| Providence Medical Group Southwest Washington | |
|
525 Lilly Rd Ne Olympia WA 98506 | |
| (360) 793-7230 | |
| Not Available |
| Full Name | Providence Medical Group Southwest Washington |
|---|---|
| Speciality | Family Medicine |
| Location | 525 Lilly Rd Ne, Olympia, Washington |
| Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECRETARY OF ENROLLMENTS) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Medical Group Southwest Washington Po Box 3360 Portland OR 97208-3360 Ph: (877) 747-2455 | Providence Medical Group Southwest Washington 525 Lilly Rd Ne Olympia WA 98506 Ph: (360) 793-7230 |
| NPI Number | 1174744304 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/20/2024 |
| Certification Date | 08/20/2024 |
| Medicare PECOS PAC ID | 6709782600 |
|---|---|
| Medicare Enrollment ID | O20031211000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174744304 | NPI | - | NPPES |
| 0062287 | Other | WA | L&I |
| 8915131 | Other | WA | L&I CRIME VICTIMS |
| Provider Name | Julio C Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447204326 PECOS PAC ID: 8325933450 Enrollment ID: I20040218000352 |
| Provider Name | Kenneth C Ejiogu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578580270 PECOS PAC ID: 2163317165 Enrollment ID: I20040218000789 |
| Provider Name | Sheik N Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790731115 PECOS PAC ID: 7214827112 Enrollment ID: I20040316000724 |
| Provider Name | Tracee J Karlson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982690467 PECOS PAC ID: 8123919669 Enrollment ID: I20040323001310 |
| Provider Name | Bruce L Davidson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619932092 PECOS PAC ID: 5193718013 Enrollment ID: I20040406001552 |
| Provider Name | Eller C Manlapaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932116076 PECOS PAC ID: 1052308087 Enrollment ID: I20040429001296 |
| Provider Name | Paul D Bunge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033228762 PECOS PAC ID: 3375531585 Enrollment ID: I20040505001107 |
| Provider Name | Gretchen J Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184690844 PECOS PAC ID: 4789673344 Enrollment ID: I20040510000034 |
| Provider Name | Ahmad Abadullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225005721 PECOS PAC ID: 1052301306 Enrollment ID: I20040517001538 |
| Provider Name | Anurag Jindal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487601290 PECOS PAC ID: 5193611648 Enrollment ID: I20040521000390 |
| Provider Name | Heidi J Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366492241 PECOS PAC ID: 8729065818 Enrollment ID: I20040707000270 |
| Provider Name | Xingwei D Sui |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568469534 PECOS PAC ID: 3072593086 Enrollment ID: I20040721000882 |
| Provider Name | Vivek J Murari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487642591 PECOS PAC ID: 8123013489 Enrollment ID: I20040726000457 |
| Provider Name | Judith Ogan Son |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518012632 PECOS PAC ID: 7810961901 Enrollment ID: I20040824000908 |
| Provider Name | Najla M Doughly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962501460 PECOS PAC ID: 0143296913 Enrollment ID: I20040903000136 |
| Provider Name | Julie M Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275622201 PECOS PAC ID: 3375532054 Enrollment ID: I20040916000591 |
| Provider Name | James J Lechner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992700611 PECOS PAC ID: 4789571068 Enrollment ID: I20041004000287 |
| Provider Name | Paul A Robertson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639175938 PECOS PAC ID: 3274420575 Enrollment ID: I20041004000372 |
| Provider Name | Ritawari Sharangpani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154473015 PECOS PAC ID: 8921069600 Enrollment ID: I20041026000253 |
| Provider Name | Damanjeet S Chugh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366492944 PECOS PAC ID: 8224092473 Enrollment ID: I20041117000261 |
| Provider Name | Anjan K Sattar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487754271 PECOS PAC ID: 0648228106 Enrollment ID: I20050111000691 |
| Provider Name | Seth E Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194882050 PECOS PAC ID: 0345222766 Enrollment ID: I20050211000107 |
| Provider Name | Brandon N Ong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013968072 PECOS PAC ID: 2466405535 Enrollment ID: I20050301000473 |
| Provider Name | Stephen D Lykins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194805390 PECOS PAC ID: 1456305754 Enrollment ID: I20050309000855 |
| Provider Name | Stephen H Sim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407913205 PECOS PAC ID: 5294780920 Enrollment ID: I20050316000140 |
| Provider Name | Stella S Thalhamer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366531329 PECOS PAC ID: 9436109972 Enrollment ID: I20050317000336 |
| Provider Name | Jong Wook Ban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265467930 PECOS PAC ID: 1557316031 Enrollment ID: I20050317000371 |
| Provider Name | Kurt R Sandine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164527206 PECOS PAC ID: 3779530746 Enrollment ID: I20050401000161 |
| Provider Name | Carl Ott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982613709 PECOS PAC ID: 2567355027 Enrollment ID: I20050505000474 |
| Provider Name | Craig Michael Tedder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588601850 PECOS PAC ID: 1355381476 Enrollment ID: I20050509000634 |
| Provider Name | Julia L Sokoloff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740342104 PECOS PAC ID: 9032152293 Enrollment ID: I20050608000579 |
| Provider Name | Francis W Prescott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710945993 PECOS PAC ID: 3173567187 Enrollment ID: I20050610000389 |
| Provider Name | Edward L Jansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972537918 PECOS PAC ID: 1759274210 Enrollment ID: I20050610000821 |
| Provider Name | Pulla Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437167962 PECOS PAC ID: 3870577497 Enrollment ID: I20050811000678 |
| Provider Name | William L Boyan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124119144 PECOS PAC ID: 7012947377 Enrollment ID: I20050816000891 |
| Provider Name | Anna A Zampona |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376545343 PECOS PAC ID: 1951332485 Enrollment ID: I20050824001080 |
| Provider Name | Laurie T Sorenson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194871087 PECOS PAC ID: 8729019245 Enrollment ID: I20050825000181 |
| Provider Name | Kevin E Braun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407890023 PECOS PAC ID: 7810928850 Enrollment ID: I20050829001082 |
| Provider Name | Michael A Lynam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316962509 PECOS PAC ID: 2668464637 Enrollment ID: I20051004000933 |
| Provider Name | Alison J Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215934054 PECOS PAC ID: 6608891965 Enrollment ID: I20051006000362 |
| Provider Name | Jimmy Z Swan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1447363734 PECOS PAC ID: 0446275473 Enrollment ID: I20051010000468 |
| Provider Name | Carrie Matyac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669439451 PECOS PAC ID: 6507881984 Enrollment ID: I20051014000195 |
| Provider Name | Ricardo W Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992858377 PECOS PAC ID: 4082631809 Enrollment ID: I20051031000482 |
| Provider Name | Keith Schulze |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174625693 PECOS PAC ID: 1759300635 Enrollment ID: I20051121000603 |
| Provider Name | Keith C Pasternak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477567725 PECOS PAC ID: 8123048410 Enrollment ID: I20051201000345 |
| Provider Name | Ednea A Simon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174604425 PECOS PAC ID: 9335160340 Enrollment ID: I20051216000671 |
| Provider Name | Mohammed M Muraywid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518062280 PECOS PAC ID: 4486668142 Enrollment ID: I20060201000777 |
| Provider Name | Elhami Hannan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093803884 PECOS PAC ID: 9638124100 Enrollment ID: I20060321000259 |
| Provider Name | Lynda B Stafford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629021852 PECOS PAC ID: 9032120472 Enrollment ID: I20060522000005 |
| Provider Name | John W Waggoner |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1922053016 PECOS PAC ID: 1850303579 Enrollment ID: I20060621000275 |
| Provider Name | Zhongzeng Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104865666 PECOS PAC ID: 0840228359 Enrollment ID: I20060710000093 |
| Provider Name | Jose Gude |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063432292 PECOS PAC ID: 5092719336 Enrollment ID: I20060829000408 |
| Provider Name | Darrel J Bell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669419594 PECOS PAC ID: 7911902408 Enrollment ID: I20060915000115 |
| Provider Name | Erin J Longley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295727881 PECOS PAC ID: 0042216681 Enrollment ID: I20061004000677 |
| Provider Name | Laurie A Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598777062 PECOS PAC ID: 8325044340 Enrollment ID: I20061016000325 |
| Provider Name | Ponrat Pakpreo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023050200 PECOS PAC ID: 6901827658 Enrollment ID: I20061211000485 |
| Provider Name | Beverly A Huddleston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063521870 PECOS PAC ID: 6002815503 Enrollment ID: I20061211000575 |
| Provider Name | Dennis W Peck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114942596 PECOS PAC ID: 0749280113 Enrollment ID: I20070109000143 |
| Provider Name | Shalini M Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144206038 PECOS PAC ID: 8224038377 Enrollment ID: I20070113000169 |
| Provider Name | Jane M Geraci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568560241 PECOS PAC ID: 4981606704 Enrollment ID: I20070207000715 |
| Provider Name | Qiang Li |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861446494 PECOS PAC ID: 7315041209 Enrollment ID: I20070403000046 |
| Provider Name | Christopher S Famy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043329840 PECOS PAC ID: 7113023672 Enrollment ID: I20070501000159 |
| Provider Name | Michael W Strohbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881788347 PECOS PAC ID: 6204932296 Enrollment ID: I20070508000595 |
| Provider Name | Kirk D Danielson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1093820797 PECOS PAC ID: 1658470067 Enrollment ID: I20070626000703 |
| Provider Name | Michael J Reznicek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760568760 PECOS PAC ID: 0749389849 Enrollment ID: I20070629000304 |
