| Pmg Nw Wa | |
|
900 Pacific Ave Ste 501 Everett WA 98201-4168 | |
| (425) 258-7550 | |
| (425) 258-7450 |
| Full Name | Pmg Nw Wa |
|---|---|
| Speciality | General Practice |
| Location | 900 Pacific Ave, Everett, Washington |
| Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECRETARY FOR ENROLLMENT) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pmg Nw Wa Po Box 3360 Portland OR 97208-3360 Ph: (866) 366-2983 | Pmg Nw Wa 900 Pacific Ave Ste 501 Everett WA 98201-4168 Ph: (425) 258-7550 |
| NPI Number | 1124270715 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 08/15/2023 |
| Certification Date | 08/15/2023 |
| Medicare PECOS PAC ID | 8325100480 |
|---|---|
| Medicare Enrollment ID | O20081224000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124270715 | NPI | - | NPPES |
| Provider Name | Ravi S Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699757112 PECOS PAC ID: 2365356771 Enrollment ID: I20031118001005 |
| Provider Name | Taehee Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528163615 PECOS PAC ID: 5193624807 Enrollment ID: I20031231000692 |
| Provider Name | Fa Abigail C De Imus |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1265498901 PECOS PAC ID: 3375443203 Enrollment ID: I20040108001120 |
| Provider Name | Susan M Blue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265543839 PECOS PAC ID: 9234022476 Enrollment ID: I20040203000608 |
| Provider Name | Gerardo R Rodriquez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245299916 PECOS PAC ID: 8022000603 Enrollment ID: I20040401001678 |
| Provider Name | Leah Ruth Lambert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417049008 PECOS PAC ID: 7214922335 Enrollment ID: I20040419000296 |
| Provider Name | Dan S Veljovich |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1770535833 PECOS PAC ID: 9931196375 Enrollment ID: I20040428000644 |
| Provider Name | Orly P Steinberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407812506 PECOS PAC ID: 3072501089 Enrollment ID: I20040506000008 |
| Provider Name | Erin C Sutcliffe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689750309 PECOS PAC ID: 1759362700 Enrollment ID: I20040526000935 |
| Provider Name | James B Erhardt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043251697 PECOS PAC ID: 1052208998 Enrollment ID: I20040602001299 |
| Provider Name | Eileen M Olinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992806228 PECOS PAC ID: 4587648159 Enrollment ID: I20040614000672 |
| Provider Name | Judith H Kuo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124129648 PECOS PAC ID: 5799761524 Enrollment ID: I20040624000755 |
| Provider Name | Katie E Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194820290 PECOS PAC ID: 7618957697 Enrollment ID: I20040721000644 |
| Provider Name | Daniel A. Wuthrich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285696880 PECOS PAC ID: 6103806120 Enrollment ID: I20040721000937 |
| Provider Name | Paolo Rocca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356446934 PECOS PAC ID: 6800868381 Enrollment ID: I20040806000651 |
| Provider Name | Angela H Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659445609 PECOS PAC ID: 2264346618 Enrollment ID: I20040814000138 |
| Provider Name | Kelly A Welz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699855544 PECOS PAC ID: 9537134069 Enrollment ID: I20040830000102 |
| Provider Name | Brian C Fong |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407888910 PECOS PAC ID: 5991770349 Enrollment ID: I20040830000227 |
| Provider Name | Aine Kelly Yore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205885373 PECOS PAC ID: 4789666132 Enrollment ID: I20041110001124 |
| Provider Name | Damanjeet S Chugh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366492944 PECOS PAC ID: 8224092473 Enrollment ID: I20041117000261 |
| Provider Name | Ahmet C Tural |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205927035 PECOS PAC ID: 5799741419 Enrollment ID: I20041204000255 |
| Provider Name | Joseph J Austin |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1134189699 PECOS PAC ID: 6406812957 Enrollment ID: I20041206001190 |
| Provider Name | William A Peters |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1063449940 PECOS PAC ID: 6507754546 Enrollment ID: I20050114000830 |
| Provider Name | Charles W Drescher |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1710939855 PECOS PAC ID: 7719936814 Enrollment ID: I20050114000862 |
| Provider Name | Roy Hanaki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487684254 PECOS PAC ID: 8820996234 Enrollment ID: I20050125000245 |
| Provider Name | Patricia L Rolstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043279623 PECOS PAC ID: 1153374756 Enrollment ID: I20050223000606 |
| Provider Name | Brandon N Ong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013968072 PECOS PAC ID: 2466405535 Enrollment ID: I20050301000473 |
| Provider Name | Eric K Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659476760 PECOS PAC ID: 6800833963 Enrollment ID: I20050411001245 |
| Provider Name | Katherine D Bumstead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639270762 PECOS PAC ID: 7810934726 Enrollment ID: I20050412001335 |
| Provider Name | Shona E Lowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598710840 PECOS PAC ID: 3779523162 Enrollment ID: I20050504001274 |
| Provider Name | Thomas M Richardson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609817295 PECOS PAC ID: 9436191129 Enrollment ID: I20050523001341 |
| Provider Name | Donald E Rice |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689683583 PECOS PAC ID: 7416990205 Enrollment ID: I20050603001053 |
| Provider Name | Sarah M Hansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619921970 PECOS PAC ID: 3678503893 Enrollment ID: I20050817000813 |
| Provider Name | Mark Papenhausen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1740268325 PECOS PAC ID: 6305837659 Enrollment ID: I20051006000598 |
| Provider Name | Ricardo W Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992858377 PECOS PAC ID: 4082631809 Enrollment ID: I20051031000482 |
| Provider Name | Lloyd Andrew Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235219205 PECOS PAC ID: 4486672821 Enrollment ID: I20051104000094 |
| Provider Name | Ednea A Simon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174604425 PECOS PAC ID: 9335160340 Enrollment ID: I20051216000671 |
| Provider Name | Patrick J Dabbracci |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902858913 PECOS PAC ID: 9537199047 Enrollment ID: I20060120000106 |
| Provider Name | Kathleen M Wroblewski |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215033287 PECOS PAC ID: 7517973340 Enrollment ID: I20060302000314 |
| Provider Name | Sharon Vanover Wuerth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821072356 PECOS PAC ID: 1951318104 Enrollment ID: I20060313000352 |
| Provider Name | Angela S Rideout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750423554 PECOS PAC ID: 1759398811 Enrollment ID: I20060315000568 |
| Provider Name | Ward K Chow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669430146 PECOS PAC ID: 2769418433 Enrollment ID: I20060407000611 |
| Provider Name | Hemalatha Subbaratnam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588732036 PECOS PAC ID: 4183611072 Enrollment ID: I20060419000214 |
| Provider Name | Harold F Andersen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346334489 PECOS PAC ID: 2365483757 Enrollment ID: I20060420000532 |
| Provider Name | Laurel K Walker |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801837406 PECOS PAC ID: 5193735991 Enrollment ID: I20060424000464 |
| Provider Name | William Berg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568461507 PECOS PAC ID: 0143231548 Enrollment ID: I20060524000068 |
| Provider Name | Kimberly E Costas |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1922044973 PECOS PAC ID: 9931112059 Enrollment ID: I20060713000032 |
| Provider Name | Steven A Grant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801831896 PECOS PAC ID: 2466465851 Enrollment ID: I20060802000181 |
| Provider Name | Stanley S Ling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457372294 PECOS PAC ID: 4284627001 Enrollment ID: I20060804000057 |
| Provider Name | Purnima Mahendra Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487619060 PECOS PAC ID: 8022921949 Enrollment ID: I20060906000069 |
| Provider Name | Ellen Mijung Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124024229 PECOS PAC ID: 5597666818 Enrollment ID: I20060906000099 |
| Provider Name | Tara E Nysoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679597058 PECOS PAC ID: 0042215840 Enrollment ID: I20060929000380 |
| Provider Name | Terri L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902826647 PECOS PAC ID: 9032184569 Enrollment ID: I20061005000138 |
| Provider Name | Peter D Sutcliffe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699787028 PECOS PAC ID: 0244236248 Enrollment ID: I20061016000210 |
| Provider Name | Arunachalam Einstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013943752 PECOS PAC ID: 3870518475 Enrollment ID: I20061102000598 |
| Provider Name | John Charles Lusk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932208592 PECOS PAC ID: 0547268286 Enrollment ID: I20061113000544 |
| Provider Name | Gregory G Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093826406 PECOS PAC ID: 5799784443 Enrollment ID: I20061207000207 |
| Provider Name | Jerry S Koh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881705200 PECOS PAC ID: 9234138207 Enrollment ID: I20061220000542 |
| Provider Name | Wendi D Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689757874 PECOS PAC ID: 3274533914 Enrollment ID: I20070103000485 |
| Provider Name | Todd M Denkinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689654212 PECOS PAC ID: 7214906528 Enrollment ID: I20070316000480 |
| Provider Name | Christopher S Famy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043329840 PECOS PAC ID: 7113023672 Enrollment ID: I20070501000159 |
| Provider Name | Raymond Cheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952469777 PECOS PAC ID: 8921107145 Enrollment ID: I20070628000204 |
| Provider Name | Michael J Reznicek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760568760 PECOS PAC ID: 0749389849 Enrollment ID: I20070629000304 |
| Provider Name | Albert D Pacifico |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073519328 PECOS PAC ID: 4486754009 Enrollment ID: I20070712000054 |
| Provider Name | Jamie M Crompton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033292768 PECOS PAC ID: 4284726647 Enrollment ID: I20070815000701 |
| Provider Name | Lisa A Chiou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396850046 PECOS PAC ID: 4789776469 Enrollment ID: I20070827000205 |
| Provider Name | Michael Y Wong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174535314 PECOS PAC ID: 8921190570 Enrollment ID: I20070827000863 |
| Provider Name | Jasmine M Albrecht |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972705762 PECOS PAC ID: 0547352197 Enrollment ID: I20070827000886 |
| Provider Name | Hunter A Mckay |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033112107 PECOS PAC ID: 1759474802 Enrollment ID: I20070905000388 |
| Provider Name | Wendy L Mcgoodwin |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1285743641 PECOS PAC ID: 0648363648 Enrollment ID: I20070907000156 |
| Provider Name | Sheila D Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487859708 PECOS PAC ID: 7911090519 Enrollment ID: I20070912000164 |
| Provider Name | Kristy M Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205020591 PECOS PAC ID: 6406940774 Enrollment ID: I20070917000708 |
