| Saints Medical Group, Llc | |
|
777 Nw 63rd St Ste 452 Oklahoma City OK 73116-7601 | |
| (405) 231-3857 | |
| (405) 272-7977 |
| Full Name | Saints Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 777 Nw 63rd St Ste 452, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Shasta Manuel (VP - FINANCE) |
| Authorized Official Contact | 4052727282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saints Medical Group, Llc 777 Nw 63rd St Ste 452 Oklahoma City OK 73116-7601 Ph: (405) 231-3857 | Saints Medical Group, Llc 777 Nw 63rd St Ste 452 Oklahoma City OK 73116-7601 Ph: (405) 231-3857 |
| NPI Number | 1437195922 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 07/01/2024 |
| Certification Date | 07/01/2024 |
| Medicare PECOS PAC ID | 7012914898 |
|---|---|
| Medicare Enrollment ID | O20061109000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437195922 | NPI | - | NPPES |
| 200094240 | Medicaid | OK |
| Provider Name | Gregory Parker |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1972544625 PECOS PAC ID: 2567366313 Enrollment ID: I20031122000102 |
| Provider Name | Hashib D Faruque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225006570 PECOS PAC ID: 2365347069 Enrollment ID: I20031205000072 |
| Provider Name | Yendung T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154404648 PECOS PAC ID: 5395644108 Enrollment ID: I20031231000191 |
| Provider Name | Waddah Nassar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144252909 PECOS PAC ID: 1153232756 Enrollment ID: I20040203000218 |
| Provider Name | Lorri J Dobbins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912945817 PECOS PAC ID: 4385533868 Enrollment ID: I20040312000573 |
| Provider Name | Robert S Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649273939 PECOS PAC ID: 9739076415 Enrollment ID: I20040408000036 |
| Provider Name | Kelli Denise Koons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134169295 PECOS PAC ID: 7618965542 Enrollment ID: I20040430001298 |
| Provider Name | Nancy Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316946361 PECOS PAC ID: 0648268441 Enrollment ID: I20040501000443 |
| Provider Name | Paula J Partlow |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487769402 PECOS PAC ID: 3274522420 Enrollment ID: I20040511001517 |
| Provider Name | Kersey L Winfree |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326079583 PECOS PAC ID: 1254321466 Enrollment ID: I20040518000318 |
| Provider Name | Wendell L Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588656292 PECOS PAC ID: 1355330077 Enrollment ID: I20040520001589 |
| Provider Name | George Law |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679533939 PECOS PAC ID: 4981686664 Enrollment ID: I20040605000172 |
| Provider Name | John H Summers |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1699736363 PECOS PAC ID: 8426031352 Enrollment ID: I20040610001334 |
| Provider Name | Larry Brent Scott |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932148673 PECOS PAC ID: 1355325804 Enrollment ID: I20040616000304 |
| Provider Name | Todd M Kliewer |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1396745741 PECOS PAC ID: 2062497811 Enrollment ID: I20040624000152 |
| Provider Name | Thy K Nguyen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053352112 PECOS PAC ID: 5496733255 Enrollment ID: I20040709000239 |
| Provider Name | Ryan M Biggers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194723395 PECOS PAC ID: 3678551850 Enrollment ID: I20040713000923 |
| Provider Name | Brent N Hisey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205826955 PECOS PAC ID: 3971581141 Enrollment ID: I20040714000153 |
| Provider Name | Michael R Hahn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891784237 PECOS PAC ID: 8527046796 Enrollment ID: I20040715000087 |
| Provider Name | Belinda G Broady-symes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174537278 PECOS PAC ID: 9234024019 Enrollment ID: I20040729001325 |
| Provider Name | Jeffrey M Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568558823 PECOS PAC ID: 1759351356 Enrollment ID: I20040730000069 |
| Provider Name | Chad Elliot Borin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770578825 PECOS PAC ID: 8426029042 Enrollment ID: I20040805000385 |
| Provider Name | David B Dye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437192903 PECOS PAC ID: 6305810656 Enrollment ID: I20040823000730 |
| Provider Name | Shawnaree L Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740289891 PECOS PAC ID: 2769458314 Enrollment ID: I20040907000197 |
| Provider Name | Brenda Kris Mullins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235133778 PECOS PAC ID: 9133188980 Enrollment ID: I20041007000061 |
| Provider Name | Ram A Singh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699747600 PECOS PAC ID: 2365404779 Enrollment ID: I20041028000550 |
| Provider Name | Brian A Allee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952340572 PECOS PAC ID: 6709849839 Enrollment ID: I20041109000778 |
| Provider Name | Trina D Swygert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902831803 PECOS PAC ID: 7315904422 Enrollment ID: I20041210000025 |
| Provider Name | Elaine K Nordhues |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073582896 PECOS PAC ID: 6103883491 Enrollment ID: I20041218000031 |
| Provider Name | Clifford E Howell |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1295700458 PECOS PAC ID: 7113995580 Enrollment ID: I20041218000135 |
| Provider Name | Steven A Drabek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053316026 PECOS PAC ID: 2860441045 Enrollment ID: I20050114000021 |
| Provider Name | Asim J Chohan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386793156 PECOS PAC ID: 1850369224 Enrollment ID: I20050125000004 |
| Provider Name | Duc M Tu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649201807 PECOS PAC ID: 0042260143 Enrollment ID: I20050311000450 |
| Provider Name | Jeffery G Hirsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417988957 PECOS PAC ID: 7214987320 Enrollment ID: I20050311000883 |
| Provider Name | Adonis S Al Botros |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316994551 PECOS PAC ID: 3779538830 Enrollment ID: I20050322000436 |
| Provider Name | Troy R Norred |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780689844 PECOS PAC ID: 5991776270 Enrollment ID: I20050419001496 |
| Provider Name | Timothy J Eldridge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679548572 PECOS PAC ID: 0941248322 Enrollment ID: I20050420001382 |
| Provider Name | Svein M Holsaeter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114992054 PECOS PAC ID: 9931147311 Enrollment ID: I20050421001606 |
| Provider Name | Theodore A Ruff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477529139 PECOS PAC ID: 1456399831 Enrollment ID: I20050422000841 |
