| Pediatric Pain Treatment,pediatric Critical Care | |
|
300 Longwood Ave Boston MA 02115-5724 | |
| (617) 919-1340 | |
| (617) 919-1347 |
| Full Name | Pediatric Pain Treatment,pediatric Critical Care |
|---|---|
| Speciality | Anesthesiology |
| Location | 300 Longwood Ave, Boston, Massachusetts |
| Authorized Official Name and Position | Joseph P Cravero (ANESTHESIOLOGIST -IN-CHIEF) |
| Authorized Official Contact | 6173556457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Pain Treatment,pediatric Critical Care Po Box 843069 Boston MA 02284-3069 Ph: (617) 355-6000 | Pediatric Pain Treatment,pediatric Critical Care 300 Longwood Ave Boston MA 02115-5724 Ph: (617) 919-1340 |
| NPI Number | 1831268754 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Medicare PECOS PAC ID | 0446155568 |
|---|---|
| Medicare Enrollment ID | O20031203000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831268754 | NPI | - | NPPES |
| 9718508 | Medicaid | MA |
| Provider Name | Sarah M Hewitt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013983329 PECOS PAC ID: 4880687391 Enrollment ID: I20040420000206 |
| Provider Name | Michael S Agus |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952382301 PECOS PAC ID: 4587652623 Enrollment ID: I20040505001381 |
| Provider Name | Babu V Koka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982663431 PECOS PAC ID: 1850380221 Enrollment ID: I20040511000138 |
| Provider Name | Avinash C Shukla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932160124 PECOS PAC ID: 5597732974 Enrollment ID: I20040915000071 |
| Provider Name | Petra M Meier Haran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720040199 PECOS PAC ID: 5496715104 Enrollment ID: I20041018000304 |
| Provider Name | Craig D Mcclain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396705901 PECOS PAC ID: 8729979760 Enrollment ID: I20041019000396 |
| Provider Name | Susan L Sager |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114987708 PECOS PAC ID: 2860453776 Enrollment ID: I20041025000217 |
| Provider Name | Jennifer L Dearden |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194787556 PECOS PAC ID: 4789633504 Enrollment ID: I20050119000810 |
| Provider Name | Constance S Houck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720056096 PECOS PAC ID: 2860445277 Enrollment ID: I20050225000280 |
| Provider Name | Robert S Holzman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497714588 PECOS PAC ID: 3173579893 Enrollment ID: I20050325000360 |
| Provider Name | Jonathan D Griswold |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205885761 PECOS PAC ID: 5597712448 Enrollment ID: I20050404000546 |
| Provider Name | James A Dinardo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962496281 PECOS PAC ID: 4486601226 Enrollment ID: I20050405000252 |
| Provider Name | Sulpicio G Soriano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710947312 PECOS PAC ID: 7315994910 Enrollment ID: I20050406000166 |
| Provider Name | Sharon L Redd |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487694923 PECOS PAC ID: 2668429267 Enrollment ID: I20050406000189 |
| Provider Name | Christine D Greco |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1083682066 PECOS PAC ID: 4486691045 Enrollment ID: I20050414000715 |
| Provider Name | Arielle Y Mizrahi Arnaud |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295797660 PECOS PAC ID: 1759329071 Enrollment ID: I20050418001308 |
| Provider Name | Peter C Laussen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073584967 PECOS PAC ID: 7315986841 Enrollment ID: I20050425001233 |
| Provider Name | Annette Y Schure |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609826205 PECOS PAC ID: 3173563046 Enrollment ID: I20050510000767 |
| Provider Name | Mary Ellen Mccann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043289648 PECOS PAC ID: 6901847888 Enrollment ID: I20050520000558 |
| Provider Name | Christian Seefelder |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487613717 PECOS PAC ID: 0547203275 Enrollment ID: I20050603000700 |
| Provider Name | Linda A Bulich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992772669 PECOS PAC ID: 1759324767 Enrollment ID: I20050609000738 |
| Provider Name | Christine N Sang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548297492 PECOS PAC ID: 0749224632 Enrollment ID: I20050613000162 |
| Provider Name | Pete G Kovatsis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700845518 PECOS PAC ID: 1456395128 Enrollment ID: I20050614000314 |
