| Mercy Family Counseling, Mercy Psychiatric | |
|
5264 Council St Ne Cedar Rapids IA 52402-2471 | |
| (319) 398-6575 | |
| (319) 369-4673 |
| Full Name | Mercy Family Counseling, Mercy Psychiatric |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5264 Council St Ne, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Timothy L Charles (PRESIDENT AND CEO) |
| Authorized Official Contact | 3193986697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Family Counseling, Mercy Psychiatric Po Box 1824 Cedar Rapids IA 52406-1824 Ph: (319) 369-4505 | Mercy Family Counseling, Mercy Psychiatric 5264 Council St Ne Cedar Rapids IA 52402-2471 Ph: (319) 398-6575 |
| NPI Number | 1700834165 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 10/05/2018 |
| Medicare PECOS PAC ID | 4183535271 |
|---|---|
| Medicare Enrollment ID | O20031215000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700834165 | NPI | - | NPPES |
| Provider Name | Vincent A Taeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770659591 PECOS PAC ID: 0941109359 Enrollment ID: I20040105000823 |
| Provider Name | Jonathan F Arnold |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1497747935 PECOS PAC ID: 5991691057 Enrollment ID: I20040225000609 |
| Provider Name | Leila A Kutteh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1679558340 PECOS PAC ID: 6002805199 Enrollment ID: I20040512000841 |
| Provider Name | Scott K Nau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669450896 PECOS PAC ID: 5395736979 Enrollment ID: I20040521000616 |
| Provider Name | Martin W Carpenter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558359174 PECOS PAC ID: 5890774509 Enrollment ID: I20040716000213 |
| Provider Name | Richard J Mersch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780662049 PECOS PAC ID: 1557339124 Enrollment ID: I20040921001020 |
| Provider Name | Tarah T Colaizy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386639227 PECOS PAC ID: 3072573377 Enrollment ID: I20041012000712 |
| Provider Name | Afzal H Abdullah |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932199395 PECOS PAC ID: 2567402605 Enrollment ID: I20050507000081 |
| Provider Name | Mary L Tharp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679534440 PECOS PAC ID: 3870534605 Enrollment ID: I20050520001026 |
| Provider Name | David J Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992766778 PECOS PAC ID: 7113963091 Enrollment ID: I20050630000549 |
| Provider Name | Mark M Zittergruen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851312557 PECOS PAC ID: 2961478631 Enrollment ID: I20050815000584 |
| Provider Name | David Kum-wah Chew |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1366424509 PECOS PAC ID: 9032134473 Enrollment ID: I20051013001044 |
| Provider Name | David Seeger Tearse |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184621468 PECOS PAC ID: 9830117290 Enrollment ID: I20051104000265 |
| Provider Name | Ram Niwas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861461089 PECOS PAC ID: 8123033222 Enrollment ID: I20060210000346 |
| Provider Name | Fadi Y Yacoub |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1285690412 PECOS PAC ID: 6800808932 Enrollment ID: I20060608000034 |
| Provider Name | Deborah W Wilbur |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1063461689 PECOS PAC ID: 0749292738 Enrollment ID: I20060609000204 |
| Provider Name | Nancy L Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346298221 PECOS PAC ID: 3274545009 Enrollment ID: I20060619000211 |
| Provider Name | Cam F Campbell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174503254 PECOS PAC ID: 5395637276 Enrollment ID: I20060717000274 |
| Provider Name | Darin W Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275584922 PECOS PAC ID: 3678555323 Enrollment ID: I20060807000352 |
| Provider Name | Mirza Omer M Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285720490 PECOS PAC ID: 2668471715 Enrollment ID: I20061219000072 |
| Provider Name | Ronelle R Langley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760555965 PECOS PAC ID: 7517967557 Enrollment ID: I20061222000106 |
| Provider Name | Jennifer A Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669531935 PECOS PAC ID: 3971503541 Enrollment ID: I20070104000220 |
| Provider Name | Jasmine S Nabi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1932326568 PECOS PAC ID: 2961503651 Enrollment ID: I20070725000293 |
| Provider Name | Teresa B Coker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376736058 PECOS PAC ID: 4789772815 Enrollment ID: I20071126000629 |
