| North Atlanta Professional Services Llc | |
|
1000 Johnson Ferry Rd Ne Atlanta GA 30342-1606 | |
| (855) 709-4535 | |
| Not Available |
| Full Name | North Atlanta Professional Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1000 Johnson Ferry Rd Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Jorge Hernandez (CCO) |
| Authorized Official Contact | 4048518000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Atlanta Professional Services Llc 1000 Johnson Ferry Rd Ne Atlanta GA 30342-1606 Ph: () - | North Atlanta Professional Services Llc 1000 Johnson Ferry Rd Ne Atlanta GA 30342-1606 Ph: (855) 709-4535 |
| NPI Number | 1316959869 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Medicare PECOS PAC ID | 0840291944 |
|---|---|
| Medicare Enrollment ID | O20070116000197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316959869 | NPI | - | NPPES |
| Provider Name | Douglas M Cardillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518941608 PECOS PAC ID: 3274446778 Enrollment ID: I20031111000191 |
| Provider Name | Randy S Turkel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124120266 PECOS PAC ID: 3971405812 Enrollment ID: I20040122000386 |
| Provider Name | Renice A Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417936386 PECOS PAC ID: 0648167825 Enrollment ID: I20040302000973 |
| Provider Name | William A Stinnette |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760603534 PECOS PAC ID: 8921998824 Enrollment ID: I20040316000737 |
| Provider Name | Kevin M Ryan |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1295763100 PECOS PAC ID: 3678566916 Enrollment ID: I20040405000484 |
| Provider Name | Gary B Stillwagon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1548244817 PECOS PAC ID: 6204829476 Enrollment ID: I20040405000744 |
| Provider Name | Rebecca Sue Aukamp |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1386697324 PECOS PAC ID: 7416859954 Enrollment ID: I20040422000303 |
| Provider Name | Mark Eric Leimbach |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104878404 PECOS PAC ID: 6608862784 Enrollment ID: I20040423000253 |
| Provider Name | Pradyumna E Tummala |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427000959 PECOS PAC ID: 5193711299 Enrollment ID: I20040423000371 |
| Provider Name | Vu Hoang |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1508895137 PECOS PAC ID: 0547256539 Enrollment ID: I20040423001100 |
| Provider Name | Dharani Thurairajah |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1477591972 PECOS PAC ID: 0749277390 Enrollment ID: I20040427000839 |
| Provider Name | Darold J Hudson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1417986803 PECOS PAC ID: 6608863519 Enrollment ID: I20040430000322 |
| Provider Name | Jennifer Humphreys |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1932144557 PECOS PAC ID: 5890783401 Enrollment ID: I20040503001546 |
| Provider Name | David A Josephson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730117235 PECOS PAC ID: 8426046038 Enrollment ID: I20040505001152 |
| Provider Name | Syed Nabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730262429 PECOS PAC ID: 7618950890 Enrollment ID: I20040609000734 |
| Provider Name | Paul L Kaufman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053318550 PECOS PAC ID: 7416930136 Enrollment ID: I20040611001028 |
| Provider Name | Robert D Hoff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659388908 PECOS PAC ID: 9830174234 Enrollment ID: I20040621000892 |
| Provider Name | Gina P Lundberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902828924 PECOS PAC ID: 7719962158 Enrollment ID: I20040621001265 |
| Provider Name | Lawrence E Simpson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982611786 PECOS PAC ID: 9830174176 Enrollment ID: I20040622000167 |
| Provider Name | Jeffrey Lawrence Zweig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134155302 PECOS PAC ID: 1658357942 Enrollment ID: I20040628000377 |
| Provider Name | Jason C Colier |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1063457729 PECOS PAC ID: 9234117904 Enrollment ID: I20040709000379 |
| Provider Name | Donald P Finnerty |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780667329 PECOS PAC ID: 7911987573 Enrollment ID: I20040723000255 |
| Provider Name | Mark S Quinn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1518905470 PECOS PAC ID: 2961475140 Enrollment ID: I20040816001285 |
| Provider Name | Christopher Borrego |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811999543 PECOS PAC ID: 5890769780 Enrollment ID: I20040825001149 |
| Provider Name | Tarun K Ghosh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760560726 PECOS PAC ID: 8426023102 Enrollment ID: I20040826001009 |
| Provider Name | Helen Gidey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770501611 PECOS PAC ID: 6608841861 Enrollment ID: I20040831000898 |
| Provider Name | Justine Elodia Henao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902808645 PECOS PAC ID: 2769458561 Enrollment ID: I20040902001177 |
| Provider Name | Tonya E Cole |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164423471 PECOS PAC ID: 9133195407 Enrollment ID: I20040917000591 |
| Provider Name | Stacey Heit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700965175 PECOS PAC ID: 1052371374 Enrollment ID: I20041012000882 |
| Provider Name | Geoffrey Y Ngeny |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982699500 PECOS PAC ID: 2365406741 Enrollment ID: I20041116000247 |
| Provider Name | Adrian M Mogos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972610590 PECOS PAC ID: 7618932823 Enrollment ID: I20041130000534 |
| Provider Name | Adrine Sue Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649230970 PECOS PAC ID: 2769448539 Enrollment ID: I20041203000096 |
| Provider Name | Najeeb I Siddique |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558313726 PECOS PAC ID: 2961307103 Enrollment ID: I20041215000975 |
| Provider Name | Bruce G Tripp |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982661641 PECOS PAC ID: 7315904620 Enrollment ID: I20041220000539 |
| Provider Name | William B Boling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619996022 PECOS PAC ID: 9436108743 Enrollment ID: I20050113000522 |
| Provider Name | Shailender K Peesapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093817801 PECOS PAC ID: 9032169958 Enrollment ID: I20050128000237 |
| Provider Name | Michael Appel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326098856 PECOS PAC ID: 5991756504 Enrollment ID: I20050201000451 |
| Provider Name | Pavani K Pandiri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689685679 PECOS PAC ID: 4880670256 Enrollment ID: I20050224000540 |
| Provider Name | John J Marshall |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184676413 PECOS PAC ID: 9931152063 Enrollment ID: I20050301000242 |
| Provider Name | William Y Childs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083648000 PECOS PAC ID: 1355395021 Enrollment ID: I20050304000658 |
| Provider Name | Willette Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205901410 PECOS PAC ID: 4688628183 Enrollment ID: I20050308000806 |
| Provider Name | Susan S Moon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982710471 PECOS PAC ID: 7012961410 Enrollment ID: I20050309000222 |
| Provider Name | Chukwudi B Amu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639179211 PECOS PAC ID: 8527012640 Enrollment ID: I20050310000644 |
| Provider Name | Yi Ching J Hsu |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1649328972 PECOS PAC ID: 7719931864 Enrollment ID: I20050310000915 |
| Provider Name | Murtaza Cassoobhoy |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1407936446 PECOS PAC ID: 1456306141 Enrollment ID: I20050315000998 |
| Provider Name | Laura M Lockett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356373948 PECOS PAC ID: 7810934718 Enrollment ID: I20050412001216 |
| Provider Name | Valda O Gibson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205851425 PECOS PAC ID: 7315985967 Enrollment ID: I20050422001019 |
| Provider Name | Nabeel A Hafeez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205820982 PECOS PAC ID: 2668411612 Enrollment ID: I20050428000707 |
| Provider Name | Marcus L Brown |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1437198603 PECOS PAC ID: 0941249668 Enrollment ID: I20050502000591 |
| Provider Name | Lee B Padove |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245219500 PECOS PAC ID: 9638144017 Enrollment ID: I20050519000465 |
| Provider Name | Peter E Anderson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669426425 PECOS PAC ID: 8123073814 Enrollment ID: I20050607000511 |
| Provider Name | Nancy H Wiggers |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1548215775 PECOS PAC ID: 9638105463 Enrollment ID: I20050713000683 |
| Provider Name | Nick A Taher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013941947 PECOS PAC ID: 7911942396 Enrollment ID: I20050722000647 |
| Provider Name | Brian Bortnick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477649978 PECOS PAC ID: 1557399557 Enrollment ID: I20050801000548 |
| Provider Name | Raghuveer Suryadevara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548296684 PECOS PAC ID: 5991604605 Enrollment ID: I20050810000640 |
| Provider Name | Adedapo Odetoyinbo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598784613 PECOS PAC ID: 2567491210 Enrollment ID: I20050811001099 |
| Provider Name | Sherry Tobia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861537987 PECOS PAC ID: 3779513312 Enrollment ID: I20050815000156 |
| Provider Name | Weirong C Ding |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316978646 PECOS PAC ID: 9830129667 Enrollment ID: I20050822000136 |
| Provider Name | Craig Alan Richman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902806284 PECOS PAC ID: 3577594290 Enrollment ID: I20050823000405 |
| Provider Name | Elizabeth L Atkins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487645677 PECOS PAC ID: 3577594043 Enrollment ID: I20050824000620 |
| Provider Name | Brenda J Garland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912995226 PECOS PAC ID: 4284668005 Enrollment ID: I20050921000807 |
| Provider Name | Justin-barry J Jerome |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891785077 PECOS PAC ID: 0749215044 Enrollment ID: I20051005000333 |
| Provider Name | Svathi M Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528179124 PECOS PAC ID: 1951327782 Enrollment ID: I20051020000494 |
| Provider Name | Anwer Alis Bhamani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760554703 PECOS PAC ID: 1658397278 Enrollment ID: I20051021000670 |
| Provider Name | Brooke P Balun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083769632 PECOS PAC ID: 7315964210 Enrollment ID: I20051031000302 |
| Provider Name | Abhishek Gaur |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336191402 PECOS PAC ID: 2769400621 Enrollment ID: I20051109000435 |
| Provider Name | Jeffrey Desalvo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043308877 PECOS PAC ID: 1951325521 Enrollment ID: I20060123000259 |
| Provider Name | Barry Claude Lucas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073563177 PECOS PAC ID: 2264447762 Enrollment ID: I20060220000197 |
| Provider Name | Michael D Waldman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366440372 PECOS PAC ID: 1355365495 Enrollment ID: I20060322000485 |
| Provider Name | Sandra L Gregory |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376503128 PECOS PAC ID: 3476562133 Enrollment ID: I20060410000013 |
| Provider Name | Brenda J Hott |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1649221821 PECOS PAC ID: 7315958402 Enrollment ID: I20060607000026 |
| Provider Name | Jeniffer C Carpinello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760459630 PECOS PAC ID: 1557373180 Enrollment ID: I20060626000149 |
