| Penn Medicine Lghp Behavioral Health | |
|
802 New Holland Ave Lancaster PA 17602-2163 | |
| (717) 560-3782 | |
| (717) 560-3787 |
| Full Name | Penn Medicine Lghp Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 802 New Holland Ave, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Denise A Kennedy (VP FINANCIAL SERVICES) |
| Authorized Official Contact | 7175445010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Medicine Lghp Behavioral Health 802 New Holland Ave Lancaster PA 17602-2163 Ph: (717) 560-3782 | Penn Medicine Lghp Behavioral Health 802 New Holland Ave Lancaster PA 17602-2163 Ph: (717) 560-3782 |
| NPI Number | 1952392383 |
|---|---|
| Provider Enumeration Date | 11/03/2005 |
| Last Update Date | 11/16/2020 |
| Certification Date | 11/16/2020 |
| Medicare PECOS PAC ID | 0941103683 |
|---|---|
| Medicare Enrollment ID | O20040309000916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952392383 | NPI | - | NPPES |
| 5702513 | Other | PA | AETNA NON-HMO |
| 1007327490137 | Other | PA | CBHNP |
| 817506 | Other | PA | AETNA HMO |
| 774495 | Other | PA | HIGHMARK BLUE SHIELD |
| A159896 | Other | PA | VALUE OPTIONS |
| CC7536 | Other | PA | RAILROAD MEDICARE |
| 03092800 | Other | PA | CAPITAL BLUE CROSS |
| 1551623 | Other | PA | GATEWAY HEALTH PLAN |
| Provider Name | Jame F Arnold |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1629042015 PECOS PAC ID: 5496659625 Enrollment ID: I20031120000447 |
| Provider Name | Carl E Becker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912977331 PECOS PAC ID: 0345144952 Enrollment ID: I20031125000435 |
| Provider Name | Cynthia L Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447293253 PECOS PAC ID: 2264338201 Enrollment ID: I20031210000324 |
| Provider Name | Janna G Semenuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336130319 PECOS PAC ID: 0941106561 Enrollment ID: I20031212000172 |
| Provider Name | Joyce Ann Vafeas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073550984 PECOS PAC ID: 8820995509 Enrollment ID: I20031219000104 |
| Provider Name | Eileen P Sosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306863196 PECOS PAC ID: 1951200559 Enrollment ID: I20040102000493 |
| Provider Name | Brian Arthur Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063490944 PECOS PAC ID: 1850293838 Enrollment ID: I20040121000613 |
| Provider Name | Scott Alan Schucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669445540 PECOS PAC ID: 1355244393 Enrollment ID: I20040128000862 |
| Provider Name | Brian Jay Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477526093 PECOS PAC ID: 1951295773 Enrollment ID: I20040212000046 |
| Provider Name | Stephen K Rittenhouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629050257 PECOS PAC ID: 0749175487 Enrollment ID: I20040220000166 |
| Provider Name | Annemarie Leone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083799860 PECOS PAC ID: 4789589078 Enrollment ID: I20040224000425 |
| Provider Name | James Adam Fenwick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316926769 PECOS PAC ID: 4183515380 Enrollment ID: I20040324001112 |
| Provider Name | Madhavi Reddy |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1457341570 PECOS PAC ID: 9931091048 Enrollment ID: I20040325000587 |
| Provider Name | Cheryl S Gard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851481139 PECOS PAC ID: 9335136092 Enrollment ID: I20040427000044 |
| Provider Name | Sharon S Conslato |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417910357 PECOS PAC ID: 0648251264 Enrollment ID: I20040528000147 |
| Provider Name | Randy L Kochel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558397646 PECOS PAC ID: 5092797225 Enrollment ID: I20040602001005 |
| Provider Name | David S Warsaw |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1386641314 PECOS PAC ID: 0143204669 Enrollment ID: I20040614001153 |
| Provider Name | Corey Ray Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750324679 PECOS PAC ID: 5496739732 Enrollment ID: I20040615001078 |
| Provider Name | William M Haught |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780659847 PECOS PAC ID: 6901883370 Enrollment ID: I20040702000594 |
| Provider Name | Brian Patrick Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164419131 PECOS PAC ID: 1658350491 Enrollment ID: I20040715001114 |
| Provider Name | Leanne K Beidler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275528655 PECOS PAC ID: 3678553047 Enrollment ID: I20040726000113 |
| Provider Name | Erik F Ketels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568449874 PECOS PAC ID: 3274503438 Enrollment ID: I20040727000854 |
| Provider Name | Hany Guirguis Salama |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720052327 PECOS PAC ID: 1254305576 Enrollment ID: I20040823001252 |
| Provider Name | Dwight Otis Eichelberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336128719 PECOS PAC ID: 1658346291 Enrollment ID: I20040827000830 |
| Provider Name | Joseph Michael Kontra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083670715 PECOS PAC ID: 7315912615 Enrollment ID: I20040901000078 |
| Provider Name | Deborah K Riley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699731323 PECOS PAC ID: 1951376250 Enrollment ID: I20040901000127 |
| Provider Name | William A Knapp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457336430 PECOS PAC ID: 7214902311 Enrollment ID: I20040901000363 |
| Provider Name | Aaron D Bleznak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619984242 PECOS PAC ID: 6103892815 Enrollment ID: I20040903000526 |
| Provider Name | John J Eichenlaub |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073514535 PECOS PAC ID: 2567438609 Enrollment ID: I20040916000008 |
| Provider Name | Sandhya Kiran Adusumilli |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1194706143 PECOS PAC ID: 2860460342 Enrollment ID: I20040922000652 |
| Provider Name | Dale W Sailer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851376685 PECOS PAC ID: 7012975188 Enrollment ID: I20041221000965 |
| Provider Name | Thomas C Raff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851399661 PECOS PAC ID: 8325090418 Enrollment ID: I20050217000109 |
| Provider Name | Dorothy C May |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669552345 PECOS PAC ID: 5597711895 Enrollment ID: I20050330000331 |
| Provider Name | Perry B Kubek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669468583 PECOS PAC ID: 7315994183 Enrollment ID: I20050404000834 |
| Provider Name | Hyasmine M Charles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922059526 PECOS PAC ID: 0941255251 Enrollment ID: I20050411000443 |
| Provider Name | Joseph M Serletti |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1770513822 PECOS PAC ID: 0749228740 Enrollment ID: I20050420000824 |
| Provider Name | Sean Michael Walpole |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548290927 PECOS PAC ID: 6002854718 Enrollment ID: I20050422000557 |
| Provider Name | Christopher J Putney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659347003 PECOS PAC ID: 5991744831 Enrollment ID: I20050429000056 |
| Provider Name | Steven R Ginder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386621225 PECOS PAC ID: 8820037781 Enrollment ID: I20050429000213 |
| Provider Name | Thomas Matthew O Connor |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1144213992 PECOS PAC ID: 4789623596 Enrollment ID: I20050502000378 |
| Provider Name | Lorin Keith Beidler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982683363 PECOS PAC ID: 0042250631 Enrollment ID: I20050503000801 |
| Provider Name | Samuel James Kerr |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376511774 PECOS PAC ID: 9436199817 Enrollment ID: I20050504001161 |
| Provider Name | Joann C Detweiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811950702 PECOS PAC ID: 4183665383 Enrollment ID: I20050518000575 |
| Provider Name | Eric Fix Hussar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679546550 PECOS PAC ID: 4587605589 Enrollment ID: I20050519000949 |
| Provider Name | Sherri Witwer Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235111980 PECOS PAC ID: 6305888199 Enrollment ID: I20050523000420 |
| Provider Name | Shirley Bucher Terenchin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780651364 PECOS PAC ID: 1456387240 Enrollment ID: I20050713000303 |
| Provider Name | Daniel G Megivern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528115730 PECOS PAC ID: 0345277299 Enrollment ID: I20050721000728 |
| Provider Name | Trudy Kunes Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639179641 PECOS PAC ID: 3577593268 Enrollment ID: I20050812000387 |
| Provider Name | Leo Dorozynsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528068137 PECOS PAC ID: 2860422409 Enrollment ID: I20050815000166 |
| Provider Name | Robin L Drowne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295877983 PECOS PAC ID: 8820029705 Enrollment ID: I20050831000006 |
| Provider Name | Scott C Conley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164401436 PECOS PAC ID: 4284650508 Enrollment ID: I20051017000456 |
| Provider Name | Glenda J Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275503286 PECOS PAC ID: 2365468683 Enrollment ID: I20051017000467 |
| Provider Name | Eric L Esch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245219625 PECOS PAC ID: 3072539394 Enrollment ID: I20051017000478 |
| Provider Name | Robin Gish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992785448 PECOS PAC ID: 8325064645 Enrollment ID: I20051017000494 |
| Provider Name | Neal S Harnly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083694533 PECOS PAC ID: 8022034354 Enrollment ID: I20051017000528 |
| Provider Name | John J Mast |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1154392371 PECOS PAC ID: 8123044468 Enrollment ID: I20051017000619 |
| Provider Name | Jeffrey B Rittenhouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942271168 PECOS PAC ID: 8022078666 Enrollment ID: I20051017000699 |
| Provider Name | John J Yoder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578534707 PECOS PAC ID: 6002832359 Enrollment ID: I20051017000710 |
| Provider Name | Richard C Yunginger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336110782 PECOS PAC ID: 3173549425 Enrollment ID: I20051017000724 |
| Provider Name | Christian Hermansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922046036 PECOS PAC ID: 5395640908 Enrollment ID: I20051018000726 |
| Provider Name | Darren B Barbacci |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770578387 PECOS PAC ID: 8527081355 Enrollment ID: I20060109000093 |
| Provider Name | Marc Steven Russo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427033927 PECOS PAC ID: 8123041811 Enrollment ID: I20060109000714 |
| Provider Name | Lisa A Fedora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104899301 PECOS PAC ID: 5890719355 Enrollment ID: I20060124000011 |
| Provider Name | Kathleen C Dougherty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811958895 PECOS PAC ID: 4587678982 Enrollment ID: I20060206000209 |
| Provider Name | William T Monacci |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164493565 PECOS PAC ID: 2567478829 Enrollment ID: I20060224000169 |
