| Rih Multi-specialty Clinic | |
|
593 Eddy St Providence RI 02903-4923 | |
| (401) 444-6905 | |
| (401) 444-5462 |
| Full Name | Rih Multi-specialty Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 593 Eddy St, Providence, Rhode Island |
| Authorized Official Name and Position | Peter K Markell (EVP & CFO) |
| Authorized Official Contact | 4014447914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rih Multi-specialty Clinic 117 Ellenfield St Providence RI 02905-4513 Ph: (401) 444-6905 | Rih Multi-specialty Clinic 593 Eddy St Providence RI 02903-4923 Ph: (401) 444-6905 |
| NPI Number | 1154537520 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 02/24/2023 |
| Certification Date | 02/24/2023 |
| Medicare PECOS PAC ID | 8921900044 |
|---|---|
| Medicare Enrollment ID | O20141017000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154537520 | NPI | - | NPPES |
| 0861N | Other | RI | NHPRI VENDOR NO |
| 1154537520 | Medicaid | RI |
| Provider Name | David R Cloutier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801835939 PECOS PAC ID: 1557274842 Enrollment ID: I20031112000220 |
| Provider Name | Laura Levine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548274038 PECOS PAC ID: 4981598034 Enrollment ID: I20040210001060 |
| Provider Name | Kimberle Chapin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265486716 PECOS PAC ID: 6507755394 Enrollment ID: I20040311000256 |
| Provider Name | James R Klinger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639123854 PECOS PAC ID: 2163406760 Enrollment ID: I20040614000145 |
| Provider Name | Fadlallah Habr |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619924651 PECOS PAC ID: 9335123967 Enrollment ID: I20040614000392 |
| Provider Name | Lynn A Bowlby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588611123 PECOS PAC ID: 4981688538 Enrollment ID: I20040614000559 |
| Provider Name | Dominic F Corrigan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942249263 PECOS PAC ID: 2264416825 Enrollment ID: I20040614000610 |
| Provider Name | Geetha Gopalakrishnan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235183450 PECOS PAC ID: 1456335934 Enrollment ID: I20040614000876 |
| Provider Name | Kittichai Promrat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356398390 PECOS PAC ID: 3779567169 Enrollment ID: I20040615000008 |
| Provider Name | Reginald Y Gohh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063466282 PECOS PAC ID: 9739163130 Enrollment ID: I20040615000056 |
| Provider Name | Thomas D Denucci |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033291570 PECOS PAC ID: 7113901547 Enrollment ID: I20040615000258 |
| Provider Name | Harlan G Rich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912947045 PECOS PAC ID: 3971587288 Enrollment ID: I20040615000889 |
| Provider Name | Allen M Dennison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356342323 PECOS PAC ID: 2062488836 Enrollment ID: I20040903000126 |
| Provider Name | Andrea Goldfarb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609853290 PECOS PAC ID: 3072582493 Enrollment ID: I20041001000004 |
| Provider Name | Michael P Vezeridis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437131430 PECOS PAC ID: 0446210322 Enrollment ID: I20041014000931 |
| Provider Name | David Tobin Harrington |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558368092 PECOS PAC ID: 9133189996 Enrollment ID: I20041015000327 |
| Provider Name | Elizabeth Altenhein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689670044 PECOS PAC ID: 0042270811 Enrollment ID: I20041015000405 |
| Provider Name | Jeffrey M Burock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023096278 PECOS PAC ID: 4486616588 Enrollment ID: I20041101000761 |
| Provider Name | Adetokunbo A Oyelese |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770560435 PECOS PAC ID: 0345291555 Enrollment ID: I20050204000551 |
| Provider Name | Gladys H Telang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063466621 PECOS PAC ID: 1557312352 Enrollment ID: I20050209000721 |
| Provider Name | Lisa J Goldstein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053365684 PECOS PAC ID: 8628021391 Enrollment ID: I20050223000370 |
| Provider Name | Laura J Henseler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073575049 PECOS PAC ID: 0143272245 Enrollment ID: I20050304000118 |
| Provider Name | Ghada R Bourjeily |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881613057 PECOS PAC ID: 3577517671 Enrollment ID: I20050311000142 |
| Provider Name | Paul Y Liu |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1649237058 PECOS PAC ID: 1052358249 Enrollment ID: I20050420001051 |
| Provider Name | Brian R Ott |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124054101 PECOS PAC ID: 7113968652 Enrollment ID: I20050516000432 |
| Provider Name | Leslie Robinson-bostom |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1154368454 PECOS PAC ID: 8022051796 Enrollment ID: I20050606000058 |
| Provider Name | Renee Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912109109 PECOS PAC ID: 8921021973 Enrollment ID: I20060105000480 |
| Provider Name | Maria A Guglielmo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063504512 PECOS PAC ID: 1658348750 Enrollment ID: I20060209000355 |
| Provider Name | Ivan Wolfson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841358587 PECOS PAC ID: 4587679394 Enrollment ID: I20060215000705 |
| Provider Name | Diana O Treaba |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750328902 PECOS PAC ID: 9032125752 Enrollment ID: I20060303000398 |
| Provider Name | David E Mandelbaum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669408696 PECOS PAC ID: 1850300484 Enrollment ID: I20060411000038 |
| Provider Name | Andrew S Blum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376579318 PECOS PAC ID: 7416985338 Enrollment ID: I20060502000538 |