| Provider Name | Shaoshan S Wang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952354078 PECOS PAC ID: 5496767899 Enrollment ID: I20060630000043 |
| Provider Name | Kashyap B Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306899422 PECOS PAC ID: 4385656560 Enrollment ID: I20060707000316 |
| Provider Name | Paayal Madhukar Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689613002 PECOS PAC ID: 7214940279 Enrollment ID: I20060718000036 |
| Provider Name | Sasikala Ponnambalam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578508776 PECOS PAC ID: 1254344112 Enrollment ID: I20060718000095 |
| Provider Name | Antonio V Baute |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629061395 PECOS PAC ID: 2860443157 Enrollment ID: I20060719000032 |
| Provider Name | Sricharan C Kantipudi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629007554 PECOS PAC ID: 2163482787 Enrollment ID: I20060724000001 |
| Provider Name | Thanh Q Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861438087 PECOS PAC ID: 5597778332 Enrollment ID: I20060724000103 |
| Provider Name | Francis Gonzalez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942251624 PECOS PAC ID: 0042214017 Enrollment ID: I20060905000512 |
| Provider Name | Robert Harrington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518919380 PECOS PAC ID: 3678536687 Enrollment ID: I20061011000191 |
| Provider Name | Jerry E Berland |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043217458 PECOS PAC ID: 0840283180 Enrollment ID: I20061108000473 |
| Provider Name | Sonal Amin Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194753905 PECOS PAC ID: 7113927807 Enrollment ID: I20070103000093 |
| Provider Name | Mark William Mccord |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639117401 PECOS PAC ID: 4385644525 Enrollment ID: I20070111000275 |
| Provider Name | Ernesto E Hernandez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164448098 PECOS PAC ID: 2264432350 Enrollment ID: I20070116000015 |
| Provider Name | Robert L Allen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083646780 PECOS PAC ID: 4880695972 Enrollment ID: I20070116000034 |
| Provider Name | Ada I Mercado |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982620811 PECOS PAC ID: 1052312147 Enrollment ID: I20070116000057 |
| Provider Name | Jonathan A Hefner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821037110 PECOS PAC ID: 7719946664 Enrollment ID: I20070206000410 |
| Provider Name | Jijun Zeng |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1861554107 PECOS PAC ID: 9335141282 Enrollment ID: I20070207000014 |
| Provider Name | Olufunsho Bankole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487714911 PECOS PAC ID: 2668474164 Enrollment ID: I20070213000513 |
| Provider Name | Shivani R Ghaiy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942355458 PECOS PAC ID: 2860594710 Enrollment ID: I20070222000655 |
| Provider Name | Philip Shrake |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376527531 PECOS PAC ID: 5799887410 Enrollment ID: I20070227000672 |
| Provider Name | Leela S Maxa |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1427032663 PECOS PAC ID: 6204938863 Enrollment ID: I20070228000225 |
| Provider Name | Saliem F Ruffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710035001 PECOS PAC ID: 2062515349 Enrollment ID: I20070306000519 |
| Provider Name | Susan E Eldred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770679128 PECOS PAC ID: 4587767850 Enrollment ID: I20070307000567 |
| Provider Name | Neelima Dachuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427136779 PECOS PAC ID: 0749383800 Enrollment ID: I20070309000183 |
| Provider Name | Sahar Rosenbaum |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477537512 PECOS PAC ID: 7810090438 Enrollment ID: I20070319000567 |
| Provider Name | Garfield Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952454779 PECOS PAC ID: 5698879963 Enrollment ID: I20070326000305 |
| Provider Name | Nilanee A Karikaran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114008927 PECOS PAC ID: 6800990839 Enrollment ID: I20070402000361 |
| Provider Name | Harvey L Simpson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730180159 PECOS PAC ID: 4981655602 Enrollment ID: I20070412000088 |
| Provider Name | Cathy A Smiley-naughton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700911658 PECOS PAC ID: 8123123205 Enrollment ID: I20070418000358 |
| Provider Name | Christopher R Leach |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669504353 PECOS PAC ID: 3971602954 Enrollment ID: I20070618000095 |
| Provider Name | Adeyosoye Temitope Dawodu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932132685 PECOS PAC ID: 0840224077 Enrollment ID: I20070716000360 |
| Provider Name | Richard M Goldstein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659306496 PECOS PAC ID: 3779674015 Enrollment ID: I20070801000319 |
| Provider Name | Wayne P Chiu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629007034 PECOS PAC ID: 7315038650 Enrollment ID: I20070801000325 |
| Provider Name | Rafael L Santana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497786115 PECOS PAC ID: 2860583119 Enrollment ID: I20070801000342 |
| Provider Name | James Todd Spradlin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285663526 PECOS PAC ID: 6608967955 Enrollment ID: I20070801000411 |
| Provider Name | Joi L Jackson-walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700811544 PECOS PAC ID: 2860583085 Enrollment ID: I20070802000226 |
| Provider Name | Edward A Espinosa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851597397 PECOS PAC ID: 2264523166 Enrollment ID: I20070807000529 |
| Provider Name | Ola B Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275678054 PECOS PAC ID: 9537252762 Enrollment ID: I20070905000153 |
| Provider Name | Sharif F Elkabbani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598883928 PECOS PAC ID: 8921193459 Enrollment ID: I20070928000380 |
| Provider Name | Oluwatoyin O Adedeji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881806016 PECOS PAC ID: 4880789767 Enrollment ID: I20071008000269 |
| Provider Name | Jeffrey H Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659432060 PECOS PAC ID: 4082709837 Enrollment ID: I20071009000314 |
| Provider Name | Igor Lacmanovic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891849352 PECOS PAC ID: 7618063215 Enrollment ID: I20071012000065 |
| Provider Name | Nancy Maignan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114971207 PECOS PAC ID: 1355337361 Enrollment ID: I20071019000253 |
| Provider Name | Thomas Cobb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881702744 PECOS PAC ID: 3577532415 Enrollment ID: I20071101000078 |
| Provider Name | Vishal B Parekh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689872475 PECOS PAC ID: 8123115300 Enrollment ID: I20071105000370 |
| Provider Name | Joe P Lester |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326075805 PECOS PAC ID: 6901819374 Enrollment ID: I20071203000178 |
| Provider Name | Peter W Possert |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1184677098 PECOS PAC ID: 3678662392 Enrollment ID: I20071204000221 |
| Provider Name | Lauren B Osborne |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1316133937 PECOS PAC ID: 9032209267 Enrollment ID: I20071212000277 |
| Provider Name | Yetunde O Orimogunje |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871617274 PECOS PAC ID: 8820179021 Enrollment ID: I20080114000529 |
| Provider Name | Jack P Chen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821082389 PECOS PAC ID: 7214012764 Enrollment ID: I20080310000019 |
| Provider Name | Panchshil M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194905471 PECOS PAC ID: 0547345985 Enrollment ID: I20080311000098 |
| Provider Name | Alison K Zavodny |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1336113919 PECOS PAC ID: 4183700768 Enrollment ID: I20080324000155 |
| Provider Name | Amy Xiuxiang J Lin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245390467 PECOS PAC ID: 9234213596 Enrollment ID: I20080326000363 |
| Provider Name | Lillie K Burnett |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821070020 PECOS PAC ID: 2062590136 Enrollment ID: I20080415000724 |
| Provider Name | Ifeoma L Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033226832 PECOS PAC ID: 4284665019 Enrollment ID: I20080423000299 |
| Provider Name | Michael Riley |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1033394747 PECOS PAC ID: 3971582404 Enrollment ID: I20080502000410 |
| Provider Name | Thomas J Carollo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740372572 PECOS PAC ID: 7012918360 Enrollment ID: I20080519000556 |
| Provider Name | Muhammad Ali Pervaiz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417174186 PECOS PAC ID: 9830290519 Enrollment ID: I20080527000417 |
| Provider Name | Anshul Patel |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1295725463 PECOS PAC ID: 9537114335 Enrollment ID: I20080603000537 |
| Provider Name | James E Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1972651453 PECOS PAC ID: 0345311072 Enrollment ID: I20080624000131 |
| Provider Name | Jessica D Mccluskey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447352604 PECOS PAC ID: 7911001656 Enrollment ID: I20080715000510 |
| Provider Name | Mario D Ingram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790985299 PECOS PAC ID: 7012081912 Enrollment ID: I20080811000044 |
| Provider Name | Ian C Balfour |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649375874 PECOS PAC ID: 4789758699 Enrollment ID: I20080811000109 |
| Provider Name | Rashi Gambhir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043480049 PECOS PAC ID: 7214004381 Enrollment ID: I20080916000451 |
| Provider Name | Ananka A Myrie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326211087 PECOS PAC ID: 0143397133 Enrollment ID: I20080917000044 |
| Provider Name | Bernard G Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356441737 PECOS PAC ID: 2062414287 Enrollment ID: I20081007000661 |
| Provider Name | Bradford W Gibson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922296458 PECOS PAC ID: 7517049505 Enrollment ID: I20081013000359 |
| Provider Name | Lebinh Luu |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1154571289 PECOS PAC ID: 6305906272 Enrollment ID: I20081121000471 |
| Provider Name | Rekha N Attigere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215121934 PECOS PAC ID: 2769576149 Enrollment ID: I20090108000161 |
| Provider Name | Anthony L Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528283355 PECOS PAC ID: 3779647680 Enrollment ID: I20090121000408 |
| Provider Name | Sherman O Phillips |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1952596140 PECOS PAC ID: 1759464936 Enrollment ID: I20090303000315 |
| Provider Name | Robert Sakulanda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558526566 PECOS PAC ID: 1557421872 Enrollment ID: I20090306000394 |
| Provider Name | John W Flynn |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1871512178 PECOS PAC ID: 8527125848 Enrollment ID: I20090331000380 |
| Provider Name | Ruj Ujjin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780787564 PECOS PAC ID: 5395895189 Enrollment ID: I20090617000306 |
| Provider Name | Mohammad Kooshkabadi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1740464189 PECOS PAC ID: 5193877926 Enrollment ID: I20090709000001 |
| Provider Name | James T Campbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952535064 PECOS PAC ID: 9234281205 Enrollment ID: I20090722000500 |
| Provider Name | David A Zimmerman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134181472 PECOS PAC ID: 3072416981 Enrollment ID: I20090820000182 |
