| Medical Group | |
|
71 Haynes St Miller Bldg., Floor G Manchester CT 06040-4131 | |
| (860) 533-2981 | |
| (860) 533-2975 |
| Full Name | Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 71 Haynes St, Manchester, Connecticut |
| Authorized Official Name and Position | Robert Jon Elders (SECRETARY) |
| Authorized Official Contact | 7147881249 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Group 71 Haynes St Miller Bldg., Floor G Manchester CT 06040-4131 Ph: (860) 533-2981 | Medical Group 71 Haynes St Miller Bldg., Floor G Manchester CT 06040-4131 Ph: (860) 533-2981 |
| NPI Number | 1144677568 |
|---|---|
| Provider Enumeration Date | 05/16/2016 |
| Last Update Date | 03/15/2021 |
| Certification Date | 03/15/2021 |
| Medicare PECOS PAC ID | 7416244496 |
|---|---|
| Medicare Enrollment ID | O20160919001322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144677568 | NPI | - | NPPES |
| Provider Name | Cynthia Marie Grindle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982682092 PECOS PAC ID: 5991602336 Enrollment ID: I20031215000715 |
| Provider Name | Ellen G Neuhaus |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558330720 PECOS PAC ID: 2466351895 Enrollment ID: I20040106000068 |
| Provider Name | Doreen A Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871509968 PECOS PAC ID: 7618877291 Enrollment ID: I20040110000120 |
| Provider Name | Leonard Koliani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619995677 PECOS PAC ID: 0244123487 Enrollment ID: I20040203000605 |
| Provider Name | Arthur L Lebowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205851169 PECOS PAC ID: 0345133591 Enrollment ID: I20040203000654 |
| Provider Name | Joseph P Deluca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629090071 PECOS PAC ID: 4688567845 Enrollment ID: I20040203000674 |
| Provider Name | Joseph P Morley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053349407 PECOS PAC ID: 3274429147 Enrollment ID: I20040226000588 |
| Provider Name | Lynn J Phillips |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801869706 PECOS PAC ID: 5092602623 Enrollment ID: I20040301000060 |
| Provider Name | Ruth E Weissberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255365326 PECOS PAC ID: 8325930746 Enrollment ID: I20040329001057 |
| Provider Name | Michael P Bey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992777544 PECOS PAC ID: 0941293625 Enrollment ID: I20040407000900 |
| Provider Name | Eugene M Ciccone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437114030 PECOS PAC ID: 3476540766 Enrollment ID: I20040428001107 |
| Provider Name | J.daane Logsdon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013124684 PECOS PAC ID: 2365426459 Enrollment ID: I20040616000496 |
| Provider Name | Jonathan J Fillmore |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578592713 PECOS PAC ID: 5991789661 Enrollment ID: I20040618000091 |
| Provider Name | Dushyant N Gandhi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689683138 PECOS PAC ID: 4789662008 Enrollment ID: I20040712001318 |
| Provider Name | Anita L Salerno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407821184 PECOS PAC ID: 0446222392 Enrollment ID: I20040811000036 |
| Provider Name | Leor Zedek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427000538 PECOS PAC ID: 9133193220 Enrollment ID: I20040824000871 |
| Provider Name | Faria A Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427020080 PECOS PAC ID: 3870555899 Enrollment ID: I20041102000525 |
| Provider Name | Bridget M Mccue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588743462 PECOS PAC ID: 9032174156 Enrollment ID: I20041130000717 |
| Provider Name | Shiven B Chabria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932172830 PECOS PAC ID: 5395794853 Enrollment ID: I20050121000626 |
| Provider Name | David J Pizzuto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417989096 PECOS PAC ID: 5698725638 Enrollment ID: I20050127000012 |
| Provider Name | Yelena N Titko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518980473 PECOS PAC ID: 6406800614 Enrollment ID: I20050310000517 |
| Provider Name | Kimberly B Collins |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1417926296 PECOS PAC ID: 9638124225 Enrollment ID: I20050316000750 |
| Provider Name | Chandra K Sacheti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124087655 PECOS PAC ID: 6800865247 Enrollment ID: I20050317000528 |
| Provider Name | David M Bass |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1497722300 PECOS PAC ID: 3678511979 Enrollment ID: I20050418001207 |
| Provider Name | Yasmine Khan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972577518 PECOS PAC ID: 2860432184 Enrollment ID: I20050505001044 |
| Provider Name | Ehsan Ansari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841236312 PECOS PAC ID: 5698719045 Enrollment ID: I20050616000095 |
| Provider Name | Jaye C Howes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093984189 PECOS PAC ID: 1557305844 Enrollment ID: I20050617000066 |
| Provider Name | Jo-anne A Cosgriff |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942224902 PECOS PAC ID: 0143265124 Enrollment ID: I20050621000323 |
| Provider Name | Edgar Catala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053369819 PECOS PAC ID: 6002852811 Enrollment ID: I20050701000507 |
| Provider Name | Justin Lundbye |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043255748 PECOS PAC ID: 5092751560 Enrollment ID: I20050706000748 |
| Provider Name | Scott Kurtzman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457357451 PECOS PAC ID: 3072549716 Enrollment ID: I20050713000812 |
| Provider Name | Daniel S Fusco |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1245235936 PECOS PAC ID: 8325074958 Enrollment ID: I20050714000378 |
| Provider Name | Al O Giwa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083689673 PECOS PAC ID: 2567434681 Enrollment ID: I20050831000188 |
| Provider Name | Roula G Rizk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265440986 PECOS PAC ID: 3072547843 Enrollment ID: I20050921000445 |
| Provider Name | Jay D Kenkare |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1619940996 PECOS PAC ID: 5991730731 Enrollment ID: I20050930000207 |
| Provider Name | Mary L Aquavia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982791547 PECOS PAC ID: 8123040193 Enrollment ID: I20051220000071 |
| Provider Name | Jean M Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275505828 PECOS PAC ID: 6103848387 Enrollment ID: I20060103000141 |
| Provider Name | Allyson L Modica |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043289762 PECOS PAC ID: 1153330402 Enrollment ID: I20060413000416 |
| Provider Name | George M Barchini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023094133 PECOS PAC ID: 1557372240 Enrollment ID: I20060509000687 |
| Provider Name | John Machado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558324046 PECOS PAC ID: 2062437684 Enrollment ID: I20060516000012 |
| Provider Name | Shikha M. Sarkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942251814 PECOS PAC ID: 4587645650 Enrollment ID: I20060710000181 |
| Provider Name | Susan C Izzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881644631 PECOS PAC ID: 9234142373 Enrollment ID: I20060713000233 |
| Provider Name | Franco Galasso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174573539 PECOS PAC ID: 9032122759 Enrollment ID: I20060725000443 |
| Provider Name | Ralph V Tremaglio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053360305 PECOS PAC ID: 1052324431 Enrollment ID: I20060802000031 |
| Provider Name | Sohrab Zahedi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457371049 PECOS PAC ID: 2466455845 Enrollment ID: I20060825000135 |
| Provider Name | Lesley A Gustafson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639163199 PECOS PAC ID: 7517961188 Enrollment ID: I20060913000303 |
| Provider Name | Richard M Shoup |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518930957 PECOS PAC ID: 9133125024 Enrollment ID: I20061017000403 |
| Provider Name | Allan R Mayer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437153012 PECOS PAC ID: 0345248910 Enrollment ID: I20061114000287 |