| Provider Name | Seethal Rao Madhavarapu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376563163 PECOS PAC ID: 0749235760 Enrollment ID: I20050428000475 |
| Provider Name | William J Hale |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215917778 PECOS PAC ID: 5496796112 Enrollment ID: I20050512000882 |
| Provider Name | Eric L Reding |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1255386827 PECOS PAC ID: 1456395904 Enrollment ID: I20050629000330 |
| Provider Name | Muhammad Amin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851314058 PECOS PAC ID: 3971532151 Enrollment ID: I20050809000507 |
| Provider Name | Paul Jennings |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558308726 PECOS PAC ID: 9436195781 Enrollment ID: I20050826000001 |
| Provider Name | Jeremy P Holter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003859778 PECOS PAC ID: 4880630474 Enrollment ID: I20050926000458 |
| Provider Name | Paul R Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245265610 PECOS PAC ID: 9234156654 Enrollment ID: I20051025000963 |
| Provider Name | Billy E Guild |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265403604 PECOS PAC ID: 6901823657 Enrollment ID: I20051101000538 |
| Provider Name | Gregg J Eichman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427088160 PECOS PAC ID: 1153342613 Enrollment ID: I20051212000664 |
| Provider Name | Robin N Avery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114984150 PECOS PAC ID: 8022037613 Enrollment ID: I20051222000147 |
| Provider Name | Tehseen Fazili Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043287089 PECOS PAC ID: 5092729053 Enrollment ID: I20060128000057 |
| Provider Name | Zahid F Cheema |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417924507 PECOS PAC ID: 3678588704 Enrollment ID: I20060210000510 |
| Provider Name | Renee H Grau |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1861445991 PECOS PAC ID: 1850303785 Enrollment ID: I20060622000317 |
| Provider Name | Conrad C Caldwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568423515 PECOS PAC ID: 3173535390 Enrollment ID: I20060706000288 |
| Provider Name | Emily P Marcy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194779231 PECOS PAC ID: 0042213746 Enrollment ID: I20060818000352 |
| Provider Name | Stuart W Schrader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336173491 PECOS PAC ID: 6608873492 Enrollment ID: I20061109000252 |
| Provider Name | Niraj K Prasad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659385227 PECOS PAC ID: 2860490919 Enrollment ID: I20061128000129 |
| Provider Name | Julie M Morrow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407825508 PECOS PAC ID: 4587663802 Enrollment ID: I20061215000015 |
| Provider Name | Richard L Boothe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417982596 PECOS PAC ID: 8729088760 Enrollment ID: I20061222000079 |
| Provider Name | Robert D Abell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336179126 PECOS PAC ID: 4284634239 Enrollment ID: I20061222000149 |
| Provider Name | Cheyn D Onarecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245260926 PECOS PAC ID: 7618977661 Enrollment ID: I20061222000174 |
| Provider Name | Robert W Rader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669406062 PECOS PAC ID: 7517967565 Enrollment ID: I20061222000186 |
| Provider Name | Jeffrey D Hodgden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548297617 PECOS PAC ID: 6901806967 Enrollment ID: I20061222000244 |
| Provider Name | Thomas W Toalson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306876032 PECOS PAC ID: 8527068584 Enrollment ID: I20061222000265 |
| Provider Name | Naji E Karam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194717140 PECOS PAC ID: 0042210684 Enrollment ID: I20070105000197 |
| Provider Name | Bommasamudram A Kumar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962508424 PECOS PAC ID: 9133120272 Enrollment ID: I20070116000569 |
| Provider Name | Scott M De La Garza |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972565778 PECOS PAC ID: 5092740852 Enrollment ID: I20070215000713 |
| Provider Name | John P Ross |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679535470 PECOS PAC ID: 6507968575 Enrollment ID: I20070221000438 |
| Provider Name | James R Wendelken |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326000191 PECOS PAC ID: 5193827160 Enrollment ID: I20070221000485 |
| Provider Name | Ryan K Aldrich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760555130 PECOS PAC ID: 3577665306 Enrollment ID: I20070226000643 |
| Provider Name | Therese D Miner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033148697 PECOS PAC ID: 1153369772 Enrollment ID: I20070228000472 |
| Provider Name | Jan E Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841211752 PECOS PAC ID: 0840241188 Enrollment ID: I20070308000476 |
| Provider Name | Sandeep Chopra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952399024 PECOS PAC ID: 4183646607 Enrollment ID: I20070511000218 |
| Provider Name | Richard Randall Morgan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619977139 PECOS PAC ID: 6204933047 Enrollment ID: I20070514000091 |
| Provider Name | Kimberly K Hanigar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609858331 PECOS PAC ID: 3173412566 Enrollment ID: I20070522000214 |
| Provider Name | Charlyce Erin Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144360256 PECOS PAC ID: 7315047206 Enrollment ID: I20070706000227 |
| Provider Name | Brad A Marion |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679644348 PECOS PAC ID: 6608967450 Enrollment ID: I20070808000169 |
| Provider Name | Allen Molloy |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1720121684 PECOS PAC ID: 4284726449 Enrollment ID: I20070817000655 |
| Provider Name | Walter A Lajara-nanson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528050283 PECOS PAC ID: 1951335736 Enrollment ID: I20070825000109 |
| Provider Name | Elias Solomon |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1770624694 PECOS PAC ID: 9931295391 Enrollment ID: I20071016000230 |
| Provider Name | Stephanie L Taylor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396885729 PECOS PAC ID: 6002997483 Enrollment ID: I20080111000531 |
| Provider Name | Gregory G Grant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609918234 PECOS PAC ID: 8527144286 Enrollment ID: I20080321000173 |
| Provider Name | Sudhir K Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437119286 PECOS PAC ID: 5092792184 Enrollment ID: I20080618000320 |
| Provider Name | Russell C Click |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144397571 PECOS PAC ID: 6507939865 Enrollment ID: I20080718000524 |
| Provider Name | Miriam E Thompson Mathew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275675662 PECOS PAC ID: 0345313284 Enrollment ID: I20080724000842 |