| Provider Name | Seunghyun Lee |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356435184 PECOS PAC ID: 6002919636 Enrollment ID: I20070924000445 |
| Provider Name | Chad A Warren |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235244054 PECOS PAC ID: 8123098068 Enrollment ID: I20071005000078 |
| Provider Name | James C Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225149172 PECOS PAC ID: 0941392484 Enrollment ID: I20071015000469 |
| Provider Name | Sarah E Stolz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053471425 PECOS PAC ID: 1850480138 Enrollment ID: I20071210000415 |
| Provider Name | Patris S Marandi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922055581 PECOS PAC ID: 1850472499 Enrollment ID: I20080121000332 |
| Provider Name | Arpan Waghray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801088794 PECOS PAC ID: 5597847459 Enrollment ID: I20080130000729 |
| Provider Name | Ronald L Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710932991 PECOS PAC ID: 0941254478 Enrollment ID: I20080205000679 |
| Provider Name | Grace T Dy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295792109 PECOS PAC ID: 6305928136 Enrollment ID: I20080211000792 |
| Provider Name | Lee Loung Liou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013022151 PECOS PAC ID: 6002999216 Enrollment ID: I20080212000127 |
| Provider Name | Christine M Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174637771 PECOS PAC ID: 1759465156 Enrollment ID: I20080225000090 |
| Provider Name | John Myunghoon Pyun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073599866 PECOS PAC ID: 8426098955 Enrollment ID: I20080606000738 |
| Provider Name | Poonam Rauniyar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366602468 PECOS PAC ID: 7416029954 Enrollment ID: I20080628000073 |
| Provider Name | Matthew J Beecroft |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487825782 PECOS PAC ID: 4587736541 Enrollment ID: I20080708000452 |
| Provider Name | Cynthia A Warner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396906129 PECOS PAC ID: 9638242852 Enrollment ID: I20080722000369 |
| Provider Name | Erin M Robinson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437273034 PECOS PAC ID: 6103991690 Enrollment ID: I20080818000737 |
| Provider Name | Gregory M Pilmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427162908 PECOS PAC ID: 3971678269 Enrollment ID: I20080821000181 |
| Provider Name | Yince N Loh |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1720020894 PECOS PAC ID: 0547293417 Enrollment ID: I20080821000201 |
| Provider Name | Ashley B Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841360294 PECOS PAC ID: 5193761856 Enrollment ID: I20080821000619 |
| Provider Name | Ancuta Pandrea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285747188 PECOS PAC ID: 0941205850 Enrollment ID: I20080918000074 |
| Provider Name | Arwyn E Hood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588714273 PECOS PAC ID: 5395814248 Enrollment ID: I20080925000714 |
| Provider Name | Jeanine Ann Sommerville |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669467304 PECOS PAC ID: 9931276045 Enrollment ID: I20081016000288 |
| Provider Name | Rajasri D Palepu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568644607 PECOS PAC ID: 5294893269 Enrollment ID: I20081020000369 |
| Provider Name | Kara Dacquisto |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912158239 PECOS PAC ID: 3274691753 Enrollment ID: I20081028000448 |
| Provider Name | Clinton W Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134106867 PECOS PAC ID: 9436114477 Enrollment ID: I20081104000671 |
| Provider Name | Catherine D Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013086495 PECOS PAC ID: 8729147699 Enrollment ID: I20081106000526 |
| Provider Name | Monica Marton Popovici |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437326626 PECOS PAC ID: 4385705763 Enrollment ID: I20081203000653 |
| Provider Name | Evangeline C Gan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376644351 PECOS PAC ID: 7012070394 Enrollment ID: I20090113000361 |
| Provider Name | Beena Morris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073614376 PECOS PAC ID: 9638232929 Enrollment ID: I20090113000479 |
| Provider Name | Randall S Reimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043311285 PECOS PAC ID: 7618030909 Enrollment ID: I20090113000496 |
| Provider Name | Ira Kantrowitz Gordon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932292695 PECOS PAC ID: 9335202423 Enrollment ID: I20090115000659 |
| Provider Name | Lee R Argue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083714281 PECOS PAC ID: 3375606361 Enrollment ID: I20090119000017 |
| Provider Name | Patricia P Osetinsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285735522 PECOS PAC ID: 4880757780 Enrollment ID: I20090120000018 |
| Provider Name | Tiffany Matteson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346331949 PECOS PAC ID: 8123181096 Enrollment ID: I20090120000673 |
| Provider Name | Charles Blane Brinkley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710078399 PECOS PAC ID: 2668536293 Enrollment ID: I20090127000387 |
| Provider Name | Deborah M Nalty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699876912 PECOS PAC ID: 6709940869 Enrollment ID: I20090204000402 |
| Provider Name | Manaji M Suzuki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154412955 PECOS PAC ID: 8820153802 Enrollment ID: I20090209000465 |
| Provider Name | Fred Martin Foss |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437143179 PECOS PAC ID: 7416954797 Enrollment ID: I20090211000706 |
| Provider Name | Wendy Coffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750482865 PECOS PAC ID: 1658436977 Enrollment ID: I20090219000356 |
| Provider Name | Melissa Closs-brewer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467553529 PECOS PAC ID: 9436215506 Enrollment ID: I20090226000184 |
| Provider Name | Celia Dastvan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346341377 PECOS PAC ID: 2668538745 Enrollment ID: I20090226000237 |
| Provider Name | Ignatius Marsidi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396792149 PECOS PAC ID: 9234286956 Enrollment ID: I20090416000081 |
| Provider Name | Michael J Doherty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033299953 PECOS PAC ID: 5799833075 Enrollment ID: I20090423000797 |
| Provider Name | Amy E Bondurant |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1619992724 PECOS PAC ID: 3173526829 Enrollment ID: I20090518000117 |
| Provider Name | Jeffrey R Scott |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1992814651 PECOS PAC ID: 4385794882 Enrollment ID: I20090603000606 |
| Provider Name | Chiyang Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760474738 PECOS PAC ID: 0941350755 Enrollment ID: I20090616000455 |
| Provider Name | Michelle L Strong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285766121 PECOS PAC ID: 6608946025 Enrollment ID: I20090618000293 |
| Provider Name | Catharine R Keay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063624146 PECOS PAC ID: 1052460979 Enrollment ID: I20090630000092 |
| Provider Name | William Reed |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1891789582 PECOS PAC ID: 1658361910 Enrollment ID: I20090729000880 |
| Provider Name | Bhawna Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649462102 PECOS PAC ID: 7214081165 Enrollment ID: I20090812000484 |
| Provider Name | Suzanne K Bigelow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679777213 PECOS PAC ID: 4284710591 Enrollment ID: I20090813000237 |
| Provider Name | Alice B Brownstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295811040 PECOS PAC ID: 2961556493 Enrollment ID: I20090819000130 |
| Provider Name | Jenny B Hobbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598874224 PECOS PAC ID: 9234284373 Enrollment ID: I20090826000228 |
| Provider Name | Lindsy J Alanis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003826603 PECOS PAC ID: 8820143498 Enrollment ID: I20090903000004 |
| Provider Name | Megan A Farnsworth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013159425 PECOS PAC ID: 9436201597 Enrollment ID: I20090910000415 |
| Provider Name | Geetha Easwaran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316104060 PECOS PAC ID: 3274670229 Enrollment ID: I20091022000717 |
| Provider Name | Alyssa J Stickney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558490102 PECOS PAC ID: 6103963731 Enrollment ID: I20091029000769 |
| Provider Name | Carol J Mccahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871688689 PECOS PAC ID: 7517971146 Enrollment ID: I20091117000214 |
| Provider Name | Hillary B Starr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629280326 PECOS PAC ID: 8325187727 Enrollment ID: I20091124000490 |
| Provider Name | James A Edwards |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1679680441 PECOS PAC ID: 8729129440 Enrollment ID: I20100104000232 |
| Provider Name | Roland V Feltner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225004658 PECOS PAC ID: 4587705694 Enrollment ID: I20100112000456 |
| Provider Name | Thejana K Marasinghe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184777534 PECOS PAC ID: 0941341986 Enrollment ID: I20100112000863 |
| Provider Name | Raymond K Whalen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851463921 PECOS PAC ID: 3678616869 Enrollment ID: I20100210000631 |
| Provider Name | Autumn J Moser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962507723 PECOS PAC ID: 8921141110 Enrollment ID: I20100210000660 |
| Provider Name | Thomas C Skalley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336245976 PECOS PAC ID: 7911041017 Enrollment ID: I20100212000247 |
| Provider Name | Jefferey S Winningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043316110 PECOS PAC ID: 4789728361 Enrollment ID: I20100219000716 |
| Provider Name | Thomas K Stonecipher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235235490 PECOS PAC ID: 9032253323 Enrollment ID: I20100224000898 |
| Provider Name | Cristina R Santiago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427154053 PECOS PAC ID: 4789729906 Enrollment ID: I20100226000481 |
| Provider Name | Russell B Beckley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255425799 PECOS PAC ID: 0749320364 Enrollment ID: I20100226000521 |
| Provider Name | Signa J Moe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740385509 PECOS PAC ID: 8921143157 Enrollment ID: I20100226000533 |
| Provider Name | Daniel A Zak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013965490 PECOS PAC ID: 4981749835 Enrollment ID: I20100303000982 |
| Provider Name | Chirag A Shah |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1235248360 PECOS PAC ID: 5092850453 Enrollment ID: I20100310000167 |
| Provider Name | Amy M Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447344031 PECOS PAC ID: 5092840231 Enrollment ID: I20100312000988 |
| Provider Name | John F Mcguigan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053461129 PECOS PAC ID: 2264567940 Enrollment ID: I20100319000468 |
| Provider Name | Bruce A Webster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770549008 PECOS PAC ID: 5193850600 Enrollment ID: I20100322000796 |
| Provider Name | Stella C Tanedo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790790582 PECOS PAC ID: 0648162545 Enrollment ID: I20100325000711 |
| Provider Name | David A Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326143447 PECOS PAC ID: 4880722495 Enrollment ID: I20100430000772 |
| Provider Name | Rajesh Subramanian |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265419741 PECOS PAC ID: 1658362272 Enrollment ID: I20100503000492 |
