| Physician Practice Management | |
|
501 S Santa Fe Ave Suite 200 Salina KS 67401-4189 | |
| (785) 452-7269 | |
| (785) 452-6008 |
| Full Name | Physician Practice Management |
|---|---|
| Speciality | Surgery |
| Location | 501 S Santa Fe Ave, Salina, Kansas |
| Authorized Official Name and Position | Amy Wikoff (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7854526152 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Practice Management 400 S Santa Fe Ave Srhc Revenue Cycle Mgmt Salina KS 67401-4144 Ph: (785) 452-7269 | Physician Practice Management 501 S Santa Fe Ave Suite 200 Salina KS 67401-4189 Ph: (785) 452-7269 |
| NPI Number | 1619952785 |
|---|---|
| Provider Enumeration Date | 12/13/2005 |
| Last Update Date | 01/16/2019 |
| Medicare PECOS PAC ID | 0446168215 |
|---|---|
| Medicare Enrollment ID | O20040130000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619952785 | NPI | - | NPPES |
| 100105940C | Medicaid | KS |
| Provider Name | Michelle R Labes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467418210 PECOS PAC ID: 8527051093 Enrollment ID: I20040408000593 |
| Provider Name | George S Jerkovich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578549200 PECOS PAC ID: 8426042219 Enrollment ID: I20040414000028 |
| Provider Name | Maria L Cheney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437128998 PECOS PAC ID: 4183618804 Enrollment ID: I20040414000272 |
| Provider Name | Trent W Davis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972571750 PECOS PAC ID: 2466340880 Enrollment ID: I20040503001430 |
| Provider Name | Ashley C Barta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760522841 PECOS PAC ID: 3072595149 Enrollment ID: I20040602001355 |
| Provider Name | Richard Gomendoza |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841255734 PECOS PAC ID: 8325025893 Enrollment ID: I20040701001475 |
| Provider Name | David Battin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700881000 PECOS PAC ID: 2860466976 Enrollment ID: I20040824001028 |
| Provider Name | Richard D Rivero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861468480 PECOS PAC ID: 7911972625 Enrollment ID: I20040826001254 |
| Provider Name | Rebecca Jane Johnson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841366242 PECOS PAC ID: 4183699002 Enrollment ID: I20040902000566 |
| Provider Name | Crystal Ann Bertrand |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033371786 PECOS PAC ID: 6103895644 Enrollment ID: I20040930000702 |
| Provider Name | Robert S Freelove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013911858 PECOS PAC ID: 1850350455 Enrollment ID: I20041008000495 |
| Provider Name | Christopher Scott Owings |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992702831 PECOS PAC ID: 0749247005 Enrollment ID: I20041217000742 |
| Provider Name | Jon F Richards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194723692 PECOS PAC ID: 3274442322 Enrollment ID: I20041230000622 |
| Provider Name | Larry K Beck |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851356042 PECOS PAC ID: 0648224147 Enrollment ID: I20050308000786 |
| Provider Name | Mark G Bell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629043807 PECOS PAC ID: 1951357920 Enrollment ID: I20050323000949 |
| Provider Name | Jerrold Cossette |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659346211 PECOS PAC ID: 7911953252 Enrollment ID: I20050329001324 |
| Provider Name | William T Unsderfer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942300173 PECOS PAC ID: 1254388085 Enrollment ID: I20050405000212 |
| Provider Name | Michael L Weiser |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1750356028 PECOS PAC ID: 5890742241 Enrollment ID: I20050407000268 |
| Provider Name | Robert L Sourk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942272554 PECOS PAC ID: 5496794380 Enrollment ID: I20050429000478 |
| Provider Name | Brenda K Schewe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841266251 PECOS PAC ID: 5991744773 Enrollment ID: I20050502000169 |
| Provider Name | Thomas Wayne Fulbright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548213119 PECOS PAC ID: 1557302080 Enrollment ID: I20050516000364 |
| Provider Name | Kent B Berquist |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134184997 PECOS PAC ID: 6103867106 Enrollment ID: I20050519000964 |
| Provider Name | Larry E Burnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891750063 PECOS PAC ID: 3870401656 Enrollment ID: I20050523000639 |
| Provider Name | Elaine Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689639775 PECOS PAC ID: 0345206660 Enrollment ID: I20050523000657 |
| Provider Name | Michael K Lawrence |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134185572 PECOS PAC ID: 0446292296 Enrollment ID: I20050523000930 |
| Provider Name | Russell E Greene |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588693832 PECOS PAC ID: 5092757682 Enrollment ID: I20050524000795 |
| Provider Name | David M Beard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053376079 PECOS PAC ID: 7113918566 Enrollment ID: I20050607000876 |
| Provider Name | Esther A Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902862758 PECOS PAC ID: 2264477017 Enrollment ID: I20050622001285 |
| Provider Name | Jennifer Ann Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407824196 PECOS PAC ID: 1153366489 Enrollment ID: I20050627000814 |
| Provider Name | Michelle A Klaumann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508833187 PECOS PAC ID: 5092799361 Enrollment ID: I20050701000467 |