| Provider Name | Curtis Lee Hershey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346285574 PECOS PAC ID: 7810900693 Enrollment ID: I20060720000383 |
| Provider Name | James Michael Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104861343 PECOS PAC ID: 9335152727 Enrollment ID: I20060802000117 |
| Provider Name | Michael Robert Ripchinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497709570 PECOS PAC ID: 8921001272 Enrollment ID: I20060807000312 |
| Provider Name | Rebecca Margaret Shepherd |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1629009238 PECOS PAC ID: 8628071792 Enrollment ID: I20060809000350 |
| Provider Name | Rachel Mei-chi Ho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952323487 PECOS PAC ID: 6901809490 Enrollment ID: I20060823000476 |
| Provider Name | Randall Oyer |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1457357899 PECOS PAC ID: 1759287998 Enrollment ID: I20060927000202 |
| Provider Name | Susan R Mcginley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972519619 PECOS PAC ID: 1951306687 Enrollment ID: I20061002000153 |
| Provider Name | Maria Monica Roa Calderon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326152760 PECOS PAC ID: 9638174394 Enrollment ID: I20061002000427 |
| Provider Name | Rajesh Md Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932112026 PECOS PAC ID: 4688672900 Enrollment ID: I20061121000479 |
| Provider Name | Gary L Friedman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366482234 PECOS PAC ID: 4183621022 Enrollment ID: I20061213000435 |
| Provider Name | Elizabeth Crowell Sigmund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609880814 PECOS PAC ID: 8426058066 Enrollment ID: I20070105000177 |
| Provider Name | Michael S Flood |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1346247715 PECOS PAC ID: 1355340316 Enrollment ID: I20070116000191 |
| Provider Name | Maya Nicole Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760555957 PECOS PAC ID: 4789685587 Enrollment ID: I20070122000509 |
| Provider Name | Mark L Simmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619959285 PECOS PAC ID: 6608979059 Enrollment ID: I20070306000154 |
| Provider Name | Brian T Brislin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992752356 PECOS PAC ID: 8224032248 Enrollment ID: I20070320000489 |
| Provider Name | Gladys M Frye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487621728 PECOS PAC ID: 4981695145 Enrollment ID: I20070503000412 |
| Provider Name | John Christopher Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528124971 PECOS PAC ID: 0547367088 Enrollment ID: I20070518000033 |
| Provider Name | Michelle Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700815214 PECOS PAC ID: 4284638958 Enrollment ID: I20070724000741 |
| Provider Name | Anurag Walia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659395713 PECOS PAC ID: 4082612973 Enrollment ID: I20070725000129 |
| Provider Name | Jon David Lepley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003010133 PECOS PAC ID: 4183725807 Enrollment ID: I20070725000530 |
| Provider Name | Denise Noel Cope |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679639082 PECOS PAC ID: 0244321412 Enrollment ID: I20070802000546 |
| Provider Name | Aimee L Bernstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528266087 PECOS PAC ID: 5890886659 Enrollment ID: I20070808000273 |
| Provider Name | Meijuan Yan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871708867 PECOS PAC ID: 1951492602 Enrollment ID: I20070809000292 |
| Provider Name | Jennie Maria Barbieri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285836015 PECOS PAC ID: 2264524339 Enrollment ID: I20070821000079 |
| Provider Name | Jennifer L Litz Irons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669495735 PECOS PAC ID: 7113027624 Enrollment ID: I20070823000369 |
| Provider Name | Tony T Ton-that |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013904259 PECOS PAC ID: 4082708086 Enrollment ID: I20071030000087 |
| Provider Name | Beverley E Gabriel |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1568517340 PECOS PAC ID: 8820056823 Enrollment ID: I20071130000155 |
| Provider Name | Susan M Hogg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598797227 PECOS PAC ID: 9638259534 Enrollment ID: I20080104000313 |
| Provider Name | David W Hartley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124056031 PECOS PAC ID: 1456431139 Enrollment ID: I20080108000171 |
| Provider Name | Ada Nkem A Emuwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730300385 PECOS PAC ID: 3870677974 Enrollment ID: I20080228000089 |
| Provider Name | Daniel P Weil |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174685390 PECOS PAC ID: 2264519644 Enrollment ID: I20080409000537 |
| Provider Name | Terra L Hussar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639396088 PECOS PAC ID: 5395823058 Enrollment ID: I20080421000392 |
| Provider Name | Claire J Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093904369 PECOS PAC ID: 0345319208 Enrollment ID: I20080519000079 |
| Provider Name | Elizabeth A Oconnor Boll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922092618 PECOS PAC ID: 3072685619 Enrollment ID: I20080626000503 |
| Provider Name | Vinesh J Dedhia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487747614 PECOS PAC ID: 1153373295 Enrollment ID: I20080729000615 |
| Provider Name | Beth L Mccampbell |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1174688337 PECOS PAC ID: 3476659038 Enrollment ID: I20080818000408 |
| Provider Name | Robert Roberts |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851419378 PECOS PAC ID: 8527126887 Enrollment ID: I20081015000609 |
| Provider Name | Matthew A Sauder |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124245972 PECOS PAC ID: 5193883882 Enrollment ID: I20081024000219 |
| Provider Name | Pamela C Pinto Pannafino |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609829605 PECOS PAC ID: 7618902115 Enrollment ID: I20081107000365 |
| Provider Name | Kirsten H Johnsen Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457417875 PECOS PAC ID: 4385703917 Enrollment ID: I20081111000469 |
| Provider Name | Rebecca Anne Dithridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881740041 PECOS PAC ID: 8820158173 Enrollment ID: I20081117000806 |
| Provider Name | Stephen W Tifft |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700851862 PECOS PAC ID: 5395705933 Enrollment ID: I20090407000071 |
| Provider Name | Janice A Brightman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578680997 PECOS PAC ID: 7911054697 Enrollment ID: I20090415000463 |
| Provider Name | John Granger |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467462630 PECOS PAC ID: 4284631789 Enrollment ID: I20090617000735 |
| Provider Name | Karen Elizabeth Smith-coleman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932116175 PECOS PAC ID: 1052463072 Enrollment ID: I20090722000093 |
| Provider Name | Christopher T Addis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649269150 PECOS PAC ID: 6406909944 Enrollment ID: I20090731000433 |
| Provider Name | Jason E Scott |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245220292 PECOS PAC ID: 4385797729 Enrollment ID: I20090731000561 |
| Provider Name | Sharon C Eltz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205057965 PECOS PAC ID: 6002969169 Enrollment ID: I20090806000623 |
| Provider Name | Sagun Pradhan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144438540 PECOS PAC ID: 5799839858 Enrollment ID: I20090825000130 |
| Provider Name | Tuyet Nga Q Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528295961 PECOS PAC ID: 4385780808 Enrollment ID: I20091013000761 |
| Provider Name | Ayesha Wahab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295924348 PECOS PAC ID: 3274670815 Enrollment ID: I20091030000030 |
| Provider Name | Jean D Dumornay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992926554 PECOS PAC ID: 0547308058 Enrollment ID: I20091103000426 |
| Provider Name | Trevor B Martenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346347218 PECOS PAC ID: 6103964267 Enrollment ID: I20091110000354 |
| Provider Name | James C Thurmond |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174775993 PECOS PAC ID: 1355481755 Enrollment ID: I20091216000052 |
| Provider Name | Jennifer Wardle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548242209 PECOS PAC ID: 1658411061 Enrollment ID: I20091216000111 |
| Provider Name | Dale K Hursh |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1831154178 PECOS PAC ID: 5698815520 Enrollment ID: I20091228000103 |
| Provider Name | Gary S Gehman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326035015 PECOS PAC ID: 7113067927 Enrollment ID: I20091229000323 |
| Provider Name | Shweta Soni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306032461 PECOS PAC ID: 6406997287 Enrollment ID: I20091231000299 |
| Provider Name | Angela E Weidman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558593020 PECOS PAC ID: 2668513326 Enrollment ID: I20100104000496 |
| Provider Name | Bradford D Granger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083603526 PECOS PAC ID: 8729120373 Enrollment ID: I20100121000103 |
| Provider Name | Christine Stabler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790723807 PECOS PAC ID: 1456493923 Enrollment ID: I20100121000317 |
| Provider Name | Leon Kraybill |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1215992201 PECOS PAC ID: 5890837371 Enrollment ID: I20100121000427 |
| Provider Name | Pamela Vnenchak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598719676 PECOS PAC ID: 1951443357 Enrollment ID: I20100122000749 |
| Provider Name | Colleen Matejicka |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1790768828 PECOS PAC ID: 8820130826 Enrollment ID: I20100128000331 |
| Provider Name | Richard W Reese |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1518948579 PECOS PAC ID: 8729120738 Enrollment ID: I20100128000351 |
| Provider Name | Lisa S Allen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1710961230 PECOS PAC ID: 6709928716 Enrollment ID: I20100128000368 |
| Provider Name | David T Superdock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326023045 PECOS PAC ID: 9931241940 Enrollment ID: I20100128000414 |
| Provider Name | Carol B Spicher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184661001 PECOS PAC ID: 6901949981 Enrollment ID: I20100201000033 |
| Provider Name | Shyam S Balepur |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265410062 PECOS PAC ID: 1557404423 Enrollment ID: I20100202000113 |
| Provider Name | William W Bakken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447247135 PECOS PAC ID: 9234272782 Enrollment ID: I20100205000067 |
| Provider Name | Stephen Wehibe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124015466 PECOS PAC ID: 3577606938 Enrollment ID: I20100208000053 |
| Provider Name | William Hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275516924 PECOS PAC ID: 2567505936 Enrollment ID: I20100208000079 |
| Provider Name | Andrew C Mayfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336476118 PECOS PAC ID: 4183767551 Enrollment ID: I20100208000089 |
