| Premier Health Specialists Inc | |
|
3170 Kettering Blvd Building B 3rd Floor Moraine OH 45439-1924 | |
| (937) 991-3188 | |
| (937) 223-9811 |
| Full Name | Premier Health Specialists Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3170 Kettering Blvd, Moraine, Ohio |
| Authorized Official Name and Position | Darlene Michel (SYSTEMS SUPPORT ANALYST) |
| Authorized Official Contact | 9374996758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Health Specialists Inc 3170 Kettering Blvd Building B 3rd Floor Moraine OH 45439-1924 Ph: (937) 991-3188 | Premier Health Specialists Inc 3170 Kettering Blvd Building B 3rd Floor Moraine OH 45439-1924 Ph: (937) 991-3188 |
| NPI Number | 1194958223 |
|---|---|
| Provider Enumeration Date | 08/24/2009 |
| Last Update Date | 11/08/2024 |
| Certification Date | 11/08/2024 |
| Medicare PECOS PAC ID | 5597708594 |
|---|---|
| Medicare Enrollment ID | O20050610000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194958223 | NPI | - | NPPES |
| 0081671 | Medicaid | OH |
| Provider Name | Homayoun Mesghali |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275514762 PECOS PAC ID: 9234033564 Enrollment ID: I20031120000985 |
| Provider Name | Dennis M Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780665273 PECOS PAC ID: 8224932553 Enrollment ID: I20031121000158 |
| Provider Name | James J Klosterman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215918701 PECOS PAC ID: 3779487004 Enrollment ID: I20031121000311 |
| Provider Name | John Scott Wilcher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881777811 PECOS PAC ID: 4385548957 Enrollment ID: I20031125000238 |
| Provider Name | James R Ouellette |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1245288422 PECOS PAC ID: 7012812456 Enrollment ID: I20031126000753 |
| Provider Name | Richard Sanders |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730142365 PECOS PAC ID: 4880590140 Enrollment ID: I20031209000417 |
| Provider Name | Jon E Sulentic |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1013992783 PECOS PAC ID: 6103723465 Enrollment ID: I20031215000869 |
| Provider Name | Richard W Oshaughnessy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285698704 PECOS PAC ID: 9234037441 Enrollment ID: I20040115000124 |
| Provider Name | Matthew Lawless |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629034681 PECOS PAC ID: 2769375740 Enrollment ID: I20040204000305 |
| Provider Name | Lisa A Mix |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871559179 PECOS PAC ID: 1153216650 Enrollment ID: I20040216000192 |
| Provider Name | Scot W Denmark |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1265410203 PECOS PAC ID: 9436054079 Enrollment ID: I20040227000136 |
| Provider Name | John J Haluschak |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407895535 PECOS PAC ID: 9234033259 Enrollment ID: I20040305000369 |
| Provider Name | Gregory L Barbour |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093710147 PECOS PAC ID: 7416847264 Enrollment ID: I20040317000159 |
| Provider Name | George T Broderick |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1134125271 PECOS PAC ID: 5991695108 Enrollment ID: I20040319000055 |
| Provider Name | Ramaswamy Bathini |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093711129 PECOS PAC ID: 4183514391 Enrollment ID: I20040319000123 |
| Provider Name | Ahmad Abdul-karim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356347421 PECOS PAC ID: 6709776925 Enrollment ID: I20040319000159 |
| Provider Name | Michael J Prayson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538125661 PECOS PAC ID: 5799777546 Enrollment ID: I20040401000063 |
| Provider Name | Robert E Bulow |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477552271 PECOS PAC ID: 6608869334 Enrollment ID: I20040407000583 |
| Provider Name | Lalit Vadlamani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770552648 PECOS PAC ID: 2668467481 Enrollment ID: I20040420000000 |
| Provider Name | Lisa Marie Cantor-jacobson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649255167 PECOS PAC ID: 7618950783 Enrollment ID: I20040610000001 |
| Provider Name | Sameh N Khouzam |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1881696060 PECOS PAC ID: 4688659493 Enrollment ID: I20040623001542 |
| Provider Name | Hema Pandrangi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760484943 PECOS PAC ID: 9739165945 Enrollment ID: I20040628001347 |
| Provider Name | William J Czajka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629071808 PECOS PAC ID: 3870582612 Enrollment ID: I20040710000125 |
| Provider Name | Mohammad A Khalid |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952303133 PECOS PAC ID: 4284614470 Enrollment ID: I20040720000912 |
| Provider Name | Thomas Joseph Reid |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1245296409 PECOS PAC ID: 8123008018 Enrollment ID: I20040721001530 |
| Provider Name | Ran Neiger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780689638 PECOS PAC ID: 0941280317 Enrollment ID: I20040726000123 |
| Provider Name | Shelly Claire Joiner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922003722 PECOS PAC ID: 9335110006 Enrollment ID: I20040804001912 |
| Provider Name | Gary J Fishbein |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184626384 PECOS PAC ID: 8628976792 Enrollment ID: I20040807000295 |
| Provider Name | Timothy B Sorg |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467441873 PECOS PAC ID: 0547233488 Enrollment ID: I20040818000354 |
| Provider Name | James Schmidt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467415406 PECOS PAC ID: 9032186820 Enrollment ID: I20040913000075 |
| Provider Name | Linda L Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578510855 PECOS PAC ID: 8123096872 Enrollment ID: I20040920001322 |
| Provider Name | Sandeep Gupta |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1720055379 PECOS PAC ID: 9739157330 Enrollment ID: I20040921001290 |
| Provider Name | Manish Sheth |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205832730 PECOS PAC ID: 2264491380 Enrollment ID: I20041005000905 |
| Provider Name | Nicholas A Doninger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134100761 PECOS PAC ID: 7214996156 Enrollment ID: I20041006001420 |
| Provider Name | Laszlo Toth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942229364 PECOS PAC ID: 0648230805 Enrollment ID: I20041013000415 |
| Provider Name | Gary Charle Brown |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104803907 PECOS PAC ID: 7719948124 Enrollment ID: I20041019001479 |
| Provider Name | Eugene S Chung |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1003893926 PECOS PAC ID: 0143281444 Enrollment ID: I20041020000818 |
| Provider Name | Madhumita Saha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831152511 PECOS PAC ID: 5193786432 Enrollment ID: I20041020001115 |
| Provider Name | Ganapathy S V Ramanathan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730181918 PECOS PAC ID: 0042272379 Enrollment ID: I20041029000406 |
| Provider Name | Jhansi Lakshmi Koduri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164478772 PECOS PAC ID: 5193788107 Enrollment ID: I20041110000987 |
| Provider Name | Heather Lynn Pfeffer Hilkowitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780684803 PECOS PAC ID: 5799749131 Enrollment ID: I20041116000652 |
| Provider Name | Clyde Watson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952415663 PECOS PAC ID: 0749188746 Enrollment ID: I20041117000193 |
| Provider Name | Juan C Reina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689684474 PECOS PAC ID: 2769448224 Enrollment ID: I20041206001250 |
| Provider Name | Julie A Cianchetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073523874 PECOS PAC ID: 2668438086 Enrollment ID: I20041207001307 |
| Provider Name | Susan Lynn Hoying |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972583458 PECOS PAC ID: 8820047004 Enrollment ID: I20050114000050 |
| Provider Name | John Michael Smith |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1316971757 PECOS PAC ID: 3779472279 Enrollment ID: I20050203000645 |
| Provider Name | Peter Stephen Barre |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1508860958 PECOS PAC ID: 7911951827 Enrollment ID: I20050303000413 |
| Provider Name | Radha Bhimavarapu Reddy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114987617 PECOS PAC ID: 6901852904 Enrollment ID: I20050323000398 |
| Provider Name | Rachel S Sizemore |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912917790 PECOS PAC ID: 7315987294 Enrollment ID: I20050510000818 |
| Provider Name | Scott Jason Albright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982718813 PECOS PAC ID: 0143262477 Enrollment ID: I20050526000729 |
| Provider Name | James S Bembry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962468165 PECOS PAC ID: 8325082167 Enrollment ID: I20050614000011 |
| Provider Name | Christina G Waite |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114966868 PECOS PAC ID: 7517993249 Enrollment ID: I20050713000719 |
| Provider Name | Ali Usmani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013968817 PECOS PAC ID: 9032145537 Enrollment ID: I20050715000751 |
| Provider Name | Syed Ali Zaman |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1629078597 PECOS PAC ID: 0840221297 Enrollment ID: I20050825000186 |
| Provider Name | Pamela J Acopine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932182961 PECOS PAC ID: 9739110800 Enrollment ID: I20050829000404 |
| Provider Name | Wayarne Acquanetta Harlan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497750293 PECOS PAC ID: 4880629302 Enrollment ID: I20051003000754 |
| Provider Name | John Stephen Foor |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932157575 PECOS PAC ID: 5597783118 Enrollment ID: I20051102000837 |
| Provider Name | Steven R Jain |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356437941 PECOS PAC ID: 0749208619 Enrollment ID: I20051109000453 |
| Provider Name | Stephen R Guy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982660171 PECOS PAC ID: 6204856263 Enrollment ID: I20051206000151 |
| Provider Name | William G Starrett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629034962 PECOS PAC ID: 0244250231 Enrollment ID: I20051206000433 |
| Provider Name | Jacob Bradley Gibson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780698811 PECOS PAC ID: 4385665280 Enrollment ID: I20051207000531 |
| Provider Name | Rafay Atiq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487691283 PECOS PAC ID: 4082635206 Enrollment ID: I20051214000948 |
| Provider Name | Charles William Hall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891781910 PECOS PAC ID: 0244252435 Enrollment ID: I20060103000192 |
| Provider Name | Satheesh Kumar Kathula |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760432769 PECOS PAC ID: 0840207262 Enrollment ID: I20060309000505 |
| Provider Name | Wissam Sabbagh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104873348 PECOS PAC ID: 2365459435 Enrollment ID: I20060314000688 |
| Provider Name | Tarek M Sabagh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851348841 PECOS PAC ID: 1355350042 Enrollment ID: I20060406000747 |
| Provider Name | Bradley Scott Jacobs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104882976 PECOS PAC ID: 0648281634 Enrollment ID: I20060504001005 |
| Provider Name | Jennifer Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952355950 PECOS PAC ID: 9133131253 Enrollment ID: I20060607000304 |
| Provider Name | Lloyd W Rettig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467457200 PECOS PAC ID: 8527070598 Enrollment ID: I20060613000147 |
| Provider Name | David S Mckenna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578568424 PECOS PAC ID: 0547272890 Enrollment ID: I20060705000010 |
| Provider Name | Greg Alan Schaublin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326095878 PECOS PAC ID: 8022917780 Enrollment ID: I20060711000471 |
| Provider Name | Joseph R See |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1649226085 PECOS PAC ID: 2769495183 Enrollment ID: I20060801000059 |
| Provider Name | Susan L Kloth |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609871466 PECOS PAC ID: 4183627425 Enrollment ID: I20060807000213 |