| Provider Name | Chuang K Wu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184661837 PECOS PAC ID: 9739199860 Enrollment ID: I20060503000384 |
| Provider Name | Colleen Kelly |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518995992 PECOS PAC ID: 0143224469 Enrollment ID: I20060829000255 |
| Provider Name | Jody A Underwood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528003712 PECOS PAC ID: 5496759292 Enrollment ID: I20060911000186 |
| Provider Name | Tahir Tellioglu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871535534 PECOS PAC ID: 5799780037 Enrollment ID: I20060920000427 |
| Provider Name | Michelle L. Mellion |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780624262 PECOS PAC ID: 5092710145 Enrollment ID: I20060922000346 |
| Provider Name | Mahesh Jayaraman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295755072 PECOS PAC ID: 7012913825 Enrollment ID: I20061018000084 |
| Provider Name | Philip C Russell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073625794 PECOS PAC ID: 2466459391 Enrollment ID: I20061106000588 |
| Provider Name | Jonathan D Kurtis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144263195 PECOS PAC ID: 9931203197 Enrollment ID: I20070327000623 |
| Provider Name | Thomas R Walek |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1821034943 PECOS PAC ID: 9830293984 Enrollment ID: I20070329000051 |
| Provider Name | Mirela Stancu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164435772 PECOS PAC ID: 1951408012 Enrollment ID: I20070524000244 |
| Provider Name | Howard E Schulman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992898233 PECOS PAC ID: 0143328351 Enrollment ID: I20070612000701 |
| Provider Name | Cristina Toba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215151329 PECOS PAC ID: 9830299130 Enrollment ID: I20070716000745 |
| Provider Name | Susan P Oliverio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356315576 PECOS PAC ID: 5395781744 Enrollment ID: I20071010000217 |
| Provider Name | Dariusz R Stachurski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316092166 PECOS PAC ID: 3870679392 Enrollment ID: I20080325000193 |
| Provider Name | Suzanne De La Monte |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962449157 PECOS PAC ID: 0446336895 Enrollment ID: I20080325000551 |
| Provider Name | Evgeny Yakirevich |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528285467 PECOS PAC ID: 1254419799 Enrollment ID: I20080423000533 |
| Provider Name | Zsolt T Orban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275534281 PECOS PAC ID: 0941388185 Enrollment ID: I20080429000211 |
| Provider Name | John E Donahue |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609813914 PECOS PAC ID: 0345311858 Enrollment ID: I20080611000141 |
| Provider Name | George P Bayliss |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982892824 PECOS PAC ID: 9436221439 Enrollment ID: I20080709000083 |
| Provider Name | Christopher M Matkovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699933382 PECOS PAC ID: 0042385536 Enrollment ID: I20080819000005 |
| Provider Name | Patricia N Soscia |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093798910 PECOS PAC ID: 2668410895 Enrollment ID: I20081107000023 |
| Provider Name | Bradford B Thompson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245399609 PECOS PAC ID: 1052419298 Enrollment ID: I20090120000604 |
| Provider Name | Michael A Friedman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184609398 PECOS PAC ID: 7719044809 Enrollment ID: I20090317000054 |
| Provider Name | Paul D Levinson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649254566 PECOS PAC ID: 6901963347 Enrollment ID: I20090330000270 |
| Provider Name | Scott T Schmidt |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1609986751 PECOS PAC ID: 1759489644 Enrollment ID: I20090512000018 |
| Provider Name | Mark P Legolvan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619194560 PECOS PAC ID: 3274683313 Enrollment ID: I20090610000547 |
| Provider Name | Nicholas S Potter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457471344 PECOS PAC ID: 5890868186 Enrollment ID: I20090723000101 |
| Provider Name | Valerie A Thomas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912005901 PECOS PAC ID: 3678574910 Enrollment ID: I20100219000334 |
| Provider Name | Daniela Boerescu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386628154 PECOS PAC ID: 6608909130 Enrollment ID: I20100804000025 |
| Provider Name | George Sachs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992731913 PECOS PAC ID: 8729112776 Enrollment ID: I20100813000048 |
| Provider Name | Janet Lee Wilterdink |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144263971 PECOS PAC ID: 7618001660 Enrollment ID: I20100813000071 |
| Provider Name | Heinrich R Elinzano |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063477032 PECOS PAC ID: 5294731592 Enrollment ID: I20100830000421 |
| Provider Name | Linda C Wendell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215154430 PECOS PAC ID: 0749306843 Enrollment ID: I20100927000512 |
| Provider Name | Jo Ann M Sarafin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437396017 PECOS PAC ID: 8224226881 Enrollment ID: I20101223000105 |
| Provider Name | Li Juan Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649217803 PECOS PAC ID: 3870772296 Enrollment ID: I20110131000908 |
| Provider Name | Latha R Pisharodi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225082720 PECOS PAC ID: 2466633763 Enrollment ID: I20110218000925 |
| Provider Name | Megan Pinkston Camp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447560487 PECOS PAC ID: 7113100389 Enrollment ID: I20110325000010 |