| Provider Name | Robert G Hopkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508840281 PECOS PAC ID: 5496898868 Enrollment ID: I20100208000134 |
| Provider Name | Jeffrey R Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578501680 PECOS PAC ID: 1456494798 Enrollment ID: I20100208000782 |
| Provider Name | Cynthia L Kilbourn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184678252 PECOS PAC ID: 4981748860 Enrollment ID: I20100216000173 |
| Provider Name | Mark L Rast |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467480350 PECOS PAC ID: 4183768898 Enrollment ID: I20100218000741 |
| Provider Name | Elizabeth C Horenkamp |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386612778 PECOS PAC ID: 8729123898 Enrollment ID: I20100302000168 |
| Provider Name | Nicole D Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730151093 PECOS PAC ID: 8628113560 Enrollment ID: I20100303001075 |
| Provider Name | Timothy J Labosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629064530 PECOS PAC ID: 6901941574 Enrollment ID: I20100308000075 |
| Provider Name | Celeste Diane Heckman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376519728 PECOS PAC ID: 9537204086 Enrollment ID: I20100308000873 |
| Provider Name | Beth A Been |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811982028 PECOS PAC ID: 8123153376 Enrollment ID: I20100313000009 |
| Provider Name | Mona M Jhaveri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053397489 PECOS PAC ID: 6406981406 Enrollment ID: I20100316000677 |
| Provider Name | Janice K Hillman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336171610 PECOS PAC ID: 9830224526 Enrollment ID: I20100319000545 |
| Provider Name | Timothy C Martin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750355822 PECOS PAC ID: 8022082379 Enrollment ID: I20100325000842 |
| Provider Name | Thomas W Andersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073597134 PECOS PAC ID: 3577699594 Enrollment ID: I20100330000235 |
| Provider Name | Nancy Mctear Brenton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598733024 PECOS PAC ID: 5294861944 Enrollment ID: I20100405000014 |
| Provider Name | Matthew H Rusk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063449965 PECOS PAC ID: 6709912231 Enrollment ID: I20100410000039 |
| Provider Name | Thomas R Westphal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083681621 PECOS PAC ID: 0446156939 Enrollment ID: I20100420000280 |
| Provider Name | Suzanne I Rutkowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073836102 PECOS PAC ID: 7012044118 Enrollment ID: I20100421000741 |
| Provider Name | Steven Joel Kattler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396775839 PECOS PAC ID: 8426096124 Enrollment ID: I20100427000547 |
| Provider Name | Ankur Kumar Sadhukhan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801844295 PECOS PAC ID: 5597895649 Enrollment ID: I20100616000317 |
| Provider Name | Michael S Shirk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174548820 PECOS PAC ID: 5395876163 Enrollment ID: I20100623000860 |
| Provider Name | Fariha Sarij |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1437259157 PECOS PAC ID: 1658263843 Enrollment ID: I20100624000738 |
| Provider Name | Kenneth R Arthur |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205896552 PECOS PAC ID: 4486781416 Enrollment ID: I20100824000351 |
| Provider Name | Frederick J Heinle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679554653 PECOS PAC ID: 1850415894 Enrollment ID: I20100827000895 |
| Provider Name | Dolores A Minchhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922004068 PECOS PAC ID: 0648394411 Enrollment ID: I20100831000395 |
| Provider Name | Nandi J Reddy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710089412 PECOS PAC ID: 0941270532 Enrollment ID: I20100831000396 |
| Provider Name | Paul G Newman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730160730 PECOS PAC ID: 4486778420 Enrollment ID: I20100916001094 |
| Provider Name | Jeffrey Trost |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265483242 PECOS PAC ID: 5294851531 Enrollment ID: I20100924000023 |
| Provider Name | Susan M Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245230499 PECOS PAC ID: 7113043225 Enrollment ID: I20100927000640 |
| Provider Name | Stacey L Mazzacco |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1265413207 PECOS PAC ID: 8921122961 Enrollment ID: I20100929000547 |
| Provider Name | Kimberly M Landis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457672628 PECOS PAC ID: 6901098003 Enrollment ID: I20101007000866 |
| Provider Name | Joseph Frank Voystock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295816650 PECOS PAC ID: 5698876464 Enrollment ID: I20101022000610 |
| Provider Name | Chhinder Pal Singh Binning |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962494260 PECOS PAC ID: 2567655400 Enrollment ID: I20101022001244 |
| Provider Name | Keith R Kuhlengel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427045772 PECOS PAC ID: 9739273731 Enrollment ID: I20101027001262 |
| Provider Name | Paul M Conslato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366431934 PECOS PAC ID: 9638363062 Enrollment ID: I20101029001182 |
| Provider Name | Vito J Dicamillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386621688 PECOS PAC ID: 7012101165 Enrollment ID: I20101102001129 |
| Provider Name | Leopoldo M Vocalan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104038397 PECOS PAC ID: 6406041722 Enrollment ID: I20101112000267 |
| Provider Name | Jacqueline Hostetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790098671 PECOS PAC ID: 8123214541 Enrollment ID: I20101124001003 |
| Provider Name | Kara F Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275599151 PECOS PAC ID: 6406836535 Enrollment ID: I20101201000051 |
| Provider Name | Debanjana Chakrabarti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265630610 PECOS PAC ID: 1658568191 Enrollment ID: I20101209000229 |
| Provider Name | Jay A Zimmermann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295755700 PECOS PAC ID: 1759361439 Enrollment ID: I20101209000940 |
| Provider Name | Lara B Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386852895 PECOS PAC ID: 3779770136 Enrollment ID: I20101210000400 |
| Provider Name | Jessica D Krebs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356305858 PECOS PAC ID: 9032306311 Enrollment ID: I20101213000656 |
| Provider Name | Donald James Keenan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275535783 PECOS PAC ID: 6103013388 Enrollment ID: I20101214000827 |
| Provider Name | Corey D Fogleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427039239 PECOS PAC ID: 9739377623 Enrollment ID: I20101220000094 |
| Provider Name | Christopher D Kager |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205822103 PECOS PAC ID: 9638263635 Enrollment ID: I20110104000180 |
| Provider Name | Cynthia L Abachnou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225149511 PECOS PAC ID: 5698955284 Enrollment ID: I20110215000257 |
| Provider Name | Katherine Mcgeary |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346452430 PECOS PAC ID: 6507909017 Enrollment ID: I20110323000317 |
| Provider Name | Wen Ying Wu Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225289085 PECOS PAC ID: 2365625522 Enrollment ID: I20110324000833 |
| Provider Name | Carly M Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649576000 PECOS PAC ID: 3072798800 Enrollment ID: I20110421000160 |
| Provider Name | Patrice E Gruver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235420951 PECOS PAC ID: 8426236597 Enrollment ID: I20110621000394 |
| Provider Name | Charles F Henderson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1841388329 PECOS PAC ID: 3577731918 Enrollment ID: I20110729000291 |
| Provider Name | Michael D Bowen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861551806 PECOS PAC ID: 9830368679 Enrollment ID: I20110811000423 |
| Provider Name | Emily E Gehron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427346261 PECOS PAC ID: 2961671425 Enrollment ID: I20110818000155 |
| Provider Name | Heather D Harle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992919138 PECOS PAC ID: 7214107697 Enrollment ID: I20110822000196 |
| Provider Name | Sara D Bowen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871718171 PECOS PAC ID: 1456401397 Enrollment ID: I20110830000571 |
| Provider Name | Richard L Grunden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639336167 PECOS PAC ID: 6507036415 Enrollment ID: I20110901000611 |
| Provider Name | Shanthi Sivendran |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699988147 PECOS PAC ID: 6103097712 Enrollment ID: I20110912000300 |
| Provider Name | Stacy M Wenzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760763213 PECOS PAC ID: 4486825312 Enrollment ID: I20110926000120 |
| Provider Name | Lori A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629358965 PECOS PAC ID: 6305019191 Enrollment ID: I20111021000333 |
| Provider Name | Lisa Ellen Sjodin-feldman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023057890 PECOS PAC ID: 0648290445 Enrollment ID: I20111025000385 |
| Provider Name | Allison Gonta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417132028 PECOS PAC ID: 0941376859 Enrollment ID: I20111027000047 |
| Provider Name | Stephen P Martell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982601407 PECOS PAC ID: 3779756630 Enrollment ID: I20111109000597 |
| Provider Name | Santina Sperling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649553116 PECOS PAC ID: 6204000383 Enrollment ID: I20111130000156 |
| Provider Name | Janak Anilkumar Doshi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891891313 PECOS PAC ID: 9234306077 Enrollment ID: I20120119000678 |
| Provider Name | Cassandra E Haddad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073801619 PECOS PAC ID: 2365609765 Enrollment ID: I20120213000280 |
| Provider Name | Kari L Oftedal Moreno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134354087 PECOS PAC ID: 3173788908 Enrollment ID: I20120629000240 |
| Provider Name | Christopher M Washington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174757744 PECOS PAC ID: 0446415129 Enrollment ID: I20120702000255 |
| Provider Name | Jeannette Lee Eddowes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538457601 PECOS PAC ID: 7810152220 Enrollment ID: I20120711000064 |
| Provider Name | Matthew Biever |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023227741 PECOS PAC ID: 7113173402 Enrollment ID: I20120801000578 |
| Provider Name | Michael L Kroll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902052160 PECOS PAC ID: 0143345512 Enrollment ID: I20120801000712 |
| Provider Name | Nitin B Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710109202 PECOS PAC ID: 4789755638 Enrollment ID: I20120809000413 |
| Provider Name | Yolanda G Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417979535 PECOS PAC ID: 8123917002 Enrollment ID: I20120821000386 |
| Provider Name | Sarah E Eiser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598925018 PECOS PAC ID: 9830347731 Enrollment ID: I20120919000085 |