| Provider Name | Erika Siska |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750583605 PECOS PAC ID: 6002905726 Enrollment ID: I20071204000254 |
| Provider Name | Rachel J Francois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720060742 PECOS PAC ID: 0345320719 Enrollment ID: I20080110000547 |
| Provider Name | Brenda L Keenan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124190798 PECOS PAC ID: 7517039043 Enrollment ID: I20080627000574 |
| Provider Name | Susan Marie Schima |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871674341 PECOS PAC ID: 8224108329 Enrollment ID: I20080715000262 |
| Provider Name | Keeli A Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639371354 PECOS PAC ID: 4587738745 Enrollment ID: I20080806000176 |
| Provider Name | Brenda M Shafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689819500 PECOS PAC ID: 2062574148 Enrollment ID: I20081224000321 |
| Provider Name | Lisa J Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568692606 PECOS PAC ID: 8729132428 Enrollment ID: I20090814000261 |
| Provider Name | Amie J Hass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215167598 PECOS PAC ID: 5799831798 Enrollment ID: I20090916000342 |
| Provider Name | Cynthia A Hemesath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164665006 PECOS PAC ID: 4385784776 Enrollment ID: I20091215000638 |
| Provider Name | Carla A Schulz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740369131 PECOS PAC ID: 5991605883 Enrollment ID: I20100302000777 |
| Provider Name | Walter T Lawrence |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508979139 PECOS PAC ID: 0244375509 Enrollment ID: I20100311000232 |
| Provider Name | Michael F Caudill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689636029 PECOS PAC ID: 0749319721 Enrollment ID: I20100601000450 |
| Provider Name | Sundara Rameshwar Reddy Munagala Venkata |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225140809 PECOS PAC ID: 3678602679 Enrollment ID: I20100601000686 |
| Provider Name | Tamara Taylor-hillyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972585230 PECOS PAC ID: 1557377934 Enrollment ID: I20100629000906 |
| Provider Name | Maureen A Mcdonagh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093039844 PECOS PAC ID: 9234262387 Enrollment ID: I20100727000481 |
| Provider Name | David L Rubsam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124346507 PECOS PAC ID: 2668506379 Enrollment ID: I20100817001033 |
| Provider Name | Clarella M Snavely |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740241116 PECOS PAC ID: 4183818818 Enrollment ID: I20101027000278 |
| Provider Name | Wieslaw Machnowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629056957 PECOS PAC ID: 7517154529 Enrollment ID: I20101202001149 |
| Provider Name | Luke R Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114991965 PECOS PAC ID: 0840479739 Enrollment ID: I20110125000126 |
| Provider Name | Desiree M Shaw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497758403 PECOS PAC ID: 8921091836 Enrollment ID: I20110221000724 |
| Provider Name | Claudia S Zavala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588644249 PECOS PAC ID: 3678750445 Enrollment ID: I20110602000688 |
| Provider Name | Shelly L Mcgurk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316228588 PECOS PAC ID: 6901078344 Enrollment ID: I20111007000454 |
| Provider Name | Joni K Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902111503 PECOS PAC ID: 0143497834 Enrollment ID: I20120120000454 |
| Provider Name | William P Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184646234 PECOS PAC ID: 9638192487 Enrollment ID: I20120418000235 |
| Provider Name | Vincent J Reid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144474370 PECOS PAC ID: 1052478914 Enrollment ID: I20120620000628 |
| Provider Name | Ryan T Chizek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295080166 PECOS PAC ID: 8628220472 Enrollment ID: I20121130000577 |
| Provider Name | Rhonda A Bridgewater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073866331 PECOS PAC ID: 8729232970 Enrollment ID: I20130218000011 |
| Provider Name | Paula Diane Stultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164569737 PECOS PAC ID: 2567418908 Enrollment ID: I20130412000572 |
| Provider Name | Suraj Bopanna |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740433291 PECOS PAC ID: 9436390325 Enrollment ID: I20130718000095 |
| Provider Name | Samuel Wood |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356387260 PECOS PAC ID: 2365454717 Enrollment ID: I20130920000152 |
| Provider Name | Brenda D Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548695497 PECOS PAC ID: 2567690407 Enrollment ID: I20140122001167 |
