| Rush University Internists | |
|
1620 W Harrison St Chicago IL 60612-3801 | |
| (312) 942-5000 | |
| Not Available |
| Full Name | Rush University Internists |
|---|---|
| Speciality | Internal Medicine |
| Location | 1620 W Harrison St, Chicago, Illinois |
| Authorized Official Name and Position | Scott A Halper (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3129427770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rush University Internists 1700 W Van Buren St Suite 500 Chicago IL 60612-3218 Ph: (312) 563-2875 | Rush University Internists 1620 W Harrison St Chicago IL 60612-3801 Ph: (312) 942-5000 |
| NPI Number | 1093819542 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 06/04/2024 |
| Certification Date | 06/04/2024 |
| Medicare PECOS PAC ID | 5496658874 |
|---|---|
| Medicare Enrollment ID | O20040202000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093819542 | NPI | - | NPPES |
| 01622355 | Other | IL | BC GROUP |
| Provider Name | Timothy S Wollner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427088061 PECOS PAC ID: 8527962620 Enrollment ID: I20031120000841 |
| Provider Name | Madhu Soni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710922570 PECOS PAC ID: 6406755644 Enrollment ID: I20040107000149 |
| Provider Name | Gina L Kring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093806424 PECOS PAC ID: 5395638308 Enrollment ID: I20040204000419 |
| Provider Name | Alan L Jackson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144398520 PECOS PAC ID: 7618874850 Enrollment ID: I20040223000610 |
| Provider Name | James O Ertle |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1992762173 PECOS PAC ID: 0547156382 Enrollment ID: I20040226001085 |
| Provider Name | Christopher G Goetz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124004585 PECOS PAC ID: 0042108128 Enrollment ID: I20040309001286 |
| Provider Name | Cynthia L Comella |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588640940 PECOS PAC ID: 9931097011 Enrollment ID: I20040309001298 |
| Provider Name | Aikaterini Kompoliti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295712545 PECOS PAC ID: 3870481955 Enrollment ID: I20040309001346 |
| Provider Name | Leonard Verhagen Metman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841276201 PECOS PAC ID: 5395633408 Enrollment ID: I20040310000031 |
| Provider Name | Robert B Wright |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821013483 PECOS PAC ID: 1456249564 Enrollment ID: I20040310000055 |
| Provider Name | Michael C Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285620617 PECOS PAC ID: 1355239369 Enrollment ID: I20040310000073 |
| Provider Name | Jordan L Topel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053348144 PECOS PAC ID: 4981593894 Enrollment ID: I20040310001324 |
| Provider Name | Dusan Stefoski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376521724 PECOS PAC ID: 6800785726 Enrollment ID: I20040310001393 |
| Provider Name | Antoaneta Y Balabanov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770578304 PECOS PAC ID: 3779472691 Enrollment ID: I20040310001417 |
| Provider Name | Bryan A Bernard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992782247 PECOS PAC ID: 4789573619 Enrollment ID: I20040310001496 |
| Provider Name | Renee F Slade |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023093119 PECOS PAC ID: 4789575705 Enrollment ID: I20040322000186 |
| Provider Name | Deborah S Zielinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194734863 PECOS PAC ID: 9830088772 Enrollment ID: I20040325000235 |
| Provider Name | Robert A Balk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134173503 PECOS PAC ID: 6103718614 Enrollment ID: I20040331000828 |
| Provider Name | David P Gurka |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255385514 PECOS PAC ID: 5193717130 Enrollment ID: I20040331000964 |
| Provider Name | Winston Sequeira |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1063445633 PECOS PAC ID: 5799777447 Enrollment ID: I20040401000794 |
| Provider Name | James J Herdegen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184737793 PECOS PAC ID: 0143212779 Enrollment ID: I20040401001384 |
| Provider Name | Rami Doukky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093761181 PECOS PAC ID: 7911990783 Enrollment ID: I20040407000069 |
| Provider Name | John Losurdo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548205594 PECOS PAC ID: 6507850732 Enrollment ID: I20040412000863 |
| Provider Name | Mark T De Meo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972549327 PECOS PAC ID: 0244224475 Enrollment ID: I20040412000924 |
| Provider Name | Samuel N Saltzberg |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629187703 PECOS PAC ID: 3476548835 Enrollment ID: I20040419000573 |
| Provider Name | Ali Keshavarzian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558302257 PECOS PAC ID: 3678569654 Enrollment ID: I20040423000997 |
| Provider Name | Claudia Hernandez |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417018136 PECOS PAC ID: 5890782296 Enrollment ID: I20040428000371 |
| Provider Name | Adrienne L Adams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578661781 PECOS PAC ID: 9830186741 Enrollment ID: I20040430000368 |
| Provider Name | Kousik Krishnan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1225054505 PECOS PAC ID: 3577551878 Enrollment ID: I20040505000278 |
| Provider Name | Lisa Rosman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548277874 PECOS PAC ID: 4082603626 Enrollment ID: I20040510000689 |
| Provider Name | Jean C Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558348375 PECOS PAC ID: 7315928488 Enrollment ID: I20040525001328 |
| Provider Name | Michelle L Ventura |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245251859 PECOS PAC ID: 9032190186 Enrollment ID: I20040526000117 |
| Provider Name | Augustine M Manadan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1508881871 PECOS PAC ID: 0840271318 Enrollment ID: I20040528001218 |
| Provider Name | David A Ansell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003918004 PECOS PAC ID: 7113817636 Enrollment ID: I20040601001054 |
| Provider Name | Payman Sattar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780609057 PECOS PAC ID: 4082696257 Enrollment ID: I20040602000579 |
| Provider Name | Ashok A. Jagasia |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447278676 PECOS PAC ID: 3375525801 Enrollment ID: I20040607000970 |
| Provider Name | Paul Mckeegan Kent |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396770061 PECOS PAC ID: 3779561519 Enrollment ID: I20040709000070 |
| Provider Name | Patricia M Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285609149 PECOS PAC ID: 7517946205 Enrollment ID: I20040716000074 |
| Provider Name | Meenakshi Jolly |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316970015 PECOS PAC ID: 4082694724 Enrollment ID: I20040722000877 |
| Provider Name | Farah Hashemi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790893881 PECOS PAC ID: 4981684644 Enrollment ID: I20040722001050 |
| Provider Name | Calvin H Flowers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598841843 PECOS PAC ID: 7012987373 Enrollment ID: I20040727000005 |
| Provider Name | Margaret A Scotellaro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154398238 PECOS PAC ID: 1951374446 Enrollment ID: I20040813000404 |
| Provider Name | Jeffrey T Rado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881706455 PECOS PAC ID: 7810961331 Enrollment ID: I20040820001102 |
| Provider Name | Edward Sheldon Linn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730178765 PECOS PAC ID: 3577537620 Enrollment ID: I20040826000436 |
| Provider Name | Richard G Fessler |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447473426 PECOS PAC ID: 2668447491 Enrollment ID: I20040826000543 |
| Provider Name | Rahul G Patwari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952377020 PECOS PAC ID: 0143295766 Enrollment ID: I20040827000708 |
| Provider Name | Carrie L Drazba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124095385 PECOS PAC ID: 8628043783 Enrollment ID: I20040901000096 |
| Provider Name | Daniel Katz |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1013919737 PECOS PAC ID: 0840265930 Enrollment ID: I20040901000298 |
| Provider Name | Proddutur R. Reddy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184712481 PECOS PAC ID: 6800862491 Enrollment ID: I20040903001205 |
| Provider Name | Nancy S Reau |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164585683 PECOS PAC ID: 5799751384 Enrollment ID: I20040903001220 |
| Provider Name | Michelle F Albovias |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093798662 PECOS PAC ID: 8123094406 Enrollment ID: I20040908000738 |
| Provider Name | Judith A Badner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154449544 PECOS PAC ID: 1254307549 Enrollment ID: I20040908000877 |
| Provider Name | Tonja R Austin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558375030 PECOS PAC ID: 5991772618 Enrollment ID: I20040913001044 |
| Provider Name | Sonal Chandra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518276872 PECOS PAC ID: 2466420328 Enrollment ID: I20040920000553 |
| Provider Name | Kara Houston |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821319161 PECOS PAC ID: 2567430184 Enrollment ID: I20040922000105 |
| Provider Name | Ashish C Bhatia |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073595690 PECOS PAC ID: 6103895321 Enrollment ID: I20040924000862 |
| Provider Name | Xavier F Pombar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346224797 PECOS PAC ID: 4880663822 Enrollment ID: I20040928000113 |
| Provider Name | Jamile M Shammo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316906779 PECOS PAC ID: 3072582568 Enrollment ID: I20040930001060 |
| Provider Name | Jonathan A Myers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487729042 PECOS PAC ID: 6608835947 Enrollment ID: I20041004000621 |
| Provider Name | Cheryl D Wolfe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962497909 PECOS PAC ID: 1456310713 Enrollment ID: I20041005000074 |
| Provider Name | Sefer Gezer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700845153 PECOS PAC ID: 8325008725 Enrollment ID: I20041011000528 |
| Provider Name | Daniel Maher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760431985 PECOS PAC ID: 7618937798 Enrollment ID: I20041013000614 |
| Provider Name | Mariana Solari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396707493 PECOS PAC ID: 9537129598 Enrollment ID: I20041013001295 |
| Provider Name | Parameswa Venugopal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093774465 PECOS PAC ID: 5890756415 Enrollment ID: I20041026000626 |
| Provider Name | Sheba R Chiplunkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356374656 PECOS PAC ID: 9032172515 Enrollment ID: I20041105000381 |
| Provider Name | Steven Brian Powell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295778694 PECOS PAC ID: 8729041264 Enrollment ID: I20041105000834 |
| Provider Name | Steven L Flamm |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912937244 PECOS PAC ID: 3173586534 Enrollment ID: I20041105000994 |
| Provider Name | Steven Rothschild |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184716623 PECOS PAC ID: 8628971389 Enrollment ID: I20041109000221 |
| Provider Name | Steven Gitelis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174502843 PECOS PAC ID: 9739142720 Enrollment ID: I20041110000811 |
| Provider Name | Donald D Nash |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548229065 PECOS PAC ID: 1254396120 Enrollment ID: I20041120000121 |
| Provider Name | Aleksandar L Krunic |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1891721965 PECOS PAC ID: 0749245207 Enrollment ID: I20041123001008 |
| Provider Name | Irene Silva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114910692 PECOS PAC ID: 0648236570 Enrollment ID: I20041202000775 |
| Provider Name | Paula M Grabler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487606299 PECOS PAC ID: 9638135387 Enrollment ID: I20041206000183 |
| Provider Name | Randolph M Mcconnie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770580706 PECOS PAC ID: 2466418553 Enrollment ID: I20041209000992 |
| Provider Name | John W Burns |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366489684 PECOS PAC ID: 1951368471 Enrollment ID: I20041216000507 |
| Provider Name | Erica D Engelstein |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1093712481 PECOS PAC ID: 0547227878 Enrollment ID: I20041217000414 |
| Provider Name | Yanina A Purim Shem Tov |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740256825 PECOS PAC ID: 8123086360 Enrollment ID: I20041220001101 |
| Provider Name | Carla Z Minutti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407886179 PECOS PAC ID: 0042268815 Enrollment ID: I20050107000754 |
| Provider Name | Lisa K Giordano |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588785273 PECOS PAC ID: 2466400247 Enrollment ID: I20050107000802 |
| Provider Name | Lorenzo F Munoz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225022759 PECOS PAC ID: 8729036454 Enrollment ID: I20050110000118 |
| Provider Name | Melany Danehy |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1952387318 PECOS PAC ID: 2264482264 Enrollment ID: I20050127000484 |
| Provider Name | Rasha S Jabri |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1275569840 PECOS PAC ID: 0446200398 Enrollment ID: I20050127000838 |
| Provider Name | Girish Sharma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982602041 PECOS PAC ID: 3870542822 Enrollment ID: I20050210000258 |
| Provider Name | Kyran M Quinlan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619031036 PECOS PAC ID: 0042263378 Enrollment ID: I20050228000324 |
| Provider Name | Lavanya R Chekuri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306816756 PECOS PAC ID: 1557314499 Enrollment ID: I20050303000261 |
| Provider Name | Timothy M Kuzel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851325088 PECOS PAC ID: 4082668603 Enrollment ID: I20050308000125 |
| Provider Name | David Alan Brandt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629004965 PECOS PAC ID: 8628023207 Enrollment ID: I20050316000666 |
| Provider Name | Keith M Monson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700837788 PECOS PAC ID: 3577521715 Enrollment ID: I20050328000850 |
| Provider Name | John S Rinehart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871572867 PECOS PAC ID: 1052368057 Enrollment ID: I20050401000426 |
| Provider Name | Gail M Basch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992903850 PECOS PAC ID: 5496702912 Enrollment ID: I20050406000441 |
| Provider Name | Philip D. Bonomi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235198573 PECOS PAC ID: 9537129556 Enrollment ID: I20050407001196 |
| Provider Name | Irene S Haapoja |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1841259132 PECOS PAC ID: 3678520947 Enrollment ID: I20050407001249 |
| Provider Name | Sharon D Manson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568422236 PECOS PAC ID: 5092752170 Enrollment ID: I20050411000463 |
| Provider Name | Dino P Rumoro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326014408 PECOS PAC ID: 1456328418 Enrollment ID: I20050411000564 |
| Provider Name | Edward J Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780650663 PECOS PAC ID: 1850338823 Enrollment ID: I20050412000033 |
| Provider Name | Galeta C Clayton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588630743 PECOS PAC ID: 9234176215 Enrollment ID: I20050412000103 |
| Provider Name | Lory J Arquilla Maltby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205866373 PECOS PAC ID: 0446241954 Enrollment ID: I20050419000782 |
| Provider Name | William T Leslie |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538129275 PECOS PAC ID: 5597703314 Enrollment ID: I20050421001318 |
| Provider Name | Colleen M Buhrfiend |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508922964 PECOS PAC ID: 8729029962 Enrollment ID: I20050518000112 |
| Provider Name | Robert J Snell |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306862552 PECOS PAC ID: 0042251274 Enrollment ID: I20050518000852 |
| Provider Name | Clifford Kavinsky |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1336165612 PECOS PAC ID: 5294777249 Enrollment ID: I20050531000794 |
| Provider Name | Gregory S Rauch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912921297 PECOS PAC ID: 0345285292 Enrollment ID: I20050622000470 |
| Provider Name | Michael J Liptay |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245338607 PECOS PAC ID: 6608811245 Enrollment ID: I20050623000413 |
| Provider Name | Ruta D Rao |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1831159441 PECOS PAC ID: 6709813272 Enrollment ID: I20050726001094 |
| Provider Name | Srikumar B Pillai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518953538 PECOS PAC ID: 3173551256 Enrollment ID: I20050729000848 |
| Provider Name | Donald Milton Jensen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518028349 PECOS PAC ID: 2062440860 Enrollment ID: I20050802001085 |
| Provider Name | Loren S Schechter |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1528274198 PECOS PAC ID: 6800797770 Enrollment ID: I20050811000456 |
| Provider Name | Robin L Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942262258 PECOS PAC ID: 2860306784 Enrollment ID: I20050817000155 |
| Provider Name | Anthony J Perry |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1689623803 PECOS PAC ID: 3577593649 Enrollment ID: I20050818000064 |
| Provider Name | Jack C Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417906637 PECOS PAC ID: 3375573447 Enrollment ID: I20050818000077 |
| Provider Name | Raj C Shah |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1053440503 PECOS PAC ID: 8729018890 Enrollment ID: I20050818000084 |
| Provider Name | Michelle L Sweet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841302346 PECOS PAC ID: 8224069299 Enrollment ID: I20050830000201 |
| Provider Name | Prashant Singri |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922094929 PECOS PAC ID: 1557393287 Enrollment ID: I20050902000120 |
| Provider Name | Miral D Jhaveri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235197468 PECOS PAC ID: 7214969716 Enrollment ID: I20050906000741 |
| Provider Name | Lawrence P Bernstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649339151 PECOS PAC ID: 7911939087 Enrollment ID: I20050909000259 |
| Provider Name | Anne B Cardwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700997012 PECOS PAC ID: 2961435755 Enrollment ID: I20050913000473 |
| Provider Name | Jesse E Taber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932268570 PECOS PAC ID: 3072546787 Enrollment ID: I20050914000077 |
| Provider Name | Nikunj N Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134109861 PECOS PAC ID: 6406889898 Enrollment ID: I20050915000898 |
| Provider Name | Adrianne Flynn-dade |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336123496 PECOS PAC ID: 1052370152 Enrollment ID: I20050928000493 |
| Provider Name | Mark Andrew Yoder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376597625 PECOS PAC ID: 8426083940 Enrollment ID: I20051003000759 |
| Provider Name | David A Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942292412 PECOS PAC ID: 9335164938 Enrollment ID: I20051012001097 |
| Provider Name | Sandra S Swantek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639169279 PECOS PAC ID: 0547286775 Enrollment ID: I20051018000348 |
| Provider Name | Brenda Jang Huber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134772411 PECOS PAC ID: 9032135272 Enrollment ID: I20051018000421 |
| Provider Name | Mary J Fidler |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1598960494 PECOS PAC ID: 7012933930 Enrollment ID: I20051020000377 |
| Provider Name | Jennifer R Goldfarb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134287204 PECOS PAC ID: 0244257798 Enrollment ID: I20051025000285 |
| Provider Name | Christopher L Coogan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568412716 PECOS PAC ID: 7012935000 Enrollment ID: I20051109000262 |
| Provider Name | Gina S Lowell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487605143 PECOS PAC ID: 3375563679 Enrollment ID: I20051201000445 |
| Provider Name | Rima Mahmoud Dafer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407939846 PECOS PAC ID: 3375564875 Enrollment ID: I20051213000110 |
| Provider Name | Mondira Sengupta |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1851403331 PECOS PAC ID: 6305868142 Enrollment ID: I20051222000326 |
| Provider Name | Jeehyun Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194850206 PECOS PAC ID: 4284656489 Enrollment ID: I20060103000323 |
| Provider Name | John R Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215988167 PECOS PAC ID: 9830113950 Enrollment ID: I20060117000346 |
| Provider Name | Marcia M Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659444354 PECOS PAC ID: 3577577360 Enrollment ID: I20060201000022 |
| Provider Name | Ann S Goh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013019728 PECOS PAC ID: 8921012428 Enrollment ID: I20060206000158 |
| Provider Name | Susan Bublick Glick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902969421 PECOS PAC ID: 7911912142 Enrollment ID: I20060209000322 |
| Provider Name | Daniel P Dunham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881624294 PECOS PAC ID: 3072528694 Enrollment ID: I20060217000217 |
| Provider Name | Robert B Shulman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992852925 PECOS PAC ID: 3577528744 Enrollment ID: I20060302000578 |
| Provider Name | Sheila A Dugan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932158904 PECOS PAC ID: 9436167558 Enrollment ID: I20060331000358 |
| Provider Name | Richard Byrne |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518916816 PECOS PAC ID: 4284642208 Enrollment ID: I20060331000510 |
| Provider Name | Erin E Emery-tiburcio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518094739 PECOS PAC ID: 5193797355 Enrollment ID: I20060404000553 |
| Provider Name | Irving Waxman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487717906 PECOS PAC ID: 8628087475 Enrollment ID: I20060406000380 |
| Provider Name | Lance D Holemon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215056296 PECOS PAC ID: 1951310622 Enrollment ID: I20060410000088 |
| Provider Name | Carolyn H Jones |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518931492 PECOS PAC ID: 7416966700 Enrollment ID: I20060414000034 |
| Provider Name | Alejandro R Mora |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215996657 PECOS PAC ID: 4486664984 Enrollment ID: I20060427000736 |
| Provider Name | Rakhi Khanna |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1083689079 PECOS PAC ID: 2567472673 Enrollment ID: I20060503000303 |
| Provider Name | Melody A Cobleigh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1861451122 PECOS PAC ID: 7214948231 Enrollment ID: I20060505000278 |
| Provider Name | Harel Deutsch |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235194028 PECOS PAC ID: 6709897614 Enrollment ID: I20060508000036 |
| Provider Name | Ryan M Braun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588622682 PECOS PAC ID: 2860403201 Enrollment ID: I20060522000049 |
| Provider Name | John E Otoole |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619926672 PECOS PAC ID: 1557373305 Enrollment ID: I20060620000008 |
| Provider Name | Robyn Mudro Flanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235170960 PECOS PAC ID: 1557373016 Enrollment ID: I20060627000054 |
| Provider Name | Melissa L Larson |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1912967688 PECOS PAC ID: 9133132293 Enrollment ID: I20060713000319 |
| Provider Name | Joseph C Beck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386682144 PECOS PAC ID: 8426061946 Enrollment ID: I20060728000025 |
| Provider Name | G Wendell Richmond |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1508885385 PECOS PAC ID: 7911900089 Enrollment ID: I20060809000408 |
| Provider Name | Manjari Gambhir Malkani |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467410183 PECOS PAC ID: 3870596224 Enrollment ID: I20060824000471 |
| Provider Name | Gregory M White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518991280 PECOS PAC ID: 8527062785 Enrollment ID: I20060831000313 |
| Provider Name | Michael K Raymond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265479422 PECOS PAC ID: 6002712643 Enrollment ID: I20060911000229 |
| Provider Name | Marvin A Rossi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275529091 PECOS PAC ID: 5496750739 Enrollment ID: I20060920000367 |
| Provider Name | Ben J Tseng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821104373 PECOS PAC ID: 7618972464 Enrollment ID: I20060928000598 |
| Provider Name | Sobia N Ansari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942311956 PECOS PAC ID: 1355347733 Enrollment ID: I20061006000318 |
| Provider Name | Babak Mokhlesi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265451397 PECOS PAC ID: 6901803428 Enrollment ID: I20061026000015 |
| Provider Name | Josune N Iglesias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962504597 PECOS PAC ID: 6709883176 Enrollment ID: I20061026000531 |
| Provider Name | Teresa E Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376642413 PECOS PAC ID: 4688671530 Enrollment ID: I20061107000204 |
| Provider Name | Jeffrey Kramer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124056486 PECOS PAC ID: 5294732087 Enrollment ID: I20061109000324 |
| Provider Name | Surabhi Mehrotra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447297890 PECOS PAC ID: 6406854728 Enrollment ID: I20061121000480 |
| Provider Name | Jennifer H Towbin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366554867 PECOS PAC ID: 2567460777 Enrollment ID: I20061127000097 |
| Provider Name | Naveed M Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093806689 PECOS PAC ID: 3577561620 Enrollment ID: I20061128000142 |
| Provider Name | Karen C Hayani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295745909 PECOS PAC ID: 6406854348 Enrollment ID: I20061201000177 |
| Provider Name | Max J Pitlosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760454904 PECOS PAC ID: 6608874565 Enrollment ID: I20061201000347 |
| Provider Name | Murali K Vinta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396858064 PECOS PAC ID: 4082613922 Enrollment ID: I20061204000338 |
| Provider Name | Dawnelle Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780647586 PECOS PAC ID: 6507865458 Enrollment ID: I20061204000461 |
| Provider Name | Rupesh I Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568557692 PECOS PAC ID: 9537168919 Enrollment ID: I20061212000630 |
| Provider Name | Teri Ann Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053403683 PECOS PAC ID: 7618977901 Enrollment ID: I20070111000045 |
| Provider Name | Stacey Boyd Whelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952323156 PECOS PAC ID: 2769482835 Enrollment ID: I20070115000122 |
| Provider Name | Lisa N Boggio |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336116151 PECOS PAC ID: 2264433382 Enrollment ID: I20070116000352 |
| Provider Name | Sheila M Dowd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013946896 PECOS PAC ID: 4082615026 Enrollment ID: I20070118000246 |
| Provider Name | Christopher J Dewald |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952334948 PECOS PAC ID: 9739140161 Enrollment ID: I20070119000060 |
| Provider Name | Jennifer A Thurmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164515326 PECOS PAC ID: 5890796676 Enrollment ID: I20070122000329 |
| Provider Name | Karen T Hou |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457412769 PECOS PAC ID: 4789685041 Enrollment ID: I20070130000037 |
| Provider Name | Kierre R Honore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942221890 PECOS PAC ID: 7517969918 Enrollment ID: I20070214000253 |
| Provider Name | Rupa M Sanghani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841227618 PECOS PAC ID: 4183726359 Enrollment ID: I20070220000165 |
| Provider Name | Mary Ann Hollenback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841339405 PECOS PAC ID: 7214039312 Enrollment ID: I20070220000583 |
| Provider Name | Lynelle E Thomas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710969001 PECOS PAC ID: 4981508199 Enrollment ID: I20070316000282 |
| Provider Name | Maria C Reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508805029 PECOS PAC ID: 2961507207 Enrollment ID: I20070416000519 |
| Provider Name | Pallavi P Patwari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376606491 PECOS PAC ID: 8527164565 Enrollment ID: I20070508000182 |
| Provider Name | Mindy L Simpson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164477246 PECOS PAC ID: 1850498619 Enrollment ID: I20070514000270 |
| Provider Name | Suzanne Musil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992825699 PECOS PAC ID: 8325016868 Enrollment ID: I20070514000502 |
| Provider Name | Christine S Schauerte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831248350 PECOS PAC ID: 9436256872 Enrollment ID: I20070521000233 |
| Provider Name | Paula J Melone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598812414 PECOS PAC ID: 8022045723 Enrollment ID: I20070604000446 |
| Provider Name | Lisa C Yeh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740372788 PECOS PAC ID: 6204935810 Enrollment ID: I20070622000231 |
| Provider Name | Daniel J Hurley |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326017625 PECOS PAC ID: 6002914785 Enrollment ID: I20070626000156 |
| Provider Name | Octavia B Kincaid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710194824 PECOS PAC ID: 4385744473 Enrollment ID: I20070702000422 |
| Provider Name | Erika Kahan Vassil |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992756340 PECOS PAC ID: 6901818749 Enrollment ID: I20070705000127 |
| Provider Name | Michael Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336340082 PECOS PAC ID: 8022089473 Enrollment ID: I20070710000959 |