| Provider Name | Karil L Bellah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518921485 PECOS PAC ID: 4789620212 Enrollment ID: I20050706000403 |
| Provider Name | Angela M Bogart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639135486 PECOS PAC ID: 0547292666 Enrollment ID: I20050908001061 |
| Provider Name | Bruce L Labes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063477297 PECOS PAC ID: 3971540808 Enrollment ID: I20050913001276 |
| Provider Name | Jeremy David Morris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891734091 PECOS PAC ID: 8123038734 Enrollment ID: I20060426000918 |
| Provider Name | Angela N Koerperich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629003405 PECOS PAC ID: 0042213076 Enrollment ID: I20060814000029 |
| Provider Name | Jacob M Breeding |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891733366 PECOS PAC ID: 7517960222 Enrollment ID: I20060818000432 |
| Provider Name | Gwenda Marie Philbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811906100 PECOS PAC ID: 9638173180 Enrollment ID: I20060914000295 |
| Provider Name | Kenneth T Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396851689 PECOS PAC ID: 8426055799 Enrollment ID: I20061030000172 |
| Provider Name | Jennifer Diane Pekarek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972577427 PECOS PAC ID: 5597664433 Enrollment ID: I20070206000210 |
| Provider Name | Richard Toon |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679533392 PECOS PAC ID: 8729180526 Enrollment ID: I20070226000374 |
| Provider Name | Wesley D Kirk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962627034 PECOS PAC ID: 4284730821 Enrollment ID: I20070427000567 |
| Provider Name | Marcia L Cleavenger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073715322 PECOS PAC ID: 0244323301 Enrollment ID: I20070905000464 |
| Provider Name | Sean M Herrington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821096546 PECOS PAC ID: 4082501929 Enrollment ID: I20070911000249 |
| Provider Name | Rebecca L Weller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013946557 PECOS PAC ID: 5597858217 Enrollment ID: I20070911000285 |
| Provider Name | Michael D Grant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467417634 PECOS PAC ID: 0446349393 Enrollment ID: I20071130000255 |
| Provider Name | Kelly E Yoxall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417912643 PECOS PAC ID: 0042309445 Enrollment ID: I20080205000539 |
| Provider Name | Marshall E Eidenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558352559 PECOS PAC ID: 9133107659 Enrollment ID: I20080520000090 |
| Provider Name | Ralph Bharati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851486294 PECOS PAC ID: 6507852795 Enrollment ID: I20080619000144 |
| Provider Name | Kristin L Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518162734 PECOS PAC ID: 5698825214 Enrollment ID: I20090602000514 |
| Provider Name | Brandy N Ashley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992943799 PECOS PAC ID: 1557412533 Enrollment ID: I20090702000428 |
| Provider Name | Jeffrey M Geitz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124246855 PECOS PAC ID: 4486706785 Enrollment ID: I20090717000160 |
| Provider Name | Keir G Swisher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447469598 PECOS PAC ID: 5991857864 Enrollment ID: I20090723000703 |
| Provider Name | Christopher R Graber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760600415 PECOS PAC ID: 2668525817 Enrollment ID: I20090805000438 |
| Provider Name | Jason P Brunton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013133073 PECOS PAC ID: 7911051123 Enrollment ID: I20090821000218 |
| Provider Name | Chadwin R Schroeder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851356026 PECOS PAC ID: 8224127626 Enrollment ID: I20100105000051 |
| Provider Name | Mark A. Krehbiel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770548869 PECOS PAC ID: 1658384565 Enrollment ID: I20100105000060 |
| Provider Name | Gary G Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306801626 PECOS PAC ID: 2466361514 Enrollment ID: I20100105000071 |
| Provider Name | Kevin D Norris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063477966 PECOS PAC ID: 9234228636 Enrollment ID: I20100115000700 |
| Provider Name | Alan K Wedel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659336873 PECOS PAC ID: 4284543331 Enrollment ID: I20100115000716 |
| Provider Name | Dwane M Beckenhauer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912014077 PECOS PAC ID: 1850433269 Enrollment ID: I20100123000060 |
| Provider Name | My N Myers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396701090 PECOS PAC ID: 3173583671 Enrollment ID: I20100125000203 |
| Provider Name | Kyle D Elmore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235194895 PECOS PAC ID: 9133218530 Enrollment ID: I20100215000182 |
| Provider Name | Sara L Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740245638 PECOS PAC ID: 0143319541 Enrollment ID: I20100215000217 |
| Provider Name | Jeffrey S Ehrlich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972568863 PECOS PAC ID: 1052400454 Enrollment ID: I20100215000229 |
| Provider Name | Jay S Robinow |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598727190 PECOS PAC ID: 4688686041 Enrollment ID: I20100305000690 |
