| Moses Cone Medical Services, Inc. | |
|
1200 N Elm St Greensboro NC 27401-1004 | |
| (336) 832-9943 | |
| (336) 832-8272 |
| Full Name | Moses Cone Medical Services, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1200 N Elm St, Greensboro, North Carolina |
| Authorized Official Name and Position | Jared Cooper (DIRECTOR, CHMG OPERATIONS) |
| Authorized Official Contact | 3366635044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moses Cone Medical Services, Inc. Po Box 745040 Atlanta GA 30374-5040 Ph: () - | Moses Cone Medical Services, Inc. 1200 N Elm St Greensboro NC 27401-1004 Ph: (336) 832-9943 |
| NPI Number | 1427095249 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Medicare PECOS PAC ID | 2769395458 |
|---|---|
| Medicare Enrollment ID | O20040128000519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427095249 | NPI | - | NPPES |
| 0255Y | Other | NC | BCBS NC |
| Provider Name | Carl E Gessner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871557116 PECOS PAC ID: 1850204603 Enrollment ID: I20031107000694 |
| Provider Name | William S Tilley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730185380 PECOS PAC ID: 1456256213 Enrollment ID: I20031204000564 |
| Provider Name | John Frank Conforti |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639153489 PECOS PAC ID: 8729985676 Enrollment ID: I20031217001031 |
| Provider Name | Jose E Paz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588620504 PECOS PAC ID: 1557264173 Enrollment ID: I20040130000634 |
| Provider Name | Yvonne R Lowne-chase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205890696 PECOS PAC ID: 1557259918 Enrollment ID: I20040308000608 |
| Provider Name | Tanya S Pratt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760420715 PECOS PAC ID: 5890784706 Enrollment ID: I20040506001648 |
| Provider Name | Kimberly Lorraine Beavers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912996042 PECOS PAC ID: 9830173954 Enrollment ID: I20040616000678 |
| Provider Name | Mary J Baxley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063474971 PECOS PAC ID: 8022094515 Enrollment ID: I20040625000555 |
| Provider Name | Thomas C Wall |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528018314 PECOS PAC ID: 0547249799 Enrollment ID: I20040720000497 |
| Provider Name | Eve A Knapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013095033 PECOS PAC ID: 0143290379 Enrollment ID: I20040727000655 |
| Provider Name | Teresa L Tullo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568416758 PECOS PAC ID: 6901878271 Enrollment ID: I20040807000162 |
| Provider Name | Henry W Smith |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760582951 PECOS PAC ID: 0941274997 Enrollment ID: I20040824001461 |
| Provider Name | Philip H Mcgowen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750356119 PECOS PAC ID: 5890761043 Enrollment ID: I20040908001364 |
| Provider Name | Rebecca S Tat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154380798 PECOS PAC ID: 6406819994 Enrollment ID: I20041105000453 |
| Provider Name | Clanford Lyonel Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750342879 PECOS PAC ID: 3476518192 Enrollment ID: I20041122001091 |
| Provider Name | Stacey A Blyth |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1679553135 PECOS PAC ID: 4284690868 Enrollment ID: I20041206000469 |
| Provider Name | Laura Woodruff Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912944513 PECOS PAC ID: 9739147307 Enrollment ID: I20041229000387 |
| Provider Name | John C Lalonde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245274455 PECOS PAC ID: 7719932987 Enrollment ID: I20050325000643 |
| Provider Name | Bruce H Swords |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912956947 PECOS PAC ID: 4082654710 Enrollment ID: I20050527000692 |
| Provider Name | Kristin Rainelle Curcio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538195276 PECOS PAC ID: 9234174343 Enrollment ID: I20050620000959 |
| Provider Name | Lori A Gerhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710030929 PECOS PAC ID: 3476599788 Enrollment ID: I20050707000911 |
| Provider Name | James P Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962474973 PECOS PAC ID: 6901836428 Enrollment ID: I20050815000879 |
| Provider Name | Kurian D Kasa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457335457 PECOS PAC ID: 6103856323 Enrollment ID: I20050817000836 |
| Provider Name | Doe-hyun R Yoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588613095 PECOS PAC ID: 1456382712 Enrollment ID: I20050825001006 |
| Provider Name | Lauralee Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346202538 PECOS PAC ID: 3274566641 Enrollment ID: I20050921000963 |
| Provider Name | Rajesh Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750368239 PECOS PAC ID: 6507885464 Enrollment ID: I20051128000338 |
| Provider Name | Clinton Young |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538119094 PECOS PAC ID: 1355250770 Enrollment ID: I20051213000695 |
| Provider Name | Ajay Kumar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962426817 PECOS PAC ID: 0941223648 Enrollment ID: I20060109000724 |
| Provider Name | Patrick Wright |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265482889 PECOS PAC ID: 7315956380 Enrollment ID: I20060419000556 |
| Provider Name | Peter E Babcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013950377 PECOS PAC ID: 1557371325 Enrollment ID: I20060425000524 |
| Provider Name | Daniel P Jacobs |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629000385 PECOS PAC ID: 5698706778 Enrollment ID: I20060906000276 |
| Provider Name | Robert S Byrum |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487620654 PECOS PAC ID: 4082603964 Enrollment ID: I20060912000345 |
| Provider Name | Vineet Sood |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306861133 PECOS PAC ID: 9234136789 Enrollment ID: I20061026000235 |
| Provider Name | Melissa S O Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710990205 PECOS PAC ID: 5193724490 Enrollment ID: I20061214000409 |
| Provider Name | Jeffrey R Greene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124070651 PECOS PAC ID: 8022010230 Enrollment ID: I20070131000677 |
