|
| |
|
8700 Sudley Rd Manassas VA 20110-4418 | |
| (703) 396-8580 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8700 Sudley Rd, Manassas, Virginia |
| Authorized Official Name and Position | Chuck D Coder (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 8048352069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 936952 Atlanta GA 31193-6952 Ph: () - | 8700 Sudley Rd Manassas VA 20110-4418 Ph: (703) 396-8580 |
| NPI Number | 1285185538 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Medicare PECOS PAC ID | 4688587967 |
|---|---|
| Medicare Enrollment ID | O20110311000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285185538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Taja Helen Josephs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417932815 PECOS PAC ID: 6103720230 Enrollment ID: I20031120000969 |
| Provider Name | Steven W Von Elten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730138744 PECOS PAC ID: 2365347127 Enrollment ID: I20031204000585 |
| Provider Name | David C Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346299443 PECOS PAC ID: 6002711868 Enrollment ID: I20031204000626 |
| Provider Name | Amy L Trace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841308566 PECOS PAC ID: 4688579451 Enrollment ID: I20031204000643 |
| Provider Name | Kimberly S Arnstine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992727762 PECOS PAC ID: 6204731086 Enrollment ID: I20031204000665 |
| Provider Name | Christopher Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235151739 PECOS PAC ID: 1355246141 Enrollment ID: I20031204000768 |
| Provider Name | Gregory S Golub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639111867 PECOS PAC ID: 0749185551 Enrollment ID: I20031204000858 |
| Provider Name | Charles H F Sturm |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366420705 PECOS PAC ID: 5698665271 Enrollment ID: I20040317001095 |
| Provider Name | Mary E Potter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588666283 PECOS PAC ID: 9830003169 Enrollment ID: I20040421000193 |
| Provider Name | Stella Ekaette Bassey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821070475 PECOS PAC ID: 8123000387 Enrollment ID: I20040602001226 |
| Provider Name | Yemisrach Mulugeta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770675829 PECOS PAC ID: 5496720344 Enrollment ID: I20040901001482 |
| Provider Name | Victoria C Hammonds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336130590 PECOS PAC ID: 8426024290 Enrollment ID: I20040903000119 |
| Provider Name | James B Min |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801871165 PECOS PAC ID: 1153397781 Enrollment ID: I20040907000117 |
| Provider Name | Steven J Tang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497752604 PECOS PAC ID: 1951377597 Enrollment ID: I20040907000137 |
| Provider Name | Danja S Groves |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265575666 PECOS PAC ID: 1658336797 Enrollment ID: I20041130000801 |
| Provider Name | Christopher R Heaton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770588725 PECOS PAC ID: 5294725982 Enrollment ID: I20050105000443 |
| Provider Name | Faisal A Almeflehi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497741268 PECOS PAC ID: 3678528635 Enrollment ID: I20050314000340 |
| Provider Name | Mohamed Tiouririne |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881729358 PECOS PAC ID: 2365413101 Enrollment ID: I20050324000754 |
| Provider Name | Michel Kahaleh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134264740 PECOS PAC ID: 2264489244 Enrollment ID: I20050401000209 |
| Provider Name | Thomas Charles Dotson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659356079 PECOS PAC ID: 1456390715 Enrollment ID: I20050428000176 |
| Provider Name | Brandi Nicholson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912076548 PECOS PAC ID: 2264477553 Enrollment ID: I20050627001327 |
| Provider Name | Amy K Moreno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235175332 PECOS PAC ID: 3870520398 Enrollment ID: I20050726000694 |
| Provider Name | Jeffrey S Kessel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104804913 PECOS PAC ID: 4486612652 Enrollment ID: I20050812000548 |
| Provider Name | Chari Vaughnese Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265417240 PECOS PAC ID: 8325079346 Enrollment ID: I20050829000913 |
| Provider Name | Joanne Gutliph |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639151319 PECOS PAC ID: 9537073309 Enrollment ID: I20050830000513 |
| Provider Name | Mark Gloudeman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750306825 PECOS PAC ID: 9234035718 Enrollment ID: I20050920000662 |
| Provider Name | Michael Gatchalian Escano |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1336129147 PECOS PAC ID: 1557395704 Enrollment ID: I20050927000166 |
| Provider Name | Nihil Chand Theodore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326049008 PECOS PAC ID: 7618902776 Enrollment ID: I20050928000589 |
| Provider Name | Andrew Chung |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427151612 PECOS PAC ID: 1052371499 Enrollment ID: I20051202000169 |
| Provider Name | Rene L Ernest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013071018 PECOS PAC ID: 7719900257 Enrollment ID: I20060110000955 |
| Provider Name | Eugene Louie-ng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164476818 PECOS PAC ID: 9537176417 Enrollment ID: I20060317000306 |
| Provider Name | Michael D Moxley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437147758 PECOS PAC ID: 9931116662 Enrollment ID: I20060321000362 |
| Provider Name | Nina J Solenski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861561409 PECOS PAC ID: 6305854456 Enrollment ID: I20060330000589 |
| Provider Name | Karen C Johnston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629147236 PECOS PAC ID: 3476561523 Enrollment ID: I20060330000603 |
| Provider Name | Bradford B Worrall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821167461 PECOS PAC ID: 5496763567 Enrollment ID: I20060331000063 |
| Provider Name | James E Ferguson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912942962 PECOS PAC ID: 8527090760 Enrollment ID: I20060331000257 |
| Provider Name | Christian A Chisholm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013086636 PECOS PAC ID: 2062420185 Enrollment ID: I20060331000373 |
| Provider Name | David M Pfeffer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124108600 PECOS PAC ID: 0840196325 Enrollment ID: I20060419000604 |
| Provider Name | Gregg R Eure |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316927163 PECOS PAC ID: 2466465737 Enrollment ID: I20060803000396 |
| Provider Name | James S Oleksa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699711515 PECOS PAC ID: 5496751000 Enrollment ID: I20061004000439 |
| Provider Name | Leah D Kroeger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588692586 PECOS PAC ID: 6709885148 Enrollment ID: I20061212000233 |
| Provider Name | James W Denton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649251521 PECOS PAC ID: 3577668201 Enrollment ID: I20070425000107 |
| Provider Name | Brian A Hazen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164458121 PECOS PAC ID: 5193821965 Enrollment ID: I20070511000138 |
| Provider Name | Zia Roshandel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295776995 PECOS PAC ID: 5698871481 Enrollment ID: I20070511000290 |
| Provider Name | Imran Akram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053449389 PECOS PAC ID: 9234237124 Enrollment ID: I20070530000378 |
| Provider Name | Todd M Stevens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326056011 PECOS PAC ID: 8921033606 Enrollment ID: I20070613000171 |
| Provider Name | Rachel A Jansen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952453482 PECOS PAC ID: 4789784869 Enrollment ID: I20070703000516 |
| Provider Name | Paul A Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750355525 PECOS PAC ID: 0446344162 Enrollment ID: I20070925000645 |
| Provider Name | Bary M Berger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407960735 PECOS PAC ID: 0244334621 Enrollment ID: I20070927000971 |
| Provider Name | Chukwudi B Anyalebechi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427035443 PECOS PAC ID: 6901821776 Enrollment ID: I20071001000183 |
| Provider Name | Mohammad Fareed Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467470088 PECOS PAC ID: 4385530823 Enrollment ID: I20071004000301 |
| Provider Name | Ara M Maranian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821076142 PECOS PAC ID: 7911092002 Enrollment ID: I20071004000344 |
| Provider Name | Mirza Mohammed Ali Baig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659572386 PECOS PAC ID: 4183710734 Enrollment ID: I20071012000519 |
| Provider Name | Ashutosh B Diwan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144214958 PECOS PAC ID: 4688666878 Enrollment ID: I20071023000284 |
| Provider Name | Dena L Menzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629164645 PECOS PAC ID: 4688761554 Enrollment ID: I20071025000117 |