| Provider Name | Corey E Ventetuolo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538318241 PECOS PAC ID: 1456484955 Enrollment ID: I20110711000411 |
| Provider Name | Rebecca E Soinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043472749 PECOS PAC ID: 0345418893 Enrollment ID: I20110727000634 |
| Provider Name | Ross J Taliano |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720065287 PECOS PAC ID: 3678742848 Enrollment ID: I20110803000788 |
| Provider Name | Michael A Reuter |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124356365 PECOS PAC ID: 5193994382 Enrollment ID: I20110803000951 |
| Provider Name | Jonathan Francis Cahill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578780821 PECOS PAC ID: 6507035102 Enrollment ID: I20110817000223 |
| Provider Name | Thomas N Carruthers |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1720206568 PECOS PAC ID: 9335319748 Enrollment ID: I20110823000100 |
| Provider Name | Harikrashna B Bhatt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285765792 PECOS PAC ID: 9638349822 Enrollment ID: I20110825000414 |
| Provider Name | Vicky O Cheng |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295987543 PECOS PAC ID: 3678743671 Enrollment ID: I20110831000046 |
| Provider Name | Gino A Paolucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538452735 PECOS PAC ID: 2365614039 Enrollment ID: I20111003000341 |
| Provider Name | Richard Haas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376531269 PECOS PAC ID: 5799951810 Enrollment ID: I20111220000503 |
| Provider Name | Rogers C Griffith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306890892 PECOS PAC ID: 5395911366 Enrollment ID: I20111222000508 |
| Provider Name | Bassam I Aswad |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255384541 PECOS PAC ID: 8022275999 Enrollment ID: I20120203000456 |
| Provider Name | Murray B Resnick |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144274838 PECOS PAC ID: 5193753010 Enrollment ID: I20120206000754 |
| Provider Name | Ali Amin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952544264 PECOS PAC ID: 9638337900 Enrollment ID: I20120220000004 |
| Provider Name | Douglas C Anthony |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558308270 PECOS PAC ID: 2365480530 Enrollment ID: I20120328000608 |
| Provider Name | John M Conte |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1952307803 PECOS PAC ID: 6608935515 Enrollment ID: I20120430000278 |
| Provider Name | Yihong Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649439142 PECOS PAC ID: 5799836128 Enrollment ID: I20121003000861 |
| Provider Name | Reena A Bhatt |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1578781316 PECOS PAC ID: 4880844794 Enrollment ID: I20121030000043 |
| Provider Name | Karen L Furie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750362562 PECOS PAC ID: 5395728018 Enrollment ID: I20121206000511 |
| Provider Name | Jennifer K Trayner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508029455 PECOS PAC ID: 8628221769 Enrollment ID: I20130123000394 |
| Provider Name | Weibiao Cao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528249075 PECOS PAC ID: 5698929438 Enrollment ID: I20130204000208 |
| Provider Name | Sarah Rose M Lamport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205145240 PECOS PAC ID: 3678769619 Enrollment ID: I20130423000073 |
| Provider Name | Nancy L Harritos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083720502 PECOS PAC ID: 2264572478 Enrollment ID: I20130614000453 |
| Provider Name | Shamlal Mangray |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831143387 PECOS PAC ID: 3274772199 Enrollment ID: I20130625000246 |
| Provider Name | Sandhya M Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164583779 PECOS PAC ID: 5799888756 Enrollment ID: I20130807001012 |
| Provider Name | Joseph D Sweeney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871547398 PECOS PAC ID: 5597999367 Enrollment ID: I20131010000005 |
| Provider Name | James F Appleton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710280037 PECOS PAC ID: 6204060692 Enrollment ID: I20131018001191 |
| Provider Name | Dino A Messina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881771574 PECOS PAC ID: 4981645306 Enrollment ID: I20140228000204 |
| Provider Name | Maria Luisa Garcia Moliner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144298894 PECOS PAC ID: 5193706687 Enrollment ID: I20140409000987 |
| Provider Name | Lindsey Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316377914 PECOS PAC ID: 9739303595 Enrollment ID: I20140617001923 |
| Provider Name | Mindy Sobota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245303320 PECOS PAC ID: 5193828507 Enrollment ID: I20140715002108 |
| Provider Name | Umer Akbar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477798106 PECOS PAC ID: 3577729771 Enrollment ID: I20140725001519 |
| Provider Name | Christian L Nixon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881929305 PECOS PAC ID: 6709003346 Enrollment ID: I20140806000058 |
| Provider Name | Shaolei Lu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750519021 PECOS PAC ID: 4183841752 Enrollment ID: I20140806001088 |
| Provider Name | Anna C Hippchen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184971038 PECOS PAC ID: 5193942688 Enrollment ID: I20140806001765 |
| Provider Name | Ali Saad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689818809 PECOS PAC ID: 8921225038 Enrollment ID: I20140814000078 |
| Provider Name | Sarah Freeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699069682 PECOS PAC ID: 4880811629 Enrollment ID: I20140819000493 |
| Provider Name | Mariana Canepa |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073853248 PECOS PAC ID: 8022236801 Enrollment ID: I20140820002757 |
| Provider Name | Dawn Peloquin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083033187 PECOS PAC ID: 0840418489 Enrollment ID: I20140825000086 |
