID: 7517956048 Enrollment ID: I20050909000601 |
| Provider Name | Yolanda Y Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245215086 PECOS PAC ID: 2466470653 Enrollment ID: I20051107000160 |
| Provider Name | Russell K Heltsley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184709636 PECOS PAC ID: 1052325438 Enrollment ID: I20060206000800 |
| Provider Name | David Alan Ciochetty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982666830 PECOS PAC ID: 2163318874 Enrollment ID: I20060314000379 |
| Provider Name | Lisa A Rabold |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154385904 PECOS PAC ID: 7012929938 Enrollment ID: I20060614000275 |
| Provider Name | Jessica L Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750301768 PECOS PAC ID: 3375540883 Enrollment ID: I20061025000714 |
| Provider Name | Samuel F Hardcastle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235133083 PECOS PAC ID: 9830196922 Enrollment ID: I20061102000467 |
| Provider Name | Barton K Spurlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619917796 PECOS PAC ID: 0446215180 Enrollment ID: I20061115000298 |
| Provider Name | Clarizel C Yarbrough |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962481515 PECOS PAC ID: 2163437435 Enrollment ID: I20070720000719 |
| Provider Name | Grady H Pare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366416604 PECOS PAC ID: 1759461858 Enrollment ID: I20080102000198 |
| Provider Name | Jamie M Jarboe |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417082470 PECOS PAC ID: 1153481148 Enrollment ID: I20081120000596 |
| Provider Name | Tony E Sell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407094634 PECOS PAC ID: 2860558533 Enrollment ID: I20090304000443 |
| Provider Name | Suneel K Boyareddygari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730262478 PECOS PAC ID: 5395744841 Enrollment ID: I20090317000019 |
| Provider Name | Shellie D Hardcastle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033111901 PECOS PAC ID: 7810036001 Enrollment ID: I20091201000386 |
| Provider Name | John E Downing |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023008729 PECOS PAC ID: 5799754750 Enrollment ID: I20091228000564 |
| Provider Name | Catherine G Heltsley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386675395 PECOS PAC ID: 8325183080 Enrollment ID: I20100305000059 |
| Provider Name | Hugh M Sims |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801862305 PECOS PAC ID: 4880765023 Enrollment ID: I20100322000169 |
| Provider Name | Wallace R Carter |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1659370070 PECOS PAC ID: 8820124332 Enrollment ID: I20100408000500 |
| Provider Name | Timothy Wierson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295731602 PECOS PAC ID: 0749317634 Enrollment ID: I20100426000076 |
| Provider Name | Jase J Pinerola |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912946435 PECOS PAC ID: 8426071994 Enrollment ID: I20100511000500 |
| Provider Name | David A Bergamini |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902800998 PECOS PAC ID: 8628106325 Enrollment ID: I20100517000116 |
| Provider Name | Amber R Chambers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790097111 PECOS PAC ID: 8224152798 Enrollment ID: I20100907000112 |
| Provider Name | Shane Damien Okeeffe |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1003060294 PECOS PAC ID: 3870619190 Enrollment ID: I20100923001416 |
| Provider Name | Paul M Moore |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1295734515 PECOS PAC ID: 3375739881 Enrollment ID: I20101123000797 |
| Provider Name | Jeffery W Nemec |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043211345 PECOS PAC ID: 8224225107 Enrollment ID: I20101203000774 |
| Provider Name | Devin G Trevor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073514345 PECOS PAC ID: 9032306741 Enrollment ID: I20101207001022 |
| Provider Name | Sherri T Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699084996 PECOS PAC ID: 6901094796 Enrollment ID: I20101221000285 |
| Provider Name | Tameron C Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912234535 PECOS PAC ID: 4981885100 Enrollment ID: I20110222000409 |
| Provider Name | Kalyana Pallerla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275854143 PECOS PAC ID: 5294903332 Enrollment ID: I20110716000010 |
| Provider Name | Narendra Nathoo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1821109513 PECOS PAC ID: 4183659030 Enrollment ID: I20110805000381 |
| Provider Name | Aneisha Crossbourne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396900882 PECOS PAC ID: 6406025428 Enrollment ID: I20110809000395 |
| Provider Name | Lisa M Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477867158 PECOS PAC ID: 4183893910 Enrollment ID: I20110811000329 |