| Provider Name | Ladona M Schmidt |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1710943634 PECOS PAC ID: 6002725157 Enrollment ID: I20100329000136 |
| Provider Name | Christopher Warholic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164629135 PECOS PAC ID: 6204969827 Enrollment ID: I20100803001183 |
| Provider Name | Daniel J Hulse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386842227 PECOS PAC ID: 9830223023 Enrollment ID: I20100810000216 |
| Provider Name | Joseph Michael Arcidi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528024544 PECOS PAC ID: 4486619616 Enrollment ID: I20100908000965 |
| Provider Name | Scott A Gayley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154357929 PECOS PAC ID: 6305038241 Enrollment ID: I20101011000129 |
| Provider Name | Lucas Brent Cosens |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972814457 PECOS PAC ID: 0244422236 Enrollment ID: I20101213000234 |
| Provider Name | Leslie Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508172552 PECOS PAC ID: 1456538669 Enrollment ID: I20110615000210 |
| Provider Name | Danielle E Rothfuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306144282 PECOS PAC ID: 2769660935 Enrollment ID: I20110617000493 |
| Provider Name | Peeran D Sandhu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003957788 PECOS PAC ID: 4183894074 Enrollment ID: I20110901000403 |
| Provider Name | Nicole M Betz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598048753 PECOS PAC ID: 6204003809 Enrollment ID: I20120123000677 |
| Provider Name | Andrew Humpert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568688273 PECOS PAC ID: 2365638939 Enrollment ID: I20120123000723 |
| Provider Name | Jeremiah S Ostmeyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215061783 PECOS PAC ID: 7911050125 Enrollment ID: I20120124000624 |
| Provider Name | Merle J Hodges |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164407094 PECOS PAC ID: 2365356037 Enrollment ID: I20120308000232 |
| Provider Name | Caleb J Bowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720216260 PECOS PAC ID: 7012172737 Enrollment ID: I20120703000229 |
| Provider Name | Dennis M Termulo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336321488 PECOS PAC ID: 4183776735 Enrollment ID: I20120711000451 |
| Provider Name | Mindy S Lovendahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376806646 PECOS PAC ID: 2163679465 Enrollment ID: I20120821000781 |
| Provider Name | David M Dupy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164741484 PECOS PAC ID: 2961652888 Enrollment ID: I20121030000164 |
| Provider Name | Justin D Klaassen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811154230 PECOS PAC ID: 5597916320 Enrollment ID: I20121103000110 |
| Provider Name | Kathleen E Corona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316293566 PECOS PAC ID: 4880847748 Enrollment ID: I20130102000022 |
| Provider Name | Alison E Hiatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891045217 PECOS PAC ID: 9032362835 Enrollment ID: I20130103000153 |
| Provider Name | Julia Mae Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801168687 PECOS PAC ID: 3779736863 Enrollment ID: I20130124000240 |
| Provider Name | Tamra T Lamer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235494329 PECOS PAC ID: 1052550324 Enrollment ID: I20130617000657 |
| Provider Name | Daniel J Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114238466 PECOS PAC ID: 9436307626 Enrollment ID: I20130708000728 |
| Provider Name | Scott M Boswell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801093224 PECOS PAC ID: 9931340189 Enrollment ID: I20130730000935 |
| Provider Name | Lisa A Gilmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205272259 PECOS PAC ID: 8628210473 Enrollment ID: I20130808000027 |
| Provider Name | Peter David Morris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245551803 PECOS PAC ID: 7810121183 Enrollment ID: I20130930000431 |
| Provider Name | Teresa K Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952733149 PECOS PAC ID: 7315172350 Enrollment ID: I20131030000172 |
| Provider Name | Kyle L Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821420126 PECOS PAC ID: 1951530625 Enrollment ID: I20140130000176 |
| Provider Name | Keri A Kavouras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780006585 PECOS PAC ID: 2961633342 Enrollment ID: I20140327002269 |
| Provider Name | Patricia Lee Barker Little |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659632495 PECOS PAC ID: 5991952384 Enrollment ID: I20140403000611 |
| Provider Name | Katie M Mcwilliams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568753820 PECOS PAC ID: 2769628171 Enrollment ID: I20140422001374 |
| Provider Name | Zachary K Jepson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336433481 PECOS PAC ID: 9931324381 Enrollment ID: I20140627001192 |
| Provider Name | Barbara J Gack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114333002 PECOS PAC ID: 1557588506 Enrollment ID: I20140814001527 |
| Provider Name | Hector Farela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851542567 PECOS PAC ID: 9931223807 Enrollment ID: I20141006002107 |
| Provider Name | Charles C Glendenning |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285603647 PECOS PAC ID: 6507831419 Enrollment ID: I20141007001575 |
| Provider Name | Lien Diep |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528358181 PECOS PAC ID: 2961631130 Enrollment ID: I20141107001299 |