| Provider Name | Steven Lawrence Chambers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588649206 PECOS PAC ID: 8325041734 Enrollment ID: I20060824000044 |
| Provider Name | Michael Barnett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104857507 PECOS PAC ID: 0345279485 Enrollment ID: I20060919000033 |
| Provider Name | Melissa M Meyer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1760428049 PECOS PAC ID: 7810992104 Enrollment ID: I20060920000019 |
| Provider Name | Mukarram A Khan |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1851409122 PECOS PAC ID: 2062417322 Enrollment ID: I20060921000009 |
| Provider Name | Michael A Herbenick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275565020 PECOS PAC ID: 0143226753 Enrollment ID: I20061004000425 |
| Provider Name | Subodh K Wadhwa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518938000 PECOS PAC ID: 5799781076 Enrollment ID: I20061010000199 |
| Provider Name | Todd L Hicks |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1326054073 PECOS PAC ID: 2567468218 Enrollment ID: I20061019000664 |
| Provider Name | Thomas A Heck |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710977384 PECOS PAC ID: 8921041971 Enrollment ID: I20061107000287 |
| Provider Name | James Emiel Decaestecker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376533463 PECOS PAC ID: 1355348228 Enrollment ID: I20061107000367 |
| Provider Name | Erin K Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609951185 PECOS PAC ID: 4880695592 Enrollment ID: I20070124000125 |
| Provider Name | Abdul Wase |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1306833363 PECOS PAC ID: 3476655481 Enrollment ID: I20070222000123 |
| Provider Name | Tiberiu S Avram |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144296062 PECOS PAC ID: 6507872736 Enrollment ID: I20070404000116 |
| Provider Name | Douglas Songer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548337850 PECOS PAC ID: 8820194152 Enrollment ID: I20070503000335 |
| Provider Name | Gunwant S Mallik |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376527663 PECOS PAC ID: 5294639514 Enrollment ID: I20070607000349 |
| Provider Name | William Rush |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295858355 PECOS PAC ID: 3577662493 Enrollment ID: I20070619000036 |
| Provider Name | Abdur R Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780675439 PECOS PAC ID: 4688625296 Enrollment ID: I20070622000257 |
| Provider Name | Leesa A Kaufman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487643623 PECOS PAC ID: 7416056965 Enrollment ID: I20070625000000 |
| Provider Name | Eric Fester |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790768695 PECOS PAC ID: 1153421847 Enrollment ID: I20070710000940 |
| Provider Name | Melanie M Glover |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477677375 PECOS PAC ID: 8820199011 Enrollment ID: I20070718000162 |
| Provider Name | Travis Perry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992748057 PECOS PAC ID: 2365477122 Enrollment ID: I20070723000455 |
| Provider Name | Casey R Boyce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093847253 PECOS PAC ID: 7911008446 Enrollment ID: I20070727000055 |
| Provider Name | Keith A Watson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386623817 PECOS PAC ID: 4981638046 Enrollment ID: I20070827000554 |
| Provider Name | Tracy J Eicher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578540084 PECOS PAC ID: 6305939646 Enrollment ID: I20070904000052 |
| Provider Name | Piyush V Patel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1972529873 PECOS PAC ID: 6204830607 Enrollment ID: I20071119000430 |
| Provider Name | Richard G Mcneely |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568469914 PECOS PAC ID: 1557451747 Enrollment ID: I20071211000783 |
| Provider Name | Jennifer L Doseck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538354436 PECOS PAC ID: 8224118120 Enrollment ID: I20080104000345 |
| Provider Name | James C Gilchrist |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144315086 PECOS PAC ID: 8628151297 Enrollment ID: I20080206000343 |
| Provider Name | Bruce L Ladle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205921061 PECOS PAC ID: 5890878466 Enrollment ID: I20080206000348 |
| Provider Name | Nnamdi Azie |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1851366892 PECOS PAC ID: 2264483049 Enrollment ID: I20080307000108 |
| Provider Name | Jose R Rodriguez |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1689880346 PECOS PAC ID: 0143272724 Enrollment ID: I20080311000041 |
| Provider Name | Elaine M Post |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366629693 PECOS PAC ID: 1153406095 Enrollment ID: I20080317000421 |
| Provider Name | Lois Ann Krousgrill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548293251 PECOS PAC ID: 1951487248 Enrollment ID: I20080327000008 |
| Provider Name | Terri M Caputo-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043367808 PECOS PAC ID: 5799861712 Enrollment ID: I20080331000298 |
| Provider Name | Thomas Michael O'brien |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1003844366 PECOS PAC ID: 0749367530 Enrollment ID: I20080403000181 |
| Provider Name | Mouhamad H Abdallah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972714251 PECOS PAC ID: 3870671480 Enrollment ID: I20080423000174 |
| Provider Name | Anthony Chindeu Amagwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710159058 PECOS PAC ID: 0345328837 Enrollment ID: I20080424000189 |
| Provider Name | John M Miller |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1801875877 PECOS PAC ID: 4385640267 Enrollment ID: I20080609000081 |
| Provider Name | Rannie Alsamkari |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1487847489 PECOS PAC ID: 5597836353 Enrollment ID: I20080623000104 |
| Provider Name | Samantha L Wiegand |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578634275 PECOS PAC ID: 8426121054 Enrollment ID: I20080715000832 |
| Provider Name | Abdelhamed I Abdelhamed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164425443 PECOS PAC ID: 8123094562 Enrollment ID: I20080715000903 |
| Provider Name | Heather C Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811157878 PECOS PAC ID: 7517033947 Enrollment ID: I20080908000503 |
| Provider Name | Rebecca Malott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285894246 PECOS PAC ID: 2264508522 Enrollment ID: I20080910000355 |
| Provider Name | Daniel Gaudin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881859676 PECOS PAC ID: 5294893590 Enrollment ID: I20081015000039 |
| Provider Name | Kathryn A Streb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902077233 PECOS PAC ID: 0648334912 Enrollment ID: I20090131000004 |
| Provider Name | Deanna K Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720285844 PECOS PAC ID: 5890859037 Enrollment ID: I20090203000036 |
| Provider Name | Stacy E Hudepohl |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669666871 PECOS PAC ID: 6901963669 Enrollment ID: I20090324000474 |
| Provider Name | Jalana N Lazar |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265685002 PECOS PAC ID: 5890843270 Enrollment ID: I20090423000683 |
| Provider Name | Jennifer M Schneidler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285826487 PECOS PAC ID: 4587712294 Enrollment ID: I20090507000477 |
| Provider Name | Rabindra Kitchener |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114922333 PECOS PAC ID: 6608843537 Enrollment ID: I20090624000468 |
| Provider Name | Michael G Raab |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881678316 PECOS PAC ID: 3971562885 Enrollment ID: I20090629000161 |
| Provider Name | Patricia J Brunett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184859126 PECOS PAC ID: 4789737420 Enrollment ID: I20090729000034 |
| Provider Name | Ruby Shrestha |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588824874 PECOS PAC ID: 8224181813 Enrollment ID: I20090729000633 |
| Provider Name | Yvonne M Decker |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1306083316 PECOS PAC ID: 9739233503 Enrollment ID: I20090812000831 |
| Provider Name | Jennifer M Smail |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942403464 PECOS PAC ID: 8325116304 Enrollment ID: I20090814000214 |
| Provider Name | Jeffrey M Rayborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790989721 PECOS PAC ID: 5991851743 Enrollment ID: I20090918000317 |
| Provider Name | Richard G Scharrer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720083579 PECOS PAC ID: 2961548706 Enrollment ID: I20091007000673 |
| Provider Name | Mridula Reddy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568649408 PECOS PAC ID: 6002953320 Enrollment ID: I20091019000624 |
| Provider Name | James M Pacenta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558360016 PECOS PAC ID: 6709877350 Enrollment ID: I20091027000449 |
| Provider Name | Stephen C Schreck |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164421632 PECOS PAC ID: 4789588286 Enrollment ID: I20091027000507 |
| Provider Name | Stephen C Wenzke |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1982603379 PECOS PAC ID: 2062316565 Enrollment ID: I20091109000628 |
| Provider Name | Rajan Krishnamani |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1235197807 PECOS PAC ID: 4284630864 Enrollment ID: I20091116000205 |
| Provider Name | Benjamin John Gilliotte |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184626855 PECOS PAC ID: 7618019548 Enrollment ID: I20100115000092 |
| Provider Name | Michael Joseph Pedoto |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578565230 PECOS PAC ID: 1951443886 Enrollment ID: I20100115000127 |
| Provider Name | Barry Mccorkle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477592574 PECOS PAC ID: 3173665874 Enrollment ID: I20100119000264 |
| Provider Name | Phuong Hoang Vuong |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538234331 PECOS PAC ID: 2769526219 Enrollment ID: I20100222000317 |
| Provider Name | Ronald D Hirth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942442322 PECOS PAC ID: 7618003088 Enrollment ID: I20100325000365 |
| Provider Name | John B Terry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073610994 PECOS PAC ID: 5193778108 Enrollment ID: I20100326000644 |
| Provider Name | Gnan Narendra Thakore |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710979000 PECOS PAC ID: 9335142744 Enrollment ID: I20100430000138 |
| Provider Name | Allison Allread |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245565100 PECOS PAC ID: 2567590961 Enrollment ID: I20100505000613 |
| Provider Name | Bryan R Ludwig |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184771032 PECOS PAC ID: 3779662200 Enrollment ID: I20100507000628 |
| Provider Name | Joel H Tobiansky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881696094 PECOS PAC ID: 6709784879 Enrollment ID: I20100607000145 |
| Provider Name | Kevin D Kravitz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1568464758 PECOS PAC ID: 4183522253 Enrollment ID: I20100607000484 |
| Provider Name | Esteban Cheng Ching |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851568018 PECOS PAC ID: 6002946753 Enrollment ID: I20100608000011 |
| Provider Name | Amit Goyal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104828300 PECOS PAC ID: 8022916196 Enrollment ID: I20100608000531 |
| Provider Name | Timothy D Markus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710981782 PECOS PAC ID: 4789582859 Enrollment ID: I20100608000566 |
| Provider Name | Kamran Riaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427050616 PECOS PAC ID: 0648300186 Enrollment ID: I20100610000436 |
| Provider Name | Sudhakar Maraboyina |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033111232 PECOS PAC ID: 3577461649 Enrollment ID: I20100615000562 |
| Provider Name | Jeremy Crouch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336361351 PECOS PAC ID: 4981737541 Enrollment ID: I20100803000395 |
| Provider Name | Mangala K Venkatesh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265411029 PECOS PAC ID: 9032242649 Enrollment ID: I20100803001016 |
