| Professional Services Of Holy Cross | |
|
1500 Forest Glen Rd Silver Spring MD 20910-1483 | |
| (301) 754-7000 | |
| (301) 498-3074 |
| Full Name | Professional Services Of Holy Cross |
|---|---|
| Speciality | Clinic/Center |
| Location | 1500 Forest Glen Rd, Silver Spring, Maryland |
| Authorized Official Name and Position | Julie Keese (VP & CFO) |
| Authorized Official Contact | 3017547201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Services Of Holy Cross Po Box 531863 Atlanta GA 30353-1863 Ph: () - | Professional Services Of Holy Cross 1500 Forest Glen Rd Silver Spring MD 20910-1483 Ph: (301) 754-7000 |
| NPI Number | 1487692828 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/24/2024 |
| Medicare PECOS PAC ID | 3779516992 |
|---|---|
| Medicare Enrollment ID | O20050916000745 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487692828 | NPI | - | NPPES |
| 409728904 | Medicaid | MD | |
| 409728902 | Medicaid | MD | |
| 410238000 | Medicaid | MD | |
| 409728900 | Medicaid | MD | |
| 409728910 | Medicaid | MD | |
| 409728912 | Medicaid | MD | |
| 409728911 | Medicaid | MD | |
| 040578900 | Medicaid | DC | |
| 409728901 | Medicaid | MD | |
| 409728906 | Medicaid | MD | |
| 409728907 | Medicaid | MD | |
| 071035600 | Medicaid | DC | |
| 409728905 | Medicaid | MD | |
| 409728913 | Medicaid | MD | |
| 409728908 | Medicaid | MD |
| Provider Name | Nooshin F Farr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831259423 PECOS PAC ID: 5698678001 Enrollment ID: I20040131000124 |
| Provider Name | Benjamin Z Stallings |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518985308 PECOS PAC ID: 3375440746 Enrollment ID: I20040220000414 |
| Provider Name | Sungkee A Ahn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346211877 PECOS PAC ID: 5698661197 Enrollment ID: I20040223000839 |
| Provider Name | Bolivia Therse Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073584413 PECOS PAC ID: 7618863150 Enrollment ID: I20040223001088 |
| Provider Name | Sherida L. Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912972787 PECOS PAC ID: 7012803299 Enrollment ID: I20040225000082 |
| Provider Name | Frank S Shin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912997115 PECOS PAC ID: 0840181004 Enrollment ID: I20040324001454 |
| Provider Name | Alozie I Uneze |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447268404 PECOS PAC ID: 5597755439 Enrollment ID: I20040513001014 |
| Provider Name | Eugenio S Machado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457383077 PECOS PAC ID: 5698766459 Enrollment ID: I20040520000517 |
| Provider Name | Eric M Ashkin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457385205 PECOS PAC ID: 0446241889 Enrollment ID: I20040524000327 |
| Provider Name | Alicia J Odum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457363517 PECOS PAC ID: 0941288138 Enrollment ID: I20040713001003 |
| Provider Name | Thomas Wesley Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316920689 PECOS PAC ID: 4486602463 Enrollment ID: I20050106000295 |
| Provider Name | Anita Gangar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831122969 PECOS PAC ID: 5092763607 Enrollment ID: I20050111000332 |
| Provider Name | Charles E Hunter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386777803 PECOS PAC ID: 4688627573 Enrollment ID: I20050303000304 |
| Provider Name | David T Vanson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750354973 PECOS PAC ID: 9335186717 Enrollment ID: I20050422000705 |
| Provider Name | Sarah Zeb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780698019 PECOS PAC ID: 6800873928 Enrollment ID: I20050427000209 |
| Provider Name | Roy L Moss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912978172 PECOS PAC ID: 3173553864 Enrollment ID: I20050812000327 |
| Provider Name | Lee Edward Schwab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700820313 PECOS PAC ID: 6204869431 Enrollment ID: I20050916000857 |
| Provider Name | Mary Blanken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235192014 PECOS PAC ID: 7416973599 Enrollment ID: I20051018000816 |
| Provider Name | Gayle V Skinner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851336655 PECOS PAC ID: 1951317882 Enrollment ID: I20060301000321 |
| Provider Name | Joseph M Petrizzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407899057 PECOS PAC ID: 6709896871 Enrollment ID: I20060503000743 |
| Provider Name | Venktesh A Rangnath |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659338002 PECOS PAC ID: 0143224295 Enrollment ID: I20060905000218 |
| Provider Name | Angela Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578545463 PECOS PAC ID: 3971509803 Enrollment ID: I20061016000504 |
| Provider Name | Jaya Vijayan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699870881 PECOS PAC ID: 9537168786 Enrollment ID: I20061215000375 |