| Provider Name | Nduka M Amankulor |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1033386792 PECOS PAC ID: 5193973980 Enrollment ID: I20120920000280 |
| Provider Name | Rachel A Hogg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699902635 PECOS PAC ID: 6002065414 Enrollment ID: I20120928000378 |
| Provider Name | Loretta F Rock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952655797 PECOS PAC ID: 5193976512 Enrollment ID: I20121113000278 |
| Provider Name | Kevin P Kalnoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598016958 PECOS PAC ID: 0446495337 Enrollment ID: I20130325000464 |
| Provider Name | Patrick J Moreno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871728725 PECOS PAC ID: 2365689783 Enrollment ID: I20130502000221 |
| Provider Name | Jyhgong G Hou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245245927 PECOS PAC ID: 5799922654 Enrollment ID: I20130513000510 |
| Provider Name | Thomas C Grana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437247954 PECOS PAC ID: 7911154315 Enrollment ID: I20130628000635 |
| Provider Name | Kristine Dziurzynski |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1982669065 PECOS PAC ID: 2466552237 Enrollment ID: I20130905000017 |
| Provider Name | Andrea L Stern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437478773 PECOS PAC ID: 0244474047 Enrollment ID: I20130918000033 |
| Provider Name | Jennifer L Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447486014 PECOS PAC ID: 9032353727 Enrollment ID: I20130919000225 |
| Provider Name | Shirley D Bushong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942634050 PECOS PAC ID: 4981838745 Enrollment ID: I20131009001900 |
| Provider Name | Joyce R Kantner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861824492 PECOS PAC ID: 8527292234 Enrollment ID: I20131014000409 |
| Provider Name | Seyed Parham Khalili |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942526405 PECOS PAC ID: 3678708344 Enrollment ID: I20131105001090 |
| Provider Name | Walid M Hesham |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1619148095 PECOS PAC ID: 4284869793 Enrollment ID: I20131108000237 |
| Provider Name | Emily R Aukett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891122941 PECOS PAC ID: 3678701430 Enrollment ID: I20140124001087 |
| Provider Name | Leonard D Sax |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770587438 PECOS PAC ID: 4183625080 Enrollment ID: I20140207000243 |
| Provider Name | Srilatha Hosur |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1144454638 PECOS PAC ID: 6305990128 Enrollment ID: I20140311000447 |
| Provider Name | Rachael L Eshleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154750552 PECOS PAC ID: 2264663293 Enrollment ID: I20140314001865 |
| Provider Name | Stephanie E Wile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316369135 PECOS PAC ID: 2860623428 Enrollment ID: I20140324001508 |
| Provider Name | Lisa A Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982033387 PECOS PAC ID: 8820220825 Enrollment ID: I20140407000893 |
| Provider Name | Zoe Selhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437349586 PECOS PAC ID: 2264601251 Enrollment ID: I20140429001486 |
| Provider Name | Marina Tilich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922327659 PECOS PAC ID: 9638392905 Enrollment ID: I20140514001952 |
| Provider Name | Monika Maximilliane Holbein |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1023332665 PECOS PAC ID: 1254556756 Enrollment ID: I20140625000707 |
| Provider Name | John D Affuso |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932367919 PECOS PAC ID: 0446475891 Enrollment ID: I20140627001307 |
| Provider Name | Jennifer M Payne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447544242 PECOS PAC ID: 5294950036 Enrollment ID: I20140710001507 |
| Provider Name | Adam C Lake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619261559 PECOS PAC ID: 0941426571 Enrollment ID: I20140717000363 |
| Provider Name | Navy Sen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144656547 PECOS PAC ID: 1355567645 Enrollment ID: I20140722002162 |
| Provider Name | Deepika Pradhan Shrestha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902035041 PECOS PAC ID: 2860618949 Enrollment ID: I20140725001120 |
| Provider Name | Meghan Dermody |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1265552608 PECOS PAC ID: 9638396203 Enrollment ID: I20140806001057 |
| Provider Name | Benjamin R Snell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043504848 PECOS PAC ID: 3678790086 Enrollment ID: I20140808000186 |
| Provider Name | Michael R Loeven |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396039236 PECOS PAC ID: 9638396625 Enrollment ID: I20140815000187 |
| Provider Name | Michael J Sasso |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679709257 PECOS PAC ID: 6901024280 Enrollment ID: I20140828000514 |
| Provider Name | Rebecca A Sieber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306166525 PECOS PAC ID: 7012135221 Enrollment ID: I20140902000258 |
| Provider Name | Kerry M Nissley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497160295 PECOS PAC ID: 0143449884 Enrollment ID: I20140911001774 |
| Provider Name | Robert Lawrence Giuntoli |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1295772515 PECOS PAC ID: 6103955612 Enrollment ID: I20140918002137 |
| Provider Name | Carrie A Hossler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275853848 PECOS PAC ID: 5698994739 Enrollment ID: I20140922002498 |
| Provider Name | Kimbra D Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790189884 PECOS PAC ID: 5193947430 Enrollment ID: I20141120002180 |
| Provider Name | Lauren A Myer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174928642 PECOS PAC ID: 1557683091 Enrollment ID: I20141211000846 |
| Provider Name | Anna K Antwi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083035190 PECOS PAC ID: 3173846151 Enrollment ID: I20141223001846 |
| Provider Name | Heidi M Kling-newnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164828935 PECOS PAC ID: 2769705771 Enrollment ID: I20141224000746 |
| Provider Name | Bethany A Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568892909 PECOS PAC ID: 4284957010 Enrollment ID: I20141230002016 |
| Provider Name | Shirley L Beale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629476940 PECOS PAC ID: 7113242108 Enrollment ID: I20150216000634 |
| Provider Name | Stacey A. Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750637062 PECOS PAC ID: 6608195284 Enrollment ID: I20150504000109 |
| Provider Name | Keith A Heck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457647984 PECOS PAC ID: 1254651995 Enrollment ID: I20150521000225 |
| Provider Name | Mary A Kadysh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518226760 PECOS PAC ID: 6507189016 Enrollment ID: I20150623000420 |
| Provider Name | Matthew C Brennan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639312739 PECOS PAC ID: 0143532143 Enrollment ID: I20150706000924 |
| Provider Name | Caitlin M Inners |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851659866 PECOS PAC ID: 9638481666 Enrollment ID: I20150706001823 |
| Provider Name | Ami P Jhaveri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770758492 PECOS PAC ID: 1658549506 Enrollment ID: I20150708001156 |
| Provider Name | Ashley A Kempsell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235498486 PECOS PAC ID: 1052635315 Enrollment ID: I20150710000894 |
| Provider Name | Kristen L Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730443649 PECOS PAC ID: 2163735176 Enrollment ID: I20150721000210 |
| Provider Name | Amy A Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104802040 PECOS PAC ID: 5799867354 Enrollment ID: I20150721001141 |
| Provider Name | John C Rigilano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437114279 PECOS PAC ID: 0042524498 Enrollment ID: I20150730010619 |
| Provider Name | Joan B Thode |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386904290 PECOS PAC ID: 9133433444 Enrollment ID: I20150730013180 |
| Provider Name | Catherine L Main |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356600373 PECOS PAC ID: 9739403031 Enrollment ID: I20150731016702 |
| Provider Name | Babak Iranmanesh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760636492 PECOS PAC ID: 1153509138 Enrollment ID: I20150803000403 |
| Provider Name | Crischelle Lynn Shank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114083557 PECOS PAC ID: 4486968534 Enrollment ID: I20150803000919 |
| Provider Name | Lauren Beth Witmer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295981116 PECOS PAC ID: 9739493834 Enrollment ID: I20150803002431 |
| Provider Name | Caitlin S Farabaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073787750 PECOS PAC ID: 1254645286 Enrollment ID: I20150804003893 |
| Provider Name | Ashley N Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003291618 PECOS PAC ID: 7618282526 Enrollment ID: I20150820010592 |
| Provider Name | Elizabeth Doherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194086850 PECOS PAC ID: 2961726252 Enrollment ID: I20150930000516 |
| Provider Name | Emilia A Cuneo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336382985 PECOS PAC ID: 1456500057 Enrollment ID: I20151008001437 |
| Provider Name | Jennifer A Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093181356 PECOS PAC ID: 2860701976 Enrollment ID: I20151012000874 |
| Provider Name | Jenny L Monn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558556910 PECOS PAC ID: 8729397732 Enrollment ID: I20151014000407 |
| Provider Name | Matthew D Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306105259 PECOS PAC ID: 9830413293 Enrollment ID: I20151015000108 |
| Provider Name | Elisa N Blum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720464530 PECOS PAC ID: 0244549087 Enrollment ID: I20151019001639 |
| Provider Name | Joann Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205205390 PECOS PAC ID: 5092025940 Enrollment ID: I20151105002137 |
| Provider Name | Colleen B Zak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285001586 PECOS PAC ID: 3577871912 Enrollment ID: I20151116000192 |
| Provider Name | Nichole M Gehman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174992515 PECOS PAC ID: 8921308750 Enrollment ID: I20151201002101 |
| Provider Name | Kimberly A Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871965442 PECOS PAC ID: 5395045843 Enrollment ID: I20151204001961 |
| Provider Name | Krisda Chaiyachati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174812366 PECOS PAC ID: 4183848823 Enrollment ID: I20151231001484 |
| Provider Name | Lisa L Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154752608 PECOS PAC ID: 9032340088 Enrollment ID: I20160106001032 |
| Provider Name | Kristen N Reeser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326404534 PECOS PAC ID: 7517261423 Enrollment ID: I20160212000154 |
| Provider Name | Jaclyn A Chubb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194181271 PECOS PAC ID: 8820392608 Enrollment ID: I20160216000215 |
| Provider Name | Elizabeth R Bejgrowicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922465186 PECOS PAC ID: 8729383203 Enrollment ID: I20160222000345 |
