| Norton Children's Behavioral And Mental Health | |
|
4803 Olympia Park Plz Ste 1100 Louisville KY 40241-3068 | |
| (502) 272-5134 | |
| (502) 272-5339 |
| Full Name | Norton Children's Behavioral And Mental Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4803 Olympia Park Plz Ste 1100, Louisville, Kentucky |
| Authorized Official Name and Position | Shelley Gast (SYST VP OF MNGD CARE & PAYOR STRAT) |
| Authorized Official Contact | 5022725335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norton Children's Behavioral And Mental Health Po Box 776879 Chicago IL 60677-6879 Ph: (502) 272-5134 | Norton Children's Behavioral And Mental Health 4803 Olympia Park Plz Ste 1100 Louisville KY 40241-3068 Ph: (502) 272-5134 |
| NPI Number | 1457999096 |
|---|---|
| Provider Enumeration Date | 12/13/2019 |
| Last Update Date | 09/22/2021 |
| Certification Date | 09/22/2021 |
| Medicare PECOS PAC ID | 3779917596 |
|---|---|
| Medicare Enrollment ID | O20200102000758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457999096 | NPI | - | NPPES |
| Provider Name | Karen L Orman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952381311 PECOS PAC ID: 7315859543 Enrollment ID: I20031105000186 |
| Provider Name | Janice E Sullivan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972587954 PECOS PAC ID: 6800709833 Enrollment ID: I20031106000533 |
| Provider Name | Vicki L Montgomery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033193446 PECOS PAC ID: 8426960931 Enrollment ID: I20031106000545 |
| Provider Name | Marilee Benson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053409508 PECOS PAC ID: 1355254582 Enrollment ID: I20031112000448 |
| Provider Name | Jill S Howell-berg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700841210 PECOS PAC ID: 0143125310 Enrollment ID: I20031201000624 |
| Provider Name | Erle Austin |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1710926290 PECOS PAC ID: 2062319213 Enrollment ID: I20031216000305 |
| Provider Name | Sandra M Herr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306821467 PECOS PAC ID: 2062312630 Enrollment ID: I20040110000047 |
| Provider Name | Fred H Warkentine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336125897 PECOS PAC ID: 2163311515 Enrollment ID: I20040312001066 |
| Provider Name | Tracee Wojtkowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902889033 PECOS PAC ID: 0648268516 Enrollment ID: I20040501000210 |
| Provider Name | Amy K Graf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700973575 PECOS PAC ID: 3072502103 Enrollment ID: I20040512000377 |
| Provider Name | Jonathan D Cohen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639148661 PECOS PAC ID: 6608866256 Enrollment ID: I20040514001052 |
| Provider Name | Rebecca L Layton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437146669 PECOS PAC ID: 9638160583 Enrollment ID: I20040520000412 |
| Provider Name | Wayne F Rice |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568512895 PECOS PAC ID: 5193701746 Enrollment ID: I20040625000196 |
| Provider Name | Christopher K Peters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043314149 PECOS PAC ID: 4587642335 Enrollment ID: I20040709000150 |
| Provider Name | Vinay Puri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275531345 PECOS PAC ID: 3274504667 Enrollment ID: I20040802000027 |
| Provider Name | Sara D Flora |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164479887 PECOS PAC ID: 0749252781 Enrollment ID: I20040810000706 |
| Provider Name | Selma P Winner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811991490 PECOS PAC ID: 6608848304 Enrollment ID: I20040812000387 |
| Provider Name | Vernon M May |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184622987 PECOS PAC ID: 7810960788 Enrollment ID: I20040818000625 |
| Provider Name | Kelly L Dauk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992789994 PECOS PAC ID: 2365417870 Enrollment ID: I20040828000183 |
| Provider Name | Lucinda T Wright |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952307910 PECOS PAC ID: 6507832052 Enrollment ID: I20040907000263 |
| Provider Name | Laura K Jacks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922063312 PECOS PAC ID: 9537135645 Enrollment ID: I20040909000180 |
| Provider Name | Kapauner R Lewis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619934577 PECOS PAC ID: 4688641681 Enrollment ID: I20040910000223 |
| Provider Name | John W Berkenbosch |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275517179 PECOS PAC ID: 2466429469 Enrollment ID: I20040910000263 |
| Provider Name | Nemr S Eid |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235113192 PECOS PAC ID: 4880661750 Enrollment ID: I20040911000155 |
| Provider Name | Seth J Schultz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588750756 PECOS PAC ID: 5597732255 Enrollment ID: I20040913000610 |
| Provider Name | Kimberly A Boland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861556375 PECOS PAC ID: 2567439284 Enrollment ID: I20040913001025 |
| Provider Name | Ashok B Raj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508840034 PECOS PAC ID: 9638146210 Enrollment ID: I20040913001441 |
| Provider Name | Alexandra Cheerva |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609857416 PECOS PAC ID: 1456328038 Enrollment ID: I20040913001443 |
| Provider Name | Swapna K Chandran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477573236 PECOS PAC ID: 4880662394 Enrollment ID: I20040922000822 |
| Provider Name | Bradley C Chase |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700884616 PECOS PAC ID: 7719947902 Enrollment ID: I20041013000148 |
| Provider Name | Jason W Caldwell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598862120 PECOS PAC ID: 6103887229 Enrollment ID: I20041022000100 |
| Provider Name | Alexander Asamoah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639153174 PECOS PAC ID: 7719940758 Enrollment ID: I20041110000402 |
| Provider Name | Jennifer J Schoonover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780668210 PECOS PAC ID: 6608839642 Enrollment ID: I20041110000426 |
| Provider Name | Caroline S Willette |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790753051 PECOS PAC ID: 1951208131 Enrollment ID: I20041112000244 |
| Provider Name | Terry A Cohen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336117506 PECOS PAC ID: 9537158795 Enrollment ID: I20041112000362 |
| Provider Name | Ketan C Mehta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144298316 PECOS PAC ID: 8325001258 Enrollment ID: I20041112000777 |
| Provider Name | Mukul Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295704385 PECOS PAC ID: 3779546601 Enrollment ID: I20041112000882 |
| Provider Name | Leslie R Ellis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679542765 PECOS PAC ID: 1951365683 Enrollment ID: I20041112000943 |
| Provider Name | Christine K Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235107400 PECOS PAC ID: 5193789840 Enrollment ID: I20041112001057 |
| Provider Name | Catherine Ann Muth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316934490 PECOS PAC ID: 7911964754 Enrollment ID: I20041214000452 |
| Provider Name | Kristina Knisely |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104881622 PECOS PAC ID: 2264480656 Enrollment ID: I20050112000650 |
| Provider Name | Saundra Smalley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124069729 PECOS PAC ID: 5890744841 Enrollment ID: I20050117000171 |
| Provider Name | Michelle J Sumrall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639158520 PECOS PAC ID: 8820047780 Enrollment ID: I20050118000561 |
| Provider Name | Joseph H Hersh |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1376521278 PECOS PAC ID: 1557257722 Enrollment ID: I20050228000082 |
| Provider Name | Linnea L Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114982410 PECOS PAC ID: 3779536826 Enrollment ID: I20050301000354 |
| Provider Name | Alecia S Cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104955152 PECOS PAC ID: 2062451644 Enrollment ID: I20050503000634 |
| Provider Name | Vesna M Kriss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174562508 PECOS PAC ID: 5991745572 Enrollment ID: I20050504000161 |
| Provider Name | Lisa S Borden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912983487 PECOS PAC ID: 9436192580 Enrollment ID: I20050609000132 |
| Provider Name | Heather G Huxol |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194709634 PECOS PAC ID: 8022052893 Enrollment ID: I20050613000879 |
| Provider Name | Evelyn Louisa Overbey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710096649 PECOS PAC ID: 3274563739 Enrollment ID: I20050816000172 |
| Provider Name | John F Korfhage |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649208810 PECOS PAC ID: 2062446636 Enrollment ID: I20050922000888 |
| Provider Name | Katherine E Potter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700811098 PECOS PAC ID: 8729005533 Enrollment ID: I20051101000120 |
| Provider Name | Angela Marie-soli Shinabery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750379046 PECOS PAC ID: 5294753885 Enrollment ID: I20051102000596 |
| Provider Name | Robert A Blair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932107877 PECOS PAC ID: 3173583366 Enrollment ID: I20051102000644 |
| Provider Name | Suresh C Saxena |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245222504 PECOS PAC ID: 5597783233 Enrollment ID: I20051110000634 |
| Provider Name | Melissa L Currie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164586285 PECOS PAC ID: 9234169517 Enrollment ID: I20051207000725 |
| Provider Name | Lawrence J Wasser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689650061 PECOS PAC ID: 8426949348 Enrollment ID: I20051215000342 |
| Provider Name | Genevieve R Mulkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639134893 PECOS PAC ID: 5395768980 Enrollment ID: I20060110000443 |
| Provider Name | Kristin M Huckleberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821053075 PECOS PAC ID: 6800819491 Enrollment ID: I20060110000473 |
| Provider Name | Kevin L Potts |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740391234 PECOS PAC ID: 8022026301 Enrollment ID: I20060328000633 |
| Provider Name | Paula A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609841527 PECOS PAC ID: 7113924622 Enrollment ID: I20061025000705 |
| Provider Name | Deanna R Todd Tzanetos |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619062809 PECOS PAC ID: 2466556667 Enrollment ID: I20070328000164 |
| Provider Name | Lea A Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316985492 PECOS PAC ID: 2163529637 Enrollment ID: I20070517000180 |
| Provider Name | Amy L Holthouser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083775993 PECOS PAC ID: 3971601568 Enrollment ID: I20070605000478 |
| Provider Name | Darren M Farber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881715514 PECOS PAC ID: 7517066087 Enrollment ID: I20070625000184 |
| Provider Name | Edin Jusufbegovic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083788616 PECOS PAC ID: 7012017569 Enrollment ID: I20070712000456 |
| Provider Name | Sheila M Guelda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639134315 PECOS PAC ID: 1951401322 Enrollment ID: I20070713000668 |
| Provider Name | Emily J Tan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518069681 PECOS PAC ID: 3971694118 Enrollment ID: I20070802000357 |
| Provider Name | Sarah J Griffin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841211612 PECOS PAC ID: 7911098918 Enrollment ID: I20070806000398 |
| Provider Name | Andrea L Krause |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598774713 PECOS PAC ID: 2163513508 Enrollment ID: I20070814000449 |
| Provider Name | Edward S Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609083997 PECOS PAC ID: 3274625413 Enrollment ID: I20070817000483 |
| Provider Name | Margaret F Lukens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801096813 PECOS PAC ID: 9133211824 Enrollment ID: I20070827000227 |
| Provider Name | Kelly N Pringle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902892094 PECOS PAC ID: 3779515812 Enrollment ID: I20070912000052 |
| Provider Name | Keith R Compton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306958459 PECOS PAC ID: 5597859033 Enrollment ID: I20070914000421 |
| Provider Name | Amanda R Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518158286 PECOS PAC ID: 4183719065 Enrollment ID: I20071008000242 |
| Provider Name | Haley R Fulkerson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821281163 PECOS PAC ID: 5698861367 Enrollment ID: I20071011000456 |
| Provider Name | Kristina K Bryant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194709196 PECOS PAC ID: 4385730928 Enrollment ID: I20071012000395 |
| Provider Name | Gary S Marshall |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720062268 PECOS PAC ID: 1557457199 Enrollment ID: I20071012000406 |
| Provider Name | Gerard P Rabalais |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437133840 PECOS PAC ID: 5092627505 Enrollment ID: I20071012000426 |
| Provider Name | Kellie A Woodruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013988351 PECOS PAC ID: 6204923949 Enrollment ID: I20071029000197 |
| Provider Name | Kristie R Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700081726 PECOS PAC ID: 5496842908 Enrollment ID: I20071031000224 |
| Provider Name | Cynthia D Downard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326262270 PECOS PAC ID: 7517054877 Enrollment ID: I20071102000246 |
| Provider Name | Kupper A Wintergerst |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124159009 PECOS PAC ID: 5991892176 Enrollment ID: I20071105000404 |
| Provider Name | Michael B Foster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447234349 PECOS PAC ID: 2860589058 Enrollment ID: I20071105000443 |
| Provider Name | Karen K Boomer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770703365 PECOS PAC ID: 4981791175 Enrollment ID: I20071105000486 |
| Provider Name | Stacy A Mccauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972717296 PECOS PAC ID: 3678660883 Enrollment ID: I20071106000080 |
| Provider Name | Sara W Aldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598741977 PECOS PAC ID: 4880789668 Enrollment ID: I20071113000485 |
| Provider Name | Vaseem Iqbal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780655548 PECOS PAC ID: 1557251295 Enrollment ID: I20071210000067 |
| Provider Name | John T Stutts |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386628824 PECOS PAC ID: 9032208327 Enrollment ID: I20071210000457 |
| Provider Name | Thomas Stephen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922082460 PECOS PAC ID: 6800985185 Enrollment ID: I20071210000473 |
| Provider Name | Adriana S Mccubbin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316135593 PECOS PAC ID: 6608956701 Enrollment ID: I20080102000177 |
| Provider Name | Angela Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457532483 PECOS PAC ID: 4486736204 Enrollment ID: I20080131000424 |
| Provider Name | Erin B Owen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538207105 PECOS PAC ID: 0446332043 Enrollment ID: I20080204000461 |
| Provider Name | Safwan S Halabi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669491320 PECOS PAC ID: 7618976572 Enrollment ID: I20080213000351 |
| Provider Name | Melissa B Porter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558402339 PECOS PAC ID: 7012090137 Enrollment ID: I20080213000365 |
| Provider Name | Angela M Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225211923 PECOS PAC ID: 2961585914 Enrollment ID: I20080213000673 |
| Provider Name | Misty Bourne Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588866305 PECOS PAC ID: 9638253164 Enrollment ID: I20080222000256 |
| Provider Name | Aaron W Calhoun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558472894 PECOS PAC ID: 8022193309 Enrollment ID: I20080311000407 |
| Provider Name | Carmen T Condurache |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992834873 PECOS PAC ID: 2567548282 Enrollment ID: I20080320000575 |
| Provider Name | Michael Ethan Katz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861463390 PECOS PAC ID: 6709802671 Enrollment ID: I20080514000756 |
| Provider Name | Karen Kohl Moeller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699863142 PECOS PAC ID: 1153490073 Enrollment ID: I20080519000626 |
| Provider Name | Michelle D Stevenson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134283286 PECOS PAC ID: 3274423546 Enrollment ID: I20080625000080 |
| Provider Name | April R Mattingly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144355744 PECOS PAC ID: 4880765429 Enrollment ID: I20080625000337 |
| Provider Name | Kenneth N Schikler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003994310 PECOS PAC ID: 8426120916 Enrollment ID: I20080627000201 |
| Provider Name | Kara M Schmidt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023106697 PECOS PAC ID: 0648174284 Enrollment ID: I20080627000216 |
| Provider Name | Sara M Multerer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215071741 PECOS PAC ID: 3577636174 Enrollment ID: I20080715000573 |
| Provider Name | Ana L Scholtz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245216704 PECOS PAC ID: 7416020821 Enrollment ID: I20080718000016 |