| Provider Name | Jeanne P Asher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588626139 PECOS PAC ID: 4082616081 Enrollment ID: I20070205000125 |
| Provider Name | Ann B Burke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912988502 PECOS PAC ID: 5496757262 Enrollment ID: I20070207000302 |
| Provider Name | Leslie Hilleary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124101837 PECOS PAC ID: 8123020492 Enrollment ID: I20070215000590 |
| Provider Name | George A Resta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720078215 PECOS PAC ID: 7810945896 Enrollment ID: I20070220000788 |
| Provider Name | Mary C Meeker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174677694 PECOS PAC ID: 4587763420 Enrollment ID: I20070619000167 |
| Provider Name | Adrienne Potts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750408670 PECOS PAC ID: 8426142712 Enrollment ID: I20070918000067 |
| Provider Name | Mary A Bahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992773642 PECOS PAC ID: 3779667969 Enrollment ID: I20080227000104 |
| Provider Name | Zhixin Wei |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871625335 PECOS PAC ID: 3971687955 Enrollment ID: I20080229000094 |
| Provider Name | Nicole Dequattro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588636583 PECOS PAC ID: 2961588371 Enrollment ID: I20080326000312 |
| Provider Name | Ethiopia Teferra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275587461 PECOS PAC ID: 9830270099 Enrollment ID: I20080416000230 |
| Provider Name | Chandra Baker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538369731 PECOS PAC ID: 0042383390 Enrollment ID: I20080718000425 |
| Provider Name | Laurie Ann Abrams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184622615 PECOS PAC ID: 8820044480 Enrollment ID: I20080731000134 |
| Provider Name | Corey Golding |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417020967 PECOS PAC ID: 2567463987 Enrollment ID: I20080912000513 |
| Provider Name | Jessica Mikuliak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174668909 PECOS PAC ID: 2860569498 Enrollment ID: I20080924000401 |
| Provider Name | Katherine B Chiocchio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629235098 PECOS PAC ID: 9436207446 Enrollment ID: I20090501000046 |
| Provider Name | Bernhard L Wiedermann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518911791 PECOS PAC ID: 5597816256 Enrollment ID: I20090619000505 |
| Provider Name | Deanne M Mckenzie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235299702 PECOS PAC ID: 5698826600 Enrollment ID: I20090706000008 |
| Provider Name | Sharon D Harriston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346465465 PECOS PAC ID: 5395826770 Enrollment ID: I20091019000602 |
| Provider Name | Anna Zamskaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659418903 PECOS PAC ID: 5890832455 Enrollment ID: I20091030000265 |
| Provider Name | Rebecca G Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932434834 PECOS PAC ID: 9436297025 Enrollment ID: I20091119000404 |
| Provider Name | Tehseen Naqvi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407965056 PECOS PAC ID: 8820153117 Enrollment ID: I20100127000373 |
| Provider Name | Imad S Mufarrij |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962514158 PECOS PAC ID: 3274638127 Enrollment ID: I20100315000091 |
| Provider Name | Henry S Willner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003873159 PECOS PAC ID: 7416083910 Enrollment ID: I20100408000314 |
| Provider Name | Mary H Sine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750372017 PECOS PAC ID: 3779611009 Enrollment ID: I20100507000067 |
| Provider Name | Darryn M. Band |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811978935 PECOS PAC ID: 2668500901 Enrollment ID: I20100507000212 |
| Provider Name | Jessica Berger Weiss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730161522 PECOS PAC ID: 2264561570 Enrollment ID: I20100525000874 |
| Provider Name | Tamara E Coates |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740261338 PECOS PAC ID: 0840329728 Enrollment ID: I20100602000832 |
| Provider Name | William Kelly |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376781443 PECOS PAC ID: 2668526336 Enrollment ID: I20100617000062 |
| Provider Name | David W Lockwood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053385849 PECOS PAC ID: 4789715384 Enrollment ID: I20100625000583 |
| Provider Name | Safiya Steward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497971576 PECOS PAC ID: 3779614391 Enrollment ID: I20100625000747 |
| Provider Name | Mark Steves |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144210667 PECOS PAC ID: 9537291935 Enrollment ID: I20100721000287 |
| Provider Name | Attan Kasid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740362599 PECOS PAC ID: 6709078009 Enrollment ID: I20101005000840 |