| Provider Name | Aaron James Kaibas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396837985 PECOS PAC ID: 2769433069 Enrollment ID: I20100805000242 |
| Provider Name | Joseph A Solomito |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407887078 PECOS PAC ID: 3173557824 Enrollment ID: I20100816000055 |
| Provider Name | Daniel Butler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275523409 PECOS PAC ID: 6204881691 Enrollment ID: I20100817000442 |
| Provider Name | Michelle Degroat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508980202 PECOS PAC ID: 0941324198 Enrollment ID: I20100825000632 |
| Provider Name | Jiri David Sonek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023013976 PECOS PAC ID: 1153301718 Enrollment ID: I20100830000094 |
| Provider Name | Christopher Scott Croom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235134180 PECOS PAC ID: 0345220901 Enrollment ID: I20100830000133 |
| Provider Name | Heather Scott Pulaski |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1033230354 PECOS PAC ID: 8820113798 Enrollment ID: I20100915000715 |
| Provider Name | Katherine Sue Lin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437118858 PECOS PAC ID: 2961527536 Enrollment ID: I20100920000711 |
| Provider Name | Carl Barosso |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1710186036 PECOS PAC ID: 2668557745 Enrollment ID: I20101006000537 |
| Provider Name | Luan Cong Tran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619967650 PECOS PAC ID: 3072706407 Enrollment ID: I20101019000175 |
| Provider Name | David L Ramig |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518980341 PECOS PAC ID: 9335173251 Enrollment ID: I20101101000270 |
| Provider Name | Michele Carlson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174799118 PECOS PAC ID: 4587850169 Enrollment ID: I20101122000593 |
| Provider Name | Mark N Friedman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932181849 PECOS PAC ID: 5092732388 Enrollment ID: I20101214001351 |
| Provider Name | Alan R Thurman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760443808 PECOS PAC ID: 0749478436 Enrollment ID: I20101222000226 |
| Provider Name | Gregory Francis Egnaczyk |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1174513733 PECOS PAC ID: 3375648637 Enrollment ID: I20110110000167 |
| Provider Name | Christopher S Meyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639130701 PECOS PAC ID: 4688863293 Enrollment ID: I20110113000413 |
| Provider Name | Steven R Sutherin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417917030 PECOS PAC ID: 2264621721 Enrollment ID: I20110113001156 |
| Provider Name | Meghann M Rotterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164571626 PECOS PAC ID: 5294915153 Enrollment ID: I20110209000759 |
| Provider Name | Marilyn Joy Kindig Stahl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427025964 PECOS PAC ID: 4284655325 Enrollment ID: I20110216000145 |
| Provider Name | Pamela M Madden |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639174329 PECOS PAC ID: 3476734930 Enrollment ID: I20110217000093 |
| Provider Name | Darla M Talbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992003875 PECOS PAC ID: 4587845797 Enrollment ID: I20110222000227 |
| Provider Name | Seth L Noland |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1851626329 PECOS PAC ID: 6608057260 Enrollment ID: I20110302000431 |
| Provider Name | Jeri Lynn M Braunlin |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1750692968 PECOS PAC ID: 7113109091 Enrollment ID: I20110314000898 |
| Provider Name | Linda E Bailey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972503357 PECOS PAC ID: 6901792969 Enrollment ID: I20110315000374 |
| Provider Name | Saranda D Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760789598 PECOS PAC ID: 3274715925 Enrollment ID: I20110316000893 |
| Provider Name | Rhonda S Washington |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912919937 PECOS PAC ID: 6901866136 Enrollment ID: I20110419000608 |
| Provider Name | Sherilyn M Elam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184922452 PECOS PAC ID: 9234314824 Enrollment ID: I20110426000008 |
| Provider Name | Brendan T Carroll |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861503591 PECOS PAC ID: 2163608233 Enrollment ID: I20110525000814 |
| Provider Name | Syed S Ali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578787339 PECOS PAC ID: 4183801590 Enrollment ID: I20110613000666 |
| Provider Name | Christina R Anslinger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831310606 PECOS PAC ID: 1254501562 Enrollment ID: I20110824000318 |
| Provider Name | Joseph H Houda |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1053491530 PECOS PAC ID: 4789854308 Enrollment ID: I20110908002000 |
| Provider Name | Amina Husain |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841494416 PECOS PAC ID: 8820160377 Enrollment ID: I20110915000131 |
| Provider Name | Neva C Dehart |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851671457 PECOS PAC ID: 8921270364 Enrollment ID: I20111007000412 |
| Provider Name | Melissa M Burkhardt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174803910 PECOS PAC ID: 8224201769 Enrollment ID: I20111028000575 |
| Provider Name | Michael J Thesing |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821084294 PECOS PAC ID: 7911180567 Enrollment ID: I20111115000541 |
| Provider Name | Eddie D Davenport |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962512210 PECOS PAC ID: 1254472491 Enrollment ID: I20111117000429 |
| Provider Name | Brent W Imbody |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336136670 PECOS PAC ID: 7113191511 Enrollment ID: I20111121000934 |
| Provider Name | Bhadresh P Doshi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699777623 PECOS PAC ID: 9234043357 Enrollment ID: I20120104000505 |
| Provider Name | Beth Anne Berrettoni |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1124022645 PECOS PAC ID: 7810187150 Enrollment ID: I20120110000630 |
| Provider Name | Christopher John Danis |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1487658993 PECOS PAC ID: 5890729958 Enrollment ID: I20120113000290 |
| Provider Name | Robb Snider |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932193802 PECOS PAC ID: 4486553609 Enrollment ID: I20120131000648 |
| Provider Name | Sitaramesh Emani |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1114942752 PECOS PAC ID: 7315104429 Enrollment ID: I20120201000422 |
| Provider Name | Brandon Horne |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225005358 PECOS PAC ID: 3870782733 Enrollment ID: I20120216000102 |
| Provider Name | Anthony J Checroun |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770568065 PECOS PAC ID: 1254237191 Enrollment ID: I20120220000121 |
| Provider Name | William J Andrew |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760488761 PECOS PAC ID: 9335211010 Enrollment ID: I20120228000496 |
| Provider Name | David A Cooley |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528134582 PECOS PAC ID: 8921266495 Enrollment ID: I20120301000257 |
| Provider Name | Jerry B Magone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821073230 PECOS PAC ID: 9234035171 Enrollment ID: I20120405000585 |
| Provider Name | Bethany Derhodes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174627681 PECOS PAC ID: 5496918120 Enrollment ID: I20120516000621 |
| Provider Name | Kimberly J Breneman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356346118 PECOS PAC ID: 3274796503 Enrollment ID: I20120523000427 |
| Provider Name | Srikanth Sadhu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174728885 PECOS PAC ID: 0648345355 Enrollment ID: I20120601000232 |
| Provider Name | Fahad Waqar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801022264 PECOS PAC ID: 8921262536 Enrollment ID: I20120612000172 |
| Provider Name | Joni Reser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487926283 PECOS PAC ID: 9537059803 Enrollment ID: I20120731000484 |
| Provider Name | Tifany Nolan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184880908 PECOS PAC ID: 4385890326 Enrollment ID: I20120808000113 |
| Provider Name | Michael J Griesser |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447466198 PECOS PAC ID: 5597913236 Enrollment ID: I20120921000121 |
| Provider Name | Cortnee J Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457612442 PECOS PAC ID: 9335398460 Enrollment ID: I20121005000232 |
| Provider Name | Virinder Sidhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760731590 PECOS PAC ID: 1951551126 Enrollment ID: I20121024000375 |
| Provider Name | Danielle R Whitsel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871889873 PECOS PAC ID: 5294985370 Enrollment ID: I20121025000746 |
| Provider Name | Timothy Edward Iorio |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1497964142 PECOS PAC ID: 6608026547 Enrollment ID: I20121030000375 |
| Provider Name | Eleina Mikhaylov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790984045 PECOS PAC ID: 1254582869 Enrollment ID: I20121107000709 |
| Provider Name | Ahmed Mohamed Fathy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194863563 PECOS PAC ID: 8325056773 Enrollment ID: I20121116000523 |
| Provider Name | Kelli S Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699082602 PECOS PAC ID: 3274721485 Enrollment ID: I20121127000417 |
| Provider Name | Barbara Phillips |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346233384 PECOS PAC ID: 0941308340 Enrollment ID: I20121213000269 |
| Provider Name | Karen Christy Nelson |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1285848119 PECOS PAC ID: 6608028857 Enrollment ID: I20121214000297 |
| Provider Name | Mohammed O Zeitouni |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891974796 PECOS PAC ID: 5193813426 Enrollment ID: I20121219000455 |
| Provider Name | Carrie Huber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679884100 PECOS PAC ID: 3971756792 Enrollment ID: I20130103000344 |
| Provider Name | David Alan Propst |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871599357 PECOS PAC ID: 6103862446 Enrollment ID: I20130104000093 |
| Provider Name | Elizabeth A Delaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144433608 PECOS PAC ID: 3072766732 Enrollment ID: I20130104000285 |
| Provider Name | Ashleigh Ramsey Alsip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528321072 PECOS PAC ID: 6204089972 Enrollment ID: I20130104000482 |
| Provider Name | Garietta N Falls-beddies |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1568682490 PECOS PAC ID: 5890976823 Enrollment ID: I20130109000553 |
| Provider Name | Ravi Gurujal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467563957 PECOS PAC ID: 5890777361 Enrollment ID: I20130115000004 |
| Provider Name | Ristenka Prnarova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922236447 PECOS PAC ID: 2860646247 Enrollment ID: I20130212000430 |
| Provider Name | Deborah M Hurst |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1447561931 PECOS PAC ID: 8426293176 Enrollment ID: I20130328000374 |
| Provider Name | Heather Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912245069 PECOS PAC ID: 1759526254 Enrollment ID: I20130405000003 |
| Provider Name | Nicole Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255679940 PECOS PAC ID: 0446496673 Enrollment ID: I20130415000037 |
| Provider Name | Michael P Verdon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427276948 PECOS PAC ID: 0749311306 Enrollment ID: I20130417000380 |
| Provider Name | Cassandra J Milling |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790032118 PECOS PAC ID: 8628215415 Enrollment ID: I20130515000483 |
| Provider Name | John H Matsuura |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1770591562 PECOS PAC ID: 9830188952 Enrollment ID: I20130521000123 |
| Provider Name | Gail M Crump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326321720 PECOS PAC ID: 6103063912 Enrollment ID: I20130701000607 |
| Provider Name | Rebecca D Tobias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841465713 PECOS PAC ID: 7113167263 Enrollment ID: I20130712000523 |
| Provider Name | Indresh Venkatarayappa |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932227832 PECOS PAC ID: 5496996662 Enrollment ID: I20130731000042 |