| Provider Name | James R Cameron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538385737 PECOS PAC ID: 0042310781 Enrollment ID: I20070711000309 |
| Provider Name | Palmi N Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477668929 PECOS PAC ID: 1557461290 Enrollment ID: I20070711000351 |
| Provider Name | Shobha L Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881610319 PECOS PAC ID: 5799885117 Enrollment ID: I20070713000183 |
| Provider Name | Philip R Liebson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083630370 PECOS PAC ID: 0941300347 Enrollment ID: I20070714000032 |
| Provider Name | Sean A Grimm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235346941 PECOS PAC ID: 8921108325 Enrollment ID: I20070714000052 |
| Provider Name | Susan C Budds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851426613 PECOS PAC ID: 2860593001 Enrollment ID: I20070718000596 |
| Provider Name | Rene Pineda Carizey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386862639 PECOS PAC ID: 6204937287 Enrollment ID: I20070720000184 |
| Provider Name | Louis G Hondros |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114122652 PECOS PAC ID: 4789785007 Enrollment ID: I20070730000893 |
| Provider Name | Phillip S Losavio |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124232137 PECOS PAC ID: 6305937582 Enrollment ID: I20070801000724 |
| Provider Name | Warren W Piette |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326113440 PECOS PAC ID: 3678582426 Enrollment ID: I20070813000559 |
| Provider Name | Edie Y Chan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245373703 PECOS PAC ID: 5294770608 Enrollment ID: I20070910000393 |
| Provider Name | Andrea Madrigrano |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912198706 PECOS PAC ID: 9739272550 Enrollment ID: I20070910000482 |
| Provider Name | Marilyn M Hallock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336110691 PECOS PAC ID: 2062506538 Enrollment ID: I20070915000026 |
| Provider Name | Sapanjot K Bajwa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407048440 PECOS PAC ID: 4688769680 Enrollment ID: I20071005000444 |
| Provider Name | Michele L Bailey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710182670 PECOS PAC ID: 0749374437 Enrollment ID: I20071010000136 |
| Provider Name | Kathryn K Mcandrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366636417 PECOS PAC ID: 7911094339 Enrollment ID: I20071101000542 |
| Provider Name | Paul E Casey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639389992 PECOS PAC ID: 6800984899 Enrollment ID: I20071108000158 |
| Provider Name | Kathleen Rowland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407072549 PECOS PAC ID: 6002904968 Enrollment ID: I20071112000208 |
| Provider Name | Wakas N Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447446521 PECOS PAC ID: 1456449925 Enrollment ID: I20071116000156 |
| Provider Name | Louis J Kraus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477670461 PECOS PAC ID: 1557442878 Enrollment ID: I20080112000118 |
| Provider Name | William A Scheftner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407989460 PECOS PAC ID: 1052211943 Enrollment ID: I20080112000143 |
| Provider Name | Sara E Jandeska |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316146392 PECOS PAC ID: 9133202872 Enrollment ID: I20080219000109 |
| Provider Name | Amie J Gamino |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952581373 PECOS PAC ID: 8022192871 Enrollment ID: I20080303000684 |
| Provider Name | Cordia M Clark-white |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861676538 PECOS PAC ID: 2466536214 Enrollment ID: I20080303000711 |
| Provider Name | Carol S Burke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396925715 PECOS PAC ID: 8426132275 Enrollment ID: I20080303000738 |
| Provider Name | Sonali Khandelwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871773291 PECOS PAC ID: 9335224161 Enrollment ID: I20080304000615 |
| Provider Name | Jessica Elizabeth Cherikos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275620718 PECOS PAC ID: 7719064435 Enrollment ID: I20080404000721 |
| Provider Name | James S Castle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992909667 PECOS PAC ID: 2668552373 Enrollment ID: I20080603000578 |
| Provider Name | Pamela D Strauss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841224672 PECOS PAC ID: 7315019700 Enrollment ID: I20080630000339 |
| Provider Name | Jessica M Diethelm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427232412 PECOS PAC ID: 8628141983 Enrollment ID: I20080718000505 |
| Provider Name | Joyce A Corsica |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831244409 PECOS PAC ID: 9537232749 Enrollment ID: I20080722000277 |
| Provider Name | Debra B Selip |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053360974 PECOS PAC ID: 1850464785 Enrollment ID: I20080724000776 |
| Provider Name | Scott A Heinrich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538340856 PECOS PAC ID: 9739253519 Enrollment ID: I20080729000356 |
| Provider Name | Brandon R Barton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174715486 PECOS PAC ID: 4486728870 Enrollment ID: I20080802000032 |
| Provider Name | Aris M Musabji |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588861728 PECOS PAC ID: 8325131022 Enrollment ID: I20080802000066 |
| Provider Name | Marta Batus |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1003087768 PECOS PAC ID: 3779657846 Enrollment ID: I20080807000319 |
| Provider Name | Sepehr B Sani |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336281575 PECOS PAC ID: 9537233424 Enrollment ID: I20080812000122 |
| Provider Name | Sawsan M Awad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245437086 PECOS PAC ID: 3375618960 Enrollment ID: I20080815000478 |
| Provider Name | Amina Ahmed |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1154372068 PECOS PAC ID: 6800806555 Enrollment ID: I20080820000506 |
| Provider Name | Michael Y Lin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265646517 PECOS PAC ID: 2668548355 Enrollment ID: I20080903000539 |
| Provider Name | Sayona John |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528031846 PECOS PAC ID: 6507864600 Enrollment ID: I20080905000356 |
| Provider Name | John L Showel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689602146 PECOS PAC ID: 3678649118 Enrollment ID: I20080905000556 |
| Provider Name | Cesar A Ochoa-lubinoff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508803131 PECOS PAC ID: 0345316816 Enrollment ID: I20080906000159 |
| Provider Name | Stephanie M Shors |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306000542 PECOS PAC ID: 5597831859 Enrollment ID: I20080910000404 |
| Provider Name | Sunita R Nathan |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1023278892 PECOS PAC ID: 3173690146 Enrollment ID: I20080917000822 |
| Provider Name | James K Wyatt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659421212 PECOS PAC ID: 5193892834 Enrollment ID: I20080923000402 |
| Provider Name | Tiffany K Hor |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063686053 PECOS PAC ID: 0941377378 Enrollment ID: I20080925000736 |
| Provider Name | Edward F Hollinger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548471212 PECOS PAC ID: 8820165095 Enrollment ID: I20080930000562 |
| Provider Name | Joseph Maurice |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659486413 PECOS PAC ID: 6608880844 Enrollment ID: I20081010000466 |
| Provider Name | Dorian F Guerra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053590430 PECOS PAC ID: 0648338343 Enrollment ID: I20081028000552 |
| Provider Name | Austin E Hanrahan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982850137 PECOS PAC ID: 4688733454 Enrollment ID: I20081107000589 |
| Provider Name | Meeta P Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194986349 PECOS PAC ID: 2062571771 Enrollment ID: I20081111000145 |
| Provider Name | Richard M Wiet |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346315017 PECOS PAC ID: 9436251733 Enrollment ID: I20081120000807 |
| Provider Name | Jack A Cohen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205836947 PECOS PAC ID: 7517933799 Enrollment ID: I20081124000063 |
| Provider Name | Andrew D Ruthberg |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1174629836 PECOS PAC ID: 8527065655 Enrollment ID: I20081212000588 |
| Provider Name | Michael A Hefferly |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1215101316 PECOS PAC ID: 9830251578 Enrollment ID: I20081215000428 |
| Provider Name | Guillermo Font |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760421382 PECOS PAC ID: 3678636487 Enrollment ID: I20090105000583 |
| Provider Name | Dayle V Davenport |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639338213 PECOS PAC ID: 6305909391 Enrollment ID: I20090119000003 |
| Provider Name | Jay M Behel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245451905 PECOS PAC ID: 2264500479 Enrollment ID: I20090204000484 |
| Provider Name | Christopher L Grote |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447470935 PECOS PAC ID: 5193880094 Enrollment ID: I20090209000666 |
| Provider Name | Brian D Stein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154529501 PECOS PAC ID: 1153380282 Enrollment ID: I20090211000568 |
| Provider Name | Amanda L Cockrell-tapalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659519247 PECOS PAC ID: 3476619453 Enrollment ID: I20090226000313 |
| Provider Name | Rasa Kazlauskaite |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487609954 PECOS PAC ID: 2365508348 Enrollment ID: I20090226000336 |
| Provider Name | Jose M Velasco |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386630366 PECOS PAC ID: 9436176294 Enrollment ID: I20090302000633 |
| Provider Name | Vincent C Traynelis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487647517 PECOS PAC ID: 0446317218 Enrollment ID: I20090323000137 |
| Provider Name | Jenifer L Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689814873 PECOS PAC ID: 7315096633 Enrollment ID: I20090515000533 |
| Provider Name | Shahid S Ekbal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417934779 PECOS PAC ID: 6507915352 Enrollment ID: I20090527000340 |
| Provider Name | Steven B Feinstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629097480 PECOS PAC ID: 6901955772 Enrollment ID: I20090527000513 |
| Provider Name | Deborah M Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346441490 PECOS PAC ID: 9335299973 Enrollment ID: I20090602000708 |
| Provider Name | Ronald Myint |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003076795 PECOS PAC ID: 5890845838 Enrollment ID: I20090611000759 |
| Provider Name | Matthew Brugger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881851152 PECOS PAC ID: 5698825636 Enrollment ID: I20090611000782 |
| Provider Name | Rory P Breslin-sani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932342680 PECOS PAC ID: 9133279102 Enrollment ID: I20090612000315 |
| Provider Name | Susan D Tafini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194959684 PECOS PAC ID: 5294886826 Enrollment ID: I20090622000504 |
| Provider Name | Deborah A Hall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952410334 PECOS PAC ID: 2062462849 Enrollment ID: I20090623000578 |
| Provider Name | James J Conners |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346406253 PECOS PAC ID: 8426109331 Enrollment ID: I20090706000097 |
| Provider Name | Julie A Schneider |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477682995 PECOS PAC ID: 8820149750 Enrollment ID: I20090706000260 |
| Provider Name | Sara Hanif Mirza |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548416407 PECOS PAC ID: 3274685045 Enrollment ID: I20090709000426 |
| Provider Name | Salina S Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447386834 PECOS PAC ID: 7416009188 Enrollment ID: I20090710000519 |
| Provider Name | Paul Guimban Cabanilla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972769180 PECOS PAC ID: 3476605585 Enrollment ID: I20090721000741 |
| Provider Name | Sowmya Oza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639394836 PECOS PAC ID: 6406909050 Enrollment ID: I20090730000138 |
| Provider Name | Janet Y Forbes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295838779 PECOS PAC ID: 7911051941 Enrollment ID: I20090811000051 |
| Provider Name | Ailda L Nika |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1831316983 PECOS PAC ID: 4880749803 Enrollment ID: I20090827000159 |
| Provider Name | Latania Logan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558517144 PECOS PAC ID: 6204981178 Enrollment ID: I20090827000752 |
| Provider Name | Michael A Hanak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265609903 PECOS PAC ID: 8325193725 Enrollment ID: I20090909000271 |
| Provider Name | Carol L Corbridge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407967714 PECOS PAC ID: 6103825195 Enrollment ID: I20090911000624 |
| Provider Name | Kelly E Rimawi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720215783 PECOS PAC ID: 4587710140 Enrollment ID: I20090923000297 |
| Provider Name | Niranjan Karnik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073648192 PECOS PAC ID: 2163518978 Enrollment ID: I20090923000728 |
| Provider Name | Elizabeth Yepez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518108059 PECOS PAC ID: 3577619022 Enrollment ID: I20090924000318 |
| Provider Name | Mahesh N Raju |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811143548 PECOS PAC ID: 4082760400 Enrollment ID: I20090925000263 |
| Provider Name | Ewa T Dembowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114158821 PECOS PAC ID: 8628114360 Enrollment ID: I20091009000100 |
| Provider Name | Alan Aaron Harris |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699736488 PECOS PAC ID: 9133124225 Enrollment ID: I20091012000332 |
| Provider Name | Mary K Hayden |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730140187 PECOS PAC ID: 0042215139 Enrollment ID: I20091012000344 |
| Provider Name | John Segreti |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841251212 PECOS PAC ID: 7719982818 Enrollment ID: I20091012000362 |
| Provider Name | Beverly E Sha |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093776460 PECOS PAC ID: 9537164637 Enrollment ID: I20091012000388 |
| Provider Name | Harold Allan Kessler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730140534 PECOS PAC ID: 3678578762 Enrollment ID: I20091019000368 |
| Provider Name | Lydia Usha |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1336109693 PECOS PAC ID: 1658418207 Enrollment ID: I20091030000115 |
| Provider Name | Kenneth M Boyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003847393 PECOS PAC ID: 8325037930 Enrollment ID: I20091105000652 |
| Provider Name | Linda Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063513026 PECOS PAC ID: 3779570072 Enrollment ID: I20091106000044 |
| Provider Name | Cynthia D Hildner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1306090303 PECOS PAC ID: 6103964184 Enrollment ID: I20091111000609 |
| Provider Name | Sunjay Kaushal |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1831263565 PECOS PAC ID: 6709887250 Enrollment ID: I20091113000419 |
| Provider Name | Karen J. Lui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073779237 PECOS PAC ID: 2062550676 Enrollment ID: I20091118000479 |
| Provider Name | Margaret R Yesko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902022460 PECOS PAC ID: 8022157627 Enrollment ID: I20091119000645 |
| Provider Name | Alexander Mazur |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1710172515 PECOS PAC ID: 3577644749 Enrollment ID: I20091221000510 |
| Provider Name | Angela D Ehmke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326371030 PECOS PAC ID: 4284775248 Enrollment ID: I20100113000131 |
| Provider Name | Joseph W Mularczyk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215950720 PECOS PAC ID: 0042274417 Enrollment ID: I20100130000264 |
| Provider Name | Anuja K Antony |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1528228277 PECOS PAC ID: 1254475304 Enrollment ID: I20100212000680 |
| Provider Name | Donald J Tanis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902822158 PECOS PAC ID: 9234266479 Enrollment ID: I20100420001031 |
| Provider Name | Catherine Sang Mee Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437261096 PECOS PAC ID: 8123155116 Enrollment ID: I20100422000958 |
| Provider Name | Monique A Colbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093044471 PECOS PAC ID: 8729115332 Enrollment ID: I20100429000621 |
| Provider Name | Karen B Weinstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790732048 PECOS PAC ID: 5799812319 Enrollment ID: I20100429000822 |
| Provider Name | Rebecca C Pride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942494034 PECOS PAC ID: 4385772813 Enrollment ID: I20100504000634 |
| Provider Name | Mehmet Kocak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255382099 PECOS PAC ID: 0941379960 Enrollment ID: I20100507000140 |
| Provider Name | Monika J Pitzele |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487802211 PECOS PAC ID: 6406984236 Enrollment ID: I20100514000331 |
| Provider Name | Marianne N Odonoghue |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1265637995 PECOS PAC ID: 8224168604 Enrollment ID: I20100610000985 |
| Provider Name | Sarah L Everakes |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1487687299 PECOS PAC ID: 9032249446 Enrollment ID: I20100611000048 |
| Provider Name | Brian P Mcculloch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013943117 PECOS PAC ID: 2961532098 Enrollment ID: I20100616000027 |
| Provider Name | Diego Remolina |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1952557977 PECOS PAC ID: 0941330872 Enrollment ID: I20100618000763 |
| Provider Name | Robert B Nadler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982623401 PECOS PAC ID: 1052441938 Enrollment ID: I20100621000227 |
| Provider Name | Denise M. Kirsten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811124936 PECOS PAC ID: 0244361715 Enrollment ID: I20100628000085 |
| Provider Name | Cynthia Louie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114039757 PECOS PAC ID: 8729119136 Enrollment ID: I20100629000681 |
| Provider Name | Lina Sapiegiene |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205857422 PECOS PAC ID: 4880682434 Enrollment ID: I20100630000269 |
| Provider Name | Megan A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194041400 PECOS PAC ID: 0446382170 Enrollment ID: I20100715001004 |
| Provider Name | Walter J Mccarthy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477667681 PECOS PAC ID: 9032241146 Enrollment ID: I20100723000967 |
| Provider Name | Jennifer S Earvolino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619079688 PECOS PAC ID: 3072412683 Enrollment ID: I20100728000602 |
| Provider Name | Theodore J Saclarides |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1982779765 PECOS PAC ID: 2860436862 Enrollment ID: I20100816000629 |
| Provider Name | Syed H. Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730291212 PECOS PAC ID: 5597899021 Enrollment ID: I20100818001224 |
| Provider Name | Andem E Ekpenyong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467554089 PECOS PAC ID: 6103950639 Enrollment ID: I20100818001257 |
| Provider Name | Mariam S Aziz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891954491 PECOS PAC ID: 0941334445 Enrollment ID: I20100819000680 |
| Provider Name | Kyle J Popovich |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366600132 PECOS PAC ID: 7719011212 Enrollment ID: I20100819000720 |
| Provider Name | Vance Iii Lauderdale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942312558 PECOS PAC ID: 0244364750 Enrollment ID: I20100819000764 |
| Provider Name | Jacqueline Deborah Leavitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144332768 PECOS PAC ID: 1456485960 Enrollment ID: I20100819000867 |
| Provider Name | Kim Williams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831252352 PECOS PAC ID: 2860599834 Enrollment ID: I20100824000338 |
| Provider Name | Peter T Heydemann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760419311 PECOS PAC ID: 1759406879 Enrollment ID: I20100914000048 |
| Provider Name | Patricia A. Walsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700835071 PECOS PAC ID: 2466577432 Enrollment ID: I20100914000734 |
| Provider Name | Jillian D Boroniec |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215135371 PECOS PAC ID: 6507981388 Enrollment ID: I20100916000978 |
| Provider Name | Deborah Ann Katz |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1396901500 PECOS PAC ID: 6901921642 Enrollment ID: I20100917000400 |
| Provider Name | Darius S Francescatti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538234307 PECOS PAC ID: 2163548041 Enrollment ID: I20100928001554 |
| Provider Name | Daniel J Deziel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093880866 PECOS PAC ID: 7315981313 Enrollment ID: I20100929000015 |
| Provider Name | Paula M Dunskis |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1447566807 PECOS PAC ID: 0941492342 Enrollment ID: I20101004000954 |
| Provider Name | Kelly B. Stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316085897 PECOS PAC ID: 9931296035 Enrollment ID: I20101006000890 |
| Provider Name | Rupel H Dedhia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023264371 PECOS PAC ID: 9830381854 Enrollment ID: I20101008001016 |
| Provider Name | Catherine Anne Dimou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073615076 PECOS PAC ID: 2860684719 Enrollment ID: I20101011000231 |
| Provider Name | Viju T John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831201433 PECOS PAC ID: 1658563515 Enrollment ID: I20101011000286 |
| Provider Name | Katherine B. Heiden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750548384 PECOS PAC ID: 8628104304 Enrollment ID: I20101011000327 |
| Provider Name | Kelly Jo Kulagin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427213388 PECOS PAC ID: 6002008885 Enrollment ID: I20101012000755 |
| Provider Name | Elif Yucebay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760688592 PECOS PAC ID: 0941492672 Enrollment ID: I20101013000123 |
| Provider Name | Elizabeth M. Berry-kravis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932130325 PECOS PAC ID: 5991997652 Enrollment ID: I20101013000477 |
| Provider Name | Michael D Brown |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265477293 PECOS PAC ID: 1355533050 Enrollment ID: I20101013001045 |
| Provider Name | Ece A Mutlu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598707911 PECOS PAC ID: 7911190566 Enrollment ID: I20101015000267 |
| Provider Name | Keith W Bruninga |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881638823 PECOS PAC ID: 8628261278 Enrollment ID: I20101015000289 |
| Provider Name | Sharon E Byrd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760430797 PECOS PAC ID: 2163503848 Enrollment ID: I20101015000292 |
| Provider Name | Kerstin M Stenson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861557605 PECOS PAC ID: 1951594175 Enrollment ID: I20101020001089 |
| Provider Name | Scott G Hasler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619079282 PECOS PAC ID: 6709079924 Enrollment ID: I20101020001193 |
| Provider Name | Rajeev K Garg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760648760 PECOS PAC ID: 6507059698 Enrollment ID: I20101021000590 |
| Provider Name | Elizabeth Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710089776 PECOS PAC ID: 9335332279 Enrollment ID: I20101022001172 |
| Provider Name | Richard I Abrams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659473650 PECOS PAC ID: 0143413088 Enrollment ID: I20101022001181 |
| Provider Name | Jisu Antonio Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275645871 PECOS PAC ID: 2860685708 Enrollment ID: I20101022001200 |
| Provider Name | Suchita Kishore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528170123 PECOS PAC ID: 7113110057 Enrollment ID: I20101022001213 |
| Provider Name | Richard L. Huh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487742409 PECOS PAC ID: 7012100951 Enrollment ID: I20101022001225 |
| Provider Name | Keith W Millikan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083789853 PECOS PAC ID: 6305880303 Enrollment ID: I20101026000791 |
| Provider Name | Neeraj Jolly |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1366503195 PECOS PAC ID: 8820282445 Enrollment ID: I20101027001443 |
| Provider Name | Joel A Block |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1285659771 PECOS PAC ID: 6204020746 Enrollment ID: I20101028001464 |
| Provider Name | Aliyah Sadaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770724999 PECOS PAC ID: 5395939854 Enrollment ID: I20101029000160 |
| Provider Name | Sean O Mahony |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467542290 PECOS PAC ID: 8325126980 Enrollment ID: I20101103001265 |
| Provider Name | Brandie L Fagin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801061320 PECOS PAC ID: 1557555430 Enrollment ID: I20101104000854 |
| Provider Name | Mary S Farhi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245327774 PECOS PAC ID: 7315900511 Enrollment ID: I20101109001264 |
| Provider Name | Joy S Sclamberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689632564 PECOS PAC ID: 1254412935 Enrollment ID: I20101111001435 |
| Provider Name | Anne K Hartley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396905279 PECOS PAC ID: 3375738370 Enrollment ID: I20101117000058 |
| Provider Name | Cathie A Gantner-overmyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760437263 PECOS PAC ID: 3678769403 Enrollment ID: I20101118001402 |
| Provider Name | Annabell S Volgman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154347300 PECOS PAC ID: 7810183530 Enrollment ID: I20101119001213 |
| Provider Name | Jeffrey S Soble |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699794495 PECOS PAC ID: 1456547942 Enrollment ID: I20101123000564 |
| Provider Name | Meri E Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053369124 PECOS PAC ID: 5395734636 Enrollment ID: I20101201000497 |
| Provider Name | Neelum T Aggarwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154450799 PECOS PAC ID: 1254528185 Enrollment ID: I20101204000096 |
| Provider Name | David A. Bennett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346379997 PECOS PAC ID: 7517154446 Enrollment ID: I20101204000105 |
| Provider Name | Kathleen Theresa Dunckley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407004062 PECOS PAC ID: 1658568423 Enrollment ID: I20101206000579 |
| Provider Name | Anupam Basu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043486533 PECOS PAC ID: 3870780513 Enrollment ID: I20101208000031 |
| Provider Name | Bina N Desai |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1467617845 PECOS PAC ID: 7810184256 Enrollment ID: I20101210000046 |
| Provider Name | Laura J Zimmermann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427205186 PECOS PAC ID: 0547457657 Enrollment ID: I20101214001228 |
| Provider Name | Samir Kumar Gupta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073542585 PECOS PAC ID: 4486544939 Enrollment ID: I20101217000833 |
| Provider Name | Zoe Arvanitakis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841329497 PECOS PAC ID: 0749478691 Enrollment ID: I20101220000933 |
| Provider Name | David C. Reid |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306092267 PECOS PAC ID: 8426246240 Enrollment ID: I20101221000680 |
| Provider Name | Stephen C. Jensik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245269869 PECOS PAC ID: 8820286503 Enrollment ID: I20101222000109 |
| Provider Name | Claudia B Perez |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1457568016 PECOS PAC ID: 8820199235 Enrollment ID: I20101228000476 |
| Provider Name | Byung Ho Yu |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1518925650 PECOS PAC ID: 6709074289 Enrollment ID: I20101228000512 |
| Provider Name | Danielle R Hannigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417257247 PECOS PAC ID: 1850589094 Enrollment ID: I20110103000706 |
| Provider Name | Michele M Kannin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275644551 PECOS PAC ID: 3870781024 Enrollment ID: I20110103000829 |
| Provider Name | Daniel J Pohlman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326159617 PECOS PAC ID: 5597953745 Enrollment ID: I20110103000848 |
| Provider Name | Bruce Huck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023129301 PECOS PAC ID: 7719175975 Enrollment ID: I20110103000914 |
| Provider Name | Naomi I Parrella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386800902 PECOS PAC ID: 3678762820 Enrollment ID: I20110104000976 |
| Provider Name | Lisa R Stempel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306957626 PECOS PAC ID: 4486843331 Enrollment ID: I20110107001017 |
| Provider Name | Aloka L Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659306421 PECOS PAC ID: 5092904854 Enrollment ID: I20110110000089 |
| Provider Name | Jeffrey R Desanto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992908586 PECOS PAC ID: 8527131598 Enrollment ID: I20110110000388 |
| Provider Name | Agne Paner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336303965 PECOS PAC ID: 8921297656 Enrollment ID: I20110112000427 |
| Provider Name | Bridget L Voigt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811964984 PECOS PAC ID: 3072702422 Enrollment ID: I20110115000031 |
| Provider Name | Kousiki Patra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285623785 PECOS PAC ID: 9537154984 Enrollment ID: I20110115000044 |
| Provider Name | Jeremy B Pripstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265409353 PECOS PAC ID: 3678762044 Enrollment ID: I20110117000090 |
| Provider Name | Mary Beth Madonna |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265427108 PECOS PAC ID: 3173712437 Enrollment ID: I20110118001096 |
| Provider Name | Laura S. Fosler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023346293 PECOS PAC ID: 2668651803 Enrollment ID: I20110120000548 |
| Provider Name | Patricia A Piasecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255633954 PECOS PAC ID: 1355521444 Enrollment ID: I20110207000545 |