| Provider Name | Mary A Mcgarvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649266198 PECOS PAC ID: 6103011440 Enrollment ID: I20101111000941 |
| Provider Name | Eric Y Yun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790773612 PECOS PAC ID: 0840262184 Enrollment ID: I20101112000498 |
| Provider Name | Jacqueline Cadena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073562054 PECOS PAC ID: 5092902932 Enrollment ID: I20101206000070 |
| Provider Name | Roy Khoury |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316114812 PECOS PAC ID: 3476693722 Enrollment ID: I20101207001080 |
| Provider Name | Sheila M Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467605295 PECOS PAC ID: 7012196322 Enrollment ID: I20110119000435 |
| Provider Name | Vienna Marvette Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477853604 PECOS PAC ID: 3072794635 Enrollment ID: I20110302000414 |
| Provider Name | Andrew B Block |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912931643 PECOS PAC ID: 9234120692 Enrollment ID: I20110617000615 |
| Provider Name | Roy M Brooks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780602979 PECOS PAC ID: 7517958978 Enrollment ID: I20110617000629 |
| Provider Name | Leslie B Masiky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730382979 PECOS PAC ID: 5991983017 Enrollment ID: I20110620000590 |
| Provider Name | Joseph Couvillon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053517516 PECOS PAC ID: 0547438160 Enrollment ID: I20110726000047 |
| Provider Name | Ann Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588965784 PECOS PAC ID: 0345410874 Enrollment ID: I20110819000064 |
| Provider Name | Susan G Smigocki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225094386 PECOS PAC ID: 5395919252 Enrollment ID: I20111111000123 |
| Provider Name | Leah Berhane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437213584 PECOS PAC ID: 7911186291 Enrollment ID: I20111221000105 |
| Provider Name | David A Wagar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356306187 PECOS PAC ID: 7113011610 Enrollment ID: I20111228000503 |
| Provider Name | Roopa Gupta |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1194944496 PECOS PAC ID: 2365532660 Enrollment ID: I20120227000068 |
| Provider Name | Shelley L Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598803991 PECOS PAC ID: 7517116031 Enrollment ID: I20121004000374 |
| Provider Name | Melanie N Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396053906 PECOS PAC ID: 2961681986 Enrollment ID: I20121112000250 |
| Provider Name | Ruth M Holliday |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437111648 PECOS PAC ID: 9638141195 Enrollment ID: I20130208000122 |
| Provider Name | Asante Dickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528131133 PECOS PAC ID: 3678678125 Enrollment ID: I20130715000515 |
| Provider Name | Sami M Mufarrij |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083868764 PECOS PAC ID: 1355578634 Enrollment ID: I20131211001555 |
| Provider Name | Haizia Amsler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265612618 PECOS PAC ID: 1153497441 Enrollment ID: I20140509000801 |
| Provider Name | Courtney H Levenson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699095364 PECOS PAC ID: 0941449615 Enrollment ID: I20140818000316 |
| Provider Name | Hartaj Kaur Powell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598942765 PECOS PAC ID: 7214156728 Enrollment ID: I20140916000972 |
| Provider Name | Yelena Melyakova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386691871 PECOS PAC ID: 4082610944 Enrollment ID: I20141008002165 |
| Provider Name | Rami Makhoul |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215127790 PECOS PAC ID: 4981824257 Enrollment ID: I20141008002319 |
| Provider Name | Bradford A Winans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346203817 PECOS PAC ID: 6002886488 Enrollment ID: I20141020001926 |
| Provider Name | Ran Xie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588930093 PECOS PAC ID: 2567684731 Enrollment ID: I20141104001931 |
| Provider Name | Elise Riley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881706083 PECOS PAC ID: 5991927899 Enrollment ID: I20141110000326 |
| Provider Name | Carey S Riordan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528466653 PECOS PAC ID: 3779807326 Enrollment ID: I20150130001365 |
| Provider Name | Mary J Pavelko Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427175264 PECOS PAC ID: 5496071029 Enrollment ID: I20150226000127 |
| Provider Name | Bethany Roderer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730458571 PECOS PAC ID: 2961728522 Enrollment ID: I20150226001178 |