| Provider Name | Kellye R Dooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134496466 PECOS PAC ID: 2961660279 Enrollment ID: I20120215000960 |
| Provider Name | Kristin K Bateman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063780831 PECOS PAC ID: 1658539580 Enrollment ID: I20120223000851 |
| Provider Name | Michael T Osborne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093091944 PECOS PAC ID: 7810155330 Enrollment ID: I20120229000617 |
| Provider Name | Stephanie G Ford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285902056 PECOS PAC ID: 9032378369 Enrollment ID: I20120306000816 |
| Provider Name | Demara A Goodrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023394442 PECOS PAC ID: 7214190511 Enrollment ID: I20120524000311 |
| Provider Name | Courtney L Maxfield |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518225655 PECOS PAC ID: 9830354299 Enrollment ID: I20120710000257 |
| Provider Name | Christopher M Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699040386 PECOS PAC ID: 2567627771 Enrollment ID: I20120712000673 |
| Provider Name | Lonnie Bradley Morris |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518121466 PECOS PAC ID: 6204092935 Enrollment ID: I20120725000490 |
| Provider Name | Onyeoziri R Nwanguma |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982864344 PECOS PAC ID: 9032387766 Enrollment ID: I20120824000131 |
| Provider Name | Manmeet Sandhu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639355910 PECOS PAC ID: 6608056858 Enrollment ID: I20120913000201 |
| Provider Name | Rima R Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003185679 PECOS PAC ID: 8426200437 Enrollment ID: I20121219000493 |
| Provider Name | Valeriya I Barko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275898306 PECOS PAC ID: 6507019262 Enrollment ID: I20130104000315 |
| Provider Name | Meredith R Remaly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134471352 PECOS PAC ID: 7618120387 Enrollment ID: I20130107000026 |
| Provider Name | Christopher M Tarter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508116351 PECOS PAC ID: 3971757774 Enrollment ID: I20130201000401 |
| Provider Name | Michael R Heck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508135294 PECOS PAC ID: 1850559162 Enrollment ID: I20130618000437 |
| Provider Name | Abigail Debusk |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1154613768 PECOS PAC ID: 7315187929 Enrollment ID: I20130702000575 |
| Provider Name | Shafia Rubeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871793430 PECOS PAC ID: 2466691191 Enrollment ID: I20131007000666 |
| Provider Name | Walker T Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124332200 PECOS PAC ID: 7214163021 Enrollment ID: I20131127001352 |
| Provider Name | Shanna Kozak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497053714 PECOS PAC ID: 8123292901 Enrollment ID: I20131210002212 |
| Provider Name | Adam D Kuzma |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104252824 PECOS PAC ID: 1355579509 Enrollment ID: I20140114001422 |
| Provider Name | Daniel L. Etheridge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043649809 PECOS PAC ID: 5294964532 Enrollment ID: I20140206001291 |
| Provider Name | Prejesh Philips |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1114183787 PECOS PAC ID: 0941426308 Enrollment ID: I20140722000701 |
| Provider Name | Trevor E Sanders |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902202690 PECOS PAC ID: 8224352992 Enrollment ID: I20150129000372 |
| Provider Name | Rasesh R Desai |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104015148 PECOS PAC ID: 1254457195 Enrollment ID: I20150130002346 |
| Provider Name | Taylor P Kelley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790182640 PECOS PAC ID: 7315262912 Enrollment ID: I20150202000772 |
| Provider Name | Lori M Poindexter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497171292 PECOS PAC ID: 2567787989 Enrollment ID: I20150205002631 |
| Provider Name | Kimberly Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730499526 PECOS PAC ID: 1951626050 Enrollment ID: I20150212001341 |
| Provider Name | Heather L Finney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689062044 PECOS PAC ID: 6608192224 Enrollment ID: I20150225002497 |
| Provider Name | Lindsey C Hickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376933150 PECOS PAC ID: 8325364730 Enrollment ID: I20150302002519 |
| Provider Name | Jasmina Klapic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770986515 PECOS PAC ID: 6103142492 Enrollment ID: I20150304000574 |
| Provider Name | Tanya Shoaib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235428574 PECOS PAC ID: 4688991136 Enrollment ID: I20150323001483 |
| Provider Name | Derek L Reeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457751091 PECOS PAC ID: 5799005856 Enrollment ID: I20150513002596 |