| Provider Name | Sagar M Phatak |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023033149 PECOS PAC ID: 2961400130 Enrollment ID: I20061122000297 |
| Provider Name | Ionut B Anton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770550238 PECOS PAC ID: 8729086855 Enrollment ID: I20061127000326 |
| Provider Name | Abdul M Sheikh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992799829 PECOS PAC ID: 0446285647 Enrollment ID: I20070102000236 |
| Provider Name | Rhianon N Iassogna Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457422057 PECOS PAC ID: 1456351022 Enrollment ID: I20070104000214 |
| Provider Name | Alexia Thomas Koudellou |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346278066 PECOS PAC ID: 6204822802 Enrollment ID: I20070123000309 |
| Provider Name | Andrew A Kronk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427006642 PECOS PAC ID: 8729185178 Enrollment ID: I20070518000214 |
| Provider Name | Lisa M Oliveira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467514513 PECOS PAC ID: 1153429345 Enrollment ID: I20070612000576 |
| Provider Name | Raghuraman R Vidhun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578680062 PECOS PAC ID: 9032210901 Enrollment ID: I20070723000014 |
| Provider Name | Michael A Harma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710106547 PECOS PAC ID: 7214029081 Enrollment ID: I20070824000145 |
| Provider Name | Remi Mathews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407054794 PECOS PAC ID: 6709978505 Enrollment ID: I20070824000377 |
| Provider Name | Jonathan D Parkhurst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164628889 PECOS PAC ID: 5991899403 Enrollment ID: I20070914000172 |
| Provider Name | Elizabeth C Riordan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528078995 PECOS PAC ID: 9234223306 Enrollment ID: I20070920000020 |
| Provider Name | Neil J Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154370401 PECOS PAC ID: 8123116829 Enrollment ID: I20071114000039 |
| Provider Name | Cristina H. Hung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144297433 PECOS PAC ID: 8224081724 Enrollment ID: I20071128000400 |
| Provider Name | Booth Wainscoat |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699707141 PECOS PAC ID: 7012912165 Enrollment ID: I20071214000550 |
| Provider Name | Danny A Korkmaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699967349 PECOS PAC ID: 5597845289 Enrollment ID: I20080108000206 |
| Provider Name | Greta Boynton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801854773 PECOS PAC ID: 9234156878 Enrollment ID: I20080220000055 |
| Provider Name | Christina Cipriani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871699181 PECOS PAC ID: 6002992146 Enrollment ID: I20080328000598 |
| Provider Name | Nieves Hornbeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780635771 PECOS PAC ID: 0648249862 Enrollment ID: I20080401000043 |
| Provider Name | Mario Rodenas |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1871709063 PECOS PAC ID: 9739279852 Enrollment ID: I20080415000095 |
| Provider Name | Ferdinando Urbano |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053599902 PECOS PAC ID: 5799864161 Enrollment ID: I20080509000552 |
| Provider Name | Leonard I Eisenfeld |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649243379 PECOS PAC ID: 5496826554 Enrollment ID: I20080617000361 |
| Provider Name | John P Moschello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073592978 PECOS PAC ID: 1850463415 Enrollment ID: I20080626000623 |
| Provider Name | Socorro Vargas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588774244 PECOS PAC ID: 3678646221 Enrollment ID: I20080716000031 |
| Provider Name | Richard C Orris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033186598 PECOS PAC ID: 8022181015 Enrollment ID: I20080724000271 |
| Provider Name | Jonathan D Mosovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851578660 PECOS PAC ID: 8123192952 Enrollment ID: I20080728000791 |
| Provider Name | T Michelle G Mariani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740303544 PECOS PAC ID: 5991870453 Enrollment ID: I20080818000475 |
| Provider Name | Hazar Dahhan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023077609 PECOS PAC ID: 7517031206 Enrollment ID: I20080930000129 |
| Provider Name | Joseph E Podolski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225221732 PECOS PAC ID: 3870653041 Enrollment ID: I20081118000183 |
| Provider Name | Susan G Goodson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922109891 PECOS PAC ID: 7719040351 Enrollment ID: I20090108000482 |
| Provider Name | Pia Dogbey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720260094 PECOS PAC ID: 1759445117 Enrollment ID: I20090129000348 |
| Provider Name | Mark S Rosenberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851459390 PECOS PAC ID: 8325025380 Enrollment ID: I20090306000371 |
| Provider Name | Gwenn I Drapeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982859401 PECOS PAC ID: 7214094341 Enrollment ID: I20090317000430 |
| Provider Name | Leo R Otake |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1770761025 PECOS PAC ID: 1850448358 Enrollment ID: I20090421000426 |
| Provider Name | Jianhui Zhang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417170952 PECOS PAC ID: 1759431463 Enrollment ID: I20090617000667 |
| Provider Name | Marc N Raad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316085665 PECOS PAC ID: 1355493776 Enrollment ID: I20090810000155 |
| Provider Name | Joycelyn D Maw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629166574 PECOS PAC ID: 9436203908 Enrollment ID: I20090818000473 |
| Provider Name | Jessica J Chaudhary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801070107 PECOS PAC ID: 1759435092 Enrollment ID: I20090820000438 |
| Provider Name | Arpana S Mohnani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154386373 PECOS PAC ID: 5799799078 Enrollment ID: I20090828000055 |
| Provider Name | Donna M Tanganelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962614677 PECOS PAC ID: 8527105030 Enrollment ID: I20091102000087 |
| Provider Name | Cesar F Fuentes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689861866 PECOS PAC ID: 4880733971 Enrollment ID: I20091203000019 |
| Provider Name | Chinyelu E Oraedu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932357548 PECOS PAC ID: 3971642000 Enrollment ID: I20091203000337 |
| Provider Name | Jeffrey D Martone |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295760742 PECOS PAC ID: 8022157908 Enrollment ID: I20091207000198 |
| Provider Name | Fausto M Lanao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801844675 PECOS PAC ID: 5496895534 Enrollment ID: I20091221000398 |
| Provider Name | Leslie Coopersmith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801844147 PECOS PAC ID: 9931249794 Enrollment ID: I20091229000623 |
| Provider Name | Steven I Aronin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164495875 PECOS PAC ID: 4789726290 Enrollment ID: I20100121000741 |
| Provider Name | J Michael Elser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982677894 PECOS PAC ID: 6901948355 Enrollment ID: I20100122000287 |
| Provider Name | Jane D Cooper |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1356314066 PECOS PAC ID: 7416099866 Enrollment ID: I20100122000335 |
| Provider Name | David Knight |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841254539 PECOS PAC ID: 4082696489 Enrollment ID: I20100122000790 |
| Provider Name | David Neil Podell |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1619940327 PECOS PAC ID: 8325051832 Enrollment ID: I20100202000399 |
| Provider Name | Kathleen M Britting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912907791 PECOS PAC ID: 0840333225 Enrollment ID: I20100208000159 |
| Provider Name | Michael J Flanagan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902860166 PECOS PAC ID: 3870584626 Enrollment ID: I20100210000283 |
| Provider Name | Kenneth R Newton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194799700 PECOS PAC ID: 9830233980 Enrollment ID: I20100212000650 |