| Provider Name | James N Moy |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1699700146 PECOS PAC ID: 9335241264 Enrollment ID: I20110208000120 |
| Provider Name | Omar Khokhar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386865244 PECOS PAC ID: 9133276728 Enrollment ID: I20110209001099 |
| Provider Name | Laura L Deon |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164626669 PECOS PAC ID: 1153484092 Enrollment ID: I20110214000199 |
| Provider Name | Ligia N Rioja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700871787 PECOS PAC ID: 8224032057 Enrollment ID: I20110216000136 |
| Provider Name | Erika M Schwelnus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649585191 PECOS PAC ID: 1153502265 Enrollment ID: I20110223000253 |
| Provider Name | Mary C Tobin |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1528083193 PECOS PAC ID: 9234310046 Enrollment ID: I20110228000566 |
| Provider Name | Jean R Aschkenasy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801006549 PECOS PAC ID: 9931380599 Enrollment ID: I20110302000357 |
| Provider Name | Richard Kampanatkosol |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851619647 PECOS PAC ID: 1456533983 Enrollment ID: I20110304000476 |
| Provider Name | Leon Fogelfeld |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699732305 PECOS PAC ID: 2769664226 Enrollment ID: I20110304000821 |
| Provider Name | Sambhav Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669433512 PECOS PAC ID: 7416073655 Enrollment ID: I20110307000508 |
| Provider Name | Najia Shakoor |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1043243611 PECOS PAC ID: 3971785395 Enrollment ID: I20110307000637 |
| Provider Name | Gary Steinberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558585307 PECOS PAC ID: 0749462067 Enrollment ID: I20110308000762 |
| Provider Name | Paul Severin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124053814 PECOS PAC ID: 5193907426 Enrollment ID: I20110308000860 |
| Provider Name | Gene R Solmos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508977828 PECOS PAC ID: 3779572003 Enrollment ID: I20110310000944 |
| Provider Name | Sarah J Anzevino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437474814 PECOS PAC ID: 4385826247 Enrollment ID: I20110314000683 |
| Provider Name | Bradley M. Appelhans |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649589938 PECOS PAC ID: 1951583657 Enrollment ID: I20110316000357 |
| Provider Name | Michelle M Greene |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437452612 PECOS PAC ID: 2860675543 Enrollment ID: I20110318000316 |
| Provider Name | Jean M Silvestri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265467997 PECOS PAC ID: 6901089358 Enrollment ID: I20110323000523 |
| Provider Name | Elaine Chen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598942245 PECOS PAC ID: 4880878685 Enrollment ID: I20110401000489 |
| Provider Name | Sylbi Intarakumhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346544707 PECOS PAC ID: 9234313008 Enrollment ID: I20110404000319 |
| Provider Name | Rose M Walczak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578748257 PECOS PAC ID: 0446435002 Enrollment ID: I20110425000454 |
| Provider Name | Andrea R Whedon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982994489 PECOS PAC ID: 4688859937 Enrollment ID: I20110429000620 |
| Provider Name | Vikram Sudhakar Kotwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215267596 PECOS PAC ID: 9436334638 Enrollment ID: I20110504000219 |
| Provider Name | Jah Won Koo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235241837 PECOS PAC ID: 1951587807 Enrollment ID: I20110511000165 |
| Provider Name | Robert G Webster |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437174166 PECOS PAC ID: 1850334970 Enrollment ID: I20110610000457 |
| Provider Name | Nicole M Heath |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649561374 PECOS PAC ID: 5193902542 Enrollment ID: I20110610000657 |
| Provider Name | Natalie F Rosenstein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588841324 PECOS PAC ID: 5991983967 Enrollment ID: I20110621000514 |
| Provider Name | Anna M Demopoulos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770739013 PECOS PAC ID: 7517145550 Enrollment ID: I20110622000605 |
| Provider Name | Sheila L Eswaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134141039 PECOS PAC ID: 4082892666 Enrollment ID: I20110630000119 |
| Provider Name | Elizabeth A Nanney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649449950 PECOS PAC ID: 9537347059 Enrollment ID: I20110630000608 |
| Provider Name | Barbara A Soltes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164591301 PECOS PAC ID: 8820276231 Enrollment ID: I20110706000342 |
| Provider Name | Christopher P Bruti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437315173 PECOS PAC ID: 2466620620 Enrollment ID: I20110714000594 |
| Provider Name | Cynthia Ann Hinojosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548578339 PECOS PAC ID: 2961670856 Enrollment ID: I20110720000345 |
| Provider Name | Magdalena Bednarczyk |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1861703928 PECOS PAC ID: 5799953550 Enrollment ID: I20110721000393 |
| Provider Name | Dana M Hayden |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1114173192 PECOS PAC ID: 3476721234 Enrollment ID: I20110721000444 |
| Provider Name | Christopher G Chapman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235378043 PECOS PAC ID: 7719155357 Enrollment ID: I20110726000199 |
| Provider Name | Mihir K Bhayani |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194982983 PECOS PAC ID: 3870761422 Enrollment ID: I20110726000364 |
| Provider Name | Joyce Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376705772 PECOS PAC ID: 6608044128 Enrollment ID: I20110727000297 |
| Provider Name | Summer B Dewdney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922243211 PECOS PAC ID: 0840468211 Enrollment ID: I20110729000641 |
| Provider Name | Aimee J Szewka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679729883 PECOS PAC ID: 2466576681 Enrollment ID: I20110802000321 |
| Provider Name | Indira S Hadley |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1427214691 PECOS PAC ID: 0345419453 Enrollment ID: I20110805000808 |
| Provider Name | Manya J Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801056114 PECOS PAC ID: 4981873957 Enrollment ID: I20110808000723 |
| Provider Name | Joanna R Kuppy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174726509 PECOS PAC ID: 3274703707 Enrollment ID: I20110819000041 |
| Provider Name | Shanu Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558694216 PECOS PAC ID: 8729258058 Enrollment ID: I20110824000562 |
| Provider Name | Adriana C Bermeo Ovalle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619183852 PECOS PAC ID: 1557531738 Enrollment ID: I20110825000279 |
| Provider Name | Lubov F Romantseva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851558001 PECOS PAC ID: 7113197393 Enrollment ID: I20110825000369 |
| Provider Name | Michelene Ellegood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174802482 PECOS PAC ID: 0345411864 Enrollment ID: I20110913000911 |
| Provider Name | Brett B Williams |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447426606 PECOS PAC ID: 5991976235 Enrollment ID: I20110919000485 |
| Provider Name | Vinodinee L Dissanayake |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114165453 PECOS PAC ID: 1254502115 Enrollment ID: I20110926000461 |
| Provider Name | Jennifer L Francis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720282437 PECOS PAC ID: 5193996064 Enrollment ID: I20110926000550 |
| Provider Name | Sean S Ryan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841584992 PECOS PAC ID: 3779755145 Enrollment ID: I20111006000404 |
| Provider Name | Chastity R Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841570686 PECOS PAC ID: 6608048988 Enrollment ID: I20111010000362 |
| Provider Name | Amy C Folker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598827008 PECOS PAC ID: 8123290137 Enrollment ID: I20111018000328 |
| Provider Name | Patricia L Russell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477729507 PECOS PAC ID: 0446224679 Enrollment ID: I20111019000641 |
| Provider Name | Patricia A Graham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407017809 PECOS PAC ID: 0446422240 Enrollment ID: I20111019000773 |
| Provider Name | Christopher D Codispoti |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1922219211 PECOS PAC ID: 2769654565 Enrollment ID: I20111019000826 |
| Provider Name | Monica M Argumedo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083872741 PECOS PAC ID: 0345413159 Enrollment ID: I20111021000556 |
| Provider Name | Kimberly A Czech |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245447416 PECOS PAC ID: 7214000249 Enrollment ID: I20111024000324 |
| Provider Name | Maricel M Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255621314 PECOS PAC ID: 3870766942 Enrollment ID: I20111105000112 |
| Provider Name | Rana Rose Abraham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437318516 PECOS PAC ID: 8820261860 Enrollment ID: I20111107000802 |
| Provider Name | Stephanie Crane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023169349 PECOS PAC ID: 6002089042 Enrollment ID: I20111107000809 |
| Provider Name | Beverley Robin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487607891 PECOS PAC ID: 4082763826 Enrollment ID: I20111110000046 |
| Provider Name | Richard G Trohman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932128733 PECOS PAC ID: 9638344237 Enrollment ID: I20111209000384 |
| Provider Name | Gary L Schaer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1447279237 PECOS PAC ID: 5698940906 Enrollment ID: I20111215000481 |
| Provider Name | Kirk Andrew Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942456918 PECOS PAC ID: 6800062043 Enrollment ID: I20120110000364 |
| Provider Name | Shivi Jain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841529625 PECOS PAC ID: 6406022649 Enrollment ID: I20120110000413 |
| Provider Name | Janice J. Dieschbourg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013028323 PECOS PAC ID: 6204825532 Enrollment ID: I20120118000853 |
| Provider Name | Sadia Haider |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033163522 PECOS PAC ID: 4082622477 Enrollment ID: I20120202000780 |
| Provider Name | Bulent Arslan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255351235 PECOS PAC ID: 8022001759 Enrollment ID: I20120220000837 |
| Provider Name | Steve Attanasio |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972760718 PECOS PAC ID: 7719147214 Enrollment ID: I20120320000816 |
| Provider Name | Megan M Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811204076 PECOS PAC ID: 8820259245 Enrollment ID: I20120411000872 |
| Provider Name | Jonathan S Goldner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144598301 PECOS PAC ID: 7517129265 Enrollment ID: I20120426000063 |
| Provider Name | Stephanie D Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922376094 PECOS PAC ID: 0446412571 Enrollment ID: I20120507000185 |
| Provider Name | Jaclyn M Riel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457623449 PECOS PAC ID: 0840452934 Enrollment ID: I20120508000047 |
| Provider Name | Chirag M Shah |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861643801 PECOS PAC ID: 2860655693 Enrollment ID: I20120515000400 |
| Provider Name | Diane P Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932473824 PECOS PAC ID: 7012170053 Enrollment ID: I20120531000372 |
| Provider Name | Ulku C Turba |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1639228661 PECOS PAC ID: 2062431638 Enrollment ID: I20120615000021 |
| Provider Name | Stelios Mantis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437314739 PECOS PAC ID: 5991969248 Enrollment ID: I20120618000160 |
| Provider Name | Brian J Pedersen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285922146 PECOS PAC ID: 9335305028 Enrollment ID: I20120725000061 |
| Provider Name | Michael James Barbee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073788121 PECOS PAC ID: 3577729144 Enrollment ID: I20120725001031 |
| Provider Name | Tama A Porter |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801085055 PECOS PAC ID: 5294991709 Enrollment ID: I20120727000788 |
| Provider Name | Tracie Clisby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942574769 PECOS PAC ID: 3173779303 Enrollment ID: I20120803000415 |
| Provider Name | Elizabeth R. Vanopstal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508021486 PECOS PAC ID: 1355597220 Enrollment ID: I20120808000497 |
| Provider Name | Akbar Razvi |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184884413 PECOS PAC ID: 3678729381 Enrollment ID: I20120813000596 |
| Provider Name | Hernan Sierra-fernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104074749 PECOS PAC ID: 2264688688 Enrollment ID: I20120816000968 |
| Provider Name | Colleen H Rusciolelli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659537371 PECOS PAC ID: 1759537186 Enrollment ID: I20120817000165 |
| Provider Name | Laura A Meltzer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699903302 PECOS PAC ID: 7517114804 Enrollment ID: I20120821000662 |
| Provider Name | Sarah Young-mi Song |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760633606 PECOS PAC ID: 6507997632 Enrollment ID: I20120821000738 |
| Provider Name | Kristin M Wiese |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619103280 PECOS PAC ID: 7810144128 Enrollment ID: I20120821000872 |
| Provider Name | Brian Michael Dugal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497998991 PECOS PAC ID: 3173770492 Enrollment ID: I20120821001013 |
| Provider Name | Kevin D. Lindgren |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1003041476 PECOS PAC ID: 7012164353 Enrollment ID: I20120822000044 |
| Provider Name | Anita O Nagamine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003063181 PECOS PAC ID: 7810144045 Enrollment ID: I20120823000351 |
| Provider Name | Temitope Oyedele |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629238498 PECOS PAC ID: 1557518602 Enrollment ID: I20120824000845 |
| Provider Name | Shubha Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538397617 PECOS PAC ID: 9032367503 Enrollment ID: I20120907000567 |
| Provider Name | Jennifer A Mcdonnell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689839607 PECOS PAC ID: 2769630078 Enrollment ID: I20120911000773 |
| Provider Name | Sarah Alexander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801022124 PECOS PAC ID: 4183872724 Enrollment ID: I20120924000517 |
| Provider Name | Marguerite A Wydra |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1255694568 PECOS PAC ID: 4789833161 Enrollment ID: I20120928000063 |
| Provider Name | Christen A Tibbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518123363 PECOS PAC ID: 1759530876 Enrollment ID: I20121005000168 |
| Provider Name | Dipti Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013198761 PECOS PAC ID: 1254508286 Enrollment ID: I20121011000039 |
| Provider Name | Jessen D Schiebout |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225272172 PECOS PAC ID: 2466617972 Enrollment ID: I20121018000566 |
| Provider Name | Ami N Shah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578651899 PECOS PAC ID: 0345342291 Enrollment ID: I20121023000743 |
| Provider Name | Kristen A Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376891549 PECOS PAC ID: 0547410706 Enrollment ID: I20121024000186 |
| Provider Name | Sarah C. Repking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467774224 PECOS PAC ID: 2961673108 Enrollment ID: I20121029000112 |
| Provider Name | Robin W Drake |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396048898 PECOS PAC ID: 0749430726 Enrollment ID: I20121029000439 |
| Provider Name | Tiffany Amber Deriggi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982975694 PECOS PAC ID: 9335390160 Enrollment ID: I20121103000076 |
| Provider Name | Anupama L Ananth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962636381 PECOS PAC ID: 9638320401 Enrollment ID: I20121105000386 |
| Provider Name | Elizabeth M. Legorreta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154682433 PECOS PAC ID: 5991956138 Enrollment ID: I20121115000304 |
| Provider Name | Jared A Greenberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649438227 PECOS PAC ID: 5597917344 Enrollment ID: I20121130000528 |
| Provider Name | Oyedolamu K. Olaitan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275888703 PECOS PAC ID: 3274785910 Enrollment ID: I20121204000332 |
| Provider Name | Sudeep H Bhabad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730495441 PECOS PAC ID: 6406008952 Enrollment ID: I20121206000554 |
| Provider Name | Amanda L Cuca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033462643 PECOS PAC ID: 8628221215 Enrollment ID: I20130110000021 |
| Provider Name | Colleen M Folkers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043597131 PECOS PAC ID: 5597918706 Enrollment ID: I20130118000286 |
| Provider Name | Salaheldin Abusin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215266952 PECOS PAC ID: 1951555648 Enrollment ID: I20130205000275 |
| Provider Name | Valerie E. Kalinowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275739138 PECOS PAC ID: 8224102397 Enrollment ID: I20130212000496 |
| Provider Name | Charles J Marcuccilli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801849559 PECOS PAC ID: 5597788109 Enrollment ID: I20130215000401 |
| Provider Name | Kathleen A Exner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477897353 PECOS PAC ID: 1557515715 Enrollment ID: I20130218000116 |
| Provider Name | Sam George Pappas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417000142 PECOS PAC ID: 6103828355 Enrollment ID: I20130218000306 |
| Provider Name | Azra Sadikovic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487821468 PECOS PAC ID: 6204968480 Enrollment ID: I20130223000099 |
| Provider Name | Renee Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396014650 PECOS PAC ID: 8123273034 Enrollment ID: I20130226000411 |
| Provider Name | Atsushi Sakuraba |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366756140 PECOS PAC ID: 5496990434 Enrollment ID: I20130322000423 |
| Provider Name | Fiona A. Lynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275879736 PECOS PAC ID: 7113162017 Enrollment ID: I20130325000528 |
| Provider Name | Michael M Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487810842 PECOS PAC ID: 7618112426 Enrollment ID: I20130327000542 |
| Provider Name | Melissa J. Tracy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639154370 PECOS PAC ID: 7214923390 Enrollment ID: I20130403000158 |
| Provider Name | Mohammed Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639456122 PECOS PAC ID: 8729224720 Enrollment ID: I20130417000630 |
| Provider Name | Christina O Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073847398 PECOS PAC ID: 4688810401 Enrollment ID: I20130424000588 |
| Provider Name | Julie E Vanourek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053692715 PECOS PAC ID: 2163668872 Enrollment ID: I20130425000452 |
| Provider Name | Stacy N Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487905956 PECOS PAC ID: 2062658628 Enrollment ID: I20130426000424 |
| Provider Name | Melissa Lamar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639422215 PECOS PAC ID: 2567609829 Enrollment ID: I20130507000014 |
| Provider Name | Margaret J Hornung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952640401 PECOS PAC ID: 4486892643 Enrollment ID: I20130529000566 |
| Provider Name | Jordan Z Harris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134449531 PECOS PAC ID: 4183863582 Enrollment ID: I20130614000592 |
| Provider Name | Narendra K Khare |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235191347 PECOS PAC ID: 4587672001 Enrollment ID: I20130618000457 |
| Provider Name | Cynthia A Brincat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497871792 PECOS PAC ID: 5092853895 Enrollment ID: I20130618000608 |
| Provider Name | Sindhura Bandi |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1891951208 PECOS PAC ID: 7810136835 Enrollment ID: I20130622000050 |
| Provider Name | Douglas Andrew Steinberg |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649400300 PECOS PAC ID: 9638218472 Enrollment ID: I20130625000771 |
| Provider Name | Eileen Louise Manojlovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720327166 PECOS PAC ID: 4486894284 Enrollment ID: I20130627000679 |
| Provider Name | Roselyn Cristelle I Mateo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841420379 PECOS PAC ID: 0042450702 Enrollment ID: I20130701000730 |
| Provider Name | Jordan C Tasse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750538260 PECOS PAC ID: 1759521115 Enrollment ID: I20130708000317 |
| Provider Name | Kenika R Robinson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982925558 PECOS PAC ID: 1759521008 Enrollment ID: I20130709000698 |
| Provider Name | Ravi E Kasi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982832770 PECOS PAC ID: 7315187358 Enrollment ID: I20130715000792 |
| Provider Name | Laurel J Cherian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548423791 PECOS PAC ID: 3870733827 Enrollment ID: I20130716000101 |
| Provider Name | Veronica H. Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356787972 PECOS PAC ID: 5698915692 Enrollment ID: I20130716000662 |
| Provider Name | Priya Dileep |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447562905 PECOS PAC ID: 7012158660 Enrollment ID: I20130725000062 |
| Provider Name | Christine S Tsai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780909960 PECOS PAC ID: 0547405219 Enrollment ID: I20130730000769 |
| Provider Name | Anil Kesavan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376620112 PECOS PAC ID: 7911030671 Enrollment ID: I20130731000686 |
| Provider Name | Jagadeesh S Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235432634 PECOS PAC ID: 5991947707 Enrollment ID: I20130807000532 |
| Provider Name | Sloane L. York |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457503682 PECOS PAC ID: 0446492276 Enrollment ID: I20130807000818 |
| Provider Name | Robaab Cocco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336379098 PECOS PAC ID: 4688816176 Enrollment ID: I20130813000517 |
| Provider Name | Daniel W Golden |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174752588 PECOS PAC ID: 3375785694 Enrollment ID: I20130815000261 |
| Provider Name | Suwon V Nopachai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104054063 PECOS PAC ID: 2860634060 Enrollment ID: I20130819000566 |
| Provider Name | Christopher W Seder |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467667360 PECOS PAC ID: 3274720370 Enrollment ID: I20130820000550 |
| Provider Name | Kerri M Lockhart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013234236 PECOS PAC ID: 5698918738 Enrollment ID: I20130821000599 |
| Provider Name | Costica Aloman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629277652 PECOS PAC ID: 6406941442 Enrollment ID: I20130823000561 |
| Provider Name | Erik M. Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255771861 PECOS PAC ID: 5991948721 Enrollment ID: I20130827000518 |
| Provider Name | Caspian K Folmsbee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720306640 PECOS PAC ID: 8921241779 Enrollment ID: I20130827000743 |
| Provider Name | Sebastian W Pollandt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376732644 PECOS PAC ID: 2860630647 Enrollment ID: I20130827000904 |
| Provider Name | Andrew J Kreppel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215048525 PECOS PAC ID: 6800030073 Enrollment ID: I20130910000819 |
| Provider Name | Maggie Lynn Mcnulty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376709022 PECOS PAC ID: 7113161159 Enrollment ID: I20130913000192 |
| Provider Name | Johan Olof Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881740561 PECOS PAC ID: 9032287784 Enrollment ID: I20130919000727 |
| Provider Name | Rosario M Cosme Cruz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811298987 PECOS PAC ID: 6103060579 Enrollment ID: I20130925000404 |
| Provider Name | Natalie R. Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245663327 PECOS PAC ID: 7618101262 Enrollment ID: I20131014001684 |
| Provider Name | Amy B Hooberman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750693917 PECOS PAC ID: 8527293810 Enrollment ID: I20131022000795 |
| Provider Name | Samer Al-khudari |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699942177 PECOS PAC ID: 0143476465 Enrollment ID: I20131028001717 |
| Provider Name | Julia A Clifford-furlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861634982 PECOS PAC ID: 4981839883 Enrollment ID: I20131031000705 |
| Provider Name | Frances A Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073819835 PECOS PAC ID: 7517192438 Enrollment ID: I20131031001164 |
| Provider Name | Molly K Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366887796 PECOS PAC ID: 4587899398 Enrollment ID: I20131104000733 |
| Provider Name | Jaime K Lewis |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1366678096 PECOS PAC ID: 6204061021 Enrollment ID: I20131104001112 |
| Provider Name | Gabriela Baeza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700100690 PECOS PAC ID: 9931334604 Enrollment ID: I20131105001107 |
| Provider Name | Irene Dehghan-paz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801053905 PECOS PAC ID: 5395970073 Enrollment ID: I20131105001449 |
| Provider Name | Lisa A. Ravindra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326350083 PECOS PAC ID: 5294960845 Enrollment ID: I20131106001773 |
| Provider Name | Susan K. Buehler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851729404 PECOS PAC ID: 6406082908 Enrollment ID: I20131111000767 |
| Provider Name | Syed S Hassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902014962 PECOS PAC ID: 5597815969 Enrollment ID: I20131111001308 |
| Provider Name | Colleen M Masters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619306362 PECOS PAC ID: 0840427365 Enrollment ID: I20131209000074 |
| Provider Name | Cindy Ludovico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295164077 PECOS PAC ID: 8123255684 Enrollment ID: I20131209001350 |
| Provider Name | James A Mccombs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336320860 PECOS PAC ID: 7618021981 Enrollment ID: I20131210000556 |
| Provider Name | Joel Robert Mensing |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336454404 PECOS PAC ID: 2365679719 Enrollment ID: I20131211000650 |
| Provider Name | Saju Abraham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528191756 PECOS PAC ID: 0446428734 Enrollment ID: I20131212000774 |
| Provider Name | Jennifer Shana Glueck |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801932348 PECOS PAC ID: 9234289711 Enrollment ID: I20131230001922 |
| Provider Name | Tochukwu M Okwuosa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326355835 PECOS PAC ID: 5597948117 Enrollment ID: I20140204000535 |
| Provider Name | Sukhpreet S. Batra |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780648998 PECOS PAC ID: 4789696261 Enrollment ID: I20140214000148 |
| Provider Name | Patricia Marie Fank |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629499769 PECOS PAC ID: 1052541869 Enrollment ID: I20140222000370 |
| Provider Name | Michael C Monge |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1063669752 PECOS PAC ID: 3870723596 Enrollment ID: I20140225001793 |
| Provider Name | Martha I Curiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023448420 PECOS PAC ID: 1850521212 Enrollment ID: I20140304000767 |
| Provider Name | Ernesto J Villegas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871634774 PECOS PAC ID: 3072743210 Enrollment ID: I20140307001086 |
| Provider Name | Dian Wang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841246030 PECOS PAC ID: 3072587732 Enrollment ID: I20140313000262 |
| Provider Name | Sushma Bharadwaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265745731 PECOS PAC ID: 2961633805 Enrollment ID: I20140318001853 |
| Provider Name | Brian W. Kim |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346299831 PECOS PAC ID: 0143216176 Enrollment ID: I20140324000812 |
| Provider Name | Sandra L. Obilade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245655422 PECOS PAC ID: 8527290550 Enrollment ID: I20140407000471 |
| Provider Name | Wanissa L Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033531736 PECOS PAC ID: 3577795517 Enrollment ID: I20140407000669 |
| Provider Name | Colleen B Nash |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891029146 PECOS PAC ID: 9234361122 Enrollment ID: I20140408000582 |
| Provider Name | Latha V Soorya |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053620120 PECOS PAC ID: 5294967147 Enrollment ID: I20140409000063 |
| Provider Name | Elizabeth Reinhardt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336452549 PECOS PAC ID: 8921230590 Enrollment ID: I20140414000584 |
| Provider Name | Vivian C Lau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437443777 PECOS PAC ID: 1456584788 Enrollment ID: I20140512001079 |
| Provider Name | Jacqueline A. Baptista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457630246 PECOS PAC ID: 1355564535 Enrollment ID: I20140514002440 |
| Provider Name | Kristen S Zeigler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861744575 PECOS PAC ID: 9830313238 Enrollment ID: I20140604001728 |
| Provider Name | Alison M Bartnicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366862005 PECOS PAC ID: 3173747243 Enrollment ID: I20140610002269 |
| Provider Name | Sanford Baim |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1841227311 PECOS PAC ID: 5092735019 Enrollment ID: I20140618000812 |
| Provider Name | Sumeet G Dua |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154690626 PECOS PAC ID: 9335363159 Enrollment ID: I20140618001505 |
| Provider Name | Ross J. Duerksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316357031 PECOS PAC ID: 2365667748 Enrollment ID: I20140626001607 |