| Provider Name | Karyn S Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538139183 PECOS PAC ID: 1355363318 Enrollment ID: I20080826000052 |
| Provider Name | Asim Maqsood |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1821137050 PECOS PAC ID: 2365533932 Enrollment ID: I20081009000820 |
| Provider Name | Patrick Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346404001 PECOS PAC ID: 1254499346 Enrollment ID: I20081017000500 |
| Provider Name | Matthew M Ryan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003951500 PECOS PAC ID: 2961565155 Enrollment ID: I20090114000581 |
| Provider Name | David Heon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811918691 PECOS PAC ID: 6507850443 Enrollment ID: I20090202000434 |
| Provider Name | Salman Zubair |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316027402 PECOS PAC ID: 3274698345 Enrollment ID: I20090224000746 |
| Provider Name | Richard S Baker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588761654 PECOS PAC ID: 1759358542 Enrollment ID: I20090306000454 |
| Provider Name | Robert Dyer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508963661 PECOS PAC ID: 2567439359 Enrollment ID: I20090306000471 |
| Provider Name | Michael Mcgee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659478824 PECOS PAC ID: 5294702080 Enrollment ID: I20090306000491 |
| Provider Name | Keith J Kassabian |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083618003 PECOS PAC ID: 6406913474 Enrollment ID: I20090318000241 |
| Provider Name | Fahed Hamadeh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1194760918 PECOS PAC ID: 9830008713 Enrollment ID: I20090429000532 |
| Provider Name | Corey E Ponder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982743787 PECOS PAC ID: 5395844690 Enrollment ID: I20090609000447 |
| Provider Name | Timothy M Geib |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275672123 PECOS PAC ID: 2264523653 Enrollment ID: I20090611000607 |
| Provider Name | Faisal Latif |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1770623068 PECOS PAC ID: 8325198211 Enrollment ID: I20090616000124 |
| Provider Name | Tauseef Ali |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417096041 PECOS PAC ID: 1355492786 Enrollment ID: I20090625000265 |
| Provider Name | Jeffrey D Floyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629002761 PECOS PAC ID: 5799830634 Enrollment ID: I20090828000517 |
| Provider Name | David Deleon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538201157 PECOS PAC ID: 1951456318 Enrollment ID: I20090908000671 |
| Provider Name | Joy A Manning Plain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770788358 PECOS PAC ID: 0446306617 Enrollment ID: I20090914000629 |
| Provider Name | Deanna L Ward Plain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760678981 PECOS PAC ID: 9830245729 Enrollment ID: I20090917000387 |
| Provider Name | Danielle N Zachary |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316171655 PECOS PAC ID: 9537207832 Enrollment ID: I20091106000112 |
| Provider Name | Clifford Lenny Henderson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477713642 PECOS PAC ID: 3779621941 Enrollment ID: I20091109000185 |
| Provider Name | Tabitha D Danley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467568097 PECOS PAC ID: 1355302126 Enrollment ID: I20091111000163 |
| Provider Name | Stephen A Feuerborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760441612 PECOS PAC ID: 8224049572 Enrollment ID: I20091130000517 |
| Provider Name | Leonard M Bowen |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1851344048 PECOS PAC ID: 9830107143 Enrollment ID: I20091207000612 |
| Provider Name | Phillip A Haddad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326087818 PECOS PAC ID: 3072563014 Enrollment ID: I20091211000445 |
| Provider Name | Glen R Hanson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497795652 PECOS PAC ID: 2365429453 Enrollment ID: I20091214000548 |
| Provider Name | Sadia Chohan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306890074 PECOS PAC ID: 4284673500 Enrollment ID: I20091216000612 |
| Provider Name | David L Holland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831147255 PECOS PAC ID: 3072600220 Enrollment ID: I20091222000393 |
| Provider Name | Michael B Wiens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750321857 PECOS PAC ID: 3870680028 Enrollment ID: I20091228000186 |
| Provider Name | Melissa M Killgore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194772699 PECOS PAC ID: 8527109859 Enrollment ID: I20100108000781 |
| Provider Name | Darin C Sparkman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770527566 PECOS PAC ID: 8426145673 Enrollment ID: I20100112000565 |
| Provider Name | Aleda A Toma |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104870344 PECOS PAC ID: 5193764413 Enrollment ID: I20100115000671 |
| Provider Name | Nichole Hopkins Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356671952 PECOS PAC ID: 7618019787 Enrollment ID: I20100127000944 |
| Provider Name | Jeff Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649245929 PECOS PAC ID: 7517031297 Enrollment ID: I20100428000769 |
| Provider Name | Timothy J. Moser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790777035 PECOS PAC ID: 8325111024 Enrollment ID: I20100504000248 |
| Provider Name | Paul L Preslar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437141793 PECOS PAC ID: 2163550609 Enrollment ID: I20100504000815 |
| Provider Name | Cary L Carpenter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053311548 PECOS PAC ID: 3375561145 Enrollment ID: I20100519000859 |
| Provider Name | John Rapacz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508858853 PECOS PAC ID: 8022053453 Enrollment ID: I20100617000716 |
| Provider Name | Chad D Willis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750432043 PECOS PAC ID: 9830288604 Enrollment ID: I20100805001071 |
| Provider Name | Barry G Perkins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427033844 PECOS PAC ID: 4082666789 Enrollment ID: I20100817000220 |
| Provider Name | Avinash Chandra Vyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902878739 PECOS PAC ID: 2961404355 Enrollment ID: I20100819000933 |
| Provider Name | John Randall Taylor |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376589069 PECOS PAC ID: 2466342092 Enrollment ID: I20100902000393 |
| Provider Name | Michael W Butcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134168610 PECOS PAC ID: 8729175971 Enrollment ID: I20101006000313 |
| Provider Name | Filimon Hepolito Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790099984 PECOS PAC ID: 7719179803 Enrollment ID: I20101007000736 |
| Provider Name | Sarah E Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669792164 PECOS PAC ID: 4183817315 Enrollment ID: I20101020001308 |