| Provider Name | Navil F Sethna |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144280744 PECOS PAC ID: 8820032279 Enrollment ID: I20050616000069 |
| Provider Name | Alfonso Casta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861460149 PECOS PAC ID: 3476598962 Enrollment ID: I20050624000603 |
| Provider Name | Michael R Hernandez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184760381 PECOS PAC ID: 5890721179 Enrollment ID: I20050711000075 |
| Provider Name | Monica E Kleinman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831151711 PECOS PAC ID: 5698703890 Enrollment ID: I20050729000137 |
| Provider Name | Prabhakar Devavaram |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629046909 PECOS PAC ID: 1557399698 Enrollment ID: I20050801000027 |
| Provider Name | Robert C Pascucci |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194793752 PECOS PAC ID: 8022049089 Enrollment ID: I20050830000138 |
| Provider Name | Robert M Brustowicz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023086683 PECOS PAC ID: 1850323213 Enrollment ID: I20050907000178 |
| Provider Name | Tonya Lk Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164548194 PECOS PAC ID: 0143253971 Enrollment ID: I20050913000805 |
| Provider Name | Sabeena K Chacko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730157017 PECOS PAC ID: 8527091974 Enrollment ID: I20050915000590 |
| Provider Name | Roland R Brusseau |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063402535 PECOS PAC ID: 8921033911 Enrollment ID: I20050928000935 |
| Provider Name | Alyssa A Lebel |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1235123381 PECOS PAC ID: 7719904655 Enrollment ID: I20051029000054 |
| Provider Name | Mary F Landrigan Ossar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487616850 PECOS PAC ID: 4183647944 Enrollment ID: I20060106000513 |
| Provider Name | Lynne R Ferrari |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952360042 PECOS PAC ID: 7012924145 Enrollment ID: I20060315000412 |
| Provider Name | Richard H Blum |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023084381 PECOS PAC ID: 2860400017 Enrollment ID: I20060329000428 |
| Provider Name | John H Arnold |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306812417 PECOS PAC ID: 0446268361 Enrollment ID: I20060403000750 |
| Provider Name | Michael L Mcmanus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639131543 PECOS PAC ID: 5799793618 Enrollment ID: I20060403000766 |
| Provider Name | Julianne Bacsik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285601997 PECOS PAC ID: 7719996222 Enrollment ID: I20060411000705 |
| Provider Name | Jie Zhou |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780661058 PECOS PAC ID: 1254336159 Enrollment ID: I20060928000113 |
| Provider Name | Patricia R Bachiller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548351299 PECOS PAC ID: 8224035241 Enrollment ID: I20061103000179 |
| Provider Name | Ann Marie Rich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407822547 PECOS PAC ID: 8729092770 Enrollment ID: I20070412000137 |
| Provider Name | Christopher B Weldon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750485884 PECOS PAC ID: 8224135348 Enrollment ID: I20070523000617 |
| Provider Name | Joshua W Salvin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215917265 PECOS PAC ID: 5294821146 Enrollment ID: I20071023000666 |
| Provider Name | Mark Wesley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205034196 PECOS PAC ID: 2062593866 Enrollment ID: I20080118000083 |
| Provider Name | Daniel S Kohane |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457310393 PECOS PAC ID: 4082796487 Enrollment ID: I20080124000082 |
| Provider Name | Bistra G Vlassakova |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790812428 PECOS PAC ID: 2961584313 Enrollment ID: I20080124000464 |
| Provider Name | Dusica Bajic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477740538 PECOS PAC ID: 8921181397 Enrollment ID: I20080207000527 |
| Provider Name | Aykut Bilge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386608651 PECOS PAC ID: 0749369007 Enrollment ID: I20080512000475 |
| Provider Name | Michaela K Farber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821150517 PECOS PAC ID: 1153489687 Enrollment ID: I20081027000828 |
| Provider Name | Lisa M Bagley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386889616 PECOS PAC ID: 1153484753 Enrollment ID: I20090108000093 |
| Provider Name | Elena B Bafani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528026036 PECOS PAC ID: 2264583442 Enrollment ID: I20090629000411 |