| Provider Name | Maura K Pisano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063889913 PECOS PAC ID: 3072819812 Enrollment ID: I20160304000791 |
| Provider Name | Lawrence Spector |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659797207 PECOS PAC ID: 8123243565 Enrollment ID: I20160509000665 |
| Provider Name | Ahila L Kugan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346507134 PECOS PAC ID: 1557650686 Enrollment ID: I20160512002311 |
| Provider Name | Jonathan T Kinley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730594524 PECOS PAC ID: 1052603529 Enrollment ID: I20160705000416 |
| Provider Name | Kelly J Janke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790095685 PECOS PAC ID: 7810289832 Enrollment ID: I20160713000043 |
| Provider Name | David M Abel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629362850 PECOS PAC ID: 3375835143 Enrollment ID: I20160714002084 |
| Provider Name | Jonathan Musyt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033556253 PECOS PAC ID: 0244554590 Enrollment ID: I20160718001526 |
| Provider Name | Przemyslaw J Bednarz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205147139 PECOS PAC ID: 9436442191 Enrollment ID: I20160719001270 |
| Provider Name | Ryan Christopher Wennell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164866091 PECOS PAC ID: 6608190806 Enrollment ID: I20160720000874 |
| Provider Name | Patricia A Rexer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518320621 PECOS PAC ID: 5597058784 Enrollment ID: I20160726001531 |
| Provider Name | Tracey M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225474687 PECOS PAC ID: 3274827506 Enrollment ID: I20160810000870 |
| Provider Name | Jennifer L Robertshaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619314838 PECOS PAC ID: 2062736341 Enrollment ID: I20160817000979 |
| Provider Name | Dana R Nikles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770936114 PECOS PAC ID: 0345536181 Enrollment ID: I20160906000447 |
| Provider Name | Jessica J Gillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053760637 PECOS PAC ID: 9032405170 Enrollment ID: I20160915001794 |
| Provider Name | Zachary A Ichter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164714689 PECOS PAC ID: 0648585380 Enrollment ID: I20160920000574 |
| Provider Name | Elizabeth K Ruszak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194090696 PECOS PAC ID: 3678860079 Enrollment ID: I20160929000101 |
| Provider Name | Amber E Leed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912355884 PECOS PAC ID: 4183911316 Enrollment ID: I20161003000050 |
| Provider Name | Rebecca H Fishman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437462819 PECOS PAC ID: 9537474549 Enrollment ID: I20161006001111 |
| Provider Name | Lindsey Neiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952758385 PECOS PAC ID: 0042508368 Enrollment ID: I20161019000808 |
| Provider Name | Allene M Gagliano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417138140 PECOS PAC ID: 8527120583 Enrollment ID: I20161024002393 |
| Provider Name | Stephen M Heffner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962956276 PECOS PAC ID: 4587942263 Enrollment ID: I20161101000083 |
| Provider Name | Ashley K Secunda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730523374 PECOS PAC ID: 3375821937 Enrollment ID: I20161102000542 |
| Provider Name | Elom Amoussou Kpeto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194164780 PECOS PAC ID: 2264712629 Enrollment ID: I20161201001430 |
| Provider Name | Oliver S Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588001713 PECOS PAC ID: 9830413202 Enrollment ID: I20161207001610 |
| Provider Name | Rachel M Paul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699099275 PECOS PAC ID: 8921239187 Enrollment ID: I20170131000145 |
| Provider Name | Anne K Reilly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568434744 PECOS PAC ID: 1557644291 Enrollment ID: I20170203001103 |
| Provider Name | Jessica Lauren Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922559418 PECOS PAC ID: 1850674334 Enrollment ID: I20170207001847 |
| Provider Name | Lanae S Ampersand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619104833 PECOS PAC ID: 0042597122 Enrollment ID: I20170426002659 |
| Provider Name | Mary Theresa Ann Lewis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023215969 PECOS PAC ID: 2668620600 Enrollment ID: I20170427001650 |
| Provider Name | Melinda J Kottcamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073052312 PECOS PAC ID: 3476830035 Enrollment ID: I20170508002539 |
| Provider Name | Rachel E Wenger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568993491 PECOS PAC ID: 6608144977 Enrollment ID: I20170612000298 |
| Provider Name | Donna Kurowski George |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891042164 PECOS PAC ID: 1153610704 Enrollment ID: I20170620003010 |
| Provider Name | Lora S Regan |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1073677688 PECOS PAC ID: 2668741901 Enrollment ID: I20170630000263 |
| Provider Name | Christina S Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093257206 PECOS PAC ID: 5890065486 Enrollment ID: I20170713002707 |
| Provider Name | John Andrew Hoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578975298 PECOS PAC ID: 9234453507 Enrollment ID: I20170718001608 |
| Provider Name | Jeffrey A Bole |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811423668 PECOS PAC ID: 0941570303 Enrollment ID: I20170719000026 |
| Provider Name | Thomas C Coyne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083026702 PECOS PAC ID: 6204159718 Enrollment ID: I20170724000903 |
| Provider Name | Alison M Stanley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629480371 PECOS PAC ID: 9133443419 Enrollment ID: I20170725002177 |
| Provider Name | John Navas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174780381 PECOS PAC ID: 6507020245 Enrollment ID: I20170804000056 |
| Provider Name | Jacqueline Wolbransky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336689488 PECOS PAC ID: 1254604515 Enrollment ID: I20170907002930 |
| Provider Name | Ann L Rutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013031574 PECOS PAC ID: 7810024478 Enrollment ID: I20170913001172 |
| Provider Name | Karuna Spiegelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124089636 PECOS PAC ID: 9234184466 Enrollment ID: I20170921001893 |
| Provider Name | Caitlin A Basile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821418443 PECOS PAC ID: 1759674138 Enrollment ID: I20171003006345 |
| Provider Name | David J Byler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710935648 PECOS PAC ID: 7911969720 Enrollment ID: I20171003007286 |
| Provider Name | Michael Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770901415 PECOS PAC ID: 2264715994 Enrollment ID: I20171010002007 |
| Provider Name | Jessi Rae Eno-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336660737 PECOS PAC ID: 8022384056 Enrollment ID: I20171019000460 |
| Provider Name | Jacqueline Jean Legrand |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740280460 PECOS PAC ID: 6103128723 Enrollment ID: I20171031001934 |
| Provider Name | Mallory E Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285157412 PECOS PAC ID: 0244596575 Enrollment ID: I20171102000863 |
| Provider Name | Joshua Robert Stoppard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992228530 PECOS PAC ID: 5496011371 Enrollment ID: I20171109000123 |
| Provider Name | Fiona Marie Gaunay |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1083904528 PECOS PAC ID: 1759647118 Enrollment ID: I20171117001932 |
| Provider Name | Sheetal J Gade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164931630 PECOS PAC ID: 3870851801 Enrollment ID: I20171221001478 |
| Provider Name | Sarah L Keiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245503606 PECOS PAC ID: 1456619246 Enrollment ID: I20171228000887 |
| Provider Name | Rodrigo Jose Ugalde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619482437 PECOS PAC ID: 1759640675 Enrollment ID: I20180122001333 |
| Provider Name | Whitney J.d Bakken |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275738890 PECOS PAC ID: 2860532223 Enrollment ID: I20180123003053 |
| Provider Name | Kimberly Ann Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568975787 PECOS PAC ID: 1254691637 Enrollment ID: I20180202000871 |
| Provider Name | Bernadette Momoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841400223 PECOS PAC ID: 0244590594 Enrollment ID: I20180205001897 |
| Provider Name | Beth A Bachman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932626082 PECOS PAC ID: 4082975503 Enrollment ID: I20180226001527 |
| Provider Name | Lizette Perez Nolt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437594900 PECOS PAC ID: 5496041816 Enrollment ID: I20180322001960 |
| Provider Name | Stephen Michael Schuch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619907466 PECOS PAC ID: 9931463981 Enrollment ID: I20180430000356 |
| Provider Name | Pamela Deloretta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942715081 PECOS PAC ID: 6204190739 Enrollment ID: I20180508002237 |
| Provider Name | Jessica Ashley Quirin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013384916 PECOS PAC ID: 3476817990 Enrollment ID: I20180510000250 |
| Provider Name | Alison E Ferrara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679973614 PECOS PAC ID: 7810251154 Enrollment ID: I20180514001147 |
| Provider Name | Lori Amanda Cory |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1770873085 PECOS PAC ID: 4789939315 Enrollment ID: I20180621001989 |
| Provider Name | Marnie Sue Kaplan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487856621 PECOS PAC ID: 6002976842 Enrollment ID: I20180711000331 |
| Provider Name | Cindy S Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841679537 PECOS PAC ID: 6204141963 Enrollment ID: I20180713002004 |
| Provider Name | Ryan Edward Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871003038 PECOS PAC ID: 5193074318 Enrollment ID: I20180822000591 |
| Provider Name | Lauren Karp Brooks |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962744698 PECOS PAC ID: 2961648472 Enrollment ID: I20180830000141 |
| Provider Name | David Henry Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598111882 PECOS PAC ID: 3072809474 Enrollment ID: I20180917000066 |
| Provider Name | Katherine A Allport |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649659400 PECOS PAC ID: 3476868985 Enrollment ID: I20180919000154 |
| Provider Name | John Henry Bast |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023307527 PECOS PAC ID: 1557638590 Enrollment ID: I20180921000099 |
| Provider Name | Christine Mary Hanna Beiler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003888579 PECOS PAC ID: 6305197856 Enrollment ID: I20180921000803 |
| Provider Name | Amy Lynn Kerschner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992288872 PECOS PAC ID: 2567713944 Enrollment ID: I20180924003387 |
| Provider Name | Caitlin White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871905521 PECOS PAC ID: 8022332402 Enrollment ID: I20180926001421 |