| Provider Name | Vasil Peev |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427229087 PECOS PAC ID: 4981875721 Enrollment ID: I20140701001530 |
| Provider Name | Laura M. Pabalan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679864961 PECOS PAC ID: 3072738087 Enrollment ID: I20140708001133 |
| Provider Name | John N. Butos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437445467 PECOS PAC ID: 9335364991 Enrollment ID: I20140716000020 |
| Provider Name | Allison E Chen-mccracken |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245548809 PECOS PAC ID: 2961628508 Enrollment ID: I20140717000674 |
| Provider Name | Mubeen Khan Mohammed Abdul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275817991 PECOS PAC ID: 0446476733 Enrollment ID: I20140722002153 |
| Provider Name | Jenna K Nikolaides |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902196447 PECOS PAC ID: 5890911945 Enrollment ID: I20140725000026 |
| Provider Name | Juan C Rojas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205124328 PECOS PAC ID: 4082837729 Enrollment ID: I20140731001721 |
| Provider Name | Sarah Y. Won |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790982932 PECOS PAC ID: 8022234731 Enrollment ID: I20140731002626 |
| Provider Name | Andras Ladanyi |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1467784504 PECOS PAC ID: 5294952784 Enrollment ID: I20140806002065 |
| Provider Name | Henry Robert Govekar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417121872 PECOS PAC ID: 4880818202 Enrollment ID: I20140812002006 |
| Provider Name | Henry D Swoboda |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1275854473 PECOS PAC ID: 1951528090 Enrollment ID: I20140813000786 |
| Provider Name | Fareesa G Khan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790702322 PECOS PAC ID: 3678522034 Enrollment ID: I20140813002825 |
| Provider Name | Faraz Bishehsari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760645659 PECOS PAC ID: 1355568130 Enrollment ID: I20140819001895 |
| Provider Name | David J Banayan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366883555 PECOS PAC ID: 7214154004 Enrollment ID: I20140819002048 |
| Provider Name | Sonya Kenkare |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1043508724 PECOS PAC ID: 7719105576 Enrollment ID: I20140820002178 |
| Provider Name | Nicole F Siparsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265639652 PECOS PAC ID: 5890851109 Enrollment ID: I20140822001542 |
| Provider Name | Sujit V Janardhan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902062037 PECOS PAC ID: 0042438582 Enrollment ID: I20140826000905 |
| Provider Name | Usama Z. Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134412927 PECOS PAC ID: 5698993038 Enrollment ID: I20140827001753 |
| Provider Name | Rabia Malik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184889156 PECOS PAC ID: 9931341807 Enrollment ID: I20140828000847 |
| Provider Name | Sameer Gopal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922327287 PECOS PAC ID: 2466681333 Enrollment ID: I20140905001387 |
| Provider Name | Mahboobeh Mahdavinia |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1659514131 PECOS PAC ID: 9830318724 Enrollment ID: I20140908001373 |
| Provider Name | Sheela R Mahendra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568637841 PECOS PAC ID: 8123247905 Enrollment ID: I20140909001601 |
| Provider Name | Peter C. Revenaugh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114198678 PECOS PAC ID: 2860632239 Enrollment ID: I20140910001070 |
| Provider Name | Christine C Zacharia |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376770081 PECOS PAC ID: 6800015579 Enrollment ID: I20140910002007 |
| Provider Name | Meagan M Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023426897 PECOS PAC ID: 5597984146 Enrollment ID: I20140915001323 |
| Provider Name | Malathi Shivaji Rao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265694525 PECOS PAC ID: 2567603293 Enrollment ID: I20141001002824 |
| Provider Name | Carl E Lambert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710273669 PECOS PAC ID: 2062633837 Enrollment ID: I20141020001297 |
| Provider Name | Marwa El Mourabet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356634547 PECOS PAC ID: 9032330790 Enrollment ID: I20141021002491 |
| Provider Name | Ying R Zhang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1518196377 PECOS PAC ID: 4880815141 Enrollment ID: I20141030000567 |
| Provider Name | Nicole T Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477952729 PECOS PAC ID: 6800017021 Enrollment ID: I20141031000326 |
| Provider Name | Marcia L Lovett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760617377 PECOS PAC ID: 0446472427 Enrollment ID: I20141106000685 |
| Provider Name | Ramandeep Kaur |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1619292570 PECOS PAC ID: 4587896154 Enrollment ID: I20141110000711 |
| Provider Name | Veena H Nannegari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285879494 PECOS PAC ID: 1951523547 Enrollment ID: I20141114001953 |
| Provider Name | Mohanjit K Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619371267 PECOS PAC ID: 7719209774 Enrollment ID: I20141201002123 |
| Provider Name | Rosalinda Alvarado |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1649564980 PECOS PAC ID: 2163600743 Enrollment ID: I20141208000101 |
| Provider Name | Kelly A Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619248887 PECOS PAC ID: 8022330737 Enrollment ID: I20141209000746 |
| Provider Name | Haimanot Wasse |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760412563 PECOS PAC ID: 7517853567 Enrollment ID: I20141210000117 |
| Provider Name | Theodore Pincus |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1700979747 PECOS PAC ID: 2062734478 Enrollment ID: I20141212001673 |
| Provider Name | Jennifer L. Bromeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821321662 PECOS PAC ID: 9133442452 Enrollment ID: I20141217002324 |
| Provider Name | Maria F Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013310739 PECOS PAC ID: 6901129592 Enrollment ID: I20150107001244 |
| Provider Name | Bantu S. Chhangani |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1114198223 PECOS PAC ID: 3779655824 Enrollment ID: I20150113000965 |
| Provider Name | Osama M Eltayeb |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1336111681 PECOS PAC ID: 0547280109 Enrollment ID: I20150121002228 |
| Provider Name | Kathryn S Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235535790 PECOS PAC ID: 1951625516 Enrollment ID: I20150130001385 |
| Provider Name | Emily L Casselbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245636372 PECOS PAC ID: 8426373655 Enrollment ID: I20150211000750 |
| Provider Name | Anita K Opdycke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427307214 PECOS PAC ID: 1951626191 Enrollment ID: I20150211001203 |
| Provider Name | Melissa P Holmes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316231707 PECOS PAC ID: 4183949969 Enrollment ID: I20150219001653 |
| Provider Name | Teresa A Fortenberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710375043 PECOS PAC ID: 3971829359 Enrollment ID: I20150302001185 |
| Provider Name | Carrie L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033515036 PECOS PAC ID: 3870819998 Enrollment ID: I20150309002189 |
| Provider Name | Alison M Dela Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538567490 PECOS PAC ID: 3476870197 Enrollment ID: I20150317002654 |
| Provider Name | Joelle M Lindner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245621275 PECOS PAC ID: 6406173988 Enrollment ID: I20150320001461 |
| Provider Name | Senada Bajmakovic-kacila |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730246067 PECOS PAC ID: 2365549961 Enrollment ID: I20150326000015 |
| Provider Name | Emily R Mckernan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548673866 PECOS PAC ID: 6002134707 Enrollment ID: I20150408002825 |
| Provider Name | Jennifer P Edidin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790181253 PECOS PAC ID: 8820316102 Enrollment ID: I20150416001958 |
| Provider Name | Jamie E. Bloechl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316343098 PECOS PAC ID: 7416275557 Enrollment ID: I20150421001641 |
| Provider Name | Ricardo B Fontes |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316179088 PECOS PAC ID: 5496074825 Enrollment ID: I20150506000301 |
| Provider Name | Sarah A Marek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306248984 PECOS PAC ID: 7113246570 Enrollment ID: I20150506001425 |
| Provider Name | Alfonso Torquati |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164506267 PECOS PAC ID: 6800982620 Enrollment ID: I20150514002340 |
| Provider Name | Allison Moser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336539980 PECOS PAC ID: 0941520894 Enrollment ID: I20150518001251 |
| Provider Name | Lidia J Ortiz-ritchey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710365085 PECOS PAC ID: 9436479128 Enrollment ID: I20150520001737 |
| Provider Name | Philip A Omotosho |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306050877 PECOS PAC ID: 5799816724 Enrollment ID: I20150521002345 |
| Provider Name | Matthew J Kuhns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760779771 PECOS PAC ID: 2466772801 Enrollment ID: I20150526001638 |
| Provider Name | Alejandra C Lastra |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1366605776 PECOS PAC ID: 4587833827 Enrollment ID: I20150615000654 |
| Provider Name | Sara M Hock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780948968 PECOS PAC ID: 7618288796 Enrollment ID: I20150616000987 |
| Provider Name | Sreekumar Madassery |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063649093 PECOS PAC ID: 5890006852 Enrollment ID: I20150617000423 |
| Provider Name | Divya M Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790071660 PECOS PAC ID: 4486965423 Enrollment ID: I20150617003162 |
| Provider Name | Benjamin R Veenstra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427286822 PECOS PAC ID: 4688891534 Enrollment ID: I20150622000190 |
| Provider Name | Paola Susan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568723583 PECOS PAC ID: 3577874130 Enrollment ID: I20150623002096 |
| Provider Name | Lauren Green |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073838868 PECOS PAC ID: 2860704186 Enrollment ID: I20150630000172 |
| Provider Name | Daniel Bunzol |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831458181 PECOS PAC ID: 8527370527 Enrollment ID: I20150706000861 |
| Provider Name | Nishant Srinivasan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649582503 PECOS PAC ID: 5890007439 Enrollment ID: I20150709002666 |
| Provider Name | Shraddha Desai |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1831498401 PECOS PAC ID: 3577788132 Enrollment ID: I20150710001106 |
| Provider Name | Chad J Pendley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811258734 PECOS PAC ID: 9133432511 Enrollment ID: I20150714001087 |
| Provider Name | Daniel T Kebed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003170952 PECOS PAC ID: 8325284847 Enrollment ID: I20150714001372 |
| Provider Name | Joanna Tylka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356583157 PECOS PAC ID: 6901119304 Enrollment ID: I20150714001672 |
| Provider Name | Emily Mcreynolds Barszcz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407100381 PECOS PAC ID: 8628381746 Enrollment ID: I20150720000600 |
| Provider Name | Urvi B Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902169873 PECOS PAC ID: 5395058358 Enrollment ID: I20150720002236 |
| Provider Name | Joseph D Frasca |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841558533 PECOS PAC ID: 8921311705 Enrollment ID: I20150722005853 |
| Provider Name | Peter Fink |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942270509 PECOS PAC ID: 6103130711 Enrollment ID: I20150727001830 |
| Provider Name | Padmanabhan Raghu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1811201213 PECOS PAC ID: 5395059877 Enrollment ID: I20150728004456 |
| Provider Name | Ruth T. Dubyel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134408446 PECOS PAC ID: 0345554739 Enrollment ID: I20150729008388 |
| Provider Name | Stuart H Chen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629211875 PECOS PAC ID: 5193039501 Enrollment ID: I20150729009103 |
| Provider Name | Stephanie L Labomascus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154681377 PECOS PAC ID: 0244544559 Enrollment ID: I20150730013132 |
| Provider Name | Teresa M. O Brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619356276 PECOS PAC ID: 1254645203 Enrollment ID: I20150804004689 |
| Provider Name | Neeral K Sheth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548558729 PECOS PAC ID: 2163736976 Enrollment ID: I20150806010254 |
| Provider Name | Laura C Munich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780069989 PECOS PAC ID: 6103130984 Enrollment ID: I20150807013034 |
| Provider Name | Thomas R Alcorn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336467968 PECOS PAC ID: 0749594414 Enrollment ID: I20150810000434 |
| Provider Name | Ajay Sood |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821220856 PECOS PAC ID: 6406160183 Enrollment ID: I20150810000720 |
| Provider Name | Margaret J Curtin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992127617 PECOS PAC ID: 8729393491 Enrollment ID: I20150811004111 |
| Provider Name | Gaurav Marwaha |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1669798062 PECOS PAC ID: 0840505434 Enrollment ID: I20150811005036 |
| Provider Name | Christina Tragos |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1720234743 PECOS PAC ID: 7315167228 Enrollment ID: I20150812006306 |
| Provider Name | Katarzyna M Gore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255695060 PECOS PAC ID: 3274848817 Enrollment ID: I20150812006461 |
| Provider Name | Mervat Sha'ini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023340296 PECOS PAC ID: 5193030765 Enrollment ID: I20150812007522 |
| Provider Name | Brie-ann A Muller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053553313 PECOS PAC ID: 3476868738 Enrollment ID: I20150814013987 |
| Provider Name | Andrew Arndt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1184880452 PECOS PAC ID: 6608181854 Enrollment ID: I20150817001830 |
| Provider Name | Prema Nanavaty |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700044112 PECOS PAC ID: 2062691470 Enrollment ID: I20150818003774 |
| Provider Name | Aniruddha Hazra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669736021 PECOS PAC ID: 5294040341 Enrollment ID: I20150818005625 |
| Provider Name | Lesley A Schmaltz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780944256 PECOS PAC ID: 6305152133 Enrollment ID: I20150825003452 |
| Provider Name | Inna Husain |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669769295 PECOS PAC ID: 9739303504 Enrollment ID: I20150827001441 |
| Provider Name | Ritu Parikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649533639 PECOS PAC ID: 0244546604 Enrollment ID: I20150831001056 |
| Provider Name | Laurin J. Mack |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780062638 PECOS PAC ID: 7214243393 Enrollment ID: I20150903002274 |
| Provider Name | Henry D Huang |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1508011040 PECOS PAC ID: 6800102880 Enrollment ID: I20150908000296 |
| Provider Name | Neha Morparia Kramer |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1841428091 PECOS PAC ID: 1052445145 Enrollment ID: I20150908001122 |
| Provider Name | Milena Stosic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477844082 PECOS PAC ID: 6800103284 Enrollment ID: I20150917000500 |
| Provider Name | Rona M Tiglao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376937474 PECOS PAC ID: 4385951649 Enrollment ID: I20150918000371 |
| Provider Name | Marinos Kontzialis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528214855 PECOS PAC ID: 4082831037 Enrollment ID: I20150921000819 |
| Provider Name | Christopher Hagan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639546518 PECOS PAC ID: 3375850480 Enrollment ID: I20150922000288 |
| Provider Name | Vidya Shivakumar |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1558636647 PECOS PAC ID: 6800104837 Enrollment ID: I20150924002021 |
| Provider Name | Anna Spagnoli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346324449 PECOS PAC ID: 4981618675 Enrollment ID: I20150928001123 |
| Provider Name | Nicole Heller Steinberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235508045 PECOS PAC ID: 1759699036 Enrollment ID: I20151006002868 |
| Provider Name | Aiden Michael Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366849325 PECOS PAC ID: 5294054250 Enrollment ID: I20151008000150 |
| Provider Name | Simran K Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811131055 PECOS PAC ID: 8527376656 Enrollment ID: I20151008002817 |
| Provider Name | Evan Ray Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265801393 PECOS PAC ID: 1254640840 Enrollment ID: I20151022000009 |
| Provider Name | Erik Schadde |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801851969 PECOS PAC ID: 2466488937 Enrollment ID: I20151022002263 |
| Provider Name | Sandra Naaman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528332632 PECOS PAC ID: 3375852619 Enrollment ID: I20151027002141 |
| Provider Name | Gina V. Medalle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164703310 PECOS PAC ID: 1658681523 Enrollment ID: I20151104002184 |
| Provider Name | Yoona Rhee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932338894 PECOS PAC ID: 9234449943 Enrollment ID: I20151110000342 |
| Provider Name | Laurie A Berg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336516590 PECOS PAC ID: 2769792365 Enrollment ID: I20151111001592 |
| Provider Name | Nupur Mittal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003044280 PECOS PAC ID: 2769792282 Enrollment ID: I20151112000437 |
| Provider Name | Cynthia K Dendrinos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457789034 PECOS PAC ID: 3476781287 Enrollment ID: I20151113000834 |
| Provider Name | Huong Iodice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205207925 PECOS PAC ID: 0143530444 Enrollment ID: I20151116001883 |
| Provider Name | Elizabeth A Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104294834 PECOS PAC ID: 2668782921 Enrollment ID: I20151117001576 |
| Provider Name | Melissa M Rice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366768830 PECOS PAC ID: 7810297199 Enrollment ID: I20151119000325 |
| Provider Name | Vanessa M Cambray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962882456 PECOS PAC ID: 3072826874 Enrollment ID: I20151123001297 |
| Provider Name | Joshua J Murphy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376705236 PECOS PAC ID: 9638243009 Enrollment ID: I20151208002004 |
| Provider Name | Katlyn Y Nasseri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245603745 PECOS PAC ID: 4284935560 Enrollment ID: I20151209003127 |
| Provider Name | Amy J Rust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346614450 PECOS PAC ID: 3173824372 Enrollment ID: I20151211002181 |
| Provider Name | Tina W. Sundaram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982991477 PECOS PAC ID: 8921309576 Enrollment ID: I20151223001837 |
| Provider Name | Ludmila Kolomay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619332087 PECOS PAC ID: 5698077634 Enrollment ID: I20160107000597 |
| Provider Name | Carlos A Q Santos |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023299393 PECOS PAC ID: 7416007711 Enrollment ID: I20160125000391 |
| Provider Name | Ali Amin Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326278417 PECOS PAC ID: 9133372253 Enrollment ID: I20160229002313 |
| Provider Name | Richard Webster Crowley |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972710101 PECOS PAC ID: 2062662372 Enrollment ID: I20160322000077 |
| Provider Name | Karen Joy C Cacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891157418 PECOS PAC ID: 4183921778 Enrollment ID: I20160325000434 |
| Provider Name | K Ranga Rama Krishnan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831273994 PECOS PAC ID: 9537068416 Enrollment ID: I20160404001217 |
| Provider Name | Rakhee M. Bowker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790919751 PECOS PAC ID: 8628368503 Enrollment ID: I20160606000918 |
| Provider Name | Payal D Patel |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1548572670 PECOS PAC ID: 2466686472 Enrollment ID: I20160608000685 |
| Provider Name | Michael Ralls |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366766974 PECOS PAC ID: 3870883549 Enrollment ID: I20160608001861 |
| Provider Name | Sameer Panjwani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033364849 PECOS PAC ID: 7214101054 Enrollment ID: I20160613000802 |
| Provider Name | Kittu J Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629395322 PECOS PAC ID: 2567603814 Enrollment ID: I20160617000081 |
| Provider Name | Philip R Andreoli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003172446 PECOS PAC ID: 9931416518 Enrollment ID: I20160620000774 |
| Provider Name | Benjamin A Derman |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1730526310 PECOS PAC ID: 6608167754 Enrollment ID: I20160620001978 |
| Provider Name | Juan Schmukler |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1538423975 PECOS PAC ID: 4789992793 Enrollment ID: I20160620002398 |
| Provider Name | Lisa M Garland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073950622 PECOS PAC ID: 9335430412 Enrollment ID: I20160621000547 |
| Provider Name | Katrina Lynn Birch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720354715 PECOS PAC ID: 9739499096 Enrollment ID: I20160621001746 |
| Provider Name | Braden J. Hexom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063671634 PECOS PAC ID: 2365592458 Enrollment ID: I20160621002185 |
| Provider Name | Hiroaki L Hayashi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487090007 PECOS PAC ID: 9739470865 Enrollment ID: I20160621002257 |
| Provider Name | Sarah Elizabeth Rimar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003252586 PECOS PAC ID: 0345531307 Enrollment ID: I20160622000563 |
| Provider Name | Sumeet Virmani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699932640 PECOS PAC ID: 1153612080 Enrollment ID: I20160623000102 |
| Provider Name | Emily Marie Kitchin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366885998 PECOS PAC ID: 3870812332 Enrollment ID: I20160627000571 |
| Provider Name | Sobia Hassan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1932334067 PECOS PAC ID: 6103094578 Enrollment ID: I20160627001466 |
| Provider Name | Mohamed M Bayoumi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053758029 PECOS PAC ID: 2062703770 Enrollment ID: I20160627001553 |
| Provider Name | Octavio A Vega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326484767 PECOS PAC ID: 0648561357 Enrollment ID: I20160627001763 |
| Provider Name | Marielle J. Fricchione |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609187707 PECOS PAC ID: 6709177496 Enrollment ID: I20160628001690 |
| Provider Name | Nicholas D Osteraas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790071553 PECOS PAC ID: 4082905674 Enrollment ID: I20160629002172 |
| Provider Name | Rachel Baskin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326313768 PECOS PAC ID: 0345550364 Enrollment ID: I20160630001580 |
| Provider Name | Michael A. Gottlieb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821355082 PECOS PAC ID: 0648584482 Enrollment ID: I20160705002192 |
| Provider Name | Santhosh Gaddikeri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144533068 PECOS PAC ID: 0840414637 Enrollment ID: I20160711000449 |
| Provider Name | Ryan D Jacobson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790074425 PECOS PAC ID: 2365750262 Enrollment ID: I20160712000954 |
| Provider Name | Bobby A Tajudeen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659696870 PECOS PAC ID: 5092020636 Enrollment ID: I20160714000459 |
| Provider Name | Susan Jill Spielman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720434772 PECOS PAC ID: 0749573236 Enrollment ID: I20160720002956 |
| Provider Name | Elizabeth M Damstetter |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1184935611 PECOS PAC ID: 3779715974 Enrollment ID: I20160721000177 |
| Provider Name | Alan Tan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609071349 PECOS PAC ID: 2163670613 Enrollment ID: I20160721000361 |
| Provider Name | Sumant S. Chugh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891827531 PECOS PAC ID: 2466532700 Enrollment ID: I20160721002521 |
| Provider Name | Doshaine O. Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275944571 PECOS PAC ID: 9931328713 Enrollment ID: I20160725002671 |
| Provider Name | Keyur Parekh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891043162 PECOS PAC ID: 2860785896 Enrollment ID: I20160727002680 |
| Provider Name | Ji Min Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073960399 PECOS PAC ID: 5395038129 Enrollment ID: I20160801001436 |
| Provider Name | Ashraf A Baeshu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376862540 PECOS PAC ID: 4486892692 Enrollment ID: I20160802002279 |
| Provider Name | Max A Fitzgerald |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063774289 PECOS PAC ID: 0042500613 Enrollment ID: I20160804001261 |
| Provider Name | Katie L. Meador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255754040 PECOS PAC ID: 0042504672 Enrollment ID: I20160804001638 |
| Provider Name | Ajaypal Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568696409 PECOS PAC ID: 9436443074 Enrollment ID: I20160804002171 |
| Provider Name | Mosmi Surati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851684781 PECOS PAC ID: 6204050040 Enrollment ID: I20160809002846 |
| Provider Name | Srinivas Vourganti |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821284803 PECOS PAC ID: 6305070038 Enrollment ID: I20160816002355 |
| Provider Name | Karolina K. Marinescu |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1245488949 PECOS PAC ID: 0941504393 Enrollment ID: I20160817002408 |
| Provider Name | Kush M Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033542022 PECOS PAC ID: 6901036599 Enrollment ID: I20160817002745 |
| Provider Name | Rebecca Odwyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093004491 PECOS PAC ID: 0345467007 Enrollment ID: I20160818000675 |
| Provider Name | Irena Medenica |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750624185 PECOS PAC ID: 9537454376 Enrollment ID: I20160818001392 |
| Provider Name | Stephanie M Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326492166 PECOS PAC ID: 2860782729 Enrollment ID: I20160825001391 |
| Provider Name | Colleen E Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083168066 PECOS PAC ID: 8921393166 Enrollment ID: I20160826000555 |
| Provider Name | Brian L. Wagenaar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669714234 PECOS PAC ID: 6204136443 Enrollment ID: I20160830002792 |
| Provider Name | Christine Jensen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952663031 PECOS PAC ID: 0749576635 Enrollment ID: I20160831002790 |
| Provider Name | Neha V. Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336377001 PECOS PAC ID: 0446552475 Enrollment ID: I20160901000996 |
| Provider Name | Kelly S. Sulo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861949406 PECOS PAC ID: 2163718719 Enrollment ID: I20160907001769 |
| Provider Name | Lauren Stribling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841645033 PECOS PAC ID: 7517253156 Enrollment ID: I20160908001525 |
| Provider Name | Parikshit S Sharma |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1487985883 PECOS PAC ID: 4284750357 Enrollment ID: I20160912000319 |
| Provider Name | Rebecca E. G. Van Horn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073807152 PECOS PAC ID: 4789995002 Enrollment ID: I20160915000192 |
| Provider Name | Janel M Draxler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306298096 PECOS PAC ID: 3072800085 Enrollment ID: I20160919002483 |
| Provider Name | Laurie O Mark |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891084927 PECOS PAC ID: 5698929768 Enrollment ID: I20160921000138 |
| Provider Name | Isis R. Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598212607 PECOS PAC ID: 8729375589 Enrollment ID: I20160921002164 |
| Provider Name | Smita Aggarwal |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083997142 PECOS PAC ID: 6709173537 Enrollment ID: I20160922001336 |
| Provider Name | Anna Zander Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245549559 PECOS PAC ID: 2860793684 Enrollment ID: I20160927002215 |
| Provider Name | Justin E. Mitchell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689818098 PECOS PAC ID: 8820385313 Enrollment ID: I20160927002466 |
| Provider Name | Mouhammed Kelta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649633918 PECOS PAC ID: 1557660834 Enrollment ID: I20161005001042 |
| Provider Name | Kevin P Cavanaugh |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1184938284 PECOS PAC ID: 9739476144 Enrollment ID: I20161011001206 |
| Provider Name | Eitan Z. Kimchi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225263858 PECOS PAC ID: 1557599172 Enrollment ID: I20161012001034 |
| Provider Name | Brian J. Klassen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568825412 PECOS PAC ID: 9739477423 Enrollment ID: I20161012002192 |
| Provider Name | Laura Elizabeth Laursen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972878288 PECOS PAC ID: 6103136395 Enrollment ID: I20161014000610 |
| Provider Name | Kimberly G Remedios-smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013323096 PECOS PAC ID: 0749408219 Enrollment ID: I20161017000005 |
| Provider Name | Nichole M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174911242 PECOS PAC ID: 9436464849 Enrollment ID: I20161017000276 |
| Provider Name | Laurie C Peercy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003365842 PECOS PAC ID: 3577851930 Enrollment ID: I20161018001267 |