| Provider Name | Carlos Munoz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023112455 PECOS PAC ID: 7012068034 Enrollment ID: I20090701000600 |
| Provider Name | Raymond S Dumont |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467411280 PECOS PAC ID: 3577614411 Enrollment ID: I20090706000446 |
| Provider Name | Koichi Yuki |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205965191 PECOS PAC ID: 3870645658 Enrollment ID: I20090709000472 |
| Provider Name | J William Sparks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366414013 PECOS PAC ID: 8224180849 Enrollment ID: I20090713000520 |
| Provider Name | Nilesh M Mehta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932317906 PECOS PAC ID: 5496800039 Enrollment ID: I20090902000485 |
| Provider Name | Anjolie E. Laubach |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265696421 PECOS PAC ID: 5193871929 Enrollment ID: I20090921000477 |
| Provider Name | Andres T Navedo-rivera |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356318422 PECOS PAC ID: 4385790005 Enrollment ID: I20090922000619 |
| Provider Name | Malgorzata J Zembowicz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962462549 PECOS PAC ID: 6305983297 Enrollment ID: I20091026000529 |
| Provider Name | David Waisel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104888684 PECOS PAC ID: 9537209937 Enrollment ID: I20091216000050 |
| Provider Name | David Whiting |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871760694 PECOS PAC ID: 9436299799 Enrollment ID: I20091216000613 |
| Provider Name | Cynthia S Tung |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043405400 PECOS PAC ID: 7416044573 Enrollment ID: I20100122000575 |
| Provider Name | Steven E Zgleszewski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013978295 PECOS PAC ID: 5698819381 Enrollment ID: I20100218000584 |
| Provider Name | Susan M Goobie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841252749 PECOS PAC ID: 2567595366 Enrollment ID: I20100730000336 |
| Provider Name | Joan G Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649231846 PECOS PAC ID: 2567595374 Enrollment ID: I20100730000481 |
| Provider Name | Christopher M Conley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871780841 PECOS PAC ID: 4789717026 Enrollment ID: I20100806000236 |
| Provider Name | Dima G Daaboul |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447492129 PECOS PAC ID: 8921122516 Enrollment ID: I20100903000189 |
| Provider Name | Lauren R Kelly Ugarte |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821280645 PECOS PAC ID: 6002932001 Enrollment ID: I20100928000394 |
| Provider Name | Kai Matthes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376780650 PECOS PAC ID: 9335333186 Enrollment ID: I20101105000186 |
| Provider Name | Lawrence C Tsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427068527 PECOS PAC ID: 7618165796 Enrollment ID: I20101216000716 |
| Provider Name | Thomas M Burch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508806126 PECOS PAC ID: 0941286405 Enrollment ID: I20110202000203 |
| Provider Name | Thomas J Mancuso |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316916737 PECOS PAC ID: 4880877612 Enrollment ID: I20110331000517 |
| Provider Name | Barry D Kussman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689642688 PECOS PAC ID: 0648443655 Enrollment ID: I20111107000593 |
| Provider Name | Jill M Zalieckas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174794556 PECOS PAC ID: 0749453744 Enrollment ID: I20111108000747 |
| Provider Name | Shoaib Mohammad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063474963 PECOS PAC ID: 3476727660 Enrollment ID: I20111128000691 |
| Provider Name | Charles B Berde |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1356318018 PECOS PAC ID: 2365619186 Enrollment ID: I20120119000517 |
| Provider Name | Eugene Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891967675 PECOS PAC ID: 6406023902 Enrollment ID: I20120125000009 |
| Provider Name | Kirsten C Odegard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912968009 PECOS PAC ID: 2163689456 Enrollment ID: I20120127000638 |
| Provider Name | Whitney Shay Roberts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366714347 PECOS PAC ID: 4880856616 Enrollment ID: I20120424000416 |
| Provider Name | Cornelius A Sullivan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629074760 PECOS PAC ID: 5294782611 Enrollment ID: I20120806000004 |
