| Pikeville Medical Center Inc. | |
|
911 Bypass Rd Bldg A Pikeville KY 41501-1689 | |
| (606) 430-3500 | |
| Not Available |
| Full Name | Pikeville Medical Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 911 Bypass Rd Bldg A, Pikeville, Kentucky |
| Authorized Official Name and Position | Michelle Hagy (CFO) |
| Authorized Official Contact | 6064303519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pikeville Medical Center Inc. Po Box 432 Pikeville KY 41502-0432 Ph: (606) 430-3500 | Pikeville Medical Center Inc. 911 Bypass Rd Bldg A Pikeville KY 41501-1689 Ph: (606) 430-3500 |
| NPI Number | 1528195864 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/05/2024 |
| Medicare PECOS PAC ID | 6709790157 |
|---|---|
| Medicare Enrollment ID | O20040304001281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528195864 | NPI | - | NPPES |
| 7100025550 | Medicaid | KY | |
| 000000056963 | Other | KY | BCBS ANESTHESIA GROUP |
| 7100032480 | Medicaid | KY | |
| 000000056961 | Other | KY | BCBS PHYSICIAN GROUP |
| 3100076300 | Medicaid | KY | |
| 7100075930 | Medicaid | KY | |
| 7100294240 | Medicaid | KY | |
| 7100332320 | Medicaid | KY | |
| 65922361 | Medicaid | KY | |
| 7100025560 | Medicaid | KY |
| Provider Name | Michael G Antimisiaris |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1881606499 PECOS PAC ID: 0244144046 Enrollment ID: I20031117000291 |
| Provider Name | Shahab M Ehtesham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144283029 PECOS PAC ID: 9133025778 Enrollment ID: I20031212000281 |
| Provider Name | Chaker M Dahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003803412 PECOS PAC ID: 0840190823 Enrollment ID: I20040113000708 |
| Provider Name | Debra K Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811034861 PECOS PAC ID: 9537152061 Enrollment ID: I20040408000273 |
| Provider Name | Gary D Singer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275573974 PECOS PAC ID: 9638083462 Enrollment ID: I20040409000168 |
| Provider Name | Wayne Brian Colin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912937939 PECOS PAC ID: 9335134766 Enrollment ID: I20040416000082 |
| Provider Name | Mohinder P. S. Randhawa |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851326482 PECOS PAC ID: 5294720371 Enrollment ID: I20040417000612 |
| Provider Name | Diana Maria Hursh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578539771 PECOS PAC ID: 2365439791 Enrollment ID: I20040428000592 |
| Provider Name | Keith B Hall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932163177 PECOS PAC ID: 7416947049 Enrollment ID: I20040515000376 |
| Provider Name | Angela K Maggard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811981442 PECOS PAC ID: 8224014584 Enrollment ID: I20040628000259 |
| Provider Name | Vinay Puri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275531345 PECOS PAC ID: 3274504667 Enrollment ID: I20040802000027 |
| Provider Name | Stefan G Kiessling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699791038 PECOS PAC ID: 0446221485 Enrollment ID: I20040804000122 |
| Provider Name | Carla K Spare |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730247271 PECOS PAC ID: 8325011521 Enrollment ID: I20040816001474 |
| Provider Name | Bradley S. Collett |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1386648988 PECOS PAC ID: 5395711303 Enrollment ID: I20040913000432 |
| Provider Name | Rodney Handshoe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528070174 PECOS PAC ID: 4880667476 Enrollment ID: I20040914001081 |
| Provider Name | Dan G Sotingeanu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356364079 PECOS PAC ID: 0446229967 Enrollment ID: I20040930000503 |
| Provider Name | Mary Ratliff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396785697 PECOS PAC ID: 8123077179 Enrollment ID: I20050117000211 |
| Provider Name | Grady J Stephens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477624716 PECOS PAC ID: 8729037783 Enrollment ID: I20050117000262 |
| Provider Name | Jamshed F Kanga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275559619 PECOS PAC ID: 2961451851 Enrollment ID: I20050118000830 |
| Provider Name | Trevor Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356345045 PECOS PAC ID: 9032162524 Enrollment ID: I20050224000449 |
| Provider Name | Padubidri S Chandrashekar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912993585 PECOS PAC ID: 5698712271 Enrollment ID: I20050414000951 |
| Provider Name | Norman Mayer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972596179 PECOS PAC ID: 5799727566 Enrollment ID: I20050523001057 |
| Provider Name | Ahsen Ali Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528001633 PECOS PAC ID: 9335185008 Enrollment ID: I20050707000026 |
| Provider Name | Annette Rebel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366477358 PECOS PAC ID: 1951333442 Enrollment ID: I20050906000728 |
| Provider Name | Abdulla A Attum |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164473377 PECOS PAC ID: 4385635077 Enrollment ID: I20051121000764 |
| Provider Name | John M Fleming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093744807 PECOS PAC ID: 0547282949 Enrollment ID: I20051229000213 |
| Provider Name | Trulena Jonette Benner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023041936 PECOS PAC ID: 5193749984 Enrollment ID: I20060119000505 |
| Provider Name | Ibrahim Valdes Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770531469 PECOS PAC ID: 5799709309 Enrollment ID: I20060123000530 |
| Provider Name | Robert D Buck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689602872 PECOS PAC ID: 5395634224 Enrollment ID: I20060207000516 |
| Provider Name | Kevin W Pugh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477596302 PECOS PAC ID: 8628087731 Enrollment ID: I20060419000022 |
| Provider Name | Timothy Paul Wright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083667299 PECOS PAC ID: 4789696782 Enrollment ID: I20060612000011 |
| Provider Name | Anthony J Bottiggi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881659092 PECOS PAC ID: 7618989542 Enrollment ID: I20060615000061 |
| Provider Name | Michele Whitt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295767929 PECOS PAC ID: 3779581251 Enrollment ID: I20061116000292 |
| Provider Name | Stephanie R Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831142280 PECOS PAC ID: 5991757106 Enrollment ID: I20061121000022 |
| Provider Name | Thomas K Ison |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548290042 PECOS PAC ID: 4587767991 Enrollment ID: I20070305000620 |
| Provider Name | Aurelia Radulescu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912994419 PECOS PAC ID: 5890757165 Enrollment ID: I20070402000337 |
| Provider Name | Christodulos Stavens |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659457232 PECOS PAC ID: 2365332913 Enrollment ID: I20070412000608 |
| Provider Name | Mark J Veronneau |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932208899 PECOS PAC ID: 5799882924 Enrollment ID: I20070522000504 |
| Provider Name | Brian Marcum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770680811 PECOS PAC ID: 8820193121 Enrollment ID: I20070613000734 |
| Provider Name | Osama N Aziz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285826792 PECOS PAC ID: 2264525344 Enrollment ID: I20070905000654 |
| Provider Name | Melissa D White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700890407 PECOS PAC ID: 7618873084 Enrollment ID: I20071025000213 |
| Provider Name | Ravinder S Bhagrath |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629181458 PECOS PAC ID: 8224125745 Enrollment ID: I20071031000320 |
| Provider Name | Aaron W Crum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427034057 PECOS PAC ID: 4880781988 Enrollment ID: I20071107000042 |
| Provider Name | John M Swanner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932192804 PECOS PAC ID: 7214025923 Enrollment ID: I20071114000049 |
| Provider Name | Katherine L Stamper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952324808 PECOS PAC ID: 2668440272 Enrollment ID: I20071204000669 |