| Provider Name | Gabriella Nicole Ghali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891826186 PECOS PAC ID: 7113028309 Enrollment ID: I20070718000135 |
| Provider Name | Joung S Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689726317 PECOS PAC ID: 4587755673 Enrollment ID: I20070803000095 |
| Provider Name | Muhammad B Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770635930 PECOS PAC ID: 1759473275 Enrollment ID: I20070828000730 |
| Provider Name | Hunter A Mckay |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033112107 PECOS PAC ID: 1759474802 Enrollment ID: I20070905000388 |
| Provider Name | Carie G Bussey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952486318 PECOS PAC ID: 5991898074 Enrollment ID: I20070905000657 |
| Provider Name | Sheila D Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487859708 PECOS PAC ID: 7911090519 Enrollment ID: I20070912000164 |
| Provider Name | Eve Hyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720094592 PECOS PAC ID: 6002876216 Enrollment ID: I20070913000012 |
| Provider Name | Sharon Hinz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326109687 PECOS PAC ID: 2668566258 Enrollment ID: I20070913000059 |
| Provider Name | Rekha Chandran |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1457393878 PECOS PAC ID: 4688768872 Enrollment ID: I20070919000314 |
| Provider Name | Maribeth Theresa Duffy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770669657 PECOS PAC ID: 0941397095 Enrollment ID: I20071106000523 |
| Provider Name | Lisa G Wahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518153949 PECOS PAC ID: 3971691619 Enrollment ID: I20071114000261 |
| Provider Name | Michael F Lorich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881777340 PECOS PAC ID: 6204926330 Enrollment ID: I20071213000205 |
| Provider Name | Jennifer A Marnik Scalici |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760521579 PECOS PAC ID: 9234219890 Enrollment ID: I20080109000083 |
| Provider Name | Scott J Tibbits |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538220132 PECOS PAC ID: 8123108727 Enrollment ID: I20080109000114 |
| Provider Name | Sarah A Lux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912069527 PECOS PAC ID: 3072693670 Enrollment ID: I20080109000152 |
| Provider Name | Diane E Dakin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104982305 PECOS PAC ID: 4880776988 Enrollment ID: I20080129000200 |
| Provider Name | Arpan Waghray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801088794 PECOS PAC ID: 5597847459 Enrollment ID: I20080130000729 |
| Provider Name | Terra J Grandmason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235328501 PECOS PAC ID: 2860574514 Enrollment ID: I20080204000045 |
| Provider Name | Lana K Bur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649449919 PECOS PAC ID: 1951349711 Enrollment ID: I20080312000181 |
| Provider Name | Mariel L Plaeger Brockway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336292770 PECOS PAC ID: 5193802296 Enrollment ID: I20080414000081 |
| Provider Name | Wyatt Ehrlander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205005642 PECOS PAC ID: 3274618467 Enrollment ID: I20080421000006 |
| Provider Name | Laura M Yates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619923042 PECOS PAC ID: 5597844720 Enrollment ID: I20080429000949 |
| Provider Name | Kenji Asakura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538179965 PECOS PAC ID: 8325127897 Enrollment ID: I20080508000616 |
| Provider Name | Jennifer A Playstead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851464937 PECOS PAC ID: 7416027701 Enrollment ID: I20080529000201 |
| Provider Name | Zaher A Rafeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528176898 PECOS PAC ID: 5193701811 Enrollment ID: I20080624000242 |
| Provider Name | Andrzej T Himmel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174711634 PECOS PAC ID: 3779655261 Enrollment ID: I20080627000213 |
| Provider Name | Eve S Cunningham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477601409 PECOS PAC ID: 5193822336 Enrollment ID: I20080701000417 |
| Provider Name | Romil Wadhawan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417090044 PECOS PAC ID: 9931271814 Enrollment ID: I20080709000611 |
| Provider Name | Richard Brandt Kreutz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164504742 PECOS PAC ID: 2567535214 Enrollment ID: I20080714000683 |
| Provider Name | Chan Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629237268 PECOS PAC ID: 1951474634 Enrollment ID: I20080715000220 |
| Provider Name | Jay S Smitherman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225028053 PECOS PAC ID: 7911950019 Enrollment ID: I20080716000850 |
| Provider Name | Sheila M Smitherman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1417123779 PECOS PAC ID: 0840363370 Enrollment ID: I20080716000858 |
| Provider Name | Elisha Mvundura |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083872410 PECOS PAC ID: 6709959570 Enrollment ID: I20080728000143 |
| Provider Name | Hui Wang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1962513580 PECOS PAC ID: 5890861520 Enrollment ID: I20080904000196 |
| Provider Name | Christine G Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184840936 PECOS PAC ID: 6608942230 Enrollment ID: I20080905000336 |
| Provider Name | Kelli A Henricksen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790931616 PECOS PAC ID: 2668548157 Enrollment ID: I20080908000086 |
| Provider Name | Barbara Digman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841456696 PECOS PAC ID: 7113093493 Enrollment ID: I20080910000549 |
| Provider Name | Bridgit Bell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063525426 PECOS PAC ID: 2264482868 Enrollment ID: I20080916000665 |
| Provider Name | Kaitlin G Bock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720248701 PECOS PAC ID: 4486721065 Enrollment ID: I20080923000778 |
| Provider Name | Alexander I Kats |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356533228 PECOS PAC ID: 4082709506 Enrollment ID: I20080926000172 |
| Provider Name | Brian Iuliano |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548201346 PECOS PAC ID: 9830280015 Enrollment ID: I20081003000086 |
| Provider Name | Scott Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093979940 PECOS PAC ID: 0941378954 Enrollment ID: I20081003000600 |
| Provider Name | Nicole H Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124284484 PECOS PAC ID: 4981764776 Enrollment ID: I20081124000724 |
| Provider Name | Monica Marton Popovici |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437326626 PECOS PAC ID: 4385705763 Enrollment ID: I20081203000653 |
| Provider Name | Lynn M Okita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508055435 PECOS PAC ID: 3173686581 Enrollment ID: I20090112000464 |
| Provider Name | Lee R Argue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083714281 PECOS PAC ID: 3375606361 Enrollment ID: I20090119000017 |
| Provider Name | George B Mcclure |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669584199 PECOS PAC ID: 6507920493 Enrollment ID: I20090121000214 |
| Provider Name | Darren M Nealis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912929258 PECOS PAC ID: 1850455650 Enrollment ID: I20090122000530 |
| Provider Name | Richard N Pulido |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497942064 PECOS PAC ID: 3173610102 Enrollment ID: I20090130000519 |
| Provider Name | Sameh Salama |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285700328 PECOS PAC ID: 0446307078 Enrollment ID: I20090416000270 |
| Provider Name | Maria Irina Ramneantu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336160373 PECOS PAC ID: 1355317678 Enrollment ID: I20090416000557 |
| Provider Name | Mark Nishiyama |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033279849 PECOS PAC ID: 4789731381 Enrollment ID: I20090420000111 |
| Provider Name | Michael J Doherty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033299953 PECOS PAC ID: 5799833075 Enrollment ID: I20090423000797 |
| Provider Name | Gregg K Vandekieft |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1922009885 PECOS PAC ID: 0749338333 Enrollment ID: I20090518000009 |
| Provider Name | Atul Thakker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881652139 PECOS PAC ID: 1456400563 Enrollment ID: I20090521000625 |
| Provider Name | Timothy S Larson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679782676 PECOS PAC ID: 1658421581 Enrollment ID: I20090615000329 |
| Provider Name | Mary C Dicarlo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073778643 PECOS PAC ID: 9537219407 Enrollment ID: I20090615000690 |
| Provider Name | Yi Ching Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639376452 PECOS PAC ID: 3072663947 Enrollment ID: I20090615000694 |
| Provider Name | Raminder Singh Cheema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588854038 PECOS PAC ID: 6709936677 Enrollment ID: I20090615000696 |
| Provider Name | Hetal P Kothari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417190463 PECOS PAC ID: 1850442138 Enrollment ID: I20090626000124 |
| Provider Name | Nora J Gant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306064472 PECOS PAC ID: 8921151762 Enrollment ID: I20090727000787 |
| Provider Name | Richard C Redman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114192937 PECOS PAC ID: 9830242239 Enrollment ID: I20090803000394 |
| Provider Name | Yo Kondo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245428168 PECOS PAC ID: 0840344891 Enrollment ID: I20090811000225 |
| Provider Name | Rajendra K Suvarna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265434633 PECOS PAC ID: 8820039712 Enrollment ID: I20090811000515 |
| Provider Name | Jennifer B Aquino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184746067 PECOS PAC ID: 9931253812 Enrollment ID: I20090811000604 |
| Provider Name | Evelyn A Rubin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407041155 PECOS PAC ID: 9739233289 Enrollment ID: I20090818000325 |
| Provider Name | Bhabiswar Tiwari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952553737 PECOS PAC ID: 3274687595 Enrollment ID: I20090820000268 |
| Provider Name | Sonja A Ronning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336342930 PECOS PAC ID: 7517044555 Enrollment ID: I20090826000610 |
| Provider Name | Jessica C Kennedy Schlicher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073648481 PECOS PAC ID: 0143397125 Enrollment ID: I20090910000065 |
| Provider Name | Megan A Farnsworth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013159425 PECOS PAC ID: 9436201597 Enrollment ID: I20090910000415 |
| Provider Name | Dmitry P Feldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629247689 PECOS PAC ID: 7911043211 Enrollment ID: I20090929000674 |
| Provider Name | Glenda J Waller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558594085 PECOS PAC ID: 9830235340 Enrollment ID: I20091013000682 |