| Provider Name | Karen S Lyons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871560755 PECOS PAC ID: 6103950340 Enrollment ID: I20150603000408 |
| Provider Name | Shannon Renee Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235525809 PECOS PAC ID: 6709197981 Enrollment ID: I20150615000435 |
| Provider Name | Jacob Bliss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912388539 PECOS PAC ID: 8426369448 Enrollment ID: I20150617002554 |
| Provider Name | Samrat Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043574155 PECOS PAC ID: 8123331832 Enrollment ID: I20150723007375 |
| Provider Name | Sajjad Haider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396091104 PECOS PAC ID: 3375781313 Enrollment ID: I20150803001685 |
| Provider Name | Suvada Salkic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134504152 PECOS PAC ID: 2668789181 Enrollment ID: I20150916001582 |
| Provider Name | Elaine Mabel Alvarez Pichardo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063709046 PECOS PAC ID: 8022288737 Enrollment ID: I20150917000462 |
| Provider Name | Sameer Badarudeen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720390040 PECOS PAC ID: 5991937351 Enrollment ID: I20151019000540 |
| Provider Name | Sherese A Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952772733 PECOS PAC ID: 6507176898 Enrollment ID: I20151117002882 |
| Provider Name | Suman Shekar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265750897 PECOS PAC ID: 9335465699 Enrollment ID: I20160225000102 |
| Provider Name | Dana A Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053779447 PECOS PAC ID: 1951606961 Enrollment ID: I20160229000967 |
| Provider Name | Johna M Wix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043466139 PECOS PAC ID: 7416193743 Enrollment ID: I20160311000310 |
| Provider Name | Lee M. Riddle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295149532 PECOS PAC ID: 0749580975 Enrollment ID: I20160516002348 |
| Provider Name | Birrilla Maddox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528471463 PECOS PAC ID: 8426368374 Enrollment ID: I20160525002535 |
| Provider Name | Huifang Faith Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295178036 PECOS PAC ID: 5890085609 Enrollment ID: I20160607002571 |
| Provider Name | Daniel L Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114967353 PECOS PAC ID: 5991708810 Enrollment ID: I20161005002945 |
| Provider Name | Chaitanya S Malempati |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639482755 PECOS PAC ID: 6709191786 Enrollment ID: I20161014002150 |
| Provider Name | Caitlan C Hogue |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154865863 PECOS PAC ID: 0244511160 Enrollment ID: I20170106001100 |
| Provider Name | Jennifer N Herman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740735752 PECOS PAC ID: 5597047548 Enrollment ID: I20170126002047 |
| Provider Name | Leia N Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366987174 PECOS PAC ID: 1658654363 Enrollment ID: I20170202002575 |
| Provider Name | Monica L Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962938910 PECOS PAC ID: 4284902040 Enrollment ID: I20170620000724 |
| Provider Name | Salita Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699205237 PECOS PAC ID: 8022389733 Enrollment ID: I20170728002781 |
| Provider Name | Patricia Tellez Watson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144584665 PECOS PAC ID: 1456580034 Enrollment ID: I20170803001403 |
| Provider Name | Matthew D Harmon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013432434 PECOS PAC ID: 7315211331 Enrollment ID: I20170914001884 |
| Provider Name | Andrew J Ebelhar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164782306 PECOS PAC ID: 5496064461 Enrollment ID: I20170921002233 |
| Provider Name | James H Joyner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699110916 PECOS PAC ID: 4587971890 Enrollment ID: I20171109002258 |
| Provider Name | Krista D. Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073027710 PECOS PAC ID: 1850659848 Enrollment ID: I20171220003087 |
| Provider Name | Tevis C Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902312804 PECOS PAC ID: 3971863200 Enrollment ID: I20180207000471 |
| Provider Name | Zachary A Stewart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316453798 PECOS PAC ID: 4880954114 Enrollment ID: I20180207000472 |
| Provider Name | Kelly Daniel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023154028 PECOS PAC ID: 0446513865 Enrollment ID: I20180418001511 |
| Provider Name | Beverly Gail Jaggers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336636703 PECOS PAC ID: 9032464128 Enrollment ID: I20180613001510 |
| Provider Name | Charles S Dietrich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619995131 PECOS PAC ID: 3971661125 Enrollment ID: I20180719002907 |