| Provider Name | Louis A Damiano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750382172 PECOS PAC ID: 0648584607 Enrollment ID: I20150804004892 |
| Provider Name | Claire M Gallagher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063451508 PECOS PAC ID: 7416261110 Enrollment ID: I20150807013966 |
| Provider Name | Loren M Wilkerson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477729648 PECOS PAC ID: 5799940441 Enrollment ID: I20150824002303 |
| Provider Name | Elizabeth A Sharpe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376675306 PECOS PAC ID: 0648330225 Enrollment ID: I20150901000484 |
| Provider Name | Amrita Ghosh |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1558653717 PECOS PAC ID: 1254649130 Enrollment ID: I20150925000587 |
| Provider Name | Ashley A Artis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255679460 PECOS PAC ID: 9638490618 Enrollment ID: I20151026000202 |
| Provider Name | Jonathan K. Marx |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1619991726 PECOS PAC ID: 8628074796 Enrollment ID: I20151106001901 |
| Provider Name | Michelle Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295117133 PECOS PAC ID: 5890095152 Enrollment ID: I20151118002878 |
| Provider Name | Elham Ghayouri-azar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487998381 PECOS PAC ID: 6002117686 Enrollment ID: I20151228000691 |
| Provider Name | Lauren F Ng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710278817 PECOS PAC ID: 4587967195 Enrollment ID: I20160114001309 |
| Provider Name | Lauren B Cianciaruso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992764401 PECOS PAC ID: 0749233781 Enrollment ID: I20160126001849 |
| Provider Name | Ann Porter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578932844 PECOS PAC ID: 7517261415 Enrollment ID: I20160215000412 |
| Provider Name | Riny A Karras |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1114132909 PECOS PAC ID: 5799953386 Enrollment ID: I20160323000233 |
| Provider Name | Beth E Jawara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356482137 PECOS PAC ID: 8527366350 Enrollment ID: I20160412001833 |
| Provider Name | Adam S Footer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891011680 PECOS PAC ID: 1759689045 Enrollment ID: I20160420001035 |
| Provider Name | Habtemariam M Ansera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417117201 PECOS PAC ID: 7911298088 Enrollment ID: I20160621000047 |
| Provider Name | Nkechinyere Nwaobasi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346497047 PECOS PAC ID: 9638461064 Enrollment ID: I20160706000418 |
| Provider Name | Maria Martha C Raymundo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598123754 PECOS PAC ID: 6406843200 Enrollment ID: I20160728000096 |
| Provider Name | Monica Meli |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538527544 PECOS PAC ID: 0042504375 Enrollment ID: I20160810000709 |
| Provider Name | Christopher Dac Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114997806 PECOS PAC ID: 8820312275 Enrollment ID: I20160912000243 |
| Provider Name | Paul Butros |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316142029 PECOS PAC ID: 8820253263 Enrollment ID: I20160919000076 |
| Provider Name | Dara N King |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780850552 PECOS PAC ID: 5193899615 Enrollment ID: I20160921001011 |
| Provider Name | Keisha Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821461849 PECOS PAC ID: 9335431865 Enrollment ID: I20161003001806 |
| Provider Name | Rhonique Shields |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164507554 PECOS PAC ID: 7214219450 Enrollment ID: I20170123001941 |
| Provider Name | Mustafa Syed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255618757 PECOS PAC ID: 3870863210 Enrollment ID: I20170718002954 |
| Provider Name | Lucia Forbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285175208 PECOS PAC ID: 4284905894 Enrollment ID: I20170731003522 |
| Provider Name | Heather C Brillhart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538502349 PECOS PAC ID: 5799081147 Enrollment ID: I20170817003257 |
| Provider Name | Nancy E Acs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033411814 PECOS PAC ID: 8224212931 Enrollment ID: I20180110001011 |
| Provider Name | Dawn J Leonard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063490167 PECOS PAC ID: 9234153776 Enrollment ID: I20180209000097 |
| Provider Name | Renata Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992229041 PECOS PAC ID: 3274897442 Enrollment ID: I20180516001519 |
| Provider Name | Julia M Mutter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851792428 PECOS PAC ID: 6305101205 Enrollment ID: I20180524000737 |
| Provider Name | James A Urso |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1891734521 PECOS PAC ID: 9739081571 Enrollment ID: I20180724000736 |