| Provider Name | Angela C Brunfeldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821463522 PECOS PAC ID: 8628367208 Enrollment ID: I20161019000259 |
| Provider Name | Lauren E. Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528517406 PECOS PAC ID: 5991083297 Enrollment ID: I20161020000661 |
| Provider Name | Lauren E. Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942623210 PECOS PAC ID: 2365720091 Enrollment ID: I20161031001323 |
| Provider Name | Mona Ahmed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912162900 PECOS PAC ID: 3173801503 Enrollment ID: I20161104001721 |
| Provider Name | Molly M. Deprenger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730556804 PECOS PAC ID: 7911285382 Enrollment ID: I20161107000577 |
| Provider Name | Haidar Kabbani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144203753 PECOS PAC ID: 0749201994 Enrollment ID: I20161114000367 |
| Provider Name | Ivan Rocha Ferreira Da Silva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356654735 PECOS PAC ID: 1658650650 Enrollment ID: I20161115001757 |
| Provider Name | Jenna Pederson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063966158 PECOS PAC ID: 4880973742 Enrollment ID: I20161116001996 |
| Provider Name | Matt H. Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619419793 PECOS PAC ID: 3870872708 Enrollment ID: I20161117001247 |
| Provider Name | Susanne M Swasey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679023675 PECOS PAC ID: 4587943311 Enrollment ID: I20161117001717 |
| Provider Name | Jennifer M Pollandt |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1114377587 PECOS PAC ID: 1850670340 Enrollment ID: I20161128002643 |
| Provider Name | Nicole M Geissen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1841422482 PECOS PAC ID: 1254641244 Enrollment ID: I20161205001868 |
| Provider Name | Louisa Y Liang |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1134477896 PECOS PAC ID: 3072737931 Enrollment ID: I20161207001065 |
| Provider Name | Linda Kayko Vaickus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992175467 PECOS PAC ID: 9335444975 Enrollment ID: I20161212002016 |
| Provider Name | Ashton M. Lofgreen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689027104 PECOS PAC ID: 1951681774 Enrollment ID: I20161213000250 |
| Provider Name | Faiyaaz Ahmad Kalimullah |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063729895 PECOS PAC ID: 9739409582 Enrollment ID: I20161214000897 |
| Provider Name | Heidijo Elyea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013451509 PECOS PAC ID: 1759662463 Enrollment ID: I20170111000831 |
| Provider Name | Kristy L Luke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225571920 PECOS PAC ID: 6608158258 Enrollment ID: I20170117001126 |
| Provider Name | Jean M. Slana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154796902 PECOS PAC ID: 5799089918 Enrollment ID: I20170118002025 |
| Provider Name | Elizabeth Chesnut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043756489 PECOS PAC ID: 6709168040 Enrollment ID: I20170123001335 |
| Provider Name | Nandita Ashok Sapre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750342200 PECOS PAC ID: 9335170976 Enrollment ID: I20170125001762 |
| Provider Name | Jennifer A. Newcomer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760920532 PECOS PAC ID: 5698058071 Enrollment ID: I20170208003118 |
| Provider Name | Allison L. Wainer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326592106 PECOS PAC ID: 9335423854 Enrollment ID: I20170301001665 |
| Provider Name | Jimena Beatriz Alvarez Soto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679817365 PECOS PAC ID: 8325357510 Enrollment ID: I20170308001830 |
| Provider Name | Elizabeth S Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407056526 PECOS PAC ID: 3476615378 Enrollment ID: I20170322000165 |
| Provider Name | Zinal Agnihotri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801254917 PECOS PAC ID: 9133404510 Enrollment ID: I20170327002487 |
| Provider Name | Hussam S Suradi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992962450 PECOS PAC ID: 1254557887 Enrollment ID: I20170405001391 |
| Provider Name | Jennifer L Sgro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083064679 PECOS PAC ID: 8729364245 Enrollment ID: I20170418002542 |
| Provider Name | Philip Held |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679008437 PECOS PAC ID: 6901183441 Enrollment ID: I20170510000597 |
| Provider Name | Marlaina Norris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316112717 PECOS PAC ID: 4880767862 Enrollment ID: I20170522000612 |
| Provider Name | Mindy Hui Li |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922317759 PECOS PAC ID: 9436426111 Enrollment ID: I20170531001001 |
| Provider Name | Marylouise K Wilkerson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811155278 PECOS PAC ID: 3375811201 Enrollment ID: I20170619002190 |
| Provider Name | Ramya S Gaddikeri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609216399 PECOS PAC ID: 6204121809 Enrollment ID: I20170622000913 |
| Provider Name | Timothy Chung Cooper |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225456296 PECOS PAC ID: 5496056301 Enrollment ID: I20170629001110 |
| Provider Name | Stephen Ryan Gore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639445406 PECOS PAC ID: 4082924139 Enrollment ID: I20170629001874 |
| Provider Name | Hemali R Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821416447 PECOS PAC ID: 9032429592 Enrollment ID: I20170629002066 |
| Provider Name | Sabrina K Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518371889 PECOS PAC ID: 9234423609 Enrollment ID: I20170705000786 |
| Provider Name | Fatema M Esmail |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265846737 PECOS PAC ID: 8729379284 Enrollment ID: I20170705001087 |
| Provider Name | Chloe H Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649697517 PECOS PAC ID: 6103118815 Enrollment ID: I20170705001721 |
| Provider Name | Cyndi R Sosnowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598059438 PECOS PAC ID: 7911297650 Enrollment ID: I20170705002115 |
| Provider Name | Celine Goetz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255620282 PECOS PAC ID: 0143445056 Enrollment ID: I20170705003178 |
| Provider Name | Patrick M Mcmanus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356755078 PECOS PAC ID: 6103116140 Enrollment ID: I20170706003203 |
| Provider Name | Starane Shepherd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922391523 PECOS PAC ID: 8527375336 Enrollment ID: I20170707000584 |
| Provider Name | Alejandro Vargas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255698445 PECOS PAC ID: 7517277668 Enrollment ID: I20170712002223 |
| Provider Name | Alan B Goldberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235578550 PECOS PAC ID: 2264722305 Enrollment ID: I20170714002615 |
| Provider Name | Fareed Moses S Collado |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1275763708 PECOS PAC ID: 0547423105 Enrollment ID: I20170717000797 |
| Provider Name | Alan Blank |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841581220 PECOS PAC ID: 6103119391 Enrollment ID: I20170718003764 |
| Provider Name | Lauren M Koffman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346531282 PECOS PAC ID: 2062726276 Enrollment ID: I20170721001541 |
| Provider Name | Edward D. Gometz |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1255560264 PECOS PAC ID: 6103112388 Enrollment ID: I20170724002015 |
| Provider Name | Cristina M. Odonoghue |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1508032715 PECOS PAC ID: 4880964733 Enrollment ID: I20170725003788 |
| Provider Name | Jonathan R Mizgala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164968434 PECOS PAC ID: 9739459587 Enrollment ID: I20170726003963 |
| Provider Name | Kerry B. Shanklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033641279 PECOS PAC ID: 0446520126 Enrollment ID: I20170728001261 |
| Provider Name | Laura N Hernandez Guarin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457766560 PECOS PAC ID: 0941506018 Enrollment ID: I20170731000955 |
| Provider Name | Saurabhkumar Chandrakant Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295152155 PECOS PAC ID: 6002126349 Enrollment ID: I20170803000665 |
| Provider Name | Maheen Y Siddiqi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346654878 PECOS PAC ID: 2264703503 Enrollment ID: I20170804003210 |
| Provider Name | Rachel K. Levin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760542146 PECOS PAC ID: 1456622661 Enrollment ID: I20170807002289 |
| Provider Name | Matthew Wodziak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730440116 PECOS PAC ID: 5193948578 Enrollment ID: I20170808000408 |
| Provider Name | Matthew Doscher |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194012781 PECOS PAC ID: 6406127554 Enrollment ID: I20170808000817 |
| Provider Name | Joo Yeon Nam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750675187 PECOS PAC ID: 0749551836 Enrollment ID: I20170808002496 |
| Provider Name | Pablo N Quintana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043624760 PECOS PAC ID: 4486946811 Enrollment ID: I20170808002715 |
| Provider Name | Justin M Karush |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1891016606 PECOS PAC ID: 8820369788 Enrollment ID: I20170810002468 |
| Provider Name | Rekha Bandla Kasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750680120 PECOS PAC ID: 7214209642 Enrollment ID: I20170821001205 |
| Provider Name | Edwin I Rosas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447692678 PECOS PAC ID: 7315171097 Enrollment ID: I20170821003361 |
| Provider Name | Joseph P Musto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255744934 PECOS PAC ID: 3678867405 Enrollment ID: I20170822001629 |
| Provider Name | Fabian Sierra Morales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992060271 PECOS PAC ID: 3971896796 Enrollment ID: I20170823000697 |
| Provider Name | Adriana Romero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043487838 PECOS PAC ID: 1658643846 Enrollment ID: I20170823001637 |
| Provider Name | Jessica A Musto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689087371 PECOS PAC ID: 1153613567 Enrollment ID: I20170823001819 |
| Provider Name | Elizabeth A Simkus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831638089 PECOS PAC ID: 9931471133 Enrollment ID: I20170823002012 |
| Provider Name | Abhaya P Trivedi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619293800 PECOS PAC ID: 4688895550 Enrollment ID: I20170823002166 |
| Provider Name | Anupama Rao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255399481 PECOS PAC ID: 7012174980 Enrollment ID: I20170824003477 |
| Provider Name | Tisha Marie B Suboc |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1871736413 PECOS PAC ID: 6406177435 Enrollment ID: I20170825000419 |
| Provider Name | Thomas Kaminsky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033524608 PECOS PAC ID: 4981998598 Enrollment ID: I20170829004357 |
| Provider Name | Omer E Ibrahim |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1871869438 PECOS PAC ID: 7214168491 Enrollment ID: I20170908000060 |
| Provider Name | Bronwyn Karis Milliken |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568982379 PECOS PAC ID: 5698048692 Enrollment ID: I20170913000272 |
| Provider Name | Meagan O'brien Bailey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699066696 PECOS PAC ID: 3375838840 Enrollment ID: I20170913000369 |
| Provider Name | Yasmin Asvat |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902337983 PECOS PAC ID: 3173896123 Enrollment ID: I20170913002191 |
| Provider Name | Xochil Galeano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366869570 PECOS PAC ID: 7416267778 Enrollment ID: I20170914000552 |
| Provider Name | Greg Gaffud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952831018 PECOS PAC ID: 9830463868 Enrollment ID: I20170914002060 |
| Provider Name | Ankitaben Han |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962817494 PECOS PAC ID: 7618262536 Enrollment ID: I20170914002782 |
| Provider Name | Daniel R L'heureux |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114289725 PECOS PAC ID: 8820389620 Enrollment ID: I20170915000270 |
| Provider Name | Holly N. Wiese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962845891 PECOS PAC ID: 5294009114 Enrollment ID: I20170915001863 |
| Provider Name | Katrina E. Burns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336406834 PECOS PAC ID: 3375843253 Enrollment ID: I20170915002947 |
| Provider Name | Taemyn K Hollis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841518818 PECOS PAC ID: 5991943961 Enrollment ID: I20170918001594 |
| Provider Name | Andrew J Berenz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427348333 PECOS PAC ID: 2961631692 Enrollment ID: I20170920000415 |
| Provider Name | Heather A Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255856894 PECOS PAC ID: 4284908732 Enrollment ID: I20170921001655 |
| Provider Name | Ana M Tavarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346770492 PECOS PAC ID: 8426322793 Enrollment ID: I20170926000639 |
| Provider Name | Snigdha Kola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659621837 PECOS PAC ID: 5890088074 Enrollment ID: I20170926001199 |
| Provider Name | Keith C Hood |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1558599175 PECOS PAC ID: 5395047013 Enrollment ID: I20170926004343 |
| Provider Name | Vijaya Lakshmi Rao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871892117 PECOS PAC ID: 0749583102 Enrollment ID: I20171002003428 |
| Provider Name | Charles L Mesh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1598799959 PECOS PAC ID: 9830294826 Enrollment ID: I20171005000842 |
| Provider Name | Aalisha V Desai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962816108 PECOS PAC ID: 7214202449 Enrollment ID: I20171013001410 |
| Provider Name | Thea P Price |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609018969 PECOS PAC ID: 1456584242 Enrollment ID: I20171016000062 |
| Provider Name | Jori E Fleisher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073776530 PECOS PAC ID: 1456673391 Enrollment ID: I20171016001029 |
| Provider Name | Aleksandra A Bukiej |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1043573132 PECOS PAC ID: 4789904590 Enrollment ID: I20171018000172 |
| Provider Name | Tanya Kidandi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104294875 PECOS PAC ID: 1759690431 Enrollment ID: I20171020003008 |
| Provider Name | Dipika R Patel |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1528327665 PECOS PAC ID: 1850667486 Enrollment ID: I20171025002567 |
| Provider Name | Dana A Kroop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437558541 PECOS PAC ID: 7517284706 Enrollment ID: I20171026003167 |
| Provider Name | Meghan Crismon Bezaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952828584 PECOS PAC ID: 7911273305 Enrollment ID: I20171031000934 |
| Provider Name | Nathaniel Koo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467626184 PECOS PAC ID: 0143586404 Enrollment ID: I20171102002078 |
| Provider Name | Nikita Tihonov |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215128194 PECOS PAC ID: 6002087129 Enrollment ID: I20171103001060 |
| Provider Name | Shivanjali Shankaran |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861628364 PECOS PAC ID: 2668636465 Enrollment ID: I20171109000511 |
| Provider Name | Kevin E. Mcdonough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679097380 PECOS PAC ID: 1759647464 Enrollment ID: I20171114001122 |
| Provider Name | Teri M. Hull |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194051425 PECOS PAC ID: 5991061517 Enrollment ID: I20171114001766 |
| Provider Name | Sonia Marie Krishnan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164665808 PECOS PAC ID: 3971755323 Enrollment ID: I20171121001655 |
| Provider Name | Andrew K Dorsch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104960517 PECOS PAC ID: 2668503707 Enrollment ID: I20171121002290 |
| Provider Name | Sarah Ashley Adelstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356667224 PECOS PAC ID: 4486969011 Enrollment ID: I20171121003202 |
| Provider Name | Priti K Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518409937 PECOS PAC ID: 1052678125 Enrollment ID: I20171127003247 |
| Provider Name | Caitlin Anne Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689185282 PECOS PAC ID: 8628335775 Enrollment ID: I20171129000090 |
| Provider Name | David J Schmidt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659557932 PECOS PAC ID: 1658638606 Enrollment ID: I20171129000498 |
| Provider Name | John W Ebersole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649535782 PECOS PAC ID: 1254623424 Enrollment ID: I20171201001550 |
| Provider Name | Adam Estrada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083126619 PECOS PAC ID: 6305103029 Enrollment ID: I20171205000021 |
| Provider Name | Mona T Vashi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154681468 PECOS PAC ID: 5799083614 Enrollment ID: I20171207001897 |
| Provider Name | Rebecca Ellen Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275976896 PECOS PAC ID: 2961760434 Enrollment ID: I20171212000186 |
| Provider Name | Amar Bharat Bhatt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699930818 PECOS PAC ID: 5193980415 Enrollment ID: I20171213000934 |
| Provider Name | Scott A Van-asten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871931337 PECOS PAC ID: 2860790664 Enrollment ID: I20171227002462 |
| Provider Name | Keisha N House |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619400074 PECOS PAC ID: 1850650391 Enrollment ID: I20180109001248 |
| Provider Name | Sylvia M Herbozo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932622420 PECOS PAC ID: 9537428826 Enrollment ID: I20180111002966 |
| Provider Name | Marisol Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669982427 PECOS PAC ID: 1254691900 Enrollment ID: I20180129001487 |
| Provider Name | Bridget C Plesich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033629829 PECOS PAC ID: 4789944455 Enrollment ID: I20180129002159 |
| Provider Name | Ioannis Economou |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194935494 PECOS PAC ID: 0648322263 Enrollment ID: I20180213000567 |
| Provider Name | Meghan Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598172009 PECOS PAC ID: 0244555134 Enrollment ID: I20180219001326 |
| Provider Name | Lauren A. Saathoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841720893 PECOS PAC ID: 3678834413 Enrollment ID: I20180219001757 |
| Provider Name | Anne K Rufa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134627003 PECOS PAC ID: 6305107038 Enrollment ID: I20180221000169 |
| Provider Name | Meghan R Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316452246 PECOS PAC ID: 5890058705 Enrollment ID: I20180405002492 |
| Provider Name | Kristina Nichole Pontarelli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285977314 PECOS PAC ID: 4385953579 Enrollment ID: I20180406000024 |
| Provider Name | Alexander S Rackman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1255775805 PECOS PAC ID: 1456642800 Enrollment ID: I20180409000743 |
| Provider Name | Cynthia L Pierre |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962959908 PECOS PAC ID: 5799048443 Enrollment ID: I20180411002550 |
| Provider Name | Mohamad Ata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457698169 PECOS PAC ID: 0143583484 Enrollment ID: I20180418002634 |
| Provider Name | Sarah M Mitchell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578976635 PECOS PAC ID: 2668775438 Enrollment ID: I20180425000471 |
| Provider Name | Regina Tsang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326544404 PECOS PAC ID: 1850655846 Enrollment ID: I20180427000003 |
| Provider Name | Jennifer M White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083117071 PECOS PAC ID: 8527322254 Enrollment ID: I20180507000052 |
| Provider Name | Brandon K Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790272789 PECOS PAC ID: 7911261268 Enrollment ID: I20180514001623 |
| Provider Name | Lauren M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053812396 PECOS PAC ID: 1759646961 Enrollment ID: I20180517000900 |
| Provider Name | Douglas Weissman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801800289 PECOS PAC ID: 6709989437 Enrollment ID: I20180517002388 |
| Provider Name | Racheal N Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750882742 PECOS PAC ID: 5799040762 Enrollment ID: I20180522000069 |
| Provider Name | Joanne Sonseray Martires |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669622767 PECOS PAC ID: 4284888066 Enrollment ID: I20180522002472 |
| Provider Name | Osama Ziad Elkhatib |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780061713 PECOS PAC ID: 1355644402 Enrollment ID: I20180522002794 |
| Provider Name | David Tabriz |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1124383237 PECOS PAC ID: 4284862327 Enrollment ID: I20180524002763 |
| Provider Name | Hemil Gonzalez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962830653 PECOS PAC ID: 2769789593 Enrollment ID: I20180531000167 |
| Provider Name | Carrie Ann Picchietti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720578925 PECOS PAC ID: 9234484460 Enrollment ID: I20180612001843 |
| Provider Name | Eric Bhaimia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841677887 PECOS PAC ID: 9133422959 Enrollment ID: I20180614000227 |
| Provider Name | Rosemarie Milano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730292897 PECOS PAC ID: 7315985504 Enrollment ID: I20180629000976 |
| Provider Name | Luke M Freiburg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568738755 PECOS PAC ID: 7810299286 Enrollment ID: I20180702000249 |
| Provider Name | Amanda C Van Jacobs |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225520943 PECOS PAC ID: 8628324761 Enrollment ID: I20180703002476 |
| Provider Name | Michael J Byrne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649610239 PECOS PAC ID: 9739479577 Enrollment ID: I20180706002506 |
| Provider Name | Mariam Mafee |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1710328851 PECOS PAC ID: 6406152917 Enrollment ID: I20180709000319 |
| Provider Name | Parva Bhatt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689055832 PECOS PAC ID: 4688966575 Enrollment ID: I20180710003879 |
| Provider Name | Frank Albert Tenuto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043691629 PECOS PAC ID: 2264722263 Enrollment ID: I20180711000035 |
| Provider Name | William Stevens Barge |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487034799 PECOS PAC ID: 7113218892 Enrollment ID: I20180711002634 |
| Provider Name | Kelsey S Chow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316327976 PECOS PAC ID: 5395035042 Enrollment ID: I20180712000941 |
| Provider Name | Kyle D Bernard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912389297 PECOS PAC ID: 1254636038 Enrollment ID: I20180712001834 |
| Provider Name | Jayne Lindley Miely |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417339524 PECOS PAC ID: 7719279082 Enrollment ID: I20180713002794 |
| Provider Name | Jaimin Amin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588955066 PECOS PAC ID: 8820212723 Enrollment ID: I20180719002230 |
| Provider Name | Abdoulie Njie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164836433 PECOS PAC ID: 7517251796 Enrollment ID: I20180719002814 |
| Provider Name | Andrew T Simms |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093152480 PECOS PAC ID: 8325338247 Enrollment ID: I20180723000380 |
| Provider Name | Patrick Najah Atisha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720472780 PECOS PAC ID: 3577873520 Enrollment ID: I20180723002949 |
| Provider Name | Natalie P Witek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760725469 PECOS PAC ID: 9335431972 Enrollment ID: I20180724001925 |
| Provider Name | Samuel Nathan Goodman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134500283 PECOS PAC ID: 9032403506 Enrollment ID: I20180728000125 |
| Provider Name | Temitope Orenuga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922492669 PECOS PAC ID: 6103185467 Enrollment ID: I20180730002622 |
| Provider Name | Brooke Sutter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902391931 PECOS PAC ID: 6002164522 Enrollment ID: I20180731002248 |
| Provider Name | Wenlu Wendy Xiong |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1043553704 PECOS PAC ID: 9537460167 Enrollment ID: I20180803001660 |
| Provider Name | Seo-hyun Kim |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1710253992 PECOS PAC ID: 7911206990 Enrollment ID: I20180804000060 |
| Provider Name | Thomas Jack Shoemaker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629335450 PECOS PAC ID: 1658664487 Enrollment ID: I20180806000459 |
| Provider Name | Jaime R Braverman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346509346 PECOS PAC ID: 4981908654 Enrollment ID: I20180808000164 |
| Provider Name | Ryan Micheal Smith |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235491697 PECOS PAC ID: 5698067171 Enrollment ID: I20180808003314 |
| Provider Name | Samantha X De Los Reyes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669883914 PECOS PAC ID: 2860617339 Enrollment ID: I20180809003008 |
| Provider Name | Iulia Maria Dorneanu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851633101 PECOS PAC ID: 7315257250 Enrollment ID: I20180810000047 |
| Provider Name | Abhishek Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811276587 PECOS PAC ID: 3274806823 Enrollment ID: I20180813000925 |
| Provider Name | Deana S Shenaq |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1902192404 PECOS PAC ID: 2466755285 Enrollment ID: I20180815001973 |
| Provider Name | Kyle T Amber |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1881012474 PECOS PAC ID: 2668769670 Enrollment ID: I20180818000076 |
| Provider Name | Maham W. Lodhi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366702284 PECOS PAC ID: 7012209133 Enrollment ID: I20180820001453 |
| Provider Name | Wajahat A Lodhi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972729986 PECOS PAC ID: 9335292838 Enrollment ID: I20180822000963 |
| Provider Name | Mitra Afshari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285998237 PECOS PAC ID: 6305130105 Enrollment ID: I20180823001011 |
| Provider Name | Audrey Emily Kam |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659635977 PECOS PAC ID: 4587914122 Enrollment ID: I20180901000015 |
| Provider Name | Kimberly Mae Neva |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417436551 PECOS PAC ID: 7911257399 Enrollment ID: I20180905002693 |
| Provider Name | Alicja Maja Hoszkiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902310469 PECOS PAC ID: 3870843212 Enrollment ID: I20180906001173 |
| Provider Name | Denise Valero Ficht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821477241 PECOS PAC ID: 4486945185 Enrollment ID: I20180914000372 |
| Provider Name | Rachel Welbel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467895813 PECOS PAC ID: 6608127485 Enrollment ID: I20180918000696 |
| Provider Name | Arti Ashley Narsinghani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326435660 PECOS PAC ID: 3274836937 Enrollment ID: I20180918001647 |
| Provider Name | Amanda J Bradke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518200468 PECOS PAC ID: 1355573114 Enrollment ID: I20180919002750 |
| Provider Name | Sol Mariam Abreu Sosa |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912163502 PECOS PAC ID: 1355591686 Enrollment ID: I20180920001613 |
| Provider Name | Paulina C Crescimone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275019986 PECOS PAC ID: 7315298924 Enrollment ID: I20180920002554 |
| Provider Name | Scott William Schimpke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104111400 PECOS PAC ID: 0244537843 Enrollment ID: I20180921000005 |
| Provider Name | Samir A. Kakodkar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164716577 PECOS PAC ID: 3173828613 Enrollment ID: I20180924003536 |
| Provider Name | Grace Conant Banner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376958439 PECOS PAC ID: 8224328950 Enrollment ID: I20180925004152 |
| Provider Name | Amanda R Mathew |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669951182 PECOS PAC ID: 4183975212 Enrollment ID: I20180928000064 |
| Provider Name | Joseph Ashley Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700272234 PECOS PAC ID: 8325352396 Enrollment ID: I20181003000370 |
| Provider Name | Kristin Michelle Jacobs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275823296 PECOS PAC ID: 5193019933 Enrollment ID: I20181003002960 |
| Provider Name | Edward E Cherullo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366468258 PECOS PAC ID: 5496790644 Enrollment ID: I20181010000268 |
| Provider Name | Carrie L Richardson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1477817021 PECOS PAC ID: 3779860788 Enrollment ID: I20181017000196 |
| Provider Name | Rehan M Riaz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922395524 PECOS PAC ID: 0143452987 Enrollment ID: I20181017001095 |
| Provider Name | Amy Kristeen Winston |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1013173442 PECOS PAC ID: 0648523738 Enrollment ID: I20181018001895 |
| Provider Name | Kyle Bersted |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376996991 PECOS PAC ID: 5496011397 Enrollment ID: I20181019002325 |
| Provider Name | Keri L Kwarta |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1891861969 PECOS PAC ID: 9032462114 Enrollment ID: I20181019002486 |
| Provider Name | Carter Jacob Neugarten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841539772 PECOS PAC ID: 5597018507 Enrollment ID: I20181022000729 |
| Provider Name | Dianne K Litwin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598757957 PECOS PAC ID: 6002856648 Enrollment ID: I20181022001736 |
| Provider Name | Molly Kathleen Norris Van Eaton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1346771615 PECOS PAC ID: 8729331608 Enrollment ID: I20181023000234 |
| Provider Name | Robin Beth Stoner |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1952479776 PECOS PAC ID: 7113270042 Enrollment ID: I20181023002502 |