| Provider Name | Katherine M Hogg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881657716 PECOS PAC ID: 6002954062 Enrollment ID: I20091111000430 |
| Provider Name | Brady Garland Miller |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1902915945 PECOS PAC ID: 0345381497 Enrollment ID: I20100111000835 |
| Provider Name | Margaret L Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699776336 PECOS PAC ID: 6204979867 Enrollment ID: I20100204000177 |
| Provider Name | Robert F Oatfield |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114129558 PECOS PAC ID: 3375688138 Enrollment ID: I20100304000116 |
| Provider Name | Margo K Newell Eggert |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1710062740 PECOS PAC ID: 4385789197 Enrollment ID: I20100304000535 |
| Provider Name | Eric S Swanson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134148083 PECOS PAC ID: 4587764675 Enrollment ID: I20100325000327 |
| Provider Name | Robert S Wark |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1730181769 PECOS PAC ID: 8820125388 Enrollment ID: I20100415000260 |
| Provider Name | Deborah A Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508941550 PECOS PAC ID: 4385771526 Enrollment ID: I20100420001066 |
| Provider Name | Jeri S Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700102910 PECOS PAC ID: 1951438613 Enrollment ID: I20100429000014 |
| Provider Name | Amy B Swadener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457420234 PECOS PAC ID: 8325176910 Enrollment ID: I20100430000513 |
| Provider Name | Kevin M Haughton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386645281 PECOS PAC ID: 7517920838 Enrollment ID: I20100507000811 |
| Provider Name | Shawn M Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194834267 PECOS PAC ID: 4789581554 Enrollment ID: I20100512000748 |
| Provider Name | Mary L Zozaya-monohon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811998735 PECOS PAC ID: 1850429762 Enrollment ID: I20100513001155 |
| Provider Name | Preeti Kondal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205099181 PECOS PAC ID: 8820126600 Enrollment ID: I20100514000890 |
| Provider Name | Corina G Rachita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851377931 PECOS PAC ID: 4284764804 Enrollment ID: I20100608000881 |
| Provider Name | Devin R Sawyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497756308 PECOS PAC ID: 1557491990 Enrollment ID: I20100611000457 |
| Provider Name | Jawaid Behnawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174722979 PECOS PAC ID: 3173653268 Enrollment ID: I20100616000762 |
| Provider Name | Mircea S Rachita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710963178 PECOS PAC ID: 1759412042 Enrollment ID: I20100630000648 |
| Provider Name | Luis F Santamarina |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1962452664 PECOS PAC ID: 3476685124 Enrollment ID: I20100716000184 |
| Provider Name | Jolanta S Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346244043 PECOS PAC ID: 6204924962 Enrollment ID: I20100721000177 |
| Provider Name | Barbara Lazio |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649389263 PECOS PAC ID: 3870549405 Enrollment ID: I20100813000330 |
| Provider Name | David Reed |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912945791 PECOS PAC ID: 0547394082 Enrollment ID: I20100818001294 |
| Provider Name | Leo W Kesting |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679531230 PECOS PAC ID: 1759440035 Enrollment ID: I20100907000486 |
| Provider Name | Jon C Kooiker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568420180 PECOS PAC ID: 8820157100 Enrollment ID: I20100909001026 |
| Provider Name | Kimberly Elliott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588862098 PECOS PAC ID: 7214086602 Enrollment ID: I20100928001254 |
| Provider Name | Jeanette D Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043211915 PECOS PAC ID: 7719020312 Enrollment ID: I20101004000987 |
| Provider Name | Penelope A Goode |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003891888 PECOS PAC ID: 1951593920 Enrollment ID: I20101008000467 |
| Provider Name | Lucie Khadduri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144305350 PECOS PAC ID: 4082807193 Enrollment ID: I20101021000838 |
| Provider Name | Thomas K Curry |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811974652 PECOS PAC ID: 5698969988 Enrollment ID: I20101101000377 |
| Provider Name | Joonis Abdulkhader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518154335 PECOS PAC ID: 6305030602 Enrollment ID: I20101101000416 |
| Provider Name | Sarabjit Kaur Atwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881928414 PECOS PAC ID: 4880888072 Enrollment ID: I20101102000188 |
| Provider Name | Crystal L Adams |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1013111608 PECOS PAC ID: 1557556123 Enrollment ID: I20101109000349 |
| Provider Name | Kirsten E Redborg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023105764 PECOS PAC ID: 7214005321 Enrollment ID: I20101109000793 |
| Provider Name | Steven Michael Standaert |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750455317 PECOS PAC ID: 0244425569 Enrollment ID: I20101112000241 |
| Provider Name | Daniel R Morgenstern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962620799 PECOS PAC ID: 2567588635 Enrollment ID: I20101201000314 |
| Provider Name | Daniel M Byrd |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821112293 PECOS PAC ID: 8022162437 Enrollment ID: I20101216001173 |
| Provider Name | David M Ward |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679502017 PECOS PAC ID: 9335188705 Enrollment ID: I20101227000770 |
| Provider Name | Elena Viorica Melnic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295934966 PECOS PAC ID: 4284822453 Enrollment ID: I20110103001020 |
| Provider Name | Joshua Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548361009 PECOS PAC ID: 5395844591 Enrollment ID: I20110107000627 |
| Provider Name | Fen Jiang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831312289 PECOS PAC ID: 5092994863 Enrollment ID: I20110125001220 |
| Provider Name | Paul M Knouff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457533366 PECOS PAC ID: 5890977375 Enrollment ID: I20110303000886 |
| Provider Name | Cristin Mount |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477527125 PECOS PAC ID: 8426230491 Enrollment ID: I20110311000583 |
| Provider Name | Mikhail P Nekhamis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750612917 PECOS PAC ID: 9931382413 Enrollment ID: I20110321000759 |
| Provider Name | Karen E Robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720014707 PECOS PAC ID: 4880798883 Enrollment ID: I20110428000447 |
| Provider Name | William E Eggebroten |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346394574 PECOS PAC ID: 3678751740 Enrollment ID: I20110621000443 |
| Provider Name | Lisa A Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316948227 PECOS PAC ID: 0345146247 Enrollment ID: I20110628000375 |
| Provider Name | Jon B Penoyar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144439266 PECOS PAC ID: 4183773351 Enrollment ID: I20110720000385 |
| Provider Name | Jeremy J Eaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497887723 PECOS PAC ID: 0042366072 Enrollment ID: I20110721000425 |
| Provider Name | Debra J Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659663607 PECOS PAC ID: 3274702352 Enrollment ID: I20110805000373 |
| Provider Name | Wendy J Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124135207 PECOS PAC ID: 0446336663 Enrollment ID: I20110805000813 |
| Provider Name | Ryan C Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770784019 PECOS PAC ID: 5092808949 Enrollment ID: I20110808000875 |
| Provider Name | Leah M Basnett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235246091 PECOS PAC ID: 8527237189 Enrollment ID: I20110816000632 |
| Provider Name | Kari M Lima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194977272 PECOS PAC ID: 3779753181 Enrollment ID: I20110823000131 |
| Provider Name | Catalina M Draghici |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255524930 PECOS PAC ID: 2961672704 Enrollment ID: I20110902000345 |
| Provider Name | Elia R Gonzalez-rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609979558 PECOS PAC ID: 9537214374 Enrollment ID: I20110915000842 |
| Provider Name | Danielle Markle Price |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851579528 PECOS PAC ID: 4587737085 Enrollment ID: I20110916000132 |
| Provider Name | Kimberly A Newell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336446012 PECOS PAC ID: 9739350836 Enrollment ID: I20110921000699 |
| Provider Name | Hoang H Dang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891835989 PECOS PAC ID: 3678638483 Enrollment ID: I20110921000885 |
| Provider Name | Jennifer S Hammon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144480104 PECOS PAC ID: 1456522580 Enrollment ID: I20110922000205 |
| Provider Name | Diana M Currie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942371828 PECOS PAC ID: 4183819154 Enrollment ID: I20110930000119 |
| Provider Name | Mohammad H Yavarirad |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285745554 PECOS PAC ID: 3173613379 Enrollment ID: I20111118000127 |
| Provider Name | Chuong H Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245340033 PECOS PAC ID: 6709970296 Enrollment ID: I20111203000182 |
| Provider Name | Molly A Mellon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285917930 PECOS PAC ID: 4981870383 Enrollment ID: I20120106000448 |
| Provider Name | Ross Maglaque Realica |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1538192976 PECOS PAC ID: 3779474929 Enrollment ID: I20120118000703 |
| Provider Name | Aixa D Espinosa-morales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851449938 PECOS PAC ID: 5092987651 Enrollment ID: I20120202000201 |
| Provider Name | Abhinav Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659538072 PECOS PAC ID: 1557414232 Enrollment ID: I20120323000608 |
| Provider Name | James W Jordan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417156993 PECOS PAC ID: 3870675002 Enrollment ID: I20120329000427 |
| Provider Name | Bassel Obaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366693210 PECOS PAC ID: 3072779842 Enrollment ID: I20120723000733 |
| Provider Name | Haneen Aibak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932362076 PECOS PAC ID: 6103082458 Enrollment ID: I20120731000816 |
| Provider Name | Shavonne S Borchardt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376791269 PECOS PAC ID: 2163678673 Enrollment ID: I20120815000349 |
| Provider Name | Marina Cheng |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174720569 PECOS PAC ID: 0547417982 Enrollment ID: I20120820001192 |