| Provider Name | Caroline R Moniza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366420820 PECOS PAC ID: 3870511918 Enrollment ID: I20140124001730 |
| Provider Name | Melanie M Blais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407890155 PECOS PAC ID: 8628030095 Enrollment ID: I20140128001309 |
| Provider Name | Sara M Goslin Neff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366867301 PECOS PAC ID: 7214168574 Enrollment ID: I20140331000215 |
| Provider Name | Imran Hassan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023088978 PECOS PAC ID: 1355371709 Enrollment ID: I20140404001298 |
| Provider Name | Sajida Ahad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326024837 PECOS PAC ID: 4385651371 Enrollment ID: I20140507001784 |
| Provider Name | Ryan D Hollenbeck |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689878175 PECOS PAC ID: 1557534245 Enrollment ID: I20140703000605 |
| Provider Name | Bhavya Akhauri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639332745 PECOS PAC ID: 3577798719 Enrollment ID: I20140905001769 |
| Provider Name | Amandeep Singh Dhaliwal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982921128 PECOS PAC ID: 5092934794 Enrollment ID: I20140911000468 |
| Provider Name | Samuel J Drahos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619383486 PECOS PAC ID: 8527288133 Enrollment ID: I20141002001798 |
| Provider Name | Steven Meek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093005639 PECOS PAC ID: 6709013766 Enrollment ID: I20141020002182 |
| Provider Name | Benjamin M Kurt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952710980 PECOS PAC ID: 9931423506 Enrollment ID: I20150130001853 |
| Provider Name | Karen J Mauss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073709549 PECOS PAC ID: 5991020356 Enrollment ID: I20150206001989 |
| Provider Name | Teri Michelle Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992130777 PECOS PAC ID: 3173834041 Enrollment ID: I20150618001176 |
| Provider Name | Pavlina S Kemp |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780900597 PECOS PAC ID: 4082854211 Enrollment ID: I20150723007138 |
| Provider Name | Alina V Dumitrescu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942442231 PECOS PAC ID: 2365758869 Enrollment ID: I20150828001349 |
| Provider Name | Rochelle M Remus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285991273 PECOS PAC ID: 6103132345 Enrollment ID: I20150902000994 |
| Provider Name | Dustin Allen Huinker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811137359 PECOS PAC ID: 5890851687 Enrollment ID: I20150908002683 |
| Provider Name | Sara J Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306228309 PECOS PAC ID: 7719294966 Enrollment ID: I20150921000980 |
| Provider Name | Ronald J Ridder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861463440 PECOS PAC ID: 9133177520 Enrollment ID: I20160112003066 |
| Provider Name | Khalid Al Katranji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063852762 PECOS PAC ID: 0042453045 Enrollment ID: I20160610001105 |
| Provider Name | George S Davis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225339856 PECOS PAC ID: 2567612302 Enrollment ID: I20160613001004 |
| Provider Name | Shane A Gailushas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073786521 PECOS PAC ID: 7113160169 Enrollment ID: I20160623000899 |
| Provider Name | Stephanie R Mueller Winnike |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922458629 PECOS PAC ID: 7315238102 Enrollment ID: I20160627000480 |
| Provider Name | Megan L Palmer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1720439987 PECOS PAC ID: 6709173859 Enrollment ID: I20160919000120 |
| Provider Name | David R Barnes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427023506 PECOS PAC ID: 6204025414 Enrollment ID: I20160928001685 |
| Provider Name | Robert Matthew Smith |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720216831 PECOS PAC ID: 1850520693 Enrollment ID: I20161005000697 |
| Provider Name | Ann L Stroh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568585206 PECOS PAC ID: 3870685159 Enrollment ID: I20161026001004 |
| Provider Name | Bruce A Sieleni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609217710 PECOS PAC ID: 8820371644 Enrollment ID: I20170201001722 |
| Provider Name | Nicole S Plagge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114113438 PECOS PAC ID: 2466735949 Enrollment ID: I20170207001534 |
| Provider Name | Kimberly A Jaeger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821443904 PECOS PAC ID: 2567745995 Enrollment ID: I20170209002096 |