| Provider Name | Marianna Ruhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346721982 PECOS PAC ID: 4486905650 Enrollment ID: I20180927000408 |
| Provider Name | Mary Flory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821572272 PECOS PAC ID: 6800148305 Enrollment ID: I20181011000649 |
| Provider Name | Kanchana Nilupul Herath |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093058877 PECOS PAC ID: 3173842572 Enrollment ID: I20181015002521 |
| Provider Name | Kinjal Ramani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992289516 PECOS PAC ID: 7214289347 Enrollment ID: I20181017002781 |
| Provider Name | Tiara M Heisey James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366821027 PECOS PAC ID: 7517272065 Enrollment ID: I20181031002222 |
| Provider Name | Eleanor A Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487131751 PECOS PAC ID: 5496008880 Enrollment ID: I20181101001465 |
| Provider Name | Elise Arters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235611195 PECOS PAC ID: 2769736289 Enrollment ID: I20181119001998 |
| Provider Name | Matthew F Forsythe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407331911 PECOS PAC ID: 6204170418 Enrollment ID: I20181128003553 |
| Provider Name | Katelyn Marie Shoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730593187 PECOS PAC ID: 7315164902 Enrollment ID: I20181203002971 |
| Provider Name | Ayisha Arshad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811376874 PECOS PAC ID: 0143527291 Enrollment ID: I20190107002149 |
| Provider Name | Jennifer S Ammons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548235716 PECOS PAC ID: 8921344086 Enrollment ID: I20190110000231 |
| Provider Name | Kelsey O Pappas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821435041 PECOS PAC ID: 2466776125 Enrollment ID: I20190218000429 |
| Provider Name | Theresa A Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972077337 PECOS PAC ID: 2860731338 Enrollment ID: I20190227001666 |
| Provider Name | Sajeeb Adhikary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700204609 PECOS PAC ID: 4183963630 Enrollment ID: I20190228001907 |
| Provider Name | Heather A Heck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033693031 PECOS PAC ID: 3173862174 Enrollment ID: I20190311000714 |
| Provider Name | Heather Marie Nelson Przywara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871078220 PECOS PAC ID: 1850631680 Enrollment ID: I20190314000393 |
| Provider Name | Frances C Gross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912972621 PECOS PAC ID: 5799026605 Enrollment ID: I20190402002357 |
| Provider Name | Bonnie M Zehr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386616563 PECOS PAC ID: 8426399064 Enrollment ID: I20190409002515 |
| Provider Name | Summer Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548734924 PECOS PAC ID: 2961743190 Enrollment ID: I20190416001300 |
| Provider Name | Louis Hilary Trotman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184005233 PECOS PAC ID: 6507154937 Enrollment ID: I20190416002138 |
| Provider Name | Ashley Allis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649735820 PECOS PAC ID: 7416299060 Enrollment ID: I20190430002293 |
| Provider Name | Timothy C Beer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083956791 PECOS PAC ID: 7214232727 Enrollment ID: I20190618000413 |
| Provider Name | Kevin J Lynch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821446733 PECOS PAC ID: 6406148915 Enrollment ID: I20190702000766 |
| Provider Name | Boon C Lor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881000370 PECOS PAC ID: 1456578210 Enrollment ID: I20190715001100 |
| Provider Name | Susan Jane Kiscadden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366001588 PECOS PAC ID: 7113253550 Enrollment ID: I20190723003686 |
| Provider Name | Samuel George Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669821476 PECOS PAC ID: 2961796370 Enrollment ID: I20190730001232 |
| Provider Name | Kristine A Vanselow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023466927 PECOS PAC ID: 4789976184 Enrollment ID: I20190808003744 |
| Provider Name | Meena N Venigalla |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821400052 PECOS PAC ID: 7810216413 Enrollment ID: I20190816000009 |
| Provider Name | Rosemarie C Villamayor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336179407 PECOS PAC ID: 0648269860 Enrollment ID: I20190823001959 |
| Provider Name | Rachel A Morales Fan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487002309 PECOS PAC ID: 5698067148 Enrollment ID: I20190903003217 |
| Provider Name | Lisa Ann Hostetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811559552 PECOS PAC ID: 9739418534 Enrollment ID: I20190904000074 |
| Provider Name | Emily Marie Gray Goerl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598145401 PECOS PAC ID: 2062727365 Enrollment ID: I20190910002527 |
| Provider Name | Richard N. Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700432861 PECOS PAC ID: 6204165467 Enrollment ID: I20190912002797 |
| Provider Name | Heather Elaine Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407400278 PECOS PAC ID: 3971833575 Enrollment ID: I20190925000394 |
| Provider Name | Anne M Ramsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629426556 PECOS PAC ID: 4183916646 Enrollment ID: I20190926001934 |
| Provider Name | Noah L Mabry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649822966 PECOS PAC ID: 6002147949 Enrollment ID: I20191008002177 |
| Provider Name | Georgia Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003278201 PECOS PAC ID: 9032404728 Enrollment ID: I20191009000304 |
| Provider Name | Jami Dawn Rothman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417216102 PECOS PAC ID: 6507118403 Enrollment ID: I20191010000814 |
| Provider Name | Natalie Lorraine Luciano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568018448 PECOS PAC ID: 5092047019 Enrollment ID: I20191024001024 |
| Provider Name | Chinenyenwa Onyemaechi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396087052 PECOS PAC ID: 9234438433 Enrollment ID: I20191031000936 |
| Provider Name | Kristen Lynn Whitebread-wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811539034 PECOS PAC ID: 3274965942 Enrollment ID: I20191118003174 |
| Provider Name | Michelle Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982256855 PECOS PAC ID: 5496188831 Enrollment ID: I20191126000079 |
| Provider Name | Justine E Mccracken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639710650 PECOS PAC ID: 2062845092 Enrollment ID: I20191205002144 |
| Provider Name | Abdullateef O Abdulkareem |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386027068 PECOS PAC ID: 2769773761 Enrollment ID: I20191217001187 |
| Provider Name | Laura M Cermignano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821454653 PECOS PAC ID: 0345546370 Enrollment ID: I20191220002068 |
| Provider Name | Frederick Vyas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538598214 PECOS PAC ID: 7618302043 Enrollment ID: I20200114000177 |
| Provider Name | Kelley Castillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164064721 PECOS PAC ID: 2567897432 Enrollment ID: I20200123000117 |
| Provider Name | Chance Taylor Kaplan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1790741296 PECOS PAC ID: 7315197811 Enrollment ID: I20200213000429 |
| Provider Name | Johannes Benjamin Pulst-korenberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558772368 PECOS PAC ID: 3476805011 Enrollment ID: I20200218000439 |
| Provider Name | Ryan Edward Stagg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205001849 PECOS PAC ID: 7618192493 Enrollment ID: I20200219001683 |
| Provider Name | Carlton Philip Baer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922635705 PECOS PAC ID: 2567891641 Enrollment ID: I20200413000684 |
| Provider Name | Robert Nicholas Hernandez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1043552409 PECOS PAC ID: 8022448109 Enrollment ID: I20200414002600 |
| Provider Name | Victoria Lee Wilson-geter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336600717 PECOS PAC ID: 8729419288 Enrollment ID: I20200518000012 |
| Provider Name | Sudhir Batchu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871698662 PECOS PAC ID: 5799729570 Enrollment ID: I20200608001106 |
| Provider Name | Daniel Summers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922531185 PECOS PAC ID: 1951676774 Enrollment ID: I20200608002397 |
| Provider Name | Sherrie-an Gerhart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871922179 PECOS PAC ID: 4082035480 Enrollment ID: I20200610000650 |
| Provider Name | Laura M Dipaolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487002374 PECOS PAC ID: 1658665880 Enrollment ID: I20200701000108 |
| Provider Name | Holly Frost |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285639013 PECOS PAC ID: 4981791027 Enrollment ID: I20200806001092 |
| Provider Name | Andrew Wong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710366232 PECOS PAC ID: 1254644438 Enrollment ID: I20200814001984 |
| Provider Name | Frank Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417485699 PECOS PAC ID: 3779853544 Enrollment ID: I20200818001976 |
| Provider Name | Kelsey Lynn Hamill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831725407 PECOS PAC ID: 8921424177 Enrollment ID: I20200818002954 |
| Provider Name | Tuc Thanh To |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134651946 PECOS PAC ID: 0244575058 Enrollment ID: I20200820001057 |
| Provider Name | Adrian Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134659071 PECOS PAC ID: 1254601354 Enrollment ID: I20200824001419 |
| Provider Name | Elaina Blessing Truax Russo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871021154 PECOS PAC ID: 1355614686 Enrollment ID: I20200824003147 |
| Provider Name | Emily S Kirchner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003346933 PECOS PAC ID: 3779854856 Enrollment ID: I20200825000041 |
| Provider Name | Alyne May Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982832846 PECOS PAC ID: 9032536750 Enrollment ID: I20200826002474 |
| Provider Name | Kathryn A O'rourke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730537655 PECOS PAC ID: 1153613617 Enrollment ID: I20200827001768 |
| Provider Name | Daniel Alexander Russo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740718212 PECOS PAC ID: 5698048924 Enrollment ID: I20200917000794 |
| Provider Name | Alyssa Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285071043 PECOS PAC ID: 8729351879 Enrollment ID: I20200917001984 |
| Provider Name | Adela Magallanes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659735942 PECOS PAC ID: 6901197557 Enrollment ID: I20200922002798 |
| Provider Name | Zhezheng Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558893792 PECOS PAC ID: 2567882020 Enrollment ID: I20201021003277 |
| Provider Name | Janene Boyette Ireland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407467848 PECOS PAC ID: 8123448453 Enrollment ID: I20201026001817 |
| Provider Name | Martina Majella Sobolesky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669099719 PECOS PAC ID: 5395158935 Enrollment ID: I20201229000064 |
| Provider Name | Megan Zepp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356873988 PECOS PAC ID: 1052724879 Enrollment ID: I20210114002823 |