| Provider Name | David W Lam |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295930972 PECOS PAC ID: 1052506615 Enrollment ID: I20101109001399 |
| Provider Name | Tiffany G. Brazeal |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942239199 PECOS PAC ID: 8820182934 Enrollment ID: I20101111001416 |
| Provider Name | Troy Major |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427003854 PECOS PAC ID: 1254382591 Enrollment ID: I20101123000959 |
| Provider Name | Fadalia D Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285860643 PECOS PAC ID: 8628265048 Enrollment ID: I20101211000101 |
| Provider Name | Radwan Kesserwan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245324433 PECOS PAC ID: 0648450247 Enrollment ID: I20110215000435 |
| Provider Name | Bella Sterling Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104154665 PECOS PAC ID: 0648453928 Enrollment ID: I20110323000910 |
| Provider Name | Paul E Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770572612 PECOS PAC ID: 7315120441 Enrollment ID: I20110325000700 |
| Provider Name | Reji Mathew Pappy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154462802 PECOS PAC ID: 4587722624 Enrollment ID: I20110329000958 |
| Provider Name | Donny M Wynn |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942341573 PECOS PAC ID: 8921281809 Enrollment ID: I20110330000887 |
| Provider Name | Philip Nathan Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346550316 PECOS PAC ID: 4486838281 Enrollment ID: I20110401000535 |
| Provider Name | Donald Spadone |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1114935434 PECOS PAC ID: 0941244313 Enrollment ID: I20110609000490 |
| Provider Name | Matthew Kevin Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902195282 PECOS PAC ID: 3072791789 Enrollment ID: I20110629000081 |
| Provider Name | Alyson Blake Willis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972767358 PECOS PAC ID: 3476721267 Enrollment ID: I20110721000666 |
| Provider Name | Chris Regier |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023076528 PECOS PAC ID: 9133159189 Enrollment ID: I20110728000533 |
| Provider Name | Tima Suzanne Hamman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174758932 PECOS PAC ID: 4587833454 Enrollment ID: I20110810000236 |
| Provider Name | Christopher Keith Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184911554 PECOS PAC ID: 4486655776 Enrollment ID: I20110831000760 |
| Provider Name | Emily Archbald |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366647026 PECOS PAC ID: 5799956108 Enrollment ID: I20110915000267 |
| Provider Name | Mohammad F Madhoun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083754147 PECOS PAC ID: 2062683121 Enrollment ID: I20110921000227 |
| Provider Name | Angela Hawkins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760688071 PECOS PAC ID: 1254502263 Enrollment ID: I20110923000411 |
| Provider Name | Gary Edward Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932195849 PECOS PAC ID: 3072581305 Enrollment ID: I20110923000427 |
| Provider Name | Sabrina L. Schrader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487740643 PECOS PAC ID: 6608047428 Enrollment ID: I20110927000326 |
| Provider Name | Deana K Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659679447 PECOS PAC ID: 1254503956 Enrollment ID: I20110930000078 |
| Provider Name | Shih Kuang S Hong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992852875 PECOS PAC ID: 2365614831 Enrollment ID: I20111005000103 |
| Provider Name | Roy James Rindler |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235335712 PECOS PAC ID: 1557535804 Enrollment ID: I20111122000628 |
| Provider Name | Matthew J Jared |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205060183 PECOS PAC ID: 2264609916 Enrollment ID: I20120119000914 |
| Provider Name | Sheleatha M Taylor Bristow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265744056 PECOS PAC ID: 2365619970 Enrollment ID: I20120123000805 |
| Provider Name | Archana Sanku Rao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386740405 PECOS PAC ID: 7113090762 Enrollment ID: I20120202000535 |
| Provider Name | Keith Clark |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376506642 PECOS PAC ID: 6204985641 Enrollment ID: I20120302000522 |
| Provider Name | Soisangvane Wingard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922370899 PECOS PAC ID: 6507020989 Enrollment ID: I20120614000793 |
| Provider Name | Michael Edwin Confer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336346337 PECOS PAC ID: 5698930485 Enrollment ID: I20120628000524 |
| Provider Name | John Steven Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720215064 PECOS PAC ID: 1254502362 Enrollment ID: I20120629000396 |
| Provider Name | Leslie P Warcup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598039455 PECOS PAC ID: 1557517828 Enrollment ID: I20120802000429 |
| Provider Name | Steven Carter |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1134269681 PECOS PAC ID: 5890941082 Enrollment ID: I20120802000697 |
| Provider Name | Matthew M Mctague |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598910283 PECOS PAC ID: 4082759709 Enrollment ID: I20120806000646 |
| Provider Name | Jahanayar J Makipour |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063618650 PECOS PAC ID: 6204083264 Enrollment ID: I20120827000198 |
| Provider Name | Tracy A Kidwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033197496 PECOS PAC ID: 4183790587 Enrollment ID: I20120829000077 |
| Provider Name | Rebecca K Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558620922 PECOS PAC ID: 7911154679 Enrollment ID: I20120831000097 |
| Provider Name | Shelbi R Hayes |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447412069 PECOS PAC ID: 8224285754 Enrollment ID: I20120905000716 |
| Provider Name | Alisha Brooke Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487900668 PECOS PAC ID: 0244488336 Enrollment ID: I20120914000264 |
| Provider Name | Edward Kojo-eyiah Koomson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1790929859 PECOS PAC ID: 9133378532 Enrollment ID: I20120928000316 |
| Provider Name | Mitchell Andrew Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174608319 PECOS PAC ID: 7214925692 Enrollment ID: I20121015000154 |
| Provider Name | Molly Ann Mayfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407106727 PECOS PAC ID: 3274778410 Enrollment ID: I20130318000386 |
| Provider Name | Patrick Timothy Prevo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972770386 PECOS PAC ID: 0446302061 Enrollment ID: I20130321000368 |
| Provider Name | Sanjaykumar J Hapani |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1952508533 PECOS PAC ID: 4486830213 Enrollment ID: I20130606000535 |
| Provider Name | Jonathan Edward Heinlen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275739856 PECOS PAC ID: 2163688870 Enrollment ID: I20130618000796 |