| Provider Name | Maleshea Y Hopkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164604831 PECOS PAC ID: 0446345755 Enrollment ID: I20080104000587 |
| Provider Name | Oon Leedhanachoke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578520482 PECOS PAC ID: 2860574266 Enrollment ID: I20080124000120 |
| Provider Name | Krissy L Marcum |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922282078 PECOS PAC ID: 7214011915 Enrollment ID: I20080219000637 |
| Provider Name | Brett Eric Jarrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952385882 PECOS PAC ID: 4082641600 Enrollment ID: I20080312000009 |
| Provider Name | Vickie G Morgan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1780871707 PECOS PAC ID: 3072699867 Enrollment ID: I20080319000232 |
| Provider Name | Tiffany D Hensley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255517827 PECOS PAC ID: 0749366565 Enrollment ID: I20080319000412 |
| Provider Name | Anbu K Nadar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245223411 PECOS PAC ID: 2769568070 Enrollment ID: I20080327000230 |
| Provider Name | Dwayne A Grimes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952587529 PECOS PAC ID: 3274610696 Enrollment ID: I20080410000064 |
| Provider Name | Cliff Caudill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841300712 PECOS PAC ID: 5193769776 Enrollment ID: I20080502000186 |
| Provider Name | Aftab S Chishti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619144474 PECOS PAC ID: 3971676578 Enrollment ID: I20080715000530 |
| Provider Name | Jamie D Newsome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215109038 PECOS PAC ID: 5991879462 Enrollment ID: I20080731000448 |
| Provider Name | Alaa A Addasi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1154531416 PECOS PAC ID: 4183791007 Enrollment ID: I20080918000426 |
| Provider Name | Laura E Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326002676 PECOS PAC ID: 1951480953 Enrollment ID: I20081018000220 |
| Provider Name | Julie L Helfen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861649774 PECOS PAC ID: 4183782972 Enrollment ID: I20081023000143 |
| Provider Name | Joe E Kingery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194923490 PECOS PAC ID: 6002977618 Enrollment ID: I20081201000534 |
| Provider Name | Nadeem A Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083663330 PECOS PAC ID: 1951308170 Enrollment ID: I20090102000223 |
| Provider Name | Jamie B Varney |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1679787493 PECOS PAC ID: 5890859730 Enrollment ID: I20090121000657 |
| Provider Name | Jeannie M Childress |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326285784 PECOS PAC ID: 4486710761 Enrollment ID: I20090312000026 |
| Provider Name | Amanda Laferty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932333721 PECOS PAC ID: 4284784869 Enrollment ID: I20090603000317 |
| Provider Name | Sarah E Crawford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891929824 PECOS PAC ID: 2264588862 Enrollment ID: I20090923000642 |
| Provider Name | Alexander T Krivchenia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851408447 PECOS PAC ID: 5092896050 Enrollment ID: I20090930000283 |
| Provider Name | Stephanie Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962632265 PECOS PAC ID: 9436298155 Enrollment ID: I20091209000147 |
| Provider Name | Samuel J King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174550867 PECOS PAC ID: 9032250998 Enrollment ID: I20100114000221 |
| Provider Name | Jeremy T Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801127949 PECOS PAC ID: 6406991116 Enrollment ID: I20100305000540 |
| Provider Name | Benjamin Luke Kiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417188285 PECOS PAC ID: 4789710930 Enrollment ID: I20100327000118 |
| Provider Name | Matthew K Shotwell |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912975608 PECOS PAC ID: 4688607112 Enrollment ID: I20100503000212 |
| Provider Name | Sujata R Gutti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831299346 PECOS PAC ID: 9537299912 Enrollment ID: I20100610001003 |
| Provider Name | Sai P Gutti |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1992805410 PECOS PAC ID: 3375673767 Enrollment ID: I20100610001044 |
| Provider Name | Fadi Al Akhrass |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245557222 PECOS PAC ID: 5092847996 Enrollment ID: I20100712000583 |
| Provider Name | William P Hoskins |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174713994 PECOS PAC ID: 8729111851 Enrollment ID: I20100727000157 |
| Provider Name | William B Helton |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174786115 PECOS PAC ID: 5597898387 Enrollment ID: I20100730000293 |
| Provider Name | James Y Liau |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1962665661 PECOS PAC ID: 2961558713 Enrollment ID: I20100812000715 |
| Provider Name | William A Kendall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164530937 PECOS PAC ID: 0446330062 Enrollment ID: I20100824001002 |
| Provider Name | Dermot Patrick Halpin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1215910898 PECOS PAC ID: 6901797208 Enrollment ID: I20100826001146 |
| Provider Name | Naveed Ahmed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508946070 PECOS PAC ID: 8921193160 Enrollment ID: I20100827000110 |
| Provider Name | Laura N Belcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972815850 PECOS PAC ID: 2466576475 Enrollment ID: I20100827000427 |
| Provider Name | Rebecca L Ramey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629381306 PECOS PAC ID: 7315063526 Enrollment ID: I20100924001058 |
| Provider Name | William B Webb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154589968 PECOS PAC ID: 6103018965 Enrollment ID: I20101012000478 |
| Provider Name | Mark Swofford |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245238484 PECOS PAC ID: 3779578786 Enrollment ID: I20110212000083 |
| Provider Name | Sadie P Hutson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477585818 PECOS PAC ID: 9537185392 Enrollment ID: I20110315000569 |
| Provider Name | Alexis R Ravi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245468263 PECOS PAC ID: 1759564453 Enrollment ID: I20110317000461 |
| Provider Name | Jennifer E Mullins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912975707 PECOS PAC ID: 7214900992 Enrollment ID: I20110601000124 |
| Provider Name | Devesh Sharma |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1730350356 PECOS PAC ID: 6305982018 Enrollment ID: I20110701000332 |
| Provider Name | Shadi F Obeidat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962616565 PECOS PAC ID: 0345418828 Enrollment ID: I20110728000240 |
| Provider Name | Sami Tammo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720270838 PECOS PAC ID: 1557530185 Enrollment ID: I20110816000218 |
| Provider Name | Paul B Weinberger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578712006 PECOS PAC ID: 0648440974 Enrollment ID: I20110824000550 |
| Provider Name | Joseph R Owens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508010505 PECOS PAC ID: 3375713217 Enrollment ID: I20110831000698 |
| Provider Name | Tom O Mcguire |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205812435 PECOS PAC ID: 7214105337 Enrollment ID: I20110901000456 |
| Provider Name | Terry D Hall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174739601 PECOS PAC ID: 8527238153 Enrollment ID: I20110908002089 |
| Provider Name | Alicia D Warnock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740441484 PECOS PAC ID: 4789855677 Enrollment ID: I20110926000737 |
| Provider Name | James Robert Hayes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073774097 PECOS PAC ID: 7012104169 Enrollment ID: I20111003000028 |
| Provider Name | Ziad Alnabki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629397393 PECOS PAC ID: 2365616208 Enrollment ID: I20111110000836 |