| Provider Name | Marjorie Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760960686 PECOS PAC ID: 8628327434 Enrollment ID: I20180827002853 |
| Provider Name | Esther Ozor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538665294 PECOS PAC ID: 7517216377 Enrollment ID: I20180828001548 |
| Provider Name | Angela Ghersi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437494887 PECOS PAC ID: 3870835580 Enrollment ID: I20190430000494 |
| Provider Name | Audrea B Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114400942 PECOS PAC ID: 2062746043 Enrollment ID: I20190625002108 |
| Provider Name | Brian T Fogarty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033182712 PECOS PAC ID: 2567644636 Enrollment ID: I20191010000430 |
| Provider Name | Allen Missoi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467682229 PECOS PAC ID: 6204051006 Enrollment ID: I20191016003453 |
| Provider Name | Donna Craig Smawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992228522 PECOS PAC ID: 6709150048 Enrollment ID: I20191101001154 |
| Provider Name | Stephanie Ann Affeldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982169918 PECOS PAC ID: 9133551419 Enrollment ID: I20191217001695 |
| Provider Name | Zahida Z Samat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548804479 PECOS PAC ID: 7911336615 Enrollment ID: I20200401000174 |
| Provider Name | Olalesi Osunsade |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568720266 PECOS PAC ID: 4880957182 Enrollment ID: I20200427000015 |
| Provider Name | Bharati Srivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306956339 PECOS PAC ID: 8628002433 Enrollment ID: I20200430000410 |
| Provider Name | Maria Barbosa Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639596109 PECOS PAC ID: 9537590203 Enrollment ID: I20200513000453 |
| Provider Name | Shana Leigh Beach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093041477 PECOS PAC ID: 4385785468 Enrollment ID: I20200520002595 |
| Provider Name | Kimberly S Rupert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215573019 PECOS PAC ID: 6800218215 Enrollment ID: I20200611002588 |
| Provider Name | Veena K. Rajpal |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548231061 PECOS PAC ID: 6901228246 Enrollment ID: I20200616000014 |
| Provider Name | Rachel Sainte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043730674 PECOS PAC ID: 1658610274 Enrollment ID: I20200630002029 |
| Provider Name | Uchenna S Nwosu |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1588921829 PECOS PAC ID: 3072730316 Enrollment ID: I20200814001125 |
| Provider Name | Matthew D Skancke |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1376987065 PECOS PAC ID: 3971922030 Enrollment ID: I20200923002688 |
| Provider Name | Tameri A Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225572142 PECOS PAC ID: 0547595894 Enrollment ID: I20201014001929 |
| Provider Name | Katelin E Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497364632 PECOS PAC ID: 1355751900 Enrollment ID: I20201110001569 |
| Provider Name | Tigist T Tilahun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154803294 PECOS PAC ID: 2860803863 Enrollment ID: I20201124000339 |
| Provider Name | Porscha J Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568838134 PECOS PAC ID: 6800202177 Enrollment ID: I20210311000241 |
| Provider Name | Shara A Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750968608 PECOS PAC ID: 8123437654 Enrollment ID: I20210512002480 |
| Provider Name | Hillary Rosenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740345362 PECOS PAC ID: 0345463550 Enrollment ID: I20210830000678 |
| Provider Name | Leal Hsiao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982804241 PECOS PAC ID: 0840340550 Enrollment ID: I20220224000344 |
| Provider Name | Jordia Batchelor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649925207 PECOS PAC ID: 5193111748 Enrollment ID: I20220407000043 |
| Provider Name | Markia Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760135925 PECOS PAC ID: 1759778608 Enrollment ID: I20220425001644 |
| Provider Name | Ernest Njonkem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447898143 PECOS PAC ID: 6608295340 Enrollment ID: I20220630000016 |
| Provider Name | Jill Grempler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407360365 PECOS PAC ID: 8921336207 Enrollment ID: I20220729000048 |
| Provider Name | Lylian Anje Mukoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669979746 PECOS PAC ID: 8224411327 Enrollment ID: I20220823002454 |
| Provider Name | Joann Ordaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013388537 PECOS PAC ID: 0941226617 Enrollment ID: I20230115000018 |
| Provider Name | Najah El Bash |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508246224 PECOS PAC ID: 2264785633 Enrollment ID: I20230314001070 |