| Provider Name | Peter M Belford |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1205877990 PECOS PAC ID: 5698875458 Enrollment ID: I20070709000266 |
| Provider Name | Amy E Bedsole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902026859 PECOS PAC ID: 7911098355 Enrollment ID: I20070814000410 |
| Provider Name | Francis Adan Castiller |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376742577 PECOS PAC ID: 6406941954 Enrollment ID: I20070928000542 |
| Provider Name | Padonda B Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861692493 PECOS PAC ID: 4789770546 Enrollment ID: I20071010000254 |
| Provider Name | Camille Andy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669420469 PECOS PAC ID: 7416044391 Enrollment ID: I20071025000224 |
| Provider Name | James W John |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588628549 PECOS PAC ID: 1153411475 Enrollment ID: I20071226000175 |
| Provider Name | Daniel J Feinstein |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922060045 PECOS PAC ID: 6002895497 Enrollment ID: I20080326000516 |
| Provider Name | Samuel J Turner |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861678104 PECOS PAC ID: 7416029293 Enrollment ID: I20080710000730 |
| Provider Name | Beata Malinowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912952532 PECOS PAC ID: 2264449404 Enrollment ID: I20080717000618 |
| Provider Name | Rakesh V Alva |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093868929 PECOS PAC ID: 2365428273 Enrollment ID: I20080717000695 |
| Provider Name | Jessica C Copland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083743546 PECOS PAC ID: 5395818546 Enrollment ID: I20080721000635 |
| Provider Name | Henry L Danis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770560484 PECOS PAC ID: 8022063114 Enrollment ID: I20080826000811 |
| Provider Name | Murali Ramaswamy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013994797 PECOS PAC ID: 2769482199 Enrollment ID: I20080828000532 |
| Provider Name | Deborah J Opalski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780713271 PECOS PAC ID: 9436225034 Enrollment ID: I20080905000147 |
| Provider Name | Wesam G Yacoub |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518992239 PECOS PAC ID: 0941369821 Enrollment ID: I20081106000687 |
| Provider Name | Maged Guirguis Samaan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346270287 PECOS PAC ID: 4385749365 Enrollment ID: I20081115000047 |
| Provider Name | Graham S Duncan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003939117 PECOS PAC ID: 1355499187 Enrollment ID: I20090504000531 |
| Provider Name | Spencer T Copland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376672832 PECOS PAC ID: 2860543105 Enrollment ID: I20090627000026 |
| Provider Name | Robert Kaplan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407810476 PECOS PAC ID: 3577616317 Enrollment ID: I20090727000766 |
| Provider Name | Malcolm T Stark |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891745261 PECOS PAC ID: 9335292606 Enrollment ID: I20090804000372 |
| Provider Name | Estela Y Hernandez Acosta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841412699 PECOS PAC ID: 2365596434 Enrollment ID: I20090825000202 |
| Provider Name | James D Allred |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1669583316 PECOS PAC ID: 3476559857 Enrollment ID: I20090901000725 |
| Provider Name | Thomas L Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376593749 PECOS PAC ID: 2668555319 Enrollment ID: I20090917000724 |
| Provider Name | Katherine Tabori |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518089291 PECOS PAC ID: 5799831293 Enrollment ID: I20090924000722 |
| Provider Name | Paula M Guenther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952388209 PECOS PAC ID: 7416976717 Enrollment ID: I20091002000120 |
| Provider Name | William Erwin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538154158 PECOS PAC ID: 7911006341 Enrollment ID: I20091027000646 |
| Provider Name | Steven J Zanders |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356496780 PECOS PAC ID: 4880672559 Enrollment ID: I20091110000616 |
| Provider Name | Prag Gupta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801879911 PECOS PAC ID: 1456311380 Enrollment ID: I20091117000554 |
| Provider Name | Richard Brandon Stacey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679655526 PECOS PAC ID: 9436299484 Enrollment ID: I20091222000726 |
| Provider Name | Betty G Jordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811197320 PECOS PAC ID: 1951442680 Enrollment ID: I20100104000330 |
| Provider Name | Bruce W Burchette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972687812 PECOS PAC ID: 0648359315 Enrollment ID: I20100106000794 |
| Provider Name | William A Kremer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902913395 PECOS PAC ID: 9234264573 Enrollment ID: I20100311001065 |
| Provider Name | Kathryn P Whiteheart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831427996 PECOS PAC ID: 0749317956 Enrollment ID: I20100420000691 |
| Provider Name | Karol Annetta Richards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639200025 PECOS PAC ID: 2163486754 Enrollment ID: I20100517000522 |
| Provider Name | Courtney Crim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992878656 PECOS PAC ID: 1759410400 Enrollment ID: I20100519000107 |
| Provider Name | Keith M. Clance |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1225090889 PECOS PAC ID: 6204965254 Enrollment ID: I20100601000175 |
| Provider Name | Sean A. Ellison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548224983 PECOS PAC ID: 0749310944 Enrollment ID: I20100615000456 |
| Provider Name | John E Jenkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265496228 PECOS PAC ID: 8022149715 Enrollment ID: I20100624000230 |
| Provider Name | Jeffrey A Todd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205886140 PECOS PAC ID: 3476684176 Enrollment ID: I20100624000254 |
| Provider Name | Peter Frank Kwiatkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851355267 PECOS PAC ID: 8820129406 Enrollment ID: I20100625000242 |
| Provider Name | Stephen A Fry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659334456 PECOS PAC ID: 9032240254 Enrollment ID: I20100701000258 |