| Provider Name | Timothy Earl Raymond |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1760707319 PECOS PAC ID: 8022251008 Enrollment ID: I20130822000060 |
| Provider Name | Richard L Davis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265710966 PECOS PAC ID: 1658522180 Enrollment ID: I20130823000111 |
| Provider Name | Tara L Green |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1831304658 PECOS PAC ID: 4587807201 Enrollment ID: I20130828000705 |
| Provider Name | Charles Alan Hartranft |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235429705 PECOS PAC ID: 8628229150 Enrollment ID: I20130906000770 |
| Provider Name | Sally Ann Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386934040 PECOS PAC ID: 6608010848 Enrollment ID: I20130910000428 |
| Provider Name | Amy Renshaw |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528201688 PECOS PAC ID: 1557505575 Enrollment ID: I20130912000822 |
| Provider Name | Kiran Poudel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982803508 PECOS PAC ID: 2860545605 Enrollment ID: I20130923000818 |
| Provider Name | Kimberly Baltzell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1609200625 PECOS PAC ID: 0941444343 Enrollment ID: I20130925000803 |
| Provider Name | Nedra S Kane |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1063853034 PECOS PAC ID: 9032343488 Enrollment ID: I20131017002042 |
| Provider Name | Kara Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437422243 PECOS PAC ID: 7113152109 Enrollment ID: I20131029000586 |
| Provider Name | Angela L Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346524915 PECOS PAC ID: 8921233701 Enrollment ID: I20131101001616 |
| Provider Name | Stanley T Tibong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871825497 PECOS PAC ID: 3274760210 Enrollment ID: I20131218000706 |
| Provider Name | Regina F Staup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962740829 PECOS PAC ID: 5799912606 Enrollment ID: I20131223000930 |
| Provider Name | Craig J Parris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528400595 PECOS PAC ID: 3072741735 Enrollment ID: I20140102001398 |
| Provider Name | Lisa R Meiring |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1144561903 PECOS PAC ID: 4082842513 Enrollment ID: I20140108001251 |
| Provider Name | Mark W Moronell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306864608 PECOS PAC ID: 1951200765 Enrollment ID: I20140204001125 |
| Provider Name | Ania G Pollack |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1104917137 PECOS PAC ID: 3375576366 Enrollment ID: I20140303001883 |
| Provider Name | Chelsea F Polleys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871916056 PECOS PAC ID: 0648401588 Enrollment ID: I20140318001637 |
| Provider Name | Craig Steven Berg |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891034708 PECOS PAC ID: 0547492878 Enrollment ID: I20140418000721 |
| Provider Name | Pamela K Shadley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1801009485 PECOS PAC ID: 2769614916 Enrollment ID: I20140422001697 |
| Provider Name | Julie S Neff |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1841631629 PECOS PAC ID: 0941433882 Enrollment ID: I20140430001712 |
| Provider Name | Babar Hasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649266016 PECOS PAC ID: 2860387891 Enrollment ID: I20140616001248 |
| Provider Name | Fadi A Safi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649436429 PECOS PAC ID: 8224253794 Enrollment ID: I20140626000684 |
| Provider Name | Michael Colin Rymer |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1851573992 PECOS PAC ID: 5294950358 Enrollment ID: I20140702002726 |
| Provider Name | Neeta C Monteiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295152981 PECOS PAC ID: 7517183817 Enrollment ID: I20140722002752 |
| Provider Name | Susan M Emmerling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013229061 PECOS PAC ID: 6901059484 Enrollment ID: I20140724001596 |
| Provider Name | Srinivasu Chamarthy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912137647 PECOS PAC ID: 3173664554 Enrollment ID: I20140806001343 |
| Provider Name | Suneeta Rai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104100254 PECOS PAC ID: 9436318623 Enrollment ID: I20140917001666 |
| Provider Name | William C Wu |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891984654 PECOS PAC ID: 7719106137 Enrollment ID: I20140917002546 |
| Provider Name | Nancy J Hampton-jones |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1881001535 PECOS PAC ID: 8820217045 Enrollment ID: I20140919000842 |
| Provider Name | Whitney L Dunbar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164833885 PECOS PAC ID: 6305065343 Enrollment ID: I20140924000663 |
| Provider Name | Mohammed Ahmed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518123082 PECOS PAC ID: 9133341316 Enrollment ID: I20141104002025 |
| Provider Name | Christopher A Scheiner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487864773 PECOS PAC ID: 0446572374 Enrollment ID: I20141204001140 |
| Provider Name | Amy Michelle Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134520315 PECOS PAC ID: 9436471919 Enrollment ID: I20141212000259 |
| Provider Name | Carla R King |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013272616 PECOS PAC ID: 7911220413 Enrollment ID: I20150107001950 |
| Provider Name | Peter B Letarte |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568579688 PECOS PAC ID: 6305160912 Enrollment ID: I20150129002463 |
| Provider Name | Courtney Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336586445 PECOS PAC ID: 8729212964 Enrollment ID: I20150210002069 |
| Provider Name | Staci Shields |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1386040061 PECOS PAC ID: 9133444284 Enrollment ID: I20150211002036 |
| Provider Name | Young Un Kim |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1700274347 PECOS PAC ID: 6507181682 Enrollment ID: I20150212000792 |
| Provider Name | Lori Edgington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447640727 PECOS PAC ID: 3274859962 Enrollment ID: I20150223001216 |
| Provider Name | Himad Ullah Khattak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265691364 PECOS PAC ID: 2567537293 Enrollment ID: I20150312002491 |
| Provider Name | Erin Kleismit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346645744 PECOS PAC ID: 3678890324 Enrollment ID: I20150318000839 |
| Provider Name | Neil Niranjan Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275735250 PECOS PAC ID: 6103012778 Enrollment ID: I20150325002148 |
| Provider Name | Angela Holthaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578955472 PECOS PAC ID: 4789901885 Enrollment ID: I20150331000308 |
| Provider Name | Krischelle Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851784359 PECOS PAC ID: 8325366214 Enrollment ID: I20150403000605 |
| Provider Name | Beka Loraine Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326183773 PECOS PAC ID: 5991937278 Enrollment ID: I20150406001837 |
| Provider Name | William Brian Newman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306896451 PECOS PAC ID: 6608842984 Enrollment ID: I20150508001840 |
| Provider Name | Cesar P Panganiban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346635703 PECOS PAC ID: 8325368897 Enrollment ID: I20150522002286 |
| Provider Name | Prem Mathai |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518192780 PECOS PAC ID: 7315268158 Enrollment ID: I20150605000795 |
| Provider Name | Heather Adkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952628778 PECOS PAC ID: 2567609126 Enrollment ID: I20150612000996 |
| Provider Name | Mercedes C Palmisano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205126638 PECOS PAC ID: 1759519010 Enrollment ID: I20150617001136 |
| Provider Name | Andrea Nicole Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619388329 PECOS PAC ID: 6204148885 Enrollment ID: I20150710000632 |
| Provider Name | Matthew D Bauer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962778688 PECOS PAC ID: 8224266861 Enrollment ID: I20150714000158 |
| Provider Name | Kelly Alexander Wilkinson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962882449 PECOS PAC ID: 5991018830 Enrollment ID: I20150721001133 |
| Provider Name | Stacy Anne Nagel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295119931 PECOS PAC ID: 8224341821 Enrollment ID: I20150724010429 |
| Provider Name | Donna Monica Bair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962885814 PECOS PAC ID: 2163736752 Enrollment ID: I20150727000799 |
| Provider Name | Michael Stephen Guy |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1174773287 PECOS PAC ID: 9335396704 Enrollment ID: I20150729007014 |
| Provider Name | Adam Thomas Brule |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356626238 PECOS PAC ID: 7113231556 Enrollment ID: I20150729010229 |
| Provider Name | Michelle A Nissen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346622578 PECOS PAC ID: 8123332459 Enrollment ID: I20150730013696 |
| Provider Name | Abi Katz |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1336355775 PECOS PAC ID: 0941514889 Enrollment ID: I20150805007850 |
| Provider Name | Fadi M Tayim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043697055 PECOS PAC ID: 4880907567 Enrollment ID: I20150806011589 |
| Provider Name | Jennifer Jerele |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871821371 PECOS PAC ID: 8224266895 Enrollment ID: I20150812007589 |
| Provider Name | Allison J Tayloe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477934958 PECOS PAC ID: 8022323591 Enrollment ID: I20150812007780 |
| Provider Name | Crystal Gilligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043695976 PECOS PAC ID: 9335454834 Enrollment ID: I20150812008644 |
| Provider Name | Atif Hashmi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992022941 PECOS PAC ID: 0749403145 Enrollment ID: I20150817002691 |
| Provider Name | Ashley M Donaldson-woolum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851788244 PECOS PAC ID: 7012223209 Enrollment ID: I20150902002520 |
| Provider Name | Kathleen M Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356722128 PECOS PAC ID: 5698081883 Enrollment ID: I20150902002758 |
| Provider Name | Merandian Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477921013 PECOS PAC ID: 6002124997 Enrollment ID: I20150925001253 |
| Provider Name | Don Mascarenhas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679776157 PECOS PAC ID: 9335237965 Enrollment ID: I20150929001671 |
| Provider Name | Mark Nasr Youssef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508203209 PECOS PAC ID: 8527376854 Enrollment ID: I20151006000819 |
| Provider Name | Richard A Foreman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033586680 PECOS PAC ID: 9335457589 Enrollment ID: I20151007002878 |
| Provider Name | Angela D Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811379589 PECOS PAC ID: 7214245497 Enrollment ID: I20151008000546 |
| Provider Name | Tanya L Trotter |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1225450273 PECOS PAC ID: 3870803620 Enrollment ID: I20151105002273 |
| Provider Name | Nivedita Mankotia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750501441 PECOS PAC ID: 4981769502 Enrollment ID: I20151123001650 |
| Provider Name | Jonathan Pope |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598771115 PECOS PAC ID: 2567423023 Enrollment ID: I20151207002179 |
| Provider Name | David Evers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003182585 PECOS PAC ID: 3375799448 Enrollment ID: I20151208001641 |
| Provider Name | Jonty D Mccoy |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932454592 PECOS PAC ID: 5294982518 Enrollment ID: I20151217001498 |
| Provider Name | Sharon Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255704854 PECOS PAC ID: 2668775560 Enrollment ID: I20160127001611 |
| Provider Name | Julia Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366808917 PECOS PAC ID: 6305149170 Enrollment ID: I20160128001283 |
| Provider Name | Tamara L King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073988598 PECOS PAC ID: 8224332770 Enrollment ID: I20160204000085 |