| Provider Name | Celalettin Ustun |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1013010487 PECOS PAC ID: 6800837998 Enrollment ID: I20181024000022 |
| Provider Name | Urvi A Tailor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871849331 PECOS PAC ID: 6305137068 Enrollment ID: I20181029001652 |
| Provider Name | Ralph V Fiore |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1770524043 PECOS PAC ID: 7618958422 Enrollment ID: I20181109001074 |
| Provider Name | Elizabeth B Strus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932691177 PECOS PAC ID: 4880948702 Enrollment ID: I20181113001457 |
| Provider Name | Anna C Mccormick Krajewski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164717278 PECOS PAC ID: 4385950757 Enrollment ID: I20181115001230 |
| Provider Name | Joyce W Tam |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326491994 PECOS PAC ID: 3971857681 Enrollment ID: I20181116000018 |
| Provider Name | Antoinette M Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801398326 PECOS PAC ID: 1355695784 Enrollment ID: I20181121000247 |
| Provider Name | Mariya V Denisenko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841792165 PECOS PAC ID: 3476807728 Enrollment ID: I20181126003132 |
| Provider Name | Jonathan Michael Roselman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1639584030 PECOS PAC ID: 8022319870 Enrollment ID: I20181129001386 |
| Provider Name | Michael M Sigman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1982831699 PECOS PAC ID: 4587892260 Enrollment ID: I20181205001538 |
| Provider Name | Kimberly Snell Blanchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366926347 PECOS PAC ID: 3779827357 Enrollment ID: I20181208000264 |
| Provider Name | Katelyn M Spinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689142432 PECOS PAC ID: 1658615125 Enrollment ID: I20181211000324 |
| Provider Name | Glenn Thruston Stebbins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356460984 PECOS PAC ID: 0042554529 Enrollment ID: I20181211000708 |
| Provider Name | Tomas Munoz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710225263 PECOS PAC ID: 9032499314 Enrollment ID: I20181211002307 |
| Provider Name | James Martin Katsis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518300425 PECOS PAC ID: 3870885379 Enrollment ID: I20181212000483 |
| Provider Name | Mackenzie C Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902285869 PECOS PAC ID: 5698010965 Enrollment ID: I20181214002835 |
| Provider Name | Sarah A Kosinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568946572 PECOS PAC ID: 4880939610 Enrollment ID: I20181221001655 |
| Provider Name | Lisa A Piazza |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538639513 PECOS PAC ID: 3375888019 Enrollment ID: I20181227000608 |
| Provider Name | Christine A Hudoba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255747754 PECOS PAC ID: 2264759737 Enrollment ID: I20190122000012 |
| Provider Name | Jessica E Kuppy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053707018 PECOS PAC ID: 2961702220 Enrollment ID: I20190219001422 |
| Provider Name | Ashley Marie Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356810915 PECOS PAC ID: 6305184276 Enrollment ID: I20190219002124 |
| Provider Name | Ariel Grace Conners |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164990131 PECOS PAC ID: 7012255839 Enrollment ID: I20190220001829 |
| Provider Name | Theresa Beth Jagasia |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1952434243 PECOS PAC ID: 5092054577 Enrollment ID: I20190227001917 |
| Provider Name | Mitchell L Bressack |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346245115 PECOS PAC ID: 3375559982 Enrollment ID: I20190228002204 |
| Provider Name | Gamal Mostafa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245261031 PECOS PAC ID: 9234115981 Enrollment ID: I20190313000251 |
| Provider Name | Jennifer E Pykosz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396200697 PECOS PAC ID: 8325388085 Enrollment ID: I20190318000597 |
| Provider Name | Leilani Gruezo Luell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437616836 PECOS PAC ID: 8628318292 Enrollment ID: I20190318001222 |
| Provider Name | Sarah Beattie Maier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689144347 PECOS PAC ID: 6305186917 Enrollment ID: I20190319000120 |
| Provider Name | Brandy J Hatcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083170278 PECOS PAC ID: 1153661368 Enrollment ID: I20190326002672 |
| Provider Name | Jennifer M Moriuchi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437632288 PECOS PAC ID: 7911247036 Enrollment ID: I20190327000815 |
| Provider Name | Lisa L Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578848305 PECOS PAC ID: 0446424147 Enrollment ID: I20190402001284 |
| Provider Name | Stephan A Munich |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508159146 PECOS PAC ID: 7416254651 Enrollment ID: I20190419000017 |
| Provider Name | Mohammad Anwer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093270795 PECOS PAC ID: 2466794516 Enrollment ID: I20190422001204 |
| Provider Name | Mohammad Daaif |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720271331 PECOS PAC ID: 1850565714 Enrollment ID: I20190502000997 |
| Provider Name | Mitesh M Kabadi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003083270 PECOS PAC ID: 7012142466 Enrollment ID: I20190502001816 |
| Provider Name | Anita L Sharko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063972776 PECOS PAC ID: 1456693837 Enrollment ID: I20190506000673 |
| Provider Name | Kati Lynn Cousins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841753043 PECOS PAC ID: 9537401922 Enrollment ID: I20190506001021 |
| Provider Name | Soumya Padala |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1841605789 PECOS PAC ID: 0648513275 Enrollment ID: I20190522000514 |
| Provider Name | David S Burstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003270398 PECOS PAC ID: 3678816071 Enrollment ID: I20190529001278 |
| Provider Name | Oksana Chien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740846112 PECOS PAC ID: 4880814441 Enrollment ID: I20190530001232 |
| Provider Name | Andrew James Stephenson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366478455 PECOS PAC ID: 3375563091 Enrollment ID: I20190531001212 |
| Provider Name | James M Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760776538 PECOS PAC ID: 0446520290 Enrollment ID: I20190531002065 |
| Provider Name | Jessica Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770044711 PECOS PAC ID: 2567795719 Enrollment ID: I20190604000558 |
| Provider Name | Kobina Odoom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285192112 PECOS PAC ID: 7810220399 Enrollment ID: I20190617000450 |
| Provider Name | Anila Naz Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730537986 PECOS PAC ID: 4183916000 Enrollment ID: I20190619000419 |
| Provider Name | Juliana Shou-an Sung |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730422742 PECOS PAC ID: 5799086500 Enrollment ID: I20190619001716 |
| Provider Name | Anvi Raina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881042364 PECOS PAC ID: 3072806553 Enrollment ID: I20190619002132 |
| Provider Name | Elizabeth Colleen Stiles-shields |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245520246 PECOS PAC ID: 0143554493 Enrollment ID: I20190620002010 |
| Provider Name | Sylvia Robinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124381926 PECOS PAC ID: 1254628688 Enrollment ID: I20190621000461 |
| Provider Name | Dominika Anne Winiarski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003375981 PECOS PAC ID: 4789918830 Enrollment ID: I20190625000416 |
| Provider Name | Sarthak B. Misra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225318181 PECOS PAC ID: 6002116779 Enrollment ID: I20190625000713 |
| Provider Name | Adetoun A Adeyemi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154784809 PECOS PAC ID: 6406142520 Enrollment ID: I20190626002323 |
| Provider Name | Ankur Varma |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194073015 PECOS PAC ID: 1951635846 Enrollment ID: I20190626003153 |
| Provider Name | Richard Cassidy Dwyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952759516 PECOS PAC ID: 4082948815 Enrollment ID: I20190627000599 |
| Provider Name | Gina Marie Piscitello |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1982083242 PECOS PAC ID: 0143532945 Enrollment ID: I20190627003337 |
| Provider Name | Michael John Jelinek |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1720426513 PECOS PAC ID: 3375776297 Enrollment ID: I20190628000717 |
| Provider Name | Silviu Alexandru Locovei |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679734271 PECOS PAC ID: 0345414405 Enrollment ID: I20190628001908 |
| Provider Name | Hyun Don Yun |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1508090473 PECOS PAC ID: 8921254996 Enrollment ID: I20190701000078 |
| Provider Name | Amy N Hoyme |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043500887 PECOS PAC ID: 2860726569 Enrollment ID: I20190701000731 |
| Provider Name | David M Sholtes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972984169 PECOS PAC ID: 9133419062 Enrollment ID: I20190702001388 |
| Provider Name | Jonathan H Ross |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104881176 PECOS PAC ID: 4587677380 Enrollment ID: I20190703001101 |
| Provider Name | Taha Alrifai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023463932 PECOS PAC ID: 4880929199 Enrollment ID: I20190709002118 |
| Provider Name | Mohammad Junaid Hussain |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1427242767 PECOS PAC ID: 7012101843 Enrollment ID: I20190712001914 |
| Provider Name | Kayla E Nixon Marshall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831571926 PECOS PAC ID: 1355658014 Enrollment ID: I20190716001106 |
| Provider Name | Lindsay M Mccullough |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1598145187 PECOS PAC ID: 3779899554 Enrollment ID: I20190717000565 |
| Provider Name | Shaina S Mann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033567110 PECOS PAC ID: 0345532453 Enrollment ID: I20190717003918 |
| Provider Name | Stephanie E Dietz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679936926 PECOS PAC ID: 4789970278 Enrollment ID: I20190717004040 |
| Provider Name | Wanna Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023561859 PECOS PAC ID: 9234423732 Enrollment ID: I20190719000576 |
| Provider Name | Peter Papagiannopoulos |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750729018 PECOS PAC ID: 5496001703 Enrollment ID: I20190722000867 |
| Provider Name | Alexandre C D'audiffret |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1568579084 PECOS PAC ID: 1456304864 Enrollment ID: I20190723001848 |
| Provider Name | Brian C Clark |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316213234 PECOS PAC ID: 3375858467 Enrollment ID: I20190727000002 |
| Provider Name | Timothy Raymond Larsen |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1477845337 PECOS PAC ID: 4284854159 Enrollment ID: I20190730000624 |
| Provider Name | Claire Elizabeth Dolan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447613252 PECOS PAC ID: 8527354257 Enrollment ID: I20190730001309 |
| Provider Name | Jonathan Louis Kaplan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699194480 PECOS PAC ID: 3577866482 Enrollment ID: I20190801002754 |
| Provider Name | Natalie I Berger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649830159 PECOS PAC ID: 5193052694 Enrollment ID: I20190806003726 |
| Provider Name | Vikram Nandhan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225487259 PECOS PAC ID: 8820380793 Enrollment ID: I20190807001101 |
| Provider Name | Daniel A Popa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114276706 PECOS PAC ID: 3577856061 Enrollment ID: I20190807003322 |
| Provider Name | Ken Tatebe |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942620745 PECOS PAC ID: 8224331517 Enrollment ID: I20190816000986 |
| Provider Name | Karen Hsia Ma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124464789 PECOS PAC ID: 0244522597 Enrollment ID: I20190819003860 |
| Provider Name | Courtney J Stefanski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1215314174 PECOS PAC ID: 0446553713 Enrollment ID: I20190820001420 |
| Provider Name | Chanae D Dixon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457798324 PECOS PAC ID: 9335370790 Enrollment ID: I20190826001982 |
| Provider Name | Elias M Michaelides |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043248503 PECOS PAC ID: 4880643246 Enrollment ID: I20190904000147 |
| Provider Name | Sumeet Jain |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144648023 PECOS PAC ID: 5395016216 Enrollment ID: I20190904000510 |
| Provider Name | Chirag P Talati |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699018028 PECOS PAC ID: 7719287069 Enrollment ID: I20190905000891 |
| Provider Name | Stacey Sudholt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841671864 PECOS PAC ID: 4486946712 Enrollment ID: I20190905002162 |
| Provider Name | Susan Lopez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568812204 PECOS PAC ID: 2769774629 Enrollment ID: I20190905002490 |
| Provider Name | Muhammad Alkaphoury |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1508234667 PECOS PAC ID: 7012201544 Enrollment ID: I20190906000810 |
| Provider Name | Raelene D Kennedy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003047267 PECOS PAC ID: 2860664455 Enrollment ID: I20190910002178 |
| Provider Name | Harini Kolluri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407019060 PECOS PAC ID: 1052450715 Enrollment ID: I20190910002407 |
| Provider Name | Ashley Elizabeth Wolf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376885764 PECOS PAC ID: 2062702129 Enrollment ID: I20190911000545 |
| Provider Name | Jieun David |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962841536 PECOS PAC ID: 5496081416 Enrollment ID: I20190911002382 |
| Provider Name | Michael R Roche |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588058796 PECOS PAC ID: 4789964354 Enrollment ID: I20190911003156 |
| Provider Name | Abigail Strom Hardin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083068639 PECOS PAC ID: 5496084691 Enrollment ID: I20190913001056 |
| Provider Name | Julie Wohrley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598733974 PECOS PAC ID: 9234429077 Enrollment ID: I20190913002549 |
| Provider Name | Peter Tsambarlis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730421561 PECOS PAC ID: 8921356965 Enrollment ID: I20190918001166 |
| Provider Name | Sophia N. Bodnar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164876488 PECOS PAC ID: 5991091308 Enrollment ID: I20190919001467 |
| Provider Name | Lauren Jennifer Wishne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972151512 PECOS PAC ID: 0042540569 Enrollment ID: I20190926001453 |
| Provider Name | Kristen M Haut |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922651645 PECOS PAC ID: 3577894633 Enrollment ID: I20191004000326 |
| Provider Name | Mary Brennan Naughton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477973691 PECOS PAC ID: 7719297167 Enrollment ID: I20191007001721 |
| Provider Name | Kathleen N. Raftery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083261291 PECOS PAC ID: 1254662224 Enrollment ID: I20191007001898 |
| Provider Name | Sarah A. Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982254090 PECOS PAC ID: 8224369061 Enrollment ID: I20191009002676 |
| Provider Name | Aryelle Leah Schicht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437707247 PECOS PAC ID: 3173854783 Enrollment ID: I20191014000927 |
| Provider Name | Meghan T Battista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033777909 PECOS PAC ID: 7315278694 Enrollment ID: I20191017002093 |
| Provider Name | Lauren Zaluda Rynar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932669835 PECOS PAC ID: 8527399765 Enrollment ID: I20191018002091 |
| Provider Name | Janet M. Yarboi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366090078 PECOS PAC ID: 2062744899 Enrollment ID: I20191029001149 |
| Provider Name | Parul V Arora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801455993 PECOS PAC ID: 3971835612 Enrollment ID: I20191029002228 |
| Provider Name | Khushboo Gupta |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1114420304 PECOS PAC ID: 0941563662 Enrollment ID: I20191102000069 |
| Provider Name | Teresa Leigh Deshields |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124232699 PECOS PAC ID: 1850632696 Enrollment ID: I20191106000069 |
| Provider Name | Meeta Arora |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063561546 PECOS PAC ID: 1658603923 Enrollment ID: I20191106001368 |
| Provider Name | Jennifer Anne Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770926461 PECOS PAC ID: 5092147017 Enrollment ID: I20191113001850 |
| Provider Name | Lauren Patrice Mccarthy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750432522 PECOS PAC ID: 7517399397 Enrollment ID: I20191115002344 |
| Provider Name | Chandrika Naveen Shankar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669598421 PECOS PAC ID: 2668569856 Enrollment ID: I20191121003131 |
| Provider Name | Neha Joshi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598926339 PECOS PAC ID: 0749406148 Enrollment ID: I20191205002452 |
| Provider Name | Margaret S. Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003380148 PECOS PAC ID: 5395178248 Enrollment ID: I20191206000296 |
| Provider Name | Aparna S Bindiganavle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184260762 PECOS PAC ID: 3870928369 Enrollment ID: I20200109002403 |
| Provider Name | Emily D. Wolodiger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811532880 PECOS PAC ID: 9739514159 Enrollment ID: I20200113002340 |
| Provider Name | Lindsey N Textor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609411719 PECOS PAC ID: 2567897580 Enrollment ID: I20200122001714 |
| Provider Name | Kathleen M Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104392380 PECOS PAC ID: 7911332655 Enrollment ID: I20200127001422 |
| Provider Name | Evan Craig Stokar |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1710372941 PECOS PAC ID: 2961706361 Enrollment ID: I20200205001191 |
| Provider Name | Brett W. Cox |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811192099 PECOS PAC ID: 8224123708 Enrollment ID: I20200211000285 |
| Provider Name | Thomas Kim |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932466208 PECOS PAC ID: 6103194584 Enrollment ID: I20200305002582 |
| Provider Name | Megan E. O'rourke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104457076 PECOS PAC ID: 1951739622 Enrollment ID: I20200311000473 |
| Provider Name | Amanda R Lucchetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467831446 PECOS PAC ID: 7517239882 Enrollment ID: I20200314000091 |
| Provider Name | Eun Yeop Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982970836 PECOS PAC ID: 1658709100 Enrollment ID: I20200316000786 |
| Provider Name | Nikita Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437780541 PECOS PAC ID: 8123456654 Enrollment ID: I20200317001043 |
| Provider Name | Kristen Elizabeth Vincent |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437225646 PECOS PAC ID: 0446688899 Enrollment ID: I20200317002243 |
| Provider Name | Ashley Lambert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023242252 PECOS PAC ID: 7012345481 Enrollment ID: I20200318000215 |
| Provider Name | Kenneth R Carson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720264898 PECOS PAC ID: 7214003292 Enrollment ID: I20200319000141 |
| Provider Name | Michelle Benbow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881228625 PECOS PAC ID: 5395173678 Enrollment ID: I20200319002684 |
| Provider Name | Lindsay M Duffy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629372271 PECOS PAC ID: 8628358520 Enrollment ID: I20200320002074 |
| Provider Name | Meir D. Hauser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013369578 PECOS PAC ID: 1355779430 Enrollment ID: I20200324002012 |
| Provider Name | Nivedita Gunturi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1912240805 PECOS PAC ID: 0042438475 Enrollment ID: I20200327000068 |
| Provider Name | Mary Patricia Mesch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609926997 PECOS PAC ID: 8527497387 Enrollment ID: I20200331001432 |
| Provider Name | Charles Joseph Cranny |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235286816 PECOS PAC ID: 5991134652 Enrollment ID: I20200331002033 |
| Provider Name | Maureen Beifuss Brennan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114195153 PECOS PAC ID: 9436588191 Enrollment ID: I20200331002071 |
| Provider Name | Jaime A Greene |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639210917 PECOS PAC ID: 9133558786 Enrollment ID: I20200401003040 |
| Provider Name | Erin E Caskey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487903324 PECOS PAC ID: 3274962832 Enrollment ID: I20200401003326 |
| Provider Name | Brooke E Harrar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427555937 PECOS PAC ID: 4688003254 Enrollment ID: I20200402000383 |
| Provider Name | Alison Walker Hauptschein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477786374 PECOS PAC ID: 5395174981 Enrollment ID: I20200402000990 |
| Provider Name | Amanda M Theisinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154751493 PECOS PAC ID: 7416386958 Enrollment ID: I20200403000275 |
| Provider Name | Allison L Albers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1356775324 PECOS PAC ID: 4688003122 Enrollment ID: I20200403000343 |
| Provider Name | Kara R Berger |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609208834 PECOS PAC ID: 7214366764 Enrollment ID: I20200403000811 |
| Provider Name | Mary A. Hoban |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1548667793 PECOS PAC ID: 0941639405 Enrollment ID: I20200403001450 |
| Provider Name | Elyse A Hoelzer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871062588 PECOS PAC ID: 5193154664 Enrollment ID: I20200403001607 |
| Provider Name | Megan E Kral |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609996826 PECOS PAC ID: 7416386982 Enrollment ID: I20200403001788 |
| Provider Name | Marc Joseph Fischer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679652432 PECOS PAC ID: 8527497007 Enrollment ID: I20200403002203 |
| Provider Name | Rachel A Dratnol |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427306182 PECOS PAC ID: 8426487901 Enrollment ID: I20200403002247 |
| Provider Name | Lauren B Andersen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770716664 PECOS PAC ID: 9032548524 Enrollment ID: I20200403002438 |
| Provider Name | Kristin A. R. Gustashaw |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154429751 PECOS PAC ID: 0446689889 Enrollment ID: I20200406000998 |
| Provider Name | Nancy Torres |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144340332 PECOS PAC ID: 1254760614 Enrollment ID: I20200406001934 |
| Provider Name | Lydia L Royeen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306118153 PECOS PAC ID: 0749619070 Enrollment ID: I20200407002405 |
| Provider Name | Kristie L. Trenkle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073970901 PECOS PAC ID: 4385073626 Enrollment ID: I20200407003002 |
| Provider Name | Jacqueline M Hankins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386888972 PECOS PAC ID: 5597194803 Enrollment ID: I20200408002839 |
| Provider Name | Mary Catherine Mullen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104159987 PECOS PAC ID: 0941639165 Enrollment ID: I20200408004045 |
| Provider Name | Kelly A Roehl |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972926210 PECOS PAC ID: 8426487505 Enrollment ID: I20200413000402 |
| Provider Name | Katherine J Friedmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588292130 PECOS PAC ID: 4183054174 Enrollment ID: I20200414003350 |
| Provider Name | Sarah E Sansom |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215356670 PECOS PAC ID: 6002126968 Enrollment ID: I20200427001603 |
| Provider Name | Erin Lynn Serrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083047666 PECOS PAC ID: 7416246004 Enrollment ID: I20200428000167 |
| Provider Name | Kathryn Mary Huettl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962605188 PECOS PAC ID: 3779913926 Enrollment ID: I20200430002700 |
| Provider Name | Lisa Cherullo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326137159 PECOS PAC ID: 7315929635 Enrollment ID: I20200501000141 |
| Provider Name | Courtney E Susterich |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265052237 PECOS PAC ID: 0042640211 Enrollment ID: I20200501000262 |
| Provider Name | Alison Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942838594 PECOS PAC ID: 0941631105 Enrollment ID: I20200504001716 |
| Provider Name | Mia A. Levy |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1932321395 PECOS PAC ID: 4981622289 Enrollment ID: I20200504002066 |
| Provider Name | Elizabeth J Culnan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003393489 PECOS PAC ID: 7113358961 Enrollment ID: I20200511001737 |
| Provider Name | Jessica Jean Pillarella |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1700220555 PECOS PAC ID: 1254632110 Enrollment ID: I20200521000994 |
| Provider Name | Mazouzah Omar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497381941 PECOS PAC ID: 2769803063 Enrollment ID: I20200521002171 |
| Provider Name | Elizabeth A Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861021248 PECOS PAC ID: 7810318128 Enrollment ID: I20200521002384 |
| Provider Name | Sara Ruddock-walker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558711101 PECOS PAC ID: 8820380744 Enrollment ID: I20200522000528 |
| Provider Name | Veronica Yeung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215048111 PECOS PAC ID: 7618398850 Enrollment ID: I20200526003170 |
| Provider Name | Patrick J Moore |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639525371 PECOS PAC ID: 7810280559 Enrollment ID: I20200625002411 |
| Provider Name | Corey Neil Goldstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508986308 PECOS PAC ID: 6103927272 Enrollment ID: I20200630002068 |
| Provider Name | Cydney A Bullock-tipton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801325972 PECOS PAC ID: 7810268455 Enrollment ID: I20200701000574 |
| Provider Name | Daniel Luger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467879809 PECOS PAC ID: 9234475005 Enrollment ID: I20200701001176 |
| Provider Name | Amy Elizabeth Marks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396277570 PECOS PAC ID: 8224451612 Enrollment ID: I20200701002185 |
| Provider Name | Kruthika Sampathgiri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427433416 PECOS PAC ID: 0840613253 Enrollment ID: I20200701002975 |
| Provider Name | Jerome Jameel Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437681970 PECOS PAC ID: 8527338748 Enrollment ID: I20200709003047 |
| Provider Name | Mary M Potkonjak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083144562 PECOS PAC ID: 7214207919 Enrollment ID: I20200710000704 |
| Provider Name | Georgios Kokosis |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1952692717 PECOS PAC ID: 9335497585 Enrollment ID: I20200714002634 |
| Provider Name | Alireza Hamidian-jahromi |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1639435993 PECOS PAC ID: 9032415096 Enrollment ID: I20200714002853 |
| Provider Name | Nicholas Chien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295255420 PECOS PAC ID: 8426328113 Enrollment ID: I20200714003022 |
| Provider Name | Cheng Cheng |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467899062 PECOS PAC ID: 2567886112 Enrollment ID: I20200716000263 |
| Provider Name | Joan Pohutsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154946853 PECOS PAC ID: 6507280179 Enrollment ID: I20200716000958 |
| Provider Name | Andrew I Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245750850 PECOS PAC ID: 8921422437 Enrollment ID: I20200716002550 |
| Provider Name | Natalia Marcinkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164044079 PECOS PAC ID: 2860816337 Enrollment ID: I20200717000423 |
| Provider Name | Jessica M Wyka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346770336 PECOS PAC ID: 7113341447 Enrollment ID: I20200721000316 |
| Provider Name | Hong Wu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861444275 PECOS PAC ID: 9830166354 Enrollment ID: I20200721001420 |
| Provider Name | Bushra A Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083134118 PECOS PAC ID: 7911242482 Enrollment ID: I20200722002710 |
| Provider Name | Brian Robert Bush |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427585272 PECOS PAC ID: 5294004917 Enrollment ID: I20200727000631 |
| Provider Name | Antonia Justine Nemanich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982068375 PECOS PAC ID: 0042591778 Enrollment ID: I20200727002359 |
| Provider Name | Rebecca Durkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053632737 PECOS PAC ID: 3971721960 Enrollment ID: I20200730000900 |
| Provider Name | Michael Cui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528449014 PECOS PAC ID: 8123321577 Enrollment ID: I20200803000302 |
| Provider Name | Adrian Krukowski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679924567 PECOS PAC ID: 8820381775 Enrollment ID: I20200803000780 |
| Provider Name | Alana Elizabeth Kirby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164865200 PECOS PAC ID: 1658627021 Enrollment ID: I20200807001246 |
| Provider Name | Esther G. Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619210242 PECOS PAC ID: 2365712668 Enrollment ID: I20200810000404 |
| Provider Name | William D Weber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972994655 PECOS PAC ID: 2264701077 Enrollment ID: I20200810002637 |
| Provider Name | Graeme Forrest |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730139114 PECOS PAC ID: 5597838748 Enrollment ID: I20200810003094 |