| Provider Name | Shiny Mathewkutty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235339961 PECOS PAC ID: 5496949596 Enrollment ID: I20170216001372 |
| Provider Name | David Reed |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912945791 PECOS PAC ID: 0547394082 Enrollment ID: I20170307000394 |
| Provider Name | Jerrold Allan Schermer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851305916 PECOS PAC ID: 9335141472 Enrollment ID: I20170331000087 |
| Provider Name | Kiersten M Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922545177 PECOS PAC ID: 9830475854 Enrollment ID: I20170405002071 |
| Provider Name | David R Neira |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023204591 PECOS PAC ID: 5193092476 Enrollment ID: I20170517002860 |
| Provider Name | Robert A Ruelaz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1881749026 PECOS PAC ID: 5597847723 Enrollment ID: I20170531000058 |
| Provider Name | Chong C Lee |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1497855647 PECOS PAC ID: 7810959293 Enrollment ID: I20170630000266 |
| Provider Name | Jeremiah C Murphy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295750222 PECOS PAC ID: 2668413659 Enrollment ID: I20170808000305 |
| Provider Name | Amal S El-bakush |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609162908 PECOS PAC ID: 3577852177 Enrollment ID: I20170921002995 |
| Provider Name | Hillary L Behn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952812679 PECOS PAC ID: 0042579419 Enrollment ID: I20180109003411 |
| Provider Name | Christina L Aquino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215307111 PECOS PAC ID: 0648530048 Enrollment ID: I20180202001629 |
| Provider Name | Padget E Skogman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295149060 PECOS PAC ID: 1254557077 Enrollment ID: I20180214000414 |
| Provider Name | Mary A Miller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508313495 PECOS PAC ID: 3678834983 Enrollment ID: I20180301001745 |
| Provider Name | Rajeev S Dixit |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003903899 PECOS PAC ID: 3375803844 Enrollment ID: I20180305002645 |
| Provider Name | Kara M Fort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376059360 PECOS PAC ID: 7618239443 Enrollment ID: I20180315000073 |
| Provider Name | Monali Y Desai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417111303 PECOS PAC ID: 0749458131 Enrollment ID: I20180413000501 |
| Provider Name | Chad M Proctor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194222711 PECOS PAC ID: 1759645187 Enrollment ID: I20180510001024 |
| Provider Name | Paloma Pina |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1801034020 PECOS PAC ID: 9739368226 Enrollment ID: I20180706000111 |
| Provider Name | Brian D Witt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952628646 PECOS PAC ID: 2466759675 Enrollment ID: I20180716000751 |
| Provider Name | Srikanth Sankar Ravisankar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225267594 PECOS PAC ID: 5698084283 Enrollment ID: I20180726001402 |
| Provider Name | Andrew P Behounek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205329034 PECOS PAC ID: 5890043301 Enrollment ID: I20180731001939 |
| Provider Name | Natalie F Johnston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467699892 PECOS PAC ID: 9739437930 Enrollment ID: I20180803002074 |
| Provider Name | Kellie C Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437522869 PECOS PAC ID: 9830448232 Enrollment ID: I20180817002022 |
| Provider Name | David Michael Kowalczyk |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437599842 PECOS PAC ID: 0244554137 Enrollment ID: I20180824002634 |
| Provider Name | Barbara Ann Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265910939 PECOS PAC ID: 0042560138 Enrollment ID: I20180911003023 |
| Provider Name | Lisa M Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407337488 PECOS PAC ID: 2668724717 Enrollment ID: I20181017003329 |
| Provider Name | Cailey N Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679050652 PECOS PAC ID: 8628321577 Enrollment ID: I20181023003696 |
| Provider Name | Sarah A Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861972424 PECOS PAC ID: 6709139942 Enrollment ID: I20181105002720 |
| Provider Name | Joanna R Godbey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205312188 PECOS PAC ID: 4486908332 Enrollment ID: I20181113002598 |
| Provider Name | Lori A Erner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659741296 PECOS PAC ID: 2668717372 Enrollment ID: I20181228001230 |
| Provider Name | Melissa L Buchholz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376739698 PECOS PAC ID: 8921343633 Enrollment ID: I20181228001256 |