| Provider Name | Allison Crowell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114312568 PECOS PAC ID: 1850608449 Enrollment ID: I20210122000014 |
| Provider Name | Morgan Christy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467068858 PECOS PAC ID: 1254746845 Enrollment ID: I20210211002476 |
| Provider Name | Bethann Scarborough |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1487828414 PECOS PAC ID: 4082878194 Enrollment ID: I20210304001022 |
| Provider Name | Janelle Glick |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902415896 PECOS PAC ID: 7911314844 Enrollment ID: I20210322000438 |
| Provider Name | Cathleen Corbin Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942773130 PECOS PAC ID: 1153660014 Enrollment ID: I20210413000217 |
| Provider Name | Danielle Cross |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093163156 PECOS PAC ID: 9830481290 Enrollment ID: I20210512000537 |
| Provider Name | Aaron Jon Steinhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396345542 PECOS PAC ID: 0446669782 Enrollment ID: I20210517002181 |
| Provider Name | Christina Jackson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1821416397 PECOS PAC ID: 3971811845 Enrollment ID: I20210520000399 |
| Provider Name | Kaitlyn Lee Weiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083297626 PECOS PAC ID: 6800295841 Enrollment ID: I20210525002074 |
| Provider Name | Olwadamilola Fayanju |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790980613 PECOS PAC ID: 8921238536 Enrollment ID: I20210614003261 |
| Provider Name | Mohammad O Bukhari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306334073 PECOS PAC ID: 0840546321 Enrollment ID: I20210615000289 |
| Provider Name | Arianne Train |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972731180 PECOS PAC ID: 8325343148 Enrollment ID: I20210622000175 |
| Provider Name | Marina A Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487148565 PECOS PAC ID: 3274884606 Enrollment ID: I20210722000621 |
| Provider Name | Lynne A Booth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720480858 PECOS PAC ID: 9830440114 Enrollment ID: I20210723000056 |
| Provider Name | Michael K Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861986952 PECOS PAC ID: 1850642109 Enrollment ID: I20210723002988 |
| Provider Name | David Mccollum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013156587 PECOS PAC ID: 0446403315 Enrollment ID: I20210729000335 |
| Provider Name | Jill Galinus Brazelton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407839640 PECOS PAC ID: 3678977469 Enrollment ID: I20210802000056 |
| Provider Name | Bethany Bustamante |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992105357 PECOS PAC ID: 0547505059 Enrollment ID: I20210802000060 |
| Provider Name | Jordan Zehr Delgadillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801328323 PECOS PAC ID: 9032489489 Enrollment ID: I20210804000263 |
| Provider Name | Nicole Chiota-mccollum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689812406 PECOS PAC ID: 9830348895 Enrollment ID: I20210806002990 |
| Provider Name | Kacper Krzysztof Pierwola |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831542885 PECOS PAC ID: 4486940327 Enrollment ID: I20210812001260 |
| Provider Name | Matthew Molnar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821593856 PECOS PAC ID: 5698021384 Enrollment ID: I20210824002218 |
| Provider Name | Mary Kay Stauffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407522808 PECOS PAC ID: 7517363120 Enrollment ID: I20210908000324 |
| Provider Name | Mckenna Michael Welshans |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912558503 PECOS PAC ID: 7416353883 Enrollment ID: I20210909003353 |
| Provider Name | Jens Witsch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649621269 PECOS PAC ID: 9638440555 Enrollment ID: I20210910000018 |
| Provider Name | Janae Michele Allgire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578238770 PECOS PAC ID: 8820495906 Enrollment ID: I20210916003254 |
| Provider Name | Amy Burr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932872454 PECOS PAC ID: 0042617870 Enrollment ID: I20210922000083 |
| Provider Name | Lydia Ruth Slater |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720570724 PECOS PAC ID: 4183971567 Enrollment ID: I20210922002421 |
| Provider Name | Arwa El Sayed |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700313251 PECOS PAC ID: 1557759545 Enrollment ID: I20211025000828 |
| Provider Name | Melissa Anne Hubley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841789377 PECOS PAC ID: 9537416821 Enrollment ID: I20211028001019 |
| Provider Name | Taylor Belser Yinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538653696 PECOS PAC ID: 5597016865 Enrollment ID: I20211028002599 |
| Provider Name | Andrea Bannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750953287 PECOS PAC ID: 8325436967 Enrollment ID: I20211101000788 |
| Provider Name | Kelly E Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356015531 PECOS PAC ID: 2466841432 Enrollment ID: I20211112000181 |
| Provider Name | Elizabeth Manetta |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1518496611 PECOS PAC ID: 5890028823 Enrollment ID: I20211208000255 |
| Provider Name | Paula Dionisia Pulgar Grannells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538838396 PECOS PAC ID: 1658762059 Enrollment ID: I20211220000075 |
| Provider Name | Saima Khalid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144472432 PECOS PAC ID: 3577628320 Enrollment ID: I20211229000274 |
| Provider Name | Cory Heller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558028555 PECOS PAC ID: 0648661470 Enrollment ID: I20220105000086 |
| Provider Name | Erica Lynn Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437747326 PECOS PAC ID: 8921490806 Enrollment ID: I20220127000019 |
| Provider Name | Rebecca Lauren Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578226338 PECOS PAC ID: 7416341375 Enrollment ID: I20220218001908 |
| Provider Name | Farida Aliyeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558014076 PECOS PAC ID: 6901292879 Enrollment ID: I20220331002347 |
| Provider Name | Erin Byrne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255842977 PECOS PAC ID: 6103213913 Enrollment ID: I20220426001973 |
| Provider Name | Lacey Marie Saurbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023776838 PECOS PAC ID: 9830586387 Enrollment ID: I20220502000276 |
| Provider Name | David Dawit Berhanu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811643935 PECOS PAC ID: 5799172037 Enrollment ID: I20220505000029 |
| Provider Name | Nicole Jacqueline Asashon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376290411 PECOS PAC ID: 4284011263 Enrollment ID: I20220512000970 |
| Provider Name | Onyinye Ugorji |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487074324 PECOS PAC ID: 9335489582 Enrollment ID: I20220512001631 |
| Provider Name | Kara Salaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396318788 PECOS PAC ID: 8921404153 Enrollment ID: I20220520001642 |
| Provider Name | Katherine Hicks Courant |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1114308749 PECOS PAC ID: 4082903760 Enrollment ID: I20220622001172 |
| Provider Name | Rachana Murthy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295261923 PECOS PAC ID: 7810312154 Enrollment ID: I20220623002291 |
| Provider Name | Samantha Ouellet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225773260 PECOS PAC ID: 4486033248 Enrollment ID: I20220624000834 |
| Provider Name | William C Hope |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144756743 PECOS PAC ID: 7113296112 Enrollment ID: I20220629000411 |
| Provider Name | Sandra Lynne Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184378879 PECOS PAC ID: 1951781863 Enrollment ID: I20220709000792 |
| Provider Name | Paulina Tram Anh Bauer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891216586 PECOS PAC ID: 3072923515 Enrollment ID: I20220711001928 |
| Provider Name | Rachel Angstadt |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1376048256 PECOS PAC ID: 4880944164 Enrollment ID: I20220719000751 |
| Provider Name | Alyssa Casper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336878032 PECOS PAC ID: 9931580115 Enrollment ID: I20220719002603 |
| Provider Name | Andrew M Slater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568029676 PECOS PAC ID: 6204161771 Enrollment ID: I20220721000484 |
| Provider Name | Benjamin R Stabler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992364947 PECOS PAC ID: 1052646627 Enrollment ID: I20220722000001 |
| Provider Name | Daniel Calnan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710397492 PECOS PAC ID: 2365732237 Enrollment ID: I20220815002329 |
| Provider Name | Andrew Ouellet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578293999 PECOS PAC ID: 3274916721 Enrollment ID: I20220816000963 |
| Provider Name | Ruhani Nanavati |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952830473 PECOS PAC ID: 8729358353 Enrollment ID: I20220820000241 |
| Provider Name | Geoffrey Dreher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639558943 PECOS PAC ID: 9234460114 Enrollment ID: I20220908000116 |
| Provider Name | Allison Murray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194171231 PECOS PAC ID: 2961748843 Enrollment ID: I20220912000072 |
| Provider Name | Steven Swavely |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639565484 PECOS PAC ID: 8224455548 Enrollment ID: I20220920000993 |
| Provider Name | Spencer Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407316532 PECOS PAC ID: 1759712318 Enrollment ID: I20220923000277 |
| Provider Name | Anne Rettig |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1467644807 PECOS PAC ID: 7113197823 Enrollment ID: I20220929001050 |
| Provider Name | David Keith Haas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962163063 PECOS PAC ID: 5799161360 Enrollment ID: I20221005001072 |
| Provider Name | Matthew Francis Regan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538412325 PECOS PAC ID: 9638555212 Enrollment ID: I20221005001442 |
| Provider Name | Susan Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477281350 PECOS PAC ID: 8123494267 Enrollment ID: I20221014001608 |
| Provider Name | Jessie Elizabeth Stefanescu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942934120 PECOS PAC ID: 5193191625 Enrollment ID: I20221025000023 |
| Provider Name | Archana Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447972229 PECOS PAC ID: 0143697599 Enrollment ID: I20221027003313 |
| Provider Name | Julie A Justice Klunk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851028419 PECOS PAC ID: 6103293931 Enrollment ID: I20221107003011 |
| Provider Name | Marion George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205816295 PECOS PAC ID: 5294760880 Enrollment ID: I20221128002948 |
| Provider Name | Neha Vijayvargiya Safi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275987257 PECOS PAC ID: 7517335227 Enrollment ID: I20221129003311 |
| Provider Name | Tyrone Bristol |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437150596 PECOS PAC ID: 8921083965 Enrollment ID: I20221215002966 |