| Provider Name | Carla M Jacobson-kiel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235137316 PECOS PAC ID: 4486798162 Enrollment ID: I20100218000530 |
| Provider Name | Elizabeth Mirabile-levens |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437234622 PECOS PAC ID: 4284713728 Enrollment ID: I20100223000443 |
| Provider Name | Peter G Levinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881612851 PECOS PAC ID: 8628090149 Enrollment ID: I20100224000441 |
| Provider Name | Mark L Ruggiero |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396773644 PECOS PAC ID: 1153410808 Enrollment ID: I20100225000135 |
| Provider Name | Stephen C Widman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346278512 PECOS PAC ID: 1759470503 Enrollment ID: I20100225000737 |
| Provider Name | David G Hill |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033226584 PECOS PAC ID: 3577642008 Enrollment ID: I20100316000302 |
| Provider Name | Richard S Silverman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679680110 PECOS PAC ID: 4284713710 Enrollment ID: I20100316000422 |
| Provider Name | Robert Mcdonald |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023125549 PECOS PAC ID: 7012096548 Enrollment ID: I20100323000565 |
| Provider Name | Theresa M Caputo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740259886 PECOS PAC ID: 0143219188 Enrollment ID: I20100329001017 |
| Provider Name | Eric M Thompson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942208202 PECOS PAC ID: 0244367241 Enrollment ID: I20100423000001 |
| Provider Name | Kristine M Altwies |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255662946 PECOS PAC ID: 1759410186 Enrollment ID: I20100524000713 |
| Provider Name | Hana Hulinska |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558590489 PECOS PAC ID: 2961531207 Enrollment ID: I20100526000876 |
| Provider Name | Andrew H Selinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114937141 PECOS PAC ID: 5294864245 Enrollment ID: I20100601000063 |
| Provider Name | Marianne Bette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144266495 PECOS PAC ID: 3678524568 Enrollment ID: I20100628000479 |
| Provider Name | Satish K Deshpande |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255399960 PECOS PAC ID: 2769424738 Enrollment ID: I20100629000281 |
| Provider Name | Sun King Wan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043290281 PECOS PAC ID: 6204880529 Enrollment ID: I20100813000102 |
| Provider Name | Kristin Giannini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881662443 PECOS PAC ID: 3375667140 Enrollment ID: I20100831000399 |
| Provider Name | Claudio P Milite |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396761458 PECOS PAC ID: 3375667181 Enrollment ID: I20100831000943 |
| Provider Name | Angelito C Bacay |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679506836 PECOS PAC ID: 1254336001 Enrollment ID: I20100831000965 |
| Provider Name | Venkateswara R Narla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992790836 PECOS PAC ID: 2961527726 Enrollment ID: I20100916000720 |
| Provider Name | Gary H Belt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699707422 PECOS PAC ID: 5890810550 Enrollment ID: I20100917000725 |
| Provider Name | Zhongqiu John Zhang |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1679725816 PECOS PAC ID: 4284750589 Enrollment ID: I20100923001099 |
| Provider Name | Robert P Hendrikson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689755910 PECOS PAC ID: 0042104796 Enrollment ID: I20101014000736 |
| Provider Name | Paul Beauvais |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487731998 PECOS PAC ID: 8123140803 Enrollment ID: I20101014000939 |
| Provider Name | David W Sink |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114916798 PECOS PAC ID: 8022191188 Enrollment ID: I20101022000677 |
| Provider Name | Srinath Kadimi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730144734 PECOS PAC ID: 9931394715 Enrollment ID: I20101108000403 |
| Provider Name | Parveen Khanna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881689727 PECOS PAC ID: 1355430687 Enrollment ID: I20101110001048 |
| Provider Name | Candice T Pych |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871563098 PECOS PAC ID: 8426244344 Enrollment ID: I20101118000026 |
| Provider Name | Michael Damon Savarese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538170493 PECOS PAC ID: 1254239676 Enrollment ID: I20101215000006 |
| Provider Name | Akua A Sam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568454635 PECOS PAC ID: 3577751395 Enrollment ID: I20101221000627 |
| Provider Name | Linda T Mathew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154395002 PECOS PAC ID: 5597953026 Enrollment ID: I20101227000731 |
| Provider Name | Farah L Choudhry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821061664 PECOS PAC ID: 7810185352 Enrollment ID: I20101227000792 |
| Provider Name | Michael Mayer Krinsky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508898339 PECOS PAC ID: 0749245553 Enrollment ID: I20110105001057 |
| Provider Name | Carine Jean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982685889 PECOS PAC ID: 9931398583 Enrollment ID: I20110112000803 |
| Provider Name | Janet Lynne Vodra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104834365 PECOS PAC ID: 4082893136 Enrollment ID: I20110121000733 |
| Provider Name | Jeffrey Howard Katz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780651745 PECOS PAC ID: 6305025073 Enrollment ID: I20110127000028 |
| Provider Name | Lori Sobel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780660134 PECOS PAC ID: 9335321876 Enrollment ID: I20110304000632 |
| Provider Name | Hector R Pun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447304944 PECOS PAC ID: 9537340625 Enrollment ID: I20110326000055 |
| Provider Name | Emily Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144386541 PECOS PAC ID: 4789724386 Enrollment ID: I20110418000728 |
| Provider Name | William Johns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598773160 PECOS PAC ID: 4789869223 Enrollment ID: I20110427000782 |
| Provider Name | Victor E Ylagan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265464945 PECOS PAC ID: 4789861527 Enrollment ID: I20110606000015 |
| Provider Name | Jennifer M Trzaski-malash |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154503407 PECOS PAC ID: 9931386463 Enrollment ID: I20110608000817 |
| Provider Name | Carlo C Mccalla |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467679845 PECOS PAC ID: 5597859173 Enrollment ID: I20110616000083 |
| Provider Name | Marlyn Vazquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922302470 PECOS PAC ID: 7517135031 Enrollment ID: I20110727000290 |
| Provider Name | Erica H Lambert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285803528 PECOS PAC ID: 5092888479 Enrollment ID: I20110829000471 |
| Provider Name | Diana Wagner |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790893022 PECOS PAC ID: 7719910488 Enrollment ID: I20110906000269 |
| Provider Name | Leslie I Wolkoff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518933845 PECOS PAC ID: 5698841930 Enrollment ID: I20110923000190 |
| Provider Name | Gordon L Brodie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114995016 PECOS PAC ID: 8527230663 Enrollment ID: I20111021000546 |
| Provider Name | Angela M Gaither |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083895825 PECOS PAC ID: 0749453041 Enrollment ID: I20111102000286 |
| Provider Name | Terry M Poppiti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467427948 PECOS PAC ID: 1153344833 Enrollment ID: I20111114000634 |
| Provider Name | Laura V Lucarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386934578 PECOS PAC ID: 2860666203 Enrollment ID: I20111121000189 |
| Provider Name | Heather M Nisbeth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912952243 PECOS PAC ID: 3072780956 Enrollment ID: I20120117000608 |
| Provider Name | Taisha Z Santiago |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962770131 PECOS PAC ID: 2860669751 Enrollment ID: I20120117000746 |
| Provider Name | Elise M Romanik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790730034 PECOS PAC ID: 9739356668 Enrollment ID: I20120118000349 |