| Provider Name | Wanda K Panosh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992761993 PECOS PAC ID: 7911038963 Enrollment ID: I20100708000438 |
| Provider Name | Jeffrey D. Katz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508820572 PECOS PAC ID: 9032241690 Enrollment ID: I20100716000401 |
| Provider Name | Raju Thakor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649459942 PECOS PAC ID: 8921028499 Enrollment ID: I20100728000386 |
| Provider Name | Michael E Norins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699739557 PECOS PAC ID: 3870626534 Enrollment ID: I20100802000200 |
| Provider Name | Valerie A Leschber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518922145 PECOS PAC ID: 3274666474 Enrollment ID: I20100809000128 |
| Provider Name | Talia Aron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568668531 PECOS PAC ID: 1951435338 Enrollment ID: I20100820000485 |
| Provider Name | Lisa J Rose Jones |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1386840890 PECOS PAC ID: 1456476852 Enrollment ID: I20100908000714 |
| Provider Name | Marne A. Tower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144279761 PECOS PAC ID: 8325163215 Enrollment ID: I20100915001031 |
| Provider Name | John N. Perry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164489753 PECOS PAC ID: 2961527510 Enrollment ID: I20100920000440 |
| Provider Name | Aleksei V Plotnikov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083671036 PECOS PAC ID: 6800911496 Enrollment ID: I20100920000976 |
| Provider Name | William F Hopper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891759270 PECOS PAC ID: 8325230287 Enrollment ID: I20101011000360 |
| Provider Name | Richard I Letvak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316902984 PECOS PAC ID: 3274725080 Enrollment ID: I20101012001202 |
| Provider Name | Michael B. Wert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558310276 PECOS PAC ID: 0042403693 Enrollment ID: I20101015000221 |
| Provider Name | Charlene S Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144399080 PECOS PAC ID: 2769676865 Enrollment ID: I20101103000066 |
| Provider Name | Scott M Nadel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609830587 PECOS PAC ID: 8123214590 Enrollment ID: I20101124000444 |
| Provider Name | Tammy S Parrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699706028 PECOS PAC ID: 4880883800 Enrollment ID: I20110106000611 |
| Provider Name | Ibtehal Jaralla Shamleffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922315670 PECOS PAC ID: 3476742362 Enrollment ID: I20110107000208 |
| Provider Name | David Simonds |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831148295 PECOS PAC ID: 2062601917 Enrollment ID: I20110107000965 |
| Provider Name | William S Minor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881751840 PECOS PAC ID: 8123201845 Enrollment ID: I20110317000687 |
| Provider Name | Jane E Perrin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114031499 PECOS PAC ID: 5890970313 Enrollment ID: I20110427000655 |
| Provider Name | Matthew Harry Wong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104033281 PECOS PAC ID: 2365628831 Enrollment ID: I20110517000820 |
| Provider Name | Vishal Mungal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134323884 PECOS PAC ID: 2567630270 Enrollment ID: I20110725000572 |
| Provider Name | Javier Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891955373 PECOS PAC ID: 6608045638 Enrollment ID: I20110809000500 |
| Provider Name | Michael W Cammarata |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235390535 PECOS PAC ID: 7012187370 Enrollment ID: I20110824000932 |
| Provider Name | Monique Anderson Starks |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053468918 PECOS PAC ID: 3870764046 Enrollment ID: I20110920000085 |
| Provider Name | Luke C Kohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083874630 PECOS PAC ID: 9133390834 Enrollment ID: I20110928000499 |
| Provider Name | Jay Pyrtle |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285804419 PECOS PAC ID: 6608032552 Enrollment ID: I20120723000395 |
| Provider Name | Erica Renee Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528293883 PECOS PAC ID: 7911163332 Enrollment ID: I20120730000205 |
| Provider Name | Douglas B Mcquaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124230776 PECOS PAC ID: 5597835132 Enrollment ID: I20120912000342 |
| Provider Name | Anton Lishmanov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275763757 PECOS PAC ID: 4688825532 Enrollment ID: I20121127000401 |
| Provider Name | Deborah B Gessner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811241722 PECOS PAC ID: 7416109178 Enrollment ID: I20121204000481 |
| Provider Name | Lauren E Carroll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538401542 PECOS PAC ID: 1254570765 Enrollment ID: I20130613000234 |
| Provider Name | Jessica Lynne Marshall |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447561907 PECOS PAC ID: 4688813538 Enrollment ID: I20130625000663 |
| Provider Name | Adam D Devore |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1558560987 PECOS PAC ID: 5698807923 Enrollment ID: I20131021001539 |
| Provider Name | Hannah R Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437470515 PECOS PAC ID: 8820224371 Enrollment ID: I20131112000519 |
| Provider Name | Charles Adrian Austin, Iii |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780905711 PECOS PAC ID: 4385870344 Enrollment ID: I20131121000600 |
| Provider Name | Samantha B Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518390632 PECOS PAC ID: 9032346275 Enrollment ID: I20131216000897 |
| Provider Name | Jessica Salinis Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275889990 PECOS PAC ID: 8729215496 Enrollment ID: I20131230001761 |
| Provider Name | Joseph Aaron Sivak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902040470 PECOS PAC ID: 7113155623 Enrollment ID: I20140108000433 |
| Provider Name | Irtaza I Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538346200 PECOS PAC ID: 6709014889 Enrollment ID: I20140117000576 |
| Provider Name | Raquel M Rey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578992582 PECOS PAC ID: 5799913570 Enrollment ID: I20140124001819 |