| Provider Name | Tom M Tocher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568571289 PECOS PAC ID: 5991831661 Enrollment ID: I20100504000866 |
| Provider Name | Evan Cantini |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1023049244 PECOS PAC ID: 4284521428 Enrollment ID: I20100511000751 |
| Provider Name | Polly R Haberlin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467543322 PECOS PAC ID: 5991835407 Enrollment ID: I20100610000086 |
| Provider Name | Patrick E Ryan |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1659328078 PECOS PAC ID: 1658477195 Enrollment ID: I20100630000827 |
| Provider Name | Terri A Parsons |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750495339 PECOS PAC ID: 2365334935 Enrollment ID: I20100712000320 |
| Provider Name | Robert Y Choi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962518472 PECOS PAC ID: 9739104746 Enrollment ID: I20100721000650 |
| Provider Name | David Reed |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912945791 PECOS PAC ID: 0547394082 Enrollment ID: I20100818001294 |
| Provider Name | James M Schmitt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023058229 PECOS PAC ID: 0840315255 Enrollment ID: I20100908000964 |
| Provider Name | Budge H Smith |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427099746 PECOS PAC ID: 9234223801 Enrollment ID: I20100908001014 |
| Provider Name | James K Brevig |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1144276106 PECOS PAC ID: 0749386282 Enrollment ID: I20100916000682 |
| Provider Name | Michael K Koerner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558337493 PECOS PAC ID: 4688790678 Enrollment ID: I20100928000315 |
| Provider Name | Marciano B Capati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508059486 PECOS PAC ID: 1658564638 Enrollment ID: I20101022000327 |
| Provider Name | Julie L Jungels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639360662 PECOS PAC ID: 6406049352 Enrollment ID: I20101022001324 |
| Provider Name | Brad E Talley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871705780 PECOS PAC ID: 2961552435 Enrollment ID: I20101025001276 |
| Provider Name | Daniel J Millikan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851418040 PECOS PAC ID: 0244423903 Enrollment ID: I20101026000975 |
| Provider Name | Sarabjit Kaur Atwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881928414 PECOS PAC ID: 4880888072 Enrollment ID: I20101102000188 |
| Provider Name | Kristin M Obillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235399809 PECOS PAC ID: 7214121185 Enrollment ID: I20101104000703 |
| Provider Name | Kapil Gangwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891967683 PECOS PAC ID: 0749474625 Enrollment ID: I20101104000834 |
| Provider Name | Sara K Schepp |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568562387 PECOS PAC ID: 4486849221 Enrollment ID: I20101105001294 |
| Provider Name | Kent K Hu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255436432 PECOS PAC ID: 8921293630 Enrollment ID: I20101108000895 |
| Provider Name | Sean M Burson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922312453 PECOS PAC ID: 1951598267 Enrollment ID: I20101213001072 |
| Provider Name | Joshua Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548361009 PECOS PAC ID: 5395844591 Enrollment ID: I20110107000627 |
| Provider Name | Mohamad Imad Haque |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326074345 PECOS PAC ID: 3971697111 Enrollment ID: I20110118000989 |
| Provider Name | Molina M Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275727778 PECOS PAC ID: 1355530619 Enrollment ID: I20110118001094 |
| Provider Name | Karine J Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518269059 PECOS PAC ID: 9335329689 Enrollment ID: I20110203001070 |
| Provider Name | Joy M Chilcote |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174830806 PECOS PAC ID: 4587844840 Enrollment ID: I20110203001104 |
| Provider Name | James William Rice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811298441 PECOS PAC ID: 5294916748 Enrollment ID: I20110216001162 |
| Provider Name | Amanda B Steen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043463565 PECOS PAC ID: 1456537273 Enrollment ID: I20110512000200 |
| Provider Name | Jennifer G Engstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063675346 PECOS PAC ID: 0446437495 Enrollment ID: I20110531000753 |
| Provider Name | Ruth Thiex |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912230988 PECOS PAC ID: 1052599487 Enrollment ID: I20110706000518 |
| Provider Name | Thomas A Deuel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841496908 PECOS PAC ID: 7416125117 Enrollment ID: I20110725000404 |
| Provider Name | Paul R Seckinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235330861 PECOS PAC ID: 8820126709 Enrollment ID: I20110727000618 |
| Provider Name | Leah M Basnett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235246091 PECOS PAC ID: 8527237189 Enrollment ID: I20110816000632 |
| Provider Name | Jay A Augsburger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740400852 PECOS PAC ID: 0941355317 Enrollment ID: I20110818000430 |
| Provider Name | Hugh L Keegan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871741710 PECOS PAC ID: 9537339932 Enrollment ID: I20110822000420 |
| Provider Name | Catalina M Draghici |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255524930 PECOS PAC ID: 2961672704 Enrollment ID: I20110902000345 |
| Provider Name | Ryan D David |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639301617 PECOS PAC ID: 0143490946 Enrollment ID: I20110906000350 |
| Provider Name | Rachel A Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154619054 PECOS PAC ID: 6002087574 Enrollment ID: I20110914000585 |
| Provider Name | Sujata T Agnani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841305323 PECOS PAC ID: 5496752487 Enrollment ID: I20110921000355 |
| Provider Name | San Sophie Wong |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508054826 PECOS PAC ID: 3779643283 Enrollment ID: I20110927000327 |
| Provider Name | Lisa Maria Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104106640 PECOS PAC ID: 0648442244 Enrollment ID: I20111003000748 |
| Provider Name | Victoria L Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699056036 PECOS PAC ID: 7618140914 Enrollment ID: I20111102000319 |
| Provider Name | Peter B Brant Zawadzki |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215134697 PECOS PAC ID: 0941474167 Enrollment ID: I20111123000635 |
| Provider Name | Melissa E Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326328758 PECOS PAC ID: 3476729492 Enrollment ID: I20111221000787 |
| Provider Name | Aixa D Espinosa-morales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851449938 PECOS PAC ID: 5092987651 Enrollment ID: I20120202000201 |
| Provider Name | Patricia Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730489972 PECOS PAC ID: 3375722374 Enrollment ID: I20120221000861 |
| Provider Name | James W Jordan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417156993 PECOS PAC ID: 3870675002 Enrollment ID: I20120329000427 |
| Provider Name | Feng Wang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922283431 PECOS PAC ID: 5395824692 Enrollment ID: I20120409000378 |
| Provider Name | Richard B Johnston |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477839066 PECOS PAC ID: 0345406518 Enrollment ID: I20120717000333 |
| Provider Name | Nancy O Thordarson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962470674 PECOS PAC ID: 4688830862 Enrollment ID: I20120717000375 |
| Provider Name | Barbara J Kraynek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639307879 PECOS PAC ID: 4082860077 Enrollment ID: I20120807000503 |
| Provider Name | Mai Won |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871676676 PECOS PAC ID: 2860418175 Enrollment ID: I20120816000584 |
| Provider Name | Elizabeth Ann Stuebing |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992924724 PECOS PAC ID: 6204085921 Enrollment ID: I20121012000259 |
| Provider Name | Hisam S Goueli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639382906 PECOS PAC ID: 3870644776 Enrollment ID: I20121030000555 |
| Provider Name | Yaw Sarpong |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073779435 PECOS PAC ID: 7214188101 Enrollment ID: I20121128000043 |
| Provider Name | Benjamin A Zaniello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639338544 PECOS PAC ID: 8921250762 Enrollment ID: I20121130000425 |
| Provider Name | Rachel Mae Fidino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568716249 PECOS PAC ID: 4880847276 Enrollment ID: I20130115000405 |
| Provider Name | Andrea Freng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336436567 PECOS PAC ID: 8628222437 Enrollment ID: I20130201000495 |
| Provider Name | Samuel J Youssef |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639330475 PECOS PAC ID: 0547405128 Enrollment ID: I20130402000450 |
| Provider Name | Joshua Z Press |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1740475383 PECOS PAC ID: 3779729637 Enrollment ID: I20130419000057 |
| Provider Name | Paula D Ruedebusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033342050 PECOS PAC ID: 9537215348 Enrollment ID: I20130514000404 |
| Provider Name | Ravi Sivasankara Menon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326160177 PECOS PAC ID: 2062572142 Enrollment ID: I20130605000091 |
| Provider Name | Katherine I Moreno |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114038437 PECOS PAC ID: 0446499776 Enrollment ID: I20130618000605 |
| Provider Name | Kashmira Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194038182 PECOS PAC ID: 6002055241 Enrollment ID: I20130618000850 |
| Provider Name | Dean Nair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639481500 PECOS PAC ID: 9638318884 Enrollment ID: I20130618000855 |
| Provider Name | Benjamin Atkinson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023256237 PECOS PAC ID: 4183802945 Enrollment ID: I20130620000086 |
| Provider Name | Amit J Grover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114230059 PECOS PAC ID: 2466697990 Enrollment ID: I20130626000203 |
| Provider Name | Shanshan M Bond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861704629 PECOS PAC ID: 5597906446 Enrollment ID: I20130718000792 |
| Provider Name | Geoffrey Lowrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730308396 PECOS PAC ID: 3375585862 Enrollment ID: I20130724000330 |
| Provider Name | Esther Y Moy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174782171 PECOS PAC ID: 7618125303 Enrollment ID: I20130731000606 |
| Provider Name | Aaron N Stayman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477711018 PECOS PAC ID: 9133360142 Enrollment ID: I20130801000848 |
| Provider Name | Stephen James Monteith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689868119 PECOS PAC ID: 5294977161 Enrollment ID: I20130806000886 |
| Provider Name | Peter M Meis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326273632 PECOS PAC ID: 0749422186 Enrollment ID: I20130814000225 |
| Provider Name | Eric C Chang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538295928 PECOS PAC ID: 3971761727 Enrollment ID: I20130815000194 |
| Provider Name | Frederick Stephens |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1306005988 PECOS PAC ID: 9133397920 Enrollment ID: I20130820001110 |
| Provider Name | Anfissa Sokolova |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508009408 PECOS PAC ID: 1759525744 Enrollment ID: I20130912000519 |
| Provider Name | Bandana K Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356661573 PECOS PAC ID: 3870737737 Enrollment ID: I20130913000561 |