| Provider Name | Dennis Incorvati |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124089784 PECOS PAC ID: 4981507894 Enrollment ID: I20090820000196 |
| Provider Name | Pinkesh A Bhuta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275621302 PECOS PAC ID: 6800932179 Enrollment ID: I20090930000584 |
| Provider Name | Amy Lynn Elsass |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902004708 PECOS PAC ID: 6507951076 Enrollment ID: I20091005000019 |
| Provider Name | Toral M Fadia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689874299 PECOS PAC ID: 9133152283 Enrollment ID: I20091019000125 |
| Provider Name | Munit Emlaelu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346407582 PECOS PAC ID: 5294872230 Enrollment ID: I20091026000022 |
| Provider Name | Erica Ann Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184856783 PECOS PAC ID: 0042357881 Enrollment ID: I20091027000452 |
| Provider Name | Emmanuel O Onasile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336313972 PECOS PAC ID: 3274671573 Enrollment ID: I20091106000096 |
| Provider Name | Andrew G Dickerson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659557833 PECOS PAC ID: 9436297603 Enrollment ID: I20091109000163 |
| Provider Name | Mini A Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811182751 PECOS PAC ID: 1052459245 Enrollment ID: I20091109000378 |
| Provider Name | Mitzi R Kabore |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1649507070 PECOS PAC ID: 2769520733 Enrollment ID: I20091111000593 |
| Provider Name | Jude I Emokpare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629292198 PECOS PAC ID: 6204976632 Enrollment ID: I20091216000286 |
| Provider Name | Giang Q Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1285960898 PECOS PAC ID: 5395885214 Enrollment ID: I20091228000009 |
| Provider Name | Kapildev K Prasad |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1013241934 PECOS PAC ID: 5698817179 Enrollment ID: I20100121000448 |
| Provider Name | Yimei M Qian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487801163 PECOS PAC ID: 3173690625 Enrollment ID: I20100122000202 |
| Provider Name | Eduardo Montana |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174554588 PECOS PAC ID: 7810039948 Enrollment ID: I20100127000504 |
| Provider Name | Wayne Cotie Hoover |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1639108038 PECOS PAC ID: 8022152370 Enrollment ID: I20100224000495 |
| Provider Name | Priya Baronia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710122684 PECOS PAC ID: 7911041108 Enrollment ID: I20100226000040 |
| Provider Name | Gurudatt K Setty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477589125 PECOS PAC ID: 3678618436 Enrollment ID: I20100304000073 |
| Provider Name | Sorayda M Mcfarlane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154367183 PECOS PAC ID: 5799810545 Enrollment ID: I20100318000049 |
| Provider Name | Pamela S Ives |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588602114 PECOS PAC ID: 5597890343 Enrollment ID: I20100318000068 |
| Provider Name | Andrew Yen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215080411 PECOS PAC ID: 9739270950 Enrollment ID: I20100318000483 |
| Provider Name | Jeffrey N Gladstein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053359687 PECOS PAC ID: 4284761172 Enrollment ID: I20100426000096 |
| Provider Name | Alan K Carnes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417996877 PECOS PAC ID: 3678600574 Enrollment ID: I20100426000172 |
| Provider Name | Amy P Duane |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1265479240 PECOS PAC ID: 1456488055 Enrollment ID: I20100429000614 |
| Provider Name | Jennifer D Delbagno |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104852755 PECOS PAC ID: 0547398190 Enrollment ID: I20100503000485 |
| Provider Name | Deborah A Wallace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184667388 PECOS PAC ID: 7911035282 Enrollment ID: I20100506000468 |
| Provider Name | Judy J York |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255363917 PECOS PAC ID: 2264560556 Enrollment ID: I20100506000649 |
| Provider Name | Jilpa P Ronvelwala |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1487692976 PECOS PAC ID: 9830227966 Enrollment ID: I20100512000060 |
| Provider Name | Joel S Dunn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386672889 PECOS PAC ID: 3173652732 Enrollment ID: I20100520000575 |
| Provider Name | Mitesh A Desai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902961378 PECOS PAC ID: 4880724517 Enrollment ID: I20100607000739 |
| Provider Name | Stuart J Newman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255338653 PECOS PAC ID: 8527051853 Enrollment ID: I20100615000447 |
| Provider Name | Jose B Ruiz Lagos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740470749 PECOS PAC ID: 3577652106 Enrollment ID: I20100628000583 |
| Provider Name | Shalini J Pandey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346220779 PECOS PAC ID: 4981736733 Enrollment ID: I20100715000007 |
| Provider Name | Paul Jason Hyler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295732600 PECOS PAC ID: 0840321816 Enrollment ID: I20100806000645 |
| Provider Name | Anand Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669705505 PECOS PAC ID: 9436295227 Enrollment ID: I20100816000046 |
| Provider Name | Edmund L Simon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730366865 PECOS PAC ID: 8921173196 Enrollment ID: I20100817000655 |
| Provider Name | Kailash P Kulkarni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114116191 PECOS PAC ID: 0840324448 Enrollment ID: I20100818000701 |
| Provider Name | Ketan M Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326054305 PECOS PAC ID: 7113827387 Enrollment ID: I20100831000165 |
| Provider Name | Pravina Sheth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700810561 PECOS PAC ID: 5799848750 Enrollment ID: I20100907000541 |
| Provider Name | Veena Melinamani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871818922 PECOS PAC ID: 0749305142 Enrollment ID: I20100908000819 |
| Provider Name | Allison Dupont |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669698510 PECOS PAC ID: 1850483371 Enrollment ID: I20100910000870 |
| Provider Name | Reginald Vinson Hall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902885494 PECOS PAC ID: 5799856415 Enrollment ID: I20100922000500 |
| Provider Name | Cherie M Lamb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952573768 PECOS PAC ID: 1456477371 Enrollment ID: I20100929000296 |
| Provider Name | Urviben R Patel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1306053731 PECOS PAC ID: 4183817349 Enrollment ID: I20101020000264 |
| Provider Name | Absar A Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265415541 PECOS PAC ID: 1153219027 Enrollment ID: I20101021001272 |
| Provider Name | Hamilton V Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710165287 PECOS PAC ID: 9537353578 Enrollment ID: I20101103000614 |
| Provider Name | Roohi F Faiyaz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609012111 PECOS PAC ID: 8921141409 Enrollment ID: I20101123000224 |
| Provider Name | Muhammad H Abdulrahman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972757953 PECOS PAC ID: 9931395399 Enrollment ID: I20101124000316 |
| Provider Name | Thinh Le Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790016541 PECOS PAC ID: 4284821174 Enrollment ID: I20101203000959 |
| Provider Name | Darina Stankeyeva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437337581 PECOS PAC ID: 4789871682 Enrollment ID: I20101203001020 |
| Provider Name | Afolake O Mobolaji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144535576 PECOS PAC ID: 8123215050 Enrollment ID: I20101204000004 |
| Provider Name | Zahid Junagadhwalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013194471 PECOS PAC ID: 1658569686 Enrollment ID: I20101217000248 |
| Provider Name | Guilherme Cantuaria |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871530634 PECOS PAC ID: 4082600796 Enrollment ID: I20110107000885 |
| Provider Name | Christopher Hagenstad |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1659460244 PECOS PAC ID: 7618175464 Enrollment ID: I20110111000254 |
| Provider Name | Lorie L Hughes |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578613667 PECOS PAC ID: 6507045754 Enrollment ID: I20110120000628 |
| Provider Name | Zeeba Anwar Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790812873 PECOS PAC ID: 7810080082 Enrollment ID: I20110125000615 |
| Provider Name | Bernard R Drexinger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407849888 PECOS PAC ID: 3173654464 Enrollment ID: I20110126000014 |
| Provider Name | John Beckner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538212519 PECOS PAC ID: 9537067665 Enrollment ID: I20110307000042 |
| Provider Name | Jonathan G Ownby |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780887877 PECOS PAC ID: 7810173598 Enrollment ID: I20110513000126 |
| Provider Name | Madhurima Adulla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073523247 PECOS PAC ID: 6002820743 Enrollment ID: I20110520000292 |
| Provider Name | Bhavinkumar P Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518138429 PECOS PAC ID: 8628256260 Enrollment ID: I20110629000467 |
| Provider Name | Manouchka Tulia Joseph |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1770803942 PECOS PAC ID: 6507043759 Enrollment ID: I20110719000602 |
| Provider Name | Vivekananda Pattabiraman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467649830 PECOS PAC ID: 1658402482 Enrollment ID: I20110726000739 |
| Provider Name | Lakshmi Gopireddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578728309 PECOS PAC ID: 3274702584 Enrollment ID: I20110802000784 |
| Provider Name | Sarah Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841451077 PECOS PAC ID: 0345419099 Enrollment ID: I20110815000118 |
| Provider Name | Kalvin C Chinyere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891003893 PECOS PAC ID: 9537338298 Enrollment ID: I20110815000240 |
| Provider Name | Amar Mohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578724886 PECOS PAC ID: 5294904991 Enrollment ID: I20110815000745 |
| Provider Name | Ahmed Naser Ali |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396808010 PECOS PAC ID: 2062682412 Enrollment ID: I20110823000595 |
| Provider Name | Vishal K Burra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831350578 PECOS PAC ID: 2365612389 Enrollment ID: I20110831000344 |
| Provider Name | Kimberly Rose Mason |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558568915 PECOS PAC ID: 9436320355 Enrollment ID: I20110923000541 |
| Provider Name | Adekemi O Adedeji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386949261 PECOS PAC ID: 1456523356 Enrollment ID: I20111019000750 |
| Provider Name | Omar Fraij |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366601452 PECOS PAC ID: 7911179726 Enrollment ID: I20111020000031 |
| Provider Name | Ayisha Gani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629050638 PECOS PAC ID: 0749349710 Enrollment ID: I20111024000704 |
| Provider Name | Hafiz E Fadl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154567972 PECOS PAC ID: 3375716889 Enrollment ID: I20111028000225 |
| Provider Name | Venkateshwer R Routhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982827671 PECOS PAC ID: 0749453199 Enrollment ID: I20111031000120 |
| Provider Name | Shilpa A Rege |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1174809859 PECOS PAC ID: 8426223397 Enrollment ID: I20111206000046 |
| Provider Name | Betsy M Eapen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497913651 PECOS PAC ID: 0345396453 Enrollment ID: I20111207000577 |
| Provider Name | Feyi M Ward |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457318446 PECOS PAC ID: 0143214494 Enrollment ID: I20111209000454 |