| Provider Name | Dalia Wenckus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992915623 PECOS PAC ID: 8921124058 Enrollment ID: I20160204002269 |
| Provider Name | Lauren Braswell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649637414 PECOS PAC ID: 5890090344 Enrollment ID: I20160222002492 |
| Provider Name | Lauren Elizabeth Sillaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184083107 PECOS PAC ID: 7517262736 Enrollment ID: I20160226000222 |
| Provider Name | Elizabeth Marriott |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407078231 PECOS PAC ID: 5799884136 Enrollment ID: I20160226000407 |
| Provider Name | John W Powell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578732079 PECOS PAC ID: 1254526940 Enrollment ID: I20160315002659 |
| Provider Name | Palaniappan Muthappan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609920859 PECOS PAC ID: 7113070038 Enrollment ID: I20160426002036 |
| Provider Name | Donald C Oxenhandler |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1669408662 PECOS PAC ID: 1052492386 Enrollment ID: I20160510000572 |
| Provider Name | Vanessa Holley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760844609 PECOS PAC ID: 6800186982 Enrollment ID: I20160601002042 |
| Provider Name | Richard J Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285930875 PECOS PAC ID: 0244468809 Enrollment ID: I20160609001351 |
| Provider Name | Vince J Nardy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073808903 PECOS PAC ID: 2961793005 Enrollment ID: I20160621002458 |
| Provider Name | Misty M Mokrycki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962786731 PECOS PAC ID: 4981834751 Enrollment ID: I20160627001563 |
| Provider Name | John Robert Weiffenbach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316293277 PECOS PAC ID: 7517195910 Enrollment ID: I20160802003082 |
| Provider Name | Selyne E Samuel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447538590 PECOS PAC ID: 1951549237 Enrollment ID: I20160819001268 |
| Provider Name | Katherine R Abtahi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831457621 PECOS PAC ID: 2365672938 Enrollment ID: I20160913000085 |
| Provider Name | Brian R Cuffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891145009 PECOS PAC ID: 6800183807 Enrollment ID: I20160919002009 |
| Provider Name | Muhanad Al-zubaidi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952627622 PECOS PAC ID: 1951543297 Enrollment ID: I20160922002477 |
| Provider Name | Jackilyn Elise Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811440092 PECOS PAC ID: 3476840984 Enrollment ID: I20160927003229 |
| Provider Name | Jamie Seiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013460641 PECOS PAC ID: 2264729581 Enrollment ID: I20160929001079 |
| Provider Name | Thein T Aung |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295033116 PECOS PAC ID: 8426277930 Enrollment ID: I20161011002490 |
| Provider Name | Amy L Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710433909 PECOS PAC ID: 6103104450 Enrollment ID: I20161020002424 |
| Provider Name | Nicole L Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326497249 PECOS PAC ID: 1951689082 Enrollment ID: I20161025001112 |
| Provider Name | Jeffrey James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700142734 PECOS PAC ID: 5597081372 Enrollment ID: I20161116002115 |
| Provider Name | Thomas P Lo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629285309 PECOS PAC ID: 2769611029 Enrollment ID: I20161129002713 |
| Provider Name | Farbod Rastegar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871884437 PECOS PAC ID: 7416192273 Enrollment ID: I20161202001723 |
| Provider Name | Kelsey Evelyn Kies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669821716 PECOS PAC ID: 5799065405 Enrollment ID: I20161214001345 |
| Provider Name | Glen K Nagasawa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285618116 PECOS PAC ID: 5597985499 Enrollment ID: I20161216002045 |
| Provider Name | Jenny Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497907042 PECOS PAC ID: 7810278090 Enrollment ID: I20161230000034 |
| Provider Name | Najmus Sahar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295077527 PECOS PAC ID: 3971731449 Enrollment ID: I20170103001137 |
| Provider Name | Julie Brandewiede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871946616 PECOS PAC ID: 6002197191 Enrollment ID: I20170104000412 |
| Provider Name | Andrea L Carr |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760927842 PECOS PAC ID: 6204118789 Enrollment ID: I20170117002568 |
| Provider Name | John Winestone |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598933301 PECOS PAC ID: 0446420640 Enrollment ID: I20170118002499 |
| Provider Name | Stephanie Fliehman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407399041 PECOS PAC ID: 4082996095 Enrollment ID: I20170127001750 |
| Provider Name | Karen L Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740730159 PECOS PAC ID: 6608159025 Enrollment ID: I20170209001905 |
| Provider Name | Fontaine D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467857896 PECOS PAC ID: 9739462946 Enrollment ID: I20170214002079 |
| Provider Name | Amy Lee Kinter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649717398 PECOS PAC ID: 4587947684 Enrollment ID: I20170216000134 |
| Provider Name | Marjorie Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912455718 PECOS PAC ID: 4486937356 Enrollment ID: I20170220002236 |
| Provider Name | Carrie Cogley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851833388 PECOS PAC ID: 9739463720 Enrollment ID: I20170313001468 |
| Provider Name | Cecilia Dapilah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477090009 PECOS PAC ID: 3173808169 Enrollment ID: I20170313001597 |
| Provider Name | Teresa Siefke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245699453 PECOS PAC ID: 8921384645 Enrollment ID: I20170412001845 |
| Provider Name | Jonathan Lazzara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144580085 PECOS PAC ID: 3476876632 Enrollment ID: I20170425000736 |
| Provider Name | Chauncy L Eakins |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932352622 PECOS PAC ID: 8820211097 Enrollment ID: I20170517001344 |
| Provider Name | Charissa D Newton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053852947 PECOS PAC ID: 3870860943 Enrollment ID: I20170519001000 |
| Provider Name | Carissa Sue Haines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346591815 PECOS PAC ID: 1557645355 Enrollment ID: I20170608001101 |
| Provider Name | Matthew John Cavo |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1003109927 PECOS PAC ID: 8123256476 Enrollment ID: I20170614002322 |
| Provider Name | Dimitrios Topalidis |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1578611182 PECOS PAC ID: 0941429732 Enrollment ID: I20170703001206 |
| Provider Name | Christopher Lyons |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1134371263 PECOS PAC ID: 5496997355 Enrollment ID: I20170711003747 |
| Provider Name | Melanie Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427501220 PECOS PAC ID: 5395014088 Enrollment ID: I20170712001940 |
| Provider Name | Nishant Kalra |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316146236 PECOS PAC ID: 3072605807 Enrollment ID: I20170712004051 |
| Provider Name | Megan Lane Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659667491 PECOS PAC ID: 3476823618 Enrollment ID: I20170721000627 |
| Provider Name | Arshi Naz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669731378 PECOS PAC ID: 0941502694 Enrollment ID: I20170801002516 |
| Provider Name | Raeanne Fondriest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194105692 PECOS PAC ID: 6800167842 Enrollment ID: I20170809001192 |
| Provider Name | Amanda R Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144740010 PECOS PAC ID: 6103199062 Enrollment ID: I20170829002453 |
| Provider Name | Bryan King |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023301876 PECOS PAC ID: 0446498125 Enrollment ID: I20170830003256 |
| Provider Name | Tracie Shoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720300924 PECOS PAC ID: 2668745373 Enrollment ID: I20170831000909 |
| Provider Name | Olga Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780047274 PECOS PAC ID: 9032482245 Enrollment ID: I20170911002207 |
| Provider Name | Sarah A Hendrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023419041 PECOS PAC ID: 7315212412 Enrollment ID: I20170928003065 |
| Provider Name | Julie Flick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316466105 PECOS PAC ID: 1850666728 Enrollment ID: I20171003004005 |
| Provider Name | Samantha Hembree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215467105 PECOS PAC ID: 3971878653 Enrollment ID: I20171005001497 |
| Provider Name | Zakaria Hassan Sheikhaden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104125277 PECOS PAC ID: 1658525712 Enrollment ID: I20171019002499 |
| Provider Name | James Robbins |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053606459 PECOS PAC ID: 2264658491 Enrollment ID: I20171026002845 |
| Provider Name | Brian R Dulin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841497203 PECOS PAC ID: 5193818839 Enrollment ID: I20171030002940 |
| Provider Name | Patricia Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720501521 PECOS PAC ID: 5799041760 Enrollment ID: I20171107002044 |
| Provider Name | Kylie Wester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740633221 PECOS PAC ID: 8224316492 Enrollment ID: I20171114001327 |
| Provider Name | Randall Robert Mccafferty |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679672406 PECOS PAC ID: 5799938031 Enrollment ID: I20171115004036 |
| Provider Name | Hussein E El-khatib |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932210762 PECOS PAC ID: 2860463247 Enrollment ID: I20171128003466 |
| Provider Name | Michele Lois Josefovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891215224 PECOS PAC ID: 7315204468 Enrollment ID: I20171128003666 |
| Provider Name | Chelsea Nikkole Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821509712 PECOS PAC ID: 9133486947 Enrollment ID: I20171204002100 |
| Provider Name | Marie Elizabeth Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063538783 PECOS PAC ID: 2961769583 Enrollment ID: I20171206001186 |
| Provider Name | Tara Boehmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881738359 PECOS PAC ID: 0547529844 Enrollment ID: I20180112000302 |
| Provider Name | Mary S Feldman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003074691 PECOS PAC ID: 3375682776 Enrollment ID: I20180116002125 |
| Provider Name | Larry V Carson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588764385 PECOS PAC ID: 4183600893 Enrollment ID: I20180222001891 |
| Provider Name | Adam K Hiett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376652636 PECOS PAC ID: 2062570575 Enrollment ID: I20180403001944 |
| Provider Name | Anne Marie Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700386877 PECOS PAC ID: 7113280116 Enrollment ID: I20180404000603 |
| Provider Name | Christopher S Cordell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730687112 PECOS PAC ID: 3577826247 Enrollment ID: I20180410002652 |
| Provider Name | Wendy Lynn Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962904144 PECOS PAC ID: 2961765433 Enrollment ID: I20180416000406 |
| Provider Name | Gina M Orlando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982063954 PECOS PAC ID: 8729384722 Enrollment ID: I20180424002507 |
| Provider Name | Anurag Singh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1871673319 PECOS PAC ID: 7719081264 Enrollment ID: I20180615002208 |
| Provider Name | Ian K White |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205101896 PECOS PAC ID: 2961649561 Enrollment ID: I20180620002064 |
| Provider Name | Alyssa M Krebs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346730959 PECOS PAC ID: 8123374303 Enrollment ID: I20180629002045 |
| Provider Name | Neal Mehan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952690810 PECOS PAC ID: 2668412693 Enrollment ID: I20180710003388 |
| Provider Name | Julie E Garvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437644101 PECOS PAC ID: 9133477482 Enrollment ID: I20180802003824 |