| Provider Name | Thavi T Thach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245592575 PECOS PAC ID: 5496902355 Enrollment ID: I20120828000538 |
| Provider Name | Meghan R Duffie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649487182 PECOS PAC ID: 9537349428 Enrollment ID: I20120911000593 |
| Provider Name | Saneer Basnett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508015173 PECOS PAC ID: 0941450209 Enrollment ID: I20121022000621 |
| Provider Name | Hisam S Goueli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639382906 PECOS PAC ID: 3870644776 Enrollment ID: I20121030000555 |
| Provider Name | Carlo Palarca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265762678 PECOS PAC ID: 1951551332 Enrollment ID: I20121031000178 |
| Provider Name | George Paris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851533913 PECOS PAC ID: 3577730506 Enrollment ID: I20121031000221 |
| Provider Name | Marina V Berndt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346290244 PECOS PAC ID: 5698785699 Enrollment ID: I20121105000591 |
| Provider Name | Heidi L Sedra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568712776 PECOS PAC ID: 9739330408 Enrollment ID: I20121107000211 |
| Provider Name | Dustin T Engelken |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174683007 PECOS PAC ID: 6305811423 Enrollment ID: I20121107000490 |
| Provider Name | Duong Thuy Than |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558625897 PECOS PAC ID: 9234380858 Enrollment ID: I20121108000065 |
| Provider Name | Rachel L Akins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215206941 PECOS PAC ID: 6901057488 Enrollment ID: I20121109000125 |
| Provider Name | Kambiz Parcham-azad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164452090 PECOS PAC ID: 7810901436 Enrollment ID: I20121130000120 |
| Provider Name | Rommel M Enriquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780843060 PECOS PAC ID: 2365597093 Enrollment ID: I20121130000225 |
| Provider Name | Krista M Roumeliotis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609123264 PECOS PAC ID: 4183876139 Enrollment ID: I20121220000327 |
| Provider Name | Amy M Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083952527 PECOS PAC ID: 7214172352 Enrollment ID: I20130320000727 |
| Provider Name | Anne Rae B Ong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164692539 PECOS PAC ID: 5890828545 Enrollment ID: I20130419000340 |
| Provider Name | Charles Frederick Rossow |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669797320 PECOS PAC ID: 0042458374 Enrollment ID: I20130529000064 |
| Provider Name | Walid Behnawa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689886921 PECOS PAC ID: 7214076009 Enrollment ID: I20130604000472 |
| Provider Name | Kenneth Wayne Kooser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306920772 PECOS PAC ID: 1355533076 Enrollment ID: I20130604000722 |
| Provider Name | Ravi Sivasankara Menon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326160177 PECOS PAC ID: 2062572142 Enrollment ID: I20130605000091 |
| Provider Name | Chiante R Amato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245545854 PECOS PAC ID: 3476791286 Enrollment ID: I20130605000632 |
| Provider Name | Benjamin Atkinson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023256237 PECOS PAC ID: 4183802945 Enrollment ID: I20130620000086 |
| Provider Name | Emily C Clay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700887361 PECOS PAC ID: 0244234060 Enrollment ID: I20130716000873 |
| Provider Name | Jaekyung Song |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972700656 PECOS PAC ID: 7315188083 Enrollment ID: I20130722000493 |
| Provider Name | Michael D Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447473202 PECOS PAC ID: 4880878008 Enrollment ID: I20130828000992 |
| Provider Name | Melissa B Purtteman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043523053 PECOS PAC ID: 9234372814 Enrollment ID: I20130829000503 |
| Provider Name | Mary Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437596301 PECOS PAC ID: 6305089731 Enrollment ID: I20130903000795 |
| Provider Name | Asra Razia Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134431885 PECOS PAC ID: 6305080557 Enrollment ID: I20130910000482 |
| Provider Name | Empress T Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780997783 PECOS PAC ID: 3173767209 Enrollment ID: I20130911000617 |
| Provider Name | Nicholas S Holtan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609187103 PECOS PAC ID: 9537303573 Enrollment ID: I20130913000245 |
| Provider Name | Clara L Peck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659563526 PECOS PAC ID: 6002985264 Enrollment ID: I20130917000070 |
| Provider Name | Ruxandra M Costa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588770093 PECOS PAC ID: 4284695024 Enrollment ID: I20131003000014 |
| Provider Name | Sarah Huntington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831531821 PECOS PAC ID: 2567699036 Enrollment ID: I20131209001777 |
| Provider Name | Amy M. Arisco |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821183856 PECOS PAC ID: 3577565589 Enrollment ID: I20131211001831 |
| Provider Name | Ronillo M Legaspi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689986994 PECOS PAC ID: 7618141854 Enrollment ID: I20140121000732 |
| Provider Name | Robert C Marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700857588 PECOS PAC ID: 2668624206 Enrollment ID: I20140304001943 |
| Provider Name | Linda K Gooding |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285885053 PECOS PAC ID: 7416189691 Enrollment ID: I20140423000297 |
| Provider Name | Caitlin F Rodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447479134 PECOS PAC ID: 3072746049 Enrollment ID: I20140428000249 |
| Provider Name | Melanie Lipke |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245474808 PECOS PAC ID: 1951534924 Enrollment ID: I20140428000390 |
| Provider Name | Cynthia Leah Deschenes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306079900 PECOS PAC ID: 5092965319 Enrollment ID: I20140508000690 |
| Provider Name | Theodore R Gavel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134448996 PECOS PAC ID: 7810029337 Enrollment ID: I20140602000635 |
| Provider Name | Michael M Braun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598933012 PECOS PAC ID: 0840441820 Enrollment ID: I20140604002473 |
| Provider Name | Holly C Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366876120 PECOS PAC ID: 1850516204 Enrollment ID: I20140627001154 |
| Provider Name | Jessica Ann Morss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992059323 PECOS PAC ID: 0840415212 Enrollment ID: I20140627001926 |
| Provider Name | Michael K Elm |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1871792820 PECOS PAC ID: 2961627724 Enrollment ID: I20140710002155 |
| Provider Name | Elise C Willis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487953683 PECOS PAC ID: 6800011602 Enrollment ID: I20140711001158 |
| Provider Name | Jake Harley Choiniere |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578882452 PECOS PAC ID: 4688890155 Enrollment ID: I20140721000051 |
| Provider Name | Julia E Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578896338 PECOS PAC ID: 0547391245 Enrollment ID: I20140724000524 |
| Provider Name | Michelle M Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184044471 PECOS PAC ID: 9537385638 Enrollment ID: I20140725001741 |
| Provider Name | Sharon C Furrer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467698910 PECOS PAC ID: 0840416830 Enrollment ID: I20140728002720 |
| Provider Name | Lauren W Fisher |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1215253778 PECOS PAC ID: 2567688583 Enrollment ID: I20140729001095 |
| Provider Name | Juan Miguel Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235469784 PECOS PAC ID: 4688813876 Enrollment ID: I20140818001186 |
| Provider Name | Quoc T Phan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326261942 PECOS PAC ID: 0244318947 Enrollment ID: I20140822000792 |
| Provider Name | Stephen J Focht |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043288004 PECOS PAC ID: 4981678893 Enrollment ID: I20140910000005 |
| Provider Name | Carrie B Welty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043625494 PECOS PAC ID: 9537388376 Enrollment ID: I20140910000717 |
| Provider Name | Dana R Saunders |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508061656 PECOS PAC ID: 8527215433 Enrollment ID: I20140911000504 |
| Provider Name | Rein Lambrecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811285661 PECOS PAC ID: 9537303144 Enrollment ID: I20140929001909 |
| Provider Name | Sarah M Witecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326471434 PECOS PAC ID: 3274753975 Enrollment ID: I20141001000294 |
| Provider Name | Lesley N Bobek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922202787 PECOS PAC ID: 0244377802 Enrollment ID: I20141216000708 |
| Provider Name | Neesha Davies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033539838 PECOS PAC ID: 9830412675 Enrollment ID: I20141230002456 |
| Provider Name | Mary E Fredericks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306188032 PECOS PAC ID: 3870817349 Enrollment ID: I20150112001030 |
| Provider Name | James H Keene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316136476 PECOS PAC ID: 2769612092 Enrollment ID: I20150119000339 |
| Provider Name | Cheryl Kay Carney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710176821 PECOS PAC ID: 9739269994 Enrollment ID: I20150126001785 |
| Provider Name | Kitti Kaiboriboon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912062035 PECOS PAC ID: 4284731027 Enrollment ID: I20150130000742 |
| Provider Name | Mu Qiao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992947063 PECOS PAC ID: 5597912774 Enrollment ID: I20150219000479 |
| Provider Name | Karen M Yepez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003213463 PECOS PAC ID: 3476878125 Enrollment ID: I20150220001906 |
| Provider Name | Julia L Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205273273 PECOS PAC ID: 3678796844 Enrollment ID: I20150309001161 |
| Provider Name | Cynthia B Aller |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194906016 PECOS PAC ID: 2466529268 Enrollment ID: I20150409002274 |
| Provider Name | Joseph T Ho |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487782009 PECOS PAC ID: 6709012404 Enrollment ID: I20150630003074 |
| Provider Name | Gopal Ghimire |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811225923 PECOS PAC ID: 7719124577 Enrollment ID: I20150630003172 |
| Provider Name | Yan Geng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104146620 PECOS PAC ID: 7012168990 Enrollment ID: I20150714001783 |
| Provider Name | Leslie B Novoa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245595685 PECOS PAC ID: 8527216654 Enrollment ID: I20150721000412 |