| Provider Name | Victoria E Karian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881839363 PECOS PAC ID: 5698923811 Enrollment ID: I20120913000319 |
| Provider Name | Lindsay R Waller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164787875 PECOS PAC ID: 5092964940 Enrollment ID: I20121009000463 |
| Provider Name | Patcharee Sriswasdi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255649331 PECOS PAC ID: 3577713734 Enrollment ID: I20121024000265 |
| Provider Name | Elizabeth C Eastburn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841466497 PECOS PAC ID: 3375793417 Enrollment ID: I20121025000406 |
| Provider Name | Raymond Park |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427210434 PECOS PAC ID: 9335399443 Enrollment ID: I20121026000227 |
| Provider Name | Karen L Boretsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215909395 PECOS PAC ID: 6507779204 Enrollment ID: I20130129000278 |
| Provider Name | Nelson J Aquino |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598019267 PECOS PAC ID: 6507002334 Enrollment ID: I20130423000136 |
| Provider Name | Katherine L Zaleski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679715163 PECOS PAC ID: 6406094879 Enrollment ID: I20130705000251 |
| Provider Name | Amy E Vinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194943654 PECOS PAC ID: 9739322660 Enrollment ID: I20130826000300 |
| Provider Name | Jue T Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720215312 PECOS PAC ID: 1759520422 Enrollment ID: I20130911000277 |
| Provider Name | Laura C Westfall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326281437 PECOS PAC ID: 3274772215 Enrollment ID: I20130918000342 |
| Provider Name | Faye M Evans |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912915513 PECOS PAC ID: 2466423231 Enrollment ID: I20130923000538 |
| Provider Name | James M Peyton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316206451 PECOS PAC ID: 0143464602 Enrollment ID: I20130924000085 |
| Provider Name | Daniel Vo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639326507 PECOS PAC ID: 3870729924 Enrollment ID: I20131119000694 |
| Provider Name | Cathie T Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477503712 PECOS PAC ID: 2668512641 Enrollment ID: I20131205001046 |
| Provider Name | Anjali Koka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144458902 PECOS PAC ID: 5799914255 Enrollment ID: I20140131001939 |
| Provider Name | Morgan L Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376816686 PECOS PAC ID: 4284864794 Enrollment ID: I20140303000401 |
| Provider Name | Kristen Pastor Flight |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497073837 PECOS PAC ID: 6709024078 Enrollment ID: I20140520000037 |
| Provider Name | Juan C Ibla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962471284 PECOS PAC ID: 8426220740 Enrollment ID: I20140522000063 |
| Provider Name | Viviane G Nasr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821309774 PECOS PAC ID: 4587880166 Enrollment ID: I20140717001936 |
| Provider Name | Douglas Atkinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821145772 PECOS PAC ID: 4880761519 Enrollment ID: I20140723000571 |
| Provider Name | Anne M Peeke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235541715 PECOS PAC ID: 5698995512 Enrollment ID: I20140927000252 |
| Provider Name | Sara Ross |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568684231 PECOS PAC ID: 0648358200 Enrollment ID: I20141205000144 |
| Provider Name | Elizabeth L Kehoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154748150 PECOS PAC ID: 2466770334 Enrollment ID: I20150406002239 |
| Provider Name | Lisa A Delsignore |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639335201 PECOS PAC ID: 6103004783 Enrollment ID: I20150806011791 |
| Provider Name | Andrea D Gomez Morad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679886758 PECOS PAC ID: 5193032589 Enrollment ID: I20150917000785 |
| Provider Name | Jaida C Fitzgerald |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386962694 PECOS PAC ID: 5698915403 Enrollment ID: I20150918002513 |
| Provider Name | Rocco V. Landi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750678207 PECOS PAC ID: 9830408061 Enrollment ID: I20151028002641 |
| Provider Name | Walid Alrayashi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255657698 PECOS PAC ID: 3274834098 Enrollment ID: I20151222000145 |
| Provider Name | Maria Leona Andrea A Sayson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558724807 PECOS PAC ID: 2961796446 Enrollment ID: I20160805000965 |