| Provider Name | Rebecca L Taulbee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558492199 PECOS PAC ID: 5193899987 Enrollment ID: I20080728000396 |
| Provider Name | Michelle Schuppe Eckhart |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962677872 PECOS PAC ID: 0244304335 Enrollment ID: I20080807000515 |
| Provider Name | Brian E Posnansky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730297649 PECOS PAC ID: 8325113301 Enrollment ID: I20080826000834 |
| Provider Name | Leslie B Caughron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972768422 PECOS PAC ID: 7416025952 Enrollment ID: I20081010000006 |
| Provider Name | Frederick J Stocker |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1154423739 PECOS PAC ID: 8426121385 Enrollment ID: I20081014000817 |
| Provider Name | Joshua W Meier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417174129 PECOS PAC ID: 7214095181 Enrollment ID: I20081021000708 |
| Provider Name | Kevin E Buck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174740245 PECOS PAC ID: 8729148705 Enrollment ID: I20081120000455 |
| Provider Name | Crystal D Cassity |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063635209 PECOS PAC ID: 8921160052 Enrollment ID: I20081223000522 |
| Provider Name | Lauren S Staggs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831229244 PECOS PAC ID: 9335201292 Enrollment ID: I20081231000240 |
| Provider Name | Eleanor B Peterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528285350 PECOS PAC ID: 2668535428 Enrollment ID: I20090106000436 |
| Provider Name | Emily M Mcrae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811148166 PECOS PAC ID: 6901969781 Enrollment ID: I20090106000646 |
| Provider Name | Victoria S Zelko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649422890 PECOS PAC ID: 1951465798 Enrollment ID: I20090123000001 |
| Provider Name | Melania L Bula |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255413852 PECOS PAC ID: 6608829916 Enrollment ID: I20090220000214 |
| Provider Name | Katherine M Gyves-ray |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578521811 PECOS PAC ID: 4789741604 Enrollment ID: I20090320000322 |
| Provider Name | Deborah J Kozik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477609154 PECOS PAC ID: 6800824442 Enrollment ID: I20090320000326 |
| Provider Name | Thomas M Moriarty |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275526485 PECOS PAC ID: 6406769751 Enrollment ID: I20090320000578 |
| Provider Name | Krystal M Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770736878 PECOS PAC ID: 5193873727 Enrollment ID: I20090512000223 |
| Provider Name | Elsa M Haddad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902916620 PECOS PAC ID: 4183774862 Enrollment ID: I20090618000535 |
| Provider Name | Bradley Keller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841264033 PECOS PAC ID: 1153322839 Enrollment ID: I20090623000279 |
| Provider Name | Julie Mcwhorter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508028374 PECOS PAC ID: 1153474044 Enrollment ID: I20090724000125 |
| Provider Name | Debbie L Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821223173 PECOS PAC ID: 1355494428 Enrollment ID: I20090806000765 |
| Provider Name | Angela M Jeffries |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528106630 PECOS PAC ID: 4789739137 Enrollment ID: I20090908000582 |
| Provider Name | Michael K Sowell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578561742 PECOS PAC ID: 3375698533 Enrollment ID: I20090911000445 |
| Provider Name | Michael D Ruppe |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144413360 PECOS PAC ID: 6901952191 Enrollment ID: I20090912000061 |
| Provider Name | Melanie Gay Masters |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366421869 PECOS PAC ID: 5193871010 Enrollment ID: I20090917000722 |
| Provider Name | Ian S Mutchnick |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295954386 PECOS PAC ID: 6305984758 Enrollment ID: I20091105000320 |
| Provider Name | Klint M Schwenk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316086143 PECOS PAC ID: 0648339119 Enrollment ID: I20091215000317 |
| Provider Name | Pratiksha A Naik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447229836 PECOS PAC ID: 1557404449 Enrollment ID: I20100201000251 |
| Provider Name | Kathryn D Forbes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598941841 PECOS PAC ID: 1355425703 Enrollment ID: I20100218000211 |
| Provider Name | Stephanie Wolford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588733919 PECOS PAC ID: 6305848490 Enrollment ID: I20100218000258 |
| Provider Name | Shawn R Meiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194704403 PECOS PAC ID: 7810032042 Enrollment ID: I20100226000553 |
| Provider Name | Ronald Morton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477537405 PECOS PAC ID: 6002945599 Enrollment ID: I20100520000974 |
| Provider Name | Adrian R O'hagan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467413658 PECOS PAC ID: 2668441643 Enrollment ID: I20100521000001 |
| Provider Name | Brian J Holland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598876377 PECOS PAC ID: 5496885337 Enrollment ID: I20100619000038 |
| Provider Name | Anna O Ehret |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013057017 PECOS PAC ID: 0749311934 Enrollment ID: I20100702000275 |
| Provider Name | Jennifer F Le |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205992047 PECOS PAC ID: 0840209904 Enrollment ID: I20100712000444 |
| Provider Name | Kelly E Kries |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346275583 PECOS PAC ID: 1153453832 Enrollment ID: I20100715000527 |
| Provider Name | Sarah A Mayfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992732820 PECOS PAC ID: 2567569718 Enrollment ID: I20100715000628 |
| Provider Name | Paul A Kniery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598791071 PECOS PAC ID: 3971635657 Enrollment ID: I20100716000281 |
| Provider Name | Sara E Watson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134246960 PECOS PAC ID: 4587796719 Enrollment ID: I20100722000995 |
| Provider Name | Mark J Mcdonald |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902876584 PECOS PAC ID: 0244383792 Enrollment ID: I20100810000768 |
| Provider Name | John E Gallehr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821044256 PECOS PAC ID: 2163556200 Enrollment ID: I20100811000944 |
| Provider Name | Amber L Pendleton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053533463 PECOS PAC ID: 3274607627 Enrollment ID: I20100816000697 |
| Provider Name | Victoria A Statler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770604191 PECOS PAC ID: 9739213539 Enrollment ID: I20100816000716 |
| Provider Name | Susan P Hertweck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134147325 PECOS PAC ID: 9436283876 Enrollment ID: I20100820000000 |
| Provider Name | Jyothi J Matta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073523684 PECOS PAC ID: 5395869259 Enrollment ID: I20100830000086 |
| Provider Name | Walter M Rose |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639289580 PECOS PAC ID: 6002893666 Enrollment ID: I20100910000717 |
| Provider Name | Andrea Suzanna Kristofy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508873936 PECOS PAC ID: 4789709965 Enrollment ID: I20100910000781 |
| Provider Name | Kingal Virshni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619110681 PECOS PAC ID: 3173648102 Enrollment ID: I20100915000224 |
| Provider Name | Rajaneeshankar Palani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962666594 PECOS PAC ID: 7618093428 Enrollment ID: I20100929001381 |
| Provider Name | Amy L Garlove |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548304488 PECOS PAC ID: 9133312523 Enrollment ID: I20101018001019 |
| Provider Name | Catherine Schuster |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1942534326 PECOS PAC ID: 2466645775 Enrollment ID: I20101019001210 |
| Provider Name | Melissa Gail Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669788642 PECOS PAC ID: 3375736457 Enrollment ID: I20101021000402 |
| Provider Name | William C Gump |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932373255 PECOS PAC ID: 7315082047 Enrollment ID: I20101026000992 |
| Provider Name | Leslie A Greenwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063577997 PECOS PAC ID: 5597950568 Enrollment ID: I20101116000803 |
| Provider Name | Sheldon J Bond |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699772699 PECOS PAC ID: 9739375775 Enrollment ID: I20101202000117 |
| Provider Name | Ronald I Paul |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083698021 PECOS PAC ID: 0345439550 Enrollment ID: I20110104000527 |
| Provider Name | William D Lohr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568485845 PECOS PAC ID: 4880725290 Enrollment ID: I20110105000860 |
| Provider Name | Maria F Nota |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649370172 PECOS PAC ID: 3274722020 Enrollment ID: I20110110000073 |
| Provider Name | Walter L Sobczyk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679579221 PECOS PAC ID: 4789646753 Enrollment ID: I20110120001248 |
| Provider Name | Mary E Fallat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124025127 PECOS PAC ID: 4385824267 Enrollment ID: I20110209000898 |
| Provider Name | David S Foley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336146158 PECOS PAC ID: 7416044763 Enrollment ID: I20110210001116 |
| Provider Name | Courtney A Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558440412 PECOS PAC ID: 0042491714 Enrollment ID: I20110301000354 |
| Provider Name | Christopher Lars Johnsrude |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336144401 PECOS PAC ID: 3173705779 Enrollment ID: I20110302000936 |
| Provider Name | Ashley R Parrigin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306154323 PECOS PAC ID: 0143402776 Enrollment ID: I20110303000274 |
| Provider Name | Christina M Sotiropoulos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205828209 PECOS PAC ID: 5496937708 Enrollment ID: I20110308000642 |
| Provider Name | Susan P Dilday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982812970 PECOS PAC ID: 9638265309 Enrollment ID: I20110312000024 |
| Provider Name | Mirzada P Kurbasic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730163270 PECOS PAC ID: 0941483606 Enrollment ID: I20110318000126 |
| Provider Name | Melissa S Hancock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699755058 PECOS PAC ID: 3971786401 Enrollment ID: I20110322000243 |
| Provider Name | Lynzee N Cornell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396073649 PECOS PAC ID: 5294911756 Enrollment ID: I20110517000795 |
| Provider Name | Terry L Levin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073606216 PECOS PAC ID: 3173619319 Enrollment ID: I20110523000722 |
| Provider Name | Jonathan G Sayat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679576599 PECOS PAC ID: 4082890116 Enrollment ID: I20110525000308 |
| Provider Name | Jeffrey T Grill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134276033 PECOS PAC ID: 1658557798 Enrollment ID: I20110525000382 |
| Provider Name | Judith A Theriot |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811990476 PECOS PAC ID: 7315123452 Enrollment ID: I20110525000452 |
| Provider Name | George C Rodgers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497739924 PECOS PAC ID: 1850578675 Enrollment ID: I20110603000411 |
| Provider Name | Becky S Carothers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083617062 PECOS PAC ID: 8729265335 Enrollment ID: I20110608000460 |
| Provider Name | Erin R Frazier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881697712 PECOS PAC ID: 7113104696 Enrollment ID: I20110609000477 |
| Provider Name | In K Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760466791 PECOS PAC ID: 5799962981 Enrollment ID: I20110616000244 |
| Provider Name | Jean M Kallis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083685317 PECOS PAC ID: 0143407338 Enrollment ID: I20110616000250 |
| Provider Name | Philip B Dydynski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295925071 PECOS PAC ID: 9335327147 Enrollment ID: I20110627000535 |
| Provider Name | Casey R Roof |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104147875 PECOS PAC ID: 5395923825 Enrollment ID: I20110701000180 |
| Provider Name | Jennifer Hopkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013993740 PECOS PAC ID: 1355519562 Enrollment ID: I20110713000841 |
| Provider Name | Megan Laniewicz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659490266 PECOS PAC ID: 4880751296 Enrollment ID: I20110716000011 |
| Provider Name | Christine C Whitelaw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205807054 PECOS PAC ID: 2466620257 Enrollment ID: I20110721000674 |
| Provider Name | Kerry Scott Caperell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023228277 PECOS PAC ID: 5395913107 Enrollment ID: I20110721000898 |
| Provider Name | Katherine M Nichols |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295991313 PECOS PAC ID: 2961670427 Enrollment ID: I20110727000778 |
| Provider Name | Suzanne E Kingery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790823151 PECOS PAC ID: 8729256193 Enrollment ID: I20110730000025 |
| Provider Name | Olivia F Mittel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013170901 PECOS PAC ID: 1355510462 Enrollment ID: I20110805000800 |
| Provider Name | Amy M Judge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629292420 PECOS PAC ID: 8527237304 Enrollment ID: I20110811000799 |
| Provider Name | Lisa R Klein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497751044 PECOS PAC ID: 0941369227 Enrollment ID: I20110815000476 |
| Provider Name | Daisy Kinney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972899383 PECOS PAC ID: 6406026665 Enrollment ID: I20110825000085 |
| Provider Name | Laura Lanning |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376687889 PECOS PAC ID: 8729259304 Enrollment ID: I20110913000357 |
| Provider Name | Jennifer Brey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285897637 PECOS PAC ID: 0345434924 Enrollment ID: I20110921000529 |
| Provider Name | Adrianne P Griten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487949434 PECOS PAC ID: 7416129804 Enrollment ID: I20111006000643 |
| Provider Name | Lincoln O Diniz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336286616 PECOS PAC ID: 8325213218 Enrollment ID: I20111205000138 |
| Provider Name | Jessica N B Easterling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669656849 PECOS PAC ID: 6002081916 Enrollment ID: I20111205000346 |
| Provider Name | Megan E Mckinley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609194976 PECOS PAC ID: 1254506868 Enrollment ID: I20111209000520 |
| Provider Name | Iyad Aljabi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518908243 PECOS PAC ID: 2466627674 Enrollment ID: I20111215000681 |
| Provider Name | Molly A King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336420215 PECOS PAC ID: 3173799574 Enrollment ID: I20120106000435 |
| Provider Name | Andrea C Meffert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699054569 PECOS PAC ID: 8527234939 Enrollment ID: I20120106000450 |
| Provider Name | Pushkaraj N Jadhav |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144434549 PECOS PAC ID: 3779750542 Enrollment ID: I20120118000879 |
| Provider Name | Lisah R Sutton-williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467656637 PECOS PAC ID: 4688831910 Enrollment ID: I20120130000147 |
| Provider Name | Sally J Wheeler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265524151 PECOS PAC ID: 7214194232 Enrollment ID: I20120202000683 |
| Provider Name | Joseph F Meiners |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598801805 PECOS PAC ID: 3173781168 Enrollment ID: I20120222000394 |
| Provider Name | Gerald F Sturgeon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174669469 PECOS PAC ID: 7810155686 Enrollment ID: I20120224000355 |
| Provider Name | Stacey Roussell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770629099 PECOS PAC ID: 1153589965 Enrollment ID: I20120224000720 |
| Provider Name | Laura M Kraemer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508137506 PECOS PAC ID: 0547420184 Enrollment ID: I20120320000146 |
| Provider Name | Margo C Vallee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619185543 PECOS PAC ID: 4688834740 Enrollment ID: I20120327000652 |
| Provider Name | Dawnisa Pabon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760509202 PECOS PAC ID: 0143412452 Enrollment ID: I20120420000170 |
| Provider Name | Elysia D Burley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447480546 PECOS PAC ID: 2466615919 Enrollment ID: I20120518000595 |
| Provider Name | Charles A Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770858656 PECOS PAC ID: 8022271469 Enrollment ID: I20120522000804 |
| Provider Name | Amael A Shalash |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982602892 PECOS PAC ID: 8325201346 Enrollment ID: I20120531000193 |
| Provider Name | Rebecca L Starr Seal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063654119 PECOS PAC ID: 5890959738 Enrollment ID: I20120606000059 |
| Provider Name | Joshua Sparks |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457480527 PECOS PAC ID: 0941464788 Enrollment ID: I20120607000379 |