| Provider Name | Kari Fear |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790062842 PECOS PAC ID: 0446573695 Enrollment ID: I20141219001943 |
| Provider Name | Rhonda Marie Butler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467857730 PECOS PAC ID: 2668797911 Enrollment ID: I20150210000111 |
| Provider Name | Renee K Riedel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326437690 PECOS PAC ID: 5193040293 Enrollment ID: I20150212001469 |
| Provider Name | Shean Robert Mcknight |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740577824 PECOS PAC ID: 2062669716 Enrollment ID: I20150302000692 |
| Provider Name | Brenda L Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114324886 PECOS PAC ID: 6305163015 Enrollment ID: I20150317002554 |
| Provider Name | Joie L Tedder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699195438 PECOS PAC ID: 4981822798 Enrollment ID: I20150507002335 |
| Provider Name | Alisha M Coulson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386931038 PECOS PAC ID: 8426205311 Enrollment ID: I20150610001817 |
| Provider Name | Timothy R Burnett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477817377 PECOS PAC ID: 2961723630 Enrollment ID: I20150707001311 |
| Provider Name | Garrett W. Hooker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467716480 PECOS PAC ID: 7719128073 Enrollment ID: I20150721000466 |
| Provider Name | Alan M Downen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083052211 PECOS PAC ID: 2961645726 Enrollment ID: I20151007002272 |
| Provider Name | Tiffany N Naccarato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740659887 PECOS PAC ID: 6800106444 Enrollment ID: I20160108002320 |
| Provider Name | Tara L Richardson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033558820 PECOS PAC ID: 4385885441 Enrollment ID: I20160121002576 |
| Provider Name | Nuri Ilker Akkus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538164421 PECOS PAC ID: 9739172057 Enrollment ID: I20160310002531 |
| Provider Name | Kyle A Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821400078 PECOS PAC ID: 0446476857 Enrollment ID: I20160321000430 |
| Provider Name | Monica A Woolsoncroft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336106350 PECOS PAC ID: 4981993656 Enrollment ID: I20160519000679 |
| Provider Name | Braeden D Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841636677 PECOS PAC ID: 5597064386 Enrollment ID: I20160616002171 |
| Provider Name | Stacy K Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295028561 PECOS PAC ID: 0143467225 Enrollment ID: I20160623000824 |
| Provider Name | Jessica Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639524200 PECOS PAC ID: 0446542682 Enrollment ID: I20160708002033 |
| Provider Name | Matthew Aaron Williams |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1336475904 PECOS PAC ID: 4385897057 Enrollment ID: I20160715001751 |
| Provider Name | Justin J Hanke |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538458393 PECOS PAC ID: 7517194582 Enrollment ID: I20160722001067 |
| Provider Name | Chelsea K Burnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992144877 PECOS PAC ID: 1557682234 Enrollment ID: I20160725000040 |
| Provider Name | Britton D Zuccarelli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679869002 PECOS PAC ID: 5698060408 Enrollment ID: I20160818000366 |
| Provider Name | Kraig E Bertram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992026439 PECOS PAC ID: 9133414972 Enrollment ID: I20160818001183 |
| Provider Name | Matthew R Pyle |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1992116073 PECOS PAC ID: 3173749785 Enrollment ID: I20160823001798 |
| Provider Name | Vincent E Boswell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609865021 PECOS PAC ID: 6103824974 Enrollment ID: I20160909001765 |
| Provider Name | Melissa Lea Ingram |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1346690781 PECOS PAC ID: 3375515224 Enrollment ID: I20161004001832 |
| Provider Name | Krista R Dewitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740692888 PECOS PAC ID: 4587880935 Enrollment ID: I20161014000317 |
| Provider Name | Ahmadreza Mirmiran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376980078 PECOS PAC ID: 0941588958 Enrollment ID: I20161026001242 |
| Provider Name | Kristen E Hymer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952619819 PECOS PAC ID: 6002194818 Enrollment ID: I20161031000264 |
| Provider Name | Brean Drew Mccarthy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154577856 PECOS PAC ID: 5799926234 Enrollment ID: I20170106001726 |
| Provider Name | Charles W Coffey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689016412 PECOS PAC ID: 3274767348 Enrollment ID: I20170106001827 |
| Provider Name | Todd E Ignarski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801841663 PECOS PAC ID: 0042111627 Enrollment ID: I20170403001847 |
| Provider Name | Kerry D Vance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699737692 PECOS PAC ID: 2365330156 Enrollment ID: I20170410000694 |
| Provider Name | Vincent Bonilla Ruiz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437396322 PECOS PAC ID: 3870619992 Enrollment ID: I20170410001240 |
| Provider Name | Christopher Wood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528351954 PECOS PAC ID: 6103110796 Enrollment ID: I20170622000464 |
| Provider Name | Bradley Ray Irvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528486370 PECOS PAC ID: 8426278912 Enrollment ID: I20170622000556 |