| Provider Name | Shoaib Ahmad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255651477 PECOS PAC ID: 8527208040 Enrollment ID: I20130705000364 |
| Provider Name | Manuel C Fortes |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1962639757 PECOS PAC ID: 8123269487 Enrollment ID: I20130729000832 |
| Provider Name | Terri J Matlock |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366619470 PECOS PAC ID: 4688816218 Enrollment ID: I20130812000492 |
| Provider Name | Geetika M Verma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487967717 PECOS PAC ID: 4284876525 Enrollment ID: I20130815000403 |
| Provider Name | Sean R. Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518281377 PECOS PAC ID: 4880837327 Enrollment ID: I20130830000403 |
| Provider Name | Muhammad K Ishaq |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134449242 PECOS PAC ID: 4981847217 Enrollment ID: I20130905000264 |
| Provider Name | Michelle Marie Holloway |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235166364 PECOS PAC ID: 3173766367 Enrollment ID: I20130909000543 |
| Provider Name | Latoya T. Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134354640 PECOS PAC ID: 0749424901 Enrollment ID: I20130910000633 |
| Provider Name | Venkata Rama Gopala Sriharsha Damera |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861646358 PECOS PAC ID: 5294979076 Enrollment ID: I20130917000522 |
| Provider Name | Limei Yang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003049123 PECOS PAC ID: 2466696778 Enrollment ID: I20130926000096 |
| Provider Name | Michael Cookson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528142635 PECOS PAC ID: 7810025780 Enrollment ID: I20131016000034 |
| Provider Name | Ali Tipu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518218304 PECOS PAC ID: 2264675925 Enrollment ID: I20140217000601 |
| Provider Name | Tiffany S Parry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386843340 PECOS PAC ID: 2163516972 Enrollment ID: I20140219001586 |
| Provider Name | Malarie M Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285056887 PECOS PAC ID: 6507096633 Enrollment ID: I20140311000536 |
| Provider Name | Brent Dewaide Bell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235174293 PECOS PAC ID: 8224251129 Enrollment ID: I20140522000337 |
| Provider Name | Christy N Greenly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316369002 PECOS PAC ID: 9335363175 Enrollment ID: I20140617001156 |
| Provider Name | Kristina K Mcanally |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568896876 PECOS PAC ID: 6002031085 Enrollment ID: I20140707002031 |
| Provider Name | John L Glomset |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043400641 PECOS PAC ID: 7315163698 Enrollment ID: I20140722001832 |
| Provider Name | Omar Martinez Silvestre |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679708259 PECOS PAC ID: 8123244316 Enrollment ID: I20140724000661 |
| Provider Name | Syed Naqvi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255631099 PECOS PAC ID: 3476771130 Enrollment ID: I20140822000219 |
| Provider Name | Usman Bhutta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588896997 PECOS PAC ID: 6204055742 Enrollment ID: I20140916002187 |
| Provider Name | Vinodh Jeevanantham |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174662308 PECOS PAC ID: 0042301533 Enrollment ID: I20141002001201 |
| Provider Name | June P. Ivey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588958706 PECOS PAC ID: 0941421937 Enrollment ID: I20141015002393 |
| Provider Name | Aubrey E Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144639840 PECOS PAC ID: 6608097100 Enrollment ID: I20141027002007 |
| Provider Name | Elise Eckhardt Slaybaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437470598 PECOS PAC ID: 6507088184 Enrollment ID: I20141114001895 |
| Provider Name | Shokooh Hopkins |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1497169569 PECOS PAC ID: 2062634397 Enrollment ID: I20141120001937 |
| Provider Name | John Ross Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386050441 PECOS PAC ID: 9234452418 Enrollment ID: I20141218001916 |
| Provider Name | Mary M Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164831574 PECOS PAC ID: 8921323429 Enrollment ID: I20150204000445 |
| Provider Name | Shelby Jordan Buoy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831579291 PECOS PAC ID: 5698087849 Enrollment ID: I20150701001190 |
| Provider Name | Ryan J Trojan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1740574961 PECOS PAC ID: 5799097838 Enrollment ID: I20150702001368 |
| Provider Name | Salman Nusrat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578799508 PECOS PAC ID: 8921310731 Enrollment ID: I20150708001557 |
| Provider Name | Brian Scott Hailey |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1194950022 PECOS PAC ID: 4981917333 Enrollment ID: I20150715000090 |
| Provider Name | Brittany Suzanne Daniels |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992066674 PECOS PAC ID: 3375858061 Enrollment ID: I20150810001664 |
| Provider Name | Sydney E Haggins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013263136 PECOS PAC ID: 5799090197 Enrollment ID: I20150813011744 |
| Provider Name | Sanjay G Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093959785 PECOS PAC ID: 4789816521 Enrollment ID: I20150831001351 |
| Provider Name | Mary Lee Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699150649 PECOS PAC ID: 0244546232 Enrollment ID: I20150908000366 |
| Provider Name | Kacie Ann Cassaday |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1669790598 PECOS PAC ID: 4284942475 Enrollment ID: I20151008001115 |
| Provider Name | Shelly R Russeff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053710053 PECOS PAC ID: 9638488430 Enrollment ID: I20151019000323 |
| Provider Name | Zubair Ashraf |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1366747149 PECOS PAC ID: 9436393642 Enrollment ID: I20151020002790 |
| Provider Name | Christine Dienna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720313901 PECOS PAC ID: 7012144082 Enrollment ID: I20151104001606 |
| Provider Name | Adam D Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689093288 PECOS PAC ID: 2668782541 Enrollment ID: I20151104002664 |
| Provider Name | Lisa Hargis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891162756 PECOS PAC ID: 4981904265 Enrollment ID: I20151119000048 |
| Provider Name | Pooja Singhal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588825368 PECOS PAC ID: 2769669936 Enrollment ID: I20151120000690 |
| Provider Name | Thuy H Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457791444 PECOS PAC ID: 6709186497 Enrollment ID: I20151202001632 |
| Provider Name | Carson Agee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942203575 PECOS PAC ID: 7315950086 Enrollment ID: I20151203002766 |