| Provider Name | Roland A Quaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407043656 PECOS PAC ID: 6608957295 Enrollment ID: I20080122000279 |
| Provider Name | Robert R Fuller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386651628 PECOS PAC ID: 9931179322 Enrollment ID: I20080229000188 |
| Provider Name | Janet L Breslin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154321636 PECOS PAC ID: 1557433653 Enrollment ID: I20080707000592 |
| Provider Name | Evelyn M Acquaye |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558354969 PECOS PAC ID: 3577552066 Enrollment ID: I20080712000079 |
| Provider Name | Heidi D Gorsuch-rafferty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518981661 PECOS PAC ID: 9032107115 Enrollment ID: I20080715000116 |
| Provider Name | Audrey E Graham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972725265 PECOS PAC ID: 2466525308 Enrollment ID: I20080724000811 |
| Provider Name | Stephen A Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013942135 PECOS PAC ID: 6800960360 Enrollment ID: I20080731000359 |
| Provider Name | Kamrul Kashem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710933320 PECOS PAC ID: 8527070119 Enrollment ID: I20080814000338 |
| Provider Name | Christopher M Sharrow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134333149 PECOS PAC ID: 9638245897 Enrollment ID: I20080911000714 |
| Provider Name | Amitkumar V Dave |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124277231 PECOS PAC ID: 8325116270 Enrollment ID: I20081006000550 |
| Provider Name | Tae S Chung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417942566 PECOS PAC ID: 4880695212 Enrollment ID: I20081008000455 |
| Provider Name | Marwa Abdelfattah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225251572 PECOS PAC ID: 5193884195 Enrollment ID: I20081105000708 |
| Provider Name | Mubasher Fazal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740275551 PECOS PAC ID: 8628178621 Enrollment ID: I20081114000549 |
| Provider Name | Gregg D Weinberg |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1457301822 PECOS PAC ID: 1153413166 Enrollment ID: I20081121000268 |
| Provider Name | Douglas Roy Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235232661 PECOS PAC ID: 6406917848 Enrollment ID: I20081204000211 |
| Provider Name | Ivan F Harangozo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366551905 PECOS PAC ID: 7113081209 Enrollment ID: I20090204000642 |
| Provider Name | Munira M Dabhiya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003071994 PECOS PAC ID: 5193889764 Enrollment ID: I20090424000477 |
| Provider Name | Ghazaleh Aram |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154499069 PECOS PAC ID: 5597814962 Enrollment ID: I20090514000571 |
| Provider Name | Izuchukwu A Obi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710150362 PECOS PAC ID: 7517028756 Enrollment ID: I20090618000088 |
| Provider Name | Joseph S Haas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588708903 PECOS PAC ID: 1456402205 Enrollment ID: I20090723000557 |
| Provider Name | Christopher S Mccullough |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952496382 PECOS PAC ID: 5597741660 Enrollment ID: I20090818000133 |
| Provider Name | Young K Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932106911 PECOS PAC ID: 8123173200 Enrollment ID: I20090826000608 |
| Provider Name | Carlos J Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972648103 PECOS PAC ID: 8325193337 Enrollment ID: I20090827000061 |
| Provider Name | Donna Lisa Wicker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023128931 PECOS PAC ID: 3274688247 Enrollment ID: I20090827000664 |
| Provider Name | Kimberly A Ragan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427277656 PECOS PAC ID: 8527113844 Enrollment ID: I20090909000581 |
| Provider Name | Lawrence S Lepler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477613958 PECOS PAC ID: 6901814987 Enrollment ID: I20091005000076 |
| Provider Name | Abdul Ahad Faisal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467448589 PECOS PAC ID: 2062301674 Enrollment ID: I20091009000455 |
| Provider Name | Vivian A Nzedu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659349975 PECOS PAC ID: 8224010988 Enrollment ID: I20091016000562 |
| Provider Name | Stacy A Dehal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922009265 PECOS PAC ID: 0941349195 Enrollment ID: I20091201000058 |
| Provider Name | Frederick W Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922008291 PECOS PAC ID: 4688752298 Enrollment ID: I20091210000092 |
| Provider Name | Robert A W Latimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053311555 PECOS PAC ID: 6709953045 Enrollment ID: I20091210000155 |
| Provider Name | Scott A Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841290129 PECOS PAC ID: 0244307585 Enrollment ID: I20091210000214 |
| Provider Name | Francis Xavier Ratchford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487654067 PECOS PAC ID: 4789751025 Enrollment ID: I20091210000229 |
| Provider Name | Maria E Pace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316917644 PECOS PAC ID: 6305842311 Enrollment ID: I20100113000494 |
| Provider Name | Douglas J Markert |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1114907631 PECOS PAC ID: 1052317062 Enrollment ID: I20100119000149 |
| Provider Name | John A Harrison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043481336 PECOS PAC ID: 0547302507 Enrollment ID: I20100128000893 |
| Provider Name | Nasir Rasheed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598726390 PECOS PAC ID: 6305900796 Enrollment ID: I20100209000633 |
| Provider Name | Adam B Winick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508820499 PECOS PAC ID: 5799781704 Enrollment ID: I20100211000256 |
| Provider Name | Joseph F Chambers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376543645 PECOS PAC ID: 6507933843 Enrollment ID: I20100218000745 |
| Provider Name | Joshua D King |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073735668 PECOS PAC ID: 3577699925 Enrollment ID: I20100325000124 |
| Provider Name | Craig Reigel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861440182 PECOS PAC ID: 6507992963 Enrollment ID: I20100325000202 |
| Provider Name | John C Hardy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619956158 PECOS PAC ID: 9133267933 Enrollment ID: I20100330000978 |
| Provider Name | Michael D Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609876135 PECOS PAC ID: 3779482088 Enrollment ID: I20100604000302 |
| Provider Name | Andrea Jackson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528179215 PECOS PAC ID: 9830198795 Enrollment ID: I20100719000682 |
| Provider Name | Sarah H Erickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821274721 PECOS PAC ID: 3971637141 Enrollment ID: I20100810001079 |
| Provider Name | Nicole D Dirienzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316151632 PECOS PAC ID: 2163556887 Enrollment ID: I20100817001269 |
| Provider Name | Carissa Dear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609195338 PECOS PAC ID: 0345364683 Enrollment ID: I20100824000499 |
| Provider Name | Alain Drooz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922032119 PECOS PAC ID: 5294623013 Enrollment ID: I20100921001470 |
| Provider Name | Thomas Edward Myers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750350930 PECOS PAC ID: 9335203330 Enrollment ID: I20101108000776 |
| Provider Name | Michele T Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467768044 PECOS PAC ID: 8224224753 Enrollment ID: I20101123001011 |
| Provider Name | Tsz W Ng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427059286 PECOS PAC ID: 1951361864 Enrollment ID: I20101202001278 |
| Provider Name | Constance G Corbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386743466 PECOS PAC ID: 6709075443 Enrollment ID: I20110111000278 |
| Provider Name | Lauren Pate Lehmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447213210 PECOS PAC ID: 4880874742 Enrollment ID: I20110209000698 |
| Provider Name | Thelma Ayensu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881883882 PECOS PAC ID: 7012102098 Enrollment ID: I20110216000561 |
| Provider Name | Zan Raza Zaidi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376747212 PECOS PAC ID: 6800077165 Enrollment ID: I20110221000689 |
| Provider Name | Adnan Jamil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750588232 PECOS PAC ID: 7517095656 Enrollment ID: I20110303000994 |
| Provider Name | Thomas E Achter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578873394 PECOS PAC ID: 7618159864 Enrollment ID: I20110308001065 |
| Provider Name | Cheri L Coyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992712277 PECOS PAC ID: 8921179813 Enrollment ID: I20110309000622 |
| Provider Name | Aqeel A. Jafri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437332780 PECOS PAC ID: 9032259429 Enrollment ID: I20110324000525 |
| Provider Name | Angelina R Harman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992911713 PECOS PAC ID: 8426231499 Enrollment ID: I20110329000516 |