| Provider Name | Kerri H Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336649342 PECOS PAC ID: 0547518680 Enrollment ID: I20180806001336 |
| Provider Name | Angela K Wilhelm |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598248411 PECOS PAC ID: 7113278144 Enrollment ID: I20181001002425 |
| Provider Name | Taylor Mudd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316427164 PECOS PAC ID: 0143572156 Enrollment ID: I20181002002389 |
| Provider Name | Dawnelle M Lawrence |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467520015 PECOS PAC ID: 3577809151 Enrollment ID: I20190118001569 |
| Provider Name | John Garrity |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366915621 PECOS PAC ID: 8921345943 Enrollment ID: I20190130000219 |
| Provider Name | Andrea L Clemons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740753086 PECOS PAC ID: 5890035208 Enrollment ID: I20190321002622 |
| Provider Name | Lori Ann Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235695677 PECOS PAC ID: 5193068005 Enrollment ID: I20190516001617 |
| Provider Name | Megan A Mcdavitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467016337 PECOS PAC ID: 2860735511 Enrollment ID: I20190520002751 |
| Provider Name | Diego F Cabrera Fernandez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144660184 PECOS PAC ID: 1759514631 Enrollment ID: I20190809002649 |
| Provider Name | Charles A Morrow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831543453 PECOS PAC ID: 0143590059 Enrollment ID: I20190813001135 |
| Provider Name | Helen P Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629465281 PECOS PAC ID: 1850602889 Enrollment ID: I20190829002654 |
| Provider Name | Jennifer Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780245118 PECOS PAC ID: 7416286000 Enrollment ID: I20190906001950 |
| Provider Name | Brooke Leachman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285052449 PECOS PAC ID: 3870716699 Enrollment ID: I20191002002330 |
| Provider Name | Aleksander Nagornay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326695487 PECOS PAC ID: 2860722998 Enrollment ID: I20191002002656 |
| Provider Name | Meryl Gyger |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1609412691 PECOS PAC ID: 2860827516 Enrollment ID: I20200127002118 |
| Provider Name | Arron Gunderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740826387 PECOS PAC ID: 4284069972 Enrollment ID: I20200128001012 |
| Provider Name | Kayla J. Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831721018 PECOS PAC ID: 6901233808 Enrollment ID: I20200304002641 |
| Provider Name | Emily L Cecil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093210338 PECOS PAC ID: 3779810270 Enrollment ID: I20200512001374 |
| Provider Name | Jena Mansour |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497382758 PECOS PAC ID: 4789005323 Enrollment ID: I20200605001947 |
| Provider Name | Jennifer L Haynie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194013615 PECOS PAC ID: 4486875630 Enrollment ID: I20200624002181 |
| Provider Name | Melissa A Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164924130 PECOS PAC ID: 5698199511 Enrollment ID: I20200723002671 |
| Provider Name | Magendran Danapal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1740621788 PECOS PAC ID: 9133422678 Enrollment ID: I20200724002176 |
| Provider Name | Christopher James Areephanthu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558710970 PECOS PAC ID: 0244522464 Enrollment ID: I20200824001598 |
| Provider Name | Darin L Passer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437216579 PECOS PAC ID: 9931392677 Enrollment ID: I20200826001610 |
| Provider Name | Nomathamsanqa Moyo-peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811336423 PECOS PAC ID: 7113214248 Enrollment ID: I20200924002193 |
| Provider Name | Kristin Alyce Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649897497 PECOS PAC ID: 8224449285 Enrollment ID: I20201123001809 |
| Provider Name | Jacob Robert Hafner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174930911 PECOS PAC ID: 0840411674 Enrollment ID: I20201221001182 |
| Provider Name | Melissa Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265039309 PECOS PAC ID: 3971915653 Enrollment ID: I20201222002428 |
| Provider Name | Chanda Sethi-dihenia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326036450 PECOS PAC ID: 6800867284 Enrollment ID: I20210113000855 |
| Provider Name | Shelby N Poland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578162046 PECOS PAC ID: 1557774213 Enrollment ID: I20210119002653 |
| Provider Name | Amanda D La Favers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205460813 PECOS PAC ID: 9739518176 Enrollment ID: I20210311002673 |