| Provider Name | Julia Elizabeth Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609585173 PECOS PAC ID: 1153790944 Enrollment ID: I20221219000776 |
| Provider Name | Visish Srinivasan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053750489 PECOS PAC ID: 0446681357 Enrollment ID: I20230109000056 |
| Provider Name | Brad A Hertzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205544236 PECOS PAC ID: 5395117741 Enrollment ID: I20230211000037 |
| Provider Name | Bethany Parmer Landgraff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770856759 PECOS PAC ID: 4789056961 Enrollment ID: I20230216001870 |
| Provider Name | Ellen Michelle Depoy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992230726 PECOS PAC ID: 7113283748 Enrollment ID: I20230302002970 |
| Provider Name | Sahily Reyes-esteves |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508353921 PECOS PAC ID: 2365865987 Enrollment ID: I20230313002364 |
| Provider Name | Gbambele Jay Kone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164912069 PECOS PAC ID: 1951656487 Enrollment ID: I20230314003053 |
| Provider Name | Ibrahim Omeis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881866424 PECOS PAC ID: 5698841195 Enrollment ID: I20230320000120 |
| Provider Name | Jessica Scheib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023726486 PECOS PAC ID: 7810361300 Enrollment ID: I20230323003266 |
| Provider Name | Wendy L Reismiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497284095 PECOS PAC ID: 4688920887 Enrollment ID: I20230401000103 |
| Provider Name | Justina Theresa Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235838152 PECOS PAC ID: 7618342239 Enrollment ID: I20230413001576 |
| Provider Name | Kara Lorin Woodnorth O'hara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003504093 PECOS PAC ID: 5597121368 Enrollment ID: I20230522000131 |
| Provider Name | Logan William Carr |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1649512377 PECOS PAC ID: 2163702747 Enrollment ID: I20230622000636 |
| Provider Name | Aaron M Hiller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205499985 PECOS PAC ID: 5799144366 Enrollment ID: I20230630000020 |
| Provider Name | Connie Ling Koons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699238667 PECOS PAC ID: 4486981941 Enrollment ID: I20230707002958 |
| Provider Name | Christopher Kyper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063946382 PECOS PAC ID: 3072883693 Enrollment ID: I20230801003904 |
| Provider Name | Katherine O'connell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831628734 PECOS PAC ID: 1456603174 Enrollment ID: I20230809001906 |
| Provider Name | Iesha Scarpino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124654595 PECOS PAC ID: 6204298003 Enrollment ID: I20230810002534 |
| Provider Name | Zania Np Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396423190 PECOS PAC ID: 5496117848 Enrollment ID: I20230816002937 |
| Provider Name | John O Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750907630 PECOS PAC ID: 7517380934 Enrollment ID: I20230821002043 |
| Provider Name | Eli Wayman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578120044 PECOS PAC ID: 8224362728 Enrollment ID: I20230907002953 |
| Provider Name | Sedeek Elmoursi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982049441 PECOS PAC ID: 0648524710 Enrollment ID: I20230912000417 |
| Provider Name | Ryan J Fischer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043836877 PECOS PAC ID: 7315360773 Enrollment ID: I20230913000616 |
| Provider Name | Matthew Pierotti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396032470 PECOS PAC ID: 1850706805 Enrollment ID: I20230922001872 |
| Provider Name | Jennifer Bracken Imbriale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003477050 PECOS PAC ID: 8729315247 Enrollment ID: I20231004002524 |
| Provider Name | Bethany Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417639204 PECOS PAC ID: 5193170207 Enrollment ID: I20231010001879 |
| Provider Name | Eric Hintz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316115496 PECOS PAC ID: 0840599502 Enrollment ID: I20231011001414 |
| Provider Name | Lahari Vudayagiri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871096537 PECOS PAC ID: 7719332725 Enrollment ID: I20231011002782 |
| Provider Name | Kelly Renee Quinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699450627 PECOS PAC ID: 2163877028 Enrollment ID: I20231012000912 |
| Provider Name | Rachel Lira Sensenig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679356109 PECOS PAC ID: 2163877960 Enrollment ID: I20231014000531 |
| Provider Name | Katharine Elizabeth Noon Brandyberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538942990 PECOS PAC ID: 1850746660 Enrollment ID: I20231016000028 |
| Provider Name | Christopher Howell |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1881126563 PECOS PAC ID: 3173873023 Enrollment ID: I20231110000825 |
| Provider Name | Adriana Webber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407313935 PECOS PAC ID: 4486081858 Enrollment ID: I20231130002097 |
| Provider Name | Mariah Swisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679291272 PECOS PAC ID: 4587012315 Enrollment ID: I20231204003452 |
| Provider Name | Shirley Faye Herr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801676358 PECOS PAC ID: 0840649448 Enrollment ID: I20231207003181 |
| Provider Name | Kishan Thadikonda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366977175 PECOS PAC ID: 1951671940 Enrollment ID: I20231212000030 |
| Provider Name | Emilee Bailey Coyne |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740943216 PECOS PAC ID: 2264882166 Enrollment ID: I20231219000025 |
| Provider Name | Felisha Rita Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447024344 PECOS PAC ID: 6800246513 Enrollment ID: I20231221000488 |
| Provider Name | Sara Ellen Marinucci |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518072339 PECOS PAC ID: 7214387638 Enrollment ID: I20231228000265 |
| Provider Name | Alyxandria Lyn Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568237022 PECOS PAC ID: 8921459363 Enrollment ID: I20240110000712 |
| Provider Name | Janaina Rocha Barros Rachor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447032636 PECOS PAC ID: 0143671321 Enrollment ID: I20240111004704 |
| Provider Name | Brian O Wenger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235381211 PECOS PAC ID: 0244682961 Enrollment ID: I20240118002321 |
| Provider Name | Stephanie Santoro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730733148 PECOS PAC ID: 5799137097 Enrollment ID: I20240123002053 |
| Provider Name | Abby Stoltzfus |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477265189 PECOS PAC ID: 1153774328 Enrollment ID: I20240124003408 |
| Provider Name | Stacey Danielle Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649666090 PECOS PAC ID: 4688027790 Enrollment ID: I20240125000380 |
| Provider Name | Gina Carmina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073008009 PECOS PAC ID: 3971953357 Enrollment ID: I20240129000027 |
| Provider Name | Alexis Olivia Stambaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003681362 PECOS PAC ID: 3375996895 Enrollment ID: I20240131001895 |
| Provider Name | Jaime Lynn Plank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245010941 PECOS PAC ID: 6507219821 Enrollment ID: I20240201004289 |
| Provider Name | David Andrew Ehrhart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366637043 PECOS PAC ID: 3375986565 Enrollment ID: I20240205002084 |
| Provider Name | Samantha Ochoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619744778 PECOS PAC ID: 3173966801 Enrollment ID: I20240208003924 |
| Provider Name | Crystal Derose |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083155410 PECOS PAC ID: 3678917093 Enrollment ID: I20240214000014 |
| Provider Name | Sara A Schuch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508202367 PECOS PAC ID: 2163866401 Enrollment ID: I20240215000010 |
| Provider Name | Jennifer Van Eeden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710474648 PECOS PAC ID: 6103276548 Enrollment ID: I20240215002375 |
| Provider Name | Tyler Merceron |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528455441 PECOS PAC ID: 1254721244 Enrollment ID: I20240216001556 |
| Provider Name | Amanda Abigail Lynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346871506 PECOS PAC ID: 5193169647 Enrollment ID: I20240222004369 |
| Provider Name | Rebecca Kochanowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033803044 PECOS PAC ID: 8527428721 Enrollment ID: I20240301000024 |
| Provider Name | Ellen Ruth Dreibelbis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003412834 PECOS PAC ID: 8527404011 Enrollment ID: I20240306003436 |
| Provider Name | Annetta Czar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366205452 PECOS PAC ID: 9638515901 Enrollment ID: I20240308000884 |
| Provider Name | Caitlyn Kristich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619659406 PECOS PAC ID: 0941646053 Enrollment ID: I20240312001627 |
| Provider Name | Stacey L Burroughs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962805010 PECOS PAC ID: 4284070004 Enrollment ID: I20240314002118 |
| Provider Name | Brandi Marie Tisdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962270215 PECOS PAC ID: 3072951649 Enrollment ID: I20240402000153 |
| Provider Name | Matthew Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205193711 PECOS PAC ID: 4183873482 Enrollment ID: I20240423000516 |
| Provider Name | Tonya L Lane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023564408 PECOS PAC ID: 2567802762 Enrollment ID: I20240506001198 |
| Provider Name | Olivia Taylor Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558126573 PECOS PAC ID: 3779924899 Enrollment ID: I20240507003063 |
| Provider Name | Clarice Riche' Norris-dixon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528799988 PECOS PAC ID: 1254772916 Enrollment ID: I20240513000266 |
| Provider Name | Justin Stull |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861854747 PECOS PAC ID: 8729386610 Enrollment ID: I20240523000499 |
Behavioral Health Solutions Of Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 922 W Fairway Dr, Lancaster, PA 17603 Phone: 717-723-8165 | |
Nuestra Clinica Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 545 Pershing Ave, Lancaster, PA 17602 Phone: 717-293-4150 Fax: 717-399-4289 | |
First Church Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 E Walnut St, Lancaster, PA 17602 Phone: 717-329-4178 Fax: 717-533-6071 | |
Above And Beyond Counseling Services Of Pa, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1655 Manheim Pike, Suite Ob4, Lancaster, PA 17601 Phone: 973-239-0948 Fax: 973-239-0972 | |
Commonwealth Clinical Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 E Orange St, Lancaster, PA 17602 Phone: 717-393-3900 Fax: 717-393-7900 | |
Thirty-nine West Vine Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 W Vine St, Lancaster, PA 17603 Phone: 717-394-5496 Fax: 717-533-6071 | |
Living Fully, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1771 Wilderness Rd, Lancaster, PA 17603 Phone: 717-862-8812 |