| Provider Name | Jesse L Hart |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942409461 PECOS PAC ID: 1850510033 Enrollment ID: I20140922000023 |
| Provider Name | Christina D Scully |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881989879 PECOS PAC ID: 8123248085 Enrollment ID: I20140929000726 |
| Provider Name | Stephanie J Czech |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104237874 PECOS PAC ID: 2567682016 Enrollment ID: I20141003001190 |
| Provider Name | Melissa A Simon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316265259 PECOS PAC ID: 0345488995 Enrollment ID: I20141024000248 |
| Provider Name | Donald B Macdougall |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942415146 PECOS PAC ID: 9436371663 Enrollment ID: I20141104000289 |
| Provider Name | Alexios Carayannopoulos |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861592156 PECOS PAC ID: 8921190869 Enrollment ID: I20141114000057 |
| Provider Name | Xiaoping Zhou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437365434 PECOS PAC ID: 2466620885 Enrollment ID: I20141126001060 |
| Provider Name | Ernestine G Jennings |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154731743 PECOS PAC ID: 9830412790 Enrollment ID: I20141229001306 |
| Provider Name | Keith Austin Scarfo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003012014 PECOS PAC ID: 7618146309 Enrollment ID: I20150216001971 |
| Provider Name | Karl U Breuing |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1720044472 PECOS PAC ID: 4688674484 Enrollment ID: I20150305000499 |
| Provider Name | David Caldarella |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891799482 PECOS PAC ID: 2466599790 Enrollment ID: I20150319000156 |
| Provider Name | Matthew T Coombs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700154796 PECOS PAC ID: 6406013671 Enrollment ID: I20150321000198 |
| Provider Name | Megan Gernt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558778050 PECOS PAC ID: 1850618166 Enrollment ID: I20150326000139 |
| Provider Name | Ryan A Mctaggart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164640389 PECOS PAC ID: 6800022989 Enrollment ID: I20150605001990 |
| Provider Name | Christopher M Tessier |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821216706 PECOS PAC ID: 5294968277 Enrollment ID: I20150617001958 |
| Provider Name | Shadi Yaghi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407088826 PECOS PAC ID: 9032420872 Enrollment ID: I20150619000548 |
| Provider Name | Sarah Marie Hyder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225230444 PECOS PAC ID: 9739307588 Enrollment ID: I20150625000345 |
| Provider Name | Kara Anne Stavros |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821315300 PECOS PAC ID: 8628381258 Enrollment ID: I20150724011408 |
| Provider Name | Julie Morris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003172586 PECOS PAC ID: 9234445974 Enrollment ID: I20150826001701 |
| Provider Name | Christopher Dimarco |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922391150 PECOS PAC ID: 4688981848 Enrollment ID: I20150921001563 |
| Provider Name | Dimitrios Farmakiotis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255625919 PECOS PAC ID: 9931328028 Enrollment ID: I20150925001210 |
| Provider Name | Ricardo Correa Marquez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053623538 PECOS PAC ID: 4688983760 Enrollment ID: I20151013001105 |
| Provider Name | Nimesh R Patel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982936522 PECOS PAC ID: 3870802507 Enrollment ID: I20151021000222 |
| Provider Name | Kirsten J Langdon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629454285 PECOS PAC ID: 4183933823 Enrollment ID: I20151021000912 |
| Provider Name | Jared Minkel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104253566 PECOS PAC ID: 4486885746 Enrollment ID: I20151027001915 |
| Provider Name | Veronica Seippel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043696685 PECOS PAC ID: 4789994328 Enrollment ID: I20151110002258 |
| Provider Name | Nicole K Breting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023488145 PECOS PAC ID: 1456652015 Enrollment ID: I20151228000053 |
| Provider Name | Christopher P Elco |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770756819 PECOS PAC ID: 8628291242 Enrollment ID: I20160107000119 |
| Provider Name | Cristina Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922301159 PECOS PAC ID: 6305141607 Enrollment ID: I20160224002173 |
| Provider Name | David J Mysels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982755088 PECOS PAC ID: 3577688829 Enrollment ID: I20160311000540 |
| Provider Name | Charles D Hackett |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1558539957 PECOS PAC ID: 3779710090 Enrollment ID: I20160606001865 |
| Provider Name | Alexander Curran Mohler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356667745 PECOS PAC ID: 1850517053 Enrollment ID: I20160727000047 |
| Provider Name | Shawna M. Cutting Malkoff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992964548 PECOS PAC ID: 1254588536 Enrollment ID: I20160831000583 |
| Provider Name | Michael D Mcquiggan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437413986 PECOS PAC ID: 9133423080 Enrollment ID: I20160901000621 |
| Provider Name | Kristin J Macdougall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093000325 PECOS PAC ID: 4486940335 Enrollment ID: I20160901001800 |
| Provider Name | Sarah B Schmidhofer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053759381 PECOS PAC ID: 0941439681 Enrollment ID: I20160909001772 |
| Provider Name | Gina Deck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255642286 PECOS PAC ID: 3971735085 Enrollment ID: I20160914000134 |