| Provider Name | Regina W Baity |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891123667 PECOS PAC ID: 3779712179 Enrollment ID: I20140205001501 |
| Provider Name | Ahmad Md Ismail |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104911650 PECOS PAC ID: 0941356646 Enrollment ID: I20140215000189 |
| Provider Name | James C Ford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609033802 PECOS PAC ID: 1850559022 Enrollment ID: I20140324000410 |
| Provider Name | Olivia Natalie Gilbert |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1801020326 PECOS PAC ID: 7113171885 Enrollment ID: I20140329000142 |
| Provider Name | Mario Christianto |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457611337 PECOS PAC ID: 5294968160 Enrollment ID: I20140429002084 |
| Provider Name | Christina Gherghe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629432 PECOS PAC ID: 5991929507 Enrollment ID: I20140620000560 |
| Provider Name | Evan S Corey |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1801116884 PECOS PAC ID: 4284859562 Enrollment ID: I20140630000308 |
| Provider Name | Jennings Elliott Nestor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972778652 PECOS PAC ID: 5294999587 Enrollment ID: I20140729002329 |
| Provider Name | Zachary M Smith |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1558672212 PECOS PAC ID: 6800013418 Enrollment ID: I20140805002060 |
| Provider Name | Adam R Jaffe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740441286 PECOS PAC ID: 1254589419 Enrollment ID: I20140826000632 |
| Provider Name | Walid R Eltaraboulsi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245491083 PECOS PAC ID: 4082832381 Enrollment ID: I20140828001254 |
| Provider Name | Muhammad Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780971192 PECOS PAC ID: 9133347131 Enrollment ID: I20140904002791 |
| Provider Name | Junell C Koberlein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982868865 PECOS PAC ID: 9234301193 Enrollment ID: I20140918000801 |
| Provider Name | Cornelia Su Heng Hahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912224296 PECOS PAC ID: 4486891199 Enrollment ID: I20140918000954 |
| Provider Name | Donika K Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508006776 PECOS PAC ID: 0446470371 Enrollment ID: I20140927000492 |
| Provider Name | Rhonda Michelle Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265776553 PECOS PAC ID: 5698914687 Enrollment ID: I20140930001734 |
| Provider Name | Charlotte Lum Nche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447677448 PECOS PAC ID: 3971723537 Enrollment ID: I20141001002799 |
| Provider Name | Mary K Cirigliano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518129220 PECOS PAC ID: 4082873898 Enrollment ID: I20141006002515 |
| Provider Name | Katarina H Nelson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902006356 PECOS PAC ID: 1850565318 Enrollment ID: I20141015001141 |
| Provider Name | Cody Elias Matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669769212 PECOS PAC ID: 8527289842 Enrollment ID: I20141029001555 |
| Provider Name | Walter Gray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821040353 PECOS PAC ID: 0749274413 Enrollment ID: I20150122002645 |
| Provider Name | Michael Blair Wright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962824797 PECOS PAC ID: 2860624459 Enrollment ID: I20150202002024 |
| Provider Name | Karen Marghanita Aquino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316147150 PECOS PAC ID: 9638335722 Enrollment ID: I20150303000606 |
| Provider Name | Paul W Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841510419 PECOS PAC ID: 4587980552 Enrollment ID: I20150310001579 |
| Provider Name | Wael Aljishi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316105489 PECOS PAC ID: 3274773239 Enrollment ID: I20150527001208 |
| Provider Name | Aaron Thomas Trimble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932498862 PECOS PAC ID: 1557590304 Enrollment ID: I20150615000248 |
| Provider Name | Stephen Oscar Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649530338 PECOS PAC ID: 3577875327 Enrollment ID: I20150707003391 |
| Provider Name | Ahmar Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346598554 PECOS PAC ID: 9335453133 Enrollment ID: I20150807013606 |
| Provider Name | Elizabeth A Crawford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780942516 PECOS PAC ID: 1456572783 Enrollment ID: I20151001002990 |
| Provider Name | Tonya S Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366819807 PECOS PAC ID: 8628388196 Enrollment ID: I20151112002373 |
| Provider Name | Jayce G Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700225976 PECOS PAC ID: 6800197971 Enrollment ID: I20151214002045 |
| Provider Name | Renee Kuneff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518307255 PECOS PAC ID: 7719288737 Enrollment ID: I20151216002956 |
| Provider Name | Gregory D Calone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538536214 PECOS PAC ID: 1850692518 Enrollment ID: I20151222001926 |
| Provider Name | Michele R Landry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710362371 PECOS PAC ID: 8628370749 Enrollment ID: I20160106002816 |
| Provider Name | Carrie Mcgrath Doss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003286121 PECOS PAC ID: 9234431362 Enrollment ID: I20160106002976 |
| Provider Name | Margaret Gibson Arnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649647645 PECOS PAC ID: 1850694076 Enrollment ID: I20160121002681 |
| Provider Name | Sarah F Groce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174988992 PECOS PAC ID: 9234435926 Enrollment ID: I20160307000716 |
| Provider Name | Katherine K Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043678170 PECOS PAC ID: 4880990373 Enrollment ID: I20160309001602 |
| Provider Name | Vito V Cirigliano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043451966 PECOS PAC ID: 2466690532 Enrollment ID: I20160411001619 |
| Provider Name | Eddy Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790042513 PECOS PAC ID: 5597074278 Enrollment ID: I20160502000512 |
| Provider Name | Matthew E Dauterive |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053679530 PECOS PAC ID: 1951600394 Enrollment ID: I20160505002198 |