| Provider Name | Saqib Naseer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962482109 PECOS PAC ID: 0941254262 Enrollment ID: I20120204000011 |
| Provider Name | Stephanie A Sirois |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952629495 PECOS PAC ID: 5597922260 Enrollment ID: I20120208000252 |
| Provider Name | David J Delucia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285788786 PECOS PAC ID: 0446431530 Enrollment ID: I20120220000330 |
| Provider Name | Anna Camacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558632257 PECOS PAC ID: 0446419105 Enrollment ID: I20120315000581 |
| Provider Name | Rachana Kanaujia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043441439 PECOS PAC ID: 9032373808 Enrollment ID: I20120606000489 |
| Provider Name | Eric A Camyre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831326461 PECOS PAC ID: 0244494045 Enrollment ID: I20120607000013 |
| Provider Name | Paul Fiore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669601811 PECOS PAC ID: 7719142884 Enrollment ID: I20120625000117 |
| Provider Name | Julia Zefirova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346472933 PECOS PAC ID: 0840455424 Enrollment ID: I20120705000164 |
| Provider Name | Nayyara Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275844987 PECOS PAC ID: 6103082581 Enrollment ID: I20120731000005 |
| Provider Name | Nick Ramandi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124219050 PECOS PAC ID: 2062668163 Enrollment ID: I20120806000343 |
| Provider Name | Marvelle L Lindo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639427735 PECOS PAC ID: 8426206020 Enrollment ID: I20120924000013 |
| Provider Name | Antonie J Auguste |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508063165 PECOS PAC ID: 0042469843 Enrollment ID: I20121011000790 |
| Provider Name | James R Doran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942249610 PECOS PAC ID: 5698701548 Enrollment ID: I20121113000430 |
| Provider Name | Amina Asrar Ahmed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174685556 PECOS PAC ID: 8628220548 Enrollment ID: I20130502000368 |
| Provider Name | Ruchi Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902240039 PECOS PAC ID: 4385883818 Enrollment ID: I20130613000447 |
| Provider Name | Diane H Pospisil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477894772 PECOS PAC ID: 7416196399 Enrollment ID: I20130626000036 |
| Provider Name | Christopher J. Mozdzanowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083866784 PECOS PAC ID: 7113181603 Enrollment ID: I20130731000781 |
| Provider Name | Lisa R Talati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235441890 PECOS PAC ID: 8527200443 Enrollment ID: I20130806000296 |
| Provider Name | Shihab Masrur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861623431 PECOS PAC ID: 4082856190 Enrollment ID: I20130819000793 |
| Provider Name | Brian Koo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346435930 PECOS PAC ID: 3476625344 Enrollment ID: I20130909000069 |
| Provider Name | Rizwan Iqbal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649403601 PECOS PAC ID: 7517101447 Enrollment ID: I20130916000685 |
| Provider Name | Yuliya V Riat |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1326274960 PECOS PAC ID: 8729222476 Enrollment ID: I20130918000639 |
| Provider Name | Angela Lea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467762781 PECOS PAC ID: 6608000856 Enrollment ID: I20131002000228 |
| Provider Name | Kalpesh A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366785800 PECOS PAC ID: 7113151242 Enrollment ID: I20131003000417 |
| Provider Name | Archit Vipul Patel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033304589 PECOS PAC ID: 6507090305 Enrollment ID: I20131010000900 |
| Provider Name | Eileen A Knox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831523638 PECOS PAC ID: 6305071531 Enrollment ID: I20131024001016 |
| Provider Name | Amy Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245664770 PECOS PAC ID: 9537394192 Enrollment ID: I20131107000153 |
| Provider Name | Mary C D Amico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710312533 PECOS PAC ID: 4981836905 Enrollment ID: I20140407000163 |
| Provider Name | Anupma Saini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952570764 PECOS PAC ID: 5890810238 Enrollment ID: I20140516001341 |
| Provider Name | Danise M Schiliro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619143252 PECOS PAC ID: 0941443675 Enrollment ID: I20140610000864 |
| Provider Name | Emese Gal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265727432 PECOS PAC ID: 9638393416 Enrollment ID: I20140618000125 |
| Provider Name | Kimberly A Bottone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922391101 PECOS PAC ID: 4981821881 Enrollment ID: I20140818001250 |
| Provider Name | Angela Marie Craft |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528363504 PECOS PAC ID: 0840418026 Enrollment ID: I20140829001496 |
| Provider Name | Cara E Pittari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548493273 PECOS PAC ID: 9537388228 Enrollment ID: I20140911000108 |
| Provider Name | Douglas C Klotzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184031171 PECOS PAC ID: 1153540505 Enrollment ID: I20140916002847 |
| Provider Name | Michael D Waddington |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1205043486 PECOS PAC ID: 8325190648 Enrollment ID: I20141023000392 |
| Provider Name | Wayne Rockhill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497188163 PECOS PAC ID: 8325360944 Enrollment ID: I20141209001482 |
| Provider Name | Stephanie Gunnoud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245636877 PECOS PAC ID: 8325365596 Enrollment ID: I20150327000283 |
| Provider Name | Catherine Louise Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629462940 PECOS PAC ID: 0345560009 Enrollment ID: I20150520000527 |
| Provider Name | Roopkiranjot K Kahlon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1003123548 PECOS PAC ID: 9335371434 Enrollment ID: I20150615001709 |
| Provider Name | Gopal C Sarker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316929607 PECOS PAC ID: 1850340456 Enrollment ID: I20150616002535 |
| Provider Name | Samuel Antwi-boasiako |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700152063 PECOS PAC ID: 7810208253 Enrollment ID: I20150625001757 |
| Provider Name | Karolina Majk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487051777 PECOS PAC ID: 4183937444 Enrollment ID: I20150716001294 |
| Provider Name | Kevin Reddington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447639208 PECOS PAC ID: 6204141435 Enrollment ID: I20150818004534 |
| Provider Name | Juan Diego Holguin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164650370 PECOS PAC ID: 5890001614 Enrollment ID: I20150825002911 |
| Provider Name | Kanwardeep Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508026428 PECOS PAC ID: 4486728516 Enrollment ID: I20151026000616 |
| Provider Name | Ramesh Muniyappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619924958 PECOS PAC ID: 9931123601 Enrollment ID: I20151102001233 |
| Provider Name | Jameel C Uddeen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669767059 PECOS PAC ID: 1456662261 Enrollment ID: I20151104002736 |
| Provider Name | Tricia E Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962714022 PECOS PAC ID: 0648597757 Enrollment ID: I20151123002290 |
| Provider Name | Katherine Kedzierski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548571110 PECOS PAC ID: 6204137672 Enrollment ID: I20151209002227 |
| Provider Name | Audrie L Karraker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730290743 PECOS PAC ID: 3971805631 Enrollment ID: I20160112002352 |
| Provider Name | Kristi-lee Cavallo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518303890 PECOS PAC ID: 3476856626 Enrollment ID: I20160121000772 |
| Provider Name | Carla Mapelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356739361 PECOS PAC ID: 7416251988 Enrollment ID: I20160203000544 |
| Provider Name | Nadine S Caron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487027678 PECOS PAC ID: 4082919097 Enrollment ID: I20160229000853 |