| Provider Name | Susan Elizabeth Ogden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316317688 PECOS PAC ID: 9032410899 Enrollment ID: I20151221001055 |
| Provider Name | Priya John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093104176 PECOS PAC ID: 1254633449 Enrollment ID: I20160105001658 |
| Provider Name | Pamela Migliaccio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689059610 PECOS PAC ID: 7719289719 Enrollment ID: I20160107002674 |
| Provider Name | Melissa L. Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730551565 PECOS PAC ID: 2769785740 Enrollment ID: I20160126000211 |
| Provider Name | David Bishop |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932528262 PECOS PAC ID: 6709189525 Enrollment ID: I20160127002475 |
| Provider Name | Sonia George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720462567 PECOS PAC ID: 8820391519 Enrollment ID: I20160130000180 |
| Provider Name | Mohammad Omar Ramadan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205157120 PECOS PAC ID: 0345544904 Enrollment ID: I20160203000045 |
| Provider Name | Jennifer A Hard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558728212 PECOS PAC ID: 7911202023 Enrollment ID: I20160229000753 |
| Provider Name | Cassie L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972907038 PECOS PAC ID: 7113223066 Enrollment ID: I20160302002813 |
| Provider Name | Mary Sumner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093177057 PECOS PAC ID: 0143528869 Enrollment ID: I20160413001964 |
| Provider Name | Amanda Kuehner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942660402 PECOS PAC ID: 1557669710 Enrollment ID: I20160421000631 |
| Provider Name | Clayton E Nelson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871854554 PECOS PAC ID: 1759681299 Enrollment ID: I20160425000133 |
| Provider Name | Chittranjan Bobby Verma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629333950 PECOS PAC ID: 4880985035 Enrollment ID: I20160620001651 |
| Provider Name | Matthew Wayne Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831518208 PECOS PAC ID: 4082906672 Enrollment ID: I20160629002187 |
| Provider Name | Lisa E Cheek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366703092 PECOS PAC ID: 9234438391 Enrollment ID: I20160719001391 |
| Provider Name | Kibwei Mckinney |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447411921 PECOS PAC ID: 1658686100 Enrollment ID: I20160721001820 |
| Provider Name | Will D Heise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962840504 PECOS PAC ID: 7517265028 Enrollment ID: I20160803000127 |
| Provider Name | Asma Md Saleem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366880106 PECOS PAC ID: 8123313889 Enrollment ID: I20160820000187 |
| Provider Name | Aaron Hayes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477007698 PECOS PAC ID: 7416243878 Enrollment ID: I20160912000096 |
| Provider Name | Tanzeel Iqbal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790126506 PECOS PAC ID: 3375821978 Enrollment ID: I20161102002242 |
| Provider Name | Roselynn Dean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427445881 PECOS PAC ID: 4385938265 Enrollment ID: I20161104000531 |
| Provider Name | Janice Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952775769 PECOS PAC ID: 5799064911 Enrollment ID: I20161110002379 |
| Provider Name | Amber Dawn Weingartner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063773794 PECOS PAC ID: 5991094997 Enrollment ID: I20161216000168 |
| Provider Name | Farhan Ahmed Tariq |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356481600 PECOS PAC ID: 5294993168 Enrollment ID: I20170113001090 |
| Provider Name | Madeline Bach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790230985 PECOS PAC ID: 2668754888 Enrollment ID: I20170124001920 |
| Provider Name | Jared Lepley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821485657 PECOS PAC ID: 3678857729 Enrollment ID: I20170309000521 |
| Provider Name | Joseph David Petty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063856029 PECOS PAC ID: 3779869755 Enrollment ID: I20170405000724 |
| Provider Name | James F Swanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043630759 PECOS PAC ID: 6608152400 Enrollment ID: I20170410002271 |
| Provider Name | Leslie Ann Mora Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336569417 PECOS PAC ID: 1052697745 Enrollment ID: I20170412000772 |
| Provider Name | Daniel Parker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457633588 PECOS PAC ID: 2961779194 Enrollment ID: I20170518002029 |
| Provider Name | Trent Russell James |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1417243593 PECOS PAC ID: 6507163581 Enrollment ID: I20170621000645 |
| Provider Name | Sailesh Arulkumar |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1174889778 PECOS PAC ID: 4385940444 Enrollment ID: I20170725003738 |
| Provider Name | Hilary Irene Graham |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922532613 PECOS PAC ID: 4981975372 Enrollment ID: I20170803000604 |
| Provider Name | Syed Hamza Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396123535 PECOS PAC ID: 4385916964 Enrollment ID: I20170816002736 |
| Provider Name | Kelly Lynn Chesser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003346123 PECOS PAC ID: 2769754704 Enrollment ID: I20170825000457 |
| Provider Name | Tiffani Megan Lowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083154918 PECOS PAC ID: 8325311244 Enrollment ID: I20170829000493 |
| Provider Name | Sara Ann Buster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265972822 PECOS PAC ID: 7113290610 Enrollment ID: I20170905002697 |
| Provider Name | Kristina Booth |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1093009011 PECOS PAC ID: 9638472236 Enrollment ID: I20170914002238 |
| Provider Name | Kayeleigh Kelley Baskin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265889307 PECOS PAC ID: 4587938410 Enrollment ID: I20170915002253 |
| Provider Name | Tessa R Tate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679093116 PECOS PAC ID: 5991079394 Enrollment ID: I20170925000702 |
| Provider Name | Theresa Bach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538682463 PECOS PAC ID: 0648545558 Enrollment ID: I20171003005662 |
| Provider Name | Rory Brewster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992247449 PECOS PAC ID: 9537435581 Enrollment ID: I20171019001516 |
| Provider Name | Elisabeth Ann Okroi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356865414 PECOS PAC ID: 8628344934 Enrollment ID: I20171031002148 |
| Provider Name | Mansoor Tanwir |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538322664 PECOS PAC ID: 6800020934 Enrollment ID: I20171107001479 |
| Provider Name | Mckenzie Morgan Battershell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326558883 PECOS PAC ID: 7416213921 Enrollment ID: I20171115002447 |