| Provider Name | Clara L Peck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659563526 PECOS PAC ID: 6002985264 Enrollment ID: I20130917000070 |
| Provider Name | Jennifer Elizabeth Taylor Gaines |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841631991 PECOS PAC ID: 3577707264 Enrollment ID: I20130919000238 |
| Provider Name | Sima G Mistry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760625552 PECOS PAC ID: 9436393816 Enrollment ID: I20130925000602 |
| Provider Name | Ruxandra M Costa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588770093 PECOS PAC ID: 4284695024 Enrollment ID: I20131003000014 |
| Provider Name | Danielle P Waldron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851724223 PECOS PAC ID: 6901030378 Enrollment ID: I20131018000696 |
| Provider Name | Alison R Putnam |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1598924417 PECOS PAC ID: 2062648223 Enrollment ID: I20131115001531 |
| Provider Name | Xiaojing Do Shen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376856088 PECOS PAC ID: 8224266267 Enrollment ID: I20140120000706 |
| Provider Name | Thomas W Garges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255314290 PECOS PAC ID: 4981613106 Enrollment ID: I20140605001958 |
| Provider Name | Alireza K Anissipour |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033352968 PECOS PAC ID: 4789808692 Enrollment ID: I20140616002270 |
| Provider Name | Aaditya Singhal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932413812 PECOS PAC ID: 6608090451 Enrollment ID: I20140617001698 |
| Provider Name | Matthew A Hansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104117399 PECOS PAC ID: 0547494973 Enrollment ID: I20140620002114 |
| Provider Name | Alexander Salskov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972892230 PECOS PAC ID: 9931323417 Enrollment ID: I20140624002326 |
| Provider Name | Robert T Dabkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588955801 PECOS PAC ID: 8921232174 Enrollment ID: I20140630000467 |
| Provider Name | John Peter Biebelhausen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942509187 PECOS PAC ID: 4082849161 Enrollment ID: I20140701001847 |
| Provider Name | Mona Shawky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861711210 PECOS PAC ID: 4284877903 Enrollment ID: I20140710001057 |
| Provider Name | Elise C Willis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487953683 PECOS PAC ID: 6800011602 Enrollment ID: I20140711001158 |
| Provider Name | Jake Harley Choiniere |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578882452 PECOS PAC ID: 4688890155 Enrollment ID: I20140721000051 |
| Provider Name | Wei-chun Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104112432 PECOS PAC ID: 9830315761 Enrollment ID: I20140729001803 |
| Provider Name | Angela K Muriithi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770811838 PECOS PAC ID: 6901086917 Enrollment ID: I20140805002365 |
| Provider Name | Joshua H Urvater |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558316703 PECOS PAC ID: 4587668785 Enrollment ID: I20140902001423 |
| Provider Name | Lindsay K Petty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255749776 PECOS PAC ID: 3274752977 Enrollment ID: I20140911000461 |
| Provider Name | Philip H Hassrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043207509 PECOS PAC ID: 1456330554 Enrollment ID: I20140918001516 |
| Provider Name | Dean T Ngo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346687274 PECOS PAC ID: 7416177472 Enrollment ID: I20140925002187 |
| Provider Name | Jennifer Wild |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588953582 PECOS PAC ID: 4688894579 Enrollment ID: I20140926001362 |
| Provider Name | Vikas Sharotri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487870127 PECOS PAC ID: 0941307284 Enrollment ID: I20141008002107 |
| Provider Name | Akshal S Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447451562 PECOS PAC ID: 1557502721 Enrollment ID: I20141016000725 |
| Provider Name | Lauren E Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538577010 PECOS PAC ID: 4688895121 Enrollment ID: I20141024002021 |
| Provider Name | Jason A Talavera |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568747012 PECOS PAC ID: 5395912943 Enrollment ID: I20141029001682 |
| Provider Name | Elizabeth G Herskovitz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861771123 PECOS PAC ID: 2163644253 Enrollment ID: I20141104002715 |
| Provider Name | Vivek Bhatia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699094359 PECOS PAC ID: 3072735943 Enrollment ID: I20141107001594 |
| Provider Name | Jillian Hamel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770727307 PECOS PAC ID: 2860544640 Enrollment ID: I20141125001058 |
| Provider Name | Stephanie D Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548676752 PECOS PAC ID: 0648592303 Enrollment ID: I20141208001203 |
| Provider Name | Anne Camber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689630840 PECOS PAC ID: 1052315256 Enrollment ID: I20141209002224 |
| Provider Name | Lesley N Bobek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922202787 PECOS PAC ID: 0244377802 Enrollment ID: I20141216000708 |
| Provider Name | Adriana N Rosales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477745248 PECOS PAC ID: 4587802822 Enrollment ID: I20141217001754 |
| Provider Name | Kitti Kaiboriboon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912062035 PECOS PAC ID: 4284731027 Enrollment ID: I20150130000742 |
| Provider Name | Jacob A Varghese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922196013 PECOS PAC ID: 7012935703 Enrollment ID: I20150219000373 |
| Provider Name | Lisa D Mccabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770972481 PECOS PAC ID: 8820313554 Enrollment ID: I20150220001107 |
| Provider Name | Olivia Eisner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013315118 PECOS PAC ID: 5597081208 Enrollment ID: I20150223001853 |
| Provider Name | Edward P Bahk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184812273 PECOS PAC ID: 2264652429 Enrollment ID: I20150304001569 |
| Provider Name | Tanner Joe Arey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821496431 PECOS PAC ID: 3072839133 Enrollment ID: I20150307000250 |
| Provider Name | Linda M Sterritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528458247 PECOS PAC ID: 8628396504 Enrollment ID: I20150407000220 |
| Provider Name | Nicole F Zickler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962809855 PECOS PAC ID: 2365760782 Enrollment ID: I20150415002277 |
| Provider Name | Marion S Johnson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1952523086 PECOS PAC ID: 3375509003 Enrollment ID: I20150601000115 |
| Provider Name | Danielle Rosser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558773598 PECOS PAC ID: 7517184708 Enrollment ID: I20150602002873 |
| Provider Name | Samantha J Quade |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891943221 PECOS PAC ID: 6709107162 Enrollment ID: I20150610001905 |
| Provider Name | Richard Cochran |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1013996586 PECOS PAC ID: 8921042870 Enrollment ID: I20150618002541 |
| Provider Name | Christina J Sok |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821314980 PECOS PAC ID: 8022249937 Enrollment ID: I20150706001050 |
| Provider Name | Martin Holland |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780657601 PECOS PAC ID: 9032241856 Enrollment ID: I20150706002387 |
| Provider Name | Peter Hunt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962727438 PECOS PAC ID: 0840420873 Enrollment ID: I20150707000118 |
| Provider Name | Samuel C Lien |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1285876185 PECOS PAC ID: 0648582114 Enrollment ID: I20150713000664 |
| Provider Name | Sabrina R Middleton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467728964 PECOS PAC ID: 9931412541 Enrollment ID: I20150724010830 |
| Provider Name | Shawn R Schweitzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225397789 PECOS PAC ID: 1759527864 Enrollment ID: I20150730012197 |
| Provider Name | Annabelle K Dampier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164785614 PECOS PAC ID: 5193038966 Enrollment ID: I20150731014846 |
| Provider Name | Puneet Gill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902161631 PECOS PAC ID: 0042453565 Enrollment ID: I20150731016518 |
| Provider Name | Agnes Borjal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760411557 PECOS PAC ID: 6507861614 Enrollment ID: I20150811004695 |
| Provider Name | Elizabeth M Gilbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912160953 PECOS PAC ID: 6103993076 Enrollment ID: I20150812007015 |
| Provider Name | Justin Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174903603 PECOS PAC ID: 8921314121 Enrollment ID: I20150902002925 |
| Provider Name | David Keisho Su |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083863005 PECOS PAC ID: 4082924048 Enrollment ID: I20151104001416 |
| Provider Name | Nicole T Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578934568 PECOS PAC ID: 3870893027 Enrollment ID: I20151119002993 |
| Provider Name | Miriam Carla Sorensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376914879 PECOS PAC ID: 3678874898 Enrollment ID: I20151214000272 |
| Provider Name | Samantha J Newbould |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790763282 PECOS PAC ID: 1153315858 Enrollment ID: I20151221000537 |
| Provider Name | Sarah M Meyer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588749451 PECOS PAC ID: 6507010139 Enrollment ID: I20160121000331 |
| Provider Name | Candace L Mabbitt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265841159 PECOS PAC ID: 2264737592 Enrollment ID: I20160225000385 |
| Provider Name | Kathryn E Gilligan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962609354 PECOS PAC ID: 0446376677 Enrollment ID: I20160229000458 |
| Provider Name | Ryan K Hoke |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1700011350 PECOS PAC ID: 3072748920 Enrollment ID: I20160324001003 |
| Provider Name | Federico Fenton Portillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891136842 PECOS PAC ID: 5395989222 Enrollment ID: I20160330001964 |
| Provider Name | Daniel G Mcclung |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629396338 PECOS PAC ID: 4688987787 Enrollment ID: I20160331000808 |
| Provider Name | Rhonda M Bass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023014925 PECOS PAC ID: 9032301015 Enrollment ID: I20160406001324 |
| Provider Name | Marianna Baghdasaryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164695102 PECOS PAC ID: 9032417860 Enrollment ID: I20160412001651 |
| Provider Name | Thoa P Fenton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326477324 PECOS PAC ID: 6608005806 Enrollment ID: I20160422002088 |
| Provider Name | Cameron G Mcdougall |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598751018 PECOS PAC ID: 4587707864 Enrollment ID: I20160425002584 |
| Provider Name | Bridget Scott-fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619137718 PECOS PAC ID: 0244394583 Enrollment ID: I20160502001256 |
| Provider Name | Dana Blackham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356487029 PECOS PAC ID: 7012216427 Enrollment ID: I20160505001212 |
| Provider Name | David A Hoschek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942644414 PECOS PAC ID: 5890011696 Enrollment ID: I20160517000851 |
| Provider Name | Nathaniel Lee Atkin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134358344 PECOS PAC ID: 4688828981 Enrollment ID: I20160520001449 |