| Provider Name | Cory L Nafziger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912364050 PECOS PAC ID: 8527357359 Enrollment ID: I20160518001794 |
| Provider Name | Anna Jaclyn Conterato |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376804674 PECOS PAC ID: 6406071174 Enrollment ID: I20160620000381 |
| Provider Name | Daniel Lo Verde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801178645 PECOS PAC ID: 0446579296 Enrollment ID: I20160801001347 |
| Provider Name | Tracy N Mclean Scocuzza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639465867 PECOS PAC ID: 0749401081 Enrollment ID: I20160815000181 |
| Provider Name | Steven P Armbruster |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831280056 PECOS PAC ID: 2365737004 Enrollment ID: I20160819002087 |
| Provider Name | Pradeep Ramachandran |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528086295 PECOS PAC ID: 7113987264 Enrollment ID: I20160826001354 |
| Provider Name | Eric G Sonnenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619316726 PECOS PAC ID: 0840587838 Enrollment ID: I20160919001833 |
| Provider Name | Blair Nicole Wendlandt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437447539 PECOS PAC ID: 8224269923 Enrollment ID: I20160927002168 |
| Provider Name | Vickie L Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821541368 PECOS PAC ID: 7810284098 Enrollment ID: I20161004000066 |
| Provider Name | Stacey J Burns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427243740 PECOS PAC ID: 4385731900 Enrollment ID: I20161004001931 |
| Provider Name | Praveen Mannam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316113897 PECOS PAC ID: 0446436331 Enrollment ID: I20161012002372 |
| Provider Name | Arun Kannappan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528352499 PECOS PAC ID: 2466693775 Enrollment ID: I20161129000983 |
| Provider Name | Kavitha Veena Nandigam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417110057 PECOS PAC ID: 5597983148 Enrollment ID: I20161205001983 |
| Provider Name | Samuel G Durrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417395088 PECOS PAC ID: 2668762014 Enrollment ID: I20170207002326 |
| Provider Name | Jose Angelo De Dios |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124227020 PECOS PAC ID: 1153586359 Enrollment ID: I20170220000849 |
| Provider Name | Sarah Ellen E Stephens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427342070 PECOS PAC ID: 6800170036 Enrollment ID: I20170307000298 |
| Provider Name | Magdalene Tukov-yual |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962732792 PECOS PAC ID: 8224173414 Enrollment ID: I20170404001710 |
| Provider Name | Bincy S Varughese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407391766 PECOS PAC ID: 7618246919 Enrollment ID: I20170629001808 |
| Provider Name | Dana Graves Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710412762 PECOS PAC ID: 4880966514 Enrollment ID: I20170816000158 |
| Provider Name | Gabriel Mansouraty |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689960155 PECOS PAC ID: 2062673106 Enrollment ID: I20170816001436 |
| Provider Name | Elizabeth A Ouma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730618455 PECOS PAC ID: 7618240953 Enrollment ID: I20170907001895 |
| Provider Name | Nicholas P Wendling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669886420 PECOS PAC ID: 9133344435 Enrollment ID: I20171024003708 |
| Provider Name | Kimberly S Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760919187 PECOS PAC ID: 1951677590 Enrollment ID: I20171025002950 |
| Provider Name | Alexiss L Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376072538 PECOS PAC ID: 7113283896 Enrollment ID: I20171113003219 |
| Provider Name | Katalina Marie Eubanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700396009 PECOS PAC ID: 9830456995 Enrollment ID: I20171127002924 |
| Provider Name | Taylor Carlyle Bazemore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144648270 PECOS PAC ID: 7012286230 Enrollment ID: I20171219003191 |
| Provider Name | Stephanie A James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982043717 PECOS PAC ID: 9234350497 Enrollment ID: I20171221001107 |
| Provider Name | Mayah Michelle Dozier-lineberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962912774 PECOS PAC ID: 9931468998 Enrollment ID: I20180119001010 |
| Provider Name | Amar Mahendrakant Panchal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740506450 PECOS PAC ID: 0941448286 Enrollment ID: I20180201000008 |
| Provider Name | Miguel Jose Sagardia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053390641 PECOS PAC ID: 4688696677 Enrollment ID: I20180212000157 |
| Provider Name | Jason Joung Woo Nam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689013054 PECOS PAC ID: 6901024785 Enrollment ID: I20180226002696 |
| Provider Name | Virginia Wolfe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275625253 PECOS PAC ID: 2062773278 Enrollment ID: I20180305001426 |
| Provider Name | Lauren Guse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770990210 PECOS PAC ID: 8325366990 Enrollment ID: I20180312000062 |
| Provider Name | Stephanie C Hudnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952817769 PECOS PAC ID: 2163784364 Enrollment ID: I20180328002457 |
| Provider Name | Stephanie Feltis Matthews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750893244 PECOS PAC ID: 6002170818 Enrollment ID: I20180502002587 |
| Provider Name | Stephanie Nicole Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023518909 PECOS PAC ID: 3870857683 Enrollment ID: I20180502002793 |
| Provider Name | Kenton Dover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063857902 PECOS PAC ID: 7315165016 Enrollment ID: I20180510002333 |
| Provider Name | Paula Brooke Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801397062 PECOS PAC ID: 3971867219 Enrollment ID: I20180514001341 |
| Provider Name | Michelle Smith Flinchum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568859288 PECOS PAC ID: 7517222169 Enrollment ID: I20180531001284 |
| Provider Name | Brian Russell Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366941692 PECOS PAC ID: 5597010330 Enrollment ID: I20180619000514 |
| Provider Name | Jeremy E Schmitz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1982017927 PECOS PAC ID: 4688948409 Enrollment ID: I20180717002527 |