| Provider Name | Egambaram Senthilvel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477761187 PECOS PAC ID: 7315078094 Enrollment ID: I20120620000076 |
| Provider Name | Danielle M Graff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699917104 PECOS PAC ID: 6507021565 Enrollment ID: I20120626000382 |
| Provider Name | Katherine A Abbott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467596932 PECOS PAC ID: 2668638875 Enrollment ID: I20120716000327 |
| Provider Name | Kyle Brothers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336296201 PECOS PAC ID: 0941394498 Enrollment ID: I20120725000196 |
| Provider Name | Smitha Bullock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336308444 PECOS PAC ID: 8527214634 Enrollment ID: I20120806000451 |
| Provider Name | Jeffrey M Meyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902034390 PECOS PAC ID: 8527214188 Enrollment ID: I20120814000421 |
| Provider Name | Erica Bailen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710077888 PECOS PAC ID: 8426106972 Enrollment ID: I20120928000592 |
| Provider Name | Laura B Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790048700 PECOS PAC ID: 1355590431 Enrollment ID: I20121004000632 |
| Provider Name | Bethany Faith Hodge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316156623 PECOS PAC ID: 8628114840 Enrollment ID: I20121011000221 |
| Provider Name | Maria T Bowling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194968123 PECOS PAC ID: 3072763788 Enrollment ID: I20121015000414 |
| Provider Name | Melissa D Veneracion |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427251131 PECOS PAC ID: 6103076872 Enrollment ID: I20121016000330 |
| Provider Name | Laura C Workman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871766220 PECOS PAC ID: 0446400071 Enrollment ID: I20121017000312 |
| Provider Name | Elizabeth Anne Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609120542 PECOS PAC ID: 2668623075 Enrollment ID: I20121113000113 |
| Provider Name | Britt Schloemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396074126 PECOS PAC ID: 3779735220 Enrollment ID: I20121206000549 |
| Provider Name | Wayne N Stark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215246202 PECOS PAC ID: 2668624198 Enrollment ID: I20121210000204 |
| Provider Name | Erin Sizemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265786727 PECOS PAC ID: 6507019254 Enrollment ID: I20130109000390 |
| Provider Name | Adam M Isacoff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194081133 PECOS PAC ID: 3072767169 Enrollment ID: I20130124000298 |
| Provider Name | Juliana A Holden |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144507476 PECOS PAC ID: 7214181833 Enrollment ID: I20130207000365 |
| Provider Name | Delwyn E Mcomber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760431969 PECOS PAC ID: 0648445817 Enrollment ID: I20130212000293 |
| Provider Name | Guna Thapa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184880213 PECOS PAC ID: 1052566940 Enrollment ID: I20130226000277 |
| Provider Name | Navjyot K Vidwan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093911539 PECOS PAC ID: 0446445324 Enrollment ID: I20130227000467 |
| Provider Name | Tracey M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679523146 PECOS PAC ID: 5496990632 Enrollment ID: I20130318000339 |
| Provider Name | Claudia L Meredith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083959894 PECOS PAC ID: 9032354105 Enrollment ID: I20130320000102 |
| Provider Name | Adrienne Meyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598904328 PECOS PAC ID: 6103982533 Enrollment ID: I20130403000503 |
| Provider Name | Nitin Wadhwa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609095520 PECOS PAC ID: 5698911097 Enrollment ID: I20130409000146 |
| Provider Name | Sara Odle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366783102 PECOS PAC ID: 7012153778 Enrollment ID: I20130424001058 |
| Provider Name | Nicola C Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649559725 PECOS PAC ID: 4789820390 Enrollment ID: I20130425000597 |
| Provider Name | Kerry K Mcgowan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235331984 PECOS PAC ID: 1951548981 Enrollment ID: I20130513000139 |
| Provider Name | Heather Michelle Felton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083938534 PECOS PAC ID: 2062659634 Enrollment ID: I20130520000445 |
| Provider Name | Beth Ann Spurlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336465764 PECOS PAC ID: 9638318694 Enrollment ID: I20130624000259 |
| Provider Name | Justin Matthew Morgan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780703769 PECOS PAC ID: 3274773569 Enrollment ID: I20130710000280 |
| Provider Name | Brittany Ann Brose |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104265024 PECOS PAC ID: 8426299298 Enrollment ID: I20130722000349 |
| Provider Name | Siddharth A. Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720213689 PECOS PAC ID: 9931340031 Enrollment ID: I20130801000668 |
| Provider Name | Jennifer E. Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154589182 PECOS PAC ID: 8426112459 Enrollment ID: I20130805000166 |
| Provider Name | Dana L Gibson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972573269 PECOS PAC ID: 4183866403 Enrollment ID: I20130815000274 |
| Provider Name | James E Moyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285954461 PECOS PAC ID: 7911149091 Enrollment ID: I20130820000841 |
| Provider Name | Ryan Swain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083879381 PECOS PAC ID: 1153568753 Enrollment ID: I20130827001004 |
| Provider Name | Corrie Ann Harris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760412548 PECOS PAC ID: 5698918316 Enrollment ID: I20130828000683 |
| Provider Name | Laura A Zeller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588915367 PECOS PAC ID: 0749424125 Enrollment ID: I20130925000552 |
| Provider Name | Heather Marie Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073715959 PECOS PAC ID: 8426282252 Enrollment ID: I20131010001479 |
| Provider Name | Barbara S Keys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871828004 PECOS PAC ID: 6507091436 Enrollment ID: I20131031001500 |
| Provider Name | Kimberly R Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326284209 PECOS PAC ID: 6305072893 Enrollment ID: I20131111000478 |
| Provider Name | Sarah Nicole Korte |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679898753 PECOS PAC ID: 1658507033 Enrollment ID: I20131112002140 |
| Provider Name | Elisha Nicole Mcalmont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508293077 PECOS PAC ID: 0648406090 Enrollment ID: I20131113002019 |
| Provider Name | Gauravi K Sabharwal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568530202 PECOS PAC ID: 4587684402 Enrollment ID: I20131120000809 |
| Provider Name | Joseph A Clan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346248036 PECOS PAC ID: 6406082247 Enrollment ID: I20131126001156 |
| Provider Name | Nancee Rae Spillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093145922 PECOS PAC ID: 8628204435 Enrollment ID: I20131127001547 |
| Provider Name | Mark A Brockman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255382628 PECOS PAC ID: 4385871995 Enrollment ID: I20131205000825 |
| Provider Name | Anna B Stone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447436092 PECOS PAC ID: 4082841655 Enrollment ID: I20131206000536 |
| Provider Name | Jennifer L Hunter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386984722 PECOS PAC ID: 7214164714 Enrollment ID: I20131207000042 |
| Provider Name | David K Brough |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871543991 PECOS PAC ID: 1658508155 Enrollment ID: I20131207000105 |
| Provider Name | Gregory N Barnes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962599092 PECOS PAC ID: 8527024421 Enrollment ID: I20131217001862 |
| Provider Name | James A Tavelli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487783510 PECOS PAC ID: 8123255932 Enrollment ID: I20131223001370 |
| Provider Name | Sara E Denley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1447538624 PECOS PAC ID: 5193953826 Enrollment ID: I20140102000186 |
| Provider Name | Scott Graham Bickel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912221623 PECOS PAC ID: 3375771355 Enrollment ID: I20140121001107 |
| Provider Name | Jennifer L Segeleon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588662787 PECOS PAC ID: 4183853542 Enrollment ID: I20140204001874 |
| Provider Name | Kenneth R Pearson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215029103 PECOS PAC ID: 7618106014 Enrollment ID: I20140205001365 |
| Provider Name | Patricia G Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003894908 PECOS PAC ID: 8022249051 Enrollment ID: I20140314001706 |
| Provider Name | Kathryn Owens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285772517 PECOS PAC ID: 1557592771 Enrollment ID: I20140401000252 |
| Provider Name | Teresa P Crase |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003903147 PECOS PAC ID: 7113962382 Enrollment ID: I20140418000664 |
| Provider Name | Laura Lee Voegele |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518184498 PECOS PAC ID: 6204059363 Enrollment ID: I20140519002110 |
| Provider Name | Lindsay K Sharrer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700058740 PECOS PAC ID: 2961625777 Enrollment ID: I20140523001563 |
| Provider Name | Rebecca L Stilp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245651785 PECOS PAC ID: 6608099155 Enrollment ID: I20140602001020 |
| Provider Name | Matthew D Kinney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962668889 PECOS PAC ID: 7113198144 Enrollment ID: I20140616001980 |
| Provider Name | Ashley Elizabeth Neal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932365509 PECOS PAC ID: 3072737873 Enrollment ID: I20140618001010 |
| Provider Name | Jennifer Howard Stiff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891086054 PECOS PAC ID: 7416171004 Enrollment ID: I20140623001219 |
| Provider Name | Bethany Woomer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508165374 PECOS PAC ID: 4688898166 Enrollment ID: I20140624002274 |
| Provider Name | Kendall E Purcell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679867543 PECOS PAC ID: 6800011339 Enrollment ID: I20140625001975 |
| Provider Name | Brit L Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821254335 PECOS PAC ID: 0042482945 Enrollment ID: I20140626001751 |
| Provider Name | Arlyn Lua-canby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083702062 PECOS PAC ID: 4789809872 Enrollment ID: I20140703000909 |
| Provider Name | Lisa B Stephens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982793956 PECOS PAC ID: 8224253315 Enrollment ID: I20140703000919 |
| Provider Name | Natalie S. Henderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356665244 PECOS PAC ID: 1951526060 Enrollment ID: I20140703001384 |
| Provider Name | Melissa D Agan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619024411 PECOS PAC ID: 5496970287 Enrollment ID: I20140711000622 |
| Provider Name | Erika Collins Cravanas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629369079 PECOS PAC ID: 2163647967 Enrollment ID: I20140711001177 |
| Provider Name | Jonathan R Malowitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033371216 PECOS PAC ID: 2860617578 Enrollment ID: I20140711001766 |
| Provider Name | Cynthia S Crabtree |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376842153 PECOS PAC ID: 9234354952 Enrollment ID: I20140711002146 |
| Provider Name | Michael A Huang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225232630 PECOS PAC ID: 7618124686 Enrollment ID: I20140719000061 |
| Provider Name | Prasanthi P Gandham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306135389 PECOS PAC ID: 4688890742 Enrollment ID: I20140725000458 |
| Provider Name | Taunya M Jasper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356405906 PECOS PAC ID: 9436375136 Enrollment ID: I20140731002059 |
| Provider Name | Stephen K Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417155953 PECOS PAC ID: 8123066933 Enrollment ID: I20140801001538 |
| Provider Name | Marcella D Perez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174822720 PECOS PAC ID: 4385861038 Enrollment ID: I20140804002145 |
| Provider Name | Tia M Alton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639468812 PECOS PAC ID: 4183841554 Enrollment ID: I20140807001698 |
| Provider Name | Kendra S Cloyd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003102849 PECOS PAC ID: 8022235373 Enrollment ID: I20140808001869 |
| Provider Name | Judith Craychee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831198472 PECOS PAC ID: 2365414752 Enrollment ID: I20140827002022 |
| Provider Name | Amy Louise Hanson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639330707 PECOS PAC ID: 3779715347 Enrollment ID: I20140904002624 |
| Provider Name | Chris Schettino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801000963 PECOS PAC ID: 3577616598 Enrollment ID: I20140905001057 |
| Provider Name | Ashley J Rhinehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750780326 PECOS PAC ID: 3375763659 Enrollment ID: I20141008002584 |
| Provider Name | Aaron Gregory Potnick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215101167 PECOS PAC ID: 3870714702 Enrollment ID: I20141027001286 |
| Provider Name | Adam C Patterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760771133 PECOS PAC ID: 6103047451 Enrollment ID: I20141029002758 |
| Provider Name | Kathrine Krantz Conliffe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053606103 PECOS PAC ID: 4082842893 Enrollment ID: I20141106001303 |
| Provider Name | Ahmad Z Mohamed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245525773 PECOS PAC ID: 9436371374 Enrollment ID: I20141110002127 |
| Provider Name | Therese M Sirles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730586827 PECOS PAC ID: 8325361355 Enrollment ID: I20141226000200 |
| Provider Name | Ryne B Bruner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255735700 PECOS PAC ID: 4880917459 Enrollment ID: I20150107000554 |
| Provider Name | Ashley B Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235531013 PECOS PAC ID: 0244555738 Enrollment ID: I20150203002362 |
| Provider Name | Dennis S Peppas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619986973 PECOS PAC ID: 7517921422 Enrollment ID: I20150211001997 |
| Provider Name | Julianne Higdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669877163 PECOS PAC ID: 2961727052 Enrollment ID: I20150212001230 |
| Provider Name | Jayme M Lichtsteiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669753349 PECOS PAC ID: 6204151327 Enrollment ID: I20150212002068 |
| Provider Name | Margaret N Van Wyk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205921905 PECOS PAC ID: 0143292037 Enrollment ID: I20150219001866 |
| Provider Name | Donald R Neel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760483242 PECOS PAC ID: 8729304357 Enrollment ID: I20150226000215 |
| Provider Name | Brittany K Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992934004 PECOS PAC ID: 3971820663 Enrollment ID: I20150317001627 |
| Provider Name | Sara N Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124424783 PECOS PAC ID: 4284951914 Enrollment ID: I20150318000191 |
| Provider Name | William G Hardin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497156657 PECOS PAC ID: 9537486980 Enrollment ID: I20150323001714 |
| Provider Name | Madeleine S Wardell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215367669 PECOS PAC ID: 7618294513 Enrollment ID: I20150401001973 |
| Provider Name | Laura Ann Massie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669865614 PECOS PAC ID: 5496074973 Enrollment ID: I20150505001517 |
| Provider Name | Hannah Fischer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265676142 PECOS PAC ID: 2163742198 Enrollment ID: I20150514002394 |
| Provider Name | Marian E Morris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023383395 PECOS PAC ID: 9537489307 Enrollment ID: I20150518002287 |
| Provider Name | Laura B Bishop |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669762407 PECOS PAC ID: 2860713062 Enrollment ID: I20150529002216 |
| Provider Name | James D Tipton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558533620 PECOS PAC ID: 3678737350 Enrollment ID: I20150601001586 |
| Provider Name | Sheridan R Langford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588930036 PECOS PAC ID: 7315268406 Enrollment ID: I20150601002227 |
| Provider Name | Maria F Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881836351 PECOS PAC ID: 7012238611 Enrollment ID: I20150608002715 |
| Provider Name | Bridget Hempel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629198023 PECOS PAC ID: 9830290147 Enrollment ID: I20150609001669 |
| Provider Name | Kevin M Havlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356617450 PECOS PAC ID: 6406167261 Enrollment ID: I20150619001122 |
| Provider Name | Julianne R Braun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255747770 PECOS PAC ID: 5092933648 Enrollment ID: I20150630000818 |
| Provider Name | Daniel M Arnold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639445505 PECOS PAC ID: 4385956564 Enrollment ID: I20150630002377 |