| Provider Name | Oluwaseun T Akinbo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740446830 PECOS PAC ID: 3173766201 Enrollment ID: I20170802003155 |
| Provider Name | Rachel A Carney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669883179 PECOS PAC ID: 3971729633 Enrollment ID: I20170818000393 |
| Provider Name | Alisha Joy Stinemetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083144539 PECOS PAC ID: 2062785892 Enrollment ID: I20170830001458 |
| Provider Name | Christopher Birdsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518485358 PECOS PAC ID: 5395019228 Enrollment ID: I20170915002285 |
| Provider Name | Claudia Grace Canales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588067490 PECOS PAC ID: 8628343951 Enrollment ID: I20171012000165 |
| Provider Name | Gisela J Dewald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285157180 PECOS PAC ID: 0244596088 Enrollment ID: I20171109003067 |
| Provider Name | Zohaib Sohail |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588070312 PECOS PAC ID: 3173740818 Enrollment ID: I20171129001654 |
| Provider Name | Julianne M Schwerdtfager |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831517028 PECOS PAC ID: 1254637713 Enrollment ID: I20171214001455 |
| Provider Name | Marcella Newcomer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265815401 PECOS PAC ID: 8325307465 Enrollment ID: I20180117000893 |
| Provider Name | Julie Ann Hoffmann Janisch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316900921 PECOS PAC ID: 3779520267 Enrollment ID: I20180123001052 |
| Provider Name | Matthew D Dothager |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790191831 PECOS PAC ID: 6709179278 Enrollment ID: I20180307001548 |
| Provider Name | Rafik Benaissa |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851489280 PECOS PAC ID: 5294879110 Enrollment ID: I20180413001477 |
| Provider Name | William R. Howarth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841463882 PECOS PAC ID: 5698909281 Enrollment ID: I20180529000620 |
| Provider Name | Molly A Mansur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902311152 PECOS PAC ID: 1153686951 Enrollment ID: I20180529000720 |
| Provider Name | Yazan A Abuodeh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265873905 PECOS PAC ID: 3870858111 Enrollment ID: I20180607001286 |
| Provider Name | Emily J Bounds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336536739 PECOS PAC ID: 9335454065 Enrollment ID: I20180705002259 |
| Provider Name | Natalie L Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205241171 PECOS PAC ID: 7618223454 Enrollment ID: I20180709001933 |
| Provider Name | Kayla M Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548640493 PECOS PAC ID: 3476869991 Enrollment ID: I20180716000619 |
| Provider Name | Vaish Sekar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285028571 PECOS PAC ID: 0749553196 Enrollment ID: I20180730000643 |
| Provider Name | Douglas R Davis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386056083 PECOS PAC ID: 7012202146 Enrollment ID: I20180813001158 |
| Provider Name | Son T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780064022 PECOS PAC ID: 9537472659 Enrollment ID: I20180924000537 |
| Provider Name | Dwight E Hand |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1780766238 PECOS PAC ID: 4385742998 Enrollment ID: I20180924001662 |
| Provider Name | Sadie E Seirer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790273472 PECOS PAC ID: 4082967070 Enrollment ID: I20181020000511 |
| Provider Name | Judson R Poling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790289213 PECOS PAC ID: 5294088597 Enrollment ID: I20181105000365 |
| Provider Name | Maneesh S Penkar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639480247 PECOS PAC ID: 3173788601 Enrollment ID: I20181220000727 |
| Provider Name | Holli J Henoch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265900468 PECOS PAC ID: 5799022844 Enrollment ID: I20190128000943 |
| Provider Name | Elias R. Quintos |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1306882550 PECOS PAC ID: 7618050774 Enrollment ID: I20190201001006 |
| Provider Name | Edward David Arrington |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003889213 PECOS PAC ID: 0749529998 Enrollment ID: I20190305002763 |
| Provider Name | Martin T Reilly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780680520 PECOS PAC ID: 1557347101 Enrollment ID: I20190315000678 |
| Provider Name | Christopher Chen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982047031 PECOS PAC ID: 1557588050 Enrollment ID: I20190423000305 |
| Provider Name | Jaime S Solorzano Gonzalez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609031442 PECOS PAC ID: 0941467468 Enrollment ID: I20190429002663 |
| Provider Name | Jeffrey Lynn Dryden |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316923956 PECOS PAC ID: 5991613846 Enrollment ID: I20190521001001 |
| Provider Name | Kelsey J Mckenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265098354 PECOS PAC ID: 2961745419 Enrollment ID: I20190523002827 |
| Provider Name | Martha E Riese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306293402 PECOS PAC ID: 7719278696 Enrollment ID: I20190530001964 |
| Provider Name | Drew M Rose |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447610761 PECOS PAC ID: 1759614936 Enrollment ID: I20190603000771 |
| Provider Name | Nathan M Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376990564 PECOS PAC ID: 6507157476 Enrollment ID: I20190621002746 |