| Provider Name | Caleb Michael Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366821605 PECOS PAC ID: 6800144114 Enrollment ID: I20180802002378 |
| Provider Name | Kathleen Hollis Hammonds |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235336777 PECOS PAC ID: 1951538263 Enrollment ID: I20180803001902 |
| Provider Name | Shannon Renee Banks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790105872 PECOS PAC ID: 1557650660 Enrollment ID: I20180820001269 |
| Provider Name | Dennis Laurence |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891089777 PECOS PAC ID: 4385967488 Enrollment ID: I20180820002472 |
| Provider Name | Ananda M Chowdhury |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689932030 PECOS PAC ID: 5890096093 Enrollment ID: I20180910002246 |
| Provider Name | Akram Zaaqoq |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093025629 PECOS PAC ID: 6901046515 Enrollment ID: I20181022000513 |
| Provider Name | Kristen Denise Scatliffe |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194086694 PECOS PAC ID: 4183977473 Enrollment ID: I20181104000022 |
| Provider Name | Michael Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225003593 PECOS PAC ID: 4587661277 Enrollment ID: I20181108000771 |
| Provider Name | Ravi Agarwala |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376582353 PECOS PAC ID: 9436256328 Enrollment ID: I20181113003309 |
| Provider Name | Chad A Kloefkorn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366861148 PECOS PAC ID: 9133494099 Enrollment ID: I20181126003322 |
| Provider Name | Siva P Sivakumar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992788442 PECOS PAC ID: 2961305511 Enrollment ID: I20181129001144 |
| Provider Name | Sai P Haranath |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053366344 PECOS PAC ID: 9931171717 Enrollment ID: I20181226000213 |
| Provider Name | Grace Elizabeth Bowser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083190052 PECOS PAC ID: 1658617444 Enrollment ID: I20190116000594 |
| Provider Name | Seong Joo Jeong |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538240072 PECOS PAC ID: 6507981313 Enrollment ID: I20190205000287 |
| Provider Name | Frederick J Rosenblum |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083673180 PECOS PAC ID: 0345259503 Enrollment ID: I20190219000028 |
| Provider Name | Matthew Maslonka |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114330784 PECOS PAC ID: 2961774369 Enrollment ID: I20190305001414 |
| Provider Name | Robert J Rosenblatt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649259052 PECOS PAC ID: 9830003961 Enrollment ID: I20190311000603 |
| Provider Name | Julie Ann Riddles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548682040 PECOS PAC ID: 2264772862 Enrollment ID: I20190318002812 |
| Provider Name | Britney F Joyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609348473 PECOS PAC ID: 3971843525 Enrollment ID: I20190319001891 |
| Provider Name | Brian Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063979128 PECOS PAC ID: 2062753551 Enrollment ID: I20190410001753 |
| Provider Name | Eric William Black-maier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225456775 PECOS PAC ID: 0648511147 Enrollment ID: I20190410002001 |
| Provider Name | Allison Kay Wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144518184 PECOS PAC ID: 1658504154 Enrollment ID: I20190418000035 |
| Provider Name | Jeremiah David Keene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720542590 PECOS PAC ID: 7810239902 Enrollment ID: I20190419000033 |
| Provider Name | Whitney Fay Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447717640 PECOS PAC ID: 9234471228 Enrollment ID: I20190423000619 |
| Provider Name | Rutul Arvindkumar Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881899557 PECOS PAC ID: 6103014501 Enrollment ID: I20190501000433 |
| Provider Name | Elizabeth Whitney Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407308307 PECOS PAC ID: 4486937026 Enrollment ID: I20190530001274 |
| Provider Name | Komal Motwani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427425669 PECOS PAC ID: 0345573499 Enrollment ID: I20190605001926 |
| Provider Name | Chi Jane Ellison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376982876 PECOS PAC ID: 8820321508 Enrollment ID: I20190612000816 |
| Provider Name | Harsh Chawla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003070350 PECOS PAC ID: 1557586344 Enrollment ID: I20190620001713 |
| Provider Name | Adewale Ademola Olalere |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538160262 PECOS PAC ID: 2163452723 Enrollment ID: I20190620002912 |
| Provider Name | Catherine Lauren Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497118335 PECOS PAC ID: 6305172628 Enrollment ID: I20190724003152 |
| Provider Name | Campbell P Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205392750 PECOS PAC ID: 3476889437 Enrollment ID: I20190729002071 |
| Provider Name | Khalid Bashir |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811923261 PECOS PAC ID: 0547543688 Enrollment ID: I20190806000969 |
| Provider Name | Bradley Len Icard |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720320898 PECOS PAC ID: 1951536598 Enrollment ID: I20190807000157 |
| Provider Name | Carmen Laura Gonzalez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245294610 PECOS PAC ID: 2365501434 Enrollment ID: I20190815001893 |
| Provider Name | Mohammed W Akhter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740485390 PECOS PAC ID: 8921143959 Enrollment ID: I20190828004198 |
| Provider Name | Zachary Clifford Merz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336660661 PECOS PAC ID: 5991034548 Enrollment ID: I20190909000827 |
| Provider Name | Sarah Elizabeth Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043871866 PECOS PAC ID: 9436488830 Enrollment ID: I20190910003727 |
| Provider Name | Syed Arif Mahmood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467809541 PECOS PAC ID: 8325332497 Enrollment ID: I20191002001599 |
| Provider Name | Jessica Rein Cody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710372305 PECOS PAC ID: 3476822636 Enrollment ID: I20191017002553 |
| Provider Name | Jennifer Thi Wing Krall |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437577954 PECOS PAC ID: 9931417631 Enrollment ID: I20191106003363 |