| Provider Name | Belinda Hsi Dickie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720270606 PECOS PAC ID: 3375714470 Enrollment ID: I20160901002589 |
| Provider Name | Bobbie L. Riley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407003593 PECOS PAC ID: 9133353782 Enrollment ID: I20160916001430 |
| Provider Name | Amanda M Powers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942753660 PECOS PAC ID: 9234417346 Enrollment ID: I20161025000643 |
| Provider Name | Deirdre E Logan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689725889 PECOS PAC ID: 1153606595 Enrollment ID: I20170327000521 |
| Provider Name | Clara E Sanders |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104146935 PECOS PAC ID: 0749567162 Enrollment ID: I20170511001738 |
| Provider Name | Ben D Albert |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1912297045 PECOS PAC ID: 4587941877 Enrollment ID: I20170516001412 |
| Provider Name | Angela M Marsiglio |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639620214 PECOS PAC ID: 0143597773 Enrollment ID: I20170601001448 |
| Provider Name | Bushra Taha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386082196 PECOS PAC ID: 7113152729 Enrollment ID: I20170608002030 |
| Provider Name | Sharon Reale |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407293343 PECOS PAC ID: 2860621323 Enrollment ID: I20170802002663 |
| Provider Name | Stephen P Kelleher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508144684 PECOS PAC ID: 0244502698 Enrollment ID: I20170818001545 |
| Provider Name | Alyson W Crest |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679014815 PECOS PAC ID: 1355613589 Enrollment ID: I20170822002974 |
| Provider Name | John Kowalczyk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508124728 PECOS PAC ID: 6002188943 Enrollment ID: I20170828000968 |
| Provider Name | Mary L Stein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699067025 PECOS PAC ID: 2961776554 Enrollment ID: I20170920002664 |
| Provider Name | Lauren U Madoff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114161783 PECOS PAC ID: 0446577985 Enrollment ID: I20170926003309 |
| Provider Name | John C Welch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003337114 PECOS PAC ID: 9537435722 Enrollment ID: I20171016000671 |
| Provider Name | Laura E Distefano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568982239 PECOS PAC ID: 1355617556 Enrollment ID: I20171016001127 |
| Provider Name | Brenna K Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124548409 PECOS PAC ID: 1254607468 Enrollment ID: I20171016001693 |
| Provider Name | Douglas S Gould |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912084252 PECOS PAC ID: 0840566055 Enrollment ID: I20171016001919 |
| Provider Name | Kelley S Balestracci |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699055764 PECOS PAC ID: 8022384049 Enrollment ID: I20171019000063 |
| Provider Name | Kim Reiser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619354487 PECOS PAC ID: 8820398712 Enrollment ID: I20171019002373 |
| Provider Name | Kristin V Gemmill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275061665 PECOS PAC ID: 0345516217 Enrollment ID: I20171019002666 |
| Provider Name | Christine L Matthews |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124549290 PECOS PAC ID: 4981970852 Enrollment ID: I20171019002674 |
| Provider Name | Katherine M Potter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164942231 PECOS PAC ID: 6103192075 Enrollment ID: I20171019003031 |
| Provider Name | Daniel C Furlong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083781397 PECOS PAC ID: 8224304142 Enrollment ID: I20171020001642 |
| Provider Name | Sebastian M Seifert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689933756 PECOS PAC ID: 6709035819 Enrollment ID: I20171023001103 |
| Provider Name | Janet W Valicenti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275825044 PECOS PAC ID: 9335415140 Enrollment ID: I20171024000140 |
| Provider Name | Suzanna Zaganjori |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083029003 PECOS PAC ID: 4880960525 Enrollment ID: I20171024001764 |
| Provider Name | Kimberly J Righter-foss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285154492 PECOS PAC ID: 5395011845 Enrollment ID: I20171027001038 |
| Provider Name | Kathleen M Collins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982966263 PECOS PAC ID: 5799941027 Enrollment ID: I20171109000201 |
| Provider Name | Carolyn G Butler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205154226 PECOS PAC ID: 7113151382 Enrollment ID: I20171130001161 |