| Provider Name | Stanley P Kokocki |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1306953633 PECOS PAC ID: 4486621760 Enrollment ID: I20180806000636 |
| Provider Name | Vera Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205384062 PECOS PAC ID: 3971851957 Enrollment ID: I20180808000389 |
| Provider Name | Michael Kentris |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063848240 PECOS PAC ID: 6507085941 Enrollment ID: I20180808003722 |
| Provider Name | Bo-kyu Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477896553 PECOS PAC ID: 6204185812 Enrollment ID: I20180815001364 |
| Provider Name | John F Grim |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1346564374 PECOS PAC ID: 5294084711 Enrollment ID: I20180816002056 |
| Provider Name | Lindsey Marie Siefker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578078598 PECOS PAC ID: 6608125638 Enrollment ID: I20180823002032 |
| Provider Name | Erin N Peden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750877171 PECOS PAC ID: 6002165842 Enrollment ID: I20180828000415 |
| Provider Name | Paul A Krebs |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1831518323 PECOS PAC ID: 6204158488 Enrollment ID: I20180830001740 |
| Provider Name | Paul J Gyorgyfi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912492075 PECOS PAC ID: 3274884689 Enrollment ID: I20180925001257 |
| Provider Name | Matthew P Doepker |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1316232606 PECOS PAC ID: 4385879238 Enrollment ID: I20181026000192 |
| Provider Name | Jessica R Wozniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033684014 PECOS PAC ID: 5395098651 Enrollment ID: I20181102001344 |
| Provider Name | Ann M Strain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386675858 PECOS PAC ID: 7911941679 Enrollment ID: I20181217001994 |
| Provider Name | Karen Shafer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104262674 PECOS PAC ID: 7012205032 Enrollment ID: I20190109002131 |
| Provider Name | Dara Parvin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497774566 PECOS PAC ID: 8628960036 Enrollment ID: I20190110003024 |
| Provider Name | Joel Metze |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730331224 PECOS PAC ID: 5496070328 Enrollment ID: I20190116001381 |
| Provider Name | Murtuza Habeeb |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881897205 PECOS PAC ID: 0345370664 Enrollment ID: I20190124001875 |
| Provider Name | Heather Nichole Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659855195 PECOS PAC ID: 2668719907 Enrollment ID: I20190124003157 |
| Provider Name | Robert Oliver Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407340656 PECOS PAC ID: 7315284353 Enrollment ID: I20190129001120 |
| Provider Name | Audrey Elizabeth Bateman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114499894 PECOS PAC ID: 4183962848 Enrollment ID: I20190205002965 |
| Provider Name | Lauren B Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649741075 PECOS PAC ID: 4789922840 Enrollment ID: I20190214002449 |
| Provider Name | Michael Gilles |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1801209143 PECOS PAC ID: 1557600103 Enrollment ID: I20190227000460 |
| Provider Name | Melissa Ann Mejia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477047751 PECOS PAC ID: 4284973744 Enrollment ID: I20190227001347 |
| Provider Name | Robin Michelle Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972076735 PECOS PAC ID: 6103165295 Enrollment ID: I20190307001851 |
| Provider Name | Kathleen Whelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538683727 PECOS PAC ID: 2668711615 Enrollment ID: I20190308001297 |
| Provider Name | Richard R Mcbride |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1457341018 PECOS PAC ID: 1355316001 Enrollment ID: I20190312002281 |
| Provider Name | Heidi M. Schindler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932664752 PECOS PAC ID: 6800136896 Enrollment ID: I20190329001927 |
| Provider Name | Michael D Castillo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417951211 PECOS PAC ID: 1254370653 Enrollment ID: I20190405001154 |
| Provider Name | Haitham S Alabsi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538587803 PECOS PAC ID: 7416279690 Enrollment ID: I20190426000287 |
| Provider Name | Quan Dang Le |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1811166770 PECOS PAC ID: 7416128863 Enrollment ID: I20190502002162 |
| Provider Name | Thomas C Pitts |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750624656 PECOS PAC ID: 9133357775 Enrollment ID: I20190509002237 |
| Provider Name | Raymond Joseph Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164997979 PECOS PAC ID: 9234472812 Enrollment ID: I20190522002746 |
| Provider Name | Nicole Elizabeth Larva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598233157 PECOS PAC ID: 2860735313 Enrollment ID: I20190523002865 |
| Provider Name | Martha Elizabeth Baumann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083171300 PECOS PAC ID: 1557604980 Enrollment ID: I20190528000830 |
| Provider Name | Rachael L Baarstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679030399 PECOS PAC ID: 5193058493 Enrollment ID: I20190530003110 |
| Provider Name | Brian Vernon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265639280 PECOS PAC ID: 8022267210 Enrollment ID: I20190604002839 |
| Provider Name | Jane Marie Grimberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356657084 PECOS PAC ID: 1153618657 Enrollment ID: I20190618002607 |
| Provider Name | Meredith N Bellamy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386039741 PECOS PAC ID: 3971800434 Enrollment ID: I20190621002022 |
| Provider Name | Steven M Arkin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225076839 PECOS PAC ID: 8325199466 Enrollment ID: I20190729002185 |
| Provider Name | Karen M Arkin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164460622 PECOS PAC ID: 2860559218 Enrollment ID: I20190806004301 |
| Provider Name | Aloiya R. Kremer |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1780067355 PECOS PAC ID: 9537460506 Enrollment ID: I20190806004353 |
| Provider Name | Cody Thomas Ash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023660388 PECOS PAC ID: 1759618176 Enrollment ID: I20190808000391 |
| Provider Name | Rebekah E. Thurston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548825383 PECOS PAC ID: 6406183847 Enrollment ID: I20190808001133 |
| Provider Name | Ashley Nichole Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366002388 PECOS PAC ID: 8022345248 Enrollment ID: I20190812001340 |
| Provider Name | Gregory Adam Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194283721 PECOS PAC ID: 5092042085 Enrollment ID: I20190814001392 |
| Provider Name | Denise Renee Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790347797 PECOS PAC ID: 3173850963 Enrollment ID: I20190816002360 |
| Provider Name | Michael M Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861819195 PECOS PAC ID: 6204158512 Enrollment ID: I20190824000284 |
| Provider Name | Priscilla Ann Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144874314 PECOS PAC ID: 6800124017 Enrollment ID: I20190827000951 |
| Provider Name | Zakiya Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558828962 PECOS PAC ID: 9537497599 Enrollment ID: I20190828004249 |
| Provider Name | Deja Lea Hillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689228538 PECOS PAC ID: 8022347996 Enrollment ID: I20190903001932 |
| Provider Name | Timothy Brophy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790338523 PECOS PAC ID: 9830428366 Enrollment ID: I20190910000164 |
| Provider Name | Andrea Mcgaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558704445 PECOS PAC ID: 4183867849 Enrollment ID: I20190924001629 |
| Provider Name | Benjamin Joseph Bates |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245659630 PECOS PAC ID: 6406078740 Enrollment ID: I20191002002721 |
| Provider Name | Nicole K Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912569625 PECOS PAC ID: 2365773421 Enrollment ID: I20191004000416 |
| Provider Name | Natalie Louise Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053969857 PECOS PAC ID: 7719218130 Enrollment ID: I20191015002793 |
| Provider Name | Deborah Bredestege |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871732289 PECOS PAC ID: 2668503715 Enrollment ID: I20191015002794 |
| Provider Name | Jennifer Marie Ballou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518420629 PECOS PAC ID: 4688905052 Enrollment ID: I20191016001699 |
| Provider Name | Sharon M Lahm |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1467838896 PECOS PAC ID: 1052607942 Enrollment ID: I20191030002782 |
| Provider Name | Heather Bruns |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750924197 PECOS PAC ID: 0840622262 Enrollment ID: I20191122001410 |
| Provider Name | Steven L Morgan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285710269 PECOS PAC ID: 2264682574 Enrollment ID: I20191218002228 |
| Provider Name | Christopher G Janson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659425148 PECOS PAC ID: 8022322726 Enrollment ID: I20191226001605 |
| Provider Name | Paul Gregory Ondus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275188591 PECOS PAC ID: 8921432949 Enrollment ID: I20191230000958 |
| Provider Name | Kristen Gans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619514254 PECOS PAC ID: 4385078187 Enrollment ID: I20200103001165 |
| Provider Name | Saad Hashem Kanaan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841502069 PECOS PAC ID: 0749407872 Enrollment ID: I20200103002376 |
| Provider Name | Kapil Gopal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508950080 PECOS PAC ID: 4789777061 Enrollment ID: I20200124002322 |
| Provider Name | Justina Lynn Staroska |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730502477 PECOS PAC ID: 0941635676 Enrollment ID: I20200127001299 |
| Provider Name | Rupali Krishana Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144738311 PECOS PAC ID: 4981967296 Enrollment ID: I20200203000705 |
| Provider Name | Amber Dawn Geiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518436120 PECOS PAC ID: 4880020262 Enrollment ID: I20200203001523 |
| Provider Name | Jacquelenn Stuhldreher |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952563728 PECOS PAC ID: 4789822032 Enrollment ID: I20200221002095 |
| Provider Name | Nerine T Vincent |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174899967 PECOS PAC ID: 1557590908 Enrollment ID: I20200306001271 |
| Provider Name | Roxanne K Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942835426 PECOS PAC ID: 6002245156 Enrollment ID: I20200410002131 |
| Provider Name | Saqer Alkharabsheh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568802973 PECOS PAC ID: 6901195817 Enrollment ID: I20200410002199 |
| Provider Name | Robert Jacoby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518961531 PECOS PAC ID: 9032003462 Enrollment ID: I20200424002160 |
| Provider Name | Amanda Leigh Tartaglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316496672 PECOS PAC ID: 8628408036 Enrollment ID: I20200428000204 |
| Provider Name | Keshia N Torres-shafer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386006252 PECOS PAC ID: 9537452503 Enrollment ID: I20200611000252 |
| Provider Name | Brandon Lee Mosely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225669690 PECOS PAC ID: 3779905617 Enrollment ID: I20200622002208 |
| Provider Name | Stacey Michelle Mcroberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134744378 PECOS PAC ID: 7810319308 Enrollment ID: I20200630001753 |
| Provider Name | Daniel Quinones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093135774 PECOS PAC ID: 2264736347 Enrollment ID: I20200630002418 |
| Provider Name | Laith Alkukhun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952721060 PECOS PAC ID: 7012245939 Enrollment ID: I20200702000946 |
| Provider Name | Juliet Elizabeth Wolford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497002232 PECOS PAC ID: 3971810920 Enrollment ID: I20200706002514 |
| Provider Name | Derrick Porter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609215276 PECOS PAC ID: 6608165907 Enrollment ID: I20200707002437 |