| Provider Name | Crystal Mcgovern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063714244 PECOS PAC ID: 9032394366 Enrollment ID: I20110429000428 |
| Provider Name | Andrew Jay Keller |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1205928876 PECOS PAC ID: 7113915026 Enrollment ID: I20110504000729 |
| Provider Name | Jeffrey W Bell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336118553 PECOS PAC ID: 1153507538 Enrollment ID: I20110519000442 |
| Provider Name | Fikirte Fesseha Teferedgin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689847972 PECOS PAC ID: 3577623131 Enrollment ID: I20110519000866 |
| Provider Name | Laura Nelson Lawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295869543 PECOS PAC ID: 9335231927 Enrollment ID: I20110601000447 |
| Provider Name | Elisa Kucia |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700066842 PECOS PAC ID: 2466648449 Enrollment ID: I20110802000110 |
| Provider Name | Andrew M Southerland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972632974 PECOS PAC ID: 1153590401 Enrollment ID: I20110803000481 |
| Provider Name | Jin H Park |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225033038 PECOS PAC ID: 3274532221 Enrollment ID: I20110808000012 |
| Provider Name | Wesley Raymond Hodgson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104899624 PECOS PAC ID: 0345410767 Enrollment ID: I20110823000217 |
| Provider Name | Carrie Elizabeth Sopata |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306040886 PECOS PAC ID: 7517137243 Enrollment ID: I20110907000846 |
| Provider Name | Valerie S Oare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881974939 PECOS PAC ID: 5991977720 Enrollment ID: I20111020000213 |
| Provider Name | Jonathan Robert Amy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245237718 PECOS PAC ID: 0345248670 Enrollment ID: I20111026000919 |
| Provider Name | Mark A Bartolozzi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881652329 PECOS PAC ID: 8123046919 Enrollment ID: I20111115000285 |
| Provider Name | Joseph J Magalski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114984200 PECOS PAC ID: 4183642986 Enrollment ID: I20111118000018 |
| Provider Name | Jennifer B Humberson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669681094 PECOS PAC ID: 0648304410 Enrollment ID: I20111219000341 |
| Provider Name | Kurwa Nyigu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417925272 PECOS PAC ID: 7416928650 Enrollment ID: I20120225000178 |
| Provider Name | Gilbert Irwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588649990 PECOS PAC ID: 3173783693 Enrollment ID: I20120321000363 |
| Provider Name | Vikram Khot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760477145 PECOS PAC ID: 4880761170 Enrollment ID: I20120821000240 |
| Provider Name | Michael Hanley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114017852 PECOS PAC ID: 1355598681 Enrollment ID: I20120821001126 |
| Provider Name | Ahsan Q Jafir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942489638 PECOS PAC ID: 5294819454 Enrollment ID: I20120827000262 |
| Provider Name | Rebecca A Rehmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003044140 PECOS PAC ID: 5890946453 Enrollment ID: I20121108000440 |
| Provider Name | Elaine Y Fan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679896591 PECOS PAC ID: 0749473023 Enrollment ID: I20121218000151 |
| Provider Name | Sai Diwakar Kuchibhotla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548570039 PECOS PAC ID: 7911196472 Enrollment ID: I20130424000837 |
| Provider Name | Iris Amarante |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164693917 PECOS PAC ID: 0042382764 Enrollment ID: I20130718000445 |
| Provider Name | Gaurav Bhatia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184886806 PECOS PAC ID: 6800040940 Enrollment ID: I20130720000075 |
| Provider Name | Susan B Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003156407 PECOS PAC ID: 8820236102 Enrollment ID: I20130723000127 |
| Provider Name | Carolyn J Mason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588806137 PECOS PAC ID: 7315188794 Enrollment ID: I20130727000023 |
| Provider Name | Sherita N Chapman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144485244 PECOS PAC ID: 0547403602 Enrollment ID: I20130821000828 |
| Provider Name | Soujanya Biragoni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639400963 PECOS PAC ID: 2264675974 Enrollment ID: I20130828000629 |
| Provider Name | Michelle Kladakis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902896616 PECOS PAC ID: 9234108796 Enrollment ID: I20130903000680 |
| Provider Name | Dana D Mohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427496496 PECOS PAC ID: 8729221122 Enrollment ID: I20130904000822 |
| Provider Name | Nirav Kishore Thakkar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144579327 PECOS PAC ID: 4981848926 Enrollment ID: I20130913000263 |
| Provider Name | Christa Marie Thornberry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093798357 PECOS PAC ID: 1153555347 Enrollment ID: I20131001000124 |
| Provider Name | Christopher David Edens |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396092987 PECOS PAC ID: 6709010515 Enrollment ID: I20131010001168 |
| Provider Name | Laura Kharsa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598993552 PECOS PAC ID: 3870729775 Enrollment ID: I20131125000924 |
| Provider Name | Theresa A Ganoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316290083 PECOS PAC ID: 1759533656 Enrollment ID: I20131231001983 |
| Provider Name | Melanie A Rosin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962838219 PECOS PAC ID: 8921236183 Enrollment ID: I20140115000233 |
| Provider Name | Xiaoyin L Home |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215197066 PECOS PAC ID: 4880869981 Enrollment ID: I20140131001929 |
| Provider Name | Ajay G Narola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912243528 PECOS PAC ID: 4183866759 Enrollment ID: I20140305000562 |
| Provider Name | Evelyn Roxana Saldana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003244260 PECOS PAC ID: 4880825892 Enrollment ID: I20140314001152 |
| Provider Name | Faraz Masood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609071661 PECOS PAC ID: 8426242066 Enrollment ID: I20140410000021 |
| Provider Name | Ermias Mekonnen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346436276 PECOS PAC ID: 2567610306 Enrollment ID: I20140730000583 |
| Provider Name | Shahzad Haider |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619260379 PECOS PAC ID: 6709003361 Enrollment ID: I20140806000754 |
| Provider Name | Jaimie Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427324920 PECOS PAC ID: 5597982876 Enrollment ID: I20140811000375 |
| Provider Name | Rizwan Ahmed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841469061 PECOS PAC ID: 6002972023 Enrollment ID: I20140814002481 |
| Provider Name | Elizabeth Munter Lavery |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710126321 PECOS PAC ID: 8729227897 Enrollment ID: I20140917000525 |
| Provider Name | Paul C De Marco |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841514528 PECOS PAC ID: 8426286907 Enrollment ID: I20140919001515 |
| Provider Name | Donald J Dudley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003923095 PECOS PAC ID: 7012064975 Enrollment ID: I20140922000007 |
| Provider Name | Aswani Suthrave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013942341 PECOS PAC ID: 9638176506 Enrollment ID: I20140922002072 |
| Provider Name | T. S. M Jafar Sadiq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669537171 PECOS PAC ID: 0446347942 Enrollment ID: I20140929002594 |
| Provider Name | Janice Soliven |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346536075 PECOS PAC ID: 5991952640 Enrollment ID: I20141002001128 |
| Provider Name | Amanda Aldridge-schamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982012589 PECOS PAC ID: 8325268782 Enrollment ID: I20141007000591 |
| Provider Name | Annelee Boyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235421777 PECOS PAC ID: 1759551534 Enrollment ID: I20141014001328 |
| Provider Name | Werksew Tesfaye Turi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821377458 PECOS PAC ID: 4486883717 Enrollment ID: I20141106001733 |
| Provider Name | James Eeds Crozier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447218581 PECOS PAC ID: 1658364542 Enrollment ID: I20141109000014 |
| Provider Name | Susan Copsetta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649672494 PECOS PAC ID: 1850613969 Enrollment ID: I20141201000227 |
| Provider Name | Stephanie J Spytek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306878954 PECOS PAC ID: 3375604986 Enrollment ID: I20141215001432 |
| Provider Name | Waseem Ismail Aziz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023038270 PECOS PAC ID: 9436184116 Enrollment ID: I20150107001372 |
| Provider Name | Terrance L Pyles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790749109 PECOS PAC ID: 8820314438 Enrollment ID: I20150225001880 |