| Provider Name | Edward G Stiles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649318221 PECOS PAC ID: 2961676564 Enrollment ID: I20111116000781 |
| Provider Name | Jim Y F Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457570756 PECOS PAC ID: 7719173582 Enrollment ID: I20111209000304 |
| Provider Name | Amy O Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003811985 PECOS PAC ID: 7315925658 Enrollment ID: I20120130000484 |
| Provider Name | Mavis Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578836987 PECOS PAC ID: 2264693712 Enrollment ID: I20120411000146 |
| Provider Name | Nisrine Bou Malhab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144401472 PECOS PAC ID: 9739344946 Enrollment ID: I20120712000678 |
| Provider Name | Tonya M May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114287976 PECOS PAC ID: 3971759275 Enrollment ID: I20120801000666 |
| Provider Name | Steven J Krohmer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1598860736 PECOS PAC ID: 3375726599 Enrollment ID: I20120802000255 |
| Provider Name | David Yerkes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043448657 PECOS PAC ID: 2466608567 Enrollment ID: I20120806000297 |
| Provider Name | John C Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336373299 PECOS PAC ID: 0749437010 Enrollment ID: I20120822000421 |
| Provider Name | Gabriel B Jacobs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063647477 PECOS PAC ID: 6507013083 Enrollment ID: I20120906000368 |
| Provider Name | Joshua H Hensley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508065004 PECOS PAC ID: 2062663289 Enrollment ID: I20121117000016 |
| Provider Name | Jessica L Branham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144537812 PECOS PAC ID: 3577714633 Enrollment ID: I20121119000387 |
| Provider Name | Tina M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376894840 PECOS PAC ID: 6103079645 Enrollment ID: I20130110000636 |
| Provider Name | Tracy Lynn Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417085150 PECOS PAC ID: 1951576156 Enrollment ID: I20130205000119 |
| Provider Name | Bethany S Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962740969 PECOS PAC ID: 3476708363 Enrollment ID: I20130226000219 |
| Provider Name | Tiffany A Salyers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346569738 PECOS PAC ID: 5193960466 Enrollment ID: I20130315000136 |
| Provider Name | Alysia L Caughron |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831430305 PECOS PAC ID: 1355587114 Enrollment ID: I20130423000425 |
| Provider Name | Michael S Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285975748 PECOS PAC ID: 4880830462 Enrollment ID: I20130426000649 |
| Provider Name | April D Lambert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649511080 PECOS PAC ID: 0345486890 Enrollment ID: I20130429000480 |
| Provider Name | Harigopal Sreerama Reddy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144531641 PECOS PAC ID: 2769621150 Enrollment ID: I20130614000527 |
| Provider Name | Aaron L Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083750681 PECOS PAC ID: 8022154434 Enrollment ID: I20130716000115 |
| Provider Name | William R. Peery |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821294588 PECOS PAC ID: 7719150481 Enrollment ID: I20130717000431 |
| Provider Name | Philip Leipprandt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528217890 PECOS PAC ID: 1052460003 Enrollment ID: I20130731000677 |
| Provider Name | Darlene D Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922448398 PECOS PAC ID: 3476795139 Enrollment ID: I20130808000248 |
| Provider Name | Randy William Legault |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396973012 PECOS PAC ID: 2163664830 Enrollment ID: I20130808000298 |
| Provider Name | Pallaki D Ravi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053631804 PECOS PAC ID: 3870735293 Enrollment ID: I20130815000083 |
| Provider Name | Michael J Asher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457792053 PECOS PAC ID: 1557504347 Enrollment ID: I20130826001102 |
| Provider Name | Kara B Huff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538471297 PECOS PAC ID: 2062655608 Enrollment ID: I20130828001057 |
| Provider Name | Scottie L Suttles |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1598107476 PECOS PAC ID: 7416190905 Enrollment ID: I20130903000205 |
| Provider Name | Shane Keith Wallace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235378605 PECOS PAC ID: 2668520750 Enrollment ID: I20131010001011 |
| Provider Name | William E Duvall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114210739 PECOS PAC ID: 8123252947 Enrollment ID: I20131010001269 |
| Provider Name | Delfina M Newsome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467886705 PECOS PAC ID: 1355575879 Enrollment ID: I20131015002186 |
| Provider Name | Bashar Z Ghosheh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649481797 PECOS PAC ID: 7113005828 Enrollment ID: I20131120002046 |
| Provider Name | Kimberly Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164851598 PECOS PAC ID: 3971730748 Enrollment ID: I20131226001701 |
| Provider Name | Michael S Carnes |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1881695849 PECOS PAC ID: 7810932639 Enrollment ID: I20131230000432 |
| Provider Name | Michelle R Scearse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013344928 PECOS PAC ID: 0345479259 Enrollment ID: I20140218000838 |
| Provider Name | Jennifer Cantrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568884831 PECOS PAC ID: 5799915674 Enrollment ID: I20140221000546 |
| Provider Name | Jamie L Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104240639 PECOS PAC ID: 7719117076 Enrollment ID: I20140306000176 |
| Provider Name | Ruth Faye Lavigne |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1467486571 PECOS PAC ID: 1557301397 Enrollment ID: I20140416001479 |
| Provider Name | Stan Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184610461 PECOS PAC ID: 1153545561 Enrollment ID: I20140604001958 |
| Provider Name | Joshua D Belcher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245466358 PECOS PAC ID: 2769622059 Enrollment ID: I20140628000123 |
| Provider Name | Christopher C Reynolds |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1831381755 PECOS PAC ID: 9032382783 Enrollment ID: I20140702000262 |
| Provider Name | Christopher M Rowe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275947632 PECOS PAC ID: 3779708458 Enrollment ID: I20140714001729 |
| Provider Name | Catherine D. Huffman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295912574 PECOS PAC ID: 1153549134 Enrollment ID: I20140904002315 |
| Provider Name | Antoinette Justice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245559632 PECOS PAC ID: 6305065699 Enrollment ID: I20140918001667 |
| Provider Name | Gerasimos S Stavens |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255464236 PECOS PAC ID: 6608832753 Enrollment ID: I20141205001144 |
| Provider Name | Dimitrios Danikas |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1346399235 PECOS PAC ID: 9335173301 Enrollment ID: I20141206000022 |
| Provider Name | Benita A Amick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548658016 PECOS PAC ID: 6709102130 Enrollment ID: I20150303000820 |
| Provider Name | Jennifer A Wright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861607459 PECOS PAC ID: 4284951500 Enrollment ID: I20150326000610 |
| Provider Name | Vanessa Meade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649663659 PECOS PAC ID: 7517285133 Enrollment ID: I20150410002401 |
| Provider Name | Kenneth R Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215316831 PECOS PAC ID: 3678886728 Enrollment ID: I20150717001374 |
| Provider Name | Jamie Aker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114307220 PECOS PAC ID: 2264746353 Enrollment ID: I20150803002209 |
| Provider Name | Joshua R Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942689013 PECOS PAC ID: 5496069510 Enrollment ID: I20150804003214 |