| Provider Name | Moriohunmubo Grace Omonayin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891202289 PECOS PAC ID: 5496110769 Enrollment ID: I20230421000044 |
| Provider Name | Vishal Kadakia |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1124462213 PECOS PAC ID: 0941507362 Enrollment ID: I20230531000226 |
| Provider Name | Stephen Jung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205825536 PECOS PAC ID: 6305003153 Enrollment ID: I20230609001599 |
| Provider Name | Jian Zhang |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1528316601 PECOS PAC ID: 3779872247 Enrollment ID: I20230616000013 |
| Provider Name | Alex Chan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023091972 PECOS PAC ID: 6709839491 Enrollment ID: I20230629000855 |
| Provider Name | Carl A Recine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013979780 PECOS PAC ID: 1254245723 Enrollment ID: I20230708000393 |
| Provider Name | Elena Wechsler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487681375 PECOS PAC ID: 8022020296 Enrollment ID: I20230710000615 |
| Provider Name | Jason Hodges |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306828744 PECOS PAC ID: 9234033390 Enrollment ID: I20230710000693 |
| Provider Name | Matthew Barchie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952518235 PECOS PAC ID: 5799924551 Enrollment ID: I20230711000769 |
| Provider Name | Michael Myers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558322180 PECOS PAC ID: 2860797784 Enrollment ID: I20230711001098 |
| Provider Name | Kevin Kroeger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154372423 PECOS PAC ID: 2264413459 Enrollment ID: I20230711002059 |
| Provider Name | Catherine Keegan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861656977 PECOS PAC ID: 3072777507 Enrollment ID: I20230712000059 |
| Provider Name | Jeffrey Bisker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235183435 PECOS PAC ID: 8224936539 Enrollment ID: I20230714000612 |
| Provider Name | Bilal Saleh |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1871790998 PECOS PAC ID: 6608022876 Enrollment ID: I20230801000288 |
| Provider Name | Johnny Alexander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649439043 PECOS PAC ID: 9234201906 Enrollment ID: I20230803002631 |
| Provider Name | Christopher Bedford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255692935 PECOS PAC ID: 7113291394 Enrollment ID: I20230804003049 |
| Provider Name | Marshall Mallory |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083620447 PECOS PAC ID: 4789636267 Enrollment ID: I20230807001628 |
| Provider Name | Salvatore Labruzzo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659578896 PECOS PAC ID: 8325324205 Enrollment ID: I20230807003770 |
| Provider Name | Stacey Black |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1336291038 PECOS PAC ID: 3678798196 Enrollment ID: I20230807004006 |
| Provider Name | Bhavin Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1124445085 PECOS PAC ID: 3577807551 Enrollment ID: I20230808000393 |
| Provider Name | Iain Fan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487760351 PECOS PAC ID: 8325083108 Enrollment ID: I20230809002617 |
| Provider Name | Carrie Harvey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265429013 PECOS PAC ID: 7012903636 Enrollment ID: I20230809003803 |
| Provider Name | Bassam Zahlan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346289220 PECOS PAC ID: 9739169921 Enrollment ID: I20230814004158 |
| Provider Name | Keith Spellman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003056433 PECOS PAC ID: 4486704137 Enrollment ID: I20230815001195 |
| Provider Name | Hassan Semaan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144209420 PECOS PAC ID: 9830081744 Enrollment ID: I20230815001498 |
| Provider Name | Richard W Rieck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497741714 PECOS PAC ID: 1850395765 Enrollment ID: I20230815003709 |
| Provider Name | Steven W Feick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922075530 PECOS PAC ID: 5395646285 Enrollment ID: I20230816001084 |
| Provider Name | Hakeem Afuwape |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326292806 PECOS PAC ID: 7810112380 Enrollment ID: I20230816003853 |
| Provider Name | Ernest Camponovo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588661904 PECOS PAC ID: 1254239056 Enrollment ID: I20230818000008 |
| Provider Name | Deborah Ash |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932123155 PECOS PAC ID: 8628020740 Enrollment ID: I20230821001895 |
| Provider Name | Bradley Peters |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659374262 PECOS PAC ID: 2567368939 Enrollment ID: I20230823002295 |
| Provider Name | Stanley Higgins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649271131 PECOS PAC ID: 5496658205 Enrollment ID: I20230828000123 |