| Provider Name | Swee Lim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780847376 PECOS PAC ID: 3870735806 Enrollment ID: I20160914000169 |
| Provider Name | Margarita Laporte Bomfim Bockorny |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1801103650 PECOS PAC ID: 6002035631 Enrollment ID: I20160923000041 |
| Provider Name | Shalini Boodram |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992053938 PECOS PAC ID: 8123254893 Enrollment ID: I20161108002415 |
| Provider Name | Anelyssa D'abreu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891243507 PECOS PAC ID: 4880973759 Enrollment ID: I20161116002395 |
| Provider Name | Ricky D Grisson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093910606 PECOS PAC ID: 7911288253 Enrollment ID: I20161229000548 |
| Provider Name | Su Gym Kim |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1235418369 PECOS PAC ID: 5395969943 Enrollment ID: I20170117001481 |
| Provider Name | Arieana A Farmakiotis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801330816 PECOS PAC ID: 4789967506 Enrollment ID: I20170201001956 |
| Provider Name | Tonslyn A Toure |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003081944 PECOS PAC ID: 5799954830 Enrollment ID: I20170407000088 |
| Provider Name | Stephen L Chabot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609847078 PECOS PAC ID: 7315984424 Enrollment ID: I20170504000028 |
| Provider Name | Seth A Clark |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1801208798 PECOS PAC ID: 3870710213 Enrollment ID: I20170626001451 |
| Provider Name | Abbas H Rupawala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649583782 PECOS PAC ID: 4587896667 Enrollment ID: I20170707000451 |
| Provider Name | Sean D Fine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114210267 PECOS PAC ID: 4082832399 Enrollment ID: I20170717002047 |
| Provider Name | Brian C Mac Grory |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073875951 PECOS PAC ID: 4183935745 Enrollment ID: I20170728000076 |
| Provider Name | Rahul Vanjani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134487135 PECOS PAC ID: 1456622836 Enrollment ID: I20170802003847 |
| Provider Name | Michael Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942653688 PECOS PAC ID: 5890066187 Enrollment ID: I20170804000947 |
| Provider Name | Shannon Whittemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013443878 PECOS PAC ID: 9436420452 Enrollment ID: I20170809000299 |
| Provider Name | Meghan C Geary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073925988 PECOS PAC ID: 1254558521 Enrollment ID: I20170809001005 |
| Provider Name | Michael Reznik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558655035 PECOS PAC ID: 3971824913 Enrollment ID: I20170809002523 |
| Provider Name | Ali Mahta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437387990 PECOS PAC ID: 8325368152 Enrollment ID: I20170816000084 |
| Provider Name | Tina M Burton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356631642 PECOS PAC ID: 8426280595 Enrollment ID: I20170816001531 |
| Provider Name | Christopher J Mullin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336383157 PECOS PAC ID: 6901053404 Enrollment ID: I20170816003419 |
| Provider Name | Lori A Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053662833 PECOS PAC ID: 6608029293 Enrollment ID: I20170817000647 |
| Provider Name | Steven Christopher Schaub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346500220 PECOS PAC ID: 9234356262 Enrollment ID: I20170825000339 |
| Provider Name | Jessica Elizabeth Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184984478 PECOS PAC ID: 3375858152 Enrollment ID: I20170828000616 |
| Provider Name | Mark P Birkenbach |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346212313 PECOS PAC ID: 6507864097 Enrollment ID: I20170907000208 |
| Provider Name | Sonja Dianne Julia Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568741049 PECOS PAC ID: 3173740859 Enrollment ID: I20170915003080 |
| Provider Name | Kyle Silva |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1427396019 PECOS PAC ID: 3072888585 Enrollment ID: I20171010001966 |
| Provider Name | Raquel M. Carneiro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508812942 PECOS PAC ID: 6002828464 Enrollment ID: I20171109001848 |
| Provider Name | Martha C Trimbur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003179060 PECOS PAC ID: 6103183561 Enrollment ID: I20171121000033 |
| Provider Name | Joseph Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891243861 PECOS PAC ID: 5294092979 Enrollment ID: I20171205002650 |
| Provider Name | Pamela A Kusiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982130548 PECOS PAC ID: 7012276983 Enrollment ID: I20180123000134 |
| Provider Name | Sara Maleki |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023306974 PECOS PAC ID: 5698060895 Enrollment ID: I20180213000165 |
| Provider Name | Akwi W Asombang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679778765 PECOS PAC ID: 8022186014 Enrollment ID: I20180215001182 |
| Provider Name | Michaela Ann Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083090849 PECOS PAC ID: 3375852569 Enrollment ID: I20180306002639 |
| Provider Name | Rose Moriarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194223164 PECOS PAC ID: 8325309248 Enrollment ID: I20180309000681 |
| Provider Name | James D. Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740778547 PECOS PAC ID: 5597020024 Enrollment ID: I20180604000221 |
| Provider Name | Carmen Perrino |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417204629 PECOS PAC ID: 6800180217 Enrollment ID: I20180606001262 |
| Provider Name | Shyam Rao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982969416 PECOS PAC ID: 5991091183 Enrollment ID: I20180713000872 |