| Provider Name | Nicole Alicia Gonzales |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598089997 PECOS PAC ID: 4183802713 Enrollment ID: I20191218002919 |
| Provider Name | Luis Rosario |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811201361 PECOS PAC ID: 5799925715 Enrollment ID: I20191223002064 |
| Provider Name | Colleen Maria Kennedy Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750375911 PECOS PAC ID: 4789604562 Enrollment ID: I20200211000288 |
| Provider Name | Richard Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629627872 PECOS PAC ID: 9739518788 Enrollment ID: I20200326002952 |
| Provider Name | Jennifer Robertson Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720516917 PECOS PAC ID: 1052740024 Enrollment ID: I20200326003760 |
| Provider Name | Matthew Ryan Hunsucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285012625 PECOS PAC ID: 0840502787 Enrollment ID: I20200421001149 |
| Provider Name | Sarah Elizabeth Chambers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982114153 PECOS PAC ID: 7911264668 Enrollment ID: I20200518000382 |
| Provider Name | Jimi O Akingbade |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942269881 PECOS PAC ID: 7214826064 Enrollment ID: I20200605000413 |
| Provider Name | Daniel Clarence Smith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609142819 PECOS PAC ID: 2860709466 Enrollment ID: I20200615000469 |
| Provider Name | Laura Clark |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972920841 PECOS PAC ID: 0143440842 Enrollment ID: I20200727002392 |
| Provider Name | James Matt Cable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396354734 PECOS PAC ID: 9830514751 Enrollment ID: I20200810000243 |
| Provider Name | Nathaniel Meier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508228255 PECOS PAC ID: 2769725332 Enrollment ID: I20200813002056 |
| Provider Name | Margo Toney Lannan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760830400 PECOS PAC ID: 4789975624 Enrollment ID: I20200814000247 |
| Provider Name | George Michael Bodziock |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316392665 PECOS PAC ID: 4981997228 Enrollment ID: I20200921000113 |
| Provider Name | Christopher Robert Dorothy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144282849 PECOS PAC ID: 9335117662 Enrollment ID: I20201012000555 |
| Provider Name | Nikita Shwetal Desai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356600662 PECOS PAC ID: 9133356421 Enrollment ID: I20201117000931 |
| Provider Name | Sara Elizabeth Early |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770190514 PECOS PAC ID: 0143632463 Enrollment ID: I20201210001181 |
| Provider Name | Peter Vanderboort Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295015196 PECOS PAC ID: 5294029211 Enrollment ID: I20201210001866 |
| Provider Name | Talal Kaiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518354489 PECOS PAC ID: 1557673969 Enrollment ID: I20210217000097 |
| Provider Name | Christina Morgan Weaver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689883787 PECOS PAC ID: 4385059641 Enrollment ID: I20210218001303 |
| Provider Name | Tijo Thomas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033577101 PECOS PAC ID: 0840543252 Enrollment ID: I20210317001627 |
| Provider Name | David Guthrie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164015194 PECOS PAC ID: 6507273828 Enrollment ID: I20210401000900 |
| Provider Name | Robert Lovell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720098080 PECOS PAC ID: 8426015827 Enrollment ID: I20210610002711 |
| Provider Name | Sudham Chand |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356689319 PECOS PAC ID: 2860635992 Enrollment ID: I20210624001408 |
| Provider Name | Gellen April Marie Lustria Nonato |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992388144 PECOS PAC ID: 7012318645 Enrollment ID: I20210702000185 |
| Provider Name | Aaron Bradley Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962990788 PECOS PAC ID: 0941602916 Enrollment ID: I20210713003356 |
| Provider Name | Jonathan B Dewald |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366829293 PECOS PAC ID: 8123313814 Enrollment ID: I20210802003290 |
| Provider Name | Alison Mitchell Rumball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386133502 PECOS PAC ID: 4385040468 Enrollment ID: I20210915002332 |
| Provider Name | Alan Zhou |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588332126 PECOS PAC ID: 3476951823 Enrollment ID: I20211014003178 |
| Provider Name | Shaunda L Menke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194995340 PECOS PAC ID: 0244639631 Enrollment ID: I20211104001421 |
| Provider Name | Zorana Mrsic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760823041 PECOS PAC ID: 3779801196 Enrollment ID: I20211112001910 |
| Provider Name | Britton Lee Rust-chester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659945335 PECOS PAC ID: 1456740091 Enrollment ID: I20211119000928 |
| Provider Name | Ashley Nicole Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508530528 PECOS PAC ID: 9436548005 Enrollment ID: I20211119002497 |
| Provider Name | Taylor Bailey Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720601610 PECOS PAC ID: 4183014640 Enrollment ID: I20211124001562 |
| Provider Name | Stephen Miles Rudd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952303273 PECOS PAC ID: 6507884731 Enrollment ID: I20211129000787 |
| Provider Name | Julian Floyd Reese |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386093417 PECOS PAC ID: 0840573788 Enrollment ID: I20211129001791 |
| Provider Name | Lauren Anne Mcelwee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700557089 PECOS PAC ID: 7618367061 Enrollment ID: I20211130000209 |
| Provider Name | Misty Ann Taylor-paladino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386395077 PECOS PAC ID: 3577956440 Enrollment ID: I20220217001301 |
| Provider Name | Timothy Scott George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750051074 PECOS PAC ID: 7719371020 Enrollment ID: I20220303000263 |
| Provider Name | Simone R Yuds |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689288540 PECOS PAC ID: 6305234097 Enrollment ID: I20220329002893 |