| Provider Name | Jessa L Ostrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306092028 PECOS PAC ID: 8123269305 Enrollment ID: I20150723009677 |
| Provider Name | Jessica R Jahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245598069 PECOS PAC ID: 1951615681 Enrollment ID: I20150807015177 |
| Provider Name | Deepti Paturi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609139260 PECOS PAC ID: 4082839089 Enrollment ID: I20150813012061 |
| Provider Name | Thomas Mckellar Mccloy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366704710 PECOS PAC ID: 1456576255 Enrollment ID: I20150819009546 |
| Provider Name | Bojia Li |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689846198 PECOS PAC ID: 6709057227 Enrollment ID: I20150827002126 |
| Provider Name | Anam Akmal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568783926 PECOS PAC ID: 9234445321 Enrollment ID: I20150903002590 |
| Provider Name | David L Newton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346503596 PECOS PAC ID: 2163739848 Enrollment ID: I20150911002062 |
| Provider Name | Yue Teng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063569341 PECOS PAC ID: 4082778477 Enrollment ID: I20150911002118 |
| Provider Name | Nha Thanh Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467787440 PECOS PAC ID: 9436305562 Enrollment ID: I20151008002326 |
| Provider Name | Calvin D Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851761027 PECOS PAC ID: 5193034783 Enrollment ID: I20151021003238 |
| Provider Name | Susan L Fraser |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932187663 PECOS PAC ID: 0749477966 Enrollment ID: I20151023000038 |
| Provider Name | Daniel Stein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497018055 PECOS PAC ID: 7416172143 Enrollment ID: I20151026000451 |
| Provider Name | Erica M Dennehy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326296096 PECOS PAC ID: 9133439896 Enrollment ID: I20151109001188 |
| Provider Name | Jenny Johnston Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407226681 PECOS PAC ID: 7810207495 Enrollment ID: I20151111000876 |
| Provider Name | David Leroy Brown |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1831287010 PECOS PAC ID: 1658671748 Enrollment ID: I20151120002250 |
| Provider Name | Megan M Gillespie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689049728 PECOS PAC ID: 8527369719 Enrollment ID: I20151211001698 |
| Provider Name | Elvira V Kadyrova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386932580 PECOS PAC ID: 7416172523 Enrollment ID: I20160105000580 |
| Provider Name | Molly Jean Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417364761 PECOS PAC ID: 9234451543 Enrollment ID: I20160115000686 |
| Provider Name | Cody Jordan Franzen |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1790120707 PECOS PAC ID: 5092947234 Enrollment ID: I20160209001743 |
| Provider Name | Claudia Curea Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700248994 PECOS PAC ID: 2365740958 Enrollment ID: I20160414001982 |
| Provider Name | Kelsey M O'brien |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588063309 PECOS PAC ID: 7911205406 Enrollment ID: I20160418000521 |
| Provider Name | Rizwan Kalani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497076905 PECOS PAC ID: 7618266586 Enrollment ID: I20160516001972 |
| Provider Name | Susan Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598926818 PECOS PAC ID: 5496926966 Enrollment ID: I20160516002053 |
| Provider Name | David A Hoschek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942644414 PECOS PAC ID: 5890011696 Enrollment ID: I20160517000851 |
| Provider Name | Waleed Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871567495 PECOS PAC ID: 4587625660 Enrollment ID: I20160517001648 |
| Provider Name | Nathaniel Lee Atkin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134358344 PECOS PAC ID: 4688828981 Enrollment ID: I20160520001449 |
| Provider Name | Jason R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568739100 PECOS PAC ID: 0345539920 Enrollment ID: I20160520001710 |
| Provider Name | Kathryne Lucas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821288986 PECOS PAC ID: 7012199458 Enrollment ID: I20160620000960 |
| Provider Name | Manvi V Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346694403 PECOS PAC ID: 7517250525 Enrollment ID: I20160728001898 |
| Provider Name | Monique Cherri Semien |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013095660 PECOS PAC ID: 6507894607 Enrollment ID: I20160810000624 |
| Provider Name | Tarvinder Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225327091 PECOS PAC ID: 0840505251 Enrollment ID: I20160817001266 |
| Provider Name | Dipty Rana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548611973 PECOS PAC ID: 1557656188 Enrollment ID: I20160822002483 |
| Provider Name | Sara C Martinez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750543906 PECOS PAC ID: 4183853427 Enrollment ID: I20160824001309 |
| Provider Name | Jordan Mitchell Abel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821438029 PECOS PAC ID: 5092947176 Enrollment ID: I20160825001951 |
| Provider Name | Daniel G Cuadrado |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154398006 PECOS PAC ID: 1759677198 Enrollment ID: I20160909002490 |
| Provider Name | Natalya A Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477959682 PECOS PAC ID: 0143547836 Enrollment ID: I20160919001300 |
| Provider Name | Andrew P Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235579756 PECOS PAC ID: 3375787989 Enrollment ID: I20160921000629 |
| Provider Name | Jesse Marcotte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780037648 PECOS PAC ID: 7911294780 Enrollment ID: I20160921002466 |
| Provider Name | Kathryn Anne Dean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265877278 PECOS PAC ID: 7113159104 Enrollment ID: I20160928001384 |
| Provider Name | Colleen Michelle Overdorf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013174432 PECOS PAC ID: 4082843701 Enrollment ID: I20160928001478 |
| Provider Name | Zin M Tun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508122136 PECOS PAC ID: 3779806161 Enrollment ID: I20161004001399 |
| Provider Name | Blair O Valentine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588756134 PECOS PAC ID: 9537241237 Enrollment ID: I20161011002019 |
| Provider Name | Corey Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699110601 PECOS PAC ID: 1658596713 Enrollment ID: I20161011002103 |
| Provider Name | Nicole K Jackson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1508188343 PECOS PAC ID: 3173811890 Enrollment ID: I20161013000485 |
| Provider Name | Samantha H Lacanlale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528417052 PECOS PAC ID: 2860770112 Enrollment ID: I20161020002319 |
| Provider Name | Warangkhana Wongba |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932314374 PECOS PAC ID: 2365607470 Enrollment ID: I20161021001580 |
| Provider Name | Saman Selahi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174750335 PECOS PAC ID: 8224288295 Enrollment ID: I20161026001685 |
| Provider Name | Ossama Al Masalmeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851654776 PECOS PAC ID: 0648571182 Enrollment ID: I20161114000718 |
| Provider Name | Melanie J Ondong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952858755 PECOS PAC ID: 5597044420 Enrollment ID: I20161117001295 |
| Provider Name | Anna Maria A. Pletz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053756999 PECOS PAC ID: 1951624485 Enrollment ID: I20161117001967 |
| Provider Name | Crystal P Wilmot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821425844 PECOS PAC ID: 7113154774 Enrollment ID: I20161118001317 |
| Provider Name | Edward Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396907317 PECOS PAC ID: 0244403822 Enrollment ID: I20161207000924 |
| Provider Name | Natasha P Arora |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336456672 PECOS PAC ID: 0547541922 Enrollment ID: I20161222000773 |
| Provider Name | Gordon W Dowds |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134115710 PECOS PAC ID: 4789747833 Enrollment ID: I20161228000734 |
| Provider Name | Michael C Eveland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427501097 PECOS PAC ID: 0749561959 Enrollment ID: I20161230001137 |
| Provider Name | Lois A Killewich |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1316058274 PECOS PAC ID: 6204833502 Enrollment ID: I20170119002032 |
| Provider Name | Hari P Pathi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942260427 PECOS PAC ID: 9234127325 Enrollment ID: I20170201001926 |
| Provider Name | Andrew D Rontal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063657328 PECOS PAC ID: 7911150065 Enrollment ID: I20170223002188 |
| Provider Name | Lisa R Yanase |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851384937 PECOS PAC ID: 1052343167 Enrollment ID: I20170223002540 |
| Provider Name | Amber Piranio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821534801 PECOS PAC ID: 4486938644 Enrollment ID: I20170307001443 |
| Provider Name | Robert Perry |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508872540 PECOS PAC ID: 6002190261 Enrollment ID: I20170307001558 |
| Provider Name | Jessica A Cassady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811326242 PECOS PAC ID: 3274760137 Enrollment ID: I20170320002200 |
| Provider Name | Jovita C Dsouza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174074017 PECOS PAC ID: 0345526794 Enrollment ID: I20170419001092 |
| Provider Name | Heather D Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629518113 PECOS PAC ID: 6204113426 Enrollment ID: I20170425003157 |
| Provider Name | Franchette T Pascual |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245491711 PECOS PAC ID: 6305094889 Enrollment ID: I20170504000698 |
| Provider Name | Karen E Swift |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821159153 PECOS PAC ID: 5799768065 Enrollment ID: I20170602001789 |
| Provider Name | Yi Mao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629327986 PECOS PAC ID: 0547538118 Enrollment ID: I20170622002818 |
| Provider Name | Joseph David Nickolas Freeburg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174898381 PECOS PAC ID: 7012224298 Enrollment ID: I20170706002670 |
| Provider Name | Sarah H An |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336677400 PECOS PAC ID: 8022388198 Enrollment ID: I20170721002553 |
| Provider Name | Chelsea Dawn Unruh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821402298 PECOS PAC ID: 3173749264 Enrollment ID: I20170728001739 |
| Provider Name | Natasha Sparrow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326308339 PECOS PAC ID: 9931411600 Enrollment ID: I20170802001726 |
| Provider Name | Sunith Vijayakumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821356932 PECOS PAC ID: 1951628734 Enrollment ID: I20170803002578 |