| Provider Name | Kirlene K Lindsay-henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598121246 PECOS PAC ID: 2264739135 Enrollment ID: I20160322000404 |
| Provider Name | Tasha M Hamm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831349588 PECOS PAC ID: 9234436494 Enrollment ID: I20160404000012 |
| Provider Name | Hasmukh L Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659792588 PECOS PAC ID: 3577877059 Enrollment ID: I20160404001255 |
| Provider Name | Rebecca Demusis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063883627 PECOS PAC ID: 2264731439 Enrollment ID: I20160422001445 |
| Provider Name | Roshani Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265853154 PECOS PAC ID: 9830407071 Enrollment ID: I20160505000467 |
| Provider Name | Atsuko Yamahiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730524653 PECOS PAC ID: 1557681541 Enrollment ID: I20160518001956 |
| Provider Name | Vanessa Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063885531 PECOS PAC ID: 5991006470 Enrollment ID: I20160523001726 |
| Provider Name | Kamraan Madhani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437491057 PECOS PAC ID: 8022312396 Enrollment ID: I20160526001945 |
| Provider Name | Patrick Twum-barimah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003253931 PECOS PAC ID: 6709178940 Enrollment ID: I20160708001690 |
| Provider Name | Riddhi Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710316385 PECOS PAC ID: 9234422510 Enrollment ID: I20160725000936 |
| Provider Name | Suleyman Felek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225478803 PECOS PAC ID: 3072806231 Enrollment ID: I20160726000526 |
| Provider Name | Katelyn M Zachau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932543592 PECOS PAC ID: 3476879958 Enrollment ID: I20160826000357 |
| Provider Name | Karyn J Hansen |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1700020062 PECOS PAC ID: 5698061117 Enrollment ID: I20160909001405 |
| Provider Name | Saloua Mabkhouti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457805475 PECOS PAC ID: 7012203409 Enrollment ID: I20160912000896 |
| Provider Name | Mauricio Silva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609162197 PECOS PAC ID: 9032335120 Enrollment ID: I20161010000555 |
| Provider Name | Marinela Y Ingilizova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114297157 PECOS PAC ID: 8426283078 Enrollment ID: I20161024000715 |
| Provider Name | Rebecca F Dreyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881803757 PECOS PAC ID: 6002194933 Enrollment ID: I20161028000217 |
| Provider Name | Andrea Dufour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679021273 PECOS PAC ID: 2062791007 Enrollment ID: I20161116000693 |
| Provider Name | Zohra Salehi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477993582 PECOS PAC ID: 5496034019 Enrollment ID: I20161122000752 |
| Provider Name | Eric J Edgerton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083164230 PECOS PAC ID: 3971883810 Enrollment ID: I20161209001564 |
| Provider Name | Laura A Dove |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023214582 PECOS PAC ID: 5092806208 Enrollment ID: I20161213001577 |
| Provider Name | Rushickah Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093267981 PECOS PAC ID: 0840572079 Enrollment ID: I20170124002313 |
| Provider Name | Djana Harp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063402584 PECOS PAC ID: 7113950015 Enrollment ID: I20170705000387 |
| Provider Name | Arslan Johnghar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568755700 PECOS PAC ID: 8123248135 Enrollment ID: I20170707000290 |
| Provider Name | Benjamin Ristau |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588891196 PECOS PAC ID: 0345553350 Enrollment ID: I20170712003134 |
| Provider Name | Imran Siddiqui |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235389875 PECOS PAC ID: 8820226467 Enrollment ID: I20170802000020 |
| Provider Name | Brannon P Peralta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649610890 PECOS PAC ID: 1052682838 Enrollment ID: I20170814000646 |
| Provider Name | Raphael Shaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902218597 PECOS PAC ID: 6800168436 Enrollment ID: I20170817000201 |
| Provider Name | Khadijat O Balogun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124310743 PECOS PAC ID: 9537431721 Enrollment ID: I20170823001793 |
| Provider Name | Saad A Qadwai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578962601 PECOS PAC ID: 1658643572 Enrollment ID: I20170828000397 |
| Provider Name | Sarah M Montavon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629213574 PECOS PAC ID: 5395019178 Enrollment ID: I20170918001072 |
| Provider Name | David W Yaffee |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1306010517 PECOS PAC ID: 9537433925 Enrollment ID: I20170925000226 |
| Provider Name | Meghan A Tetreault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326562828 PECOS PAC ID: 6901170018 Enrollment ID: I20170927002903 |
| Provider Name | Katherine B Mullis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619493400 PECOS PAC ID: 9032485941 Enrollment ID: I20171020001155 |
| Provider Name | Ermal Molla |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902163975 PECOS PAC ID: 4486960275 Enrollment ID: I20171031000574 |
| Provider Name | Danielle Nardone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386189645 PECOS PAC ID: 0840556957 Enrollment ID: I20171106002294 |
| Provider Name | Julia I. D. Vitali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508276346 PECOS PAC ID: 1850617341 Enrollment ID: I20171109002359 |
| Provider Name | Aleksandra Belonick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740706027 PECOS PAC ID: 9537426895 Enrollment ID: I20171122001401 |
| Provider Name | Heather Cerasale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407367113 PECOS PAC ID: 5496013237 Enrollment ID: I20171227001703 |
| Provider Name | Kathryn Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932621521 PECOS PAC ID: 8426316027 Enrollment ID: I20180102001580 |
| Provider Name | Kelli A Harper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245641174 PECOS PAC ID: 5597081075 Enrollment ID: I20180110003282 |
| Provider Name | Tracy Follert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245741701 PECOS PAC ID: 9436419629 Enrollment ID: I20180208000791 |
| Provider Name | Regina M Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831638360 PECOS PAC ID: 0446511919 Enrollment ID: I20180223001772 |
| Provider Name | Alissa B Zalewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144764507 PECOS PAC ID: 9931462249 Enrollment ID: I20180420000152 |
| Provider Name | Desiree Lynn Lavery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265929533 PECOS PAC ID: 2264796739 Enrollment ID: I20180509000957 |
| Provider Name | Violet Pastorkova-jaouen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679077754 PECOS PAC ID: 7012271307 Enrollment ID: I20180515000687 |
| Provider Name | Mamta Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891031522 PECOS PAC ID: 0244542066 Enrollment ID: I20180522002127 |
| Provider Name | Nishanth Reddy Pundru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205241288 PECOS PAC ID: 5395022644 Enrollment ID: I20180529002018 |
| Provider Name | Prabhdeep Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790162790 PECOS PAC ID: 4486909116 Enrollment ID: I20180620001163 |
| Provider Name | Allison Dziemaszkiewicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306148861 PECOS PAC ID: 2062767627 Enrollment ID: I20180622000368 |
| Provider Name | Caitlin Paige Stavens-meucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023538980 PECOS PAC ID: 3274809645 Enrollment ID: I20180627002377 |
| Provider Name | Ivy Dwomoh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952786659 PECOS PAC ID: 0749536894 Enrollment ID: I20180703002763 |
| Provider Name | Allison L Waggoner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497149397 PECOS PAC ID: 4688975543 Enrollment ID: I20180719000612 |
| Provider Name | Iyanna Atwell Liles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588083554 PECOS PAC ID: 4385964428 Enrollment ID: I20180809000146 |