| Provider Name | Sankar Chirumamilla |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124346705 PECOS PAC ID: 0941515464 Enrollment ID: I20150812009021 |
| Provider Name | Nicholas Paul Schaub |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1265693667 PECOS PAC ID: 9335383421 Enrollment ID: I20150831000596 |
| Provider Name | Hayley D Trimble |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295022960 PECOS PAC ID: 4486898111 Enrollment ID: I20150908002324 |
| Provider Name | Christopher Charles Croot |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053318717 PECOS PAC ID: 8628970894 Enrollment ID: I20150918000472 |
| Provider Name | Tyler Graham Cabell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912373507 PECOS PAC ID: 5092022301 Enrollment ID: I20150918002617 |
| Provider Name | Melody L Addasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396120879 PECOS PAC ID: 9335456490 Enrollment ID: I20150922002160 |
| Provider Name | Dustin T Gayheart |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063730372 PECOS PAC ID: 1456506765 Enrollment ID: I20150922003130 |
| Provider Name | Asim Kichloo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649669136 PECOS PAC ID: 7113236555 Enrollment ID: I20151026000771 |
| Provider Name | William S Coulter |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1861654956 PECOS PAC ID: 0143447474 Enrollment ID: I20151123000983 |
| Provider Name | Arch Courtney Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093078198 PECOS PAC ID: 3274834478 Enrollment ID: I20151211002128 |
| Provider Name | Marcella R Sincell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619341666 PECOS PAC ID: 5890096978 Enrollment ID: I20151214002566 |
| Provider Name | Janey Watts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275885832 PECOS PAC ID: 1557664869 Enrollment ID: I20160120002036 |
| Provider Name | Lindsey Pate |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679930911 PECOS PAC ID: 3375848039 Enrollment ID: I20160218001012 |
| Provider Name | Summer N Asher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326406877 PECOS PAC ID: 3870898471 Enrollment ID: I20160218002573 |
| Provider Name | Christopher C Reynolds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366705543 PECOS PAC ID: 6800101056 Enrollment ID: I20160224000729 |
| Provider Name | Scott E Cantrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659406049 PECOS PAC ID: 5799081733 Enrollment ID: I20160317000096 |
| Provider Name | Marie Nowak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033272943 PECOS PAC ID: 5496801706 Enrollment ID: I20160414000358 |
| Provider Name | Sherri L Blair |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700246014 PECOS PAC ID: 7719969476 Enrollment ID: I20160517002639 |
| Provider Name | Matthew Sullivan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760846919 PECOS PAC ID: 2961792171 Enrollment ID: I20160531001998 |
| Provider Name | Staci R Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457701252 PECOS PAC ID: 4082908660 Enrollment ID: I20160804000274 |
| Provider Name | John Blackburn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841511037 PECOS PAC ID: 8426370263 Enrollment ID: I20160811002599 |
| Provider Name | Ty Aaron Slatton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588989099 PECOS PAC ID: 9436443470 Enrollment ID: I20160812002279 |
| Provider Name | Rudy Jewan Judhan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528299765 PECOS PAC ID: 5193019164 Enrollment ID: I20160815000762 |
| Provider Name | Tiffany A Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063787059 PECOS PAC ID: 4789979626 Enrollment ID: I20160817001097 |
| Provider Name | Curtis J Koons |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588923239 PECOS PAC ID: 9032437702 Enrollment ID: I20160913002085 |
| Provider Name | Anna E Johnson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912342510 PECOS PAC ID: 9032424924 Enrollment ID: I20160914001334 |
| Provider Name | Branden L Quinlan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093150690 PECOS PAC ID: 3870807860 Enrollment ID: I20160914001471 |
| Provider Name | Rebekah L Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811440993 PECOS PAC ID: 2365738556 Enrollment ID: I20160914002924 |
| Provider Name | Leslie A Arnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023461167 PECOS PAC ID: 8022305390 Enrollment ID: I20160929002829 |
| Provider Name | Travis Charles Sizemore |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1154760601 PECOS PAC ID: 9931333580 Enrollment ID: I20161024002080 |
| Provider Name | Dawn Clark Barber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073527586 PECOS PAC ID: 4183692312 Enrollment ID: I20161130000354 |
| Provider Name | Josephine Owoeye Ibironke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831145770 PECOS PAC ID: 5193624831 Enrollment ID: I20161201001849 |
| Provider Name | Elizabeth G Carter Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669924486 PECOS PAC ID: 6204116270 Enrollment ID: I20161208001495 |
| Provider Name | Roya Attar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558788026 PECOS PAC ID: 8820212186 Enrollment ID: I20161208002198 |
| Provider Name | Kendra L Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639621667 PECOS PAC ID: 8527348416 Enrollment ID: I20161212001341 |
| Provider Name | Shadi Abu Halimah |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1144415290 PECOS PAC ID: 1153595095 Enrollment ID: I20161214002065 |
| Provider Name | Betty S Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518409457 PECOS PAC ID: 2365723350 Enrollment ID: I20170105002310 |
| Provider Name | Saqib Inayatullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235336934 PECOS PAC ID: 8224128350 Enrollment ID: I20170123002561 |
| Provider Name | Kristie M Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598216574 PECOS PAC ID: 5597047720 Enrollment ID: I20170124002252 |
| Provider Name | Weiping Wang |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1164481842 PECOS PAC ID: 2769377225 Enrollment ID: I20170213000977 |
| Provider Name | Anil Duggal |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1578879300 PECOS PAC ID: 3678857497 Enrollment ID: I20170222002952 |
| Provider Name | Charles Godo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790796316 PECOS PAC ID: 8224073150 Enrollment ID: I20170301002662 |
| Provider Name | Allie M Hurst |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548706047 PECOS PAC ID: 2860776028 Enrollment ID: I20170307001781 |
| Provider Name | William S Gruss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306982491 PECOS PAC ID: 5698852234 Enrollment ID: I20170310001886 |
| Provider Name | Kirk D Crouser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972501997 PECOS PAC ID: 1759328131 Enrollment ID: I20170327002378 |
| Provider Name | Michelle Cantrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396284790 PECOS PAC ID: 7214212521 Enrollment ID: I20170329002101 |
| Provider Name | Samer Alnabhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164648101 PECOS PAC ID: 4981874377 Enrollment ID: I20170411002263 |
| Provider Name | Matthew G Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578004305 PECOS PAC ID: 0941586366 Enrollment ID: I20170418002834 |
| Provider Name | Nneamaka N Enwemnwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801026448 PECOS PAC ID: 4587803283 Enrollment ID: I20170502000401 |
| Provider Name | Garred R Cline |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295146710 PECOS PAC ID: 0749408151 Enrollment ID: I20170620000652 |
| Provider Name | Yousef Hattab |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699053579 PECOS PAC ID: 9830338375 Enrollment ID: I20170627000793 |
| Provider Name | James C Crouch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215284062 PECOS PAC ID: 7517249022 Enrollment ID: I20170713001635 |
| Provider Name | Kristi L Tackett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417367848 PECOS PAC ID: 6002186491 Enrollment ID: I20170718000743 |