| Provider Name | Abigail Magruder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669980397 PECOS PAC ID: 4284996869 Enrollment ID: I20180319001880 |
| Provider Name | Rachel E Mortell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710485107 PECOS PAC ID: 8426311945 Enrollment ID: I20180416002437 |
| Provider Name | Rebecca L Scholl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851599278 PECOS PAC ID: 3678829348 Enrollment ID: I20180711000309 |
| Provider Name | Susan E Eklund |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770921660 PECOS PAC ID: 4183941586 Enrollment ID: I20180807000772 |
| Provider Name | David H Bartels |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427497239 PECOS PAC ID: 8729302625 Enrollment ID: I20180807003300 |
| Provider Name | Claire Elizabeth Gramza |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902325970 PECOS PAC ID: 3072863240 Enrollment ID: I20180910001004 |
| Provider Name | Lee Patrick Ferguson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407377914 PECOS PAC ID: 4183964083 Enrollment ID: I20190312002190 |
| Provider Name | Katherine Alexandra Freedman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053884502 PECOS PAC ID: 0446590368 Enrollment ID: I20190312003040 |
| Provider Name | Mara Elizabeth Semel Kenger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811139991 PECOS PAC ID: 8022326396 Enrollment ID: I20190401000822 |
| Provider Name | Maryann Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477857993 PECOS PAC ID: 4789624453 Enrollment ID: I20190404001707 |
| Provider Name | Lisa Volpigno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801183330 PECOS PAC ID: 4880936772 Enrollment ID: I20190424002100 |
| Provider Name | William Robert Clarke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699907485 PECOS PAC ID: 0547455768 Enrollment ID: I20190627002034 |
| Provider Name | Melissa Marie Illig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629631007 PECOS PAC ID: 5597090779 Enrollment ID: I20190710001760 |
| Provider Name | Maricarmen Roche Rodriguez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295178549 PECOS PAC ID: 6103104567 Enrollment ID: I20190815000917 |
| Provider Name | Stephen G. Flynn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003049842 PECOS PAC ID: 3870810492 Enrollment ID: I20190815001257 |
| Provider Name | Farokh R Demehri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821317587 PECOS PAC ID: 4789990862 Enrollment ID: I20190821002987 |
| Provider Name | Aaron C Spicer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023270238 PECOS PAC ID: 1759699309 Enrollment ID: I20191029000384 |
| Provider Name | Ghofran Habib |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760897441 PECOS PAC ID: 3971835489 Enrollment ID: I20191104000781 |
| Provider Name | Mark David Dexter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033408513 PECOS PAC ID: 3577787902 Enrollment ID: I20200115003026 |
| Provider Name | Janet E Calderaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922668383 PECOS PAC ID: 2264860048 Enrollment ID: I20200309001748 |
| Provider Name | Nicholas Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902321250 PECOS PAC ID: 3779913553 Enrollment ID: I20200417002956 |
| Provider Name | Jimin Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700272416 PECOS PAC ID: 9436443686 Enrollment ID: I20200528003100 |
| Provider Name | Stephen M Espinola |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063056943 PECOS PAC ID: 4789007352 Enrollment ID: I20200715000858 |
| Provider Name | Kristina Marie Dicamillo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750848586 PECOS PAC ID: 7911323654 Enrollment ID: I20200812002450 |
| Provider Name | Amy Laflamme |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457913691 PECOS PAC ID: 2860818945 Enrollment ID: I20200819003587 |
| Provider Name | Sea Shin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760860019 PECOS PAC ID: 9335456870 Enrollment ID: I20201014002696 |
| Provider Name | Shawn S Jackson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780078915 PECOS PAC ID: 6608161591 Enrollment ID: I20201030000180 |
| Provider Name | Poornima Pandiyan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104112143 PECOS PAC ID: 5799042453 Enrollment ID: I20210119002085 |
| Provider Name | John E Fiadjoe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881701464 PECOS PAC ID: 0840251922 Enrollment ID: I20210406000960 |