| Provider Name | Marc A Sarran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902283450 PECOS PAC ID: 4385959097 Enrollment ID: I20200811000326 |
| Provider Name | Brian C Gulack |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396036406 PECOS PAC ID: 1557787231 Enrollment ID: I20200812000676 |
| Provider Name | Andrew James Patton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497102297 PECOS PAC ID: 9638464381 Enrollment ID: I20200812002993 |
| Provider Name | Kelly Ann Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881049120 PECOS PAC ID: 7618269242 Enrollment ID: I20200824000910 |
| Provider Name | Amanda Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912439654 PECOS PAC ID: 9234553900 Enrollment ID: I20200902001720 |
| Provider Name | Raymond Vincent Garay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912516667 PECOS PAC ID: 7315364387 Enrollment ID: I20200908000012 |
| Provider Name | Alexander Chow |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699188557 PECOS PAC ID: 9133457591 Enrollment ID: I20200908000460 |
| Provider Name | Devin Karl Loewenstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912325366 PECOS PAC ID: 7911278411 Enrollment ID: I20200908002984 |
| Provider Name | Ephrem Odoy Olweny |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821272006 PECOS PAC ID: 2668505298 Enrollment ID: I20200908003293 |
| Provider Name | Sungho Lim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1851739403 PECOS PAC ID: 3971804618 Enrollment ID: I20200909000831 |
| Provider Name | Gillian Alex |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851730907 PECOS PAC ID: 5496052680 Enrollment ID: I20200909002570 |
| Provider Name | Elizabeth Harari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275911067 PECOS PAC ID: 0941558811 Enrollment ID: I20200915000128 |
| Provider Name | Jennifer L Broess |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689109282 PECOS PAC ID: 2062783350 Enrollment ID: I20200917000141 |
| Provider Name | Gregory George Fenton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295115079 PECOS PAC ID: 3476843434 Enrollment ID: I20200917002718 |
| Provider Name | Nikhil Joshi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851722250 PECOS PAC ID: 4789984584 Enrollment ID: I20200918001486 |
| Provider Name | Laura M Seske |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073825717 PECOS PAC ID: 4082846548 Enrollment ID: I20200922000082 |
| Provider Name | Madeline Marie Stark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235520040 PECOS PAC ID: 3375835358 Enrollment ID: I20200928002340 |
| Provider Name | Mustafa Anwer Jasim Mafraji |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134643364 PECOS PAC ID: 1052730850 Enrollment ID: I20200929000118 |
| Provider Name | Tanya R Sorrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710930185 PECOS PAC ID: 2668510595 Enrollment ID: I20200929000566 |
| Provider Name | Jill K Marcus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285165795 PECOS PAC ID: 7911278288 Enrollment ID: I20200929000718 |
| Provider Name | Chandler Gill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548688716 PECOS PAC ID: 8628378635 Enrollment ID: I20200929001104 |
| Provider Name | Sean M Wrenn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831431261 PECOS PAC ID: 2365745684 Enrollment ID: I20200930000176 |
| Provider Name | Anatoli Frances Karas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467870964 PECOS PAC ID: 1052730595 Enrollment ID: I20201001002089 |
| Provider Name | Suhagi Kadakia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750822250 PECOS PAC ID: 7810262508 Enrollment ID: I20201002000646 |
| Provider Name | Michele Richard |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1083055487 PECOS PAC ID: 3678870763 Enrollment ID: I20201007001139 |
| Provider Name | Imuentiyan Oyesiku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467064154 PECOS PAC ID: 9335569086 Enrollment ID: I20201019000513 |
| Provider Name | Victor German Patron Romero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356723811 PECOS PAC ID: 8022308501 Enrollment ID: I20201019001742 |
| Provider Name | Jeremiah Wasserlauf |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1073809737 PECOS PAC ID: 0749563369 Enrollment ID: I20201020004009 |
| Provider Name | Tresa Elizabeth Zacharias |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366838708 PECOS PAC ID: 4688909989 Enrollment ID: I20201021000338 |
| Provider Name | Kelsey A Brzuszkiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477172005 PECOS PAC ID: 6204256548 Enrollment ID: I20201026001964 |
| Provider Name | Marilyn G Featherston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912312547 PECOS PAC ID: 8022300029 Enrollment ID: I20201027002406 |
| Provider Name | Adrienne E Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902416829 PECOS PAC ID: 3870903891 Enrollment ID: I20201103001900 |
| Provider Name | Brianna J Werner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417599408 PECOS PAC ID: 0941610802 Enrollment ID: I20201104000219 |
| Provider Name | Christina Souv Khou |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700449659 PECOS PAC ID: 3577974690 Enrollment ID: I20201121000035 |
| Provider Name | Lynne N Lieberman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124660022 PECOS PAC ID: 4688085582 Enrollment ID: I20201125001318 |
| Provider Name | Karolina Kowalczyk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346590429 PECOS PAC ID: 9739590399 Enrollment ID: I20201203000243 |
| Provider Name | Cale Jenks Wardell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588214571 PECOS PAC ID: 0042621534 Enrollment ID: I20201207000211 |
| Provider Name | Gina Perronie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093269912 PECOS PAC ID: 5698026029 Enrollment ID: I20201224000020 |
| Provider Name | Timothy A Clinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679177026 PECOS PAC ID: 7012320450 Enrollment ID: I20210104001911 |
| Provider Name | Cheryl K Mandell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174954069 PECOS PAC ID: 2961792098 Enrollment ID: I20210104002112 |
| Provider Name | Heather Marie Lacey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619438058 PECOS PAC ID: 9133532484 Enrollment ID: I20210106001869 |
| Provider Name | Dana L Temple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477072643 PECOS PAC ID: 7719319912 Enrollment ID: I20210122000118 |
| Provider Name | Kai Ting Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528661311 PECOS PAC ID: 2668886219 Enrollment ID: I20210122001394 |
| Provider Name | Aviva H Ariel-donges |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255994075 PECOS PAC ID: 3678987690 Enrollment ID: I20210202001467 |
| Provider Name | Taylor Wright |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851822282 PECOS PAC ID: 5496160061 Enrollment ID: I20210211001684 |
| Provider Name | Alan Akira |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710470257 PECOS PAC ID: 3476809187 Enrollment ID: I20210302001649 |
| Provider Name | Ludimila Cavalcante |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1679997142 PECOS PAC ID: 4284851239 Enrollment ID: I20210308001309 |
| Provider Name | Emily L Villegas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417540527 PECOS PAC ID: 8527474873 Enrollment ID: I20210310002584 |
| Provider Name | Regina Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033703731 PECOS PAC ID: 0648686667 Enrollment ID: I20210316002699 |
| Provider Name | Neepa J Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003082934 PECOS PAC ID: 0446422448 Enrollment ID: I20210322000683 |
| Provider Name | Dhara Sheth Bhakta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871940585 PECOS PAC ID: 8820378334 Enrollment ID: I20210323001167 |
| Provider Name | Megan Donahue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871954727 PECOS PAC ID: 3072920131 Enrollment ID: I20210408000148 |
| Provider Name | Karen A Decocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629273834 PECOS PAC ID: 0446345375 Enrollment ID: I20210409001561 |
| Provider Name | Natasha Imran Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659865319 PECOS PAC ID: 7618224171 Enrollment ID: I20210412001133 |
| Provider Name | Ashley Elise Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689269698 PECOS PAC ID: 5597173815 Enrollment ID: I20210426001116 |
| Provider Name | Kelly Rhodes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639691090 PECOS PAC ID: 6103235320 Enrollment ID: I20210429000459 |
| Provider Name | Alefiya Ibrahim Al-qamari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114193125 PECOS PAC ID: 9032256946 Enrollment ID: I20210505000914 |
| Provider Name | Denise Anne Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821673781 PECOS PAC ID: 0749699635 Enrollment ID: I20210505001262 |
| Provider Name | Madison Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396357588 PECOS PAC ID: 9032528948 Enrollment ID: I20210505002215 |
| Provider Name | Tamasyn A Nelson Aksoy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295981280 PECOS PAC ID: 1052531399 Enrollment ID: I20210526001551 |
| Provider Name | Carol A Montilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245610054 PECOS PAC ID: 6800199894 Enrollment ID: I20210601002351 |
| Provider Name | Kevin Keuper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447741756 PECOS PAC ID: 0042569014 Enrollment ID: I20210608001339 |
| Provider Name | Keya A Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588160824 PECOS PAC ID: 3779830583 Enrollment ID: I20210616000828 |
| Provider Name | Abdullgabbar M Hamid |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912488164 PECOS PAC ID: 3274883111 Enrollment ID: I20210618000193 |
| Provider Name | Jeremy Van |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831689702 PECOS PAC ID: 9830444587 Enrollment ID: I20210621001295 |
| Provider Name | David Hodge |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538699558 PECOS PAC ID: 1355616079 Enrollment ID: I20210701001515 |
| Provider Name | Lucas Fishman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700382371 PECOS PAC ID: 6901142355 Enrollment ID: I20210701002555 |
| Provider Name | Kalli Sarigiannis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760972103 PECOS PAC ID: 4981952959 Enrollment ID: I20210716002329 |
| Provider Name | Umar Siddiqui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578055984 PECOS PAC ID: 9638572902 Enrollment ID: I20210723001383 |
| Provider Name | Jasmine S Ginn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386137693 PECOS PAC ID: 0840693164 Enrollment ID: I20210723003285 |
| Provider Name | Monika Rastogi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558757815 PECOS PAC ID: 4688982747 Enrollment ID: I20210726001270 |
| Provider Name | Michael Josef Hutz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770979684 PECOS PAC ID: 9931400595 Enrollment ID: I20210726001772 |
| Provider Name | Tyler Kaplan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861887358 PECOS PAC ID: 9537448097 Enrollment ID: I20210728000017 |
| Provider Name | Daven V Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639662562 PECOS PAC ID: 2769739671 Enrollment ID: I20210729002335 |
| Provider Name | Sean Ian Bernstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023472545 PECOS PAC ID: 6002101052 Enrollment ID: I20210730001114 |
| Provider Name | Nupur Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124524467 PECOS PAC ID: 5991052854 Enrollment ID: I20210731000368 |
| Provider Name | Melissa Morales-perez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063037224 PECOS PAC ID: 9133523913 Enrollment ID: I20210802003430 |
| Provider Name | Manuel Bernal Mejia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144719675 PECOS PAC ID: 1759785355 Enrollment ID: I20210804001209 |
| Provider Name | Hao Zhang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346637485 PECOS PAC ID: 0042614653 Enrollment ID: I20210804001574 |
| Provider Name | Julie M Neborak |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1073992202 PECOS PAC ID: 2062725666 Enrollment ID: I20210811002953 |
| Provider Name | Lia N Wrenn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700128113 PECOS PAC ID: 5799088019 Enrollment ID: I20210812000765 |
| Provider Name | Nada Shaban |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073782074 PECOS PAC ID: 8921225079 Enrollment ID: I20210812001067 |
| Provider Name | Tamar N Caceres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205213261 PECOS PAC ID: 6709106305 Enrollment ID: I20210812001580 |
| Provider Name | Lisa A Rauschert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538541032 PECOS PAC ID: 3678882271 Enrollment ID: I20210812003338 |
| Provider Name | Tiffany A Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679157473 PECOS PAC ID: 6204230170 Enrollment ID: I20210814000219 |
| Provider Name | Pooja Asim Mehta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912491804 PECOS PAC ID: 2567866437 Enrollment ID: I20210814000251 |
| Provider Name | Kelli M Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609407329 PECOS PAC ID: 9436560489 Enrollment ID: I20210814000469 |
| Provider Name | Shaheen Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114513306 PECOS PAC ID: 2062816937 Enrollment ID: I20210815000037 |
| Provider Name | Colin Therriault |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164803292 PECOS PAC ID: 8022444041 Enrollment ID: I20210816001035 |
| Provider Name | Kathleen Alicia Burns |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295228237 PECOS PAC ID: 7214332105 Enrollment ID: I20210816001081 |
| Provider Name | Katherine Maslar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316510639 PECOS PAC ID: 6709281504 Enrollment ID: I20210817001861 |
| Provider Name | Karen E Jackson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871989483 PECOS PAC ID: 7214239813 Enrollment ID: I20210825003369 |
| Provider Name | Elizabeth Brodsky Portin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932638111 PECOS PAC ID: 3971908120 Enrollment ID: I20210825003937 |
| Provider Name | Agnieszka Maria Maniak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346733110 PECOS PAC ID: 4284983909 Enrollment ID: I20210826000782 |
| Provider Name | David E Kurlander |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1497173900 PECOS PAC ID: 3072817949 Enrollment ID: I20210827000768 |
| Provider Name | Upneet Kaur Chawla |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1659802486 PECOS PAC ID: 4284904251 Enrollment ID: I20210830001989 |
| Provider Name | Krista Joanne Mitch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447870290 PECOS PAC ID: 3274939087 Enrollment ID: I20210902000971 |
| Provider Name | Pascal A Accoh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508360280 PECOS PAC ID: 1850646571 Enrollment ID: I20210903000066 |
| Provider Name | Sophia J Peng |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831455831 PECOS PAC ID: 8325359961 Enrollment ID: I20210908000044 |
| Provider Name | Indraneel I Gowdar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881030260 PECOS PAC ID: 1850679994 Enrollment ID: I20210913000212 |
| Provider Name | Emily Ann Walton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275037665 PECOS PAC ID: 1254689227 Enrollment ID: I20210916002536 |
| Provider Name | Juliana Bartel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215504295 PECOS PAC ID: 2668879347 Enrollment ID: I20210922003028 |
| Provider Name | Joel Daniel Wyatt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861983975 PECOS PAC ID: 8022415652 Enrollment ID: I20210924001787 |
| Provider Name | Faisal Hasan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710922505 PECOS PAC ID: 3870666712 Enrollment ID: I20210929003316 |
| Provider Name | Joanna T Bisgrove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417153651 PECOS PAC ID: 6901998921 Enrollment ID: I20210930000178 |
| Provider Name | Raymon N Zaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467943308 PECOS PAC ID: 9931506102 Enrollment ID: I20210930002469 |
| Provider Name | Yael R Wartens |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134763121 PECOS PAC ID: 1254739402 Enrollment ID: I20211001002715 |
| Provider Name | Dmitriy Cherny |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1164871984 PECOS PAC ID: 9335431303 Enrollment ID: I20211006001219 |
| Provider Name | Jenica L Sidler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801469036 PECOS PAC ID: 6901204361 Enrollment ID: I20211015000217 |
| Provider Name | Xiaoping Wu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396038188 PECOS PAC ID: 3173892254 Enrollment ID: I20211025002683 |
| Provider Name | Lindsey Marie Bacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427364819 PECOS PAC ID: 9537557483 Enrollment ID: I20211026000171 |
| Provider Name | Abbi R Lantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790458222 PECOS PAC ID: 9436547312 Enrollment ID: I20211026001545 |
| Provider Name | Shilpa Arora |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1699127100 PECOS PAC ID: 6709178593 Enrollment ID: I20211104000128 |
| Provider Name | Sonya Mohan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922452408 PECOS PAC ID: 2860804267 Enrollment ID: I20211105000554 |
| Provider Name | Mary Ross Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891459772 PECOS PAC ID: 8123418316 Enrollment ID: I20211202000211 |
| Provider Name | Alexandra Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700272655 PECOS PAC ID: 0941549265 Enrollment ID: I20211208000186 |
| Provider Name | Swathi B Reddy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740627561 PECOS PAC ID: 4880914035 Enrollment ID: I20211208002482 |
| Provider Name | Elyse Fairand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376214262 PECOS PAC ID: 6103217682 Enrollment ID: I20211216001103 |
| Provider Name | Jared Joseph Banaszak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396414165 PECOS PAC ID: 3779974902 Enrollment ID: I20211227000041 |
| Provider Name | Darette Marocchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841878758 PECOS PAC ID: 9335530336 Enrollment ID: I20211230001446 |
| Provider Name | Theodore J Corbin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467477919 PECOS PAC ID: 0143285197 Enrollment ID: I20220104002728 |
| Provider Name | Catherine E Byrne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356952980 PECOS PAC ID: 1254722903 Enrollment ID: I20220106002512 |
| Provider Name | Jemma L. Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952072837 PECOS PAC ID: 5890186563 Enrollment ID: I20220107000485 |
| Provider Name | David A Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588021307 PECOS PAC ID: 8224321450 Enrollment ID: I20220112001921 |
| Provider Name | Avelina C Padin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205414422 PECOS PAC ID: 5193117653 Enrollment ID: I20220113002524 |
| Provider Name | Andrea Merlotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497418883 PECOS PAC ID: 4486046844 Enrollment ID: I20220114000067 |
| Provider Name | Christina Panton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780071142 PECOS PAC ID: 8729315601 Enrollment ID: I20220119002316 |
| Provider Name | Sofia Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720602097 PECOS PAC ID: 1254723315 Enrollment ID: I20220121001719 |
| Provider Name | Sarah Jane Lynne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477136638 PECOS PAC ID: 8426440249 Enrollment ID: I20220127001965 |
| Provider Name | Ayelet Hamburger |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972155455 PECOS PAC ID: 8527451269 Enrollment ID: I20220202000580 |
| Provider Name | Jonathan W Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093232902 PECOS PAC ID: 9335415975 Enrollment ID: I20220207000899 |
| Provider Name | Sean Swearingen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477973964 PECOS PAC ID: 9931403086 Enrollment ID: I20220208000758 |
| Provider Name | Merdijana Kovacevic |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457752719 PECOS PAC ID: 8729471966 Enrollment ID: I20220210000490 |
| Provider Name | Erika A Knox |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588139729 PECOS PAC ID: 0345633525 Enrollment ID: I20220210002624 |
| Provider Name | Alia S Lepere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871933598 PECOS PAC ID: 9739483611 Enrollment ID: I20220210002693 |
| Provider Name | Rachel Lee Medernach |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033569694 PECOS PAC ID: 7012209018 Enrollment ID: I20220215001914 |
| Provider Name | Diana Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063174282 PECOS PAC ID: 7810381365 Enrollment ID: I20220225001050 |
| Provider Name | Michel Ng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174847107 PECOS PAC ID: 9537467998 Enrollment ID: I20220301000894 |
| Provider Name | Timothy H Gallagher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144631185 PECOS PAC ID: 7719232982 Enrollment ID: I20220303001168 |
| Provider Name | Nathalie Sela |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124672431 PECOS PAC ID: 8628309903 Enrollment ID: I20220303001841 |
| Provider Name | Ahmet A Oktay |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457627275 PECOS PAC ID: 4688893936 Enrollment ID: I20220316002506 |
| Provider Name | Meghan Klavans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801231246 PECOS PAC ID: 3476782152 Enrollment ID: I20220317000299 |
| Provider Name | Lidia Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538779152 PECOS PAC ID: 9638599525 Enrollment ID: I20220325001538 |
| Provider Name | Grace M Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952054553 PECOS PAC ID: 0547656068 Enrollment ID: I20220411001463 |
| Provider Name | Sarah Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821569880 PECOS PAC ID: 4385985720 Enrollment ID: I20220415001057 |
| Provider Name | Caitlin S Boyak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508513714 PECOS PAC ID: 2062809130 Enrollment ID: I20220420002434 |
| Provider Name | Monica D Eghbali |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306510482 PECOS PAC ID: 4385021179 Enrollment ID: I20220517001399 |
| Provider Name | Sarah F Shaaban |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992152458 PECOS PAC ID: 8921390915 Enrollment ID: I20220518001210 |
| Provider Name | Monal Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285082669 PECOS PAC ID: 6406287887 Enrollment ID: I20220531001302 |
| Provider Name | Shivani Dua |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013295856 PECOS PAC ID: 2769778448 Enrollment ID: I20220602002087 |
| Provider Name | Chelsea Shotwell Tabke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013341270 PECOS PAC ID: 7810375482 Enrollment ID: I20220610000074 |
| Provider Name | Barbara M Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750848271 PECOS PAC ID: 2062755663 Enrollment ID: I20220610001696 |
| Provider Name | Dennis P Mckinney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437617628 PECOS PAC ID: 2062747496 Enrollment ID: I20220621002419 |
| Provider Name | Ami P Purohit |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154989523 PECOS PAC ID: 2567798291 Enrollment ID: I20220629000309 |
| Provider Name | Athina Bouroukas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255899688 PECOS PAC ID: 9830424993 Enrollment ID: I20220629000436 |
| Provider Name | Matthew E Dixon |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1083842009 PECOS PAC ID: 4082965561 Enrollment ID: I20220629000770 |
| Provider Name | Matthew Michael Eganhouse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265091334 PECOS PAC ID: 5597091264 Enrollment ID: I20220629002045 |
| Provider Name | Rebecca Ann Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255998639 PECOS PAC ID: 9335474568 Enrollment ID: I20220629003372 |
| Provider Name | Nithin Satya Pusapati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376005199 PECOS PAC ID: 8921332404 Enrollment ID: I20220630002451 |
| Provider Name | Maham Jehangir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477042091 PECOS PAC ID: 5092066464 Enrollment ID: I20220630002722 |
| Provider Name | Michael Eggerstedt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699129858 PECOS PAC ID: 4082909726 Enrollment ID: I20220712003091 |
| Provider Name | Avin Kounsal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952956369 PECOS PAC ID: 5991186637 Enrollment ID: I20220713000940 |
| Provider Name | Nicholas P Cozzi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801381868 PECOS PAC ID: 6507110558 Enrollment ID: I20220713002620 |
| Provider Name | Alexander Stephen Grohmann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922532720 PECOS PAC ID: 7719312487 Enrollment ID: I20220713003438 |
| Provider Name | Maria Dinorah Salazar Garcia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225523053 PECOS PAC ID: 4486035904 Enrollment ID: I20220714003561 |
| Provider Name | Daniel Zeidan Semaan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477015311 PECOS PAC ID: 1658607767 Enrollment ID: I20220714003712 |
| Provider Name | Brielle Weinstein |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205298577 PECOS PAC ID: 2466833850 Enrollment ID: I20220715002507 |
| Provider Name | Peter Filip |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518493782 PECOS PAC ID: 9335485465 Enrollment ID: I20220718003662 |
| Provider Name | Megha Trivedi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1700370277 PECOS PAC ID: 1456607068 Enrollment ID: I20220718003849 |
| Provider Name | Lloyd G Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114136645 PECOS PAC ID: 6204079312 Enrollment ID: I20220726000262 |
| Provider Name | Alexander H Sloboda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912434838 PECOS PAC ID: 9234407966 Enrollment ID: I20220727001466 |
| Provider Name | Maxim A Polansky |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1275913006 PECOS PAC ID: 6406161215 Enrollment ID: I20220728000751 |
| Provider Name | Kristina Louise Butler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366188351 PECOS PAC ID: 7911389671 Enrollment ID: I20220728000960 |
| Provider Name | Steven Scott Honsberger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477013902 PECOS PAC ID: 3072848399 Enrollment ID: I20220802001291 |
| Provider Name | Geetanjalee H Kadam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134600323 PECOS PAC ID: 6507248846 Enrollment ID: I20220802003320 |
| Provider Name | Lillian S Oberlander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962147629 PECOS PAC ID: 0941682249 Enrollment ID: I20220803001675 |
| Provider Name | Laura M Fessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194203851 PECOS PAC ID: 7113325622 Enrollment ID: I20220804003153 |
| Provider Name | Muhammad Alsayid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326356411 PECOS PAC ID: 0345470027 Enrollment ID: I20220810001992 |
| Provider Name | Zeeshan Baqui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710336987 PECOS PAC ID: 8224326202 Enrollment ID: I20220812002627 |
| Provider Name | Sara Marin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932762978 PECOS PAC ID: 1557744117 Enrollment ID: I20220815000504 |
| Provider Name | Jessica A Slostad |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1154785384 PECOS PAC ID: 6507157328 Enrollment ID: I20220815002097 |
| Provider Name | Edward Charles Qian |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1710470638 PECOS PAC ID: 4688928229 Enrollment ID: I20220815002119 |
| Provider Name | Lauren A Bush |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275272825 PECOS PAC ID: 4587047113 Enrollment ID: I20220815003228 |
| Provider Name | Fredrick Michael Hetzel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760942478 PECOS PAC ID: 6709111420 Enrollment ID: I20220816001164 |
| Provider Name | Tulsi Pravin Roy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1063892354 PECOS PAC ID: 9931402047 Enrollment ID: I20220820000348 |
| Provider Name | Obada Obaisi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639601123 PECOS PAC ID: 6204108582 Enrollment ID: I20220822001297 |
| Provider Name | Abbas Rizvi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1285126656 PECOS PAC ID: 4789938374 Enrollment ID: I20220822001443 |
| Provider Name | Arooshi Kumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124553920 PECOS PAC ID: 9234539594 Enrollment ID: I20220822002766 |
| Provider Name | Sara Jean Twiehaus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285128926 PECOS PAC ID: 8426307612 Enrollment ID: I20220825001474 |
| Provider Name | Talat Suleiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629536099 PECOS PAC ID: 8729314950 Enrollment ID: I20220826000740 |
| Provider Name | Krystle N Niewinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669129961 PECOS PAC ID: 2163806886 Enrollment ID: I20220830002455 |
| Provider Name | Sarah Ann Dooley |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629503495 PECOS PAC ID: 2163794140 Enrollment ID: I20220831002371 |
| Provider Name | Krista Hardy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1649624305 PECOS PAC ID: 2860876075 Enrollment ID: I20220907000204 |
| Provider Name | Benjamin Alejandro Vazquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700449824 PECOS PAC ID: 6103151451 Enrollment ID: I20220908003224 |
| Provider Name | Kevin Boyd Ricci |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649665290 PECOS PAC ID: 6800197278 Enrollment ID: I20220912001878 |
| Provider Name | Pamela Madu |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598297962 PECOS PAC ID: 6406231455 Enrollment ID: I20220912003768 |
| Provider Name | Anoop Chacko Achanaril |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891225256 PECOS PAC ID: 5193084655 Enrollment ID: I20220913001192 |
| Provider Name | Divya Venkat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750944831 PECOS PAC ID: 0749516151 Enrollment ID: I20220913001668 |
| Provider Name | Eric Paul Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326507567 PECOS PAC ID: 0042544728 Enrollment ID: I20220913002645 |