| Provider Name | Mike D Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912368234 PECOS PAC ID: 8820387293 Enrollment ID: I20160525001827 |
| Provider Name | Anooradha Raman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447319801 PECOS PAC ID: 9133219777 Enrollment ID: I20160603001852 |
| Provider Name | Brandon J Orr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982993028 PECOS PAC ID: 4183840994 Enrollment ID: I20160614000981 |
| Provider Name | Amy M Barrows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225485550 PECOS PAC ID: 4183915895 Enrollment ID: I20160627001822 |
| Provider Name | Sean E Legg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942657416 PECOS PAC ID: 1153612700 Enrollment ID: I20160629000675 |
| Provider Name | Carl Jessob Gannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053668335 PECOS PAC ID: 8729228531 Enrollment ID: I20160714000477 |
| Provider Name | Sean Colin Weaver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467794032 PECOS PAC ID: 9133413958 Enrollment ID: I20160802001693 |
| Provider Name | Jane Sue Ooi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093945446 PECOS PAC ID: 3476721085 Enrollment ID: I20160802001827 |
| Provider Name | Sayed Amirhossein Khademi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407271547 PECOS PAC ID: 8224322581 Enrollment ID: I20160809001741 |
| Provider Name | Michelle Hadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528321221 PECOS PAC ID: 0042441628 Enrollment ID: I20160810000830 |
| Provider Name | Guilford T Parsons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922441260 PECOS PAC ID: 0244474179 Enrollment ID: I20160815000691 |
| Provider Name | Songyan Mao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235160474 PECOS PAC ID: 2961409263 Enrollment ID: I20160815002129 |
| Provider Name | Tarvinder Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225327091 PECOS PAC ID: 0840505251 Enrollment ID: I20160817001266 |
| Provider Name | Scott D Schwitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124394267 PECOS PAC ID: 9931494465 Enrollment ID: I20160823002821 |
| Provider Name | Bryce S Snow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720421803 PECOS PAC ID: 0446568562 Enrollment ID: I20160831002195 |
| Provider Name | Thomas E Robey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942434675 PECOS PAC ID: 9032368436 Enrollment ID: I20160901000796 |
| Provider Name | Rebecca A Link |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912273822 PECOS PAC ID: 8729388137 Enrollment ID: I20160901001654 |
| Provider Name | Miriam E Levi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538432323 PECOS PAC ID: 3476797838 Enrollment ID: I20160906002031 |
| Provider Name | Jayne M Barkman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932559101 PECOS PAC ID: 6800182585 Enrollment ID: I20160906002043 |
| Provider Name | Srivani Kanumuri |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1336481183 PECOS PAC ID: 3870889553 Enrollment ID: I20160906002125 |
| Provider Name | Evan J Kirschner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700128816 PECOS PAC ID: 2466748116 Enrollment ID: I20160907001625 |
| Provider Name | Shaina Schaetzel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801038161 PECOS PAC ID: 9830485069 Enrollment ID: I20160914000807 |
| Provider Name | Cindy Crystal Beavon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376995811 PECOS PAC ID: 7113213224 Enrollment ID: I20160915000759 |
| Provider Name | Ashley Weisman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801158324 PECOS PAC ID: 0042464570 Enrollment ID: I20160917000050 |
| Provider Name | Martha A Leonard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043313554 PECOS PAC ID: 9638466535 Enrollment ID: I20160920002783 |
| Provider Name | Ilina Bucur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881140440 PECOS PAC ID: 7517254311 Enrollment ID: I20160922000241 |
| Provider Name | Ronald Joseph Quam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306908033 PECOS PAC ID: 0941367478 Enrollment ID: I20160922001296 |
| Provider Name | Julie E Quandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144673153 PECOS PAC ID: 7012204761 Enrollment ID: I20160922002252 |
| Provider Name | Doniel G Drazin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790195790 PECOS PAC ID: 2062709678 Enrollment ID: I20160926002050 |
| Provider Name | Dana Shuey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225407562 PECOS PAC ID: 5799085395 Enrollment ID: I20160926002219 |
| Provider Name | Rosane J Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821351339 PECOS PAC ID: 6002048170 Enrollment ID: I20160927002496 |
| Provider Name | Zachary Louis Steinberg |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1609023936 PECOS PAC ID: 0345530929 Enrollment ID: I20160928000720 |
| Provider Name | Rolando I Celis |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1497975361 PECOS PAC ID: 5294985529 Enrollment ID: I20160930001973 |
| Provider Name | Kory Herrick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346484912 PECOS PAC ID: 9638324395 Enrollment ID: I20161010002016 |
| Provider Name | Rajni Aulakh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396034567 PECOS PAC ID: 8123255940 Enrollment ID: I20161012002305 |
| Provider Name | Julie Ann Hornsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407304587 PECOS PAC ID: 1254610652 Enrollment ID: I20161107001981 |
| Provider Name | Gale Springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578012183 PECOS PAC ID: 0547549230 Enrollment ID: I20161121002138 |
| Provider Name | Thomas E Paulson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497029763 PECOS PAC ID: 2466734181 Enrollment ID: I20170112002163 |
| Provider Name | Andrew D Rontal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063657328 PECOS PAC ID: 7911150065 Enrollment ID: I20170223002188 |
| Provider Name | Lisa R Yanase |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851384937 PECOS PAC ID: 1052343167 Enrollment ID: I20170223002540 |
| Provider Name | Vicky L Hay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629203005 PECOS PAC ID: 6608914395 Enrollment ID: I20170227001427 |
| Provider Name | Gretchen Bower |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912330556 PECOS PAC ID: 5991089922 Enrollment ID: I20170310001462 |
| Provider Name | Peter J Sumner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073839700 PECOS PAC ID: 7911124045 Enrollment ID: I20170331001986 |
| Provider Name | Franchette T Pascual |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245491711 PECOS PAC ID: 6305094889 Enrollment ID: I20170504000698 |
| Provider Name | Yi Mao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629327986 PECOS PAC ID: 0547538118 Enrollment ID: I20170622002818 |
| Provider Name | Joseph David Nickolas Freeburg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174898381 PECOS PAC ID: 7012224298 Enrollment ID: I20170706002670 |
| Provider Name | Lauren E Powell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750791695 PECOS PAC ID: 9931328440 Enrollment ID: I20170712002193 |
| Provider Name | Amy Vannortwick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902223365 PECOS PAC ID: 6608193412 Enrollment ID: I20170728002753 |
| Provider Name | Natasha Sparrow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326308339 PECOS PAC ID: 9931411600 Enrollment ID: I20170802001726 |
| Provider Name | Aws Amir Alawi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891082293 PECOS PAC ID: 3870871007 Enrollment ID: I20170807002140 |
| Provider Name | Ahmed A Salahudeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215372552 PECOS PAC ID: 5799073961 Enrollment ID: I20170811001224 |
| Provider Name | Corey White |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154610814 PECOS PAC ID: 2961723663 Enrollment ID: I20170811001881 |
| Provider Name | Veena Arani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508152927 PECOS PAC ID: 8022309749 Enrollment ID: I20170814002374 |
| Provider Name | Allie M Massaro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649563503 PECOS PAC ID: 5294007076 Enrollment ID: I20170815002219 |
| Provider Name | Ealaf Shemmeri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760749667 PECOS PAC ID: 5395017362 Enrollment ID: I20170825001580 |
| Provider Name | Crystal L Blankinship |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144452319 PECOS PAC ID: 9739453663 Enrollment ID: I20170915002368 |
| Provider Name | Arun Arora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033555925 PECOS PAC ID: 1850519315 Enrollment ID: I20170921002235 |
| Provider Name | Ashleigh V Leonard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689084493 PECOS PAC ID: 5890917132 Enrollment ID: I20170926003831 |
| Provider Name | Eric D Prince |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770843658 PECOS PAC ID: 2567752777 Enrollment ID: I20171002003734 |
| Provider Name | Sheetal Dhoke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144457243 PECOS PAC ID: 2365673589 Enrollment ID: I20171009001246 |
| Provider Name | Heather Marie Mcgregor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073872313 PECOS PAC ID: 1153697156 Enrollment ID: I20171018003094 |
| Provider Name | Kathryn Jors Horton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710305578 PECOS PAC ID: 0547584542 Enrollment ID: I20171031000329 |
| Provider Name | Sana Abbas Jaffri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750791125 PECOS PAC ID: 3274752373 Enrollment ID: I20171031001293 |
| Provider Name | Elisabeth Noel Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730607664 PECOS PAC ID: 4587920871 Enrollment ID: I20171101002739 |
| Provider Name | Sarah A Hutchens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710409222 PECOS PAC ID: 5597022061 Enrollment ID: I20171208001281 |
| Provider Name | Fernanda Md Musa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700044054 PECOS PAC ID: 2769625243 Enrollment ID: I20171212001736 |
| Provider Name | Forrest Duen-huei Hsu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346546322 PECOS PAC ID: 8729265350 Enrollment ID: I20171219003141 |
| Provider Name | Zahra Sadat-hossieny |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063754307 PECOS PAC ID: 4183865959 Enrollment ID: I20171222000499 |
| Provider Name | Joseph Robert Perry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134354244 PECOS PAC ID: 8426285917 Enrollment ID: I20180110002318 |
| Provider Name | Karena Janiece Herron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578082392 PECOS PAC ID: 9436419256 Enrollment ID: I20180215001769 |
| Provider Name | Carlos Elias Garcia |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1942216890 PECOS PAC ID: 2163417262 Enrollment ID: I20180219001557 |
| Provider Name | Joshua A Ort |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508097320 PECOS PAC ID: 1153587886 Enrollment ID: I20180228000697 |
| Provider Name | Kelly Lynn Dempsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366952798 PECOS PAC ID: 6204197361 Enrollment ID: I20180306001372 |
| Provider Name | Stephenejo Shaunielle Swift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922522093 PECOS PAC ID: 2769744432 Enrollment ID: I20180315002166 |
| Provider Name | Brad A. Ward |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255337663 PECOS PAC ID: 7810071180 Enrollment ID: I20180321001738 |
| Provider Name | Aarica Arora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902322274 PECOS PAC ID: 3779846720 Enrollment ID: I20180404002290 |
| Provider Name | Amilyn Taplin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295027472 PECOS PAC ID: 0648539130 Enrollment ID: I20180507000546 |