| Provider Name | Ayumi Maeda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538424411 PECOS PAC ID: 7315175338 Enrollment ID: I20210505000546 |
| Provider Name | Asif Khan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184010258 PECOS PAC ID: 5496164378 Enrollment ID: I20210505001154 |
| Provider Name | Lia Michele Wickerham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902499411 PECOS PAC ID: 6305255696 Enrollment ID: I20210518001331 |
| Provider Name | Andrew J Renuart |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790070514 PECOS PAC ID: 5092013565 Enrollment ID: I20210716000429 |
| Provider Name | Caroline Morgan Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750955472 PECOS PAC ID: 6901202969 Enrollment ID: I20210831002091 |
| Provider Name | Ada A Genere |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881224434 PECOS PAC ID: 0042617615 Enrollment ID: I20210923003146 |
| Provider Name | Nicole C Arsenis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144809021 PECOS PAC ID: 4385041516 Enrollment ID: I20210930000701 |
| Provider Name | Manuela Villa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609134097 PECOS PAC ID: 4486052511 Enrollment ID: I20211004003132 |
| Provider Name | Brenna L Morse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467121046 PECOS PAC ID: 6002204914 Enrollment ID: I20211026002813 |
| Provider Name | Sean John Davies |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780258434 PECOS PAC ID: 3072904309 Enrollment ID: I20211222000155 |
| Provider Name | Genevieve A Kandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164845368 PECOS PAC ID: 8426288861 Enrollment ID: I20220105000048 |
| Provider Name | Sangeetha B Rao |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518250380 PECOS PAC ID: 7012156383 Enrollment ID: I20220112000405 |
| Provider Name | Carine Foz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710414578 PECOS PAC ID: 5294128294 Enrollment ID: I20220216001133 |
| Provider Name | Delbert J Lamb |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063876787 PECOS PAC ID: 9032401195 Enrollment ID: I20220224002380 |
| Provider Name | Lesley A Ofrichter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528319464 PECOS PAC ID: 8820482201 Enrollment ID: I20220301000687 |
| Provider Name | Catherine E Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275022162 PECOS PAC ID: 6608260633 Enrollment ID: I20220308001284 |
| Provider Name | Samantha Pb Bento |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427711126 PECOS PAC ID: 7315333861 Enrollment ID: I20220408001450 |
| Provider Name | Maria D Ochoa Carrillo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578109138 PECOS PAC ID: 5698161941 Enrollment ID: I20220413001726 |
| Provider Name | Asha Clarke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912356031 PECOS PAC ID: 5799072724 Enrollment ID: I20220602000453 |
| Provider Name | Jill E O'hara |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700270733 PECOS PAC ID: 8123329927 Enrollment ID: I20220607002351 |
| Provider Name | Nadine Clair Straka |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013397603 PECOS PAC ID: 6002294568 Enrollment ID: I20220613000784 |
| Provider Name | Carlos R Camelo Rincon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285141655 PECOS PAC ID: 9830579382 Enrollment ID: I20220630001780 |
| Provider Name | Amrita Sinha |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639553589 PECOS PAC ID: 6709187115 Enrollment ID: I20220630001928 |
| Provider Name | Niranjan Vijayakumar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063896389 PECOS PAC ID: 9133479751 Enrollment ID: I20220711000819 |
| Provider Name | Christina Luz Cifra |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134376809 PECOS PAC ID: 2860646015 Enrollment ID: I20220808003036 |
| Provider Name | Suzanne R Gouda |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891175816 PECOS PAC ID: 6800195975 Enrollment ID: I20220815002785 |
| Provider Name | Christian Du Mont |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598299505 PECOS PAC ID: 7618231820 Enrollment ID: I20220825002550 |
| Provider Name | Leah Reece |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679194146 PECOS PAC ID: 8921482746 Enrollment ID: I20220829000999 |
| Provider Name | Jenna C Watson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730751751 PECOS PAC ID: 2062896707 Enrollment ID: I20220830003073 |
| Provider Name | Elizabeth Pace |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588083323 PECOS PAC ID: 9931455953 Enrollment ID: I20220905000314 |