| Provider Name | Michelle Baker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326165077 PECOS PAC ID: 9830401884 Enrollment ID: I20150702002343 |
| Provider Name | Wilson Reinke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447525837 PECOS PAC ID: 2264744275 Enrollment ID: I20150706001138 |
| Provider Name | Chukwuma C Nnorom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982859468 PECOS PAC ID: 1254597347 Enrollment ID: I20150715001622 |
| Provider Name | Caitlin A Brey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194148965 PECOS PAC ID: 3678886736 Enrollment ID: I20150717001719 |
| Provider Name | Emily K Robbins |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1235519380 PECOS PAC ID: 9537472113 Enrollment ID: I20150727000440 |
| Provider Name | Allison M Yoder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841516820 PECOS PAC ID: 5698089415 Enrollment ID: I20150806010685 |
| Provider Name | Cara L Sparks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972896546 PECOS PAC ID: 1951615731 Enrollment ID: I20150806012894 |
| Provider Name | Supraja N Parthasarathy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386962710 PECOS PAC ID: 9830404235 Enrollment ID: I20150813011594 |
| Provider Name | Jeanie J Hammond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487857926 PECOS PAC ID: 7113232364 Enrollment ID: I20150817001957 |
| Provider Name | Cheryl R Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275531733 PECOS PAC ID: 4486960069 Enrollment ID: I20150827000396 |
| Provider Name | Terri L Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164800280 PECOS PAC ID: 6305152372 Enrollment ID: I20150904002466 |
| Provider Name | Keri A Marques |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255599882 PECOS PAC ID: 7416129473 Enrollment ID: I20150914002193 |
| Provider Name | James J Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013383462 PECOS PAC ID: 4587971601 Enrollment ID: I20150922000648 |
| Provider Name | Kendra Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710355250 PECOS PAC ID: 0648587725 Enrollment ID: I20150922002730 |
| Provider Name | Phyllis Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497130017 PECOS PAC ID: 3274841051 Enrollment ID: I20150928001528 |
| Provider Name | Andrew M Donovan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568458586 PECOS PAC ID: 4284942814 Enrollment ID: I20151001001562 |
| Provider Name | Allison G Spine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164891685 PECOS PAC ID: 7416266358 Enrollment ID: I20151015002556 |
| Provider Name | Rebecca J Hart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477828846 PECOS PAC ID: 3476862111 Enrollment ID: I20151021000807 |
| Provider Name | Tarek Z El-masri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194919902 PECOS PAC ID: 4981834538 Enrollment ID: I20151027003366 |
| Provider Name | Mary Jeanne Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255707543 PECOS PAC ID: 8325358138 Enrollment ID: I20151106001766 |
| Provider Name | Lucy I Winkelmeyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558788273 PECOS PAC ID: 6204146962 Enrollment ID: I20151109001320 |
| Provider Name | Tara Reed Chernecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841661709 PECOS PAC ID: 2860702339 Enrollment ID: I20151112002500 |
| Provider Name | Natalie S Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184094120 PECOS PAC ID: 3173833472 Enrollment ID: I20151116001793 |
| Provider Name | Cassondra A Bishop |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407187826 PECOS PAC ID: 8022318310 Enrollment ID: I20151118000234 |
| Provider Name | Kathryn Rose Gallegos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518336882 PECOS PAC ID: 9739489006 Enrollment ID: I20151118003151 |
| Provider Name | Kelly R Hibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689046260 PECOS PAC ID: 6507166394 Enrollment ID: I20151201000722 |
| Provider Name | Katherine K Vaughn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982942215 PECOS PAC ID: 5395045058 Enrollment ID: I20151202000496 |
| Provider Name | Amelia C Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558731729 PECOS PAC ID: 6800198433 Enrollment ID: I20160113001502 |
| Provider Name | Jennifer M Porter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487970638 PECOS PAC ID: 0345466157 Enrollment ID: I20160119001778 |
| Provider Name | Ryan W Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386968832 PECOS PAC ID: 0345543666 Enrollment ID: I20160120002468 |
| Provider Name | Julianne Green |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073723086 PECOS PAC ID: 4183858244 Enrollment ID: I20160211002592 |
| Provider Name | Felissa P Goldstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700966181 PECOS PAC ID: 7113927880 Enrollment ID: I20160225001776 |
| Provider Name | Ansel T Tjin A Tam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306152939 PECOS PAC ID: 8325342447 Enrollment ID: I20160225002600 |
| Provider Name | Virginia F Barbosa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912040874 PECOS PAC ID: 7911202965 Enrollment ID: I20160229002140 |
| Provider Name | Nagma Zafar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437291564 PECOS PAC ID: 5799074183 Enrollment ID: I20160525002385 |
| Provider Name | Brittany J Kurtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265887269 PECOS PAC ID: 3476844622 Enrollment ID: I20160620001779 |
| Provider Name | Mary K Sandquist |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598082851 PECOS PAC ID: 1052632221 Enrollment ID: I20160621002217 |
| Provider Name | Arpita Lakhotia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407136690 PECOS PAC ID: 8820381247 Enrollment ID: I20160722001327 |
| Provider Name | Elizabeth S Doll |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942590724 PECOS PAC ID: 6608008149 Enrollment ID: I20160728001639 |
| Provider Name | Angela M Cox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851690846 PECOS PAC ID: 2668628116 Enrollment ID: I20160729000733 |
| Provider Name | Maggie P Tran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497927941 PECOS PAC ID: 7214221902 Enrollment ID: I20160803000738 |
| Provider Name | Tessa Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801248141 PECOS PAC ID: 3274827662 Enrollment ID: I20160808001979 |
| Provider Name | Michael Sweeney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235455494 PECOS PAC ID: 5193041135 Enrollment ID: I20160809003034 |
| Provider Name | Julianna Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962777151 PECOS PAC ID: 8729394770 Enrollment ID: I20160818001247 |
| Provider Name | Jennifer H Tasman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366885741 PECOS PAC ID: 8921393380 Enrollment ID: I20160824000980 |
| Provider Name | Amanda W Carter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912344888 PECOS PAC ID: 6507008414 Enrollment ID: I20160829001292 |
| Provider Name | Haley Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528411550 PECOS PAC ID: 5799071429 Enrollment ID: I20160907001135 |
| Provider Name | Libby Mims |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073855433 PECOS PAC ID: 9537455837 Enrollment ID: I20160913002300 |
| Provider Name | Emily H Pinkham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144673161 PECOS PAC ID: 4284921206 Enrollment ID: I20160919002746 |
| Provider Name | Jennifer Marie Hockensmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225481054 PECOS PAC ID: 0042507584 Enrollment ID: I20160927000728 |
| Provider Name | Bobbi L Westbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790233260 PECOS PAC ID: 7012205875 Enrollment ID: I20161011000708 |
| Provider Name | David C Jennings |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497917645 PECOS PAC ID: 2163649344 Enrollment ID: I20161020001524 |
| Provider Name | Kathryn Breeden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427504711 PECOS PAC ID: 7214215235 Enrollment ID: I20161026001683 |
| Provider Name | Richard A Boada |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891870218 PECOS PAC ID: 3577794387 Enrollment ID: I20161101000621 |
| Provider Name | Dana Michelle Fentress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457806630 PECOS PAC ID: 7214215912 Enrollment ID: I20161101000836 |
| Provider Name | Lauren M Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780131094 PECOS PAC ID: 3173801750 Enrollment ID: I20161102001485 |
| Provider Name | Jameel T Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952563611 PECOS PAC ID: 5890967707 Enrollment ID: I20161122002142 |
| Provider Name | Bethany D Yager Houze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770035651 PECOS PAC ID: 0244510600 Enrollment ID: I20161201001135 |
| Provider Name | Esther E Knapp |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275785479 PECOS PAC ID: 5698055317 Enrollment ID: I20161214001846 |
| Provider Name | Ann S Bilbro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194277590 PECOS PAC ID: 7810277506 Enrollment ID: I20161215001858 |
| Provider Name | Rain J Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336590678 PECOS PAC ID: 0143501759 Enrollment ID: I20161219002203 |
| Provider Name | Sara Ann Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053855569 PECOS PAC ID: 8921389008 Enrollment ID: I20170103001929 |
| Provider Name | Nancy Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710170477 PECOS PAC ID: 4880976125 Enrollment ID: I20170123001361 |
| Provider Name | Erica M Gregory |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114220100 PECOS PAC ID: 2264716794 Enrollment ID: I20170301002088 |
| Provider Name | Amber R Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831636075 PECOS PAC ID: 7517241946 Enrollment ID: I20170303000832 |
| Provider Name | Star Lynn Nixon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326169327 PECOS PAC ID: 1052547189 Enrollment ID: I20170411002002 |
| Provider Name | Jerry Lin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356464689 PECOS PAC ID: 0941399612 Enrollment ID: I20170426001445 |
| Provider Name | Priyanka Bakhtiani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447530910 PECOS PAC ID: 2860779766 Enrollment ID: I20170502001723 |
| Provider Name | Kara L Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245762442 PECOS PAC ID: 2961779905 Enrollment ID: I20170523002749 |
| Provider Name | Vanessa Elizabeth Ruppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699085365 PECOS PAC ID: 0547538886 Enrollment ID: I20170609001824 |
| Provider Name | Tiffany N Wright |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992968689 PECOS PAC ID: 9133345747 Enrollment ID: I20170609002106 |
| Provider Name | Mustafa Barbour |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457489288 PECOS PAC ID: 0547431140 Enrollment ID: I20170627002593 |
| Provider Name | Lisal J Folsom |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215165675 PECOS PAC ID: 6709027824 Enrollment ID: I20170628000872 |
| Provider Name | Kristi Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831584408 PECOS PAC ID: 3678842754 Enrollment ID: I20170705001985 |
| Provider Name | Gagandeep Kaur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922365154 PECOS PAC ID: 5193094183 Enrollment ID: I20170706003296 |
| Provider Name | Kimberly S Shimer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821025891 PECOS PAC ID: 5193728491 Enrollment ID: I20170714002362 |
| Provider Name | Jennifer Dee Linville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407285141 PECOS PAC ID: 7911277595 Enrollment ID: I20170714002706 |
| Provider Name | Kayla Evans-judd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871910331 PECOS PAC ID: 5092085498 Enrollment ID: I20170718001300 |
| Provider Name | Laurie B Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164805701 PECOS PAC ID: 2961772215 Enrollment ID: I20170719004104 |
| Provider Name | Brittany Kyzer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1275063612 PECOS PAC ID: 7719257757 Enrollment ID: I20170724002420 |
| Provider Name | Emily S Becker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720406853 PECOS PAC ID: 7911277835 Enrollment ID: I20170725002509 |
| Provider Name | Ziad A Katrib |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124327507 PECOS PAC ID: 9830404631 Enrollment ID: I20170725002517 |
| Provider Name | Patricia S Todd |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1881949634 PECOS PAC ID: 2365740446 Enrollment ID: I20170731003113 |
| Provider Name | Shannon K Evans |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487953675 PECOS PAC ID: 1658599931 Enrollment ID: I20170804001013 |
| Provider Name | Dawn D Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942381652 PECOS PAC ID: 6103197371 Enrollment ID: I20170807000609 |
| Provider Name | Gregory E Shaw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588081566 PECOS PAC ID: 1052612553 Enrollment ID: I20170807003730 |
| Provider Name | Rhonda Elam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609960665 PECOS PAC ID: 5799056610 Enrollment ID: I20170810000838 |
| Provider Name | Meredith K Irwin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003115403 PECOS PAC ID: 5496026346 Enrollment ID: I20170810002314 |
| Provider Name | Cara Price |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689719247 PECOS PAC ID: 0244502904 Enrollment ID: I20170816001107 |
| Provider Name | Richard Pape |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619061835 PECOS PAC ID: 4688946346 Enrollment ID: I20170816001221 |
| Provider Name | Rosina M Hussain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497166680 PECOS PAC ID: 1951605492 Enrollment ID: I20170818002322 |
| Provider Name | Mellani Lefta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356760912 PECOS PAC ID: 3476853078 Enrollment ID: I20170823004362 |
| Provider Name | Lauren Kaelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982136057 PECOS PAC ID: 0143592170 Enrollment ID: I20170824003826 |
| Provider Name | William L Weber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508950726 PECOS PAC ID: 4688946627 Enrollment ID: I20170825000410 |
| Provider Name | Vicki Owczarzak |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801919030 PECOS PAC ID: 1456404326 Enrollment ID: I20170828002702 |
| Provider Name | Nicholas J Silvestros |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730129537 PECOS PAC ID: 3072575265 Enrollment ID: I20170830001061 |
| Provider Name | Sarah M Hawkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851718126 PECOS PAC ID: 0042511826 Enrollment ID: I20170905001695 |
| Provider Name | Johanna Said |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639596513 PECOS PAC ID: 6901108414 Enrollment ID: I20170920001906 |
| Provider Name | Katelyn A Yackey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184913162 PECOS PAC ID: 6002118353 Enrollment ID: I20170920003122 |
| Provider Name | Ieisha Beasley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760776322 PECOS PAC ID: 5092089599 Enrollment ID: I20170921003724 |
| Provider Name | Kristie V Schultz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295142248 PECOS PAC ID: 6800161522 Enrollment ID: I20171005003414 |
| Provider Name | Tara Brooke Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679082754 PECOS PAC ID: 9537362256 Enrollment ID: I20171006002804 |
| Provider Name | Susan E Wilson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497292759 PECOS PAC ID: 3274809520 Enrollment ID: I20171101000636 |
| Provider Name | Kelly L Faber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841462827 PECOS PAC ID: 2668730946 Enrollment ID: I20171214000148 |
| Provider Name | Audra V Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396892949 PECOS PAC ID: 0244220788 Enrollment ID: I20171227002316 |
| Provider Name | Samir Rameshchandra Karia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326278342 PECOS PAC ID: 8921289059 Enrollment ID: I20180110002206 |
| Provider Name | Kristen Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740681337 PECOS PAC ID: 7315230935 Enrollment ID: I20180201002585 |
| Provider Name | Rachel S Mattaline |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881074144 PECOS PAC ID: 2860752268 Enrollment ID: I20180202001939 |
| Provider Name | Jenna E. Tarter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548777014 PECOS PAC ID: 8820359466 Enrollment ID: I20180222002975 |
| Provider Name | Stacey Nicole Nalley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407269830 PECOS PAC ID: 0547521882 Enrollment ID: I20180228002240 |
| Provider Name | Jeanna Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013428150 PECOS PAC ID: 9133480379 Enrollment ID: I20180302000959 |
| Provider Name | Kimberly D Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235630039 PECOS PAC ID: 7416219159 Enrollment ID: I20180316002148 |
| Provider Name | Morgan A Baumgartle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326559733 PECOS PAC ID: 0446512859 Enrollment ID: I20180323001029 |
| Provider Name | Kyla Michelle Byard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275033953 PECOS PAC ID: 5395008676 Enrollment ID: I20180419001475 |
| Provider Name | Natalie R Jennette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346742244 PECOS PAC ID: 7810250289 Enrollment ID: I20180419001572 |