| Provider Name | Christine L Cardone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821262551 PECOS PAC ID: 0547331100 Enrollment ID: I20150226000126 |
| Provider Name | Stanley B Washington |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1831163831 PECOS PAC ID: 8426110982 Enrollment ID: I20150313001352 |
| Provider Name | Melissa S Mehiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255729372 PECOS PAC ID: 8527385673 Enrollment ID: I20150330000423 |
| Provider Name | Arunan Siva Vamadevan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457546236 PECOS PAC ID: 4486975562 Enrollment ID: I20150618002985 |
| Provider Name | Erik C Osborn |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659471472 PECOS PAC ID: 6305022302 Enrollment ID: I20150623002875 |
| Provider Name | Ann E Radford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508849456 PECOS PAC ID: 7810904703 Enrollment ID: I20150706001936 |
| Provider Name | Adnan Hussain |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215297429 PECOS PAC ID: 9335451269 Enrollment ID: I20150727000654 |
| Provider Name | Rachel M Paul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699099275 PECOS PAC ID: 8921239187 Enrollment ID: I20150821013567 |
| Provider Name | A. Christopher Amirali Moosavi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1083826630 PECOS PAC ID: 9234454554 Enrollment ID: I20150901000774 |
| Provider Name | Andrew C Schomer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144457599 PECOS PAC ID: 8921315227 Enrollment ID: I20150918002007 |
| Provider Name | Nanette Schell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417355124 PECOS PAC ID: 1456668540 Enrollment ID: I20150922003197 |
| Provider Name | Jennifer N An |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508168089 PECOS PAC ID: 3870749757 Enrollment ID: I20150930002659 |
| Provider Name | Jessica S Sheeran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477843324 PECOS PAC ID: 5193953040 Enrollment ID: I20151009002345 |
| Provider Name | Mackenzie R Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821467473 PECOS PAC ID: 6507167848 Enrollment ID: I20151210002456 |
| Provider Name | Shubhada Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194072090 PECOS PAC ID: 5496907305 Enrollment ID: I20160112003058 |
| Provider Name | Armin Aalami Harandi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700010287 PECOS PAC ID: 5890958359 Enrollment ID: I20160119001524 |
| Provider Name | Gracia W Smarte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740321488 PECOS PAC ID: 4082504493 Enrollment ID: I20160126002171 |
| Provider Name | Aanchal Jain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295997625 PECOS PAC ID: 9638326945 Enrollment ID: I20160202000829 |
| Provider Name | Jennifer L Broyles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467868919 PECOS PAC ID: 9234358342 Enrollment ID: I20160309001650 |
| Provider Name | Sharon D Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649655630 PECOS PAC ID: 1557667748 Enrollment ID: I20160315000961 |
| Provider Name | Leonardo R Espinel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871555995 PECOS PAC ID: 9234238379 Enrollment ID: I20160419001630 |
| Provider Name | Zeeshan Javaid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184917171 PECOS PAC ID: 4385891092 Enrollment ID: I20160609001209 |
| Provider Name | Mounika Tummala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437462413 PECOS PAC ID: 3072741636 Enrollment ID: I20160616001027 |
| Provider Name | Arjun G Karkhanis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336465806 PECOS PAC ID: 9638476575 Enrollment ID: I20160617001876 |
| Provider Name | Anastasia Longchamps Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346201126 PECOS PAC ID: 3779878368 Enrollment ID: I20160822001301 |
| Provider Name | Priyadarshan Kaur Tulsi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487604039 PECOS PAC ID: 1951696558 Enrollment ID: I20160822001629 |
| Provider Name | Matthew Philip Harrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801897228 PECOS PAC ID: 6608967864 Enrollment ID: I20160830002575 |
| Provider Name | Alfred C Burris |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578738639 PECOS PAC ID: 4789715681 Enrollment ID: I20160915000575 |
| Provider Name | Chantal Devaru Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679834683 PECOS PAC ID: 7517253602 Enrollment ID: I20160916000507 |
| Provider Name | Sunny S Chiao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013274000 PECOS PAC ID: 5496982340 Enrollment ID: I20160920000575 |
| Provider Name | Gandhrav Telhan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669819389 PECOS PAC ID: 7315241387 Enrollment ID: I20160927002754 |
| Provider Name | Shereen May Ansay Villamor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609122449 PECOS PAC ID: 9133417496 Enrollment ID: I20161019001999 |
| Provider Name | Floyd V Burton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932117322 PECOS PAC ID: 2264486174 Enrollment ID: I20161025000326 |
| Provider Name | Jennifer Marie Staley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053864918 PECOS PAC ID: 8426336579 Enrollment ID: I20161025001905 |
| Provider Name | Nicole Chiota-mccollum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689812406 PECOS PAC ID: 9830348895 Enrollment ID: I20161031001671 |
| Provider Name | Nebiyu Biru |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780983320 PECOS PAC ID: 8426274929 Enrollment ID: I20161219001636 |
| Provider Name | Sehar A Khokher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871785972 PECOS PAC ID: 7315084472 Enrollment ID: I20170106001080 |
| Provider Name | Meredith R Cary-morrissette |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558493791 PECOS PAC ID: 1557644598 Enrollment ID: I20170216002051 |
| Provider Name | Kevin D Stocker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467422493 PECOS PAC ID: 8628145745 Enrollment ID: I20170220000218 |
| Provider Name | Blessy Sebastian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548715261 PECOS PAC ID: 1759664899 Enrollment ID: I20170316000293 |
| Provider Name | Denyse R Bailey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801940531 PECOS PAC ID: 4688950462 Enrollment ID: I20170410001489 |
| Provider Name | Joanne M Ondrush |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467525261 PECOS PAC ID: 4789639303 Enrollment ID: I20170424001677 |
| Provider Name | Claudine G Meyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457551814 PECOS PAC ID: 1456427020 Enrollment ID: I20170512000452 |
| Provider Name | Tahir Manzoor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801823430 PECOS PAC ID: 1355231143 Enrollment ID: I20170516002375 |
| Provider Name | Saumya N Gill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528265964 PECOS PAC ID: 8628234242 Enrollment ID: I20170526001938 |
| Provider Name | Olubukola Bolaji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497750277 PECOS PAC ID: 7911815741 Enrollment ID: I20170606003119 |
| Provider Name | Duane Campbell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770771529 PECOS PAC ID: 4385768894 Enrollment ID: I20170626000511 |
| Provider Name | Christine G Cleaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649364159 PECOS PAC ID: 3678476611 Enrollment ID: I20170807002862 |
| Provider Name | Jason John Madey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245466937 PECOS PAC ID: 2062791569 Enrollment ID: I20171023000331 |
| Provider Name | Alan E Benheim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750369351 PECOS PAC ID: 5294721098 Enrollment ID: I20171023001072 |
| Provider Name | Patience N Ekperi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912344979 PECOS PAC ID: 4789824632 Enrollment ID: I20171227000076 |
| Provider Name | Justin D Faul |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659531150 PECOS PAC ID: 7012041312 Enrollment ID: I20180104001111 |
| Provider Name | Ryan Christopher Inocencio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386886216 PECOS PAC ID: 3678795077 Enrollment ID: I20180118002079 |
| Provider Name | Richard Craig Stockwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063707792 PECOS PAC ID: 4688975238 Enrollment ID: I20180129000024 |
| Provider Name | Scott A Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710400999 PECOS PAC ID: 1557621133 Enrollment ID: I20180130000479 |
| Provider Name | Kylie Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689187205 PECOS PAC ID: 4183986128 Enrollment ID: I20180403000104 |
| Provider Name | Jan S Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548320492 PECOS PAC ID: 4789975806 Enrollment ID: I20180423000944 |
| Provider Name | Emily Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154820512 PECOS PAC ID: 9638433600 Enrollment ID: I20180430001342 |
| Provider Name | Sonia Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134636012 PECOS PAC ID: 6800150087 Enrollment ID: I20180516002170 |