| Provider Name | Christopher B Zernial |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770926149 PECOS PAC ID: 1254631971 Enrollment ID: I20170724002656 |
| Provider Name | Garrett W Fought |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942734264 PECOS PAC ID: 9133490840 Enrollment ID: I20170728002716 |
| Provider Name | Tamanna Nahar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174542575 PECOS PAC ID: 8921089426 Enrollment ID: I20170802003033 |
| Provider Name | Paula R Belcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245755206 PECOS PAC ID: 7315210820 Enrollment ID: I20170905003145 |
| Provider Name | Samantha Caines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861918054 PECOS PAC ID: 9032482542 Enrollment ID: I20170905003202 |
| Provider Name | Mariano E Rivera |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528389939 PECOS PAC ID: 4385884477 Enrollment ID: I20170912001455 |
| Provider Name | Abdallah Kharnaf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679861611 PECOS PAC ID: 2466681010 Enrollment ID: I20170915003242 |
| Provider Name | Rachel L Fitzgerald |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336599331 PECOS PAC ID: 1658662598 Enrollment ID: I20170919003724 |
| Provider Name | Jamessa C Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730607789 PECOS PAC ID: 5799059184 Enrollment ID: I20170925000355 |
| Provider Name | Corie L Bevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245753268 PECOS PAC ID: 7517239288 Enrollment ID: I20170925000757 |
| Provider Name | Matthew Q Mccammon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750784799 PECOS PAC ID: 4284921073 Enrollment ID: I20171019002875 |
| Provider Name | Henrik O Berdel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740501345 PECOS PAC ID: 1052607751 Enrollment ID: I20171026002810 |
| Provider Name | Betty D Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821509233 PECOS PAC ID: 4981960200 Enrollment ID: I20171102000355 |
| Provider Name | Hamza A Mlatoum |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396169975 PECOS PAC ID: 6002033636 Enrollment ID: I20171106002239 |
| Provider Name | Mohamed H El Dinali |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134499858 PECOS PAC ID: 0244463693 Enrollment ID: I20171219002950 |
| Provider Name | Jacquelene Renee Steele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134566441 PECOS PAC ID: 2163723990 Enrollment ID: I20180206002046 |
| Provider Name | Gina M Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639679459 PECOS PAC ID: 3274895685 Enrollment ID: I20180323001010 |
| Provider Name | Madhava T Pally |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821005422 PECOS PAC ID: 0345290649 Enrollment ID: I20180403000881 |
| Provider Name | Cynthia A Pence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124530878 PECOS PAC ID: 0941563829 Enrollment ID: I20180405001124 |
| Provider Name | John T Deel |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1013116946 PECOS PAC ID: 5294822755 Enrollment ID: I20180420002320 |
| Provider Name | Todd Harris Nairn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457557001 PECOS PAC ID: 4688652985 Enrollment ID: I20180424003001 |
| Provider Name | Maurice Uchenna Udechukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609987528 PECOS PAC ID: 8123068863 Enrollment ID: I20180607002242 |
| Provider Name | Robert Shurtleff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992182869 PECOS PAC ID: 9032465356 Enrollment ID: I20180628002669 |
| Provider Name | Brookelynn E Hensley |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1225475981 PECOS PAC ID: 1850511361 Enrollment ID: I20180710001339 |
| Provider Name | Deepak Pattanshetty |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790017614 PECOS PAC ID: 8628226453 Enrollment ID: I20180809005533 |
| Provider Name | Michael David Cranney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912303553 PECOS PAC ID: 4981910510 Enrollment ID: I20180820000782 |
| Provider Name | Nicholas Anthony Kusnezov |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396185161 PECOS PAC ID: 3476803248 Enrollment ID: I20180829002604 |
| Provider Name | Austin Blake Taylor |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083021554 PECOS PAC ID: 7618227679 Enrollment ID: I20180912002516 |
| Provider Name | Joseph Yates |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518348549 PECOS PAC ID: 8022301621 Enrollment ID: I20181010003845 |
| Provider Name | Brianna I N Lovern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013492214 PECOS PAC ID: 3779836796 Enrollment ID: I20181022001202 |
| Provider Name | Aaronda Derossett Wells |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336143122 PECOS PAC ID: 8921266545 Enrollment ID: I20181106001646 |
| Provider Name | Caitlin V Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013484211 PECOS PAC ID: 5698029601 Enrollment ID: I20181109002332 |
| Provider Name | Ryan A Preston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801360623 PECOS PAC ID: 6103164611 Enrollment ID: I20190207002224 |
| Provider Name | Jason R Jude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962966481 PECOS PAC ID: 9739428186 Enrollment ID: I20190228002279 |
| Provider Name | Robert A Shiroff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134157548 PECOS PAC ID: 3678511136 Enrollment ID: I20190319001088 |
| Provider Name | Aaron D Stanley |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215335542 PECOS PAC ID: 7214299080 Enrollment ID: I20190509001695 |
| Provider Name | William A Ison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144887951 PECOS PAC ID: 0941535686 Enrollment ID: I20190717001953 |
| Provider Name | Jennifer E Keathley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922667708 PECOS PAC ID: 7113252859 Enrollment ID: I20190717001973 |
| Provider Name | Kevin T Farthing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629424429 PECOS PAC ID: 1850626441 Enrollment ID: I20190718003014 |
| Provider Name | Anfal Fahim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386090975 PECOS PAC ID: 5193006658 Enrollment ID: I20190724002546 |
| Provider Name | Shyam Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700184157 PECOS PAC ID: 7315168358 Enrollment ID: I20190830002198 |
| Provider Name | John E Reynolds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871931816 PECOS PAC ID: 9133419518 Enrollment ID: I20191030003671 |
| Provider Name | George Mamdouh Ghobrial |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457593428 PECOS PAC ID: 6305078189 Enrollment ID: I20191220000939 |
| Provider Name | Christopher Dale Henley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477714822 PECOS PAC ID: 9830314145 Enrollment ID: I20191231002247 |
| Provider Name | George Welch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144258336 PECOS PAC ID: 0941245211 Enrollment ID: I20200127002218 |
| Provider Name | Julie Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750923397 PECOS PAC ID: 8022444561 Enrollment ID: I20200201000035 |
| Provider Name | Lawanna L Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083262349 PECOS PAC ID: 3678900099 Enrollment ID: I20200225001534 |
| Provider Name | Justin D Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528699881 PECOS PAC ID: 4082041959 Enrollment ID: I20200305002495 |
| Provider Name | Breanna L Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548893548 PECOS PAC ID: 3072942994 Enrollment ID: I20200327002968 |
| Provider Name | Patrick S Bryant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790130151 PECOS PAC ID: 1557619657 Enrollment ID: I20200410000619 |
| Provider Name | Michael R Crum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912352030 PECOS PAC ID: 0446540660 Enrollment ID: I20200417003178 |
| Provider Name | Malisa Josephine Moss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508120247 PECOS PAC ID: 2062722291 Enrollment ID: I20200605000472 |