| Provider Name | Jennifer L Leitner Delling |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366894099 PECOS PAC ID: 4789948852 Enrollment ID: I20180426001532 |
| Provider Name | Clayton B Cummings |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588682397 PECOS PAC ID: 3375692759 Enrollment ID: I20180501002553 |
| Provider Name | Jessica Nicole Storch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063912293 PECOS PAC ID: 6507120391 Enrollment ID: I20180502001822 |
| Provider Name | Tyler C Mccambridge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679910277 PECOS PAC ID: 5395985253 Enrollment ID: I20180514002058 |
| Provider Name | Elyssa R Yantis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114286184 PECOS PAC ID: 8628387388 Enrollment ID: I20180516001250 |
| Provider Name | Bahaaldin Alsoufi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1578807632 PECOS PAC ID: 5698911733 Enrollment ID: I20180516001692 |
| Provider Name | William Tsun-yan Tse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912969726 PECOS PAC ID: 3678544723 Enrollment ID: I20180518002091 |
| Provider Name | Stephanie R Kelty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003310921 PECOS PAC ID: 7416202700 Enrollment ID: I20180608000602 |
| Provider Name | Nicole M Bichir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225275803 PECOS PAC ID: 1850646829 Enrollment ID: I20180614001920 |
| Provider Name | Jamie Michelle Furlong-dillard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326304346 PECOS PAC ID: 7719291103 Enrollment ID: I20180703003209 |
| Provider Name | Amanda Feige Buchanan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386939858 PECOS PAC ID: 9638393499 Enrollment ID: I20180719003244 |
| Provider Name | Cody Hunter Penrod |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942567714 PECOS PAC ID: 7113229071 Enrollment ID: I20180726003209 |
| Provider Name | Angela Diane Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992978167 PECOS PAC ID: 4486902046 Enrollment ID: I20180730003371 |
| Provider Name | Brittany Kay Albers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841558210 PECOS PAC ID: 6406099720 Enrollment ID: I20180802002510 |
| Provider Name | Hammam Almakadma |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316205883 PECOS PAC ID: 7810148772 Enrollment ID: I20180813000891 |
| Provider Name | Catalina Cabrera-salcedo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609130137 PECOS PAC ID: 7517216815 Enrollment ID: I20180820003376 |
| Provider Name | Elizabeth Lehto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013302967 PECOS PAC ID: 5193074367 Enrollment ID: I20180821002524 |
| Provider Name | Robin Lund |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023435070 PECOS PAC ID: 1658673991 Enrollment ID: I20180824000737 |
| Provider Name | Kent Lyle Walker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285989368 PECOS PAC ID: 7810268372 Enrollment ID: I20180905003391 |
| Provider Name | Kathryn L Hopkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801178819 PECOS PAC ID: 5698025039 Enrollment ID: I20180906001179 |
| Provider Name | Mark A Brockman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568857795 PECOS PAC ID: 2860742962 Enrollment ID: I20180911003392 |
| Provider Name | Haley M Fuller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548603095 PECOS PAC ID: 2769629534 Enrollment ID: I20180912001596 |
| Provider Name | Carly R Sperzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851870323 PECOS PAC ID: 8921359514 Enrollment ID: I20180920001410 |
| Provider Name | Jeffrey T White |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083907331 PECOS PAC ID: 3870844160 Enrollment ID: I20180926000857 |
| Provider Name | Jun Zhao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841580628 PECOS PAC ID: 3274758438 Enrollment ID: I20180926002186 |
| Provider Name | Danielle Marie Van Damme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902173792 PECOS PAC ID: 0244474419 Enrollment ID: I20180926002844 |
| Provider Name | Casey Laine Miles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528392347 PECOS PAC ID: 7315062882 Enrollment ID: I20181023000407 |
| Provider Name | Sudha Alankar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497876452 PECOS PAC ID: 5799038485 Enrollment ID: I20181026000110 |
| Provider Name | Sarah Welsh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174865257 PECOS PAC ID: 2668794686 Enrollment ID: I20181030002275 |
| Provider Name | Rebecca Metry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679968614 PECOS PAC ID: 8224381439 Enrollment ID: I20181105001230 |
| Provider Name | Kasey Fawbush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295201770 PECOS PAC ID: 3476807736 Enrollment ID: I20181126003717 |
| Provider Name | Cheryl Lynn Curd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336625953 PECOS PAC ID: 0840534475 Enrollment ID: I20181207001097 |
| Provider Name | Mary Theresa Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407324221 PECOS PAC ID: 2668717992 Enrollment ID: I20181214001068 |
| Provider Name | Jackson Hill Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174548895 PECOS PAC ID: 6709880016 Enrollment ID: I20190214001965 |
| Provider Name | Amber Devine-stinson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558707034 PECOS PAC ID: 9133343833 Enrollment ID: I20190218001775 |
| Provider Name | Abby Mofield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952538688 PECOS PAC ID: 4385891381 Enrollment ID: I20190220000241 |
| Provider Name | Kelly L Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134683964 PECOS PAC ID: 8022357649 Enrollment ID: I20190226002370 |
| Provider Name | Sarah Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568926384 PECOS PAC ID: 2961741236 Enrollment ID: I20190304002009 |
| Provider Name | Paula Struck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316483571 PECOS PAC ID: 3072881630 Enrollment ID: I20190314002217 |
| Provider Name | Christopher Ryan Barton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841617727 PECOS PAC ID: 2466794284 Enrollment ID: I20190426002010 |
| Provider Name | Ashley Nichole Losch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326500737 PECOS PAC ID: 6901148501 Enrollment ID: I20190501001306 |
| Provider Name | Ashley Zerr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629430103 PECOS PAC ID: 4486996006 Enrollment ID: I20190501002131 |
| Provider Name | Tsega Temtem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730522673 PECOS PAC ID: 5496994758 Enrollment ID: I20190508000891 |
| Provider Name | Ariel Jade Mujakovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730641879 PECOS PAC ID: 9133462104 Enrollment ID: I20190514001655 |
| Provider Name | Kathryn E Weakley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124480835 PECOS PAC ID: 4385987361 Enrollment ID: I20190514002334 |
| Provider Name | Pradeep Km Javarayee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033550298 PECOS PAC ID: 6305189200 Enrollment ID: I20190516001459 |
| Provider Name | Julie Newsom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942663893 PECOS PAC ID: 0446544878 Enrollment ID: I20190521001963 |
| Provider Name | Jennifer Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669767083 PECOS PAC ID: 0547595290 Enrollment ID: I20190717002136 |
| Provider Name | Cynthia Keene |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689743676 PECOS PAC ID: 5496843401 Enrollment ID: I20190719002155 |
| Provider Name | Megan E Cyterski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922650746 PECOS PAC ID: 8820325095 Enrollment ID: I20190809002419 |
| Provider Name | Tara Marie Kopp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275976748 PECOS PAC ID: 8820376957 Enrollment ID: I20190814004223 |
| Provider Name | Melissa Lee Perrotta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801112537 PECOS PAC ID: 6204163009 Enrollment ID: I20190815002370 |
| Provider Name | Grace Kuravackel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205814639 PECOS PAC ID: 4981932779 Enrollment ID: I20190816002414 |
| Provider Name | Andrew Robert Buckley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750728499 PECOS PAC ID: 9133473960 Enrollment ID: I20190820004151 |
| Provider Name | Sayeed Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396199311 PECOS PAC ID: 6305174210 Enrollment ID: I20190829002499 |
| Provider Name | Lucy Koroma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528161866 PECOS PAC ID: 0648277566 Enrollment ID: I20190906001561 |
| Provider Name | Bradly Jackson Thrasher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669765749 PECOS PAC ID: 6608091053 Enrollment ID: I20190909000983 |
| Provider Name | Mary Mcclanahan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164860235 PECOS PAC ID: 5799014221 Enrollment ID: I20190909004227 |
| Provider Name | Ashley Marie Beckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861913642 PECOS PAC ID: 4587993969 Enrollment ID: I20190910002990 |
| Provider Name | Malavika Prasad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669735783 PECOS PAC ID: 2961732979 Enrollment ID: I20190917004343 |
| Provider Name | Sarah Jane Wilkens |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225327992 PECOS PAC ID: 4385974195 Enrollment ID: I20190920002246 |
| Provider Name | Tiffani L Payne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215390927 PECOS PAC ID: 9739419417 Enrollment ID: I20190923002139 |
| Provider Name | Alexis M Cole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265896971 PECOS PAC ID: 2961733050 Enrollment ID: I20191003001034 |
| Provider Name | Dominique C Elmore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386008381 PECOS PAC ID: 7315278389 Enrollment ID: I20191007001986 |
| Provider Name | Kasi Ann Eastep |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043672256 PECOS PAC ID: 4284965575 Enrollment ID: I20191017002689 |
| Provider Name | Ashley Ernspiker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306494299 PECOS PAC ID: 6901138544 Enrollment ID: I20191030003058 |
| Provider Name | Bahram Sepehri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437145455 PECOS PAC ID: 9335434851 Enrollment ID: I20191105002641 |
| Provider Name | Katherine S Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801130687 PECOS PAC ID: 2567895840 Enrollment ID: I20191126002598 |
| Provider Name | Sheila Otten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407118672 PECOS PAC ID: 2466885900 Enrollment ID: I20191213001434 |
| Provider Name | Danielle Renee Lunsford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376197103 PECOS PAC ID: 3971937483 Enrollment ID: I20191216001849 |
| Provider Name | Elleanor Gray Vogt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407402209 PECOS PAC ID: 1153755533 Enrollment ID: I20191217002068 |
| Provider Name | Synthia C Heffernan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063055002 PECOS PAC ID: 1456786201 Enrollment ID: I20200124000514 |
| Provider Name | Tracey Brink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740598507 PECOS PAC ID: 4486081056 Enrollment ID: I20200219002859 |
| Provider Name | Tracy Woods |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225139124 PECOS PAC ID: 7911334339 Enrollment ID: I20200225001639 |
| Provider Name | Lilian Cooksey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386072726 PECOS PAC ID: 9537596978 Enrollment ID: I20200225002555 |
| Provider Name | Brandi M Hubbuch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366776684 PECOS PAC ID: 9032546379 Enrollment ID: I20200225002949 |
| Provider Name | Amanda Ables |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356708838 PECOS PAC ID: 7618304981 Enrollment ID: I20200226001049 |
| Provider Name | Leslie A Schuschke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609876390 PECOS PAC ID: 6800223199 Enrollment ID: I20200226001892 |
| Provider Name | Lela A Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699915694 PECOS PAC ID: 8820425135 Enrollment ID: I20200226002603 |
| Provider Name | Katherine Majot |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639625502 PECOS PAC ID: 8820425986 Enrollment ID: I20200302001175 |
| Provider Name | Lori R Hibbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255994968 PECOS PAC ID: 1658708748 Enrollment ID: I20200302002431 |
| Provider Name | Chitra Senthilvel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548484462 PECOS PAC ID: 8729415716 Enrollment ID: I20200304001740 |
| Provider Name | Amy L Watson-reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083694996 PECOS PAC ID: 3971930884 Enrollment ID: I20200304002737 |
| Provider Name | Kristi L Havener |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407070402 PECOS PAC ID: 6800186610 Enrollment ID: I20200305000430 |
| Provider Name | Kimberly M Knott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467785022 PECOS PAC ID: 2961839899 Enrollment ID: I20200305000705 |
| Provider Name | Mary N Moseley Jaeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467656876 PECOS PAC ID: 1052748910 Enrollment ID: I20200305002129 |
| Provider Name | Margaret L Calvery |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508083064 PECOS PAC ID: 0941637821 Enrollment ID: I20200305002750 |
| Provider Name | Tonya W Robinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174605281 PECOS PAC ID: 5092143974 Enrollment ID: I20200309001670 |
| Provider Name | Tamina R Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376760884 PECOS PAC ID: 7012213051 Enrollment ID: I20200309001771 |
| Provider Name | Rose Geis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952376956 PECOS PAC ID: 9133557911 Enrollment ID: I20200309001883 |
| Provider Name | Gregory Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285727875 PECOS PAC ID: 1153759766 Enrollment ID: I20200313001533 |
| Provider Name | Jocelyn Warren |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417934019 PECOS PAC ID: 8123456753 Enrollment ID: I20200313002065 |
| Provider Name | Elizabeth Schumacher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912008814 PECOS PAC ID: 8426486903 Enrollment ID: I20200316001803 |
| Provider Name | Amber Missi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285856625 PECOS PAC ID: 9739517228 Enrollment ID: I20200316002076 |
| Provider Name | Alexis Rodgers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538638804 PECOS PAC ID: 6709214232 Enrollment ID: I20200317001346 |
| Provider Name | Sharon Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801988225 PECOS PAC ID: 6305937129 Enrollment ID: I20200317002042 |
| Provider Name | Lisa E White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548240989 PECOS PAC ID: 9032110515 Enrollment ID: I20200317002366 |
| Provider Name | Scott D Duncan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427040443 PECOS PAC ID: 5597742924 Enrollment ID: I20200318000886 |
| Provider Name | Melissa Wheatley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144539834 PECOS PAC ID: 7113354010 Enrollment ID: I20200318002033 |
| Provider Name | David H Adamkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902880800 PECOS PAC ID: 4587092895 Enrollment ID: I20200320000797 |
| Provider Name | Heather F Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922017953 PECOS PAC ID: 8820098379 Enrollment ID: I20200320001075 |
| Provider Name | Lori A Devlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326030388 PECOS PAC ID: 5092743641 Enrollment ID: I20200320002098 |
| Provider Name | Susan H Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427080795 PECOS PAC ID: 8628406865 Enrollment ID: I20200320002663 |
| Provider Name | Theresa D Houchens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972583086 PECOS PAC ID: 8325476450 Enrollment ID: I20200323003516 |
| Provider Name | John Roberts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740264860 PECOS PAC ID: 2769819762 Enrollment ID: I20200325002472 |
| Provider Name | Francis Morabito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467656421 PECOS PAC ID: 5890123863 Enrollment ID: I20200325002909 |
| Provider Name | Emily Anguiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710523634 PECOS PAC ID: 3274962188 Enrollment ID: I20200327002362 |
| Provider Name | Bridget Burshears |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447447552 PECOS PAC ID: 9032472147 Enrollment ID: I20200401001184 |
| Provider Name | Elizabeth S Turcotte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003451774 PECOS PAC ID: 9032548623 Enrollment ID: I20200402001416 |
| Provider Name | Wendy D Ellis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205053865 PECOS PAC ID: 6103004890 Enrollment ID: I20200402001606 |
| Provider Name | Sucheta D Telang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528030483 PECOS PAC ID: 2769811256 Enrollment ID: I20200403002493 |
| Provider Name | Casey L Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255971131 PECOS PAC ID: 4587093885 Enrollment ID: I20200408001659 |
| Provider Name | Meagan Molestina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629608286 PECOS PAC ID: 8729417936 Enrollment ID: I20200408003674 |
| Provider Name | Edward F Oneill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629236203 PECOS PAC ID: 2860821006 Enrollment ID: I20200409000270 |