| Provider Name | Armenia Mordan Vasquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891179735 PECOS PAC ID: 3678821378 Enrollment ID: I20180810002353 |
| Provider Name | Essam Nakhla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487910410 PECOS PAC ID: 0547519506 Enrollment ID: I20180823003238 |
| Provider Name | Farhang Alaee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174816094 PECOS PAC ID: 8628398559 Enrollment ID: I20180827001217 |
| Provider Name | Christine Leah Shapter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821138389 PECOS PAC ID: 3971854795 Enrollment ID: I20180918002563 |
| Provider Name | Elizabeth A Lawton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881172500 PECOS PAC ID: 1759632508 Enrollment ID: I20180918003666 |
| Provider Name | Maria Munoz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407266901 PECOS PAC ID: 2264783836 Enrollment ID: I20180920000745 |
| Provider Name | Muhammad S Amjad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508247305 PECOS PAC ID: 7315256062 Enrollment ID: I20181023002800 |
| Provider Name | Cara Lousie Thomson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386974434 PECOS PAC ID: 9537412135 Enrollment ID: I20181029002840 |
| Provider Name | Kerry Petrello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578041430 PECOS PAC ID: 4880947399 Enrollment ID: I20181031001040 |
| Provider Name | Jennifer Ann Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376669648 PECOS PAC ID: 0749534410 Enrollment ID: I20181115000964 |
| Provider Name | Elsie Joann Alvarado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992295802 PECOS PAC ID: 0446595458 Enrollment ID: I20181219003241 |
| Provider Name | Eyone Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013279199 PECOS PAC ID: 3678819794 Enrollment ID: I20190110002541 |
| Provider Name | Lynn S. Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073082343 PECOS PAC ID: 2961749486 Enrollment ID: I20190122003141 |
| Provider Name | Abike Becroft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588146351 PECOS PAC ID: 0446598759 Enrollment ID: I20190212002341 |
| Provider Name | Deon Johnson-allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124592274 PECOS PAC ID: 9638418197 Enrollment ID: I20190227001366 |
| Provider Name | Lori A Washenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528538196 PECOS PAC ID: 4587903984 Enrollment ID: I20190301001054 |
| Provider Name | Sheila Jane Tan Zanoria |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508182965 PECOS PAC ID: 2668783564 Enrollment ID: I20190617002252 |
| Provider Name | Medhat Ghaly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407218761 PECOS PAC ID: 9931494184 Enrollment ID: I20190620002567 |
| Provider Name | Joseph De Beauvoir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659733624 PECOS PAC ID: 6800186248 Enrollment ID: I20190715000941 |
| Provider Name | Christine Simone Armstrong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467832675 PECOS PAC ID: 5496014151 Enrollment ID: I20190826000420 |
| Provider Name | Hannah C Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346892775 PECOS PAC ID: 7911235056 Enrollment ID: I20190827002351 |
| Provider Name | Stephanie L. White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942682422 PECOS PAC ID: 4789913682 Enrollment ID: I20190830002411 |
| Provider Name | Erin Greenberg Hartnett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508129081 PECOS PAC ID: 4486950938 Enrollment ID: I20190910002194 |
| Provider Name | Betsy Larose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851648398 PECOS PAC ID: 7911239199 Enrollment ID: I20191022001390 |
| Provider Name | Nicole Marie Ferretti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730435355 PECOS PAC ID: 1557693637 Enrollment ID: I20191022001933 |
| Provider Name | Anna Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831212471 PECOS PAC ID: 2567890114 Enrollment ID: I20200316000345 |
| Provider Name | Maisha Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063966273 PECOS PAC ID: 8224466412 Enrollment ID: I20200323000930 |
| Provider Name | Kaveh Ghaedi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235576224 PECOS PAC ID: 5395768584 Enrollment ID: I20200410001042 |
| Provider Name | Daylin Chaplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629523485 PECOS PAC ID: 3072895762 Enrollment ID: I20200420000766 |
| Provider Name | Okwuchi Ogbonna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669854071 PECOS PAC ID: 5395058879 Enrollment ID: I20200430001977 |
| Provider Name | Susan Antoinette Pappas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720616246 PECOS PAC ID: 3274964333 Enrollment ID: I20200506000880 |
| Provider Name | Rinku Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588289128 PECOS PAC ID: 0840614079 Enrollment ID: I20200721003856 |
| Provider Name | Fahmida H Mcgann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154716678 PECOS PAC ID: 3678886116 Enrollment ID: I20200804002972 |
| Provider Name | Katelyn Iva Norman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194259408 PECOS PAC ID: 6507282647 Enrollment ID: I20200819002397 |
| Provider Name | Tijana Samardzic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851910871 PECOS PAC ID: 6204253925 Enrollment ID: I20200826002550 |
| Provider Name | Sana Pathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699205443 PECOS PAC ID: 2860819802 Enrollment ID: I20200904001111 |
| Provider Name | Constantinos Lovoulos |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1720268584 PECOS PAC ID: 6103729215 Enrollment ID: I20200918001376 |
| Provider Name | Ann Skariya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902338601 PECOS PAC ID: 7911278940 Enrollment ID: I20200929002599 |
| Provider Name | Christine Zarrella Cipriani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306456116 PECOS PAC ID: 2365853777 Enrollment ID: I20201116000972 |
| Provider Name | Jennifer Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396362125 PECOS PAC ID: 2466863550 Enrollment ID: I20201120001318 |
| Provider Name | Raafat Gorgy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700137734 PECOS PAC ID: 9638494743 Enrollment ID: I20201219000075 |
| Provider Name | Christie Czarnecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255993762 PECOS PAC ID: 2567875172 Enrollment ID: I20201228001808 |
| Provider Name | Nicole M Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710364211 PECOS PAC ID: 4688981160 Enrollment ID: I20210129000128 |
| Provider Name | Ashraf M Oloufa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285689901 PECOS PAC ID: 4183606106 Enrollment ID: I20210301002305 |
| Provider Name | Mohammad Usmani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710420401 PECOS PAC ID: 6800136284 Enrollment ID: I20210421002348 |
| Provider Name | Neil Bidon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225644966 PECOS PAC ID: 0840609772 Enrollment ID: I20210506000065 |
| Provider Name | Bryan Fix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982213997 PECOS PAC ID: 0749689503 Enrollment ID: I20210527000599 |
| Provider Name | Andrea Lynn Delaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669082830 PECOS PAC ID: 6901206226 Enrollment ID: I20210608002444 |
| Provider Name | Michael R Dibenedetto |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801280706 PECOS PAC ID: 8224335112 Enrollment ID: I20210625000679 |
| Provider Name | Matthew Lempel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881182467 PECOS PAC ID: 9335541317 Enrollment ID: I20210713003671 |
| Provider Name | Jackson Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710480892 PECOS PAC ID: 3678976735 Enrollment ID: I20210727001951 |
| Provider Name | Gregory Michael Ricketts |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326459454 PECOS PAC ID: 4789087552 Enrollment ID: I20210730002443 |
| Provider Name | Hafsa Farooq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942651393 PECOS PAC ID: 6800181165 Enrollment ID: I20210730003029 |
| Provider Name | Nana Yaa N Chihombori-quao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295269744 PECOS PAC ID: 3779853528 Enrollment ID: I20210802000845 |