| Provider Name | Macy M Deeds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396205753 PECOS PAC ID: 2163756123 Enrollment ID: I20190625001212 |
| Provider Name | Jacob A Hessman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629431663 PECOS PAC ID: 6103113998 Enrollment ID: I20190701002413 |
| Provider Name | Travis J Rump |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699181339 PECOS PAC ID: 3072864438 Enrollment ID: I20190702001565 |
| Provider Name | Debbie S Michaels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740255017 PECOS PAC ID: 1355486242 Enrollment ID: I20190729000764 |
| Provider Name | David A Hein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134583941 PECOS PAC ID: 5395030225 Enrollment ID: I20190806001200 |
| Provider Name | Dusty L Swendson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952677601 PECOS PAC ID: 5597901900 Enrollment ID: I20190807002772 |
| Provider Name | Nathan Roberts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871955427 PECOS PAC ID: 9133414063 Enrollment ID: I20190827003096 |
| Provider Name | Aaron J Deeds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649620154 PECOS PAC ID: 4183919442 Enrollment ID: I20190903000657 |
| Provider Name | Mercedes N Ryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891143004 PECOS PAC ID: 0648565804 Enrollment ID: I20190903002666 |
| Provider Name | Charles Kanayo Agunobi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609864446 PECOS PAC ID: 0749220440 Enrollment ID: I20190904002276 |
| Provider Name | Ashley R Mather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235691346 PECOS PAC ID: 9537498035 Enrollment ID: I20190909003005 |
| Provider Name | John D Dewalt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1508869702 PECOS PAC ID: 2062475098 Enrollment ID: I20190912002707 |
| Provider Name | Richard B Cunningham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205812948 PECOS PAC ID: 9830271865 Enrollment ID: I20191015000717 |
| Provider Name | Joel Mcreynolds |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518941376 PECOS PAC ID: 0244202448 Enrollment ID: I20200118000127 |
| Provider Name | Christopher Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316131253 PECOS PAC ID: 1254417793 Enrollment ID: I20200218001116 |
| Provider Name | Erik Robert Lystad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740574581 PECOS PAC ID: 8921383092 Enrollment ID: I20200218001397 |
| Provider Name | Anthony W Cooper |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457588428 PECOS PAC ID: 0749506046 Enrollment ID: I20200326000307 |
| Provider Name | Breta L Alstrom |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003388430 PECOS PAC ID: 7214366434 Enrollment ID: I20200408004038 |
| Provider Name | Amanda L Hamilton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447886767 PECOS PAC ID: 4183054984 Enrollment ID: I20200418000411 |
| Provider Name | April Dawn Dickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326671686 PECOS PAC ID: 7719317437 Enrollment ID: I20200421002083 |
| Provider Name | Ryan J Ledet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194242362 PECOS PAC ID: 4880024512 Enrollment ID: I20200421002229 |
| Provider Name | Shayla L Trost |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760868533 PECOS PAC ID: 5698105328 Enrollment ID: I20200421002301 |
| Provider Name | Emily C Hull Schmidt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104452390 PECOS PAC ID: 7214367838 Enrollment ID: I20200423000232 |
| Provider Name | Cameron Petro-sakuma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093248668 PECOS PAC ID: 8325478647 Enrollment ID: I20200428000833 |
| Provider Name | Jessica R Petro-sakuma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295268860 PECOS PAC ID: 8527498856 Enrollment ID: I20200428001249 |
| Provider Name | Tamara Huff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932336997 PECOS PAC ID: 9739309543 Enrollment ID: I20200529000621 |
| Provider Name | Steven O Tenny |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689012940 PECOS PAC ID: 1153547369 Enrollment ID: I20200609001363 |
| Provider Name | Keith P Minihane |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669462404 PECOS PAC ID: 7113082694 Enrollment ID: I20200707000710 |
| Provider Name | Hong A Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154857902 PECOS PAC ID: 4082983010 Enrollment ID: I20200707002748 |
| Provider Name | Ginny French |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770731911 PECOS PAC ID: 8325219728 Enrollment ID: I20200710002959 |
| Provider Name | Bridget R Byquist |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275063307 PECOS PAC ID: 0648540922 Enrollment ID: I20200821000095 |
| Provider Name | Sarah E Wetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366069858 PECOS PAC ID: 3173940905 Enrollment ID: I20200825003017 |
| Provider Name | Ciera N Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225656192 PECOS PAC ID: 2860819695 Enrollment ID: I20200825003155 |
| Provider Name | Stephanie N Marrs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962029835 PECOS PAC ID: 8729405113 Enrollment ID: I20200831002363 |
| Provider Name | Andew R Weaver |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306375779 PECOS PAC ID: 8729359898 Enrollment ID: I20200901003140 |
| Provider Name | Jettie D Leger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659983575 PECOS PAC ID: 0840619599 Enrollment ID: I20200929002306 |