| Provider Name | Jonathan Drake |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891132924 PECOS PAC ID: 6103173687 Enrollment ID: I20180716003146 |
| Provider Name | Seth Aaron Margolis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952819484 PECOS PAC ID: 9638426224 Enrollment ID: I20180730000375 |
| Provider Name | Yiru Wu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104252345 PECOS PAC ID: 6103133509 Enrollment ID: I20180801001751 |
| Provider Name | Habibe Kurt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649547704 PECOS PAC ID: 7911146857 Enrollment ID: I20180809004717 |
| Provider Name | Suzanne S Chan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710272620 PECOS PAC ID: 8224387675 Enrollment ID: I20180820000734 |
| Provider Name | Daniel C. Sacchetti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962842567 PECOS PAC ID: 0648497032 Enrollment ID: I20181008002623 |
| Provider Name | Elizabeth Mclaughlin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285113514 PECOS PAC ID: 3173876299 Enrollment ID: I20181018002975 |
| Provider Name | Jeffrey A Bailey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871799676 PECOS PAC ID: 3971649534 Enrollment ID: I20181126001612 |
| Provider Name | Andrew Ginn Bong Young |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659310738 PECOS PAC ID: 7012953730 Enrollment ID: I20181126001761 |
| Provider Name | Emily Daniell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134657505 PECOS PAC ID: 5294075024 Enrollment ID: I20190314000490 |
| Provider Name | Caitlin S Lawrence |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629458047 PECOS PAC ID: 1153626809 Enrollment ID: I20190424002716 |
| Provider Name | Ralph Rogers |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063824779 PECOS PAC ID: 9234356734 Enrollment ID: I20190513000665 |
| Provider Name | Sleiman El Jamal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063774297 PECOS PAC ID: 8820331895 Enrollment ID: I20190514001813 |
| Provider Name | Hanns Christoph Stretz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851654925 PECOS PAC ID: 0042513319 Enrollment ID: I20190515002254 |
| Provider Name | Melissa Cardona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699339721 PECOS PAC ID: 2961745443 Enrollment ID: I20190524001539 |
| Provider Name | Justin Li |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316351091 PECOS PAC ID: 6305145202 Enrollment ID: I20190614000882 |
| Provider Name | Aryandokht Fotros |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447665831 PECOS PAC ID: 3274866728 Enrollment ID: I20190614001938 |
| Provider Name | Nicole Constance Demir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730532391 PECOS PAC ID: 0547543480 Enrollment ID: I20190625001888 |
| Provider Name | Alisha Lakhani |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1033521802 PECOS PAC ID: 5294951984 Enrollment ID: I20190715002474 |
| Provider Name | Amanda J. Fernandes |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649602863 PECOS PAC ID: 1759517980 Enrollment ID: I20190719000507 |
| Provider Name | Caroline A Wunsch |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1629427265 PECOS PAC ID: 6204120314 Enrollment ID: I20190719001855 |
| Provider Name | Jasmin Lebastchi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740628874 PECOS PAC ID: 1759675101 Enrollment ID: I20190719001859 |
| Provider Name | Folasade Olofinlade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932505252 PECOS PAC ID: 1456655711 Enrollment ID: I20190725001656 |
| Provider Name | Tharani Rajeswaran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861806440 PECOS PAC ID: 5092085704 Enrollment ID: I20190731001051 |
| Provider Name | Katelyn C Dannheim Drew |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558781260 PECOS PAC ID: 9537496245 Enrollment ID: I20190802001979 |
| Provider Name | Abbie Paley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710478854 PECOS PAC ID: 0042547804 Enrollment ID: I20190816000830 |
| Provider Name | Shannon Simmons |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619210630 PECOS PAC ID: 3678705738 Enrollment ID: I20190823001293 |
| Provider Name | Sara Washburn Fuller Geffert |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083971097 PECOS PAC ID: 3971822065 Enrollment ID: I20190930000666 |
| Provider Name | Richard O Wein |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912978073 PECOS PAC ID: 6901701499 Enrollment ID: I20191107001041 |
| Provider Name | Ivana Delalle |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609849918 PECOS PAC ID: 1658353701 Enrollment ID: I20191107002234 |
| Provider Name | Erin Kimberly Little |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1770978835 PECOS PAC ID: 0941512446 Enrollment ID: I20200604001121 |
| Provider Name | Laert Rusha |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1013301381 PECOS PAC ID: 1052610078 Enrollment ID: I20200605001506 |
| Provider Name | Russell Bratman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205216389 PECOS PAC ID: 7517273105 Enrollment ID: I20200715000832 |
| Provider Name | Sasmit Sarangi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881002202 PECOS PAC ID: 4587970090 Enrollment ID: I20200803002199 |
| Provider Name | Aruna Tokas |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1578970281 PECOS PAC ID: 6002189958 Enrollment ID: I20200806002207 |
| Provider Name | Benjamin A Rosen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043703879 PECOS PAC ID: 6305192964 Enrollment ID: I20200818003444 |
| Provider Name | Cathy M Massoud |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1902291487 PECOS PAC ID: 0547554792 Enrollment ID: I20200923001820 |
| Provider Name | Radmehr Torabi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730472820 PECOS PAC ID: 7810115128 Enrollment ID: I20201014000378 |