| Provider Name | Rabeeya Nusrat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134382880 PECOS PAC ID: 3173767134 Enrollment ID: I20171209000300 |
| Provider Name | Megan Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598216830 PECOS PAC ID: 1153696059 Enrollment ID: I20171211001869 |
| Provider Name | Priya Sahai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316359839 PECOS PAC ID: 7810118411 Enrollment ID: I20180130001454 |
| Provider Name | Tenessa G Pinkerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407374820 PECOS PAC ID: 6406121425 Enrollment ID: I20180207001752 |
| Provider Name | George Ghata |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487002556 PECOS PAC ID: 4183985633 Enrollment ID: I20180227000355 |
| Provider Name | Sardar Mohammad Farhan Khan Galzie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952541690 PECOS PAC ID: 5597917484 Enrollment ID: I20180327002015 |
| Provider Name | Emily Helen Fries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639692874 PECOS PAC ID: 6507120086 Enrollment ID: I20180509001538 |
| Provider Name | Young H Chang |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1881886281 PECOS PAC ID: 1557457892 Enrollment ID: I20180604002454 |
| Provider Name | Kayla Woods |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366934705 PECOS PAC ID: 5991050049 Enrollment ID: I20180614000693 |
| Provider Name | Shelby B Matlock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174972475 PECOS PAC ID: 4981997467 Enrollment ID: I20180625001999 |
| Provider Name | Julie St John Mahaney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841679701 PECOS PAC ID: 5890002711 Enrollment ID: I20180703002125 |
| Provider Name | Chad Glenn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356662415 PECOS PAC ID: 7618240565 Enrollment ID: I20180710002288 |
| Provider Name | Omer Suhaib |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336589548 PECOS PAC ID: 9032480850 Enrollment ID: I20180717001650 |
| Provider Name | Jacob Asher Haynes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629331921 PECOS PAC ID: 0143459495 Enrollment ID: I20180717002622 |
| Provider Name | Jessica Maris Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730630468 PECOS PAC ID: 5597013987 Enrollment ID: I20180801001182 |
| Provider Name | Kelly Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861986762 PECOS PAC ID: 0840548996 Enrollment ID: I20180806001713 |
| Provider Name | Lea Domenique Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073020988 PECOS PAC ID: 0345501920 Enrollment ID: I20180815003659 |
| Provider Name | Ahmed Abdal Cheema |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942435375 PECOS PAC ID: 9537450705 Enrollment ID: I20180823002459 |
| Provider Name | Courtney T Brady |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871084863 PECOS PAC ID: 2567712029 Enrollment ID: I20180904001008 |
| Provider Name | Jamie E Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427541150 PECOS PAC ID: 9830441674 Enrollment ID: I20181005002658 |
| Provider Name | Lisa Lakins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629483623 PECOS PAC ID: 1052664562 Enrollment ID: I20181031001068 |
| Provider Name | Eric Shane Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720562291 PECOS PAC ID: 3971856105 Enrollment ID: I20181105002258 |
| Provider Name | Marah Gail Canfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598246332 PECOS PAC ID: 9638414576 Enrollment ID: I20181220001353 |
| Provider Name | James Kelly Feisal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871937680 PECOS PAC ID: 5890915557 Enrollment ID: I20190214002400 |
| Provider Name | Kayla R Pratt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548617731 PECOS PAC ID: 8224376157 Enrollment ID: I20190219000488 |
| Provider Name | Mukhtar Anees |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073714200 PECOS PAC ID: 2860463460 Enrollment ID: I20190410001664 |
| Provider Name | Tandi Jean Mize |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649603895 PECOS PAC ID: 0547502346 Enrollment ID: I20190426001039 |
| Provider Name | Carrie R Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922517374 PECOS PAC ID: 7719963933 Enrollment ID: I20190530000555 |
| Provider Name | James Rabaria Furr |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326482159 PECOS PAC ID: 7719286319 Enrollment ID: I20190826000175 |
| Provider Name | Mary Masterman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225487655 PECOS PAC ID: 4284927161 Enrollment ID: I20190827000818 |
| Provider Name | Whitney Jordan Thorne |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1518378603 PECOS PAC ID: 2365771839 Enrollment ID: I20190909001649 |
| Provider Name | Shivendra Kumar Bansal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144679952 PECOS PAC ID: 7416230479 Enrollment ID: I20190909003427 |
| Provider Name | Ian Michael Cassaday |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669784658 PECOS PAC ID: 8022360916 Enrollment ID: I20190910000018 |
| Provider Name | Machaille Borgsmiller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609308881 PECOS PAC ID: 4486926573 Enrollment ID: I20190913001473 |
| Provider Name | Jacob Andrew Borgsmiller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629518295 PECOS PAC ID: 0042582363 Enrollment ID: I20190916002034 |
| Provider Name | Jennifer Linn Wentzel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871905331 PECOS PAC ID: 5294957189 Enrollment ID: I20190918001650 |
| Provider Name | Hunter M Caskey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164874954 PECOS PAC ID: 5890027114 Enrollment ID: I20191105002632 |
| Provider Name | Natasha Kay Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013111244 PECOS PAC ID: 0345674370 Enrollment ID: I20191230001174 |
| Provider Name | Carrie E Carter |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982076865 PECOS PAC ID: 5799112637 Enrollment ID: I20200305001157 |
| Provider Name | Hannah Rae Goodspeed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225673122 PECOS PAC ID: 4789012451 Enrollment ID: I20200311000435 |
| Provider Name | Haley Brooke Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033760970 PECOS PAC ID: 2769810290 Enrollment ID: I20200317001057 |
| Provider Name | Cody William Griffin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386099489 PECOS PAC ID: 2163852971 Enrollment ID: I20200420000170 |
| Provider Name | Joseph Hamati |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033599410 PECOS PAC ID: 8426470360 Enrollment ID: I20200622002087 |
| Provider Name | Taylor James Craft |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235678863 PECOS PAC ID: 1153744214 Enrollment ID: I20200708000244 |
| Provider Name | Anas Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528580834 PECOS PAC ID: 9335419845 Enrollment ID: I20200713001182 |