| Provider Name | Jennifer L Hayes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659644078 PECOS PAC ID: 9133388739 Enrollment ID: I20120316000190 |
| Provider Name | Imran A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982865176 PECOS PAC ID: 3779755392 Enrollment ID: I20120320000710 |
| Provider Name | Jeffrey Gibson Ellington |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922099985 PECOS PAC ID: 7315970514 Enrollment ID: I20120607000337 |
| Provider Name | Haritha R Challa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023384849 PECOS PAC ID: 7810151370 Enrollment ID: I20120613000087 |
| Provider Name | Arif N Ali |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962686238 PECOS PAC ID: 9931364544 Enrollment ID: I20120705000509 |
| Provider Name | Madhuri Nooka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245443092 PECOS PAC ID: 5092888719 Enrollment ID: I20120720000018 |
| Provider Name | Nayyer Iqbal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437291994 PECOS PAC ID: 6901997204 Enrollment ID: I20120807000835 |
| Provider Name | Heather G Kotula |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1003171943 PECOS PAC ID: 2163679341 Enrollment ID: I20120822000615 |
| Provider Name | Mukesh Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659535086 PECOS PAC ID: 2365611076 Enrollment ID: I20120828000636 |
| Provider Name | Kamiran Kurdman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417185497 PECOS PAC ID: 9638326283 Enrollment ID: I20120904000458 |
| Provider Name | Todd C Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639464936 PECOS PAC ID: 1951572049 Enrollment ID: I20120910000248 |
| Provider Name | Seham Al Haddad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609005099 PECOS PAC ID: 8729236062 Enrollment ID: I20120912000242 |
| Provider Name | Melanie A Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952530412 PECOS PAC ID: 6406004647 Enrollment ID: I20120913000457 |
| Provider Name | Karyn M Hodgson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386990018 PECOS PAC ID: 9638328230 Enrollment ID: I20120925000347 |
| Provider Name | Tian Ma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912131616 PECOS PAC ID: 5294985438 Enrollment ID: I20121024000015 |
| Provider Name | Thai Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740544493 PECOS PAC ID: 7810148111 Enrollment ID: I20121114000507 |
| Provider Name | Vivian To |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1437417250 PECOS PAC ID: 5395908594 Enrollment ID: I20121203000384 |
| Provider Name | Salam O Hadrami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922072263 PECOS PAC ID: 5890719512 Enrollment ID: I20121212000405 |
| Provider Name | Priyanka Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902098197 PECOS PAC ID: 8426201039 Enrollment ID: I20130110000247 |
| Provider Name | Amaka Eunice Ezimora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902121122 PECOS PAC ID: 5799939799 Enrollment ID: I20130128000489 |
| Provider Name | Prashant V Patil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962612630 PECOS PAC ID: 7416071626 Enrollment ID: I20130206000541 |
| Provider Name | Staci Langston-meads |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1316284797 PECOS PAC ID: 6204071194 Enrollment ID: I20130325000437 |
| Provider Name | Matthew Wisdom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043231178 PECOS PAC ID: 7113922162 Enrollment ID: I20130401000472 |
| Provider Name | Babu Rajendra P Malempati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245211739 PECOS PAC ID: 6507918950 Enrollment ID: I20130403000178 |
| Provider Name | Christina Ann Beals |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881696615 PECOS PAC ID: 2163319294 Enrollment ID: I20130429000183 |
| Provider Name | Marjay Gladys Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619226834 PECOS PAC ID: 6103063904 Enrollment ID: I20130515000587 |
| Provider Name | Saurabh Dhawan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689893927 PECOS PAC ID: 2860630449 Enrollment ID: I20130522000148 |
| Provider Name | Barbara Pruitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063752012 PECOS PAC ID: 5294973616 Enrollment ID: I20130524000212 |
| Provider Name | Robert Douglas Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1376885970 PECOS PAC ID: 5294973442 Enrollment ID: I20130529000454 |
| Provider Name | Amy I Frank |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790026219 PECOS PAC ID: 8123267564 Enrollment ID: I20130617000168 |
| Provider Name | Olga M Epstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659525459 PECOS PAC ID: 0840479234 Enrollment ID: I20130705000327 |
| Provider Name | Nimisha S Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811126576 PECOS PAC ID: 4183875438 Enrollment ID: I20130716000155 |
| Provider Name | Juelle Ec Weekes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083890032 PECOS PAC ID: 4183770308 Enrollment ID: I20130717000229 |
| Provider Name | Andrea P Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013254283 PECOS PAC ID: 8820238769 Enrollment ID: I20130717000309 |
| Provider Name | Elrond Y Teo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124230750 PECOS PAC ID: 8325289556 Enrollment ID: I20130730000672 |
| Provider Name | Lynette Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902844061 PECOS PAC ID: 9739149634 Enrollment ID: I20130828000761 |
| Provider Name | Bryce S Cowgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770915191 PECOS PAC ID: 2365685765 Enrollment ID: I20130904000827 |
| Provider Name | Chehada Anthony Hatoum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205852167 PECOS PAC ID: 1951345065 Enrollment ID: I20130912000191 |
| Provider Name | Hamid S Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811206477 PECOS PAC ID: 1355585761 Enrollment ID: I20130924000665 |
| Provider Name | Kenil J Sidhpura |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710204672 PECOS PAC ID: 2264676659 Enrollment ID: I20130925000728 |
| Provider Name | Neena Lal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760707731 PECOS PAC ID: 5496980849 Enrollment ID: I20131021001151 |
| Provider Name | Amena Samar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942515531 PECOS PAC ID: 1153556501 Enrollment ID: I20131021001393 |
| Provider Name | Claudina Bonilla |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467497792 PECOS PAC ID: 2062509060 Enrollment ID: I20131023000151 |
| Provider Name | Ankur A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649447616 PECOS PAC ID: 7113195298 Enrollment ID: I20131118001312 |
| Provider Name | Gathline Etienne |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366602005 PECOS PAC ID: 2961658562 Enrollment ID: I20131204002085 |
| Provider Name | Purvesh Ronvelwala |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1629418884 PECOS PAC ID: 5294962692 Enrollment ID: I20131210001057 |
| Provider Name | Kartik Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548576648 PECOS PAC ID: 9436344165 Enrollment ID: I20140102000701 |
| Provider Name | Gurpreet Singh Dhaliwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578878161 PECOS PAC ID: 2961630603 Enrollment ID: I20140102000726 |
| Provider Name | Vivian Nchinda Kenmoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265694921 PECOS PAC ID: 2668648387 Enrollment ID: I20140124000352 |
| Provider Name | Mignon Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811328586 PECOS PAC ID: 0042440240 Enrollment ID: I20140310001113 |
| Provider Name | Omar Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043531254 PECOS PAC ID: 2567692635 Enrollment ID: I20140311001828 |
| Provider Name | Charmaine Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083870265 PECOS PAC ID: 1355572611 Enrollment ID: I20140331000075 |
| Provider Name | Victor J Crespo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124442074 PECOS PAC ID: 2163655150 Enrollment ID: I20140428001008 |
| Provider Name | Michael C Sergeant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427055482 PECOS PAC ID: 6608941323 Enrollment ID: I20140430000244 |
| Provider Name | Phyllis Tawiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053575035 PECOS PAC ID: 4082781620 Enrollment ID: I20140430000290 |
| Provider Name | Jennifer A Graff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215352638 PECOS PAC ID: 8820221500 Enrollment ID: I20140502001893 |
| Provider Name | Jason R Dimonda |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1205188737 PECOS PAC ID: 0143453522 Enrollment ID: I20140509001184 |
| Provider Name | Laura C Tonda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346479748 PECOS PAC ID: 6507080793 Enrollment ID: I20140610000723 |
| Provider Name | Dana H Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902805328 PECOS PAC ID: 6305810185 Enrollment ID: I20140624002190 |
| Provider Name | Thomas J Glancy |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1003230806 PECOS PAC ID: 8123243672 Enrollment ID: I20140625002619 |
| Provider Name | Deedee T Diep |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033499942 PECOS PAC ID: 0143454181 Enrollment ID: I20140718000632 |
| Provider Name | Lisa C Klepczyk |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194986455 PECOS PAC ID: 5294999561 Enrollment ID: I20140804001454 |
| Provider Name | Jason F. Fombi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376830075 PECOS PAC ID: 3476791153 Enrollment ID: I20140814001415 |
| Provider Name | Ayesha Mehwash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336450642 PECOS PAC ID: 5991923443 Enrollment ID: I20140826001577 |
| Provider Name | Laurence So |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245273812 PECOS PAC ID: 6800959149 Enrollment ID: I20140904002156 |
| Provider Name | Renny V Peter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578889556 PECOS PAC ID: 3870729049 Enrollment ID: I20140909002353 |
| Provider Name | Cesar Cestero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780849216 PECOS PAC ID: 5698946176 Enrollment ID: I20140918001478 |
| Provider Name | Stephanie D Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487843629 PECOS PAC ID: 0648353441 Enrollment ID: I20140922002881 |
| Provider Name | Rogers Ha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073809026 PECOS PAC ID: 2961622733 Enrollment ID: I20140929001495 |
| Provider Name | Hiren P Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548566094 PECOS PAC ID: 7618197989 Enrollment ID: I20141008002290 |
| Provider Name | Eduardo Morales |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982845657 PECOS PAC ID: 5991820375 Enrollment ID: I20141030002162 |
| Provider Name | William Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578854725 PECOS PAC ID: 1557583754 Enrollment ID: I20141103001792 |
| Provider Name | Sara Alavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871767657 PECOS PAC ID: 5991862245 Enrollment ID: I20141105000479 |
| Provider Name | Elizabeth Ann Ziegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942619093 PECOS PAC ID: 6406078914 Enrollment ID: I20141118002349 |
| Provider Name | Gaston Da Costa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902011158 PECOS PAC ID: 5193825073 Enrollment ID: I20141209001591 |
| Provider Name | Andrea L Baker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831469139 PECOS PAC ID: 1456510304 Enrollment ID: I20150112000421 |
| Provider Name | Vaishanavi Laiwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659569960 PECOS PAC ID: 7517281868 Enrollment ID: I20150115001433 |
| Provider Name | Michelle Kowal |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1396819363 PECOS PAC ID: 6709051386 Enrollment ID: I20150122002007 |