| Provider Name | Daniel Tylee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194284109 PECOS PAC ID: 4082948682 Enrollment ID: I20210809002464 |
| Provider Name | Anna Ziganshina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629431630 PECOS PAC ID: 6608166038 Enrollment ID: I20210819001865 |
| Provider Name | Bemen Habashi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487159877 PECOS PAC ID: 4688079031 Enrollment ID: I20210823002198 |
| Provider Name | Uchenna Okereke |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437566205 PECOS PAC ID: 2062849813 Enrollment ID: I20210824003445 |
| Provider Name | Kausar Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194490359 PECOS PAC ID: 8628474806 Enrollment ID: I20210914001616 |
| Provider Name | Elizabeth Pereira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083381966 PECOS PAC ID: 6709283435 Enrollment ID: I20210923001265 |
| Provider Name | Marie Sanzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366008963 PECOS PAC ID: 1254738818 Enrollment ID: I20210923002618 |
| Provider Name | Arit E Esu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225533649 PECOS PAC ID: 2365840014 Enrollment ID: I20211011000089 |
| Provider Name | Stephanie Alexandra Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306411749 PECOS PAC ID: 0840688347 Enrollment ID: I20211103001065 |
| Provider Name | Anna Ziganshina |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629431630 PECOS PAC ID: 6608166038 Enrollment ID: I20211108001956 |
| Provider Name | Garrett Whittaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174149462 PECOS PAC ID: 3274922125 Enrollment ID: I20211115000805 |
| Provider Name | Selma Costa Rosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457930158 PECOS PAC ID: 0446641989 Enrollment ID: I20211217000352 |
| Provider Name | Sebina Bulic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831326750 PECOS PAC ID: 9931407848 Enrollment ID: I20220106002541 |
| Provider Name | Steve M Cordina |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972777290 PECOS PAC ID: 6002084498 Enrollment ID: I20220107000346 |
| Provider Name | Leonard Dasilva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902873185 PECOS PAC ID: 9830096718 Enrollment ID: I20220107002160 |
| Provider Name | Preet Varade |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467780551 PECOS PAC ID: 3870801657 Enrollment ID: I20220107002364 |
| Provider Name | Alexander Zubkov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992721658 PECOS PAC ID: 0244260081 Enrollment ID: I20220110001789 |
| Provider Name | Michael Katsnelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013170067 PECOS PAC ID: 6406989177 Enrollment ID: I20220110001933 |
| Provider Name | Amirhossein Zangiabadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326294562 PECOS PAC ID: 8628233517 Enrollment ID: I20220111000120 |
| Provider Name | Nada Owees |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225533078 PECOS PAC ID: 6800131913 Enrollment ID: I20220115000003 |
| Provider Name | Ulises Nobo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487705141 PECOS PAC ID: 0345138749 Enrollment ID: I20220118000277 |
| Provider Name | Mark N Rubin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104055169 PECOS PAC ID: 9931394491 Enrollment ID: I20220120001104 |
| Provider Name | Christina Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689340747 PECOS PAC ID: 0648662841 Enrollment ID: I20220120001821 |
| Provider Name | Nirav Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710277918 PECOS PAC ID: 5597053017 Enrollment ID: I20220126000412 |
| Provider Name | Jonathan Marehbian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972875730 PECOS PAC ID: 9436430485 Enrollment ID: I20220128000182 |
| Provider Name | Tracey Melissa Modeste |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871025973 PECOS PAC ID: 8820481179 Enrollment ID: I20220209000251 |
| Provider Name | Katherine Fontaine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013172311 PECOS PAC ID: 2163607227 Enrollment ID: I20220222001085 |
| Provider Name | Piyush Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780945212 PECOS PAC ID: 6305063330 Enrollment ID: I20220308000796 |
| Provider Name | Deanett Coran Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104571595 PECOS PAC ID: 5890180459 Enrollment ID: I20220317000061 |
| Provider Name | Jeremiah Peter Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700546421 PECOS PAC ID: 5799170239 Enrollment ID: I20220318000699 |
| Provider Name | Lauren Speringo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093215378 PECOS PAC ID: 0648665943 Enrollment ID: I20220324000213 |
| Provider Name | Katrina Carotenuti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649926528 PECOS PAC ID: 8527453687 Enrollment ID: I20220328001828 |
| Provider Name | Billie-jo Sauvron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700490901 PECOS PAC ID: 1658758313 Enrollment ID: I20220518001290 |
| Provider Name | Mojtaba Mirzaei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841753225 PECOS PAC ID: 5193050664 Enrollment ID: I20220615001498 |
| Provider Name | Ammar Huq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417418534 PECOS PAC ID: 9830376391 Enrollment ID: I20220629002895 |
| Provider Name | Humam Huq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306305156 PECOS PAC ID: 5799941324 Enrollment ID: I20220701000609 |
| Provider Name | Chelsey Ann Shaban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417696840 PECOS PAC ID: 4284014960 Enrollment ID: I20220712002649 |
| Provider Name | Eric Hintz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316115496 PECOS PAC ID: 0840599502 Enrollment ID: I20220719000830 |
| Provider Name | Momina Afrede |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750842951 PECOS PAC ID: 8325429426 Enrollment ID: I20220720003761 |
| Provider Name | Bilal Ghassan Jaradat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669032504 PECOS PAC ID: 9931581824 Enrollment ID: I20220809003632 |
| Provider Name | Christina E Lillywhite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295467181 PECOS PAC ID: 1850774738 Enrollment ID: I20220810003580 |
| Provider Name | Ahmed Ewida |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720462021 PECOS PAC ID: 2264781764 Enrollment ID: I20220908002171 |
| Provider Name | Neslyne B Augustin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245729631 PECOS PAC ID: 4789080045 Enrollment ID: I20221005000578 |
| Provider Name | Douglas A Valenta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851553879 PECOS PAC ID: 4688728181 Enrollment ID: I20221010001173 |
| Provider Name | Mahfuza Akhtar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972026490 PECOS PAC ID: 3173999307 Enrollment ID: I20221013000667 |
| Provider Name | Kimberly Gaznabie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366056962 PECOS PAC ID: 4981070455 Enrollment ID: I20221025001930 |
| Provider Name | Peter Farag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497135263 PECOS PAC ID: 2365746898 Enrollment ID: I20221206000858 |
| Provider Name | Vinessa Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881214377 PECOS PAC ID: 0143643007 Enrollment ID: I20221219000638 |
| Provider Name | Aisha Z Rush |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932330511 PECOS PAC ID: 7416175716 Enrollment ID: I20230203001808 |
| Provider Name | Christina Krzywicki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548634942 PECOS PAC ID: 3476925231 Enrollment ID: I20230206000593 |
| Provider Name | Billie-jo Sauvron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700490901 PECOS PAC ID: 1658758313 Enrollment ID: I20230209002339 |
| Provider Name | Dana Dwyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376554493 PECOS PAC ID: 8921004227 Enrollment ID: I20230209002635 |
| Provider Name | M. Lisa Attebery |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649385626 PECOS PAC ID: 2365492527 Enrollment ID: I20230317002187 |
| Provider Name | Davida Y Goltz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053725044 PECOS PAC ID: 8729324082 Enrollment ID: I20230321002754 |