| Provider Name | Hazim Bukamur |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861807489 PECOS PAC ID: 7517186869 Enrollment ID: I20200624003093 |
| Provider Name | Rachel E Mullins |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518341585 PECOS PAC ID: 4486076163 Enrollment ID: I20200625002083 |
| Provider Name | Rishi Raj |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770965683 PECOS PAC ID: 0749538692 Enrollment ID: I20200629001916 |
| Provider Name | Jeremy C Bevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386254845 PECOS PAC ID: 5193142834 Enrollment ID: I20200826003526 |
| Provider Name | Alexis B Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487252672 PECOS PAC ID: 1759791890 Enrollment ID: I20201102000538 |
| Provider Name | Amanda R Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134757305 PECOS PAC ID: 2860802733 Enrollment ID: I20201104000536 |
| Provider Name | Cassie Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164064101 PECOS PAC ID: 7719397546 Enrollment ID: I20201106001939 |
| Provider Name | Kelly Belcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164051306 PECOS PAC ID: 5597185058 Enrollment ID: I20201218000887 |
| Provider Name | Robb K Taylor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154810687 PECOS PAC ID: 5092128165 Enrollment ID: I20210108002208 |
| Provider Name | Joseph J Souza |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336145457 PECOS PAC ID: 4880608496 Enrollment ID: I20210115002014 |
| Provider Name | Yvonne M Barnett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871931873 PECOS PAC ID: 1951530757 Enrollment ID: I20210119000737 |
| Provider Name | Raymon K Nelson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346236452 PECOS PAC ID: 1951447325 Enrollment ID: I20210122000731 |
| Provider Name | Kenneth Koval |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144256041 PECOS PAC ID: 9638079296 Enrollment ID: I20210122001162 |
| Provider Name | Hamza Hamdi A Tantoush |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669737862 PECOS PAC ID: 1052627841 Enrollment ID: I20210301002769 |
| Provider Name | Kathryn A Maynard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568054153 PECOS PAC ID: 6204242084 Enrollment ID: I20210302001544 |
| Provider Name | Ummerubab Syeda |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245694355 PECOS PAC ID: 8729352232 Enrollment ID: I20210524001368 |
| Provider Name | Hamid Nawaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932269503 PECOS PAC ID: 3173540861 Enrollment ID: I20210602001544 |
| Provider Name | Savannah May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598359721 PECOS PAC ID: 0749681625 Enrollment ID: I20210629003177 |
| Provider Name | Seth Jason Sklare |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346621604 PECOS PAC ID: 4981911450 Enrollment ID: I20210701003825 |
| Provider Name | Lakshmi Kannan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598117368 PECOS PAC ID: 5799187233 Enrollment ID: I20210707001421 |
| Provider Name | Aasems Jacob |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447633284 PECOS PAC ID: 2466700810 Enrollment ID: I20210712003582 |
| Provider Name | Frederick Stine |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124555222 PECOS PAC ID: 1456621721 Enrollment ID: I20210721003788 |
| Provider Name | Stephen Brian Osmon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083677520 PECOS PAC ID: 6800834136 Enrollment ID: I20210726001349 |
| Provider Name | Aleksandr A Pevtsov |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376071001 PECOS PAC ID: 8022438647 Enrollment ID: I20210726001626 |
| Provider Name | Brandon T Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477086759 PECOS PAC ID: 8325390883 Enrollment ID: I20210817001260 |
| Provider Name | Vickie D Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558933218 PECOS PAC ID: 4284039280 Enrollment ID: I20210827002835 |
| Provider Name | Caroline Rose Neff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215342985 PECOS PAC ID: 5991012072 Enrollment ID: I20210831003811 |
| Provider Name | Haitem M.g. Mezughi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447649157 PECOS PAC ID: 6103142211 Enrollment ID: I20210903002490 |
| Provider Name | Ashley N Prater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548895535 PECOS PAC ID: 5193122018 Enrollment ID: I20210920003178 |
| Provider Name | Mohammed S Naja |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073183463 PECOS PAC ID: 1153728795 Enrollment ID: I20210923001772 |
| Provider Name | Briteny L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700458411 PECOS PAC ID: 8123425550 Enrollment ID: I20210927003147 |
| Provider Name | Angel Y Ramos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912392986 PECOS PAC ID: 8820380413 Enrollment ID: I20211021002938 |
| Provider Name | Patsy L Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609548767 PECOS PAC ID: 8921496688 Enrollment ID: I20211028002633 |
| Provider Name | Joshua Salyers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467958280 PECOS PAC ID: 7214275742 Enrollment ID: I20211123002889 |
| Provider Name | John Han |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396125985 PECOS PAC ID: 6608175880 Enrollment ID: I20211201001906 |
| Provider Name | Matthew Griffith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093196180 PECOS PAC ID: 8224319447 Enrollment ID: I20220113000369 |
| Provider Name | Kasandra C Keeslar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568122463 PECOS PAC ID: 7113310921 Enrollment ID: I20220131000636 |
| Provider Name | Michael J Mullins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760971360 PECOS PAC ID: 2860744935 Enrollment ID: I20220210002355 |
| Provider Name | Tyler L Rader |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376150961 PECOS PAC ID: 8527452044 Enrollment ID: I20220228001017 |
| Provider Name | Victoria Andarcia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063875078 PECOS PAC ID: 4486947645 Enrollment ID: I20220328002467 |
| Provider Name | Rodolfo Reyes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023470259 PECOS PAC ID: 8325333149 Enrollment ID: I20220512002412 |
| Provider Name | Samuel Espinal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548754583 PECOS PAC ID: 8527399161 Enrollment ID: I20220601001159 |
| Provider Name | Samantha M Keene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174260343 PECOS PAC ID: 5395124051 Enrollment ID: I20220627001475 |
| Provider Name | Faizal Rajesh Nicholas Ramdial |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326492596 PECOS PAC ID: 9537548292 Enrollment ID: I20220627001604 |
| Provider Name | Cherah Jade Pryce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407382104 PECOS PAC ID: 9537431655 Enrollment ID: I20220630002795 |
| Provider Name | Peter J Armstrong |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942362942 PECOS PAC ID: 3678677218 Enrollment ID: I20220706002549 |
| Provider Name | Ramy T Husainy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770808156 PECOS PAC ID: 3577738392 Enrollment ID: I20220708000811 |
| Provider Name | Brandy Standifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932845153 PECOS PAC ID: 2466832134 Enrollment ID: I20220712002215 |
| Provider Name | Han Yuan Alice Chong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457454498 PECOS PAC ID: 8628160603 Enrollment ID: I20220713003744 |
| Provider Name | Chase Tyler Michael Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588169874 PECOS PAC ID: 3678954922 Enrollment ID: I20220718001438 |
| Provider Name | Elyn H Wang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1245512953 PECOS PAC ID: 5890176853 Enrollment ID: I20220721002892 |
| Provider Name | Kevin Shajan Itty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639604515 PECOS PAC ID: 5890064786 Enrollment ID: I20220721003164 |
| Provider Name | Andrea S Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174913487 PECOS PAC ID: 7517282809 Enrollment ID: I20220808001664 |