| Provider Name | Stacey R Schares |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568658029 PECOS PAC ID: 7911242623 Enrollment ID: I20181228001284 |
| Provider Name | Rebecca F Strabala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528536240 PECOS PAC ID: 5193060804 Enrollment ID: I20181228001313 |
| Provider Name | Megan S Hixson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154899888 PECOS PAC ID: 0446595151 Enrollment ID: I20181228001351 |
| Provider Name | Brian N Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972799286 PECOS PAC ID: 3577809508 Enrollment ID: I20190114000719 |
| Provider Name | Jessica A Pearson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760854848 PECOS PAC ID: 2365788924 Enrollment ID: I20190118000725 |
| Provider Name | Allison R Cox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982173522 PECOS PAC ID: 3971849530 Enrollment ID: I20190118000853 |
| Provider Name | Stacy M Pohlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053881458 PECOS PAC ID: 7618216342 Enrollment ID: I20190225001764 |
| Provider Name | Stephanie N Beltramea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932664851 PECOS PAC ID: 4082947841 Enrollment ID: I20190610002247 |
| Provider Name | Francisco J Ojeda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104875582 PECOS PAC ID: 7416084587 Enrollment ID: I20190610002374 |
| Provider Name | Kelsey R Meester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205395985 PECOS PAC ID: 4486987294 Enrollment ID: I20190611001162 |
| Provider Name | Jennifer L Somerville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851957732 PECOS PAC ID: 3678809266 Enrollment ID: I20190718003519 |
| Provider Name | Bradley C Gordan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134562762 PECOS PAC ID: 2264668144 Enrollment ID: I20190726002738 |
| Provider Name | Lindsay M Hopp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215464169 PECOS PAC ID: 4587991120 Enrollment ID: I20190806000742 |
| Provider Name | Ujjwal Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235570805 PECOS PAC ID: 0840582136 Enrollment ID: I20190814000088 |
| Provider Name | Hanna Bishop Molinari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467007096 PECOS PAC ID: 7911238696 Enrollment ID: I20191010001000 |
| Provider Name | David Paul Kuwayama |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1265591333 PECOS PAC ID: 4486753464 Enrollment ID: I20191120002764 |
| Provider Name | Karen Samani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013439793 PECOS PAC ID: 7214361856 Enrollment ID: I20200107001918 |
| Provider Name | Sachin Goyal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174964019 PECOS PAC ID: 1658707492 Enrollment ID: I20200214000302 |
| Provider Name | April Lynn Haven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528609070 PECOS PAC ID: 7810324449 Enrollment ID: I20200220002349 |
| Provider Name | Mallory R Markwitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902446305 PECOS PAC ID: 0345677225 Enrollment ID: I20200305002980 |
| Provider Name | Lindsay N Ehlers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316586159 PECOS PAC ID: 0143658773 Enrollment ID: I20200313002020 |
| Provider Name | Barakat Aburajab Altamimi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225444862 PECOS PAC ID: 0143542779 Enrollment ID: I20200319000428 |
| Provider Name | Lindsey A Rooff |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902144769 PECOS PAC ID: 5597194985 Enrollment ID: I20200406003166 |
| Provider Name | Susan L Slycord |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1629417191 PECOS PAC ID: 6002050986 Enrollment ID: I20200418000398 |
| Provider Name | Aaron Wendell Swenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093932709 PECOS PAC ID: 8921243817 Enrollment ID: I20200520002491 |
| Provider Name | Jasmine Hernandez |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487034617 PECOS PAC ID: 9638482821 Enrollment ID: I20200521002119 |
| Provider Name | Rohan K Penmetcha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841603172 PECOS PAC ID: 0749601938 Enrollment ID: I20200526000784 |
| Provider Name | Haley R Plath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104354216 PECOS PAC ID: 5496025678 Enrollment ID: I20200605002070 |
| Provider Name | Mitchell R Steffensmeier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841803194 PECOS PAC ID: 4284045691 Enrollment ID: I20201116000917 |
| Provider Name | Jessica L Bettmann |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659931269 PECOS PAC ID: 7416368733 Enrollment ID: I20201117003338 |