| Provider Name | Vickren Pillay |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003291006 PECOS PAC ID: 2466757463 Enrollment ID: I20220908000327 |
| Provider Name | Cathleen A Casillo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225656242 PECOS PAC ID: 5597149690 Enrollment ID: I20220908000405 |
| Provider Name | Alyssa A Karpacz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265050322 PECOS PAC ID: 9739555087 Enrollment ID: I20221012001055 |
| Provider Name | Eduardo M. Dos Santos Martins Da Cruz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144422304 PECOS PAC ID: 2365523453 Enrollment ID: I20221102001536 |
| Provider Name | Timothy W Lavigne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205374857 PECOS PAC ID: 7810231610 Enrollment ID: I20221108000827 |
| Provider Name | Amy R. O'brien Charles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720440696 PECOS PAC ID: 7517217482 Enrollment ID: I20221213003112 |
| Provider Name | Helen R Rotondi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821709171 PECOS PAC ID: 8224400767 Enrollment ID: I20230210000407 |
| Provider Name | Taylor Smith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215321443 PECOS PAC ID: 2062760093 Enrollment ID: I20230511000802 |
| Provider Name | Jessica A Barreto Guacaneme |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609259159 PECOS PAC ID: 3678837739 Enrollment ID: I20230512000888 |
| Provider Name | Mckenna M Longacre |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215467469 PECOS PAC ID: 3476827379 Enrollment ID: I20230515002170 |
| Provider Name | Victoria V Habet |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235593013 PECOS PAC ID: 9537525605 Enrollment ID: I20230515002909 |
| Provider Name | Melissa Marie Hartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497217566 PECOS PAC ID: 5698132207 Enrollment ID: I20230613000304 |
| Provider Name | Gwen Ellen Owens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508361940 PECOS PAC ID: 1052660412 Enrollment ID: I20230626000834 |
| Provider Name | Annastacia Woytash |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093247751 PECOS PAC ID: 2163796533 Enrollment ID: I20230705001787 |
| Provider Name | Nina Deutsch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851471569 PECOS PAC ID: 8729058383 Enrollment ID: I20230705002535 |
| Provider Name | Nipali Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518611979 PECOS PAC ID: 9032579180 Enrollment ID: I20230720002221 |
| Provider Name | Maria A Hernandez Malaquina |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023466745 PECOS PAC ID: 1557627767 Enrollment ID: I20230721001964 |
| Provider Name | Kelly Blair |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952087587 PECOS PAC ID: 6507226560 Enrollment ID: I20230721002655 |
| Provider Name | Mee Jee Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730679853 PECOS PAC ID: 5991050924 Enrollment ID: I20230731002151 |
| Provider Name | James R Bradley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205079779 PECOS PAC ID: 6608098496 Enrollment ID: I20230731003528 |
| Provider Name | John L Trulove |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134802184 PECOS PAC ID: 9234584798 Enrollment ID: I20231018003193 |
| Provider Name | Nikita N Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417397266 PECOS PAC ID: 7315170701 Enrollment ID: I20231127002419 |
| Provider Name | Julia A Galvez Delgado |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720226855 PECOS PAC ID: 1759539315 Enrollment ID: I20240103002178 |
| Provider Name | Anna Formanek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437510351 PECOS PAC ID: 0042561458 Enrollment ID: I20240105002301 |
| Provider Name | Walid Habre |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104673086 PECOS PAC ID: 4183166069 Enrollment ID: I20240606002437 |
| Provider Name | Catherine Bertels |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639818255 PECOS PAC ID: 3870975162 Enrollment ID: I20240613001203 |
The Collaborative Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Arlington St Ste 500, Boston, MA 02116 Phone: 617-651-1101 | |
Meditelecare Of Massachusetts, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 84 State St, Boston, MA 02109 Phone: 860-788-6404 Fax: 860-829-0495 | |
Ahead Massachusetts Medical Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Liberty Sq # 2523, Boston, MA 02109 Phone: 855-306-7786 Fax: 415-367-3629 | |
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