| Provider Name | Emuesiri C Ovwigho |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013579606 PECOS PAC ID: 1153703095 Enrollment ID: I20220809001699 |
| Provider Name | John M Receveur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023464872 PECOS PAC ID: 3274828090 Enrollment ID: I20220810001420 |
| Provider Name | Joseph John Zinkovich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285856757 PECOS PAC ID: 0547229049 Enrollment ID: I20220811001414 |
| Provider Name | David W Carter |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1093204083 PECOS PAC ID: 3072912732 Enrollment ID: I20220817001710 |
| Provider Name | Whitney S Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225763014 PECOS PAC ID: 4880077882 Enrollment ID: I20220823002816 |
| Provider Name | Mark Hatfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932832649 PECOS PAC ID: 9830572858 Enrollment ID: I20220823003914 |
| Provider Name | Amanda Hangge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306208525 PECOS PAC ID: 8820386758 Enrollment ID: I20220908002485 |
| Provider Name | Nicholas James Drayer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144611005 PECOS PAC ID: 3971890203 Enrollment ID: I20220914001213 |
| Provider Name | Kiristan Dials |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124752282 PECOS PAC ID: 1254716822 Enrollment ID: I20220917000320 |
| Provider Name | Mackenzie C Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306586698 PECOS PAC ID: 4587043922 Enrollment ID: I20220923000654 |
| Provider Name | Sheri E Templar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235417270 PECOS PAC ID: 1456669266 Enrollment ID: I20221014001658 |
| Provider Name | Ravi Gurujal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467563957 PECOS PAC ID: 5890777361 Enrollment ID: I20221018000272 |
| Provider Name | Taylor Mansfield |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376903732 PECOS PAC ID: 2769862531 Enrollment ID: I20221107000425 |
| Provider Name | Naveen Balasundaram |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104054162 PECOS PAC ID: 1759640063 Enrollment ID: I20221121001804 |
| Provider Name | Tristen Granvell Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447972179 PECOS PAC ID: 1456729268 Enrollment ID: I20221129003112 |
| Provider Name | Alexander N Gabrovsky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851850945 PECOS PAC ID: 4688903396 Enrollment ID: I20221219000469 |
| Provider Name | Michelle Sykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699480905 PECOS PAC ID: 9133591233 Enrollment ID: I20230220001127 |
| Provider Name | Alexandria K Fields |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891442489 PECOS PAC ID: 1759754633 Enrollment ID: I20230223000648 |
| Provider Name | Matthew Shotwell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841711413 PECOS PAC ID: 0244603967 Enrollment ID: I20230228002456 |
| Provider Name | Kelsey Trast |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982271409 PECOS PAC ID: 6709289671 Enrollment ID: I20230329001642 |
| Provider Name | Lila L Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043915283 PECOS PAC ID: 4082070271 Enrollment ID: I20230512001611 |
| Provider Name | Anna M Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588350268 PECOS PAC ID: 3173989928 Enrollment ID: I20230519002284 |
| Provider Name | Anudeep Kommineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730703810 PECOS PAC ID: 1153742655 Enrollment ID: I20230608000630 |
| Provider Name | Quanecia J Beasley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427534676 PECOS PAC ID: 0840608659 Enrollment ID: I20230622000851 |
| Provider Name | Mary K Booten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093408510 PECOS PAC ID: 4486013984 Enrollment ID: I20230630001791 |
| Provider Name | Rahul Dhawan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1710361233 PECOS PAC ID: 9931409547 Enrollment ID: I20230706001118 |
| Provider Name | Subash Nepal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740701580 PECOS PAC ID: 5799022281 Enrollment ID: I20230721001569 |
| Provider Name | Aaron K Whiteman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366007866 PECOS PAC ID: 8123489895 Enrollment ID: I20230727001075 |
| Provider Name | Joseph K Choo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760468797 PECOS PAC ID: 8921098260 Enrollment ID: I20230728000870 |
| Provider Name | Chandrahas Patel |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770799660 PECOS PAC ID: 2769557479 Enrollment ID: I20230804001429 |
| Provider Name | Debra R Bailey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457331555 PECOS PAC ID: 5890156954 Enrollment ID: I20230804003086 |
| Provider Name | Phillip J Sowards |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093490450 PECOS PAC ID: 8820450059 Enrollment ID: I20230818002382 |
| Provider Name | Vibha P Amblihalli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326499773 PECOS PAC ID: 3173802055 Enrollment ID: I20230830001493 |
| Provider Name | Brandy Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598229551 PECOS PAC ID: 2860735842 Enrollment ID: I20230830001940 |
| Provider Name | Nikash Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255793444 PECOS PAC ID: 9830480656 Enrollment ID: I20230830002096 |
| Provider Name | Ashley M Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295419760 PECOS PAC ID: 5799148029 Enrollment ID: I20230901003164 |
| Provider Name | Nataliya Bocharova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760010698 PECOS PAC ID: 2163843772 Enrollment ID: I20230905002997 |
| Provider Name | Sean Ly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093330151 PECOS PAC ID: 6800264441 Enrollment ID: I20230911002924 |
| Provider Name | Mackenzie Hamilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477118057 PECOS PAC ID: 4880077213 Enrollment ID: I20231011003584 |
| Provider Name | Matthew Sexton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013326149 PECOS PAC ID: 3870712060 Enrollment ID: I20231019000727 |
| Provider Name | Brian Lain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902265408 PECOS PAC ID: 1254671886 Enrollment ID: I20231028000277 |
| Provider Name | Breanna Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881478105 PECOS PAC ID: 8426405051 Enrollment ID: I20231103001238 |
| Provider Name | Leslie H Mchale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396249231 PECOS PAC ID: 1254669450 Enrollment ID: I20231103003404 |
| Provider Name | Mohammed Al Ourani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245462290 PECOS PAC ID: 0446447197 Enrollment ID: I20231129000631 |
| Provider Name | Raja S Goli |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598719940 PECOS PAC ID: 2961492863 Enrollment ID: I20231129003457 |
| Provider Name | Kimberly A Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639886740 PECOS PAC ID: 0648625848 Enrollment ID: I20231213001943 |
| Provider Name | Faisal Khan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447805775 PECOS PAC ID: 1052649555 Enrollment ID: I20231218004097 |
| Provider Name | Marius Alexander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174147029 PECOS PAC ID: 0941625446 Enrollment ID: I20240112002993 |
| Provider Name | Roxanne Gavlinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649042003 PECOS PAC ID: 1759734619 Enrollment ID: I20240126001306 |
| Provider Name | Elizabeth Megan Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043966930 PECOS PAC ID: 8022451681 Enrollment ID: I20240210000119 |
| Provider Name | Pamela Vieira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235691650 PECOS PAC ID: 0345636627 Enrollment ID: I20240210000340 |
| Provider Name | Kyle J Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780180935 PECOS PAC ID: 6608124698 Enrollment ID: I20240306002107 |
| Provider Name | Kelli S Tibbs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285312348 PECOS PAC ID: 4486090461 Enrollment ID: I20240313000432 |