| Provider Name | Scott C Chapman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1265414411 PECOS PAC ID: 5991758013 Enrollment ID: I20200709001393 |
| Provider Name | Amie R Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619590429 PECOS PAC ID: 5395168082 Enrollment ID: I20200714002101 |
| Provider Name | Angela Echeverria |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306157078 PECOS PAC ID: 9133329808 Enrollment ID: I20200803001525 |
| Provider Name | Melissa Sue Einink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235763855 PECOS PAC ID: 4082039276 Enrollment ID: I20200805001212 |
| Provider Name | Frederick Rodrigo Yturralde |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1134186372 PECOS PAC ID: 2961464854 Enrollment ID: I20200811001745 |
| Provider Name | Norah A Foster |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205153681 PECOS PAC ID: 4284931692 Enrollment ID: I20200813003653 |
| Provider Name | Erik H Poldemann |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689069866 PECOS PAC ID: 2466765839 Enrollment ID: I20200819001528 |
| Provider Name | Denise Smith |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1295969947 PECOS PAC ID: 2668611757 Enrollment ID: I20200824002314 |
| Provider Name | Laura H Schafer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649639600 PECOS PAC ID: 3476829532 Enrollment ID: I20200901000297 |
| Provider Name | Lacey Marie Wood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821449513 PECOS PAC ID: 3779877493 Enrollment ID: I20200916002567 |
| Provider Name | Louis Okafor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245588680 PECOS PAC ID: 5799929618 Enrollment ID: I20200924000406 |
| Provider Name | Nimisha P Thuluvath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669882890 PECOS PAC ID: 0244452894 Enrollment ID: I20201006003050 |
| Provider Name | Jennifer Tarter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194330852 PECOS PAC ID: 3678993896 Enrollment ID: I20201008003098 |
| Provider Name | Terence Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639274491 PECOS PAC ID: 7012802895 Enrollment ID: I20201012001316 |
| Provider Name | Kristen Leigh Hayhow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609489152 PECOS PAC ID: 2264852243 Enrollment ID: I20201013000753 |
| Provider Name | Jacqueline Vanderburgh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558757096 PECOS PAC ID: 7113229873 Enrollment ID: I20201013002715 |
| Provider Name | Sara Marie Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538789144 PECOS PAC ID: 8628498490 Enrollment ID: I20201015002733 |
| Provider Name | Shankar Sundaram |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730138892 PECOS PAC ID: 7214925460 Enrollment ID: I20201023002072 |
| Provider Name | Kevin Keith Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750676565 PECOS PAC ID: 0840610101 Enrollment ID: I20201026003109 |
| Provider Name | Jennifer A. Kosty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295093482 PECOS PAC ID: 1557593209 Enrollment ID: I20201028001258 |
| Provider Name | John Thomas Dooley |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386625895 PECOS PAC ID: 5597660688 Enrollment ID: I20201103001594 |
| Provider Name | Ahmad Elbash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770797466 PECOS PAC ID: 7012018872 Enrollment ID: I20201112003058 |
| Provider Name | Nicole Marie Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467054874 PECOS PAC ID: 6901217751 Enrollment ID: I20201130000919 |
| Provider Name | Megan R Plummer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790388569 PECOS PAC ID: 1557773975 Enrollment ID: I20201209000405 |
| Provider Name | Jessica Marie Hiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619572872 PECOS PAC ID: 7113330499 Enrollment ID: I20210105002138 |
| Provider Name | Eryn Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740736123 PECOS PAC ID: 4284913757 Enrollment ID: I20210107001926 |
| Provider Name | Michelle Post |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1083274146 PECOS PAC ID: 4183037245 Enrollment ID: I20210108001651 |
| Provider Name | Dare Adewumi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265605091 PECOS PAC ID: 9133347446 Enrollment ID: I20210119002244 |
| Provider Name | Mark S Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588094825 PECOS PAC ID: 4789098096 Enrollment ID: I20210128000595 |
| Provider Name | Indrani K Thiruselvam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467037192 PECOS PAC ID: 7810305372 Enrollment ID: I20210421002208 |
| Provider Name | Abuhuziefa Abubakr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932109378 PECOS PAC ID: 6608891395 Enrollment ID: I20210517001119 |
| Provider Name | Glen J Schwartzberg |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1194746800 PECOS PAC ID: 3577651884 Enrollment ID: I20210528002443 |
| Provider Name | Sana Jeffreys |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518057512 PECOS PAC ID: 9436242161 Enrollment ID: I20210602001751 |
| Provider Name | Danielle L Allen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760066369 PECOS PAC ID: 5799184164 Enrollment ID: I20210604002390 |
| Provider Name | Jordan Sasson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922236777 PECOS PAC ID: 8224303565 Enrollment ID: I20210610000210 |
| Provider Name | Amanda D. Pulfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760057962 PECOS PAC ID: 3678974532 Enrollment ID: I20210629002751 |
| Provider Name | Andrew E Yang |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1700205986 PECOS PAC ID: 0547548182 Enrollment ID: I20210702002463 |
| Provider Name | Sujit Bhimireddy |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720493000 PECOS PAC ID: 5698096345 Enrollment ID: I20210706003521 |
| Provider Name | Matthew Dorweiler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871911107 PECOS PAC ID: 8224250378 Enrollment ID: I20210712002027 |
| Provider Name | Melissa Pombo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225627656 PECOS PAC ID: 2860894870 Enrollment ID: I20210714000509 |
| Provider Name | Julia Paulet |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184155350 PECOS PAC ID: 1658643044 Enrollment ID: I20210714001425 |
| Provider Name | Amer Y Sayed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467892372 PECOS PAC ID: 2668776394 Enrollment ID: I20210714002450 |
| Provider Name | Ahmed Amro |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952716789 PECOS PAC ID: 2062631138 Enrollment ID: I20210715002411 |
| Provider Name | Sagger Mawri |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750725487 PECOS PAC ID: 4587896402 Enrollment ID: I20210720000632 |
| Provider Name | Mohamed Sharif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629464243 PECOS PAC ID: 2961708029 Enrollment ID: I20210726003656 |
| Provider Name | Olubunmi O Esan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558795377 PECOS PAC ID: 6103131487 Enrollment ID: I20210730002605 |
| Provider Name | Ankit Krishan Bhatia |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1801200944 PECOS PAC ID: 4385865716 Enrollment ID: I20210819000287 |
| Provider Name | Alice Wang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073856787 PECOS PAC ID: 9335561042 Enrollment ID: I20210823003086 |
| Provider Name | Aaron Ray Shaver |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720473242 PECOS PAC ID: 4284039603 Enrollment ID: I20210824001627 |
| Provider Name | Marci Melnick-butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962938365 PECOS PAC ID: 4183993496 Enrollment ID: I20210830001555 |
| Provider Name | Molly Letoure Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942975669 PECOS PAC ID: 1951708031 Enrollment ID: I20210916003050 |
| Provider Name | Ruth Claros |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619401932 PECOS PAC ID: 7810267986 Enrollment ID: I20210917002624 |
| Provider Name | Gina L Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306427562 PECOS PAC ID: 9032516729 Enrollment ID: I20210922003453 |
| Provider Name | Craig Joseph Hansen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861842858 PECOS PAC ID: 9032404553 Enrollment ID: I20210929001685 |
| Provider Name | Kelly Marquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275115461 PECOS PAC ID: 2961809116 Enrollment ID: I20210930001868 |
| Provider Name | Tieca Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306515382 PECOS PAC ID: 1254739337 Enrollment ID: I20211004001114 |
| Provider Name | Lettrice Taylor-blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487320495 PECOS PAC ID: 3274931043 Enrollment ID: I20211007003530 |
| Provider Name | Victor Ohale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679978167 PECOS PAC ID: 5395094064 Enrollment ID: I20211022002361 |
| Provider Name | Adam A Golas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114288792 PECOS PAC ID: 8224386396 Enrollment ID: I20211026003238 |
| Provider Name | Christina Renee Handermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235892571 PECOS PAC ID: 2163810946 Enrollment ID: I20211027002603 |
| Provider Name | Kay A Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720750482 PECOS PAC ID: 5890184261 Enrollment ID: I20211105002396 |
| Provider Name | Charlotte Orr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811139363 PECOS PAC ID: 3870729130 Enrollment ID: I20211116002456 |
| Provider Name | Alexander Chao |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1063514321 PECOS PAC ID: 4284654682 Enrollment ID: I20211123002884 |
| Provider Name | Amelia E Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154332112 PECOS PAC ID: 6608267299 Enrollment ID: I20211215000241 |
| Provider Name | Danielle R Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508526088 PECOS PAC ID: 8123410537 Enrollment ID: I20220114001940 |
| Provider Name | Brandy L Mullett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043970494 PECOS PAC ID: 4587057922 Enrollment ID: I20220208002219 |
| Provider Name | Nicole Kay Raffel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548928203 PECOS PAC ID: 5890189476 Enrollment ID: I20220224000877 |
| Provider Name | Amanda Wright |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184945370 PECOS PAC ID: 0345532255 Enrollment ID: I20220318000817 |
| Provider Name | Elise Stamper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366102816 PECOS PAC ID: 2769878826 Enrollment ID: I20220330000628 |
| Provider Name | Pankaj Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801837117 PECOS PAC ID: 9133140304 Enrollment ID: I20220419003005 |
| Provider Name | Marian Gaida Duselis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124615695 PECOS PAC ID: 1658784061 Enrollment ID: I20220502000160 |
| Provider Name | Lindsay Parrish |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720581507 PECOS PAC ID: 0648529602 Enrollment ID: I20220701001734 |
| Provider Name | Meredith Clouse |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902330160 PECOS PAC ID: 1557630035 Enrollment ID: I20220711003724 |
| Provider Name | Brittany Staarmann |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972915916 PECOS PAC ID: 6305063579 Enrollment ID: I20220714001251 |
| Provider Name | Bara Zuhaili |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1396994851 PECOS PAC ID: 5890939011 Enrollment ID: I20220721003290 |
| Provider Name | Jessica Marie Schwieterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710618467 PECOS PAC ID: 0446631386 Enrollment ID: I20220722002287 |
| Provider Name | Zack Gabbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023748324 PECOS PAC ID: 7719368513 Enrollment ID: I20220725001374 |
| Provider Name | Jessica M Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801528559 PECOS PAC ID: 3779965256 Enrollment ID: I20220729002987 |
| Provider Name | John F Kuhn |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1598729618 PECOS PAC ID: 2062476047 Enrollment ID: I20220808001431 |
| Provider Name | Susan P Collins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629428032 PECOS PAC ID: 9638460348 Enrollment ID: I20220816002774 |