| Provider Name | Corey White |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154610814 PECOS PAC ID: 2961723663 Enrollment ID: I20170811001881 |
| Provider Name | Anita J Chin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730110446 PECOS PAC ID: 3375547805 Enrollment ID: I20170815004043 |
| Provider Name | Raul Manuel Buenaflor Cruz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689843492 PECOS PAC ID: 3577637602 Enrollment ID: I20170821003088 |
| Provider Name | Sara Jane Wasilenko |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528387941 PECOS PAC ID: 4082934633 Enrollment ID: I20170821003169 |
| Provider Name | Rachel N Arnold |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184979304 PECOS PAC ID: 8022321637 Enrollment ID: I20170908000187 |
| Provider Name | Vishaka Raguveer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740609387 PECOS PAC ID: 4385935261 Enrollment ID: I20170913001474 |
| Provider Name | Amanda Achterman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730593104 PECOS PAC ID: 6800011016 Enrollment ID: I20170914002780 |
| Provider Name | Amanda N Clauson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013432202 PECOS PAC ID: 6204100167 Enrollment ID: I20170916000431 |
| Provider Name | Julie D Sottilo-brammeier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528324290 PECOS PAC ID: 2163730698 Enrollment ID: I20170921003342 |
| Provider Name | Matthew P Prekupec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942543483 PECOS PAC ID: 6204155005 Enrollment ID: I20170927001286 |
| Provider Name | Jayasree Bodagala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083990089 PECOS PAC ID: 7416179429 Enrollment ID: I20170928002612 |
| Provider Name | Puneet Bhullar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184910861 PECOS PAC ID: 2062712599 Enrollment ID: I20171002002746 |
| Provider Name | Eric D Prince |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770843658 PECOS PAC ID: 2567752777 Enrollment ID: I20171002003734 |
| Provider Name | Brittany Leigh Tabler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679830566 PECOS PAC ID: 8628343043 Enrollment ID: I20171010002452 |
| Provider Name | Savanna L Griffith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740694934 PECOS PAC ID: 1759507734 Enrollment ID: I20171013001703 |
| Provider Name | Abraham Jeon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104232636 PECOS PAC ID: 0345548897 Enrollment ID: I20171101002568 |
| Provider Name | Elisabeth Noel Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730607664 PECOS PAC ID: 4587920871 Enrollment ID: I20171101002739 |
| Provider Name | Rajit Kaushal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942432869 PECOS PAC ID: 9739338534 Enrollment ID: I20171109001295 |
| Provider Name | Shruti Kanwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932534419 PECOS PAC ID: 5991099111 Enrollment ID: I20171110000566 |
| Provider Name | Joseph Robert Perry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134354244 PECOS PAC ID: 8426285917 Enrollment ID: I20180110002318 |
| Provider Name | Christina Burke Boehmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265949408 PECOS PAC ID: 2163781246 Enrollment ID: I20180117003011 |
| Provider Name | Abdelrahman Beltagy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013250216 PECOS PAC ID: 0840592572 Enrollment ID: I20180615002091 |
| Provider Name | Mohammed Ali Al-awadhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114366143 PECOS PAC ID: 5799087060 Enrollment ID: I20180621001671 |
| Provider Name | Jonathan Thomas Wingate |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235405192 PECOS PAC ID: 9234351719 Enrollment ID: I20180702001498 |
| Provider Name | Dominique Justin Pepper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750691713 PECOS PAC ID: 4183923311 Enrollment ID: I20180829002797 |
| Provider Name | Theresa D Cirone-hornickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144668112 PECOS PAC ID: 3577702679 Enrollment ID: I20180830003030 |
| Provider Name | Louise May |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1982961173 PECOS PAC ID: 7315184462 Enrollment ID: I20180905002456 |
| Provider Name | Patrick W Murray |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548606346 PECOS PAC ID: 0446492730 Enrollment ID: I20181002001595 |
| Provider Name | John O'boyle |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1306808381 PECOS PAC ID: 6901171636 Enrollment ID: I20181008001667 |
| Provider Name | Huan Yan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942598180 PECOS PAC ID: 5597982637 Enrollment ID: I20181010003420 |
| Provider Name | Jason M Reese |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750545893 PECOS PAC ID: 6002138385 Enrollment ID: I20181128001365 |
| Provider Name | Amy O'boyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679548341 PECOS PAC ID: 9638447949 Enrollment ID: I20190104001737 |
| Provider Name | Jessica R Maike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841701752 PECOS PAC ID: 3779821079 Enrollment ID: I20190212002082 |
| Provider Name | Matheau Julien |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619189933 PECOS PAC ID: 6002118254 Enrollment ID: I20190225000896 |
| Provider Name | Jessica Diane Mckeown Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407322670 PECOS PAC ID: 3274872940 Enrollment ID: I20190226000153 |
| Provider Name | Melissa Jo Gallardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578039749 PECOS PAC ID: 2062751142 Enrollment ID: I20190307001548 |
| Provider Name | Wai Lee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861752347 PECOS PAC ID: 4789931965 Enrollment ID: I20190318001188 |
| Provider Name | Demitris Haldeos |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1780978601 PECOS PAC ID: 1759680093 Enrollment ID: I20190328002379 |
| Provider Name | Maude N Gibbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417183179 PECOS PAC ID: 6305163536 Enrollment ID: I20190508003007 |
| Provider Name | Justin Daniel Wheeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265564009 PECOS PAC ID: 7416022504 Enrollment ID: I20190701001371 |
| Provider Name | Susan Pilar Gresia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831653179 PECOS PAC ID: 4981930534 Enrollment ID: I20190719002409 |
| Provider Name | Trista Marie Newville |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528324712 PECOS PAC ID: 9830406461 Enrollment ID: I20190723003643 |
| Provider Name | Jason D Townzen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811370281 PECOS PAC ID: 8527395565 Enrollment ID: I20190813003055 |
| Provider Name | Kimberley Y Nakai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710426002 PECOS PAC ID: 2668709445 Enrollment ID: I20190816001827 |
| Provider Name | Eugene Daniel Villacian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629546684 PECOS PAC ID: 7911235676 Enrollment ID: I20190820002382 |
| Provider Name | Nathan L Jung |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003229055 PECOS PAC ID: 9739305673 Enrollment ID: I20190821001571 |
| Provider Name | Margaret Marchand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750934675 PECOS PAC ID: 3779811963 Enrollment ID: I20190826003807 |
| Provider Name | Jowairiyya Sarfraz Ahmad |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1447539408 PECOS PAC ID: 7911177951 Enrollment ID: I20190830002546 |
| Provider Name | Michelle Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982084216 PECOS PAC ID: 2668730813 Enrollment ID: I20190903001360 |
| Provider Name | James F Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962829093 PECOS PAC ID: 7012232655 Enrollment ID: I20190910002212 |
| Provider Name | Preston Michael Stephens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144675133 PECOS PAC ID: 2163781964 Enrollment ID: I20190923001485 |
| Provider Name | Meghan L Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104206929 PECOS PAC ID: 4385931112 Enrollment ID: I20190927002254 |
| Provider Name | Leslie A Jette-kelly |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396994869 PECOS PAC ID: 3375761760 Enrollment ID: I20190930001416 |
| Provider Name | Gregory Thomas Kidwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598216517 PECOS PAC ID: 8527340785 Enrollment ID: I20191001001720 |
| Provider Name | Deborah Finch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679043574 PECOS PAC ID: 9830429950 Enrollment ID: I20191002002260 |
| Provider Name | Richard Nathaniel Greene |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568610707 PECOS PAC ID: 7719271477 Enrollment ID: I20191007003489 |
| Provider Name | Gabrielle A Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376108803 PECOS PAC ID: 3476884925 Enrollment ID: I20191014003254 |
| Provider Name | Ravneet Jaura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538517693 PECOS PAC ID: 4880924356 Enrollment ID: I20191106003200 |
| Provider Name | Hartaj Singh Girn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033552237 PECOS PAC ID: 7810255353 Enrollment ID: I20191109000070 |
| Provider Name | Kristen N Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013435882 PECOS PAC ID: 6901238906 Enrollment ID: I20191113000739 |
| Provider Name | Madeline Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083058275 PECOS PAC ID: 8123398203 Enrollment ID: I20191113002398 |
| Provider Name | Victor De Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497234884 PECOS PAC ID: 2860824216 Enrollment ID: I20191122002737 |
| Provider Name | Stephanie Ann Sanderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205477361 PECOS PAC ID: 2567895501 Enrollment ID: I20191205002765 |
| Provider Name | Carson Van Sanford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669869574 PECOS PAC ID: 9537471149 Enrollment ID: I20191216000256 |
| Provider Name | Sarah Kinnard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114389962 PECOS PAC ID: 4789943754 Enrollment ID: I20191217001512 |
| Provider Name | Sheila Steinbrenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124672126 PECOS PAC ID: 5698109965 Enrollment ID: I20191218002948 |
| Provider Name | Amil Rafiq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669785804 PECOS PAC ID: 4880812452 Enrollment ID: I20191226001504 |
| Provider Name | Marc Bouchard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750677605 PECOS PAC ID: 3870724867 Enrollment ID: I20200108000813 |
| Provider Name | Melanie S Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336797901 PECOS PAC ID: 0042645681 Enrollment ID: I20200109000025 |
| Provider Name | Prachanda Khadka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053863282 PECOS PAC ID: 4688009525 Enrollment ID: I20200122002811 |