| Provider Name | Lindsay Paige Poynter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518592237 PECOS PAC ID: 8224467352 Enrollment ID: I20200410001048 |
| Provider Name | Sarah E Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952941924 PECOS PAC ID: 1951731058 Enrollment ID: I20200413002294 |
| Provider Name | Dan L Stewart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386629871 PECOS PAC ID: 0648442673 Enrollment ID: I20200413003047 |
| Provider Name | Diana C Pantalos |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194045781 PECOS PAC ID: 7214367382 Enrollment ID: I20200414002004 |
| Provider Name | Sarah R Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659918001 PECOS PAC ID: 4587094669 Enrollment ID: I20200414002566 |
| Provider Name | Rachael Koebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780214825 PECOS PAC ID: 6103256169 Enrollment ID: I20200415003235 |
| Provider Name | Lonnie Sears |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083681696 PECOS PAC ID: 8123458197 Enrollment ID: I20200415003667 |
| Provider Name | Rebecca A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750912036 PECOS PAC ID: 7315377298 Enrollment ID: I20200416000911 |
| Provider Name | Heather Gusic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265763361 PECOS PAC ID: 2062842966 Enrollment ID: I20200416001994 |
| Provider Name | Jenna N Sanders |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437458114 PECOS PAC ID: 0042435695 Enrollment ID: I20200416003467 |
| Provider Name | Eran Rosenberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831434455 PECOS PAC ID: 2769602515 Enrollment ID: I20200417002391 |
| Provider Name | Elizabeth A Grant |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992086540 PECOS PAC ID: 4082044656 Enrollment ID: I20200422001356 |
| Provider Name | Bethany Sakie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477190635 PECOS PAC ID: 1052741576 Enrollment ID: I20200424001547 |
| Provider Name | Courtney A Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093348450 PECOS PAC ID: 8921438110 Enrollment ID: I20200501001347 |
| Provider Name | Stephanie Alissa Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811430655 PECOS PAC ID: 3375824352 Enrollment ID: I20200513001816 |
| Provider Name | Maria Mendoza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033373543 PECOS PAC ID: 5496186884 Enrollment ID: I20200519003087 |
| Provider Name | Marcus L Seaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780213561 PECOS PAC ID: 2961823042 Enrollment ID: I20200527002084 |
| Provider Name | Karen A Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295361723 PECOS PAC ID: 9638590227 Enrollment ID: I20200608001471 |
| Provider Name | Margaret Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083249270 PECOS PAC ID: 0941621452 Enrollment ID: I20200608002760 |
| Provider Name | Lindsay K Hack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851911010 PECOS PAC ID: 9234550708 Enrollment ID: I20200609002373 |
| Provider Name | Carla M Creekmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922058643 PECOS PAC ID: 4587678131 Enrollment ID: I20200624003266 |
| Provider Name | Alicia Seidl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992294037 PECOS PAC ID: 8325460025 Enrollment ID: I20200625002872 |
| Provider Name | Shari Rose Willy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669002226 PECOS PAC ID: 0749603124 Enrollment ID: I20200701001912 |
| Provider Name | Brittany A Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649809914 PECOS PAC ID: 1052734423 Enrollment ID: I20200702001373 |
| Provider Name | Lesli A Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699036541 PECOS PAC ID: 4082037312 Enrollment ID: I20200706001240 |
| Provider Name | Daniel Benjamin Blatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659799195 PECOS PAC ID: 8123330610 Enrollment ID: I20200708002955 |
| Provider Name | Mariana Yvonne Palacios |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467863118 PECOS PAC ID: 8729372818 Enrollment ID: I20200724001295 |
| Provider Name | Paul Spencer Hiers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679985519 PECOS PAC ID: 3870710759 Enrollment ID: I20200805000723 |
| Provider Name | Kasie M Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265962799 PECOS PAC ID: 7214352236 Enrollment ID: I20200806003247 |
| Provider Name | Joshua David Kurtz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881936144 PECOS PAC ID: 9032499652 Enrollment ID: I20200812001550 |
| Provider Name | Erica Stevens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417375197 PECOS PAC ID: 0648540237 Enrollment ID: I20200819000127 |
| Provider Name | Katie Canalichio |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669815148 PECOS PAC ID: 7517212590 Enrollment ID: I20200819000334 |
| Provider Name | Chandra V Vethody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427432285 PECOS PAC ID: 8729389747 Enrollment ID: I20200819002838 |
| Provider Name | Jennifer L Kiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275167629 PECOS PAC ID: 4880010842 Enrollment ID: I20200820002798 |
| Provider Name | Amanda Brian Rogers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114332236 PECOS PAC ID: 2466885355 Enrollment ID: I20200821002882 |
| Provider Name | Farah G Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750587309 PECOS PAC ID: 5496825457 Enrollment ID: I20200824001267 |
| Provider Name | Sharri Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386269371 PECOS PAC ID: 1557788445 Enrollment ID: I20200824001277 |
| Provider Name | Ryan D Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265865133 PECOS PAC ID: 0446677371 Enrollment ID: I20200824002554 |
| Provider Name | Stewart Carter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215164025 PECOS PAC ID: 7911208780 Enrollment ID: I20200824002940 |
| Provider Name | Syeda S Maqsood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972879922 PECOS PAC ID: 8224270749 Enrollment ID: I20200825000609 |
| Provider Name | Elizabeth B Cotton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346872074 PECOS PAC ID: 0547687022 Enrollment ID: I20200828001301 |
| Provider Name | Kelly J Axman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730713678 PECOS PAC ID: 8426476888 Enrollment ID: I20200901003093 |
| Provider Name | Laura Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487279089 PECOS PAC ID: 0143647156 Enrollment ID: I20200903003517 |
| Provider Name | Jennifer Cossuto Green |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144648353 PECOS PAC ID: 9133547896 Enrollment ID: I20200911000840 |
| Provider Name | Sarah C Case |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922636851 PECOS PAC ID: 6406274182 Enrollment ID: I20200911001694 |
| Provider Name | Seth M Harris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740711217 PECOS PAC ID: 6709204399 Enrollment ID: I20200914002476 |
| Provider Name | Marylou M Dryer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508060302 PECOS PAC ID: 5496060725 Enrollment ID: I20200915001460 |
| Provider Name | Kimberly S Huhmann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164837399 PECOS PAC ID: 0244459832 Enrollment ID: I20200915001705 |
| Provider Name | Amanda C Farris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184041212 PECOS PAC ID: 8820416126 Enrollment ID: I20200918001230 |
| Provider Name | Nicholas Reynolds |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912240607 PECOS PAC ID: 4981907508 Enrollment ID: I20200923001368 |
| Provider Name | Cemal Karakas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831550243 PECOS PAC ID: 6204255821 Enrollment ID: I20201001001079 |
| Provider Name | Jessica Nicole King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124671490 PECOS PAC ID: 9537490024 Enrollment ID: I20201001001332 |
| Provider Name | Elizabeth Sophia Deitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558977470 PECOS PAC ID: 0749609964 Enrollment ID: I20201007001403 |
| Provider Name | Allison M Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720606585 PECOS PAC ID: 0042630154 Enrollment ID: I20201012000895 |
| Provider Name | Natalie F Slone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710393996 PECOS PAC ID: 0446505762 Enrollment ID: I20201014000278 |
| Provider Name | Denisha R Oggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528514163 PECOS PAC ID: 5597185405 Enrollment ID: I20201014003861 |
| Provider Name | Nisha N Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710536750 PECOS PAC ID: 9234559089 Enrollment ID: I20201015001799 |
| Provider Name | Kayla N Larosa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053934612 PECOS PAC ID: 6608296470 Enrollment ID: I20201015002825 |
| Provider Name | Morgan L Daffin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245845163 PECOS PAC ID: 8224458807 Enrollment ID: I20201020003841 |
| Provider Name | Margaret A Lance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649882689 PECOS PAC ID: 1052721198 Enrollment ID: I20201102000395 |
| Provider Name | Laura Elaine Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629486493 PECOS PAC ID: 4385054220 Enrollment ID: I20201105000415 |
| Provider Name | Lindsey R Bird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780282590 PECOS PAC ID: 3678984218 Enrollment ID: I20201202003072 |
| Provider Name | Wesley K Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013515261 PECOS PAC ID: 0547672925 Enrollment ID: I20201208002313 |
| Provider Name | Joseph C Pappalardo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720086804 PECOS PAC ID: 5698187425 Enrollment ID: I20201218001075 |
| Provider Name | Sara G Diebold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225327174 PECOS PAC ID: 4284047762 Enrollment ID: I20201229002692 |
| Provider Name | Deborah I Wallace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184654709 PECOS PAC ID: 0840603130 Enrollment ID: I20210105002705 |
| Provider Name | Katherine Passafiume |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841890993 PECOS PAC ID: 0648683714 Enrollment ID: I20210108002152 |
| Provider Name | Latoma J Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124478508 PECOS PAC ID: 7517227515 Enrollment ID: I20210114002594 |
| Provider Name | Lindsay A Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891393864 PECOS PAC ID: 2668886243 Enrollment ID: I20210121001869 |
| Provider Name | Mary K Alonso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982290953 PECOS PAC ID: 1658785803 Enrollment ID: I20210128002693 |
| Provider Name | Barbara Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619004728 PECOS PAC ID: 8729389689 Enrollment ID: I20210203000579 |
| Provider Name | Peter Dalton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427322684 PECOS PAC ID: 5698054922 Enrollment ID: I20210204002863 |
| Provider Name | Dacia W Mackenzie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144556564 PECOS PAC ID: 5496897928 Enrollment ID: I20210208001477 |
| Provider Name | Samantha Lucrezia |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639600661 PECOS PAC ID: 9133534837 Enrollment ID: I20210210001187 |
| Provider Name | Daniel S Kahn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225569262 PECOS PAC ID: 8325453921 Enrollment ID: I20210211003067 |
| Provider Name | Mary E Knights |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689672776 PECOS PAC ID: 7113332412 Enrollment ID: I20210218002593 |
| Provider Name | Ndah Akwesi Poteh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912431198 PECOS PAC ID: 5890072482 Enrollment ID: I20210225001803 |
| Provider Name | Amy M Rudd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548807498 PECOS PAC ID: 3173939493 Enrollment ID: I20210311002502 |
| Provider Name | Bethanie Morgan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710150818 PECOS PAC ID: 8921262171 Enrollment ID: I20210317002049 |
| Provider Name | Allison L Roberts |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710479258 PECOS PAC ID: 5395151377 Enrollment ID: I20210317002069 |
| Provider Name | Matthew A Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447836580 PECOS PAC ID: 8628486487 Enrollment ID: I20210415000114 |
| Provider Name | Allison Mckenzie Theobald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083180905 PECOS PAC ID: 0941618516 Enrollment ID: I20210420001634 |
| Provider Name | Shanna M Barton |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902223985 PECOS PAC ID: 9830405455 Enrollment ID: I20210421002319 |
| Provider Name | Amy B Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114514833 PECOS PAC ID: 5890103360 Enrollment ID: I20210421002804 |
| Provider Name | Desarae S Brymer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306420401 PECOS PAC ID: 5799194163 Enrollment ID: I20210514002129 |
| Provider Name | James G Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396130589 PECOS PAC ID: 8628379641 Enrollment ID: I20210520002069 |
| Provider Name | Brittany K Badal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902290448 PECOS PAC ID: 9133474182 Enrollment ID: I20210610000385 |
| Provider Name | Julia C Sparks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437655388 PECOS PAC ID: 2860892619 Enrollment ID: I20210615003395 |
| Provider Name | Vasudha Mahajan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689081515 PECOS PAC ID: 8325449887 Enrollment ID: I20210622002600 |
| Provider Name | Jeetendra P Sah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154707057 PECOS PAC ID: 0840534202 Enrollment ID: I20210628000301 |
| Provider Name | Kristen Schorch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457950016 PECOS PAC ID: 5294136321 Enrollment ID: I20210628001559 |
| Provider Name | Soham Dasgupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669889507 PECOS PAC ID: 9032511415 Enrollment ID: I20210707003035 |
| Provider Name | Allison K Black |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528485406 PECOS PAC ID: 7113329525 Enrollment ID: I20210707003817 |
| Provider Name | Hilary L Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255786026 PECOS PAC ID: 4587951470 Enrollment ID: I20210713003292 |
| Provider Name | Andrea N Lambert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295146462 PECOS PAC ID: 6608287495 Enrollment ID: I20210713003349 |
| Provider Name | Sarah K Vincent |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053619163 PECOS PAC ID: 6709288459 Enrollment ID: I20210716002596 |
| Provider Name | Roddy D Mcdowell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912175209 PECOS PAC ID: 6709285240 Enrollment ID: I20210723002977 |
| Provider Name | Diane Marie Carden Buckley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013448505 PECOS PAC ID: 8325441512 Enrollment ID: I20210726002669 |
| Provider Name | Carrie Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467993717 PECOS PAC ID: 5294007118 Enrollment ID: I20210727000572 |
| Provider Name | Virginia K Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730730441 PECOS PAC ID: 4486058039 Enrollment ID: I20210804003147 |
| Provider Name | Erin Therese Fox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578826558 PECOS PAC ID: 6002127891 Enrollment ID: I20210810002591 |
| Provider Name | Kelly A Lyons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184035289 PECOS PAC ID: 8729482682 Enrollment ID: I20210813003088 |
| Provider Name | Dylan Caperton Brock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992190730 PECOS PAC ID: 2567758071 Enrollment ID: I20210819003719 |
| Provider Name | Laura B Cornwell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871937979 PECOS PAC ID: 1456593706 Enrollment ID: I20210826002225 |
| Provider Name | Jessica S Ford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861999252 PECOS PAC ID: 9638426976 Enrollment ID: I20210907001924 |
| Provider Name | Kristin Elizabeth Maguino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174196554 PECOS PAC ID: 1951707330 Enrollment ID: I20210909003898 |
| Provider Name | Heron Dawn Baumgarten |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003226465 PECOS PAC ID: 8628390960 Enrollment ID: I20210910000948 |
| Provider Name | John N Juneau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447755855 PECOS PAC ID: 4688070915 Enrollment ID: I20210910002058 |
| Provider Name | Julia S Springate Spalding |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770016792 PECOS PAC ID: 2961808209 Enrollment ID: I20210910002574 |
| Provider Name | Lindsey K Shader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972186641 PECOS PAC ID: 9931506631 Enrollment ID: I20210922003601 |
| Provider Name | Jessica Ray Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134890585 PECOS PAC ID: 7214335272 Enrollment ID: I20211006001807 |
| Provider Name | Kimberly B Schauder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699353961 PECOS PAC ID: 8123426772 Enrollment ID: I20211012001518 |
| Provider Name | Katherine Schrodt Cecil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306518402 PECOS PAC ID: 3779981287 Enrollment ID: I20211014001115 |
| Provider Name | Marnie L Pomeroy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1932500352 PECOS PAC ID: 4183012438 Enrollment ID: I20211019002982 |
| Provider Name | Sarah S Hatter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912217498 PECOS PAC ID: 0345638441 Enrollment ID: I20211021002887 |