| Provider Name | Abdelrahman Beltagy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013250216 PECOS PAC ID: 0840592572 Enrollment ID: I20180615002091 |
| Provider Name | Caroline Ruth Seiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144734328 PECOS PAC ID: 7618223876 Enrollment ID: I20180702002319 |
| Provider Name | Matthew J Kalisz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477993285 PECOS PAC ID: 4688987654 Enrollment ID: I20180720002204 |
| Provider Name | Rebecca Taulbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144521063 PECOS PAC ID: 0345420675 Enrollment ID: I20180725002632 |
| Provider Name | David Lee Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134515729 PECOS PAC ID: 5799096673 Enrollment ID: I20180725003238 |
| Provider Name | Hwinei Joanna Tavengwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639564933 PECOS PAC ID: 5092035360 Enrollment ID: I20180807002457 |
| Provider Name | Joshua P Schilling |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417219874 PECOS PAC ID: 7618297169 Enrollment ID: I20180807003423 |
| Provider Name | Grace Erin Oppenheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013355411 PECOS PAC ID: 0749423929 Enrollment ID: I20180813002656 |
| Provider Name | Dean Tanner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093102253 PECOS PAC ID: 0042588980 Enrollment ID: I20180816001534 |
| Provider Name | Tyler Kent |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336439116 PECOS PAC ID: 3375892730 Enrollment ID: I20180817000635 |
| Provider Name | Peter Benjamin Toth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306105275 PECOS PAC ID: 2466691951 Enrollment ID: I20180820001736 |
| Provider Name | Carolyn Marie Minter |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1710307608 PECOS PAC ID: 7416273131 Enrollment ID: I20180820001807 |
| Provider Name | Amy Wei-ming Liu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548654023 PECOS PAC ID: 6507174042 Enrollment ID: I20180823003186 |
| Provider Name | Nathaniel Winer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245225598 PECOS PAC ID: 1052413671 Enrollment ID: I20180828002610 |
| Provider Name | Joshua Corsa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710249123 PECOS PAC ID: 5799921912 Enrollment ID: I20180828003837 |
| Provider Name | Nicole Kraker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285176024 PECOS PAC ID: 2264715648 Enrollment ID: I20180828004219 |
| Provider Name | Zane Alexander Tymchak |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568949055 PECOS PAC ID: 8022368570 Enrollment ID: I20180905001133 |
| Provider Name | Olga V Demina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376819367 PECOS PAC ID: 2264747054 Enrollment ID: I20180906003101 |
| Provider Name | Safina S Hossain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508251943 PECOS PAC ID: 5991017154 Enrollment ID: I20180913001925 |
| Provider Name | Matthew Salazar Surrusco |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841559820 PECOS PAC ID: 2163798604 Enrollment ID: I20181005001104 |
| Provider Name | Peter B Bartline |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1902121635 PECOS PAC ID: 0042442295 Enrollment ID: I20181010003793 |
| Provider Name | Roland Abel Hernandez |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720213580 PECOS PAC ID: 1456603885 Enrollment ID: I20181011002419 |
| Provider Name | Jonathan Paul Salud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225423403 PECOS PAC ID: 8325390719 Enrollment ID: I20181012001872 |
| Provider Name | Jason Lee Codding |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710245071 PECOS PAC ID: 9638392822 Enrollment ID: I20181024002249 |
| Provider Name | Luann Lee Sines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497819718 PECOS PAC ID: 4385658772 Enrollment ID: I20181024002727 |
| Provider Name | Jacob Jackson Glaser |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710958046 PECOS PAC ID: 8022235431 Enrollment ID: I20181113001027 |
| Provider Name | Jeremy Rt King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073000345 PECOS PAC ID: 4082958038 Enrollment ID: I20181203002876 |
| Provider Name | Jackelin Q Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457748675 PECOS PAC ID: 9537404058 Enrollment ID: I20190102001564 |
| Provider Name | Babu Chalam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598051633 PECOS PAC ID: 3173746500 Enrollment ID: I20190103001387 |
| Provider Name | Katie Uberti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003382292 PECOS PAC ID: 5092051458 Enrollment ID: I20190107002676 |
| Provider Name | Delaney Conway Goulet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477990596 PECOS PAC ID: 7416174826 Enrollment ID: I20190208001862 |
| Provider Name | Akanksha Sharma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124361712 PECOS PAC ID: 5991023624 Enrollment ID: I20190214002574 |
| Provider Name | Andrew Thomas Gomez |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1841619418 PECOS PAC ID: 9830491687 Enrollment ID: I20190409000765 |
| Provider Name | Richard Lee |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437476934 PECOS PAC ID: 1254649106 Enrollment ID: I20190509000241 |
| Provider Name | Martha Fitelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386023133 PECOS PAC ID: 5597077198 Enrollment ID: I20190605003204 |
| Provider Name | Ashley L Grieve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396302477 PECOS PAC ID: 4284968819 Enrollment ID: I20190701002123 |
| Provider Name | Kara E Sawyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689092561 PECOS PAC ID: 5496036576 Enrollment ID: I20190715002858 |
| Provider Name | Patrick Dillon Bender |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780074500 PECOS PAC ID: 9830405471 Enrollment ID: I20190715003370 |
| Provider Name | Chad Mayer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770933467 PECOS PAC ID: 2668768995 Enrollment ID: I20190729001433 |
| Provider Name | Daniel Warren Smith |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043653942 PECOS PAC ID: 7810139557 Enrollment ID: I20190729002082 |
| Provider Name | Tasneem Abbas Shikary |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003105867 PECOS PAC ID: 8426296732 Enrollment ID: I20190729003693 |
| Provider Name | Cynthia Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003872789 PECOS PAC ID: 5395820864 Enrollment ID: I20190730004292 |
| Provider Name | Darya C Khalili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275192841 PECOS PAC ID: 4880920651 Enrollment ID: I20190731003786 |
| Provider Name | Darren Bowe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700028750 PECOS PAC ID: 9436460946 Enrollment ID: I20190801002792 |
| Provider Name | Lisa Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760049449 PECOS PAC ID: 5991032294 Enrollment ID: I20190808003969 |
| Provider Name | Eugene Shchytou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063074169 PECOS PAC ID: 3678800596 Enrollment ID: I20190814003072 |
| Provider Name | Angela Phung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356903694 PECOS PAC ID: 6406184233 Enrollment ID: I20190819000590 |
| Provider Name | Oliver C Bellevue |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457771636 PECOS PAC ID: 2062730948 Enrollment ID: I20190820003288 |
| Provider Name | Bennett M Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629481379 PECOS PAC ID: 5890015689 Enrollment ID: I20190822002035 |
| Provider Name | Javier Herrera |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851359467 PECOS PAC ID: 3274429055 Enrollment ID: I20190827003219 |
| Provider Name | Chan Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073926309 PECOS PAC ID: 6709001357 Enrollment ID: I20190830002406 |
| Provider Name | Christina A Morse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912369828 PECOS PAC ID: 4082907993 Enrollment ID: I20190906002430 |
| Provider Name | James F Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962829093 PECOS PAC ID: 7012232655 Enrollment ID: I20190910002212 |
| Provider Name | Vikram M Gopal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033401518 PECOS PAC ID: 7618121955 Enrollment ID: I20190924001588 |
| Provider Name | Marilyn Sherris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700240371 PECOS PAC ID: 0547553703 Enrollment ID: I20190926001839 |
| Provider Name | Christopher Mark Freeman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386933323 PECOS PAC ID: 5496997496 Enrollment ID: I20191001002933 |
| Provider Name | Amare Melak Kassahun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538721881 PECOS PAC ID: 1153653001 Enrollment ID: I20191028000543 |
| Provider Name | Reginah I Nampinga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104394097 PECOS PAC ID: 4183956964 Enrollment ID: I20191028002468 |
| Provider Name | Emily K Garrett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811378870 PECOS PAC ID: 0143552893 Enrollment ID: I20191029002820 |
| Provider Name | Lien Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023402914 PECOS PAC ID: 9830404417 Enrollment ID: I20191030002908 |
| Provider Name | Carson Van Sanford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669869574 PECOS PAC ID: 9537471149 Enrollment ID: I20191216000256 |
| Provider Name | Amil Rafiq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669785804 PECOS PAC ID: 4880812452 Enrollment ID: I20191226001504 |
| Provider Name | Douglas R Mailman |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1528504891 PECOS PAC ID: 6709219314 Enrollment ID: I20191230001993 |
| Provider Name | Omar M Saine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679121966 PECOS PAC ID: 3678907482 Enrollment ID: I20200103001464 |
| Provider Name | Matthew Mcgillvray Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962764522 PECOS PAC ID: 4284947904 Enrollment ID: I20200122002597 |
| Provider Name | Kristin Louise Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306293337 PECOS PAC ID: 9638458938 Enrollment ID: I20200203002563 |
| Provider Name | Lorri Jean Hanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861957565 PECOS PAC ID: 9335575307 Enrollment ID: I20200211001596 |
| Provider Name | Jamie Marie Olsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770076440 PECOS PAC ID: 7113353111 Enrollment ID: I20200211002604 |
| Provider Name | Hallie A Granville |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649814658 PECOS PAC ID: 5799112553 Enrollment ID: I20200218000711 |
| Provider Name | George Lopez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578588752 PECOS PAC ID: 9638172034 Enrollment ID: I20200224000997 |
| Provider Name | Siu Ling Lui |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881956035 PECOS PAC ID: 0840629234 Enrollment ID: I20200406003227 |
| Provider Name | Mollie Marie Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558752170 PECOS PAC ID: 8628408614 Enrollment ID: I20200414003381 |
| Provider Name | Alipi Bonm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699137570 PECOS PAC ID: 2163714510 Enrollment ID: I20200507000626 |
| Provider Name | Dara Headrick |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912963711 PECOS PAC ID: 0446242465 Enrollment ID: I20200519002825 |
| Provider Name | Nathan M Peck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972034874 PECOS PAC ID: 9133466766 Enrollment ID: I20200610000145 |
| Provider Name | Prabhat Bhama |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962415430 PECOS PAC ID: 6901024694 Enrollment ID: I20200618000808 |