| Provider Name | Vinodh T Doss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336348085 PECOS PAC ID: 5698930683 Enrollment ID: I20230321002916 |
| Provider Name | Mackenzie Phelps |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487254892 PECOS PAC ID: 2961876412 Enrollment ID: I20230323001300 |
| Provider Name | Sareem Wani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861621096 PECOS PAC ID: 7517123201 Enrollment ID: I20230324002126 |
| Provider Name | Manu Dhawan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174146575 PECOS PAC ID: 6608231238 Enrollment ID: I20230503001575 |
| Provider Name | Paul Lam |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194169425 PECOS PAC ID: 8729338652 Enrollment ID: I20230511000158 |
| Provider Name | Jaime A Goldstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407938582 PECOS PAC ID: 4183727472 Enrollment ID: I20230524000125 |
| Provider Name | Colin Burgess |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689106304 PECOS PAC ID: 0244574432 Enrollment ID: I20230612001439 |
| Provider Name | Yvan Tranquille |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134573827 PECOS PAC ID: 1355776022 Enrollment ID: I20230629002171 |
| Provider Name | Becky O'neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790930303 PECOS PAC ID: 8628218765 Enrollment ID: I20230712001112 |
| Provider Name | Andrea Little |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1356793806 PECOS PAC ID: 0840652889 Enrollment ID: I20230808003081 |
| Provider Name | Camillo Ferrari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588287999 PECOS PAC ID: 9133581077 Enrollment ID: I20230809003231 |
| Provider Name | Dorcas Poni Eshun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295088854 PECOS PAC ID: 1355596354 Enrollment ID: I20230918002619 |
| Provider Name | Michele Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306622444 PECOS PAC ID: 6305290370 Enrollment ID: I20230925001833 |
| Provider Name | Asma Afridi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508487190 PECOS PAC ID: 2860846755 Enrollment ID: I20230926003624 |
| Provider Name | Ana Quintana Villafuerte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144907882 PECOS PAC ID: 8628423886 Enrollment ID: I20231009003156 |
| Provider Name | Kaitlin Frances Holihan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548046824 PECOS PAC ID: 0840645891 Enrollment ID: I20231011000200 |
| Provider Name | Iuliana Kiliment |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104138254 PECOS PAC ID: 7810135233 Enrollment ID: I20231030000212 |
| Provider Name | Nadia Kousar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306002233 PECOS PAC ID: 1850518515 Enrollment ID: I20231102001182 |
| Provider Name | Jennifer Lee Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508643750 PECOS PAC ID: 7012364458 Enrollment ID: I20231107002686 |
| Provider Name | Sabina Zawadzka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396109021 PECOS PAC ID: 8820382864 Enrollment ID: I20231115002030 |
| Provider Name | Sarah E Macone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417739665 PECOS PAC ID: 7517315070 Enrollment ID: I20231122002010 |
| Provider Name | Rabeea Nazir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023545217 PECOS PAC ID: 8628498904 Enrollment ID: I20231201001360 |
| Provider Name | Diana Zhong |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376924365 PECOS PAC ID: 2163721861 Enrollment ID: I20231212002191 |
| Provider Name | Julia Cornett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679884738 PECOS PAC ID: 3779779251 Enrollment ID: I20231220002779 |
| Provider Name | Varvara Mironova |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114374303 PECOS PAC ID: 1052605797 Enrollment ID: I20240112001389 |
| Provider Name | Anne M Gaetano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679841126 PECOS PAC ID: 1850743915 Enrollment ID: I20240115000868 |
| Provider Name | Bethsaida Torres |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639455942 PECOS PAC ID: 9335591387 Enrollment ID: I20240116002049 |
| Provider Name | Anna Witt |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770015042 PECOS PAC ID: 0042581092 Enrollment ID: I20240123004491 |
| Provider Name | Amy Jensen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043730443 PECOS PAC ID: 7113370008 Enrollment ID: I20240126002576 |
| Provider Name | Carrie Marie Scampolino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114900065 PECOS PAC ID: 3870946775 Enrollment ID: I20240126002921 |
| Provider Name | Kaitlin Marcil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457726234 PECOS PAC ID: 9739532656 Enrollment ID: I20240126003572 |
| Provider Name | Jason R Schwarz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245567452 PECOS PAC ID: 3870946791 Enrollment ID: I20240126003776 |
| Provider Name | Hugh Smolin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942282611 PECOS PAC ID: 9931552783 Enrollment ID: I20240128000129 |
| Provider Name | Samaria Erica Greene |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639325574 PECOS PAC ID: 0840643680 Enrollment ID: I20240129003083 |
| Provider Name | Joanne Margaret Seymour |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417930637 PECOS PAC ID: 2567815301 Enrollment ID: I20240129003130 |
| Provider Name | Edward Vegliante |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235473000 PECOS PAC ID: 3870946312 Enrollment ID: I20240131002464 |
| Provider Name | Caitlin Seibert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588255111 PECOS PAC ID: 4981047479 Enrollment ID: I20240212004080 |
| Provider Name | Bruno Valentine Lozito |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356308514 PECOS PAC ID: 4082058912 Enrollment ID: I20240220001475 |
| Provider Name | Kelly Nicole Carter-maynard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659578649 PECOS PAC ID: 2365887841 Enrollment ID: I20240226000037 |
| Provider Name | Kara Ferraro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033972112 PECOS PAC ID: 7719322817 Enrollment ID: I20240228003361 |
| Provider Name | Kenneth Brand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700414117 PECOS PAC ID: 0547683872 Enrollment ID: I20240306001259 |
| Provider Name | Sarah Welsh Burgdorf |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801213780 PECOS PAC ID: 5193053346 Enrollment ID: I20240327003326 |
| Provider Name | Weijun Jin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861812083 PECOS PAC ID: 1557609310 Enrollment ID: I20240401002995 |
| Provider Name | Becky Elizabeth Tartaglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275399016 PECOS PAC ID: 7810335585 Enrollment ID: I20240402000048 |
| Provider Name | Flordeliza Palazzolo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417919358 PECOS PAC ID: 6800234071 Enrollment ID: I20240406000244 |
| Provider Name | Jordan Y Amar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407340409 PECOS PAC ID: 2466832019 Enrollment ID: I20240409003457 |
| Provider Name | Alice C Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154810992 PECOS PAC ID: 7810231073 Enrollment ID: I20240418001274 |
Wandembergh Mental Health Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Wells St, Manchester, CT 06040 Phone: 860-643-5387 Fax: 860-643-5387 | |
Beehive Counseling & Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 63 E Center St Ste 2r, Manchester, CT 06040 Phone: 860-281-1671 | |
Building Happiness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 62 Mather St, Manchester, CT 06042 Phone: 860-578-2011 | |
Burch Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 945 Main St, Suite 211, Manchester, CT 06040 Phone: 617-784-8997 | |
Ellen Buffa, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 112 Spencer St, Manchester, CT 06040 Phone: 508-341-2833 | |
True North Wellness & Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Highwood Dr, Manchester, CT 06040 Phone: 860-878-4211 | |
Jamshid A Marvasti, M.d. P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Haynes St, Mmh, Manchester, CT 06040 Phone: 860-643-1166 |