| Provider Name | Sana Kamal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811237324 PECOS PAC ID: 6204191315 Enrollment ID: I20180521000322 |
| Provider Name | Mirza S Baig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578586236 PECOS PAC ID: 3072595743 Enrollment ID: I20180613001935 |
| Provider Name | Mohammad A Abidi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295153690 PECOS PAC ID: 8921224338 Enrollment ID: I20180625002451 |
| Provider Name | Stephanie W. Gabrys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639615446 PECOS PAC ID: 6103102967 Enrollment ID: I20180712002686 |
| Provider Name | Brijesh Bharatbhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528367349 PECOS PAC ID: 9335383074 Enrollment ID: I20180713000249 |
| Provider Name | Mark Hughey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366700395 PECOS PAC ID: 1759522691 Enrollment ID: I20180716001457 |
| Provider Name | Vivian Nangoyi Nakawala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609363647 PECOS PAC ID: 8628325719 Enrollment ID: I20180720000150 |
| Provider Name | Kossi Pierre Eklou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609360635 PECOS PAC ID: 9335490432 Enrollment ID: I20181001000276 |
| Provider Name | Gloria Inthisone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962990812 PECOS PAC ID: 9234483892 Enrollment ID: I20181116002258 |
| Provider Name | Christabel Lartey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962762237 PECOS PAC ID: 4688928484 Enrollment ID: I20181206003255 |
| Provider Name | Amanda Baird Street |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649767773 PECOS PAC ID: 7315282662 Enrollment ID: I20181214001818 |
| Provider Name | Victor Yu |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1104144906 PECOS PAC ID: 5496978918 Enrollment ID: I20190117004002 |
| Provider Name | Christy Elizabeth Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639654452 PECOS PAC ID: 4183961196 Enrollment ID: I20190129003911 |
| Provider Name | Adedute A Gbadehan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720282429 PECOS PAC ID: 9931407616 Enrollment ID: I20190201000590 |
| Provider Name | Chelsea Kidd Kadak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518432723 PECOS PAC ID: 0446598650 Enrollment ID: I20190214000048 |
| Provider Name | Aron K Mccloud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891073110 PECOS PAC ID: 3274839592 Enrollment ID: I20190226002836 |
| Provider Name | Michael Andrew Cole |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013983501 PECOS PAC ID: 3274766613 Enrollment ID: I20190319000239 |
| Provider Name | Christopher Scott Ennen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407836646 PECOS PAC ID: 9335379981 Enrollment ID: I20190320001128 |
| Provider Name | Andrew B Evans |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063692721 PECOS PAC ID: 7315116100 Enrollment ID: I20190411002467 |
| Provider Name | John Christopher Morris |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376864488 PECOS PAC ID: 9830407485 Enrollment ID: I20190507002076 |
| Provider Name | Matthew R Thames |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669868220 PECOS PAC ID: 5395052625 Enrollment ID: I20190522001202 |
| Provider Name | Heather L Cannova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518440825 PECOS PAC ID: 8224362959 Enrollment ID: I20190628001129 |
| Provider Name | Kiley Quintana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730541491 PECOS PAC ID: 8527351659 Enrollment ID: I20190806003792 |
| Provider Name | Mohammed Choudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588921308 PECOS PAC ID: 9436437027 Enrollment ID: I20190808002003 |
| Provider Name | Oladunni Ayanru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790291136 PECOS PAC ID: 2466789615 Enrollment ID: I20190809001971 |
| Provider Name | Brian T Fogarty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033182712 PECOS PAC ID: 2567644636 Enrollment ID: I20190826003975 |
| Provider Name | Michael Kaplan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1720016595 PECOS PAC ID: 1557391497 Enrollment ID: I20190827001766 |
| Provider Name | Jennifer Rickerby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295395002 PECOS PAC ID: 8729317516 Enrollment ID: I20190903003034 |
| Provider Name | Elizabeth Zubowicz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1679899439 PECOS PAC ID: 0244549285 Enrollment ID: I20190905001686 |
| Provider Name | Kara E Siford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740625557 PECOS PAC ID: 3971745548 Enrollment ID: I20190906002353 |
| Provider Name | Saqib A Chaudhry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902168438 PECOS PAC ID: 7517295769 Enrollment ID: I20190911003324 |
| Provider Name | Rebecca Elizabeth Rieck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184983702 PECOS PAC ID: 9830340975 Enrollment ID: I20191003001874 |
| Provider Name | Asad Rizvi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356787048 PECOS PAC ID: 6305131574 Enrollment ID: I20191008002044 |
| Provider Name | Nicholas Dugan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649617101 PECOS PAC ID: 0042525420 Enrollment ID: I20191009001722 |
| Provider Name | David Mark Demaria |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043553852 PECOS PAC ID: 8820228653 Enrollment ID: I20191105000101 |
| Provider Name | Whitney D Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285284182 PECOS PAC ID: 7911339056 Enrollment ID: I20191112001206 |
| Provider Name | Matthew Kucia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477935096 PECOS PAC ID: 8123320249 Enrollment ID: I20191113000764 |
| Provider Name | Maria E Moreno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659716918 PECOS PAC ID: 8224267091 Enrollment ID: I20191118002722 |
| Provider Name | Patricia Obeng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750937751 PECOS PAC ID: 2860724523 Enrollment ID: I20191125002083 |
| Provider Name | Samina Zaidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154385391 PECOS PAC ID: 4385769769 Enrollment ID: I20191212000019 |
| Provider Name | Ivory Lira |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114393170 PECOS PAC ID: 2264749803 Enrollment ID: I20191217000628 |
| Provider Name | Hema Gajula |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750637641 PECOS PAC ID: 3678851961 Enrollment ID: I20200103002277 |
| Provider Name | Robel Haile |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265661326 PECOS PAC ID: 4789820507 Enrollment ID: I20200114002661 |
| Provider Name | Costanza D Rutland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053484725 PECOS PAC ID: 4284822461 Enrollment ID: I20200115003243 |
| Provider Name | Sadhna Nicky Singh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225083280 PECOS PAC ID: 5597952531 Enrollment ID: I20200116002363 |
| Provider Name | Mahmood Sulliman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144791096 PECOS PAC ID: 4688904899 Enrollment ID: I20200121002645 |
| Provider Name | Andrew Seung-eun Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336341239 PECOS PAC ID: 2365635281 Enrollment ID: I20200312000933 |
| Provider Name | Adeleke A Ogunmefun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982668265 PECOS PAC ID: 3072594845 Enrollment ID: I20200330000995 |
| Provider Name | Tracey F Gibson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679816508 PECOS PAC ID: 6305112665 Enrollment ID: I20200406001113 |
| Provider Name | Alexandra D Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356974422 PECOS PAC ID: 4981033297 Enrollment ID: I20200408001996 |
| Provider Name | Raza Yunus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225475973 PECOS PAC ID: 1153620018 Enrollment ID: I20200514002248 |
| Provider Name | Manoj Kumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730371196 PECOS PAC ID: 4880719293 Enrollment ID: I20200522000869 |
| Provider Name | Michael E Cunningham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417184946 PECOS PAC ID: 7618205543 Enrollment ID: I20200608000926 |
| Provider Name | Hyun Wook Hong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346696721 PECOS PAC ID: 4789910464 Enrollment ID: I20200622000935 |
| Provider Name | Andrew Kohler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568993475 PECOS PAC ID: 5991078354 Enrollment ID: I20200623000940 |
| Provider Name | Adam Beardsley |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1245650258 PECOS PAC ID: 6800121252 Enrollment ID: I20200716003180 |
| Provider Name | Eric C Noh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912438201 PECOS PAC ID: 0941573265 Enrollment ID: I20200717001697 |
| Provider Name | Jessica M Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174176754 PECOS PAC ID: 1456681600 Enrollment ID: I20200803002812 |
| Provider Name | Suman D Matiana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053755298 PECOS PAC ID: 1951536507 Enrollment ID: I20200805003398 |