| Provider Name | Monica Dhakar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528348281 PECOS PAC ID: 2365743762 Enrollment ID: I20201216003046 |
| Provider Name | Ashley Lynn Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902317449 PECOS PAC ID: 9638581424 Enrollment ID: I20201221000911 |
| Provider Name | Saima T Chaudhry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548655509 PECOS PAC ID: 0840594933 Enrollment ID: I20201231001400 |
| Provider Name | Carlos Gustavo Wambier |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1679054043 PECOS PAC ID: 9335552728 Enrollment ID: I20210103000006 |
| Provider Name | Jason Richards |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568808293 PECOS PAC ID: 1850517319 Enrollment ID: I20210112002609 |
| Provider Name | Neishay Ayub |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538571518 PECOS PAC ID: 6002033529 Enrollment ID: I20210316002657 |
| Provider Name | Joel M Kaufman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356310346 PECOS PAC ID: 3870887433 Enrollment ID: I20210408002593 |
| Provider Name | Ronan Farrell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821470675 PECOS PAC ID: 0840609715 Enrollment ID: I20210505000779 |
| Provider Name | Narendra Sharma Kala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083065072 PECOS PAC ID: 0345665758 Enrollment ID: I20210511002107 |
| Provider Name | Saud Alhusaini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699253591 PECOS PAC ID: 8224376587 Enrollment ID: I20210602000654 |
| Provider Name | Prathana Prakash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942683719 PECOS PAC ID: 3173801495 Enrollment ID: I20210621003049 |
| Provider Name | Jay C Emlen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033615125 PECOS PAC ID: 9931444858 Enrollment ID: I20210628000481 |
| Provider Name | Elizabeth M Perelstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851741771 PECOS PAC ID: 1153737804 Enrollment ID: I20210714002920 |
| Provider Name | Ross Barker |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1679836266 PECOS PAC ID: 0749557403 Enrollment ID: I20210811000724 |
| Provider Name | Krisztina Moldovan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841564010 PECOS PAC ID: 1658599634 Enrollment ID: I20210823000217 |
| Provider Name | Cecilia Fix |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1679991806 PECOS PAC ID: 5092088773 Enrollment ID: I20210825000545 |
| Provider Name | Katherine F Visser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285214783 PECOS PAC ID: 5597160549 Enrollment ID: I20210830001000 |
| Provider Name | Andrea Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174034557 PECOS PAC ID: 0941568570 Enrollment ID: I20210902001986 |
| Provider Name | Matthew J. White |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1831585710 PECOS PAC ID: 6002234291 Enrollment ID: I20210915003772 |
| Provider Name | Victoria Elena Marques |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316527468 PECOS PAC ID: 8224436480 Enrollment ID: I20211001002886 |
| Provider Name | Edelva Rozan Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881013183 PECOS PAC ID: 6204106461 Enrollment ID: I20211105000385 |
| Provider Name | Eric Goldstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366829210 PECOS PAC ID: 1557674868 Enrollment ID: I20211119001653 |
| Provider Name | Kathryn Basques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982954160 PECOS PAC ID: 0345558557 Enrollment ID: I20211208000368 |
| Provider Name | Michael Punsoni |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215298187 PECOS PAC ID: 6204053747 Enrollment ID: I20220120002102 |
| Provider Name | Dragos Luca |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417026832 PECOS PAC ID: 8224131404 Enrollment ID: I20220208001422 |
| Provider Name | Stefanie Dias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457019721 PECOS PAC ID: 9931593605 Enrollment ID: I20220222002026 |
| Provider Name | Christopher Lavigne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316604119 PECOS PAC ID: 9335534668 Enrollment ID: I20220323000162 |
| Provider Name | Ann Ding |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376034363 PECOS PAC ID: 9032464367 Enrollment ID: I20220512000022 |
| Provider Name | Julio Blasco Jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659933778 PECOS PAC ID: 6002147857 Enrollment ID: I20220517001960 |
| Provider Name | Ibrahim Yusuf Abubeker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164064655 PECOS PAC ID: 4284057415 Enrollment ID: I20220518001245 |
| Provider Name | Lewena Maher |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083136428 PECOS PAC ID: 9032598925 Enrollment ID: I20220623001625 |
| Provider Name | Thanujaa Subramaniam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942651062 PECOS PAC ID: 0042503542 Enrollment ID: I20220706002377 |
| Provider Name | Weiwei Shi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336501295 PECOS PAC ID: 1850686973 Enrollment ID: I20220720000392 |
| Provider Name | Erica Spano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811646177 PECOS PAC ID: 2860873742 Enrollment ID: I20220725000115 |
| Provider Name | May Min |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063807717 PECOS PAC ID: 1759685266 Enrollment ID: I20220726001315 |
| Provider Name | Daryl Selen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699122010 PECOS PAC ID: 5698060929 Enrollment ID: I20220802002456 |
| Provider Name | Navneet Singh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881089670 PECOS PAC ID: 5991102089 Enrollment ID: I20220803003270 |
| Provider Name | Dylan Hershkowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922538644 PECOS PAC ID: 3577836600 Enrollment ID: I20220804001594 |