| Provider Name | Meagan N Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104418078 PECOS PAC ID: 0547677452 Enrollment ID: I20210319002021 |
| Provider Name | Kelly M Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871730531 PECOS PAC ID: 6204990971 Enrollment ID: I20210505000999 |
| Provider Name | Seth C Gary |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336715549 PECOS PAC ID: 1355742644 Enrollment ID: I20210623004109 |
| Provider Name | Paul B Bertram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497329759 PECOS PAC ID: 7214339969 Enrollment ID: I20210716002369 |
| Provider Name | Shebna Unes Kunju |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043449341 PECOS PAC ID: 4385986868 Enrollment ID: I20210726000854 |
| Provider Name | Abigail C Santos |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245680032 PECOS PAC ID: 2062748791 Enrollment ID: I20210726001028 |
| Provider Name | Joshua S Nagode |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295223394 PECOS PAC ID: 9032464151 Enrollment ID: I20210806000231 |
| Provider Name | Daniel Cordiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831552264 PECOS PAC ID: 2668753906 Enrollment ID: I20210809003205 |
| Provider Name | Heather Patricia Lusby |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720430705 PECOS PAC ID: 9537592035 Enrollment ID: I20210812002838 |
| Provider Name | Jessica N Wallen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427670827 PECOS PAC ID: 3971908518 Enrollment ID: I20210820000268 |
| Provider Name | Roshni Venugopal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639327612 PECOS PAC ID: 7517121874 Enrollment ID: I20210902003141 |
| Provider Name | Ashley R Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467129536 PECOS PAC ID: 0749687382 Enrollment ID: I20210923001917 |
| Provider Name | Muhanad Hreh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982193702 PECOS PAC ID: 5597162800 Enrollment ID: I20210928003373 |
| Provider Name | Yifan Li |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942654314 PECOS PAC ID: 1658643697 Enrollment ID: I20211007000699 |
| Provider Name | Wesley W Oliver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386216323 PECOS PAC ID: 1850799412 Enrollment ID: I20211012002069 |
| Provider Name | Melissa D Corbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922678143 PECOS PAC ID: 5890183842 Enrollment ID: I20211025003102 |
| Provider Name | Daniel R Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013368596 PECOS PAC ID: 0446598080 Enrollment ID: I20211104002598 |
| Provider Name | Ann K Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184267494 PECOS PAC ID: 7416382221 Enrollment ID: I20211112000720 |
| Provider Name | Maria A Thompson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164428173 PECOS PAC ID: 2567535248 Enrollment ID: I20220119000607 |
| Provider Name | Kelly Renae Rainwaters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811660772 PECOS PAC ID: 3779975636 Enrollment ID: I20220126002744 |
| Provider Name | Christopher W Stanfield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619630134 PECOS PAC ID: 7315330628 Enrollment ID: I20220209002101 |
| Provider Name | Kali B Weber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568134021 PECOS PAC ID: 4082007950 Enrollment ID: I20220217001426 |
| Provider Name | Everald Uriah Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922444363 PECOS PAC ID: 5991933327 Enrollment ID: I20220523001098 |
| Provider Name | Ann Vachaparambil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154815819 PECOS PAC ID: 7012305899 Enrollment ID: I20220706000789 |
| Provider Name | Matthew Daniel Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275829145 PECOS PAC ID: 3971745407 Enrollment ID: I20220711000186 |
| Provider Name | Chad Bingham Willis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184087959 PECOS PAC ID: 7315230968 Enrollment ID: I20220727002094 |
| Provider Name | Grace Essandoh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588216337 PECOS PAC ID: 9436532157 Enrollment ID: I20220812002569 |
| Provider Name | Brian Michael Grant |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215303110 PECOS PAC ID: 5597187799 Enrollment ID: I20220824001065 |
| Provider Name | Shruti Yarra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316439771 PECOS PAC ID: 9830434901 Enrollment ID: I20220825002745 |
| Provider Name | Karen Christy Nelson |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1285848119 PECOS PAC ID: 6608028857 Enrollment ID: I20220901003120 |
| Provider Name | Uma Akkineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043293558 PECOS PAC ID: 5799752960 Enrollment ID: I20220906001832 |
| Provider Name | Ian L Stines |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952711665 PECOS PAC ID: 1951690874 Enrollment ID: I20220928002209 |