| Provider Name | Carlos Rubio-reyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033525852 PECOS PAC ID: 9537385109 Enrollment ID: I20200207001272 |
| Provider Name | Gregory R Skerrett |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1407055569 PECOS PAC ID: 2264651587 Enrollment ID: I20200213000725 |
| Provider Name | George Lopez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578588752 PECOS PAC ID: 9638172034 Enrollment ID: I20200224000997 |
| Provider Name | Jasjit Khurana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801039151 PECOS PAC ID: 0042481525 Enrollment ID: I20200312001857 |
| Provider Name | Sushanth Nayak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710273958 PECOS PAC ID: 0648412627 Enrollment ID: I20200328000145 |
| Provider Name | Emily Bulley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356875421 PECOS PAC ID: 4587932660 Enrollment ID: I20200501000152 |
| Provider Name | Alexandra E Harmony |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386171643 PECOS PAC ID: 8820340441 Enrollment ID: I20200504000550 |
| Provider Name | Stephen L Noble |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861697278 PECOS PAC ID: 2264669225 Enrollment ID: I20200518000556 |
| Provider Name | Pooja M Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912434317 PECOS PAC ID: 3072865591 Enrollment ID: I20200520002974 |
| Provider Name | Vicky Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023667052 PECOS PAC ID: 1456772151 Enrollment ID: I20200604003055 |
| Provider Name | Grace T Kiet |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104023688 PECOS PAC ID: 6103096136 Enrollment ID: I20200617002944 |
| Provider Name | Natasza M Posielski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477940518 PECOS PAC ID: 0749590610 Enrollment ID: I20200629000899 |
| Provider Name | Benjamin G May |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447634878 PECOS PAC ID: 3678847753 Enrollment ID: I20200708003539 |
| Provider Name | Helen Z Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053774000 PECOS PAC ID: 6103117619 Enrollment ID: I20200720000436 |
| Provider Name | Jordan Thomas Snell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588199889 PECOS PAC ID: 0648549451 Enrollment ID: I20200722001353 |
| Provider Name | Hanbing Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679927784 PECOS PAC ID: 3779907522 Enrollment ID: I20200727001289 |
| Provider Name | William Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013255090 PECOS PAC ID: 5799903423 Enrollment ID: I20200806000825 |
| Provider Name | Kyle Yuichi Ogami |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801276571 PECOS PAC ID: 9638471626 Enrollment ID: I20200819003829 |
| Provider Name | Michael Meng Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558757757 PECOS PAC ID: 9335424449 Enrollment ID: I20200827002834 |
| Provider Name | Derek Ting Yu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568889731 PECOS PAC ID: 5991068363 Enrollment ID: I20200903003199 |
| Provider Name | Haroon Yousaf |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871731364 PECOS PAC ID: 2769514611 Enrollment ID: I20200909003117 |
| Provider Name | Dwight E Hand |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1780766238 PECOS PAC ID: 4385742998 Enrollment ID: I20200910002200 |
| Provider Name | Cullen N Owen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790217776 PECOS PAC ID: 6709156474 Enrollment ID: I20200911002156 |
| Provider Name | Tess K Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558829879 PECOS PAC ID: 4688093560 Enrollment ID: I20200925001140 |
| Provider Name | Jatinder Banipal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609300029 PECOS PAC ID: 1658644901 Enrollment ID: I20201002001149 |
| Provider Name | Claire Horn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962981738 PECOS PAC ID: 6800222878 Enrollment ID: I20201014003473 |
| Provider Name | Wendy Lau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205363603 PECOS PAC ID: 2163774696 Enrollment ID: I20201111001900 |
| Provider Name | Rubina Dhaliwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831623859 PECOS PAC ID: 3274899968 Enrollment ID: I20201130000293 |
| Provider Name | Brian D Ottesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023615549 PECOS PAC ID: 5294148359 Enrollment ID: I20210108002083 |
| Provider Name | Christopher Tarney |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1528303336 PECOS PAC ID: 1052604303 Enrollment ID: I20210119001281 |
| Provider Name | Elizabeth Herbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770180689 PECOS PAC ID: 9830504240 Enrollment ID: I20210217001815 |
| Provider Name | Mordechai Groner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427347764 PECOS PAC ID: 0547545204 Enrollment ID: I20210525002578 |
| Provider Name | Michael Switzer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215290192 PECOS PAC ID: 4486962800 Enrollment ID: I20210622002960 |
| Provider Name | Su Yeon Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609445295 PECOS PAC ID: 8729489331 Enrollment ID: I20210701003530 |
| Provider Name | Valeria Petkova Ilieva |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184962680 PECOS PAC ID: 4688076607 Enrollment ID: I20210714000949 |
| Provider Name | William Lou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710340161 PECOS PAC ID: 9830481241 Enrollment ID: I20210723003232 |
| Provider Name | Rachel A Ballou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265922850 PECOS PAC ID: 0749526135 Enrollment ID: I20210730001063 |
| Provider Name | Katie E Kunnen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487912069 PECOS PAC ID: 7214237346 Enrollment ID: I20210730001604 |
| Provider Name | Chao-wei Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447607171 PECOS PAC ID: 4082874896 Enrollment ID: I20210730002485 |
| Provider Name | Faith Heisler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992295505 PECOS PAC ID: 0840542585 Enrollment ID: I20210805002804 |
| Provider Name | Mohammed Al Qaraghouli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134650138 PECOS PAC ID: 5395084040 Enrollment ID: I20210806001147 |
| Provider Name | Marissa Braun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548617251 PECOS PAC ID: 0244634574 Enrollment ID: I20210810000291 |
| Provider Name | Jennifer M Abelson |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1497989057 PECOS PAC ID: 1557615416 Enrollment ID: I20210817004224 |
| Provider Name | Ivy Kim-aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417581992 PECOS PAC ID: 3779989579 Enrollment ID: I20210902000684 |
| Provider Name | Kristyn Kalei Criss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487229654 PECOS PAC ID: 6608272273 Enrollment ID: I20210907001983 |
| Provider Name | Regina Maria N San Pedro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548793649 PECOS PAC ID: 0143626697 Enrollment ID: I20210908002139 |
| Provider Name | Kyla J Halsor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225531098 PECOS PAC ID: 3971854001 Enrollment ID: I20210920001122 |
| Provider Name | Nels D Carroll |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1396122099 PECOS PAC ID: 9638462344 Enrollment ID: I20210920003145 |
| Provider Name | Jami L Larson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215084280 PECOS PAC ID: 0143627950 Enrollment ID: I20210921003590 |
| Provider Name | Kamal R Joshi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508020801 PECOS PAC ID: 5597082859 Enrollment ID: I20210924001070 |
| Provider Name | Soledad Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952973919 PECOS PAC ID: 1052719986 Enrollment ID: I20211007001330 |
| Provider Name | Ezekiel D Melquist |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720320724 PECOS PAC ID: 6002214798 Enrollment ID: I20211011001824 |
| Provider Name | Grigoriy Rozenfeld |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114167293 PECOS PAC ID: 8729300553 Enrollment ID: I20211019002378 |
| Provider Name | Janelle Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891285490 PECOS PAC ID: 6608116363 Enrollment ID: I20211019003158 |
| Provider Name | Ada Hoffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538665005 PECOS PAC ID: 1456749506 Enrollment ID: I20211022001731 |
| Provider Name | Ian Serrato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124509351 PECOS PAC ID: 9830433192 Enrollment ID: I20211025002444 |
| Provider Name | Jeremy Paul D Santiago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841647104 PECOS PAC ID: 6608166269 Enrollment ID: I20211028001206 |
| Provider Name | Anish S Konde |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417343971 PECOS PAC ID: 0648560631 Enrollment ID: I20211028002584 |
| Provider Name | Rosemary Anne Cotter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891299483 PECOS PAC ID: 8325436991 Enrollment ID: I20211101002155 |
| Provider Name | Allison Hanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003080409 PECOS PAC ID: 4183762016 Enrollment ID: I20211103000931 |
| Provider Name | Natalie A Peck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477050466 PECOS PAC ID: 0749539211 Enrollment ID: I20211104000795 |
| Provider Name | Dennis Beckworth |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1265460661 PECOS PAC ID: 9335038983 Enrollment ID: I20211104001963 |
| Provider Name | Suchit Khanijao |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942635412 PECOS PAC ID: 1456646371 Enrollment ID: I20211112000689 |
| Provider Name | Katie E Wodaege |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194498345 PECOS PAC ID: 4981093903 Enrollment ID: I20211112002526 |
| Provider Name | Michelle Jean Strojan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407489974 PECOS PAC ID: 3173912870 Enrollment ID: I20211118002372 |
| Provider Name | Steven M Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528432135 PECOS PAC ID: 4183928294 Enrollment ID: I20211229000988 |
| Provider Name | Meredith Ann Stormer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730856998 PECOS PAC ID: 7911398961 Enrollment ID: I20211229001628 |
| Provider Name | Khaled Darwesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265963805 PECOS PAC ID: 0941573745 Enrollment ID: I20220307002221 |
| Provider Name | Luke M Stapleton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952408304 PECOS PAC ID: 2062652357 Enrollment ID: I20220314001666 |
| Provider Name | Christopher J Colombo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992814057 PECOS PAC ID: 9830240977 Enrollment ID: I20220422000864 |
| Provider Name | Robert M Ore |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1326213794 PECOS PAC ID: 7911144100 Enrollment ID: I20220504000480 |
| Provider Name | Amin Hossein Rabiei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770011090 PECOS PAC ID: 5698007177 Enrollment ID: I20220711001732 |