| Provider Name | Mary F Lucas-ziemba |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225784630 PECOS PAC ID: 8325434483 Enrollment ID: I20220330000566 |
| Provider Name | Milton F Nathan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114909744 PECOS PAC ID: 1557261740 Enrollment ID: I20220510001103 |
| Provider Name | Nikia Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710907100 PECOS PAC ID: 9335152792 Enrollment ID: I20220519002179 |
| Provider Name | Hassan Yousaf |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851754170 PECOS PAC ID: 9032403191 Enrollment ID: I20220607002968 |
| Provider Name | Scott Ellis Cunningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568698066 PECOS PAC ID: 7719125251 Enrollment ID: I20220610002570 |
| Provider Name | Chance Charles Lewis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194257766 PECOS PAC ID: 6305122268 Enrollment ID: I20220615002168 |
| Provider Name | Ying Claire Dorsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821442013 PECOS PAC ID: 5991095408 Enrollment ID: I20220803001376 |
| Provider Name | Benjamin Jackson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1639675044 PECOS PAC ID: 9133551930 Enrollment ID: I20220815002564 |
| Provider Name | Elise Loraine Stephenson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649632712 PECOS PAC ID: 3375926397 Enrollment ID: I20220823003534 |
| Provider Name | Nathanael Elvin Phillips |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851826325 PECOS PAC ID: 5496026627 Enrollment ID: I20220908001321 |
| Provider Name | Amy Barnhill |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922737469 PECOS PAC ID: 6305222597 Enrollment ID: I20220926000498 |
| Provider Name | Ann Marie Kulik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386608784 PECOS PAC ID: 5698772671 Enrollment ID: I20221108000692 |
| Provider Name | Kristin Marie Gellert |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437868932 PECOS PAC ID: 0446629380 Enrollment ID: I20221215000524 |
| Provider Name | Bonnie Lynn Elsdon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972841849 PECOS PAC ID: 8628293487 Enrollment ID: I20221216001694 |
| Provider Name | Kristen Unger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407571466 PECOS PAC ID: 4981074614 Enrollment ID: I20221221001570 |
| Provider Name | Katherine Virginia Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356070031 PECOS PAC ID: 3577933092 Enrollment ID: I20221228000027 |
| Provider Name | Charanpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225758717 PECOS PAC ID: 7517337439 Enrollment ID: I20230110000860 |
| Provider Name | Nathanael David Moore |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871965467 PECOS PAC ID: 3173993938 Enrollment ID: I20230112001184 |
| Provider Name | Kelly Ballie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447968433 PECOS PAC ID: 6507237575 Enrollment ID: I20230131000227 |
| Provider Name | Tabitha Marie Dugal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104270974 PECOS PAC ID: 4284919861 Enrollment ID: I20230227002981 |
| Provider Name | Luke Seminara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033821236 PECOS PAC ID: 2365816873 Enrollment ID: I20230324000835 |
| Provider Name | Emily Parcell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689336091 PECOS PAC ID: 7810362225 Enrollment ID: I20230417000583 |
| Provider Name | Peter Staiano |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932561321 PECOS PAC ID: 3274820394 Enrollment ID: I20230502000433 |
| Provider Name | Vytas Vaitkus |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922442631 PECOS PAC ID: 2062772049 Enrollment ID: I20230508001356 |
| Provider Name | Ryan Morrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760702120 PECOS PAC ID: 6103013024 Enrollment ID: I20230531002776 |
| Provider Name | Barbara M Michael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962616789 PECOS PAC ID: 8022162775 Enrollment ID: I20230601001109 |
| Provider Name | Khabib Dgayli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134572878 PECOS PAC ID: 4688094071 Enrollment ID: I20230613000027 |
| Provider Name | Tanya Marie Walsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831728138 PECOS PAC ID: 4284092594 Enrollment ID: I20230619001838 |
| Provider Name | Jeremy Louis Hill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144725003 PECOS PAC ID: 8820344856 Enrollment ID: I20230629002856 |
| Provider Name | Kacy Lester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720712136 PECOS PAC ID: 7517314032 Enrollment ID: I20231106001173 |
| Provider Name | Joanna Rose Inman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457927998 PECOS PAC ID: 4789080383 Enrollment ID: I20231215000779 |
| Provider Name | Sara Costella |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891412391 PECOS PAC ID: 5092152108 Enrollment ID: I20240326000299 |
| Provider Name | Geny Marie Szabela |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972353662 PECOS PAC ID: 3173961224 Enrollment ID: I20240409001254 |
| Provider Name | Sudan Thapa |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831572684 PECOS PAC ID: 9931523297 Enrollment ID: I20240611004126 |
Step By Step Care, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5 Centerview Dr Ste 105, Greensboro, NC 27407 Phone: 336-378-0109 Fax: 336-378-0180 | |
Cone Adolescent Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1131c N Church St, Room 4, Greensboro, NC 27401 Phone: 336-832-7867 Fax: 336-832-7869 | |
James F Scherer Ccsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5318 W Friendly Ave, Greensboro, NC 27410 Phone: 336-292-6947 Fax: 336-292-7409 | |
Therapeutic Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1527 Earl Dr, Greensboro, NC 27406 Phone: 336-299-0754 Fax: 336-299-0755 | |
Greensboro Day School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5401 Lawndale Dr, Greensboro, NC 27455 Phone: 336-288-8590 | |
The Embracement Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Elm St, Ste 35, Greensboro, NC 27401 Phone: 336-328-7821 | |
Envisions Of Life Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Centerview Drive, Suite 110, Greensboro, NC 27407 Phone: 336-887-0708 Fax: 336-887-1085 |