| Provider Name | Rayhanur Rahman Chowdhury |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780985762 PECOS PAC ID: 4688812316 Enrollment ID: I20150128002086 |
| Provider Name | Savina Kumar-dhaliwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346493046 PECOS PAC ID: 3476732272 Enrollment ID: I20150310000257 |
| Provider Name | Andronica Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629470125 PECOS PAC ID: 9335466457 Enrollment ID: I20150327002241 |
| Provider Name | Hamid Vafai Tehrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821293366 PECOS PAC ID: 3375639339 Enrollment ID: I20150406001063 |
| Provider Name | Eric J Nelson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609838705 PECOS PAC ID: 9931204948 Enrollment ID: I20150420001956 |
| Provider Name | Jaymin M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770877813 PECOS PAC ID: 9436397478 Enrollment ID: I20150519001701 |
| Provider Name | Shireen Haque |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306036934 PECOS PAC ID: 4981876877 Enrollment ID: I20150519002401 |
| Provider Name | David S Chin Yee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740424563 PECOS PAC ID: 8022259787 Enrollment ID: I20150608002652 |
| Provider Name | Franklin A. Fontem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790031763 PECOS PAC ID: 6103058094 Enrollment ID: I20150713000894 |
| Provider Name | Rodrigo Mancheno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750574471 PECOS PAC ID: 9436273281 Enrollment ID: I20150728005037 |
| Provider Name | Sahitya Yarlakula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245590355 PECOS PAC ID: 8022322064 Enrollment ID: I20150804004470 |
| Provider Name | Nastasia S Ardalan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205223179 PECOS PAC ID: 4082920723 Enrollment ID: I20150826001591 |
| Provider Name | Gerty Jean-louis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093703365 PECOS PAC ID: 8628003977 Enrollment ID: I20150826002021 |
| Provider Name | Erica Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518356922 PECOS PAC ID: 8729395108 Enrollment ID: I20150917000439 |
| Provider Name | Nneamaka A Ifechukwude |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821356775 PECOS PAC ID: 0648588327 Enrollment ID: I20150929002559 |
| Provider Name | Arinze H Duru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023371069 PECOS PAC ID: 6608184395 Enrollment ID: I20150929003182 |
| Provider Name | Gregg W Snider |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1811370737 PECOS PAC ID: 2365750544 Enrollment ID: I20151008000731 |
| Provider Name | Janaki Narravula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164714903 PECOS PAC ID: 8325263858 Enrollment ID: I20151014001992 |
| Provider Name | Salman Thobhani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497194062 PECOS PAC ID: 7416174560 Enrollment ID: I20151016002214 |
| Provider Name | Whitney Morrow |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1033585369 PECOS PAC ID: 2769791953 Enrollment ID: I20151029001783 |
| Provider Name | Dwayne Lee Chance |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508121567 PECOS PAC ID: 6608004825 Enrollment ID: I20151030000574 |
| Provider Name | Niki Pareshkumar Bhavsar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679832711 PECOS PAC ID: 7315257730 Enrollment ID: I20151113001339 |
| Provider Name | Izzeldin Abdalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760731962 PECOS PAC ID: 9830320092 Enrollment ID: I20151201002615 |
| Provider Name | Hana Kim Hill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619109246 PECOS PAC ID: 8224287073 Enrollment ID: I20151214001943 |
| Provider Name | Roland Hamilton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245541085 PECOS PAC ID: 6305169087 Enrollment ID: I20151216002772 |
| Provider Name | Soujanya Chava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063633782 PECOS PAC ID: 7416049416 Enrollment ID: I20151228000907 |
| Provider Name | William James Epps |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982765285 PECOS PAC ID: 1254642622 Enrollment ID: I20151230001590 |
| Provider Name | Ohridia A Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275559460 PECOS PAC ID: 0648572479 Enrollment ID: I20160111001060 |
| Provider Name | Mary Denise Hughes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275643561 PECOS PAC ID: 0244394393 Enrollment ID: I20160112001312 |
| Provider Name | Muneer Naji Hassan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205129590 PECOS PAC ID: 8022255470 Enrollment ID: I20160115000478 |
| Provider Name | Shannon Willis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487971263 PECOS PAC ID: 6709027436 Enrollment ID: I20160204002026 |
| Provider Name | Christina Lenk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225197957 PECOS PAC ID: 2163587817 Enrollment ID: I20160217000549 |
| Provider Name | Moshe Bachar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669736559 PECOS PAC ID: 6204075856 Enrollment ID: I20160223000913 |
| Provider Name | Rebecca Toothman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053786608 PECOS PAC ID: 4789989021 Enrollment ID: I20160224000383 |
| Provider Name | Brianna Elston |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1891156451 PECOS PAC ID: 1759688070 Enrollment ID: I20160330002694 |
| Provider Name | Kamica Hatchett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336507185 PECOS PAC ID: 5799084695 Enrollment ID: I20160427001712 |
| Provider Name | Daniel Shasha |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689658304 PECOS PAC ID: 7214987841 Enrollment ID: I20160512001524 |
| Provider Name | Kimberly Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619334562 PECOS PAC ID: 3072803691 Enrollment ID: I20160609000791 |
| Provider Name | Marie Alberte Altidor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043452444 PECOS PAC ID: 4981754314 Enrollment ID: I20160616001133 |
| Provider Name | Getachew Iyasu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184064867 PECOS PAC ID: 9537399647 Enrollment ID: I20160707001433 |
| Provider Name | Samson Tadesse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043650716 PECOS PAC ID: 0840420055 Enrollment ID: I20160707002089 |
| Provider Name | Anteneh M Gizaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699114660 PECOS PAC ID: 4183916265 Enrollment ID: I20160711001052 |
| Provider Name | Iga M Lentowicz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831485424 PECOS PAC ID: 8022253368 Enrollment ID: I20160726001807 |
| Provider Name | Quyen Ta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003264250 PECOS PAC ID: 3375836265 Enrollment ID: I20160729002120 |
| Provider Name | Frankie H White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548608813 PECOS PAC ID: 0547582561 Enrollment ID: I20160811001996 |
| Provider Name | Jason T Nelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1346557949 PECOS PAC ID: 5799977195 Enrollment ID: I20160817001860 |
| Provider Name | Jessica John-finn Aubin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265987473 PECOS PAC ID: 1557657541 Enrollment ID: I20160830002642 |
| Provider Name | Amy Octavia Bick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346690989 PECOS PAC ID: 7315233186 Enrollment ID: I20160902000102 |
| Provider Name | Thammi Raju Vegiraju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356611958 PECOS PAC ID: 5092956748 Enrollment ID: I20160912000857 |
| Provider Name | Quintesia Grant |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1952677015 PECOS PAC ID: 1850696485 Enrollment ID: I20160913000594 |
| Provider Name | Nikky Keer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053751651 PECOS PAC ID: 4880981463 Enrollment ID: I20160926001085 |
| Provider Name | Sean C Crane |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851613590 PECOS PAC ID: 1052550258 Enrollment ID: I20160928001454 |
| Provider Name | Yagnesh J Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295815645 PECOS PAC ID: 7810940400 Enrollment ID: I20161010000512 |
| Provider Name | Neha Sharma |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750541892 PECOS PAC ID: 9032365713 Enrollment ID: I20161012002606 |
| Provider Name | Ayodeji O Adeoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720423395 PECOS PAC ID: 6608154612 Enrollment ID: I20161026001540 |
| Provider Name | Luis Cayamcela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740544196 PECOS PAC ID: 4880902154 Enrollment ID: I20161027002205 |
| Provider Name | Margaret Adofo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164845780 PECOS PAC ID: 1254653793 Enrollment ID: I20161031001161 |
| Provider Name | Kristopher K Mcjenkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255779351 PECOS PAC ID: 7810299906 Enrollment ID: I20161108002237 |
| Provider Name | Satyanarayana M Divvela |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306049192 PECOS PAC ID: 5991890261 Enrollment ID: I20161115002328 |
| Provider Name | Lin T Bui |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1093263899 PECOS PAC ID: 4587943444 Enrollment ID: I20161116002077 |
| Provider Name | Rafaela T Wesley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306282710 PECOS PAC ID: 4789828476 Enrollment ID: I20161122000974 |
| Provider Name | Chinenye A. Obicheta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982888780 PECOS PAC ID: 1759455439 Enrollment ID: I20170103000103 |
| Provider Name | Hong D Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528510146 PECOS PAC ID: 0547542565 Enrollment ID: I20170126000809 |
| Provider Name | Heather Ann Menees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831643113 PECOS PAC ID: 4082997143 Enrollment ID: I20170215001698 |
| Provider Name | Ian K Mcleod |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255322145 PECOS PAC ID: 2860670429 Enrollment ID: I20170224000534 |
| Provider Name | Biren B Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811040942 PECOS PAC ID: 7012978356 Enrollment ID: I20170320002026 |
| Provider Name | Alan L Adams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821296427 PECOS PAC ID: 5294903233 Enrollment ID: I20170419000359 |
| Provider Name | Jemimah M Varghese |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992241913 PECOS PAC ID: 1557647757 Enrollment ID: I20170424000331 |
| Provider Name | Padma Rekha Koukuntla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972891463 PECOS PAC ID: 8527286491 Enrollment ID: I20170516001618 |
| Provider Name | Erik C Nelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1831425271 PECOS PAC ID: 1557402468 Enrollment ID: I20170516002009 |
| Provider Name | Lindsey Hannah Panter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174055586 PECOS PAC ID: 4385911445 Enrollment ID: I20170522002196 |
| Provider Name | Vinil Sidhpura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679917488 PECOS PAC ID: 9638447600 Enrollment ID: I20170615000533 |
| Provider Name | Seema K Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639462096 PECOS PAC ID: 0648491340 Enrollment ID: I20170616001807 |
| Provider Name | Georgette Obi Anoma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548791833 PECOS PAC ID: 8820367774 Enrollment ID: I20170707002365 |
| Provider Name | Mulualem Yigzaw Teferi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215342688 PECOS PAC ID: 3577832484 Enrollment ID: I20170710001318 |
| Provider Name | Roger Vega Blanco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376983114 PECOS PAC ID: 0648540294 Enrollment ID: I20170714001298 |
| Provider Name | Soowhan Lah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003128760 PECOS PAC ID: 7517199201 Enrollment ID: I20170719003744 |
| Provider Name | Daniel Lotner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871820415 PECOS PAC ID: 4880842988 Enrollment ID: I20170720003318 |