| Provider Name | Corey Blake Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750146320 PECOS PAC ID: 0840637591 Enrollment ID: I20240318002283 |
| Provider Name | Tracie Lee Ratliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851516066 PECOS PAC ID: 2668819566 Enrollment ID: I20240327003491 |
| Provider Name | Austin P Estep |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417645367 PECOS PAC ID: 6103264908 Enrollment ID: I20240328003891 |
| Provider Name | Danielle Justice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306609284 PECOS PAC ID: 6305286105 Enrollment ID: I20240426001859 |
| Provider Name | Julie Kang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235851650 PECOS PAC ID: 3476917279 Enrollment ID: I20240430001230 |
| Provider Name | Eusebio Desuyo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992894604 PECOS PAC ID: 3971532300 Enrollment ID: I20240509001714 |
| Provider Name | Shylah K Napier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194215541 PECOS PAC ID: 0042614596 Enrollment ID: I20240517002852 |
| Provider Name | Ahmad Almustafa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740693688 PECOS PAC ID: 4880975762 Enrollment ID: I20240521000956 |
| Provider Name | Karl E Boehm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952756546 PECOS PAC ID: 7214282078 Enrollment ID: I20240528000857 |
| Provider Name | Joshua Jacobson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427474964 PECOS PAC ID: 5092004929 Enrollment ID: I20240529001963 |
| Provider Name | Kyle K Zakkar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083104525 PECOS PAC ID: 7517400351 Enrollment ID: I20240620002884 |
| Provider Name | Glenn Goodwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275161036 PECOS PAC ID: 7214377704 Enrollment ID: I20240621001517 |
| Provider Name | Olivia M Boyette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851979991 PECOS PAC ID: 3072057421 Enrollment ID: I20240627000289 |
| Provider Name | Charles Latimore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477888352 PECOS PAC ID: 2466804687 Enrollment ID: I20240701000434 |
| Provider Name | Alphonso Kyle Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962039958 PECOS PAC ID: 8527489731 Enrollment ID: I20240705002070 |
| Provider Name | Amber Joy Todd |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467981829 PECOS PAC ID: 0840735437 Enrollment ID: I20240708002096 |
| Provider Name | Young Min Cho |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558821959 PECOS PAC ID: 6204178312 Enrollment ID: I20240710001094 |
| Provider Name | Ashley Reinstetle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700566395 PECOS PAC ID: 5799220075 Enrollment ID: I20240710004704 |
| Provider Name | Daniel Gavin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083650105 PECOS PAC ID: 0042223810 Enrollment ID: I20240711001498 |
| Provider Name | Pamela Rani Sud |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003149568 PECOS PAC ID: 2961643622 Enrollment ID: I20240715000618 |
| Provider Name | Ricardo Oroz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285212647 PECOS PAC ID: 2163831207 Enrollment ID: I20240715001484 |
| Provider Name | Hana Lee Rader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225891039 PECOS PAC ID: 0345785366 Enrollment ID: I20240715002639 |
| Provider Name | Katie Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972180016 PECOS PAC ID: 3870038722 Enrollment ID: I20240716000179 |
| Provider Name | Zachary Butcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174364574 PECOS PAC ID: 0143765859 Enrollment ID: I20240717001637 |
| Provider Name | Chandrasekhar Chada |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649605379 PECOS PAC ID: 8325331598 Enrollment ID: I20240718001552 |
| Provider Name | Richard John Cunningham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174188072 PECOS PAC ID: 4587101191 Enrollment ID: I20240731004384 |
| Provider Name | Maen Assali |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1891215596 PECOS PAC ID: 7911267661 Enrollment ID: I20240802003207 |
| Provider Name | Zonia G Barbosa Caceres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225532815 PECOS PAC ID: 6608314539 Enrollment ID: I20240809003217 |
| Provider Name | Michael Christian Whittier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255912432 PECOS PAC ID: 0547630899 Enrollment ID: I20240823002176 |
| Provider Name | Kevin Fan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871122622 PECOS PAC ID: 3274970330 Enrollment ID: I20240917001972 |
| Provider Name | Joshua David Griffith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417795592 PECOS PAC ID: 3375084247 Enrollment ID: I20240918003657 |
| Provider Name | Kamala Ojha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073142329 PECOS PAC ID: 0547791709 Enrollment ID: I20240930002121 |
| Provider Name | Victor Gappmaier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861819740 PECOS PAC ID: 5193021004 Enrollment ID: I20241001002082 |
| Provider Name | Nikhitha Chandrashekar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518420785 PECOS PAC ID: 6507190287 Enrollment ID: I20241001004045 |
| Provider Name | Douglas M Reeves |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467946012 PECOS PAC ID: 4981087723 Enrollment ID: I20241007002822 |
| Provider Name | Jasgurpreet Singh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619587169 PECOS PAC ID: 4082146709 Enrollment ID: I20241018000257 |
| Provider Name | Todd A Belok |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649808650 PECOS PAC ID: 9133547185 Enrollment ID: I20241024002121 |
| Provider Name | Antonio Ciccone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750413464 PECOS PAC ID: 5698704864 Enrollment ID: I20241107002338 |
| Provider Name | Shane Ruckle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932133907 PECOS PAC ID: 5698715969 Enrollment ID: I20241113002591 |
| Provider Name | Jessica Marie Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558180943 PECOS PAC ID: 2264966118 Enrollment ID: I20241114001630 |
| Provider Name | Staci Smith |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558576454 PECOS PAC ID: 1951425412 Enrollment ID: I20241119004585 |
| Provider Name | Amir Hashemi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063075935 PECOS PAC ID: 7719361005 Enrollment ID: I20241122001208 |
| Provider Name | Sainath Gaddam |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912142985 PECOS PAC ID: 0648435503 Enrollment ID: I20241127001510 |
| Provider Name | Rishi Sukhija |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093939258 PECOS PAC ID: 4183761109 Enrollment ID: I20241127002621 |
| Provider Name | Natoshia Lynn Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801610084 PECOS PAC ID: 8729513593 Enrollment ID: I20241203002312 |
| Provider Name | Marcus Dubrow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215908488 PECOS PAC ID: 9830087055 Enrollment ID: I20241204002379 |
| Provider Name | James O Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356311666 PECOS PAC ID: 8325004039 Enrollment ID: I20241204003050 |
| Provider Name | Lara Goldstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811510282 PECOS PAC ID: 5597127738 Enrollment ID: I20241209001118 |
Pikeville Neurology Clinic & Diagnostic Center Psc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 515 N Bypass Rd, Suite 101, Pikeville, KY 41501 Phone: 606-437-4100 Fax: 606-432-6009 | |
Psychiatric Center Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1330 S Mayo Trl, Nova Complex Suite 301, Pikeville, KY 41501 Phone: 606-432-7233 Fax: 606-432-7255 | |
Carter And May, Qmhp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 178 2nd St Ste B, Pikeville, KY 41501 Phone: 606-432-1287 Fax: 606-509-2345 | |
Bhg Lviii, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 368 S Mayo Trl, Pikeville, KY 41501 Phone: 606-437-0047 | |
Fazal And Associates Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Church St Ste 100, Pikeville, KY 41501 Phone: 606-791-6115 |