| Provider Name | William A Dalrymple |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073909891 PECOS PAC ID: 5496062713 Enrollment ID: I20200812001257 |
| Provider Name | Dana Clark Rice |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124268230 PECOS PAC ID: 7113161373 Enrollment ID: I20200813003585 |
| Provider Name | Kalpana Thammineni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346566189 PECOS PAC ID: 3274958681 Enrollment ID: I20200825002304 |
| Provider Name | Ashley Hampton Shields |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699192849 PECOS PAC ID: 5890009518 Enrollment ID: I20200831002936 |
| Provider Name | Tiffany A Stoddard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720114846 PECOS PAC ID: 1557517893 Enrollment ID: I20200902002552 |
| Provider Name | Lisa C Poirier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316563711 PECOS PAC ID: 3476971300 Enrollment ID: I20200909002509 |
| Provider Name | Amanda Gatling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639799497 PECOS PAC ID: 3173941648 Enrollment ID: I20200915002374 |
| Provider Name | Sheriff D. Akinleye |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1770825986 PECOS PAC ID: 5294087623 Enrollment ID: I20200921000385 |
| Provider Name | Simeon A Melaku |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609300870 PECOS PAC ID: 5193145159 Enrollment ID: I20201014000751 |
| Provider Name | Linda Nabha |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558520601 PECOS PAC ID: 9537303995 Enrollment ID: I20201014002605 |
| Provider Name | Sowmya Nanjappa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942565403 PECOS PAC ID: 4981825379 Enrollment ID: I20201016000363 |
| Provider Name | Jarid Tareen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184043622 PECOS PAC ID: 1759680739 Enrollment ID: I20201016001362 |
| Provider Name | Christian O Perez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881985695 PECOS PAC ID: 5193027704 Enrollment ID: I20201027001453 |
| Provider Name | Anila Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619264959 PECOS PAC ID: 2860613973 Enrollment ID: I20201028000674 |
| Provider Name | Joseph St. Pierre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588028294 PECOS PAC ID: 6204180581 Enrollment ID: I20201110001079 |
| Provider Name | Necrisha Nadia Cleavia Roach |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073969903 PECOS PAC ID: 0244524718 Enrollment ID: I20201111002746 |
| Provider Name | Mohammad A Ghairatmal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679824239 PECOS PAC ID: 2567758972 Enrollment ID: I20201121000108 |
| Provider Name | N. Abimbola Sunmonu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487909727 PECOS PAC ID: 6800195884 Enrollment ID: I20201201002216 |
| Provider Name | Sarah Welsh Burgdorf |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801213780 PECOS PAC ID: 5193053346 Enrollment ID: I20201202002057 |
| Provider Name | Neel B Shah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912162819 PECOS PAC ID: 6103971379 Enrollment ID: I20201202002601 |
| Provider Name | Julia Zefirova |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346472933 PECOS PAC ID: 0840455424 Enrollment ID: I20201203001008 |
| Provider Name | Christopher Curtis Frymoyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568824829 PECOS PAC ID: 0749572410 Enrollment ID: I20201229001789 |
| Provider Name | Marissa Stridiron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154635811 PECOS PAC ID: 2668664251 Enrollment ID: I20210107001064 |
| Provider Name | David M Hanrahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033347125 PECOS PAC ID: 2163835398 Enrollment ID: I20210108000173 |
| Provider Name | Mary Fahrmeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245252303 PECOS PAC ID: 4880657527 Enrollment ID: I20210108000257 |
| Provider Name | Isabella Kanellopoulou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245354083 PECOS PAC ID: 4981782810 Enrollment ID: I20210108001347 |
| Provider Name | Jamie Lorraine Evans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962664789 PECOS PAC ID: 6901044379 Enrollment ID: I20210108001387 |
| Provider Name | Elida O Drew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457947236 PECOS PAC ID: 6204249014 Enrollment ID: I20210114002478 |
| Provider Name | Douglas M Ikelheimer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508979519 PECOS PAC ID: 1759347396 Enrollment ID: I20210119001213 |
| Provider Name | Sandeep S Saran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033538459 PECOS PAC ID: 8123432861 Enrollment ID: I20210120003065 |
| Provider Name | Mark D Alter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730263617 PECOS PAC ID: 5991855330 Enrollment ID: I20210202000728 |
| Provider Name | Daniel W Bradford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851350326 PECOS PAC ID: 3173543725 Enrollment ID: I20210203001106 |
| Provider Name | Julia K Cornett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679884738 PECOS PAC ID: 3779779251 Enrollment ID: I20210222000310 |
| Provider Name | Jennifer Handy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659692507 PECOS PAC ID: 6608017298 Enrollment ID: I20210310002476 |
| Provider Name | Sadikshya Giri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215523014 PECOS PAC ID: 4486061223 Enrollment ID: I20210330001088 |
| Provider Name | Marbella Moreno-mccarthy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326406927 PECOS PAC ID: 5294031555 Enrollment ID: I20210412002457 |
| Provider Name | Nicole C White |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972897387 PECOS PAC ID: 7911122619 Enrollment ID: I20210419002322 |
| Provider Name | Mina Marie Demarco |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1013203546 PECOS PAC ID: 3779730833 Enrollment ID: I20210506000194 |
| Provider Name | Jonathan Michael Curley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477900157 PECOS PAC ID: 3476835737 Enrollment ID: I20210622001547 |
| Provider Name | Brittany Deiling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447606793 PECOS PAC ID: 8426348681 Enrollment ID: I20210716001812 |
| Provider Name | Robert Duprey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013365428 PECOS PAC ID: 6103117080 Enrollment ID: I20210721002703 |
| Provider Name | Michael Scully |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790951887 PECOS PAC ID: 3678762903 Enrollment ID: I20210728001410 |
| Provider Name | Talat Qadeer Alvi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184881245 PECOS PAC ID: 4385777473 Enrollment ID: I20210827000505 |
| Provider Name | Julie Y Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154709400 PECOS PAC ID: 0648542407 Enrollment ID: I20210831003516 |
| Provider Name | Alison R Goldenberg |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1407233836 PECOS PAC ID: 9032455886 Enrollment ID: I20210910000116 |
| Provider Name | Gabriel Sanchez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235525783 PECOS PAC ID: 4789917840 Enrollment ID: I20211004000384 |
| Provider Name | Victor Khayat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750329454 PECOS PAC ID: 6800809146 Enrollment ID: I20211004002063 |
| Provider Name | Sophia Loveland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447925466 PECOS PAC ID: 1153729488 Enrollment ID: I20211018000724 |
| Provider Name | Charlotte Schiestel Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326111394 PECOS PAC ID: 6901077932 Enrollment ID: I20211104001033 |
| Provider Name | Bruno Perossa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346657889 PECOS PAC ID: 5092934513 Enrollment ID: I20211130001104 |
| Provider Name | Kodjovi Kodjo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780100958 PECOS PAC ID: 7517203177 Enrollment ID: I20211227000984 |
| Provider Name | Erin Lee Tompkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942644190 PECOS PAC ID: 7810217304 Enrollment ID: I20220113000002 |
| Provider Name | Chi Wing Pang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033716311 PECOS PAC ID: 6103234182 Enrollment ID: I20220309000042 |
| Provider Name | Kunal M Ajmera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134548894 PECOS PAC ID: 6406075779 Enrollment ID: I20220316003284 |
| Provider Name | Emily Jacobs |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992452254 PECOS PAC ID: 7810382280 Enrollment ID: I20220322000600 |
| Provider Name | Sadaf Sultana Ijaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609084664 PECOS PAC ID: 0345422978 Enrollment ID: I20220509000477 |
| Provider Name | Endra Sookoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386933158 PECOS PAC ID: 3577868934 Enrollment ID: I20220622003314 |
| Provider Name | Josette Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538809926 PECOS PAC ID: 5890174635 Enrollment ID: I20220624000345 |
| Provider Name | Karen Severson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689787426 PECOS PAC ID: 0840364030 Enrollment ID: I20220628003804 |