| Provider Name | Hannah Odunaiya |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659637882 PECOS PAC ID: 8527338409 Enrollment ID: I20170726000652 |
| Provider Name | Kedric J Naylor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023375607 PECOS PAC ID: 6406176692 Enrollment ID: I20170803003372 |
| Provider Name | Alemayehu A Mengistu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972918365 PECOS PAC ID: 1052682143 Enrollment ID: I20170808002849 |
| Provider Name | Grace Shuang Zhang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679501670 PECOS PAC ID: 2365444742 Enrollment ID: I20170815001668 |
| Provider Name | Tonya Angela Gipson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154750545 PECOS PAC ID: 6002043320 Enrollment ID: I20170822002191 |
| Provider Name | Denis Etta Awu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912366469 PECOS PAC ID: 7315246311 Enrollment ID: I20170823004412 |
| Provider Name | Ajay B Patel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1184982639 PECOS PAC ID: 7810135522 Enrollment ID: I20170828001637 |
| Provider Name | Antwuan G Allen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194263624 PECOS PAC ID: 9436422938 Enrollment ID: I20170905002962 |
| Provider Name | Matthew E Moon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861929929 PECOS PAC ID: 3072887876 Enrollment ID: I20170918001627 |
| Provider Name | Prerna Satyanarayana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134475114 PECOS PAC ID: 5698997526 Enrollment ID: I20171002001682 |
| Provider Name | Archana Parthasarathi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508200130 PECOS PAC ID: 3173802154 Enrollment ID: I20171009003051 |
| Provider Name | Laura Nichols Reginbald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538421706 PECOS PAC ID: 8820364078 Enrollment ID: I20171016003624 |
| Provider Name | Samir Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659784973 PECOS PAC ID: 5395039242 Enrollment ID: I20171019000677 |
| Provider Name | Kaye Bardeloza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750796702 PECOS PAC ID: 2769770635 Enrollment ID: I20171109000782 |
| Provider Name | Sally D Hoang |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1043730054 PECOS PAC ID: 3173889714 Enrollment ID: I20171114002549 |
| Provider Name | Joon D Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285914598 PECOS PAC ID: 8820241110 Enrollment ID: I20171128002826 |
| Provider Name | Manuela Botero |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1194252379 PECOS PAC ID: 7517225980 Enrollment ID: I20171213002213 |
| Provider Name | Joseph Carlson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1619499779 PECOS PAC ID: 1557620333 Enrollment ID: I20180124002447 |
| Provider Name | Rachel E Blanchard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073805974 PECOS PAC ID: 6507097243 Enrollment ID: I20180131001792 |
| Provider Name | Surya Sreeram Palakuru |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801195318 PECOS PAC ID: 8921373705 Enrollment ID: I20180208000610 |
| Provider Name | Rachael Springer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457589186 PECOS PAC ID: 9133436900 Enrollment ID: I20180219002429 |
| Provider Name | Edmond Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912285446 PECOS PAC ID: 1951541754 Enrollment ID: I20180416002515 |
| Provider Name | Helio J Rodrigues |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821416108 PECOS PAC ID: 2163788290 Enrollment ID: I20180530002604 |
| Provider Name | Phuong My Dinsfriend |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1093014342 PECOS PAC ID: 9739363086 Enrollment ID: I20180607003087 |
| Provider Name | Amjid Muhammad Nawaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720379142 PECOS PAC ID: 1658518519 Enrollment ID: I20180614002451 |
| Provider Name | Matthew Hakimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639433246 PECOS PAC ID: 4284911348 Enrollment ID: I20180620001924 |
| Provider Name | Trang Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699280131 PECOS PAC ID: 2163777517 Enrollment ID: I20180626002328 |
| Provider Name | Mary Laura Niewoehner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801300835 PECOS PAC ID: 9931455870 Enrollment ID: I20180706000571 |
| Provider Name | Farhan Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912318940 PECOS PAC ID: 3375832025 Enrollment ID: I20180710001687 |
| Provider Name | Enyinnaya K. Uwaekwe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760938963 PECOS PAC ID: 4284921982 Enrollment ID: I20180711002669 |
| Provider Name | Dilesh J Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114338944 PECOS PAC ID: 5395066963 Enrollment ID: I20180725003161 |
| Provider Name | Saranya Selvaraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285904193 PECOS PAC ID: 2466751698 Enrollment ID: I20180802003366 |
| Provider Name | Stephen Golder |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1154434264 PECOS PAC ID: 3678581766 Enrollment ID: I20180813001473 |
| Provider Name | Achenef Getu Melese |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609164136 PECOS PAC ID: 2062723984 Enrollment ID: I20180820002508 |
| Provider Name | Bingchan Zhang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1801234612 PECOS PAC ID: 8820398894 Enrollment ID: I20180901000133 |
| Provider Name | Cynthia Chizoba Okoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801281563 PECOS PAC ID: 9133448525 Enrollment ID: I20180906002026 |
| Provider Name | Alina Rim |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710490743 PECOS PAC ID: 3678822038 Enrollment ID: I20180911001021 |
| Provider Name | Manvin Kaur Gendeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982072302 PECOS PAC ID: 5294037230 Enrollment ID: I20180911003822 |
| Provider Name | Ashton Scott Townsend |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598146953 PECOS PAC ID: 5193032985 Enrollment ID: I20180917000435 |
| Provider Name | Antonia Ashade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770829798 PECOS PAC ID: 8325331150 Enrollment ID: I20180918000651 |
| Provider Name | Yonathan Negewo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568844611 PECOS PAC ID: 9133470883 Enrollment ID: I20180919003777 |
| Provider Name | Taiwo Sheyin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285019885 PECOS PAC ID: 3173874443 Enrollment ID: I20180925004270 |
| Provider Name | Betsy E Cuenca |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1831607142 PECOS PAC ID: 9537411863 Enrollment ID: I20181015000731 |
| Provider Name | Osciriah Press |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689061723 PECOS PAC ID: 8527372333 Enrollment ID: I20181022003520 |
| Provider Name | Sheila Y Srinivasan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881664852 PECOS PAC ID: 8224072731 Enrollment ID: I20181027000190 |
| Provider Name | Kristina Mccaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477931236 PECOS PAC ID: 0648572990 Enrollment ID: I20181114003437 |
| Provider Name | Moon J Jung |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1326533266 PECOS PAC ID: 7315291093 Enrollment ID: I20181115001744 |
| Provider Name | Chinonye Nnaji |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1518370634 PECOS PAC ID: 5193069045 Enrollment ID: I20181203003217 |
| Provider Name | Anthony Iluyomade |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437554250 PECOS PAC ID: 8022352855 Enrollment ID: I20181205003466 |
| Provider Name | Madhu Belur Avdhani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821287061 PECOS PAC ID: 9830263763 Enrollment ID: I20181206001845 |
| Provider Name | Nourhene Farhat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124411418 PECOS PAC ID: 3072823913 Enrollment ID: I20190201000635 |
| Provider Name | Megha Lalit Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992192736 PECOS PAC ID: 0244544377 Enrollment ID: I20190207001843 |
| Provider Name | Alexis Robinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548730179 PECOS PAC ID: 4486993185 Enrollment ID: I20190304002894 |
| Provider Name | Viju Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700292208 PECOS PAC ID: 9032482146 Enrollment ID: I20190306003447 |
| Provider Name | Jessica Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730657891 PECOS PAC ID: 4587905070 Enrollment ID: I20190410001450 |
| Provider Name | Annmarie K Bodnia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306326327 PECOS PAC ID: 1658614805 Enrollment ID: I20190510000762 |
| Provider Name | Nicole Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609307149 PECOS PAC ID: 6406199249 Enrollment ID: I20190520001706 |
| Provider Name | Crystal L Kuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700343795 PECOS PAC ID: 5799028247 Enrollment ID: I20190523002808 |
| Provider Name | Yetunde O Olutunmbi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639313364 PECOS PAC ID: 5496973174 Enrollment ID: I20190606002840 |
| Provider Name | Shiju M Simon |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1942677919 PECOS PAC ID: 3476849928 Enrollment ID: I20190611003011 |
| Provider Name | Christina Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770042483 PECOS PAC ID: 9335472042 Enrollment ID: I20190612001968 |
| Provider Name | Abraham Tekeher Getenet |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760758569 PECOS PAC ID: 9931413614 Enrollment ID: I20190615000136 |
| Provider Name | Amir Dawed Mohammed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831553627 PECOS PAC ID: 1557695764 Enrollment ID: I20190621001455 |
| Provider Name | Jai P Lal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316399231 PECOS PAC ID: 6305124801 Enrollment ID: I20190625001137 |
| Provider Name | Mosaab Awad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508211186 PECOS PAC ID: 8022303189 Enrollment ID: I20190718002964 |
| Provider Name | Gul Ehican |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568826832 PECOS PAC ID: 8921393109 Enrollment ID: I20190722000131 |
| Provider Name | Gregory Dongkyu Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609162155 PECOS PAC ID: 2264752468 Enrollment ID: I20190723002466 |
| Provider Name | Bih Bikelle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063654846 PECOS PAC ID: 1759529498 Enrollment ID: I20190806002341 |
| Provider Name | Edith A Arterberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629589916 PECOS PAC ID: 6507194115 Enrollment ID: I20190821000300 |
| Provider Name | Donell Marecheau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538466503 PECOS PAC ID: 0244585370 Enrollment ID: I20190821001909 |
| Provider Name | Varsha Nirav Patel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1033434378 PECOS PAC ID: 6709020902 Enrollment ID: I20190822002155 |
| Provider Name | Bhargav Sai Charan Marthambadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124475595 PECOS PAC ID: 5193081784 Enrollment ID: I20190827002545 |
| Provider Name | John A Zelisko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124087168 PECOS PAC ID: 1254505480 Enrollment ID: I20190828003036 |
| Provider Name | Catherine Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891146007 PECOS PAC ID: 6204128028 Enrollment ID: I20190920000335 |
| Provider Name | Onyeka Paul Ojinna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639553621 PECOS PAC ID: 4688910748 Enrollment ID: I20190920002195 |
| Provider Name | Bhavini Anil Patel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1225441389 PECOS PAC ID: 4688947450 Enrollment ID: I20190924003464 |
| Provider Name | Naushaba Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942298559 PECOS PAC ID: 1456359306 Enrollment ID: I20191017001498 |