| Provider Name | Joshua D Gustafson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467687897 PECOS PAC ID: 1850529660 Enrollment ID: I20210428000352 |
| Provider Name | Morgan Fergus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750965612 PECOS PAC ID: 7113326653 Enrollment ID: I20210603000448 |
| Provider Name | Ali A Saeed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073997045 PECOS PAC ID: 5395052922 Enrollment ID: I20210603000485 |
| Provider Name | Von Glaser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023685948 PECOS PAC ID: 6507267820 Enrollment ID: I20210624001116 |
| Provider Name | Jerud R Cozine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508431321 PECOS PAC ID: 8123420064 Enrollment ID: I20210714002087 |
| Provider Name | Melanie Cassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952976854 PECOS PAC ID: 9032512603 Enrollment ID: I20210721000441 |
| Provider Name | Courtney M Coulter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578087318 PECOS PAC ID: 8628472750 Enrollment ID: I20210811000889 |
| Provider Name | Aaron T Aamodt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578147500 PECOS PAC ID: 9537564281 Enrollment ID: I20210819000292 |
| Provider Name | Lynne S Powell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679532964 PECOS PAC ID: 7416024823 Enrollment ID: I20211001000254 |
| Provider Name | Sarah J Kaspryk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780353102 PECOS PAC ID: 7517365133 Enrollment ID: I20211013000589 |
| Provider Name | Ashish Ramesh Thakkar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538456124 PECOS PAC ID: 3274758263 Enrollment ID: I20211013000989 |
| Provider Name | Matthew C Ferroni |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700171675 PECOS PAC ID: 4587931167 Enrollment ID: I20211013002714 |
| Provider Name | Mark A Milton |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1922023951 PECOS PAC ID: 3870572811 Enrollment ID: I20211021001878 |
| Provider Name | Emily Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952918641 PECOS PAC ID: 4789072745 Enrollment ID: I20211022002447 |
| Provider Name | Jessie E Leeper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770253692 PECOS PAC ID: 2062800923 Enrollment ID: I20211026000715 |
| Provider Name | Traci E Ridgway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972265643 PECOS PAC ID: 2769870625 Enrollment ID: I20211026000821 |
| Provider Name | Courtney N Carradus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770255333 PECOS PAC ID: 4789073917 Enrollment ID: I20211110000433 |
| Provider Name | Paula Marie Hermsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114682705 PECOS PAC ID: 1951791268 Enrollment ID: I20211130003096 |
| Provider Name | Lisa L Hawk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760575351 PECOS PAC ID: 5193115731 Enrollment ID: I20211214001001 |
| Provider Name | Garietta N Falls-beddies |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1568682490 PECOS PAC ID: 5890976823 Enrollment ID: I20211215000545 |
| Provider Name | Steven R Schopick |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205816998 PECOS PAC ID: 0244293256 Enrollment ID: I20211227000259 |
| Provider Name | Emily Beardsworth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417534694 PECOS PAC ID: 6002207107 Enrollment ID: I20211228001828 |
| Provider Name | Claire E Petersen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124782925 PECOS PAC ID: 3779976907 Enrollment ID: I20220210000316 |
| Provider Name | Tasha S Chapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225707144 PECOS PAC ID: 0648663765 Enrollment ID: I20220211001480 |
| Provider Name | Heather L Carrington |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912305129 PECOS PAC ID: 7416340336 Enrollment ID: I20220216002347 |
| Provider Name | Amy L Kruse |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053864520 PECOS PAC ID: 3173918497 Enrollment ID: I20220322003023 |
| Provider Name | Nicole M Banasik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609521202 PECOS PAC ID: 3173918406 Enrollment ID: I20220323000093 |
| Provider Name | Shanker Das Kundumadam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720475403 PECOS PAC ID: 1850690397 Enrollment ID: I20220329001788 |
| Provider Name | Jonatan D Nunez Breton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780090241 PECOS PAC ID: 7113324807 Enrollment ID: I20220425001464 |
| Provider Name | Nathalie A Pena Polanco |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063828523 PECOS PAC ID: 6002218005 Enrollment ID: I20220426000523 |