| Provider Name | Laiken Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811458698 PECOS PAC ID: 5395169213 Enrollment ID: I20221107001524 |
| Provider Name | Soney Basnyat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114448008 PECOS PAC ID: 6305110081 Enrollment ID: I20221214000445 |
| Provider Name | Wendy L Pearce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437285962 PECOS PAC ID: 8426186180 Enrollment ID: I20230220002161 |
| Provider Name | Miranda D Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184373839 PECOS PAC ID: 8921470907 Enrollment ID: I20230221002432 |
| Provider Name | Doreen Lindsay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649293184 PECOS PAC ID: 0840299624 Enrollment ID: I20230303002157 |
| Provider Name | Kacy L Jent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760189344 PECOS PAC ID: 8224403159 Enrollment ID: I20230406002617 |
| Provider Name | Adeola O Folayan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578973970 PECOS PAC ID: 1254559040 Enrollment ID: I20230613002779 |
| Provider Name | Tanner S Withrow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861122681 PECOS PAC ID: 2466816517 Enrollment ID: I20230908000370 |
| Provider Name | Harry L Warren |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1447670286 PECOS PAC ID: 5496977985 Enrollment ID: I20231017002103 |
| Provider Name | Michael Adugna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982157830 PECOS PAC ID: 9032404751 Enrollment ID: I20231028000236 |
| Provider Name | Benjamin Aaron Banasiewicz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013479922 PECOS PAC ID: 6204161474 Enrollment ID: I20231111000203 |
| Provider Name | George A Alsina |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831161926 PECOS PAC ID: 0042376857 Enrollment ID: I20231214002459 |
| Provider Name | Zamira Vasquez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598431413 PECOS PAC ID: 3274986906 Enrollment ID: I20240130001921 |
| Provider Name | Nadia Boulghassoul-pietrzykowska |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346401528 PECOS PAC ID: 8224296157 Enrollment ID: I20240206002724 |
| Provider Name | Keely Bill |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447701206 PECOS PAC ID: 5991149924 Enrollment ID: I20240219001229 |
| Provider Name | Chelsea Strehl |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194349464 PECOS PAC ID: 3476997412 Enrollment ID: I20240219001582 |
| Provider Name | Rabia Zahid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346734043 PECOS PAC ID: 0143577387 Enrollment ID: I20240219002699 |
| Provider Name | Bailey E Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730967159 PECOS PAC ID: 5395189906 Enrollment ID: I20240221003807 |
| Provider Name | Benjamin Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043986961 PECOS PAC ID: 3678919669 Enrollment ID: I20240313000653 |
| Provider Name | Sybil V Cutrone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316648025 PECOS PAC ID: 9537505557 Enrollment ID: I20240313002068 |
| Provider Name | Nicole Dee Anania |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033392766 PECOS PAC ID: 8628140522 Enrollment ID: I20240328000253 |
| Provider Name | Kayla Withrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487434700 PECOS PAC ID: 1658719232 Enrollment ID: I20240402000764 |
| Provider Name | Dana Morris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609543149 PECOS PAC ID: 2668810045 Enrollment ID: I20240404000585 |
| Provider Name | Anchit Bharat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477041705 PECOS PAC ID: 0547506479 Enrollment ID: I20240423000627 |
| Provider Name | Mohammad Saud Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891170825 PECOS PAC ID: 2769787498 Enrollment ID: I20240426000433 |
| Provider Name | Megan Luther |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366105652 PECOS PAC ID: 7012305931 Enrollment ID: I20240426001290 |
| Provider Name | Aswani Suthrave |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013942341 PECOS PAC ID: 9638176506 Enrollment ID: I20240426001815 |
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The Luna Therapy & Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2530 Scottsville Rd Ste 22, Bowling Green, KY 42104 Phone: 270-864-6872 | |
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Interventional Pain Specialists Of Bowling Green Plc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 165 Natchez Trace Ave, Suite 205, Bowling Green, KY 42103 Phone: 270-393-1912 Fax: 270-393-1913 | |
More To Life Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 351 Pascoe Blvd, Suite 103h, Bowling Green, KY 42104 Phone: 270-791-5933 Fax: 270-721-0988 | |
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