| Provider Name | Shameka L Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568700029 PECOS PAC ID: 9032330675 Enrollment ID: I20200624001977 |
| Provider Name | Yihan Yang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568875748 PECOS PAC ID: 4880907328 Enrollment ID: I20200709001131 |
| Provider Name | Hannah Nicole Lawrence |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992323927 PECOS PAC ID: 9234552803 Enrollment ID: I20200715000847 |
| Provider Name | Roxanne Ghazvinian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225561038 PECOS PAC ID: 2567715824 Enrollment ID: I20200717001185 |
| Provider Name | Jaclyn Marie Lemon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144754698 PECOS PAC ID: 4880962943 Enrollment ID: I20200717002375 |
| Provider Name | Helen Z Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053774000 PECOS PAC ID: 6103117619 Enrollment ID: I20200720000436 |
| Provider Name | Chad Aaron Rieck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285167676 PECOS PAC ID: 7113295379 Enrollment ID: I20200727000532 |
| Provider Name | Hanbing Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679927784 PECOS PAC ID: 3779907522 Enrollment ID: I20200727001289 |
| Provider Name | Sierra L Mccreery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407380538 PECOS PAC ID: 0547530180 Enrollment ID: I20200728000606 |
| Provider Name | Linda Ding |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902123094 PECOS PAC ID: 3072809508 Enrollment ID: I20200803001790 |
| Provider Name | Bushra Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407389448 PECOS PAC ID: 6800212937 Enrollment ID: I20200819001850 |
| Provider Name | Kyle Yuichi Ogami |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801276571 PECOS PAC ID: 9638471626 Enrollment ID: I20200819003829 |
| Provider Name | Daniel Kim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1639513229 PECOS PAC ID: 9537309448 Enrollment ID: I20200824000240 |
| Provider Name | Carly Elizabeth Hudelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356875413 PECOS PAC ID: 2466879283 Enrollment ID: I20200825002406 |
| Provider Name | Michael Meng Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558757757 PECOS PAC ID: 9335424449 Enrollment ID: I20200827002834 |
| Provider Name | Derek Ting Yu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568889731 PECOS PAC ID: 5991068363 Enrollment ID: I20200903003199 |
| Provider Name | Wendy Hansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659806164 PECOS PAC ID: 9032482823 Enrollment ID: I20200919000054 |
| Provider Name | Laura Marie Marx |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528422250 PECOS PAC ID: 7113346784 Enrollment ID: I20200930003405 |
| Provider Name | Isha Shrestha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477965507 PECOS PAC ID: 0840415758 Enrollment ID: I20201001003518 |
| Provider Name | Rhadika Souza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013361518 PECOS PAC ID: 7911292784 Enrollment ID: I20201023000814 |
| Provider Name | Priya Deka |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831538867 PECOS PAC ID: 0345514741 Enrollment ID: I20201201002371 |
| Provider Name | Sandeep Kaur Grewal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275165227 PECOS PAC ID: 9830502921 Enrollment ID: I20210111000296 |
| Provider Name | Mark D Bouchard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316392517 PECOS PAC ID: 4981949690 Enrollment ID: I20210119001532 |
| Provider Name | Irina Shtanko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477141059 PECOS PAC ID: 3678987450 Enrollment ID: I20210208001050 |
| Provider Name | Christine Cho |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518225689 PECOS PAC ID: 0446569800 Enrollment ID: I20210212000262 |
| Provider Name | Jason Soh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689092264 PECOS PAC ID: 9032337720 Enrollment ID: I20210226001893 |
| Provider Name | Theresa Timmes King |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083111918 PECOS PAC ID: 3577811090 Enrollment ID: I20210330002077 |
| Provider Name | John Casey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841633732 PECOS PAC ID: 1153646955 Enrollment ID: I20210426002444 |
| Provider Name | J Drake Oakley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588245542 PECOS PAC ID: 7012326879 Enrollment ID: I20210506002391 |
| Provider Name | Alexander Malloy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174886824 PECOS PAC ID: 2668805680 Enrollment ID: I20210510001245 |
| Provider Name | Lauren Kay Nichole Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447833322 PECOS PAC ID: 4385043728 Enrollment ID: I20210604000766 |
| Provider Name | Anukrati Shukla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104311091 PECOS PAC ID: 8628478955 Enrollment ID: I20210608002985 |
| Provider Name | Marianne H Yacyshyn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184158875 PECOS PAC ID: 2769751882 Enrollment ID: I20210616003297 |
| Provider Name | Phoebe Jensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912448275 PECOS PAC ID: 5991121246 Enrollment ID: I20210621003025 |
| Provider Name | Dharscika Arudkumaran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396199071 PECOS PAC ID: 1850645144 Enrollment ID: I20210623003266 |
| Provider Name | Alexander Katz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295276558 PECOS PAC ID: 5294150421 Enrollment ID: I20210715001283 |
| Provider Name | William Lou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710340161 PECOS PAC ID: 9830481241 Enrollment ID: I20210723003232 |
| Provider Name | Benjamin Richard Huebner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831533108 PECOS PAC ID: 8325278815 Enrollment ID: I20210727002705 |
| Provider Name | Shilpa Samudrala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881045433 PECOS PAC ID: 2668898040 Enrollment ID: I20210727003620 |
| Provider Name | Victor Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780173575 PECOS PAC ID: 4385048180 Enrollment ID: I20210802000383 |
| Provider Name | Danielle C Hanssen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598260721 PECOS PAC ID: 9537415047 Enrollment ID: I20210805001722 |
| Provider Name | Mark Md Tom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144712639 PECOS PAC ID: 1153725437 Enrollment ID: I20210809002402 |
| Provider Name | Ashley N Skluzacek |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003240920 PECOS PAC ID: 9830594779 Enrollment ID: I20210816002954 |
| Provider Name | Heather D Mai-roecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174836084 PECOS PAC ID: 7517150758 Enrollment ID: I20210824000702 |
| Provider Name | Ellen French |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396204004 PECOS PAC ID: 5496151250 Enrollment ID: I20210902002964 |
| Provider Name | Norah An Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922503366 PECOS PAC ID: 3274939921 Enrollment ID: I20210907000895 |
| Provider Name | Rebecca Touger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699137265 PECOS PAC ID: 2769773340 Enrollment ID: I20210908003950 |
| Provider Name | Jessica Rakonza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730685470 PECOS PAC ID: 3476809203 Enrollment ID: I20210909003960 |
| Provider Name | Leila Raminfar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104323112 PECOS PAC ID: 9234535626 Enrollment ID: I20210910000279 |
| Provider Name | Sarah Whybark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679247324 PECOS PAC ID: 5597161901 Enrollment ID: I20210910000818 |
| Provider Name | Ju Choe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780255661 PECOS PAC ID: 3072919240 Enrollment ID: I20210914001260 |
| Provider Name | Sandeep K Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902091663 PECOS PAC ID: 5395822613 Enrollment ID: I20210927003063 |
| Provider Name | Christopher M Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891173043 PECOS PAC ID: 1355689381 Enrollment ID: I20210929001168 |
| Provider Name | Michael Scott Lallemand |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417393489 PECOS PAC ID: 6709193733 Enrollment ID: I20211012001458 |
| Provider Name | Nhat B Pham |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1972098606 PECOS PAC ID: 9032465067 Enrollment ID: I20211014000762 |
| Provider Name | Anna H Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558373431 PECOS PAC ID: 8022114909 Enrollment ID: I20211014003426 |
| Provider Name | Sagar Mallikethi Lepakshi Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063790467 PECOS PAC ID: 1456647528 Enrollment ID: I20211019003197 |
| Provider Name | Ramana Gorrepati |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295154375 PECOS PAC ID: 0749509354 Enrollment ID: I20211117002714 |
| Provider Name | Anoopa Mathew Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982368767 PECOS PAC ID: 7214327063 Enrollment ID: I20211209001546 |
| Provider Name | John R Handy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1932191467 PECOS PAC ID: 5597663146 Enrollment ID: I20211209001584 |
| Provider Name | Shreeya Popat |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215399340 PECOS PAC ID: 0042610982 Enrollment ID: I20211222001343 |
| Provider Name | Winokuli Bertrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104215219 PECOS PAC ID: 3870810096 Enrollment ID: I20211229000966 |
| Provider Name | Kavyashri Kodlipet Jagadeesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013296771 PECOS PAC ID: 5193943983 Enrollment ID: I20220104001312 |
| Provider Name | Padma Srigiriraju |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043388812 PECOS PAC ID: 2769457696 Enrollment ID: I20220113000956 |
| Provider Name | Toshiko Oikawa Luckow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629394572 PECOS PAC ID: 2961644810 Enrollment ID: I20220204001194 |
| Provider Name | John Yonge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841636941 PECOS PAC ID: 3779977855 Enrollment ID: I20220307001653 |
| Provider Name | Smitha Krishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871974642 PECOS PAC ID: 4284974338 Enrollment ID: I20220318002138 |
| Provider Name | Alison Pfeffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275634255 PECOS PAC ID: 3173809977 Enrollment ID: I20220324001237 |
| Provider Name | Parker R Fillmore |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417155086 PECOS PAC ID: 4183845183 Enrollment ID: I20220329000905 |
| Provider Name | Mark A Parra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053387431 PECOS PAC ID: 8527002716 Enrollment ID: I20220329002759 |
| Provider Name | Lucas Mcguire |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528521176 PECOS PAC ID: 8921430646 Enrollment ID: I20220517000606 |
| Provider Name | Daniel J Roubik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922414663 PECOS PAC ID: 5395124770 Enrollment ID: I20220614003378 |
| Provider Name | Elizabeth Jane Westling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699271874 PECOS PAC ID: 9638426315 Enrollment ID: I20220617002676 |
| Provider Name | Sasha K Kaiser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003261975 PECOS PAC ID: 0840617999 Enrollment ID: I20220623000301 |
| Provider Name | Samuel Frankel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659934545 PECOS PAC ID: 4183059611 Enrollment ID: I20220627001411 |
| Provider Name | Sandra Thao Truong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326535543 PECOS PAC ID: 1052667698 Enrollment ID: I20220708002964 |
| Provider Name | Zachary Forcade |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568959559 PECOS PAC ID: 1759638547 Enrollment ID: I20220711001047 |