| Provider Name | Michael G Beat |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053341636 PECOS PAC ID: 2466481908 Enrollment ID: I20200930001872 |
| Provider Name | Jeffrey A Robinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144513730 PECOS PAC ID: 4587883566 Enrollment ID: I20201112002593 |
| Provider Name | Andrew S. Murtha |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730560228 PECOS PAC ID: 9537447917 Enrollment ID: I20201203002030 |
| Provider Name | Michael G Ziegler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053872358 PECOS PAC ID: 5597099648 Enrollment ID: I20201229003120 |
| Provider Name | Matti Asuma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235529702 PECOS PAC ID: 1850669995 Enrollment ID: I20210223000266 |
| Provider Name | Ouida L Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134338981 PECOS PAC ID: 4385705946 Enrollment ID: I20210413002769 |
| Provider Name | Jesse A Gray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194172742 PECOS PAC ID: 9931493681 Enrollment ID: I20210503001356 |
| Provider Name | Erik Dale Bowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780171678 PECOS PAC ID: 2365797537 Enrollment ID: I20210513001838 |
| Provider Name | Teresa L Nunez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003300856 PECOS PAC ID: 5698021145 Enrollment ID: I20210519000932 |
| Provider Name | Larissa J King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336723857 PECOS PAC ID: 5890194690 Enrollment ID: I20210527002273 |
| Provider Name | Geraint Harris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669969168 PECOS PAC ID: 7315293008 Enrollment ID: I20210601001639 |
| Provider Name | Jessica Cairo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679186209 PECOS PAC ID: 9133521958 Enrollment ID: I20210715001587 |
| Provider Name | Justin Helberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750879045 PECOS PAC ID: 7719239599 Enrollment ID: I20210721000289 |
| Provider Name | Anthony J Ivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033728555 PECOS PAC ID: 7810391513 Enrollment ID: I20210803000694 |
| Provider Name | Shanda Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952973190 PECOS PAC ID: 7719385038 Enrollment ID: I20211018000221 |
| Provider Name | Yvonne Daugherty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780178541 PECOS PAC ID: 0840548434 Enrollment ID: I20211027000700 |
| Provider Name | Ashly J Doering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275297764 PECOS PAC ID: 5597155804 Enrollment ID: I20211130003119 |
| Provider Name | Marie Haycook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497386098 PECOS PAC ID: 2264827229 Enrollment ID: I20220310000695 |
| Provider Name | Richard J Vantienderen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568841419 PECOS PAC ID: 6406243849 Enrollment ID: I20220503002224 |
| Provider Name | Loui Rejjal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1073931846 PECOS PAC ID: 7214156546 Enrollment ID: I20220517001530 |
| Provider Name | Leah A Speaks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891224358 PECOS PAC ID: 6204198856 Enrollment ID: I20220531000769 |
| Provider Name | Francisco J De La Serna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871054700 PECOS PAC ID: 1658607809 Enrollment ID: I20220609002075 |
| Provider Name | Jacquelyn C Wagner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235793100 PECOS PAC ID: 2567797988 Enrollment ID: I20220719000748 |
| Provider Name | Brady S True |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497485593 PECOS PAC ID: 6305228537 Enrollment ID: I20220803003338 |
| Provider Name | Karen K Swisher |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528176955 PECOS PAC ID: 2466454210 Enrollment ID: I20220806000555 |
| Provider Name | Dakota D. Dreher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144780701 PECOS PAC ID: 9032444872 Enrollment ID: I20220809001658 |
| Provider Name | Jessica K Wolters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750016937 PECOS PAC ID: 8022492990 Enrollment ID: I20220826002643 |
| Provider Name | Elena M Daskiewicz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437895844 PECOS PAC ID: 7517342843 Enrollment ID: I20220922000513 |
| Provider Name | Alison I Rassette |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164188454 PECOS PAC ID: 7911382106 Enrollment ID: I20220926000230 |
| Provider Name | Lindsey G Petras |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871232520 PECOS PAC ID: 3072998210 Enrollment ID: I20221214000916 |
| Provider Name | Breanna A De La Serna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861100679 PECOS PAC ID: 1850762725 Enrollment ID: I20230201001120 |
| Provider Name | Lori Jean Golbek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174220651 PECOS PAC ID: 2769856277 Enrollment ID: I20230324000652 |
| Provider Name | Ayhan A Zia |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275632713 PECOS PAC ID: 0143371781 Enrollment ID: I20230413000869 |
| Provider Name | Kamil Amer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497288120 PECOS PAC ID: 6305211913 Enrollment ID: I20230413001249 |
| Provider Name | Collins A Kwarteng |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598943516 PECOS PAC ID: 0143407890 Enrollment ID: I20230413001455 |
| Provider Name | Katrina Siemiesz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659900553 PECOS PAC ID: 5799143426 Enrollment ID: I20230628000136 |