| Provider Name | Aakriti Bhargava |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033640453 PECOS PAC ID: 6002204898 Enrollment ID: I20211027002952 |
| Provider Name | Victoria S Magloire |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447749544 PECOS PAC ID: 4183012750 Enrollment ID: I20211101001999 |
| Provider Name | Esper G Wadih |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821595919 PECOS PAC ID: 9133518210 Enrollment ID: I20211110002811 |
| Provider Name | Amelia K Chase-wise |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912669326 PECOS PAC ID: 2567851652 Enrollment ID: I20211110002944 |
| Provider Name | Robert Raines-hepple |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336283902 PECOS PAC ID: 4284914284 Enrollment ID: I20211209002720 |
| Provider Name | Liliane H Gibbs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437182870 PECOS PAC ID: 1254220445 Enrollment ID: I20211215001226 |
| Provider Name | Inbal Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457572216 PECOS PAC ID: 3577656883 Enrollment ID: I20211220002262 |
| Provider Name | Chelsea R Sabelhaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457018707 PECOS PAC ID: 5890186076 Enrollment ID: I20211222002462 |
| Provider Name | Katelyn M Rossow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790102788 PECOS PAC ID: 8022432178 Enrollment ID: I20211228000262 |
| Provider Name | Melanie R Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942504642 PECOS PAC ID: 3870731664 Enrollment ID: I20220104002800 |
| Provider Name | Amy Elizabeth Dipietro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023236148 PECOS PAC ID: 5496063315 Enrollment ID: I20220105000001 |
| Provider Name | Eric C Umstead |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619106242 PECOS PAC ID: 9638399538 Enrollment ID: I20220106002618 |
| Provider Name | Allison B Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821766155 PECOS PAC ID: 2163814864 Enrollment ID: I20220107001942 |
| Provider Name | Sara S Ross |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194394742 PECOS PAC ID: 5890187686 Enrollment ID: I20220128001540 |
| Provider Name | Yuan Yuan Gong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548641426 PECOS PAC ID: 4587976832 Enrollment ID: I20220201000908 |
| Provider Name | Madeline M Sermersheim |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1760094932 PECOS PAC ID: 2365835741 Enrollment ID: I20220207002206 |
| Provider Name | Emily R Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194484204 PECOS PAC ID: 6305230277 Enrollment ID: I20220218002509 |
| Provider Name | Kelsie L Houchens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164181228 PECOS PAC ID: 7517351281 Enrollment ID: I20220222001855 |
| Provider Name | Sable C Iglesias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457007916 PECOS PAC ID: 4981099256 Enrollment ID: I20220323001950 |
| Provider Name | Mckenzie E Cassidy |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1922598911 PECOS PAC ID: 6800282849 Enrollment ID: I20220331000898 |
| Provider Name | Alison M Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902553415 PECOS PAC ID: 3779979646 Enrollment ID: I20220331002156 |
| Provider Name | Julie A Klensch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508392689 PECOS PAC ID: 9133497282 Enrollment ID: I20220405002158 |
| Provider Name | Lilly Giang Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780332189 PECOS PAC ID: 8123414380 Enrollment ID: I20220415000766 |
| Provider Name | Olivia H Beckman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467709519 PECOS PAC ID: 4587051552 Enrollment ID: I20220420003028 |
| Provider Name | Lisa B Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992116297 PECOS PAC ID: 2264819945 Enrollment ID: I20220518002246 |
| Provider Name | Adam M Skaff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508229147 PECOS PAC ID: 1557655214 Enrollment ID: I20220525002283 |
| Provider Name | Meagan R Doyle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083178628 PECOS PAC ID: 1254710296 Enrollment ID: I20220621002874 |
| Provider Name | Francesca P Kingery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023471315 PECOS PAC ID: 9032443460 Enrollment ID: I20220622001148 |
| Provider Name | Hallie Keller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548916984 PECOS PAC ID: 5799164794 Enrollment ID: I20220622001918 |
| Provider Name | Monica L Lobbins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538383021 PECOS PAC ID: 0143356683 Enrollment ID: I20220628002914 |
| Provider Name | Caitlin Alice Grace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467959429 PECOS PAC ID: 1254666142 Enrollment ID: I20220705002087 |
| Provider Name | Abigail Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881129997 PECOS PAC ID: 2961773023 Enrollment ID: I20220707002387 |
| Provider Name | Alexandra M Mientus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326508482 PECOS PAC ID: 2163803297 Enrollment ID: I20220720001003 |
| Provider Name | Sara Beth Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154094373 PECOS PAC ID: 7012314644 Enrollment ID: I20220720003087 |
| Provider Name | Cullen S Marshall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770016602 PECOS PAC ID: 9739560707 Enrollment ID: I20220721003135 |
| Provider Name | Sabryna Robbins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972064053 PECOS PAC ID: 4486035482 Enrollment ID: I20220722000402 |
| Provider Name | Glennesha Mudd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568901601 PECOS PAC ID: 2163803164 Enrollment ID: I20220722000565 |
| Provider Name | Julie K Doering |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659613727 PECOS PAC ID: 3173824836 Enrollment ID: I20220809002909 |
| Provider Name | Mehmet Guner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598374506 PECOS PAC ID: 2860875580 Enrollment ID: I20220812002721 |
| Provider Name | Samuel G Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942735691 PECOS PAC ID: 7113300609 Enrollment ID: I20220816002236 |
| Provider Name | Haley Zoeller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407597040 PECOS PAC ID: 9032592522 Enrollment ID: I20220816002667 |
| Provider Name | Daniel R Bachman |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1457794299 PECOS PAC ID: 7315250156 Enrollment ID: I20220822000942 |
| Provider Name | Paulina R Maida |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699139949 PECOS PAC ID: 8325339096 Enrollment ID: I20220824000690 |
| Provider Name | Erika L Shell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750020095 PECOS PAC ID: 9739563586 Enrollment ID: I20220829002492 |
| Provider Name | Stephanie S Battistini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467831099 PECOS PAC ID: 6002162021 Enrollment ID: I20220829003297 |
| Provider Name | Vanessa R Goode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669111670 PECOS PAC ID: 9638553258 Enrollment ID: I20220831002323 |
| Provider Name | Melissa Sue Puffenbarger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023377769 PECOS PAC ID: 2961750104 Enrollment ID: I20220831003073 |
| Provider Name | Kristin Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083353866 PECOS PAC ID: 0941684484 Enrollment ID: I20220831003297 |
| Provider Name | Lawrence K Jung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902916182 PECOS PAC ID: 8022177633 Enrollment ID: I20220910000253 |
| Provider Name | Ashley T Soriano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487998415 PECOS PAC ID: 6507241486 Enrollment ID: I20220913001566 |
| Provider Name | Shumyle Alam |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073638870 PECOS PAC ID: 3274630330 Enrollment ID: I20220915001774 |
| Provider Name | Hunter Utkov Altman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699139089 PECOS PAC ID: 7719243989 Enrollment ID: I20220915001943 |
| Provider Name | Emily Vieth Singer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467806158 PECOS PAC ID: 8527465681 Enrollment ID: I20220915002966 |
| Provider Name | Alexis Gyurjan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487328985 PECOS PAC ID: 0749665453 Enrollment ID: I20220916000548 |
| Provider Name | Holly Megan Barnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720746373 PECOS PAC ID: 8325424336 Enrollment ID: I20220928002787 |
| Provider Name | Daniel A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154059269 PECOS PAC ID: 1153707054 Enrollment ID: I20220929002849 |
| Provider Name | Minh Dien Duong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609392331 PECOS PAC ID: 1153660139 Enrollment ID: I20220929003771 |
| Provider Name | Treasure Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336874965 PECOS PAC ID: 4385020239 Enrollment ID: I20220930000946 |
| Provider Name | James Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437152378 PECOS PAC ID: 6901876036 Enrollment ID: I20221005000291 |
| Provider Name | Kelly J Krechowski |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780312157 PECOS PAC ID: 5799161006 Enrollment ID: I20221010001592 |
| Provider Name | Dorney Thompson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1023743051 PECOS PAC ID: 6103292404 Enrollment ID: I20221011002107 |
| Provider Name | Tammy Anissa Pasko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245287440 PECOS PAC ID: 0840267613 Enrollment ID: I20221013002632 |
| Provider Name | Charles E Flack |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497729727 PECOS PAC ID: 4082837554 Enrollment ID: I20221014002124 |
| Provider Name | Rebecca Decker |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1265996961 PECOS PAC ID: 1557737004 Enrollment ID: I20221025002516 |
| Provider Name | Sabrina E Landgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922735646 PECOS PAC ID: 1951777390 Enrollment ID: I20221026001449 |
| Provider Name | Carlotta B Hample |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578633921 PECOS PAC ID: 9234028853 Enrollment ID: I20221026001788 |
| Provider Name | Katelyn A James |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578988184 PECOS PAC ID: 1557738630 Enrollment ID: I20221102000803 |
| Provider Name | Neil T Tucker |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1952354151 PECOS PAC ID: 1951326792 Enrollment ID: I20221109002106 |
| Provider Name | Erin M Herstine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629495072 PECOS PAC ID: 7719239839 Enrollment ID: I20221117001353 |
| Provider Name | Annie E Shaughnessy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518690999 PECOS PAC ID: 3678941754 Enrollment ID: I20221121002379 |
| Provider Name | Naomi Warnick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225598428 PECOS PAC ID: 8123496809 Enrollment ID: I20221130002662 |
| Provider Name | Sarah E Grout |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548767668 PECOS PAC ID: 0446515399 Enrollment ID: I20221201000262 |
| Provider Name | Michele Bresler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013470830 PECOS PAC ID: 7810365400 Enrollment ID: I20221202000689 |
| Provider Name | Jessica Hatfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841915436 PECOS PAC ID: 1850760448 Enrollment ID: I20221202001057 |
| Provider Name | Andrea P Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972239937 PECOS PAC ID: 4880063114 Enrollment ID: I20221209000141 |
| Provider Name | Emily Montgomery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326545468 PECOS PAC ID: 5193195691 Enrollment ID: I20221227001624 |
| Provider Name | Paul Rosen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528552627 PECOS PAC ID: 6406226950 Enrollment ID: I20221228001455 |
| Provider Name | Steven M Halcomb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275252751 PECOS PAC ID: 3173993425 Enrollment ID: I20221230001026 |
| Provider Name | Jacqueline Moran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366727810 PECOS PAC ID: 3779741806 Enrollment ID: I20230106000653 |
| Provider Name | Breanna Bader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972210805 PECOS PAC ID: 8022488956 Enrollment ID: I20230110001521 |
| Provider Name | Laura J Hanahan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578566972 PECOS PAC ID: 3375526791 Enrollment ID: I20230110002553 |
| Provider Name | Julie A Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578844742 PECOS PAC ID: 6103098298 Enrollment ID: I20230117001533 |
| Provider Name | Kimberly R Mcdonald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598077430 PECOS PAC ID: 8123392404 Enrollment ID: I20230117001762 |
| Provider Name | Siddharth V Jain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588847529 PECOS PAC ID: 2264658939 Enrollment ID: I20230119000487 |
| Provider Name | Nestor Veliz Tamayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154040632 PECOS PAC ID: 2961873443 Enrollment ID: I20230119002327 |
| Provider Name | Kimberly Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023732914 PECOS PAC ID: 5395116255 Enrollment ID: I20230201000719 |
| Provider Name | Anna Goodman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629440342 PECOS PAC ID: 3072985969 Enrollment ID: I20230201002511 |
| Provider Name | Elizabeth A Kessler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649492802 PECOS PAC ID: 3375854292 Enrollment ID: I20230203001146 |
| Provider Name | Shelley R Moats |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851384168 PECOS PAC ID: 5698794865 Enrollment ID: I20230207002072 |
| Provider Name | Lynette A Gillis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316034432 PECOS PAC ID: 2961463450 Enrollment ID: I20230207002207 |
| Provider Name | Jordan R Merryman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033820683 PECOS PAC ID: 0648642173 Enrollment ID: I20230210000154 |
| Provider Name | Sarah Critchfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245806942 PECOS PAC ID: 3375915598 Enrollment ID: I20230215002390 |
| Provider Name | Rachel Prescott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245900182 PECOS PAC ID: 1456724343 Enrollment ID: I20230223000814 |
| Provider Name | Khalid M Abulaban |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1033379458 PECOS PAC ID: 9335310960 Enrollment ID: I20230306000393 |
| Provider Name | John Naheedy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760695761 PECOS PAC ID: 7517135635 Enrollment ID: I20230315000451 |
| Provider Name | Myriah Zeien-tarantelli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568728467 PECOS PAC ID: 7113276676 Enrollment ID: I20230315000556 |
| Provider Name | Brandi G Neely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164953394 PECOS PAC ID: 3971889528 Enrollment ID: I20230316000490 |
| Provider Name | Caroline N Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457812463 PECOS PAC ID: 7719351642 Enrollment ID: I20230316000812 |
| Provider Name | Jessica Luvisi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013638329 PECOS PAC ID: 5193199784 Enrollment ID: I20230322001253 |
| Provider Name | Shelbye M Schweinhart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003349036 PECOS PAC ID: 9739553066 Enrollment ID: I20230328000424 |
| Provider Name | Jasmine L Grier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790301125 PECOS PAC ID: 9739553926 Enrollment ID: I20230330001884 |
| Provider Name | Ralph Pickard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780655795 PECOS PAC ID: 0648601880 Enrollment ID: I20230406000508 |
| Provider Name | Kristen E Rao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710252119 PECOS PAC ID: 8123326782 Enrollment ID: I20230406001852 |
| Provider Name | Morgan E Kopka |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770296360 PECOS PAC ID: 2365817202 Enrollment ID: I20230407000488 |
| Provider Name | Kacy M Metzner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730613795 PECOS PAC ID: 7214302165 Enrollment ID: I20230407000769 |
| Provider Name | Kayla N Brenzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518679349 PECOS PAC ID: 6901271766 Enrollment ID: I20230407001600 |
| Provider Name | Soraya A Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477251544 PECOS PAC ID: 5496110660 Enrollment ID: I20230424002035 |
| Provider Name | Amanda G Reeder |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982315883 PECOS PAC ID: 5496110314 Enrollment ID: I20230428000979 |
| Provider Name | Maggie Willman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831896869 PECOS PAC ID: 7810353968 Enrollment ID: I20230516003379 |
| Provider Name | Marty S Clayman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932294972 PECOS PAC ID: 7012133002 Enrollment ID: I20230518002667 |
| Provider Name | Joel Stenzel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073597175 PECOS PAC ID: 0749290666 Enrollment ID: I20230519000144 |
| Provider Name | Barry Halpern |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144212515 PECOS PAC ID: 0244564995 Enrollment ID: I20230519001275 |
| Provider Name | Molly Dempsey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942578125 PECOS PAC ID: 8527281757 Enrollment ID: I20230523001534 |
| Provider Name | Sarah L Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518456888 PECOS PAC ID: 3577920370 Enrollment ID: I20230609002425 |