| Provider Name | Amin Hossein Rabiei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770011090 PECOS PAC ID: 5698007177 Enrollment ID: I20220711001732 |
| Provider Name | Claire Jacqueline Chavez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659638278 PECOS PAC ID: 8628341922 Enrollment ID: I20220720001104 |
| Provider Name | Gregory J Cannarsa |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1669866539 PECOS PAC ID: 2769789544 Enrollment ID: I20220721003002 |
| Provider Name | Gagneet Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235790858 PECOS PAC ID: 9133450448 Enrollment ID: I20220726001940 |
| Provider Name | Colleen M Koorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023755774 PECOS PAC ID: 1759763410 Enrollment ID: I20220728000917 |
| Provider Name | Granger J Marsden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659866903 PECOS PAC ID: 3072858380 Enrollment ID: I20220802001645 |
| Provider Name | Michael Addison Bonelli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952965097 PECOS PAC ID: 6901133107 Enrollment ID: I20220809000563 |
| Provider Name | Renee Monteiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932540242 PECOS PAC ID: 0042516601 Enrollment ID: I20220810000824 |
| Provider Name | Brittany Buescher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053979526 PECOS PAC ID: 3476889668 Enrollment ID: I20220810003623 |
| Provider Name | Soo Young Kwon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497199210 PECOS PAC ID: 2365686474 Enrollment ID: I20220816003257 |
| Provider Name | Shelby A Reiter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477084770 PECOS PAC ID: 1658641998 Enrollment ID: I20220823001490 |
| Provider Name | Giang C Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558852848 PECOS PAC ID: 8628325073 Enrollment ID: I20220912000419 |
| Provider Name | Jeneeca C Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720586977 PECOS PAC ID: 8628309739 Enrollment ID: I20220914001588 |
| Provider Name | Oliver B Orr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316506264 PECOS PAC ID: 9335474766 Enrollment ID: I20220920000679 |
| Provider Name | Eunice M Marpaung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487113775 PECOS PAC ID: 4587994652 Enrollment ID: I20220920003242 |
| Provider Name | Zachariah L Dorey-stein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073993267 PECOS PAC ID: 2860781481 Enrollment ID: I20220920003554 |
| Provider Name | Dang Hai Zhang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609151968 PECOS PAC ID: 4688831191 Enrollment ID: I20220921002381 |
| Provider Name | Stephen Wabeti Nganga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982166070 PECOS PAC ID: 7719214956 Enrollment ID: I20220924000334 |
| Provider Name | Liah A Vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518688662 PECOS PAC ID: 0840676029 Enrollment ID: I20220927000533 |
| Provider Name | Emily Bavasi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073189817 PECOS PAC ID: 2466838057 Enrollment ID: I20221005001846 |
| Provider Name | Sidakpal S Panaich |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1194955641 PECOS PAC ID: 8022326420 Enrollment ID: I20221012000425 |
| Provider Name | Jeffrey Lee |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1477043370 PECOS PAC ID: 3173888443 Enrollment ID: I20221012002502 |
| Provider Name | Rakesh Khanna |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326278458 PECOS PAC ID: 9133275118 Enrollment ID: I20221012002830 |
| Provider Name | Carolyn Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093315970 PECOS PAC ID: 7012329675 Enrollment ID: I20221014002426 |
| Provider Name | Deena Lee Fredregill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972230894 PECOS PAC ID: 6002283520 Enrollment ID: I20221111001910 |
| Provider Name | Lauren Elise Burton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124647706 PECOS PAC ID: 2365812211 Enrollment ID: I20230110002178 |
| Provider Name | Devin Elizabeth Prior |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548657000 PECOS PAC ID: 6406154525 Enrollment ID: I20230130001224 |
| Provider Name | Kathryn Amanda Lidgard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003326646 PECOS PAC ID: 0042683955 Enrollment ID: I20230223001878 |
| Provider Name | Melony Burns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750047510 PECOS PAC ID: 2163897141 Enrollment ID: I20230404002354 |
| Provider Name | Trisha Leonard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174841571 PECOS PAC ID: 9234504291 Enrollment ID: I20230405002448 |
| Provider Name | Negin Kourehpazan Haghighi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457011967 PECOS PAC ID: 5597120659 Enrollment ID: I20230426000041 |
| Provider Name | Elizabeth Tomer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053063842 PECOS PAC ID: 9537525936 Enrollment ID: I20230509001903 |
| Provider Name | Lynnette May Lacek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225692643 PECOS PAC ID: 3072846625 Enrollment ID: I20230524000204 |
| Provider Name | Samuel Brewer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043444821 PECOS PAC ID: 2961671169 Enrollment ID: I20230623000978 |
| Provider Name | Jacob Lehman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730716465 PECOS PAC ID: 1052732112 Enrollment ID: I20230623001479 |
| Provider Name | Harshal Athalye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952938433 PECOS PAC ID: 8426419110 Enrollment ID: I20230727001891 |
| Provider Name | Jennifer Dunlap |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427511997 PECOS PAC ID: 3173857018 Enrollment ID: I20230728000674 |
| Provider Name | Jedediah Joseph Doane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124657903 PECOS PAC ID: 1052772639 Enrollment ID: I20230728002268 |
| Provider Name | Madeline Mercier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669092599 PECOS PAC ID: 7113349929 Enrollment ID: I20230811000677 |
| Provider Name | Gabriela Camilla Quiroz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285312439 PECOS PAC ID: 2769844364 Enrollment ID: I20230814003462 |
| Provider Name | Priyanka Malini Ravindran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053940916 PECOS PAC ID: 2264894781 Enrollment ID: I20230816001055 |
| Provider Name | Charles Ma |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1932543949 PECOS PAC ID: 3971808262 Enrollment ID: I20230818002923 |
| Provider Name | Jamie Robinson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043607989 PECOS PAC ID: 5092022319 Enrollment ID: I20230822003222 |
| Provider Name | Abubeker Hussien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255036125 PECOS PAC ID: 6002279908 Enrollment ID: I20230824003410 |
| Provider Name | Kyle Norder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508421769 PECOS PAC ID: 2365805157 Enrollment ID: I20230826000038 |
| Provider Name | Michelle Christine Julseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245914506 PECOS PAC ID: 4385007970 Enrollment ID: I20230830000745 |
| Provider Name | Sally A Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093375453 PECOS PAC ID: 8527448844 Enrollment ID: I20230911002933 |
| Provider Name | Christopher A Fong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427685254 PECOS PAC ID: 9335561588 Enrollment ID: I20230914001544 |
| Provider Name | Sarah Maryellen Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669940987 PECOS PAC ID: 0042674541 Enrollment ID: I20230918001310 |
| Provider Name | Mehr Qureshi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417215955 PECOS PAC ID: 1355686015 Enrollment ID: I20230926003734 |
| Provider Name | Mosiah Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700412525 PECOS PAC ID: 8325406929 Enrollment ID: I20230928003168 |
| Provider Name | Jacqueline Marie Hendrix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851915755 PECOS PAC ID: 4486077963 Enrollment ID: I20231008000194 |
| Provider Name | Ann P Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639640568 PECOS PAC ID: 3375990393 Enrollment ID: I20231114000802 |
| Provider Name | Rachael A Woldstad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104699438 PECOS PAC ID: 1951758812 Enrollment ID: I20231114003171 |
| Provider Name | Audrey Rose Eichenberger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275095127 PECOS PAC ID: 1254790876 Enrollment ID: I20231204000947 |
| Provider Name | Brooke A Bucci |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346525284 PECOS PAC ID: 6406013119 Enrollment ID: I20231229002333 |
| Provider Name | Melissa Bird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922612688 PECOS PAC ID: 1759732258 Enrollment ID: I20240109003453 |
| Provider Name | Avril L Lehmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710015805 PECOS PAC ID: 0840642658 Enrollment ID: I20240117002880 |
| Provider Name | Matthew W Richey |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1104243088 PECOS PAC ID: 4486952058 Enrollment ID: I20240122004053 |
| Provider Name | Holly Ann Brewer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316289549 PECOS PAC ID: 1951754886 Enrollment ID: I20240126003866 |
| Provider Name | Morgan Michelle Newkirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245882539 PECOS PAC ID: 8729431366 Enrollment ID: I20240130002391 |
| Provider Name | Yuezhou Yu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154881209 PECOS PAC ID: 2062742034 Enrollment ID: I20240205001852 |
| Provider Name | Lindsey K Frischmann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629364419 PECOS PAC ID: 4789970815 Enrollment ID: I20240220002532 |
| Provider Name | Susan Janette Morrin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649659384 PECOS PAC ID: 9032555065 Enrollment ID: I20240312002990 |
| Provider Name | Joshua Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669719258 PECOS PAC ID: 2769600121 Enrollment ID: I20240319001895 |
| Provider Name | Jenney Jenean Gannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710759550 PECOS PAC ID: 5193164861 Enrollment ID: I20240415000245 |
| Provider Name | Nizar Najib Saleh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003857889 PECOS PAC ID: 1052346848 Enrollment ID: I20240424003607 |
| Provider Name | Amy M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982458030 PECOS PAC ID: 0749621027 Enrollment ID: I20240517000937 |
| Provider Name | Josh Bukowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629400486 PECOS PAC ID: 4688050933 Enrollment ID: I20240522001673 |
| Provider Name | Michael Dang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467912519 PECOS PAC ID: 1355670910 Enrollment ID: I20240612003261 |
Sunrise Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1718 Broadway, Everett, WA 98201 Phone: 425-595-5200 Fax: 425-595-5201 | |
Northwest Neurology & Sleep Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10315 19th Ave Se, Ste 112, Everett, WA 98208 Phone: 425-379-7191 Fax: 425-379-8271 | |
Western Washington Medical Group, Inc Ps Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1728 W Marine View Dr, Suite 110, Everett, WA 98201 Phone: 425-259-4041 Fax: 425-252-6642 | |
Providence Health & Services-wa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-3968 Fax: 425-261-3967 | |
Bridgeways Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5801 23rd Dr W, 104, Everett, WA 98203 Phone: 425-513-8213 | |
Eleanor Health Professional Wa, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4310 Colby Ave Ste 201, Everett, WA 98203 Phone: 866-323-2596 | |
Quality Counseling And Consultation Service Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2723 Leonard Dr, Everett, WA 98201 Phone: 206-705-9479 Fax: 206-219-0456 |