| Provider Name | Justin Ly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770560542 PECOS PAC ID: 2264467190 Enrollment ID: I20230828000159 |
| Provider Name | Roger Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801001466 PECOS PAC ID: 4587764394 Enrollment ID: I20230829002839 |
| Provider Name | Mary Fitzpatric |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497892780 PECOS PAC ID: 5496848459 Enrollment ID: I20230829003977 |
| Provider Name | Minh Lu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841477049 PECOS PAC ID: 9436314424 Enrollment ID: I20230908003569 |
| Provider Name | Mark Boykin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912091109 PECOS PAC ID: 6901824085 Enrollment ID: I20230909000210 |
| Provider Name | Thomas Keane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184879710 PECOS PAC ID: 1254472830 Enrollment ID: I20230920002050 |
| Provider Name | Anna Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427031095 PECOS PAC ID: 8921084294 Enrollment ID: I20230925003811 |
| Provider Name | Frederick J Laufer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831196922 PECOS PAC ID: 6507779162 Enrollment ID: I20230927002431 |
| Provider Name | Thomas Pope |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871541714 PECOS PAC ID: 9537137476 Enrollment ID: I20231009003007 |
| Provider Name | Jeffrey Barnes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770640393 PECOS PAC ID: 7517182124 Enrollment ID: I20231010000243 |
| Provider Name | Sean Keenan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932190436 PECOS PAC ID: 0345334330 Enrollment ID: I20231011001532 |
| Provider Name | Reid Breckwoldt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295737583 PECOS PAC ID: 2163546011 Enrollment ID: I20231014000446 |
| Provider Name | Judith Corey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437150323 PECOS PAC ID: 1951609031 Enrollment ID: I20231016000597 |
| Provider Name | David B. Blonder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841466430 PECOS PAC ID: 8729235049 Enrollment ID: I20231016002015 |
| Provider Name | Hafiz Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992334841 PECOS PAC ID: 0244651701 Enrollment ID: I20231018000610 |
| Provider Name | Jared Martillotti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437385341 PECOS PAC ID: 3274759089 Enrollment ID: I20231022000057 |
| Provider Name | Richard Black |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093798720 PECOS PAC ID: 4486553773 Enrollment ID: I20231024002196 |
| Provider Name | Dominic Smith |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578982757 PECOS PAC ID: 7719253103 Enrollment ID: I20231025003126 |
| Provider Name | Gary Podgorski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598751810 PECOS PAC ID: 9234238825 Enrollment ID: I20231104000282 |
| Provider Name | Jolly Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144705104 PECOS PAC ID: 2860849346 Enrollment ID: I20231104000510 |
| Provider Name | Anthony Terreri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457332447 PECOS PAC ID: 8123182912 Enrollment ID: I20231104000607 |
| Provider Name | Gurpreet Sabar |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1780864306 PECOS PAC ID: 0143457549 Enrollment ID: I20231221001778 |
| Provider Name | Anita Enadeghe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184297764 PECOS PAC ID: 8628411808 Enrollment ID: I20240205001367 |
| Provider Name | Derek Taeyoung Kim |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1225533045 PECOS PAC ID: 1153763826 Enrollment ID: I20240527000047 |
| Provider Name | Wanda Nicholson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467522854 PECOS PAC ID: 1557498011 Enrollment ID: I20240609000096 |
Luna Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8720 Georgia Ave Ste 205, Silver Spring, MD 20910 Phone: 301-679-6033 Fax: 888-552-0363 | |
Heartforza Mental Wellness & Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11320 King George Dr, Silver Spring, MD 20902 Phone: 571-356-9626 | |
Medstar Medical Group Ii Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3305 N Leisure World Blvd, Silver Spring, MD 20906 Phone: 301-598-1590 | |
Pinnacle Healthcare Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 13244 Musicmaster Dr, Silver Spring, MD 20904 Phone: 340-370-8705 | |
Stepping Stone Treatment Program Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9652 Mt. Pisgah Road, Silver Spring, MD 20903 Phone: 301-445-4250 | |
Threshold Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1398 Lamberton Dr, Silver Spring, MD 20902 Phone: 301-754-1102 Fax: 301-754-1690 | |
A Village Wellness Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 Pershing Dr Ste 202, Silver Spring, MD 20910 Phone: 301-328-7162 |