| Provider Name | Andrew Sk Liu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871972695 PECOS PAC ID: 3779896956 Enrollment ID: I20220503002386 |
| Provider Name | Alison K Mcneill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427395664 PECOS PAC ID: 0547415564 Enrollment ID: I20220520000614 |
| Provider Name | Carson E Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730824079 PECOS PAC ID: 1456738988 Enrollment ID: I20220521000239 |
| Provider Name | Jared A Johnstun |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487944096 PECOS PAC ID: 7113165655 Enrollment ID: I20220627001652 |
| Provider Name | James Matthew Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114389285 PECOS PAC ID: 5597144105 Enrollment ID: I20220628000354 |
| Provider Name | Daniela Alexandru-abrams |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386960433 PECOS PAC ID: 2961703145 Enrollment ID: I20220720002414 |
| Provider Name | Mohammed Abdallah |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1457392300 PECOS PAC ID: 7012097850 Enrollment ID: I20220720002945 |
| Provider Name | Miruais S Hamed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437291465 PECOS PAC ID: 5395990154 Enrollment ID: I20220801000443 |
| Provider Name | Maria A Iliakova |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215388251 PECOS PAC ID: 1951668169 Enrollment ID: I20220804003053 |
| Provider Name | Stephanie M Lukaszka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073248316 PECOS PAC ID: 8628451010 Enrollment ID: I20220817003385 |
| Provider Name | Maheedhar Gedela |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104231216 PECOS PAC ID: 1658598651 Enrollment ID: I20220913001605 |
| Provider Name | Abduljabbar A Dheyab |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053607580 PECOS PAC ID: 2961709407 Enrollment ID: I20220919002802 |
| Provider Name | Ashley M Schumacher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912566340 PECOS PAC ID: 0042546061 Enrollment ID: I20220927002506 |
| Provider Name | Sarah K Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407577612 PECOS PAC ID: 1052787439 Enrollment ID: I20221026003066 |
| Provider Name | Kori R Assman Nolting |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003551136 PECOS PAC ID: 4587031646 Enrollment ID: I20221102000165 |
| Provider Name | Breanna Marie Garcia Talbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992428643 PECOS PAC ID: 6901273770 Enrollment ID: I20221108000879 |
| Provider Name | Emily M Wilson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205552049 PECOS PAC ID: 4789052986 Enrollment ID: I20221118002301 |
| Provider Name | Afamefuna Accomaye Onuora |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366622508 PECOS PAC ID: 6800910324 Enrollment ID: I20221220001292 |
| Provider Name | Shannon L Costigan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700594405 PECOS PAC ID: 1850763152 Enrollment ID: I20230215000800 |
| Provider Name | Syed J Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780036384 PECOS PAC ID: 0244565497 Enrollment ID: I20230317000231 |
| Provider Name | Molly C Leytze |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417654351 PECOS PAC ID: 9436524659 Enrollment ID: I20230331000458 |
| Provider Name | Vijaya Galic |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1801093513 PECOS PAC ID: 7315180825 Enrollment ID: I20230413001651 |
| Provider Name | Giovanni Gerardo Cordoba Solis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760903504 PECOS PAC ID: 4880006287 Enrollment ID: I20230413002320 |
| Provider Name | Samuel Lucas Grasso |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689026437 PECOS PAC ID: 9032574926 Enrollment ID: I20230502003227 |
| Provider Name | Bakri Kaakeh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245588326 PECOS PAC ID: 6204071970 Enrollment ID: I20230504000953 |
| Provider Name | Cheng Lo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023037934 PECOS PAC ID: 7012983869 Enrollment ID: I20230511000206 |
| Provider Name | Allison M Prybil |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215668215 PECOS PAC ID: 4981061421 Enrollment ID: I20230527000281 |
| Provider Name | Hallie L Smyth |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902506736 PECOS PAC ID: 5799142360 Enrollment ID: I20230613002635 |
| Provider Name | Amy Turnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942741152 PECOS PAC ID: 9234599325 Enrollment ID: I20230720003572 |
| Provider Name | Dani M Zavasky |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710933395 PECOS PAC ID: 9537065305 Enrollment ID: I20230803000564 |