| Provider Name | Praveen K Vemula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891958922 PECOS PAC ID: 5395923759 Enrollment ID: I20191018001561 |
| Provider Name | David Liu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235584566 PECOS PAC ID: 7214269117 Enrollment ID: I20191025001781 |
| Provider Name | Linda Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982050969 PECOS PAC ID: 6608163530 Enrollment ID: I20191029001891 |
| Provider Name | Ned Okarter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457679037 PECOS PAC ID: 0345470894 Enrollment ID: I20191031002399 |
| Provider Name | Joshua Paul Myers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043591902 PECOS PAC ID: 9638489677 Enrollment ID: I20191203002164 |
| Provider Name | Kirubel Z Gebreselassie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689037756 PECOS PAC ID: 2860737178 Enrollment ID: I20191204003107 |
| Provider Name | Ogemdi O Madu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477025112 PECOS PAC ID: 3274967245 Enrollment ID: I20191227001435 |
| Provider Name | David Espinola San Miguel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790766079 PECOS PAC ID: 7719986470 Enrollment ID: I20200110001147 |
| Provider Name | Deepa Nankani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033496948 PECOS PAC ID: 1850517582 Enrollment ID: I20200115003080 |
| Provider Name | Serena N Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003339912 PECOS PAC ID: 0143655357 Enrollment ID: I20200116001546 |
| Provider Name | Charles D Hammonds |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831283290 PECOS PAC ID: 9739368648 Enrollment ID: I20200127000284 |
| Provider Name | Kenneth Munnerlyn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316172513 PECOS PAC ID: 8921246786 Enrollment ID: I20200130003106 |
| Provider Name | Andre Levester Mccollough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316294200 PECOS PAC ID: 4587964549 Enrollment ID: I20200204002840 |
| Provider Name | Eui Jong |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1508400078 PECOS PAC ID: 4486080256 Enrollment ID: I20200214001698 |
| Provider Name | Sarah Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568884617 PECOS PAC ID: 9234438003 Enrollment ID: I20200224002696 |
| Provider Name | Nkechinyere Angela Obiefuna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417103417 PECOS PAC ID: 0143368951 Enrollment ID: I20200330000030 |
| Provider Name | Aimee Bolstein Cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679106298 PECOS PAC ID: 5496184913 Enrollment ID: I20200405000217 |
| Provider Name | Jatan J Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366893646 PECOS PAC ID: 4789978289 Enrollment ID: I20200420000434 |
| Provider Name | Marcus Antonio Walton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295962603 PECOS PAC ID: 2668704040 Enrollment ID: I20200427002002 |
| Provider Name | Frances Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740817253 PECOS PAC ID: 7214368398 Enrollment ID: I20200505000449 |
| Provider Name | Stella W. Mwangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851937213 PECOS PAC ID: 8426479338 Enrollment ID: I20200602000669 |
| Provider Name | Janel Schneider |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720002694 PECOS PAC ID: 3072547082 Enrollment ID: I20200615001172 |
| Provider Name | Dori Maureen Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376028852 PECOS PAC ID: 8628491198 Enrollment ID: I20200701001257 |
| Provider Name | Jay Jagdish Modi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801327804 PECOS PAC ID: 2860762564 Enrollment ID: I20200708001737 |
| Provider Name | Emily Anne Culbreth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407406259 PECOS PAC ID: 7113342866 Enrollment ID: I20200729001098 |
| Provider Name | Renee Breen |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962866426 PECOS PAC ID: 2860727682 Enrollment ID: I20200817001168 |
| Provider Name | Pedram P Daraei |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750709770 PECOS PAC ID: 7113220724 Enrollment ID: I20200818003331 |
| Provider Name | Kristina Marie Torres-diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720519689 PECOS PAC ID: 6901176601 Enrollment ID: I20200819004017 |
| Provider Name | Onameyore Utuama |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184068660 PECOS PAC ID: 8022302199 Enrollment ID: I20200821000893 |
| Provider Name | Laura Patricia Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366942906 PECOS PAC ID: 6002232923 Enrollment ID: I20200821001253 |
| Provider Name | Lane Andrew Fowler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699129288 PECOS PAC ID: 3678865870 Enrollment ID: I20200826001556 |
| Provider Name | Sanjay Mughal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538199781 PECOS PAC ID: 9234187261 Enrollment ID: I20200901000393 |
| Provider Name | Nancy Lee Newsom Pavuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467077545 PECOS PAC ID: 3274950415 Enrollment ID: I20200902000679 |
| Provider Name | Jordan Dubique |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811438146 PECOS PAC ID: 6507283751 Enrollment ID: I20200902001167 |
| Provider Name | Neha Vajpayee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649703786 PECOS PAC ID: 3375961287 Enrollment ID: I20200909001682 |
| Provider Name | Neil R Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134485006 PECOS PAC ID: 9739407941 Enrollment ID: I20200917000534 |
| Provider Name | Amir Taasoob Shirazi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780115204 PECOS PAC ID: 0648547430 Enrollment ID: I20200923000450 |
| Provider Name | Leondra Hillery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396127379 PECOS PAC ID: 1153631098 Enrollment ID: I20201005000184 |
| Provider Name | Vera Tate |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750647384 PECOS PAC ID: 4183928278 Enrollment ID: I20201008002846 |
| Provider Name | Chaltu Raba |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639782832 PECOS PAC ID: 9133549785 Enrollment ID: I20201020001745 |
| Provider Name | Eric B Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053739409 PECOS PAC ID: 2668766023 Enrollment ID: I20201022001155 |
| Provider Name | Chad Reid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538472899 PECOS PAC ID: 5395974240 Enrollment ID: I20201026001067 |
| Provider Name | Mercedes Ladonna Madu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881231801 PECOS PAC ID: 4789004037 Enrollment ID: I20201026002890 |
| Provider Name | Christy Apple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245860634 PECOS PAC ID: 7416367701 Enrollment ID: I20201030002434 |
| Provider Name | Jabreia Deann Maneice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265929350 PECOS PAC ID: 4587929831 Enrollment ID: I20201116001554 |
| Provider Name | Ghazal Motakef |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1841815925 PECOS PAC ID: 0941611057 Enrollment ID: I20201120002101 |
| Provider Name | Obinwanne Emejulu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710246996 PECOS PAC ID: 8325341274 Enrollment ID: I20201130001604 |
| Provider Name | Nebiyu D Muleta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538775473 PECOS PAC ID: 8426469156 Enrollment ID: I20201201001173 |
| Provider Name | Xing Gao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659490944 PECOS PAC ID: 2163694811 Enrollment ID: I20201203000739 |
| Provider Name | Jennifer N Venable |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1780298356 PECOS PAC ID: 1254743735 Enrollment ID: I20201208001381 |
| Provider Name | Michael Martinelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699119982 PECOS PAC ID: 1456658202 Enrollment ID: I20201216003258 |
| Provider Name | Devangi V Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366811440 PECOS PAC ID: 9537490370 Enrollment ID: I20201229000642 |
| Provider Name | Ozioma F Akaranta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295132595 PECOS PAC ID: 5799065413 Enrollment ID: I20201229001652 |
| Provider Name | Yan Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023436474 PECOS PAC ID: 9234416801 Enrollment ID: I20201230002558 |
| Provider Name | Candace Francine Chumley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558892257 PECOS PAC ID: 8325302052 Enrollment ID: I20210115001727 |
| Provider Name | Nhung Phuong Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316305766 PECOS PAC ID: 7517291602 Enrollment ID: I20210203000405 |
| Provider Name | Stephen Desouza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285014712 PECOS PAC ID: 0446523856 Enrollment ID: I20210211001819 |
| Provider Name | Aileen Catherine Cangiano-heath |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609074616 PECOS PAC ID: 9234544735 Enrollment ID: I20210216000446 |
| Provider Name | Faith Murray-taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942693346 PECOS PAC ID: 4183934110 Enrollment ID: I20210323002577 |
| Provider Name | Alexander Evans |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407939754 PECOS PAC ID: 3274597919 Enrollment ID: I20210330001317 |
| Provider Name | Michael Assefa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457849333 PECOS PAC ID: 6709293871 Enrollment ID: I20210408000555 |
| Provider Name | Shriya Reddy Gaddam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811493885 PECOS PAC ID: 8527317726 Enrollment ID: I20210409000483 |
| Provider Name | Nandakishore Polkampalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013103076 PECOS PAC ID: 8325230014 Enrollment ID: I20210415001612 |
| Provider Name | Kimberly A Venable |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497711550 PECOS PAC ID: 5193748945 Enrollment ID: I20210503001267 |
| Provider Name | Hatem Al Kassem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609211481 PECOS PAC ID: 4688978158 Enrollment ID: I20210514000406 |
| Provider Name | Janine Cochol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992022446 PECOS PAC ID: 9537395983 Enrollment ID: I20210526001382 |
| Provider Name | Vatsal G Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891282596 PECOS PAC ID: 7618202250 Enrollment ID: I20210603002669 |
| Provider Name | Orlando W Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730572793 PECOS PAC ID: 7517248677 Enrollment ID: I20210615002787 |
| Provider Name | Blessing Anyaiwe Onyekachi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669021036 PECOS PAC ID: 7315363744 Enrollment ID: I20210623000001 |
| Provider Name | Nina Garza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750743423 PECOS PAC ID: 2163716762 Enrollment ID: I20210714000318 |
| Provider Name | Pranav Mehul Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811484165 PECOS PAC ID: 2062769144 Enrollment ID: I20210721002663 |
| Provider Name | Fahad K Choudhary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477057461 PECOS PAC ID: 3577803246 Enrollment ID: I20210802001446 |
| Provider Name | Samuel Quaynor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215319710 PECOS PAC ID: 6507175569 Enrollment ID: I20210803003503 |
| Provider Name | Sumayya Fazal Muneer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699270512 PECOS PAC ID: 2860740065 Enrollment ID: I20210805002537 |
| Provider Name | Erica Catherine Lydon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720665144 PECOS PAC ID: 3779987136 Enrollment ID: I20210806000706 |
| Provider Name | David Yoo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598939019 PECOS PAC ID: 4981755436 Enrollment ID: I20210809000945 |
| Provider Name | Parth Bhavsar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104323203 PECOS PAC ID: 4789932518 Enrollment ID: I20210811002522 |
| Provider Name | Sara Hammond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750885620 PECOS PAC ID: 5395099568 Enrollment ID: I20210817002005 |