| Provider Name | Caitlin Butler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578926176 PECOS PAC ID: 7416235858 Enrollment ID: I20220804001766 |
| Provider Name | Liang Cheng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528025301 PECOS PAC ID: 4486826724 Enrollment ID: I20220827000049 |
| Provider Name | Li Wang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477915478 PECOS PAC ID: 8921391848 Enrollment ID: I20220907002218 |
| Provider Name | Elena T Puscasiu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801048749 PECOS PAC ID: 9032390919 Enrollment ID: I20221013001100 |
| Provider Name | Liz Edmund |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588032486 PECOS PAC ID: 7517277817 Enrollment ID: I20221018000915 |
| Provider Name | Michela Muggeo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295211043 PECOS PAC ID: 5092063529 Enrollment ID: I20221108002431 |
| Provider Name | Kristen Marie Czekanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376140707 PECOS PAC ID: 6608247481 Enrollment ID: I20230116000413 |
| Provider Name | Amy Kite |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1225399645 PECOS PAC ID: 5395984751 Enrollment ID: I20230206002073 |
| Provider Name | Ifeanyi Iwuchukwu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215169974 PECOS PAC ID: 6608056312 Enrollment ID: I20230314001714 |
| Provider Name | Kelsey Coletta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689256638 PECOS PAC ID: 1850766817 Enrollment ID: I20230405002576 |
| Provider Name | Victoria Anne Montagano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134823420 PECOS PAC ID: 4587029152 Enrollment ID: I20230503003292 |
| Provider Name | Farhan Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437671369 PECOS PAC ID: 4981970027 Enrollment ID: I20230516003343 |
| Provider Name | Giulio Ciprian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588273577 PECOS PAC ID: 5597182154 Enrollment ID: I20230531001304 |
| Provider Name | Khaled Jamal Mohd Alkhateeb |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295265478 PECOS PAC ID: 1254799281 Enrollment ID: I20230622002120 |
| Provider Name | Erick Argueta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083144638 PECOS PAC ID: 0749648533 Enrollment ID: I20230627001585 |
| Provider Name | Torrey Birch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275793432 PECOS PAC ID: 5193983559 Enrollment ID: I20230630003077 |
| Provider Name | Blaise Baxter |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1487681342 PECOS PAC ID: 6507763232 Enrollment ID: I20230713000882 |
| Provider Name | Vinit Joseph Gilvaz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1174048029 PECOS PAC ID: 7911271630 Enrollment ID: I20230713003216 |
| Provider Name | Margaret Salinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871099788 PECOS PAC ID: 0840680773 Enrollment ID: I20230726001759 |
| Provider Name | Bryce Perler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538698253 PECOS PAC ID: 1052680519 Enrollment ID: I20230726002883 |
| Provider Name | Leslie Kimpler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568759553 PECOS PAC ID: 7719261478 Enrollment ID: I20230809003705 |
| Provider Name | Ahmet Hakki Kapici |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1831684190 PECOS PAC ID: 6507228079 Enrollment ID: I20230815003277 |
| Provider Name | Dylan Wolman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1265828081 PECOS PAC ID: 7012348600 Enrollment ID: I20230821003354 |
| Provider Name | Harry Joseph Rosenberg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346747938 PECOS PAC ID: 7618330119 Enrollment ID: I20230831001338 |
| Provider Name | Patrick Reagan Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144906397 PECOS PAC ID: 0547614349 Enrollment ID: I20230927003984 |
| Provider Name | Marisa Bergfield Michiels |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225604861 PECOS PAC ID: 1254786023 Enrollment ID: I20231013002193 |
| Provider Name | Prachi Bhuptani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922705698 PECOS PAC ID: 6103271721 Enrollment ID: I20231017000780 |
| Provider Name | Johan Hong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245867019 PECOS PAC ID: 7911353446 Enrollment ID: I20231019002137 |
| Provider Name | Shola Aluko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487898540 PECOS PAC ID: 8527111350 Enrollment ID: I20231120001123 |
| Provider Name | Rachel Lavey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477208007 PECOS PAC ID: 2466800065 Enrollment ID: I20231120002899 |
| Provider Name | Samuel Spencer Gilfeather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235765454 PECOS PAC ID: 7012365422 Enrollment ID: I20231126000053 |
| Provider Name | Cherilyn Freitas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831744713 PECOS PAC ID: 5597195685 Enrollment ID: I20231130003460 |
| Provider Name | Brian Shawn Beaudry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194505180 PECOS PAC ID: 0840640850 Enrollment ID: I20240103000194 |
| Provider Name | Mary Jane Pizza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386607893 PECOS PAC ID: 4183075732 Enrollment ID: I20240108004284 |
| Provider Name | Melissa Carbone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720353071 PECOS PAC ID: 9133572316 Enrollment ID: I20240124003781 |
| Provider Name | Andrea Pereira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598403073 PECOS PAC ID: 6901287010 Enrollment ID: I20240205003120 |
| Provider Name | Juliette Ariel Holtzman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174051742 PECOS PAC ID: 6608213111 Enrollment ID: I20240320000709 |
| Provider Name | Cathy Bour |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528417888 PECOS PAC ID: 8224475074 Enrollment ID: I20240328001646 |
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