| Provider Name | Tori L Kieler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437710910 PECOS PAC ID: 8022479344 Enrollment ID: I20230803000847 |
| Provider Name | Mordechai F Twena |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114982618 PECOS PAC ID: 0244287035 Enrollment ID: I20230803003241 |
| Provider Name | Joseph A Gillespie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912223371 PECOS PAC ID: 2163668815 Enrollment ID: I20230808003194 |
| Provider Name | Axel Sinclair Cooper |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134549637 PECOS PAC ID: 7113348442 Enrollment ID: I20230830002594 |
| Provider Name | Sara J Arafat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760160253 PECOS PAC ID: 5193188720 Enrollment ID: I20230830002684 |
| Provider Name | Alison M Fecher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952406910 PECOS PAC ID: 1951377829 Enrollment ID: I20230830002758 |
| Provider Name | Ryan P Mcginnis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154899730 PECOS PAC ID: 0143684795 Enrollment ID: I20230914002473 |
| Provider Name | Keegan J Kavanaugh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336762947 PECOS PAC ID: 9830512045 Enrollment ID: I20230915001528 |
| Provider Name | Amanda B Purss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558009712 PECOS PAC ID: 4587045075 Enrollment ID: I20230929001625 |
| Provider Name | Mackenzie F Theisen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598426272 PECOS PAC ID: 9436505922 Enrollment ID: I20231019000321 |
| Provider Name | Frances D Levack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275310674 PECOS PAC ID: 5395192827 Enrollment ID: I20231106001411 |
| Provider Name | Barabara J Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306627443 PECOS PAC ID: 0749639409 Enrollment ID: I20231207001173 |
| Provider Name | Andrew D Michaels |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588618250 PECOS PAC ID: 9234132317 Enrollment ID: I20231207001329 |
| Provider Name | Kelly Hawthorne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144094269 PECOS PAC ID: 3577912732 Enrollment ID: I20231213001446 |
| Provider Name | Kelsey Holladay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740928555 PECOS PAC ID: 3971953258 Enrollment ID: I20231228002858 |
| Provider Name | Susan L Hoyler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588273908 PECOS PAC ID: 7315399771 Enrollment ID: I20240122001948 |
| Provider Name | Katie L Moon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215257019 PECOS PAC ID: 4789036153 Enrollment ID: I20240122002271 |
| Provider Name | Kassiani A Kelleher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124709829 PECOS PAC ID: 4082057096 Enrollment ID: I20240207000487 |
| Provider Name | Alison A Gillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215790209 PECOS PAC ID: 1850737206 Enrollment ID: I20240308000103 |
| Provider Name | Sarah C Romano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710749262 PECOS PAC ID: 5395181192 Enrollment ID: I20240315000618 |
| Provider Name | Raymond Silva |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1184665747 PECOS PAC ID: 7719051994 Enrollment ID: I20240315003307 |
| Provider Name | Katie L Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336904432 PECOS PAC ID: 7012354863 Enrollment ID: I20240328001432 |
| Provider Name | Dominic F Heffel |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1790707883 PECOS PAC ID: 0345323234 Enrollment ID: I20240517001942 |
| Provider Name | Colin D Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780025114 PECOS PAC ID: 6800253774 Enrollment ID: I20240614001903 |
Mercycare Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 10th St Se, Cedar Rapids, IA 52403 Phone: 319-369-4798 | |
Rosefinch Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5001 1st Ave Se Ste 105161, Cedar Rapids, IA 52402 Phone: 319-804-8815 | |
Keli Hagen Lisw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4403 1st Ave Se Ste 412, Cedar Rapids, IA 52402 Phone: 319-213-2922 | |
Tanager Place Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2309 C St Sw, Cedar Rapids, IA 52404 Phone: 319-365-9164 Fax: 319-365-6411 | |
Abbe Center Cmh@linn Community Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 3rd Ave Se, Cedar Rapids, IA 52403 Phone: 319-730-7315 | |
Horizons, A Family Service Alliance Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 819 5th St Se, Cedar Rapids, IA 52401 Phone: 319-398-3943 Fax: 888-632-7914 | |
Tanager Place Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2309 C St Sw, Cedar Rapids, IA 52404 Phone: 319-365-9164 Fax: 319-365-6411 |