| Provider Name | Scott C Steinbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427060664 PECOS PAC ID: 1052311883 Enrollment ID: I20220804001304 |
| Provider Name | Soo Young Kwon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497199210 PECOS PAC ID: 2365686474 Enrollment ID: I20220816003257 |
| Provider Name | Ryan E Kuhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831756998 PECOS PAC ID: 0941619282 Enrollment ID: I20220825002062 |
| Provider Name | Mijung Lee |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1093970048 PECOS PAC ID: 5991921751 Enrollment ID: I20220826002199 |
| Provider Name | Brandon Haynes |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679872238 PECOS PAC ID: 8527375641 Enrollment ID: I20220907002418 |
| Provider Name | Shayna Nitin Mooney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164982245 PECOS PAC ID: 9739414848 Enrollment ID: I20220927002629 |
| Provider Name | Kate A Slaymaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538622907 PECOS PAC ID: 1052797123 Enrollment ID: I20220928000497 |
| Provider Name | Caleb Hunter Schlauderaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932601168 PECOS PAC ID: 3678807518 Enrollment ID: I20220930000410 |
| Provider Name | Andrew J Worley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700547205 PECOS PAC ID: 0345626834 Enrollment ID: I20221006002800 |
| Provider Name | Candace M Bullinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932667763 PECOS PAC ID: 4082090493 Enrollment ID: I20221007000209 |
| Provider Name | Brianna Sexton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407319874 PECOS PAC ID: 6305212291 Enrollment ID: I20221018001571 |
| Provider Name | Kaman Lindgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811522766 PECOS PAC ID: 2860869724 Enrollment ID: I20221104002554 |
| Provider Name | Stephanie S Looi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649776063 PECOS PAC ID: 3476920208 Enrollment ID: I20221107002998 |
| Provider Name | David W Nesheim |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205253481 PECOS PAC ID: 2062843535 Enrollment ID: I20221109003483 |
| Provider Name | Timothy Blackner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245790302 PECOS PAC ID: 5496085169 Enrollment ID: I20221117002754 |
| Provider Name | Qin Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619258050 PECOS PAC ID: 2860651064 Enrollment ID: I20221118002319 |
| Provider Name | Raymond D Fisher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245640515 PECOS PAC ID: 0749577450 Enrollment ID: I20221128000784 |
| Provider Name | Juman Park |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073252284 PECOS PAC ID: 9335518760 Enrollment ID: I20221207001482 |
| Provider Name | Marshall John Saipher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083808182 PECOS PAC ID: 1254327182 Enrollment ID: I20221207001976 |
| Provider Name | Scott Michael Padjen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457864498 PECOS PAC ID: 5294105433 Enrollment ID: I20230103002970 |
| Provider Name | Pierre Mechali |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528357274 PECOS PAC ID: 4688844525 Enrollment ID: I20230112001663 |
| Provider Name | Jennifer Lynn Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386237931 PECOS PAC ID: 6800205014 Enrollment ID: I20230125000531 |
| Provider Name | Michael Famularo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174501845 PECOS PAC ID: 0042271694 Enrollment ID: I20230202002956 |
| Provider Name | Dana Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275563686 PECOS PAC ID: 4587735576 Enrollment ID: I20230206001143 |
| Provider Name | Shravani R Nalla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699180521 PECOS PAC ID: 1456577196 Enrollment ID: I20230217001520 |
| Provider Name | Sabrina Esther Drexel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477971117 PECOS PAC ID: 4789802489 Enrollment ID: I20230227000878 |
| Provider Name | Tiffany M Heiges |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942860291 PECOS PAC ID: 2769855881 Enrollment ID: I20230310000134 |
| Provider Name | Peggy L Canales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497259329 PECOS PAC ID: 2769736347 Enrollment ID: I20230327002042 |
| Provider Name | Laura Flores Bauleke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831658103 PECOS PAC ID: 0547635526 Enrollment ID: I20230404002285 |
| Provider Name | Melony Burns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750047510 PECOS PAC ID: 2163897141 Enrollment ID: I20230404002354 |
| Provider Name | Trisha Leonard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174841571 PECOS PAC ID: 9234504291 Enrollment ID: I20230405002448 |
| Provider Name | Susan Renae Carlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710684105 PECOS PAC ID: 8921473208 Enrollment ID: I20230419001723 |
| Provider Name | Kim K Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598000515 PECOS PAC ID: 5698929412 Enrollment ID: I20230503003066 |
| Provider Name | Elizabeth Tomer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053063842 PECOS PAC ID: 9537525936 Enrollment ID: I20230509001903 |
| Provider Name | Amanda Whiteley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750421756 PECOS PAC ID: 9133270044 Enrollment ID: I20230629001130 |
| Provider Name | Sundar Cherukuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427511849 PECOS PAC ID: 2769865815 Enrollment ID: I20230808002988 |
| Provider Name | Weerawat Tananusont |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720226202 PECOS PAC ID: 6800065319 Enrollment ID: I20230905001969 |
| Provider Name | Kristin N Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538706619 PECOS PAC ID: 5294160693 Enrollment ID: I20230911003422 |
| Provider Name | Jessica L Poteet |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598102808 PECOS PAC ID: 2860763760 Enrollment ID: I20230926003285 |
| Provider Name | Stanley C Clark |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770591620 PECOS PAC ID: 0749280121 Enrollment ID: I20230927002388 |
| Provider Name | Kawandus L Bennett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912945718 PECOS PAC ID: 4688682115 Enrollment ID: I20231005001994 |
| Provider Name | Christopher Iwanoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174817118 PECOS PAC ID: 7517398647 Enrollment ID: I20231006002971 |
| Provider Name | Elizabeth Piper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235813577 PECOS PAC ID: 3476908633 Enrollment ID: I20231009003005 |
| Provider Name | Daniel Kissau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861996837 PECOS PAC ID: 8224384300 Enrollment ID: I20231011000583 |
| Provider Name | Peter E Jorgenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376156216 PECOS PAC ID: 0648625186 Enrollment ID: I20231018001910 |
| Provider Name | Katala Lach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669039384 PECOS PAC ID: 5395191761 Enrollment ID: I20231023000853 |
| Provider Name | Jairo Enrigue Mendoza Briceno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982227062 PECOS PAC ID: 7618365156 Enrollment ID: I20231031001771 |
| Provider Name | Athena Tudino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285294454 PECOS PAC ID: 8820445703 Enrollment ID: I20231115000058 |
| Provider Name | Jennifer N Jaggi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134361785 PECOS PAC ID: 4486811882 Enrollment ID: I20231204002446 |
| Provider Name | Erin E Steele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891322384 PECOS PAC ID: 1557789914 Enrollment ID: I20231220001527 |
| Provider Name | Thaidra Gaufin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851634745 PECOS PAC ID: 3779875265 Enrollment ID: I20231220003151 |
| Provider Name | Gina Jaeger Dean |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215458203 PECOS PAC ID: 5496106601 Enrollment ID: I20240111002237 |
| Provider Name | Duane A. Prather |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023165420 PECOS PAC ID: 0042653255 Enrollment ID: I20240205002668 |
| Provider Name | Sarah R Wissemeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235514407 PECOS PAC ID: 4183932403 Enrollment ID: I20240206004312 |
| Provider Name | Ismael Concepcion Poo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508327974 PECOS PAC ID: 0840633582 Enrollment ID: I20240208004544 |
| Provider Name | Audry Marie Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093758369 PECOS PAC ID: 5799128179 Enrollment ID: I20240213002865 |
| Provider Name | Lindsey K Frischmann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629364419 PECOS PAC ID: 4789970815 Enrollment ID: I20240220002532 |
| Provider Name | Katty Raisor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104695485 PECOS PAC ID: 9032553813 Enrollment ID: I20240220003249 |
| Provider Name | Allan Young |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1659514321 PECOS PAC ID: 8426338872 Enrollment ID: I20240222001172 |
| Provider Name | Anand Pullapilly |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457647729 PECOS PAC ID: 6507080496 Enrollment ID: I20240223002547 |
| Provider Name | Claudia P David |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174681597 PECOS PAC ID: 5395180590 Enrollment ID: I20240227004114 |
| Provider Name | Nathaniel R Woodruff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275623191 PECOS PAC ID: 0547250169 Enrollment ID: I20240320001881 |
| Provider Name | Joshua Addison Gabel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528445889 PECOS PAC ID: 7911260518 Enrollment ID: I20240416004223 |
| Provider Name | Emma Elizabeth Downing |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710574793 PECOS PAC ID: 2466892351 Enrollment ID: I20240425001343 |
Attuned Family Therapy Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2222 State Ave Ne Ste B, Olympia, WA 98506 Phone: 360-556-6374 Fax: 360-359-7161 | |
Molly Henderson Arnp Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Olympia Ave Ne, Olympia, WA 98506 Phone: 360-791-5933 | |
Meaningful Life Psychology Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2024 Caton Way Sw Ste 102, Olympia, WA 98502 Phone: 619-284-2535 | |
Oversight Telemedicine Physicians -texas, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9333 Martin Way E, Ste 214, Olympia, WA 98516 Phone: 360-539-8487 Fax: 360-358-9944 | |
Behavioral Health Resources Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3857 Martin Way E, Olympia, WA 98506 Phone: 360-704-7170 Fax: 360-709-4374 | |
Providence Community Care Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 State Ave Ne, Olympia, WA 98501 Phone: 360-486-6400 | |
Finnell Townsend Therapy Partners Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 4th Ave E Ste 309, Olympia, WA 98501 Phone: 206-552-0377 |