| Provider Name | Osakhuemen Ihenyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013437102 PECOS PAC ID: 4082009584 Enrollment ID: I20220629001770 |
| Provider Name | Richard W Lussier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841722303 PECOS PAC ID: 9931589793 Enrollment ID: I20220711001691 |
| Provider Name | Pasha Darvishi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689037970 PECOS PAC ID: 8729469887 Enrollment ID: I20220729002364 |
| Provider Name | Michael Mazzeffi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053571687 PECOS PAC ID: 7214171990 Enrollment ID: I20220801001384 |
| Provider Name | Ashley Nicole Lentine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245799287 PECOS PAC ID: 5799167722 Enrollment ID: I20220808000404 |
| Provider Name | Julia Katherine Shuster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841853785 PECOS PAC ID: 2860728268 Enrollment ID: I20220808002224 |
| Provider Name | Bridget Anne Latimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477284594 PECOS PAC ID: 9133501067 Enrollment ID: I20220809001285 |
| Provider Name | Amy Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942358783 PECOS PAC ID: 9032186903 Enrollment ID: I20220812000260 |
| Provider Name | Hannah B Morrissey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104386887 PECOS PAC ID: 2668855016 Enrollment ID: I20220817001773 |
| Provider Name | James Dean Free |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396278198 PECOS PAC ID: 9739566613 Enrollment ID: I20220818000322 |
| Provider Name | Megan E Neils |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417391897 PECOS PAC ID: 5395972236 Enrollment ID: I20220831004010 |
| Provider Name | Ginger A Sorensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952033938 PECOS PAC ID: 5294119624 Enrollment ID: I20220901003205 |
| Provider Name | Anmoldeep Singh Ghuman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871054304 PECOS PAC ID: 6305176934 Enrollment ID: I20220912001376 |
| Provider Name | Aaron Sachs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467795195 PECOS PAC ID: 1254552912 Enrollment ID: I20220913000940 |
| Provider Name | Naghmeh Pirsaharkhizlangroudi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245766617 PECOS PAC ID: 3173908084 Enrollment ID: I20220913003042 |
| Provider Name | Afua Ayim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336686245 PECOS PAC ID: 9234461773 Enrollment ID: I20220923002072 |
| Provider Name | Isabel Marie Maples |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972227643 PECOS PAC ID: 8426424235 Enrollment ID: I20221019002772 |
| Provider Name | Karleny I. Beltran Alvarado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881229870 PECOS PAC ID: 8325466964 Enrollment ID: I20221024000248 |
| Provider Name | Kahlil Ashley Gaiters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982257960 PECOS PAC ID: 2365854148 Enrollment ID: I20221024000313 |
| Provider Name | Alice Mckinzie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720025075 PECOS PAC ID: 7012261167 Enrollment ID: I20221102001453 |
| Provider Name | Moustafa Moustafa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932595907 PECOS PAC ID: 9133436470 Enrollment ID: I20221107000913 |
| Provider Name | James Mapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659090785 PECOS PAC ID: 1254709165 Enrollment ID: I20221128001846 |
| Provider Name | Sisay G Dejene |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558821876 PECOS PAC ID: 1557730165 Enrollment ID: I20221202001757 |
| Provider Name | Beverlyn Silberbauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841758638 PECOS PAC ID: 1254701956 Enrollment ID: I20221221000152 |
| Provider Name | Sailey Nimmagadda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477112142 PECOS PAC ID: 9133450513 Enrollment ID: I20230119001144 |
| Provider Name | Michael Lin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295851285 PECOS PAC ID: 2769864784 Enrollment ID: I20230127001190 |
| Provider Name | Parminder Kaur |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134571557 PECOS PAC ID: 5496127227 Enrollment ID: I20230203002271 |
| Provider Name | Lindy Prevatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285354019 PECOS PAC ID: 1153793203 Enrollment ID: I20230217002394 |
| Provider Name | Sarah Yowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386237964 PECOS PAC ID: 8628442928 Enrollment ID: I20230329000591 |
| Provider Name | Carolyn Michelle Matthews |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1649213158 PECOS PAC ID: 1557372398 Enrollment ID: I20230330002843 |
| Provider Name | Donald L Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801504634 PECOS PAC ID: 3072988955 Enrollment ID: I20230406000498 |
| Provider Name | Wahu Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093485989 PECOS PAC ID: 0840655148 Enrollment ID: I20230420000068 |
| Provider Name | Balraj Singh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1316355662 PECOS PAC ID: 0143592212 Enrollment ID: I20230421000644 |
| Provider Name | Nicole L Polster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841929486 PECOS PAC ID: 8022473214 Enrollment ID: I20230421001464 |
| Provider Name | Amy E Crider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154964112 PECOS PAC ID: 9335504901 Enrollment ID: I20230503003647 |
| Provider Name | Nikunjkumar Madhubhai Rabadiya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669602512 PECOS PAC ID: 7416109137 Enrollment ID: I20230523003022 |
| Provider Name | Casey J Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376243022 PECOS PAC ID: 3173980570 Enrollment ID: I20230530002450 |
| Provider Name | Henry Osso-rivera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942557863 PECOS PAC ID: 5991125981 Enrollment ID: I20230605000131 |
| Provider Name | James Kiely |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205911096 PECOS PAC ID: 6608061783 Enrollment ID: I20230605000748 |
| Provider Name | Matthew Scott Markert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073951539 PECOS PAC ID: 4981902699 Enrollment ID: I20230606000152 |
| Provider Name | Waleed Raheem Abood Abood |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083065148 PECOS PAC ID: 8921391624 Enrollment ID: I20230607000099 |
| Provider Name | Rebecca Laquey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306474804 PECOS PAC ID: 9638537475 Enrollment ID: I20230703001449 |
| Provider Name | Salam Chalouhi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538323332 PECOS PAC ID: 1557519550 Enrollment ID: I20230711003582 |
| Provider Name | Manjari Kumar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932763794 PECOS PAC ID: 1658608377 Enrollment ID: I20230712001288 |
| Provider Name | Mechele Silva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033182084 PECOS PAC ID: 8628093473 Enrollment ID: I20230718001966 |
| Provider Name | Safia F Mohamud |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851822571 PECOS PAC ID: 1456637917 Enrollment ID: I20230719001689 |
| Provider Name | Denise T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063034296 PECOS PAC ID: 2062843774 Enrollment ID: I20230724000805 |
| Provider Name | Vivek Satyasi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326530734 PECOS PAC ID: 8527442003 Enrollment ID: I20230727000388 |
| Provider Name | David K Charles |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588169015 PECOS PAC ID: 6204256167 Enrollment ID: I20230801004279 |
| Provider Name | Nicole T Barbour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295425676 PECOS PAC ID: 6709248040 Enrollment ID: I20230817002369 |
| Provider Name | Robert Ricketts |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467749606 PECOS PAC ID: 3779909494 Enrollment ID: I20230831003557 |
| Provider Name | Patricia Claire Scrivani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669932745 PECOS PAC ID: 0547595621 Enrollment ID: I20230831003631 |
| Provider Name | Alexis S Halyard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144742958 PECOS PAC ID: 9436580339 Enrollment ID: I20231006000400 |
| Provider Name | Saurabh Kashyap |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275068702 PECOS PAC ID: 3678975141 Enrollment ID: I20231017001906 |
| Provider Name | Nisha Surenderanath |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003992686 PECOS PAC ID: 9739277393 Enrollment ID: I20231018003525 |
| Provider Name | Jessica Marmo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891102018 PECOS PAC ID: 7113373671 Enrollment ID: I20231019003527 |
| Provider Name | Khalid Stanazai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437592672 PECOS PAC ID: 9537461280 Enrollment ID: I20231020002525 |
| Provider Name | Sreeramulu Kotakondla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285416842 PECOS PAC ID: 6406202191 Enrollment ID: I20231101002040 |
| Provider Name | Ksenia S Pillai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336657725 PECOS PAC ID: 0244575470 Enrollment ID: I20231106000583 |