| Provider Name | Amy L Schimke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033346739 PECOS PAC ID: 7315254919 Enrollment ID: I20220817000663 |
| Provider Name | Chelsea F Sizemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609503556 PECOS PAC ID: 6507249802 Enrollment ID: I20220819000395 |
| Provider Name | Jodie Lynn Beard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104956259 PECOS PAC ID: 0244614287 Enrollment ID: I20220825001069 |
| Provider Name | Katie Kessler |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1962992354 PECOS PAC ID: 0648516096 Enrollment ID: I20220826001125 |
| Provider Name | Jean Bismuth |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1639330053 PECOS PAC ID: 9234205410 Enrollment ID: I20220829002830 |
| Provider Name | Steven Chapman |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1972545887 PECOS PAC ID: 4789587221 Enrollment ID: I20220909001721 |
| Provider Name | Stephanie Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669191821 PECOS PAC ID: 8921483009 Enrollment ID: I20220912000705 |
| Provider Name | Krysten Elizabeth Kasting |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578068300 PECOS PAC ID: 4183967581 Enrollment ID: I20220913000923 |
| Provider Name | Paige Short |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821719642 PECOS PAC ID: 9537535141 Enrollment ID: I20221024001871 |
| Provider Name | Joel Dey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053815167 PECOS PAC ID: 3375899305 Enrollment ID: I20221026001362 |
| Provider Name | Neha Sarvepalli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235519109 PECOS PAC ID: 5799079281 Enrollment ID: I20221116002331 |
| Provider Name | Janece Marie Molinuevo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528794005 PECOS PAC ID: 3173991296 Enrollment ID: I20221122000663 |
| Provider Name | Andrew O'halloran |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1740713775 PECOS PAC ID: 4082982137 Enrollment ID: I20221123000319 |
| Provider Name | Nicholas Anthony Ressa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366974867 PECOS PAC ID: 8921370404 Enrollment ID: I20221129000684 |
| Provider Name | Yangshu Linda Pan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811494487 PECOS PAC ID: 0446507446 Enrollment ID: I20221130002826 |
| Provider Name | Suzanne Spooner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568688299 PECOS PAC ID: 2860591682 Enrollment ID: I20221213001259 |
| Provider Name | Catarina Gulledge |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154736080 PECOS PAC ID: 7618204694 Enrollment ID: I20230124001492 |
| Provider Name | Jacob Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821712316 PECOS PAC ID: 2163894171 Enrollment ID: I20230220001749 |
| Provider Name | Tyler Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215650783 PECOS PAC ID: 8729450705 Enrollment ID: I20230221002508 |
| Provider Name | Denise Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376871970 PECOS PAC ID: 7810361706 Enrollment ID: I20230315002422 |
| Provider Name | Meghan Albers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245943471 PECOS PAC ID: 9032574462 Enrollment ID: I20230508001496 |
| Provider Name | Michelle Lee Durrant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285097634 PECOS PAC ID: 5193017861 Enrollment ID: I20230524002764 |
| Provider Name | Jessica Darnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114664034 PECOS PAC ID: 3375909898 Enrollment ID: I20230525000367 |
| Provider Name | Letitia A Debrill-richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518596543 PECOS PAC ID: 0547628737 Enrollment ID: I20230620003325 |
| Provider Name | Philip Auyang |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1114306545 PECOS PAC ID: 9931502127 Enrollment ID: I20230621000986 |
| Provider Name | Frederick Beavers |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1740287606 PECOS PAC ID: 7214821693 Enrollment ID: I20230706002680 |
| Provider Name | Sarah Jazaerly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548723737 PECOS PAC ID: 2567797723 Enrollment ID: I20230713002397 |
| Provider Name | Naveen Balasundaram |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104054162 PECOS PAC ID: 1759640063 Enrollment ID: I20230717003314 |
| Provider Name | Jessica Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952091100 PECOS PAC ID: 6800256868 Enrollment ID: I20230721002542 |
| Provider Name | Briana Rullmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831801125 PECOS PAC ID: 6002277837 Enrollment ID: I20230726003037 |
| Provider Name | Jordan Grilliot |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366979007 PECOS PAC ID: 3274918321 Enrollment ID: I20230731003879 |
| Provider Name | Heather Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013602622 PECOS PAC ID: 0345602017 Enrollment ID: I20230811001073 |
| Provider Name | Alexander Shikhman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356761860 PECOS PAC ID: 7517329931 Enrollment ID: I20230817001103 |
| Provider Name | Christine Dienna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720313901 PECOS PAC ID: 7012144082 Enrollment ID: I20230818003342 |
| Provider Name | John Tanner Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861196057 PECOS PAC ID: 4082076245 Enrollment ID: I20230821000476 |
| Provider Name | William Campbell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265455745 PECOS PAC ID: 6709970569 Enrollment ID: I20230821001961 |
| Provider Name | Frank Vandy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922219344 PECOS PAC ID: 0941485908 Enrollment ID: I20230822003295 |
| Provider Name | Patrick Hutchinson Bartholomew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316623507 PECOS PAC ID: 7517320534 Enrollment ID: I20230823004545 |
| Provider Name | Sarah D Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346961596 PECOS PAC ID: 8921461716 Enrollment ID: I20230825003473 |
| Provider Name | Allyson Michelle Blakemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508543141 PECOS PAC ID: 8022471846 Enrollment ID: I20230828000989 |
| Provider Name | Sherri Lynee Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568140481 PECOS PAC ID: 7416310263 Enrollment ID: I20230828002465 |
| Provider Name | Andrea Dockry |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861924490 PECOS PAC ID: 0446593131 Enrollment ID: I20230905002561 |
| Provider Name | Sara L Cruikshank |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982268488 PECOS PAC ID: 8325373368 Enrollment ID: I20230906003599 |
| Provider Name | Stephanie Tuente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487364519 PECOS PAC ID: 9436513116 Enrollment ID: I20230913003481 |
| Provider Name | Adam S Deardorff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124551411 PECOS PAC ID: 4880963685 Enrollment ID: I20230918000996 |
| Provider Name | Jeanne L Beattie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457375008 PECOS PAC ID: 3577733716 Enrollment ID: I20230918001370 |
| Provider Name | Karen Ren |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871082081 PECOS PAC ID: 9739426404 Enrollment ID: I20230925002324 |
| Provider Name | Tera Marie Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760166904 PECOS PAC ID: 5698129690 Enrollment ID: I20230925003148 |
| Provider Name | Nicole Branden Wooddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922305044 PECOS PAC ID: 0244684983 Enrollment ID: I20230928001416 |
| Provider Name | Dorothy Nesmith |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1568522118 PECOS PAC ID: 1951387075 Enrollment ID: I20231006001149 |
| Provider Name | Danielle Vivian Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578247250 PECOS PAC ID: 2567817810 Enrollment ID: I20231006001632 |
| Provider Name | Anthony Rios |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194952911 PECOS PAC ID: 0244500742 Enrollment ID: I20231110001217 |
| Provider Name | Samantha L Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558514570 PECOS PAC ID: 7517014715 Enrollment ID: I20231121002875 |
| Provider Name | Jasmine Cymone Shavers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588341622 PECOS PAC ID: 9739537085 Enrollment ID: I20231127001930 |
| Provider Name | Sylvia Kirgis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265611263 PECOS PAC ID: 4587731997 Enrollment ID: I20231129000561 |
| Provider Name | Brooke Toliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023609377 PECOS PAC ID: 1153770748 Enrollment ID: I20231207002556 |
| Provider Name | Shella Baker Trego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922718600 PECOS PAC ID: 7810346863 Enrollment ID: I20231215001161 |
| Provider Name | Theresa Elaine Seidenschmidt |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1386947729 PECOS PAC ID: 9537510227 Enrollment ID: I20240106000751 |
| Provider Name | Amanda Brooke Zemmer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1417197880 PECOS PAC ID: 9638522618 Enrollment ID: I20240125002786 |
| Provider Name | Charlotte Olsten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588225304 PECOS PAC ID: 5890148886 Enrollment ID: I20240125003278 |
| Provider Name | Katlyn Robison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366148819 PECOS PAC ID: 2466805460 Enrollment ID: I20240125003556 |
| Provider Name | Denise Doan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629550942 PECOS PAC ID: 1658622030 Enrollment ID: I20240126001677 |
| Provider Name | Sara Kathryn King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558830190 PECOS PAC ID: 3173976008 Enrollment ID: I20240126004096 |
| Provider Name | Emily Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841848165 PECOS PAC ID: 6002233681 Enrollment ID: I20240205003390 |
| Provider Name | Erik Nott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760554091 PECOS PAC ID: 1951594167 Enrollment ID: I20240213004521 |
| Provider Name | Taulinah E Knox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205464435 PECOS PAC ID: 5890139760 Enrollment ID: I20240219002919 |
| Provider Name | Lily Danielle Chatman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659133056 PECOS PAC ID: 9032553847 Enrollment ID: I20240220004424 |
| Provider Name | Mckenzie Mason |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1457909624 PECOS PAC ID: 3476978859 Enrollment ID: I20240220004631 |
| Provider Name | Rebecca Ray |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740042795 PECOS PAC ID: 8921443490 Enrollment ID: I20240224000299 |
| Provider Name | Amanda Kenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760094155 PECOS PAC ID: 9739524208 Enrollment ID: I20240224000335 |
| Provider Name | Christiana Labarca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386949683 PECOS PAC ID: 1557544533 Enrollment ID: I20240224000374 |
| Provider Name | Alicia Slifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114305349 PECOS PAC ID: 2769827112 Enrollment ID: I20240226002230 |
| Provider Name | Andrew Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356788624 PECOS PAC ID: 7618284506 Enrollment ID: I20240325000887 |
| Provider Name | Madison Luebke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629839030 PECOS PAC ID: 3971940958 Enrollment ID: I20240326003206 |
| Provider Name | Jon Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629415476 PECOS PAC ID: 2365759016 Enrollment ID: I20240410003074 |
Notably Gifted Arts Academy Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2800 E River Rd, Moraine, OH 45439 Phone: 937-985-3703 | |
C. Todd Anderson, Md, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5350 Lamme Rd, Moraine, OH 45439 Phone: 937-534-4600 | |
The Change Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 W Stroop Rd, Moraine, OH 45439 Phone: 937-315-0030 Fax: 937-701-6901 | |
Recovery Services Of Greater Dayton Llp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3430 S Dixie Dr Ste 308, Moraine, OH 45439 Phone: 937-388-3009 | |
Project Cure Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Daruma Pkwy, Moraine, OH 45439 Phone: 937-262-3500 Fax: 937-496-5283 | |
Pyramid Healthcare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3055 Kettering Blvd Ste 101, Moraine, OH 45439 Phone: 937-446-6046 |