| Provider Name | Meenakshi Parmar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417170143 PECOS PAC ID: 6709953417 Enrollment ID: I20210818002176 |
| Provider Name | Shundria Naomi Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689274094 PECOS PAC ID: 6800292079 Enrollment ID: I20210914001230 |
| Provider Name | David Carter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578943833 PECOS PAC ID: 6800196072 Enrollment ID: I20210921000537 |
| Provider Name | Lamar Marquis Ward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437568706 PECOS PAC ID: 7012214455 Enrollment ID: I20210928000977 |
| Provider Name | Joy Anne Safo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174139281 PECOS PAC ID: 8022428598 Enrollment ID: I20211101003091 |
| Provider Name | Hina Aslam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164871588 PECOS PAC ID: 7012305576 Enrollment ID: I20211102002664 |
| Provider Name | Whitney Addison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548893050 PECOS PAC ID: 9436547908 Enrollment ID: I20211103000001 |
| Provider Name | Abiodun Laoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255754198 PECOS PAC ID: 9335459601 Enrollment ID: I20211105002419 |
| Provider Name | Joshua Nicholas Bryant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528555125 PECOS PAC ID: 6204189269 Enrollment ID: I20211109000018 |
| Provider Name | Sumeet Kumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861649527 PECOS PAC ID: 4688710403 Enrollment ID: I20211116001792 |
| Provider Name | Ji Hye Kwon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285000570 PECOS PAC ID: 5294029955 Enrollment ID: I20211117003159 |
| Provider Name | Shayan Khorsandzadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912430562 PECOS PAC ID: 7810319134 Enrollment ID: I20211123000133 |
| Provider Name | Stephanie N Bagwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780257105 PECOS PAC ID: 0244620557 Enrollment ID: I20211130002954 |
| Provider Name | Rishim Ketan Jayswal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629565353 PECOS PAC ID: 7719216530 Enrollment ID: I20211213002719 |
| Provider Name | Joy Anulika Okonye |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689281123 PECOS PAC ID: 1658791892 Enrollment ID: I20211222001273 |
| Provider Name | Melanie Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1891456943 PECOS PAC ID: 1759772585 Enrollment ID: I20220105000358 |
| Provider Name | Jabulani Sidile |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164650743 PECOS PAC ID: 9830312842 Enrollment ID: I20220106001158 |
| Provider Name | Neel Naresh Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083096374 PECOS PAC ID: 3375805690 Enrollment ID: I20220111000505 |
| Provider Name | Jerilyn Michelle Mccormick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588990527 PECOS PAC ID: 4789722620 Enrollment ID: I20220111002224 |
| Provider Name | Bradley Alan Mccormick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508489295 PECOS PAC ID: 6608292131 Enrollment ID: I20220112003006 |
| Provider Name | Sheila Omakpokpose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790179711 PECOS PAC ID: 2769790146 Enrollment ID: I20220214001405 |
| Provider Name | Mohammad Annaba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962481168 PECOS PAC ID: 1658385638 Enrollment ID: I20220310001930 |
| Provider Name | Jean Lee Varner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598350175 PECOS PAC ID: 6800283953 Enrollment ID: I20220420001819 |
| Provider Name | Jade Turner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427351337 PECOS PAC ID: 9739358896 Enrollment ID: I20220428001685 |
| Provider Name | Kristina Marie James |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174263073 PECOS PAC ID: 0547657132 Enrollment ID: I20220429000436 |
| Provider Name | Gregory Paul Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336602770 PECOS PAC ID: 5597093807 Enrollment ID: I20220511001303 |
| Provider Name | Blair Joseph Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780146241 PECOS PAC ID: 1355677915 Enrollment ID: I20220613001622 |
| Provider Name | Daniel J Oh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619324555 PECOS PAC ID: 4284929001 Enrollment ID: I20220614000996 |
| Provider Name | Mariamma Vijai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437898293 PECOS PAC ID: 1658750302 Enrollment ID: I20220627001012 |
| Provider Name | Elissa Black Bower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487304754 PECOS PAC ID: 7618357971 Enrollment ID: I20220703000054 |
| Provider Name | Gretchen W Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972259786 PECOS PAC ID: 6002298577 Enrollment ID: I20220729002761 |
| Provider Name | Fawad Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659827921 PECOS PAC ID: 6103112354 Enrollment ID: I20220817000592 |
| Provider Name | Adham F Abdulamir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730677907 PECOS PAC ID: 7012247349 Enrollment ID: I20220916002627 |
| Provider Name | Drake Christian Dehoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053871772 PECOS PAC ID: 5991120487 Enrollment ID: I20221003002306 |
| Provider Name | Sinetsehay C Temesgen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215590484 PECOS PAC ID: 2264808005 Enrollment ID: I20221019000053 |
| Provider Name | Mudit Chowdhary |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821450248 PECOS PAC ID: 2668742677 Enrollment ID: I20221021001910 |
| Provider Name | Sarah Amy Westergaard |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932632247 PECOS PAC ID: 9739451816 Enrollment ID: I20230103000528 |
| Provider Name | Joseph-kevin Igwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447713813 PECOS PAC ID: 4183094261 Enrollment ID: I20230105003316 |
| Provider Name | Elizabeth Ashlie Darr |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710145883 PECOS PAC ID: 2264689769 Enrollment ID: I20230109001517 |
| Provider Name | Titilola Olaide Adeboye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811536386 PECOS PAC ID: 2668843350 Enrollment ID: I20230117000320 |
| Provider Name | Claudia Hildegard Southern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831588383 PECOS PAC ID: 2466712344 Enrollment ID: I20230126001033 |
| Provider Name | Muhammad Munir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588844286 PECOS PAC ID: 9931393766 Enrollment ID: I20230224000503 |
| Provider Name | Swathi Pabba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861923732 PECOS PAC ID: 4284973272 Enrollment ID: I20230303002305 |
| Provider Name | Khandurao Khot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568614816 PECOS PAC ID: 2668512211 Enrollment ID: I20230313001627 |
| Provider Name | Jessica Kempton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609296821 PECOS PAC ID: 6507080991 Enrollment ID: I20230326000149 |
| Provider Name | April Marie Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780283911 PECOS PAC ID: 4486029444 Enrollment ID: I20230405002642 |
| Provider Name | Michael Joseph Goodman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881748697 PECOS PAC ID: 9335442474 Enrollment ID: I20230501000263 |
| Provider Name | Joel Ford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720491335 PECOS PAC ID: 3779856323 Enrollment ID: I20230602001769 |
| Provider Name | Kimberly Anne O'haire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346811007 PECOS PAC ID: 9638536360 Enrollment ID: I20230612000307 |
| Provider Name | Avivah Mcpherson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417206376 PECOS PAC ID: 5991163172 Enrollment ID: I20230620002900 |
| Provider Name | Grant Herron Moody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235666298 PECOS PAC ID: 3870862964 Enrollment ID: I20230711004622 |
| Provider Name | Nikhila R Edavally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962021048 PECOS PAC ID: 9830529825 Enrollment ID: I20230712004185 |
| Provider Name | Sarah Amrita Singh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881125391 PECOS PAC ID: 6204111362 Enrollment ID: I20230714002828 |
| Provider Name | Ricardo A Dunmoodie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851929848 PECOS PAC ID: 6305262361 Enrollment ID: I20230717002164 |
| Provider Name | Abhinav Venkat Reddy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124524491 PECOS PAC ID: 5496084923 Enrollment ID: I20230817002940 |
| Provider Name | Farhan Syed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427477223 PECOS PAC ID: 0749602894 Enrollment ID: I20230828002759 |
| Provider Name | Alcyonita Rene Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801570965 PECOS PAC ID: 0244693745 Enrollment ID: I20230831001429 |
| Provider Name | Hannan Qureshi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942691910 PECOS PAC ID: 5092027086 Enrollment ID: I20230912004187 |
| Provider Name | Mohammad Ashkiani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700141017 PECOS PAC ID: 9133357429 Enrollment ID: I20230914001614 |
| Provider Name | Kathleen Eleanor Burns |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841640588 PECOS PAC ID: 1951757079 Enrollment ID: I20231026000580 |
| Provider Name | Chantea D Hall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750780771 PECOS PAC ID: 5395193718 Enrollment ID: I20231127000271 |
| Provider Name | Katie Dee Vasconez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609389550 PECOS PAC ID: 7517215031 Enrollment ID: I20231211000152 |
| Provider Name | Ekta Rani Rathee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245608124 PECOS PAC ID: 0143518266 Enrollment ID: I20231212000108 |
| Provider Name | Hyun Im |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578067013 PECOS PAC ID: 1557766367 Enrollment ID: I20231212000515 |
| Provider Name | Corwin Oswald Demattos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720617756 PECOS PAC ID: 8628429354 Enrollment ID: I20240108003181 |
| Provider Name | Craigh Keith Bryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588769178 PECOS PAC ID: 6305808445 Enrollment ID: I20240131003542 |
| Provider Name | Alpa Mehendra Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356543375 PECOS PAC ID: 6901986082 Enrollment ID: I20240227001348 |
| Provider Name | Anteneh Birru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063851236 PECOS PAC ID: 3274829593 Enrollment ID: I20240319000427 |
| Provider Name | Katherine Maria Chavarria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841059862 PECOS PAC ID: 7315385333 Enrollment ID: I20240409003917 |
| Provider Name | Lee Garmai Korto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710745666 PECOS PAC ID: 0941642300 Enrollment ID: I20240530002178 |
Intentional Hearts, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4200 Northside Pkwy Nw, Bldg 1, Ste 200, Atlanta, GA 30327 Phone: 770-623-3331 | |
Nancy Gup And Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2885 Payton Rd Ne, Atlanta, GA 30345 Phone: 404-634-0014 Fax: 404-728-0043 | |
Atlanta Internal Medicine And Psychiatric Care Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3915 Cascade Rd Sw Ste 360, Atlanta, GA 30331 Phone: 678-973-2370 Fax: 470-819-4995 | |
Advanced Neuropsychiatric Health Professionals Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2150 Peachford Rd Ste 1, Atlanta, GA 30338 Phone: 404-918-8118 | |
Stratford Medical Group, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3379 Peachtree Rd Ne, Suite 555, Atlanta, GA 30326 Phone: 404-974-9575 | |
Flourishing Minds Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2751 Buford Hwy Ne, 700, Atlanta, GA 30324 Phone: 678-322-7935 Fax: 678-922-2149 | |
Chris 180, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Martin Luther King Dr Sw, Atlanta, GA 30331 Phone: 404-486-9034 Fax: 404-835-9350 |