| Provider Name | Shivam Dubey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073764577 PECOS PAC ID: 8325298755 Enrollment ID: I20231113000098 |
| Provider Name | Jeffrey A Kantor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154950053 PECOS PAC ID: 6608223557 Enrollment ID: I20231114002594 |
| Provider Name | Danielle A Dugan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194779116 PECOS PAC ID: 1951395532 Enrollment ID: I20231115001007 |
| Provider Name | Hani Nazha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952501249 PECOS PAC ID: 0244486470 Enrollment ID: I20231117002097 |
| Provider Name | Ariel Sepulveda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063488492 PECOS PAC ID: 9436047792 Enrollment ID: I20231122002324 |
| Provider Name | Laura Cordonnier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992266993 PECOS PAC ID: 1658727482 Enrollment ID: I20231128002764 |
| Provider Name | Maanasa Bandla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063972404 PECOS PAC ID: 7618203035 Enrollment ID: I20231205000111 |
| Provider Name | Viana C Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982487971 PECOS PAC ID: 1052760840 Enrollment ID: I20231205002146 |
| Provider Name | Jennifer S Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841973914 PECOS PAC ID: 8729437595 Enrollment ID: I20231206001267 |
| Provider Name | Ming Yuan Lien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588010177 PECOS PAC ID: 7719257617 Enrollment ID: I20231214002402 |
| Provider Name | Eman Ibrahim Bani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790344398 PECOS PAC ID: 1456700467 Enrollment ID: I20231214003897 |
| Provider Name | Johanna Torres-santiago |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659710721 PECOS PAC ID: 6204101744 Enrollment ID: I20231219000457 |
| Provider Name | Kendra M Weast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326827577 PECOS PAC ID: 1153771936 Enrollment ID: I20231219003422 |
| Provider Name | Simratdeep Sandhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215498373 PECOS PAC ID: 6305175340 Enrollment ID: I20231220002551 |
| Provider Name | Neel K Sharma |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255745121 PECOS PAC ID: 5193179687 Enrollment ID: I20231221000444 |
| Provider Name | Rami Abukamil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346685286 PECOS PAC ID: 9335440577 Enrollment ID: I20240102001314 |
| Provider Name | Suh H Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245904549 PECOS PAC ID: 5496144933 Enrollment ID: I20240108003758 |
| Provider Name | Ogugua T Anene Maidoh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609212000 PECOS PAC ID: 3173881067 Enrollment ID: I20240122002198 |
| Provider Name | Joshua C Pleasure |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073543609 PECOS PAC ID: 2769670579 Enrollment ID: I20240127000450 |
| Provider Name | Matthew Carpinello |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790059194 PECOS PAC ID: 2466888904 Enrollment ID: I20240130000097 |
| Provider Name | Vijay Adimoolam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588693857 PECOS PAC ID: 1658375852 Enrollment ID: I20240130003733 |
| Provider Name | Michaela F Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972182301 PECOS PAC ID: 1557764453 Enrollment ID: I20240207004348 |
| Provider Name | Bhavin Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1124445085 PECOS PAC ID: 3577807551 Enrollment ID: I20240221002385 |
| Provider Name | Jane M Dale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770344780 PECOS PAC ID: 1052756970 Enrollment ID: I20240301002329 |
| Provider Name | John A Young |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649244773 PECOS PAC ID: 8426080573 Enrollment ID: I20240303000033 |
| Provider Name | Ahmed A Maher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366819047 PECOS PAC ID: 6204237274 Enrollment ID: I20240318001256 |
| Provider Name | Madeline Renals |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487217550 PECOS PAC ID: 4880924737 Enrollment ID: I20240321000990 |
| Provider Name | Ashley D. Gettemy |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1952697849 PECOS PAC ID: 6709200322 Enrollment ID: I20240327000023 |
| Provider Name | Tabitha Perry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144597238 PECOS PAC ID: 0143484493 Enrollment ID: I20240327000418 |
| Provider Name | Wendy Heaton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356873038 PECOS PAC ID: 9739583162 Enrollment ID: I20240328001693 |
| Provider Name | Sahar Derakhshanian Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962065037 PECOS PAC ID: 7113257130 Enrollment ID: I20240329000656 |
| Provider Name | Gabrielle C Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811750813 PECOS PAC ID: 6709224777 Enrollment ID: I20240410000693 |
| Provider Name | Aeliya Kazmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245761238 PECOS PAC ID: 1456746791 Enrollment ID: I20240419002174 |
| Provider Name | Amel A Badr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528262904 PECOS PAC ID: 8820156466 Enrollment ID: I20240430002631 |
| Provider Name | Dana B Harbison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659477891 PECOS PAC ID: 8325013394 Enrollment ID: I20240502002594 |
| Provider Name | Alice J Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447612700 PECOS PAC ID: 4688968738 Enrollment ID: I20240521004742 |
| Provider Name | Reza Hashemipour |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861846958 PECOS PAC ID: 2264813013 Enrollment ID: I20240527000373 |
| Provider Name | Anne L Parsiola |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366079022 PECOS PAC ID: 3577008556 Enrollment ID: I20240715001289 |
| Provider Name | Christien Byun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023851383 PECOS PAC ID: 8022555267 Enrollment ID: I20240805004242 |
| Provider Name | Upasana Kochhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205280245 PECOS PAC ID: 3072850353 Enrollment ID: I20240808003608 |
| Provider Name | Zachary Elton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104454875 PECOS PAC ID: 3577981182 Enrollment ID: I20240814000686 |
| Provider Name | Rohit Sharda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962729053 PECOS PAC ID: 2163666033 Enrollment ID: I20240906000716 |
| Provider Name | Kimia Kashkooli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164086542 PECOS PAC ID: 9638593189 Enrollment ID: I20240924003983 |
| Provider Name | Simon H Telian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215027396 PECOS PAC ID: 0143316067 Enrollment ID: I20241001001895 |
| Provider Name | Shana R Bonner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215768460 PECOS PAC ID: 4880125665 Enrollment ID: I20241003002765 |
| Provider Name | Jose Chu Luo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821626060 PECOS PAC ID: 3870918923 Enrollment ID: I20241004001483 |
| Provider Name | Rebecca Hwang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386220945 PECOS PAC ID: 1052716156 Enrollment ID: I20241010003859 |
| Provider Name | Christopher D Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255820056 PECOS PAC ID: 0446500227 Enrollment ID: I20241014004026 |
| Provider Name | Ian T Greenwalt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720405665 PECOS PAC ID: 5193141810 Enrollment ID: I20241015001399 |
| Provider Name | Joshua G Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679102792 PECOS PAC ID: 4688098411 Enrollment ID: I20241023004429 |
| Provider Name | Joshua A. Jakum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548235427 PECOS PAC ID: 5799972998 Enrollment ID: I20241105002832 |
| Provider Name | Svetoslav Plamenov Hristov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336333590 PECOS PAC ID: 5890819841 Enrollment ID: I20241120002610 |
| Provider Name | Samuel Chijioke Onyewu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770901514 PECOS PAC ID: 6608168422 Enrollment ID: I20241127001254 |
| Provider Name | Stephanie M Finefrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669291357 PECOS PAC ID: 9234665274 Enrollment ID: I20241213000720 |
New Leaf Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8712 Sudley Rd, Manassas, VA 20110 Phone: 571-599-0312 | |
Counseling Bliss Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9246b Mosby St, Manassas, VA 20110 Phone: 571-358-1728 | |
Talako Industries Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8711 Plantation Ln Ste 301, Manassas, VA 20110 Phone: 703-345-0588 | |
Gpc Therapy Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9300 Forest Point Cir, Manassas, VA 20110 Phone: 703-508-4578 | |
Histeps Aba Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8409 Dorsey Cir Ste 201, Manassas, VA 20110 Phone: 703-403-6742 | |
Gateway Integrative Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9720 Capital Ct Ste 100, Manassas, VA 20110 Phone: 703-895-6466 | |
Northern Virginia Christian Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10620 Crestwood Dr, Manassas, VA 20109 Phone: 814-474-6454 |