| Provider Name | Joanne S Sutter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992048128 PECOS PAC ID: 0446541148 Enrollment ID: I20220915002492 |
| Provider Name | Suzanne Marie Dibattista |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831657824 PECOS PAC ID: 0143555185 Enrollment ID: I20220919002269 |
| Provider Name | Christine Yeager |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578909172 PECOS PAC ID: 6305136987 Enrollment ID: I20220919002913 |
| Provider Name | Shuvani Sanyal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184087454 PECOS PAC ID: 8820385909 Enrollment ID: I20220919003386 |
| Provider Name | Laura M Spooner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710657416 PECOS PAC ID: 9537544051 Enrollment ID: I20220920003053 |
| Provider Name | Cleotha A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477271633 PECOS PAC ID: 5092190413 Enrollment ID: I20220920003580 |
| Provider Name | Erin S. Macdade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457090441 PECOS PAC ID: 8628453099 Enrollment ID: I20220921001696 |
| Provider Name | Nathaniel B Camden |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629502208 PECOS PAC ID: 5597140962 Enrollment ID: I20220921001843 |
| Provider Name | Monica Lynn De Iorio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548908734 PECOS PAC ID: 0648655845 Enrollment ID: I20220923000128 |
| Provider Name | Anuhya Gampa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588045165 PECOS PAC ID: 7618269770 Enrollment ID: I20220926000360 |
| Provider Name | Meena Sadaps |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1245625631 PECOS PAC ID: 1951707637 Enrollment ID: I20220926001364 |
| Provider Name | John Konen |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1912392481 PECOS PAC ID: 0042512865 Enrollment ID: I20220927003596 |
| Provider Name | Kara Elizabeth Conroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821721812 PECOS PAC ID: 0840676912 Enrollment ID: I20220928000581 |
| Provider Name | Nicole Ahbeen Cho |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952954919 PECOS PAC ID: 1052641818 Enrollment ID: I20220929002056 |
| Provider Name | Neal Ambrish Mehta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336534726 PECOS PAC ID: 8325301781 Enrollment ID: I20220929002966 |
| Provider Name | Alethea Jade Appavu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073005286 PECOS PAC ID: 9739436585 Enrollment ID: I20220929003334 |
| Provider Name | Kaitlyn M Riffel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467054387 PECOS PAC ID: 7517343361 Enrollment ID: I20220930001192 |
| Provider Name | Rachel C Folz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750842324 PECOS PAC ID: 7719211424 Enrollment ID: I20220930001489 |
| Provider Name | Stephanie Lam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871956714 PECOS PAC ID: 7719211531 Enrollment ID: I20220930002363 |
| Provider Name | Marissa L Anderson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1043539836 PECOS PAC ID: 9739497983 Enrollment ID: I20221004002146 |
| Provider Name | Katelyn M Punches |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811625221 PECOS PAC ID: 3870979255 Enrollment ID: I20221008000361 |
| Provider Name | Rachna Gulati |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437644077 PECOS PAC ID: 2860741576 Enrollment ID: I20221010000087 |
| Provider Name | Sara Baghikar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679035463 PECOS PAC ID: 2668804196 Enrollment ID: I20221010001071 |
| Provider Name | Shauna B Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972247401 PECOS PAC ID: 0042696353 Enrollment ID: I20221010001646 |
| Provider Name | Alice Y Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770219982 PECOS PAC ID: 1355717216 Enrollment ID: I20221018000335 |
| Provider Name | Kristen N Pallok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750848461 PECOS PAC ID: 5496181786 Enrollment ID: I20221018001932 |
| Provider Name | Michele S Oshea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477948131 PECOS PAC ID: 5092014381 Enrollment ID: I20221018003290 |
| Provider Name | Abby E Blasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013650118 PECOS PAC ID: 8729455902 Enrollment ID: I20221031002603 |
| Provider Name | Joshua Eloge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215254099 PECOS PAC ID: 3476950726 Enrollment ID: I20221101001361 |
| Provider Name | Michael J Manansala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841665411 PECOS PAC ID: 5890026223 Enrollment ID: I20221115001363 |
| Provider Name | Ashlee Nicole Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750054433 PECOS PAC ID: 9537537006 Enrollment ID: I20221115002300 |
| Provider Name | Bishoy Nabil Nicolas Goubran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639673916 PECOS PAC ID: 4284037789 Enrollment ID: I20221116002225 |
| Provider Name | Farnaz Shariati |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861889669 PECOS PAC ID: 3072829217 Enrollment ID: I20221117003248 |
| Provider Name | Parul Kathuria Goyal |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1831582469 PECOS PAC ID: 0446519045 Enrollment ID: I20221129000910 |
| Provider Name | Keya Raychaudhuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801356258 PECOS PAC ID: 1456789114 Enrollment ID: I20221129001200 |
| Provider Name | Michelle Summer Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477135374 PECOS PAC ID: 1153799929 Enrollment ID: I20221129001418 |
| Provider Name | Riccardo Autorino |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033499116 PECOS PAC ID: 9436376878 Enrollment ID: I20221202000698 |
| Provider Name | Anisha Bhatia Attawala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093127995 PECOS PAC ID: 5294119038 Enrollment ID: I20221205000172 |
| Provider Name | Garth N Walker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891143152 PECOS PAC ID: 6204128820 Enrollment ID: I20221205000252 |
| Provider Name | Varoon R Thavapalan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568740546 PECOS PAC ID: 6709000417 Enrollment ID: I20221216001306 |
| Provider Name | Meghan Summer Perez Muir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134843659 PECOS PAC ID: 4486024957 Enrollment ID: I20221227000517 |
| Provider Name | Brooke E Long |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790428373 PECOS PAC ID: 6608246947 Enrollment ID: I20230103002265 |
| Provider Name | Rosemary R Fister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194253724 PECOS PAC ID: 3274801402 Enrollment ID: I20230111002727 |
| Provider Name | Sarah R Groswald |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1982379673 PECOS PAC ID: 0941608806 Enrollment ID: I20230112001537 |
| Provider Name | Tracy M Bisterfeldt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700162583 PECOS PAC ID: 0749403947 Enrollment ID: I20230116000044 |
| Provider Name | Laura Ritchie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376264069 PECOS PAC ID: 0042681751 Enrollment ID: I20230117001252 |
| Provider Name | Emily Sherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154054450 PECOS PAC ID: 4385015015 Enrollment ID: I20230117001855 |
| Provider Name | Daniel Van Aartsen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184078917 PECOS PAC ID: 4082908553 Enrollment ID: I20230207000558 |
| Provider Name | Shama D Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760191233 PECOS PAC ID: 8729450911 Enrollment ID: I20230216002291 |
| Provider Name | Melissa Jolynn Golden-barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699316588 PECOS PAC ID: 5496128373 Enrollment ID: I20230223000612 |
| Provider Name | Alyssa H Stram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912385295 PECOS PAC ID: 7012254311 Enrollment ID: I20230224001395 |
| Provider Name | Alexandra Theresa Lynch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386249019 PECOS PAC ID: 7911372453 Enrollment ID: I20230413002781 |
| Provider Name | Nathan M Zitko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144923343 PECOS PAC ID: 3577928886 Enrollment ID: I20230420000542 |
| Provider Name | Wojciech Blogowski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568927226 PECOS PAC ID: 1153743398 Enrollment ID: I20230424000495 |
| Provider Name | Chester Dreiman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1013983196 PECOS PAC ID: 1254320179 Enrollment ID: I20230504000186 |
| Provider Name | Erin L Dahlke |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1134488554 PECOS PAC ID: 4385874361 Enrollment ID: I20230504001170 |
| Provider Name | Janki B Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679260699 PECOS PAC ID: 8123483682 Enrollment ID: I20230505000675 |
| Provider Name | Kelly M Sustaita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265120687 PECOS PAC ID: 3476919929 Enrollment ID: I20230525001772 |
| Provider Name | James A Rowley |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1184662207 PECOS PAC ID: 7810909074 Enrollment ID: I20230527000324 |
| Provider Name | Andrew Christian Sexton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851859433 PECOS PAC ID: 8426383621 Enrollment ID: I20230530000258 |
| Provider Name | Rachel Leah Boutte |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396362216 PECOS PAC ID: 3173980646 Enrollment ID: I20230530000895 |
| Provider Name | Margaret Anne Fedenia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619675345 PECOS PAC ID: 5890152375 Enrollment ID: I20230530000987 |
| Provider Name | Sara M Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538869664 PECOS PAC ID: 9234596693 Enrollment ID: I20230531001566 |
| Provider Name | Helen J Ross |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1841282159 PECOS PAC ID: 4981679693 Enrollment ID: I20230605001591 |
| Provider Name | Quintesia Grant |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1952677015 PECOS PAC ID: 1850696485 Enrollment ID: I20230605001783 |
| Provider Name | Rosa L Katz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134817869 PECOS PAC ID: 8022475854 Enrollment ID: I20230608003031 |
| Provider Name | Marc T Ramseyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235753047 PECOS PAC ID: 6204250764 Enrollment ID: I20230609001986 |
| Provider Name | Ellen Daily Stephen |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1225521776 PECOS PAC ID: 1951658350 Enrollment ID: I20230622002630 |
| Provider Name | Stefani Beard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922666890 PECOS PAC ID: 9133535941 Enrollment ID: I20230626000733 |
| Provider Name | Genevieve Marie Spittler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104515972 PECOS PAC ID: 0648638551 Enrollment ID: I20230626002078 |
| Provider Name | Benjamin Bryant |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669009213 PECOS PAC ID: 3072936525 Enrollment ID: I20230626002349 |
| Provider Name | Alyssa L Boiko |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679028278 PECOS PAC ID: 8022358811 Enrollment ID: I20230626002865 |
| Provider Name | Patricia Elena Ziegler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609498393 PECOS PAC ID: 4587088547 Enrollment ID: I20230627000075 |
| Provider Name | Margaret E Brandon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497379572 PECOS PAC ID: 2062838410 Enrollment ID: I20230627001154 |
| Provider Name | Brian Allen Walker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417453382 PECOS PAC ID: 3476801952 Enrollment ID: I20230627001377 |
| Provider Name | Yama Latif |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518589423 PECOS PAC ID: 7719304583 Enrollment ID: I20230627002146 |
| Provider Name | Shan M Guleria |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003438813 PECOS PAC ID: 4981029279 Enrollment ID: I20230627002346 |
| Provider Name | Marc Edouard Trubin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508488321 PECOS PAC ID: 6901220979 Enrollment ID: I20230627002587 |
| Provider Name | Nicole M Summers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043860034 PECOS PAC ID: 7113385808 Enrollment ID: I20230628002273 |
| Provider Name | Kristy A Kiermaier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073227740 PECOS PAC ID: 1850750571 Enrollment ID: I20230628003922 |
| Provider Name | Evelyn Kathleen Schraft |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194340315 PECOS PAC ID: 1153748991 Enrollment ID: I20230629000179 |
| Provider Name | Amelia Eilene Mercer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033818612 PECOS PAC ID: 4385003938 Enrollment ID: I20230629003676 |
| Provider Name | Nicholas John Skertich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417319377 PECOS PAC ID: 7214229228 Enrollment ID: I20230630001908 |
| Provider Name | Catherine M Emerson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1154889350 PECOS PAC ID: 2567797582 Enrollment ID: I20230630002099 |
| Provider Name | Amita Raj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740803808 PECOS PAC ID: 8426476656 Enrollment ID: I20230710002061 |
| Provider Name | Andrea E Sterenstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114456704 PECOS PAC ID: 8729358049 Enrollment ID: I20230711002523 |
| Provider Name | Edward Pickering |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295910164 PECOS PAC ID: 9931380185 Enrollment ID: I20230721002305 |
| Provider Name | Alisa C Corrado |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346861648 PECOS PAC ID: 6406270511 Enrollment ID: I20230725002834 |
| Provider Name | Allison C Salk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043871676 PECOS PAC ID: 7214262716 Enrollment ID: I20230728002973 |
| Provider Name | Zain Abbas Ashary |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306343595 PECOS PAC ID: 7618338229 Enrollment ID: I20230731000093 |
| Provider Name | Dixon W Yang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073047635 PECOS PAC ID: 9931446838 Enrollment ID: I20230731000115 |
| Provider Name | Shannon X Li |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164957064 PECOS PAC ID: 0446520605 Enrollment ID: I20230731002593 |
| Provider Name | Gaurav A Kakked |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396276853 PECOS PAC ID: 6709122997 Enrollment ID: I20230801000156 |
| Provider Name | Samantha Evy Schoeneman Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376001701 PECOS PAC ID: 4587998216 Enrollment ID: I20230801001387 |
| Provider Name | Janaki Hasmukh Shah-desai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558050724 PECOS PAC ID: 2365803756 Enrollment ID: I20230801004430 |
| Provider Name | Stella R Kilduff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720515232 PECOS PAC ID: 2668833948 Enrollment ID: I20230802003720 |
| Provider Name | Andrea Pabon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265121255 PECOS PAC ID: 3577924786 Enrollment ID: I20230804000414 |
| Provider Name | Thomas C Westbrook |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346760493 PECOS PAC ID: 0840562682 Enrollment ID: I20230807001409 |
| Provider Name | Pinar Smith |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275928186 PECOS PAC ID: 6901114321 Enrollment ID: I20230808001758 |
| Provider Name | Seema Ghelani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982182085 PECOS PAC ID: 0143555953 Enrollment ID: I20230809001433 |
| Provider Name | Jayleenkumar Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174054100 PECOS PAC ID: 8628328572 Enrollment ID: I20230809003979 |
| Provider Name | Cayce Spencer Workman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457747677 PECOS PAC ID: 3476825571 Enrollment ID: I20230810002703 |
| Provider Name | Mariam M Cheaib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235802976 PECOS PAC ID: 8820486996 Enrollment ID: I20230814001608 |
| Provider Name | Jennifer M Olson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144725573 PECOS PAC ID: 3577819689 Enrollment ID: I20230815003318 |
| Provider Name | Augusto A Miravalle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629216627 PECOS PAC ID: 6507919289 Enrollment ID: I20230816000786 |
| Provider Name | Daniel R. Bianchi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942794680 PECOS PAC ID: 1557618469 Enrollment ID: I20230816001684 |
| Provider Name | Dmitri Gagarin |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1114109089 PECOS PAC ID: 6608058672 Enrollment ID: I20230816001720 |
| Provider Name | Katherine Bean |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215450382 PECOS PAC ID: 5698040624 Enrollment ID: I20230817001948 |
| Provider Name | James Robert O'brien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780143024 PECOS PAC ID: 0446583082 Enrollment ID: I20230817002953 |
| Provider Name | Gianna N Bosco |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740848241 PECOS PAC ID: 6305172081 Enrollment ID: I20230817003437 |
| Provider Name | Jeanne M Frisby-zedan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427599877 PECOS PAC ID: 9234591496 Enrollment ID: I20230821000610 |
| Provider Name | Megan Elizabeth Randall |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265961239 PECOS PAC ID: 4183996820 Enrollment ID: I20230821000848 |
| Provider Name | Leslie M Harris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023464930 PECOS PAC ID: 1254625809 Enrollment ID: I20230821001206 |
| Provider Name | Maureen B Riegert |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295228351 PECOS PAC ID: 0345597688 Enrollment ID: I20230821001698 |
| Provider Name | Justin J Kim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578958781 PECOS PAC ID: 0244547040 Enrollment ID: I20230821001793 |
| Provider Name | Petra Krutilova |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932699501 PECOS PAC ID: 7719371939 Enrollment ID: I20230821002913 |
| Provider Name | Koosha Paydary |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194245514 PECOS PAC ID: 7113292848 Enrollment ID: I20230821003090 |
| Provider Name | Amber M. Altidor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407528987 PECOS PAC ID: 9739571522 Enrollment ID: I20230821003181 |
| Provider Name | Kevin Ratnasamy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598325813 PECOS PAC ID: 3971838129 Enrollment ID: I20230821003832 |
| Provider Name | Haley Kay Herman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508329665 PECOS PAC ID: 1355676826 Enrollment ID: I20230822000325 |
| Provider Name | Kyle T Wylie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811484272 PECOS PAC ID: 3870840804 Enrollment ID: I20230822000467 |
| Provider Name | Neil Kapil |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386177558 PECOS PAC ID: 4587054713 Enrollment ID: I20230822001753 |
| Provider Name | Omar S Nehme |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225013972 PECOS PAC ID: 6608865571 Enrollment ID: I20230822002751 |
| Provider Name | Meghan Marie Barrett-englert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144751116 PECOS PAC ID: 6709120538 Enrollment ID: I20230822003457 |
| Provider Name | Olivia M Gutgsell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730675877 PECOS PAC ID: 0446501860 Enrollment ID: I20230823001558 |
| Provider Name | Jordan M Zaid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679036859 PECOS PAC ID: 3072996909 Enrollment ID: I20230824001800 |
| Provider Name | Kyunghoon Rhee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699391714 PECOS PAC ID: 6406279702 Enrollment ID: I20230829001995 |
| Provider Name | David Cong Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275948788 PECOS PAC ID: 9133410186 Enrollment ID: I20230829002668 |
| Provider Name | John Tackett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346532124 PECOS PAC ID: 1153640172 Enrollment ID: I20230829004147 |
| Provider Name | Ajeet Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902427818 PECOS PAC ID: 2668835273 Enrollment ID: I20230830001654 |
| Provider Name | Surjith Vattoth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730389016 PECOS PAC ID: 0648395129 Enrollment ID: I20230830002779 |
| Provider Name | Elyse N Fults |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609432939 PECOS PAC ID: 1759615644 Enrollment ID: I20230831001097 |
| Provider Name | Beenu Kaw |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790700375 PECOS PAC ID: 8224037007 Enrollment ID: I20230831001853 |
| Provider Name | Marie D Lafeir |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063886844 PECOS PAC ID: 9739506650 Enrollment ID: I20230831002687 |
| Provider Name | Gaurav Dhar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003856568 PECOS PAC ID: 1951325612 Enrollment ID: I20230831003049 |
| Provider Name | Ancy S Mohan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134650419 PECOS PAC ID: 5092085191 Enrollment ID: I20230906000744 |
| Provider Name | Shannon K Gallagher |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1043731334 PECOS PAC ID: 7214201789 Enrollment ID: I20230908003525 |
| Provider Name | Katherine A Perna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891489837 PECOS PAC ID: 5193189132 Enrollment ID: I20230911000835 |
| Provider Name | Bryce T De Venecia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568091924 PECOS PAC ID: 8921429481 Enrollment ID: I20230911001175 |
| Provider Name | Shaan A Setia |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427410182 PECOS PAC ID: 6305138033 Enrollment ID: I20230911002771 |
| Provider Name | Aniruddha Deka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689166027 PECOS PAC ID: 2860749660 Enrollment ID: I20230911002982 |
| Provider Name | Raisa D Triplitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730871666 PECOS PAC ID: 6709240690 Enrollment ID: I20230911003432 |
| Provider Name | Mausumi N Syamal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003044751 PECOS PAC ID: 4688806391 Enrollment ID: I20230911004013 |
| Provider Name | Krupa R Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871029272 PECOS PAC ID: 2769756063 Enrollment ID: I20230912000064 |
| Provider Name | Pokhraj P Suthar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891394524 PECOS PAC ID: 7719391648 Enrollment ID: I20230912000784 |
| Provider Name | Alexandra Moy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306445796 PECOS PAC ID: 0143632372 Enrollment ID: I20230912001317 |
| Provider Name | Gretchen M Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568159390 PECOS PAC ID: 3375907116 Enrollment ID: I20230913001516 |
| Provider Name | Mohamed Zaghloul Bayoumy Aly Hussein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477160158 PECOS PAC ID: 8628422094 Enrollment ID: I20231004000859 |
| Provider Name | Yun Ju Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841524683 PECOS PAC ID: 9234496704 Enrollment ID: I20231004003461 |
| Provider Name | Samantha D Friedman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831432756 PECOS PAC ID: 7517243843 Enrollment ID: I20231004004099 |
| Provider Name | Toryn R Davis |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649952425 PECOS PAC ID: 7113372368 Enrollment ID: I20231009002389 |
| Provider Name | Bridget A Makol |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083393268 PECOS PAC ID: 2769837830 Enrollment ID: I20231010000399 |
| Provider Name | Robert Fellows |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497530935 PECOS PAC ID: 2567817653 Enrollment ID: I20231010000947 |
| Provider Name | Allison E Grubbs |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1962866913 PECOS PAC ID: 8628362985 Enrollment ID: I20231010003482 |
| Provider Name | Hagai Daniel Yavin |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1831771765 PECOS PAC ID: 3779991005 Enrollment ID: I20231011000335 |
| Provider Name | Gatha G Nair |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114313905 PECOS PAC ID: 1254633183 Enrollment ID: I20231012002291 |
| Provider Name | Erin Christine Walker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811771744 PECOS PAC ID: 6103271986 Enrollment ID: I20231013002486 |
| Provider Name | Tirth R Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285129387 PECOS PAC ID: 8426403205 Enrollment ID: I20231013002710 |
| Provider Name | Amit P Amin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699911123 PECOS PAC ID: 3375709926 Enrollment ID: I20231019001579 |
| Provider Name | Mamtha S Raj |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1356796700 PECOS PAC ID: 8527351436 Enrollment ID: I20231023001528 |
| Provider Name | Alexandra Seybold |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083242184 PECOS PAC ID: 9436574456 Enrollment ID: I20231023001879 |
| Provider Name | Natasha J Rochon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689457855 PECOS PAC ID: 6406202233 Enrollment ID: I20231030003057 |
| Provider Name | Jamie Schanz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649952888 PECOS PAC ID: 9436506953 Enrollment ID: I20231106001146 |
| Provider Name | Helen Gharwan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770745424 PECOS PAC ID: 7416264841 Enrollment ID: I20231113001486 |
| Provider Name | Ama A Thrasher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699124107 PECOS PAC ID: 2365734977 Enrollment ID: I20231113001716 |
| Provider Name | Caitlin C. Mcginness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285175836 PECOS PAC ID: 9638526379 Enrollment ID: I20231116003573 |
| Provider Name | Vanessa C Stubbs |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801209556 PECOS PAC ID: 7517266018 Enrollment ID: I20231121000725 |
| Provider Name | Abdallah Q Al Khateeb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699379834 PECOS PAC ID: 2163837618 Enrollment ID: I20231127001175 |
| Provider Name | Daniel R Szoke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396518197 PECOS PAC ID: 2163872847 Enrollment ID: I20231220003531 |
| Provider Name | Madeline M Konsor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083488241 PECOS PAC ID: 1456701192 Enrollment ID: I20231221001704 |
| Provider Name | Gregory L Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346832334 PECOS PAC ID: 7315397809 Enrollment ID: I20231226000562 |
| Provider Name | Jordan Elyse Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457130247 PECOS PAC ID: 8921459710 Enrollment ID: I20240105001523 |
| Provider Name | Hans Michael Murcia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033734637 PECOS PAC ID: 2264857341 Enrollment ID: I20240108004552 |
| Provider Name | M. Ihsan Kaadan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285138594 PECOS PAC ID: 7517216641 Enrollment ID: I20240111002350 |
| Provider Name | Lindsey Caroline Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235754565 PECOS PAC ID: 0143672949 Enrollment ID: I20240117002762 |
| Provider Name | Pallavi Vinodha Babu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689442386 PECOS PAC ID: 7911350889 Enrollment ID: I20240126001859 |
| Provider Name | Amanda Creden Fairgrieve |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346691946 PECOS PAC ID: 1456794635 Enrollment ID: I20240205001694 |
| Provider Name | Athena Y Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740056191 PECOS PAC ID: 3577907930 Enrollment ID: I20240214001126 |
| Provider Name | Merin Elizabeth Mathew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114371176 PECOS PAC ID: 9032401518 Enrollment ID: I20240214001686 |
| Provider Name | Alison R. Lubelchek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437915816 PECOS PAC ID: 6608212626 Enrollment ID: I20240313001776 |
| Provider Name | Kiana W Suhling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124674114 PECOS PAC ID: 7416393350 Enrollment ID: I20240313002990 |
| Provider Name | Kevin Christopher Hiner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710412119 PECOS PAC ID: 9739526799 Enrollment ID: I20240326002241 |
| Provider Name | Tabassum Aziz Faruqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013968536 PECOS PAC ID: 1951213693 Enrollment ID: I20240329002057 |
| Provider Name | Timothy J Buckley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770796112 PECOS PAC ID: 5698914455 Enrollment ID: I20240417002456 |
| Provider Name | Carolyn Cao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598227068 PECOS PAC ID: 7416281480 Enrollment ID: I20240514000281 |
| Provider Name | Shapir Rosenberg |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1063828473 PECOS PAC ID: 4082909379 Enrollment ID: I20240515000582 |
| Provider Name | James Francis Hays |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053840199 PECOS PAC ID: 7113296211 Enrollment ID: I20240516001789 |
| Provider Name | Amy G Erlich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609639202 PECOS PAC ID: 5698117547 Enrollment ID: I20240523003561 |
| Provider Name | David P Walker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285155424 PECOS PAC ID: 3173894318 Enrollment ID: I20240528001659 |
| Provider Name | Didem Saygin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861929564 PECOS PAC ID: 3476821943 Enrollment ID: I20240528002703 |
| Provider Name | Laura E Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861273153 PECOS PAC ID: 2466894043 Enrollment ID: I20240528003506 |
| Provider Name | Yasin Hussain |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184071441 PECOS PAC ID: 7113380221 Enrollment ID: I20240612001299 |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
Amy Lynn, Lcpc, Atr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657 Phone: 773-746-7429 | |
K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601 | |
King Community Mental Health Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 S King Drive, Suite 101, Chicago, IL 60653 Phone: 773-536-2700 Fax: 773-751-2250 | |
Young Adult Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4219 N Lincoln Ave, Chicago, IL 60618 Phone: 773-572-5500 Fax: 773-537-3488 | |
Professional Diagnostic Service, S.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 W Van Buren St, Chicago, IL 60607 Phone: 312-491-0404 Fax: 312-491-0505 | |
Universal Medical Group Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 E 42nd Pl, Chicago, IL 60653 Phone: 773-285-3422 |