| Provider Name | Shannon Willis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487971263 PECOS PAC ID: 6709027436 Enrollment ID: I20230720003782 |
| Provider Name | Brandon R Reid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710548680 PECOS PAC ID: 9032532130 Enrollment ID: I20230727002072 |
| Provider Name | Emily Budden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932662160 PECOS PAC ID: 9335501907 Enrollment ID: I20230814002289 |
| Provider Name | Andrew G Chan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902285844 PECOS PAC ID: 9739591462 Enrollment ID: I20230814003460 |
| Provider Name | Paul A Saconn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255518734 PECOS PAC ID: 2264600196 Enrollment ID: I20230816001421 |
| Provider Name | Kendra L Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609552793 PECOS PAC ID: 7416319769 Enrollment ID: I20230817002972 |
| Provider Name | Derek Mason Wedel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619505872 PECOS PAC ID: 5496172132 Enrollment ID: I20230818000619 |
| Provider Name | Deana Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174213425 PECOS PAC ID: 2365806189 Enrollment ID: I20230913000697 |
| Provider Name | Steven Hillman Brizendine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962591032 PECOS PAC ID: 3779582572 Enrollment ID: I20230913001461 |
| Provider Name | George N Ntui-ayuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760796775 PECOS PAC ID: 7719134386 Enrollment ID: I20230919004187 |
| Provider Name | Summer Olsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043495708 PECOS PAC ID: 1951750116 Enrollment ID: I20231213001353 |
| Provider Name | Andrea Ring |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073751467 PECOS PAC ID: 5597114751 Enrollment ID: I20231213001383 |
| Provider Name | Katie J Schwartz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699138180 PECOS PAC ID: 2062861248 Enrollment ID: I20231213002095 |
| Provider Name | Carol Moddelmog |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588603328 PECOS PAC ID: 5799134979 Enrollment ID: I20231213002103 |
| Provider Name | Lyall J Ashberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902854102 PECOS PAC ID: 4981663119 Enrollment ID: I20231214000484 |
| Provider Name | Darren Ramoutar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578706172 PECOS PAC ID: 1456580356 Enrollment ID: I20231214000726 |
| Provider Name | David S Olsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780869446 PECOS PAC ID: 9537510599 Enrollment ID: I20240104000920 |
| Provider Name | Emmanuel D Eisenstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831451913 PECOS PAC ID: 1355799677 Enrollment ID: I20240104002632 |
| Provider Name | Karl Matthew Baird |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689646663 PECOS PAC ID: 5193782381 Enrollment ID: I20240111004535 |
| Provider Name | Timothy Edmiston |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982021549 PECOS PAC ID: 7517267313 Enrollment ID: I20240206000516 |
| Provider Name | Andrea Gorrondona |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1225680010 PECOS PAC ID: 8224472295 Enrollment ID: I20240217000188 |
| Provider Name | Lisa Haliryn Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972257640 PECOS PAC ID: 9234576778 Enrollment ID: I20240320001624 |
| Provider Name | Husayn Aslam Ladhani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851718902 PECOS PAC ID: 1850685900 Enrollment ID: I20240321001383 |
| Provider Name | Joy Waldbauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477848646 PECOS PAC ID: 8426497363 Enrollment ID: I20240411003790 |
| Provider Name | Tiffany Davis-garcia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760837330 PECOS PAC ID: 8325333867 Enrollment ID: I20240425001469 |
| Provider Name | Bjorn Thorarinsson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932206141 PECOS PAC ID: 2567411531 Enrollment ID: I20240425001839 |
| Provider Name | James J Mc Farland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760510978 PECOS PAC ID: 2062314453 Enrollment ID: I20240502001013 |
| Provider Name | Amanda Doubrava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487362117 PECOS PAC ID: 8426498759 Enrollment ID: I20240502003089 |
| Provider Name | Amir A Gahremanpour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255544839 PECOS PAC ID: 7012189897 Enrollment ID: I20240520000713 |
St Johns Hospital Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 139 N. Penn Ave, Salina, KS 67401 Phone: 480-215-9056 | |
Saint Francis Community Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 W Euclid Ave, Salina, KS 67401 Phone: 800-423-1342 | |
Darlys E. Willer, Lscsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 645 E Iron Ave, Suite D, Salina, KS 67401 Phone: 785-827-2600 Fax: 785-309-0184 | |
North Star Guidance, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Iowa Ave, Salina, KS 67401 Phone: 785-404-3092 | |
Three Rivers Family Therapy Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 645 E Iron Ave, Suite B, Salina, KS 67401 Phone: 785-823-6333 Fax: 785-823-6381 | |
Central Kansas Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 Elmhurst Blvd, Salina, KS 67401 Phone: 785-823-6322 Fax: 785-823-3109 | |
Saint Francis Community Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 W Euclid Ave, Salina, KS 67401 Phone: 785-825-0541 Fax: 785-825-0062 |