| Provider Name | Kimberly Marie Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083308134 PECOS PAC ID: 0446618912 Enrollment ID: I20230615003108 |
| Provider Name | Sarah Aprn Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821796889 PECOS PAC ID: 8921466111 Enrollment ID: I20230620003221 |
| Provider Name | Lauren Christine Evanczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093181422 PECOS PAC ID: 2062722721 Enrollment ID: I20230622000844 |
| Provider Name | Erin R Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497452387 PECOS PAC ID: 7113387499 Enrollment ID: I20230718002938 |
| Provider Name | Sabrina Kordes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801558804 PECOS PAC ID: 0547621252 Enrollment ID: I20230727002702 |
| Provider Name | Logan M Eberly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427476027 PECOS PAC ID: 7517329329 Enrollment ID: I20230810002863 |
| Provider Name | Sarah Maloy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235700667 PECOS PAC ID: 2062874886 Enrollment ID: I20230810003339 |
| Provider Name | Jonathan C Vacek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962897538 PECOS PAC ID: 5193008282 Enrollment ID: I20230815002387 |
| Provider Name | Lucy C Aldridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881222867 PECOS PAC ID: 8820450224 Enrollment ID: I20230817000398 |
| Provider Name | Daniel A Hirselj |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962603175 PECOS PAC ID: 6204989775 Enrollment ID: I20230818002935 |
| Provider Name | Aaron Samide |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720519697 PECOS PAC ID: 4587027016 Enrollment ID: I20230830003023 |
| Provider Name | Amanda M Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578900056 PECOS PAC ID: 7113167982 Enrollment ID: I20230831001972 |
| Provider Name | Allison N Lyle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700312469 PECOS PAC ID: 2567731011 Enrollment ID: I20230831002226 |
| Provider Name | Laura E Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063192888 PECOS PAC ID: 2466816285 Enrollment ID: I20230913000666 |
| Provider Name | Stephanie M Barton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912438979 PECOS PAC ID: 4880963701 Enrollment ID: I20230914003814 |
| Provider Name | Lauren R Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134796931 PECOS PAC ID: 8527422005 Enrollment ID: I20230918000507 |
| Provider Name | Michael Shawn Orangias |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013302405 PECOS PAC ID: 2860707270 Enrollment ID: I20230918002035 |
| Provider Name | Jessica A Jahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235814542 PECOS PAC ID: 3779947064 Enrollment ID: I20230920000817 |
| Provider Name | Margaret J Means |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922531748 PECOS PAC ID: 4880048172 Enrollment ID: I20230920001284 |
| Provider Name | Katelynn B Prewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205427044 PECOS PAC ID: 2961856257 Enrollment ID: I20230920001327 |
| Provider Name | Hira Waseem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215461272 PECOS PAC ID: 4486008778 Enrollment ID: I20230920001422 |
| Provider Name | Rebecca M Callahan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992206932 PECOS PAC ID: 9537513841 Enrollment ID: I20230920002011 |
| Provider Name | Erin L Iverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174282081 PECOS PAC ID: 0446642334 Enrollment ID: I20230922001350 |
| Provider Name | Ibrahim J Haddad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366401960 PECOS PAC ID: 4082895636 Enrollment ID: I20230927000515 |
| Provider Name | Huma N Rasheed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841724705 PECOS PAC ID: 3678841517 Enrollment ID: I20230927000782 |
| Provider Name | Lauren S Talley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154862308 PECOS PAC ID: 2062866858 Enrollment ID: I20230927003562 |
| Provider Name | Kelly Jenkins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255865895 PECOS PAC ID: 8426316035 Enrollment ID: I20230929003051 |
| Provider Name | Christina M Dionne |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598246407 PECOS PAC ID: 3779937297 Enrollment ID: I20231002001826 |
| Provider Name | Megan B Coriell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689101552 PECOS PAC ID: 0648519397 Enrollment ID: I20231003000508 |
| Provider Name | Rachel L Evans |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285167460 PECOS PAC ID: 8921453135 Enrollment ID: I20231009000454 |
| Provider Name | Emily B Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922658293 PECOS PAC ID: 2365897469 Enrollment ID: I20231010001499 |
| Provider Name | Claire E Milligan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861186678 PECOS PAC ID: 6507211547 Enrollment ID: I20231011003958 |
| Provider Name | Anthony Lee Silverio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376839183 PECOS PAC ID: 3072891399 Enrollment ID: I20231016001818 |
| Provider Name | Jason W Mitchell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699921627 PECOS PAC ID: 1557416906 Enrollment ID: I20231021000425 |
| Provider Name | Maggie Y Chang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992202287 PECOS PAC ID: 8921454224 Enrollment ID: I20231023002271 |
| Provider Name | Briana M Craddock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285411629 PECOS PAC ID: 7315393576 Enrollment ID: I20231024001716 |
| Provider Name | Daniel Sloven |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013903855 PECOS PAC ID: 9931198850 Enrollment ID: I20231027001340 |
| Provider Name | Courtney J Giannini |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770164501 PECOS PAC ID: 6305292251 Enrollment ID: I20231027003402 |
| Provider Name | Christie L Buonpane |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003234568 PECOS PAC ID: 1254635667 Enrollment ID: I20231101002359 |
| Provider Name | Bailey W Young |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366979304 PECOS PAC ID: 6608243787 Enrollment ID: I20231102001163 |
| Provider Name | John P Hauschildt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922072099 PECOS PAC ID: 1355443334 Enrollment ID: I20231102003186 |
| Provider Name | Ankur Datta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750553665 PECOS PAC ID: 9234358425 Enrollment ID: I20231109003260 |
| Provider Name | Austin M Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811684400 PECOS PAC ID: 6608223789 Enrollment ID: I20231110001800 |
| Provider Name | Lydia Kuo-bonde |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669796389 PECOS PAC ID: 0749433175 Enrollment ID: I20231115002201 |
| Provider Name | Jaime L Velasco Masson |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1356541197 PECOS PAC ID: 4183872898 Enrollment ID: I20231120002275 |
| Provider Name | Alexis M Begezda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396271607 PECOS PAC ID: 6305260514 Enrollment ID: I20231122002893 |
| Provider Name | Danella Rodriguez Adorno |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700034691 PECOS PAC ID: 5799064887 Enrollment ID: I20231127000253 |
| Provider Name | Marquetta R Moore |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295285971 PECOS PAC ID: 9739537853 Enrollment ID: I20231130001774 |
| Provider Name | Pankaj Nagaraj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306040985 PECOS PAC ID: 3971885831 Enrollment ID: I20231204003403 |
| Provider Name | Jennifer L Dumey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427834548 PECOS PAC ID: 6608225222 Enrollment ID: I20231207003932 |
| Provider Name | Morgan Molitor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477208338 PECOS PAC ID: 3375938541 Enrollment ID: I20231211001862 |
| Provider Name | Paul Fisher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619932894 PECOS PAC ID: 8527080258 Enrollment ID: I20231211002308 |
| Provider Name | Kerby Albert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568236164 PECOS PAC ID: 2365891322 Enrollment ID: I20231215001598 |
| Provider Name | Missy S Hawes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043380363 PECOS PAC ID: 6002265923 Enrollment ID: I20231218000530 |
| Provider Name | Jaclyn Gerard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013696798 PECOS PAC ID: 7618327495 Enrollment ID: I20231219003363 |
| Provider Name | Karen L Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295507457 PECOS PAC ID: 7719337484 Enrollment ID: I20231220002953 |
| Provider Name | Jennifer O Hockenbury |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851894828 PECOS PAC ID: 1557711199 Enrollment ID: I20231222002081 |
| Provider Name | Mary E Dedman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932120193 PECOS PAC ID: 6800246448 Enrollment ID: I20231222002150 |
| Provider Name | Lorraine Rust-killeen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255328084 PECOS PAC ID: 1658721931 Enrollment ID: I20231228002652 |
| Provider Name | Victor Francisco Coloso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225090038 PECOS PAC ID: 3274636261 Enrollment ID: I20240104000935 |
| Provider Name | Anees Siddiqui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447462940 PECOS PAC ID: 0446423040 Enrollment ID: I20240104002506 |
| Provider Name | Corinne Meredith Streble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477954451 PECOS PAC ID: 0749598423 Enrollment ID: I20240108004863 |
| Provider Name | Megan Millmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639943483 PECOS PAC ID: 3476904012 Enrollment ID: I20240109001176 |
| Provider Name | Benjamin Lyvers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174026132 PECOS PAC ID: 7113378654 Enrollment ID: I20240109001475 |
| Provider Name | Dary J Costa |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184826273 PECOS PAC ID: 9638348196 Enrollment ID: I20240110000104 |
| Provider Name | Emily Anne Hickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356885305 PECOS PAC ID: 9537412044 Enrollment ID: I20240110000573 |
| Provider Name | Vera A Okwu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871736504 PECOS PAC ID: 2567779473 Enrollment ID: I20240111000616 |
| Provider Name | Ivory Shelton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902425986 PECOS PAC ID: 4981055050 Enrollment ID: I20240112003273 |
| Provider Name | Leena Mohapatra |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629365622 PECOS PAC ID: 4183076003 Enrollment ID: I20240116004496 |
| Provider Name | Jaime Haumesser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578877668 PECOS PAC ID: 5395197966 Enrollment ID: I20240118004242 |
| Provider Name | Vijay E Menon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124123633 PECOS PAC ID: 2062804933 Enrollment ID: I20240122004418 |
| Provider Name | Tessa Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801248141 PECOS PAC ID: 3274827662 Enrollment ID: I20240202002208 |
| Provider Name | Heather I Blomeley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073620704 PECOS PAC ID: 5597869073 Enrollment ID: I20240206002546 |
| Provider Name | Enrique N Ponte |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699856005 PECOS PAC ID: 2466622063 Enrollment ID: I20240209002639 |
| Provider Name | Dora Nkuh Ngwang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528313368 PECOS PAC ID: 5698904183 Enrollment ID: I20240212002220 |
| Provider Name | Amy M Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831964030 PECOS PAC ID: 4183067598 Enrollment ID: I20240213000308 |
| Provider Name | George N Youssef |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538124839 PECOS PAC ID: 9234141524 Enrollment ID: I20240215002416 |
| Provider Name | Mary T Killian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013449743 PECOS PAC ID: 6608210620 Enrollment ID: I20240219000957 |
| Provider Name | Anurag Arora |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649630203 PECOS PAC ID: 9830512458 Enrollment ID: I20240223002909 |
| Provider Name | Kaitlin G Kenney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811382583 PECOS PAC ID: 0941558506 Enrollment ID: I20240226003120 |
| Provider Name | Pamela C Biddle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396724522 PECOS PAC ID: 9931544202 Enrollment ID: I20240226003492 |
| Provider Name | Mary C Oechslin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316421472 PECOS PAC ID: 3476998402 Enrollment ID: I20240229003474 |
| Provider Name | Giselle M Marrero-celmente |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376746230 PECOS PAC ID: 4486099215 Enrollment ID: I20240301003182 |
| Provider Name | Patrick Hynes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972582104 PECOS PAC ID: 7416393038 Enrollment ID: I20240306000708 |
| Provider Name | Helen Vidali Fountain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609855436 PECOS PAC ID: 4789805714 Enrollment ID: I20240306004355 |
| Provider Name | Jena M Bilinovic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518489046 PECOS PAC ID: 7214202803 Enrollment ID: I20240312000422 |
| Provider Name | Jonathan L Brandon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194949883 PECOS PAC ID: 7810168226 Enrollment ID: I20240312003159 |
| Provider Name | Brianna S Redman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700471174 PECOS PAC ID: 3476999350 Enrollment ID: I20240313004574 |
| Provider Name | Alaina Dunkelberger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437690542 PECOS PAC ID: 9537437371 Enrollment ID: I20240313004582 |
| Provider Name | Divya Ramdas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780206458 PECOS PAC ID: 1456798057 Enrollment ID: I20240319000609 |
| Provider Name | Esperanza Pacheco-jacome |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467483016 PECOS PAC ID: 6507264306 Enrollment ID: I20240321001569 |
| Provider Name | Clinton Nowicke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831745223 PECOS PAC ID: 3274970140 Enrollment ID: I20240327002327 |
| Provider Name | Rose A Hawkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992208896 PECOS PAC ID: 1153768965 Enrollment ID: I20240328000004 |
| Provider Name | Danial Ibrahim Mir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245658962 PECOS PAC ID: 6507084928 Enrollment ID: I20240328000995 |
| Provider Name | Richard E Mccarthy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457339715 PECOS PAC ID: 8325054539 Enrollment ID: I20240329002352 |
| Provider Name | Clare M Batty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730717273 PECOS PAC ID: 5698113215 Enrollment ID: I20240402002302 |
| Provider Name | Kaitlyn A Newton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528696572 PECOS PAC ID: 3476992371 Enrollment ID: I20240411001917 |
| Provider Name | Shannon L Hall-million |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932623576 PECOS PAC ID: 6800235326 Enrollment ID: I20240417001564 |
| Provider Name | Courtney E Kassel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265899769 PECOS PAC ID: 9234422452 Enrollment ID: I20240418004218 |
| Provider Name | Amanda M Greenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528824810 PECOS PAC ID: 9436599016 Enrollment ID: I20240430001247 |
| Provider Name | Theresa Frey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952565657 PECOS PAC ID: 4981872470 Enrollment ID: I20240501001572 |
| Provider Name | Anna M Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447922547 PECOS PAC ID: 6608266457 Enrollment ID: I20240501001996 |
| Provider Name | Samson O Otuwa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750356846 PECOS PAC ID: 9537103841 Enrollment ID: I20240514000616 |
| Provider Name | Alyssa N Conley Hamlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740818434 PECOS PAC ID: 8426499757 Enrollment ID: I20240516003438 |
| Provider Name | Laurie M Grimes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518056415 PECOS PAC ID: 9335581115 Enrollment ID: I20240524000699 |
| Provider Name | Timothy Shiveley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528265659 PECOS PAC ID: 1951574177 Enrollment ID: I20240606002918 |
| Provider Name | Courtney Ann Pierron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811516875 PECOS PAC ID: 9537537642 Enrollment ID: I20240606003352 |
Normal Life Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9901 Linn Station Rd, Louisville, KY 40223 Phone: 800-866-0860 | |
The Home Of The Innocents Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 E Market St, Louisville, KY 40206 Phone: 502-596-1088 Fax: 502-596-1449 | |
Brite Pointe Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 324 Dale Rd, Louisville, KY 40229 Phone: 502-713-1041 Fax: 502-277-1528 | |
Meghana Suchak Phd, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4010 Dupont Cir Ste 574, Louisville, KY 40207 Phone: 502-912-1498 | |
Hmr Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Saint Matthews Ave, Ste. 9, Louisville, KY 40207 Phone: 502-899-3205 Fax: 502-899-1403 | |
Neuroscience Associates, Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Audubon Plaza Dr, Suite 110, Louisville, KY 40217 Phone: 502-634-3433 Fax: 502-634-3494 | |
Family Links Of Kentucky,psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3715 Bardstown Rd, Suite 415, Louisville, KY 40218 Phone: 502-458-4530 Fax: 502-458-2070 |