| Provider Name | Alysia Anne Mendoza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083142459 PECOS PAC ID: 7214351774 Enrollment ID: I20200717000068 |
| Provider Name | Jeree Frost |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194060665 PECOS PAC ID: 1153753058 Enrollment ID: I20200717002975 |
| Provider Name | Josette Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154530319 PECOS PAC ID: 6800210865 Enrollment ID: I20200723000437 |
| Provider Name | Summer Lepley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467808154 PECOS PAC ID: 1658795596 Enrollment ID: I20200723003617 |
| Provider Name | Salman Khalid |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477832806 PECOS PAC ID: 0345560249 Enrollment ID: I20200724000627 |
| Provider Name | Allan P Weston |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417051962 PECOS PAC ID: 9739141599 Enrollment ID: I20200731001683 |
| Provider Name | Natalia Tutak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689103467 PECOS PAC ID: 7810312857 Enrollment ID: I20200807000084 |
| Provider Name | Alejandra De Santiago |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730613522 PECOS PAC ID: 7012332000 Enrollment ID: I20200807001915 |
| Provider Name | Ajay Thomas Varughese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619405511 PECOS PAC ID: 5799058442 Enrollment ID: I20200817000787 |
| Provider Name | Alyssa Penick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003347048 PECOS PAC ID: 5890111207 Enrollment ID: I20200817001364 |
| Provider Name | Heather Sue Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598382392 PECOS PAC ID: 4385060201 Enrollment ID: I20200821001575 |
| Provider Name | Jason Christopher Onarecker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477080646 PECOS PAC ID: 6103243530 Enrollment ID: I20200901000326 |
| Provider Name | Landon Mcgee |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457977845 PECOS PAC ID: 8325458912 Enrollment ID: I20201111000051 |
| Provider Name | Aubree Rose Beckman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205267291 PECOS PAC ID: 0244641686 Enrollment ID: I20201116002595 |
| Provider Name | Jessica Faught |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437440278 PECOS PAC ID: 9931404118 Enrollment ID: I20201207001379 |
| Provider Name | Shannon Kyle Beach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548514953 PECOS PAC ID: 7810300787 Enrollment ID: I20210114000144 |
| Provider Name | Arifa Mamoona Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144571662 PECOS PAC ID: 8224335724 Enrollment ID: I20210121001610 |
| Provider Name | Lacey Rae Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093322240 PECOS PAC ID: 2769897446 Enrollment ID: I20210210000314 |
| Provider Name | Usman Khan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1104835875 PECOS PAC ID: 7214912278 Enrollment ID: I20210215001043 |
| Provider Name | Troy Dean Long |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1023019759 PECOS PAC ID: 5698742757 Enrollment ID: I20210505000119 |
| Provider Name | Stephanie Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487152187 PECOS PAC ID: 9335497148 Enrollment ID: I20210518001140 |
| Provider Name | Emily Kaye Porter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922624014 PECOS PAC ID: 1153720305 Enrollment ID: I20210520002380 |
| Provider Name | Heather Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699156372 PECOS PAC ID: 5698070621 Enrollment ID: I20210614000242 |
| Provider Name | Samantha A Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215481924 PECOS PAC ID: 6608162433 Enrollment ID: I20210614000615 |
| Provider Name | Kathleen M Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487195251 PECOS PAC ID: 5496022824 Enrollment ID: I20210614001000 |
| Provider Name | Lara A Penn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538406954 PECOS PAC ID: 5698917979 Enrollment ID: I20210615001768 |
| Provider Name | Allison R. Thorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952340317 PECOS PAC ID: 7911929484 Enrollment ID: I20210701001812 |
| Provider Name | Shawn Marie Strain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871597823 PECOS PAC ID: 7911031109 Enrollment ID: I20210702001825 |
| Provider Name | Ernest T Abunaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811558844 PECOS PAC ID: 2062814551 Enrollment ID: I20210706003430 |
| Provider Name | Natalie Grace Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952688640 PECOS PAC ID: 1850550831 Enrollment ID: I20210726003026 |
| Provider Name | Alicia Sparks |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568031441 PECOS PAC ID: 8527461441 Enrollment ID: I20210729000363 |
| Provider Name | Calhoun Mark Murray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639747488 PECOS PAC ID: 2466856828 Enrollment ID: I20210806000832 |
| Provider Name | Jennifer Testerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548205008 PECOS PAC ID: 6305738667 Enrollment ID: I20210807000110 |
| Provider Name | Kaitlyn Marie Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164094579 PECOS PAC ID: 9830593060 Enrollment ID: I20210810000933 |
| Provider Name | Kristy D Nguyen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619337961 PECOS PAC ID: 5991078529 Enrollment ID: I20210811000763 |
| Provider Name | Korey Danielle Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528641867 PECOS PAC ID: 7517362866 Enrollment ID: I20210824003225 |
| Provider Name | Kristen E Path |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386202463 PECOS PAC ID: 2365849080 Enrollment ID: I20210923000734 |
| Provider Name | Eric L Reynolds |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730701624 PECOS PAC ID: 5698172963 Enrollment ID: I20210929002033 |
| Provider Name | Christina Ann Cid |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245662618 PECOS PAC ID: 5092112219 Enrollment ID: I20210930000269 |
| Provider Name | Aaron Womack |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821219817 PECOS PAC ID: 6709284359 Enrollment ID: I20211012001378 |
| Provider Name | Madeleine Foote |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578130126 PECOS PAC ID: 1850789835 Enrollment ID: I20211025000644 |
| Provider Name | Juan Antonio Cantu Clatza |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902254600 PECOS PAC ID: 7416345053 Enrollment ID: I20211101000786 |
| Provider Name | Kaylin A Peterson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346907516 PECOS PAC ID: 0446640791 Enrollment ID: I20211201001485 |
| Provider Name | Bernardino Rocha |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558658815 PECOS PAC ID: 7315292745 Enrollment ID: I20211203001414 |
| Provider Name | Amy Shipley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578116794 PECOS PAC ID: 9032445077 Enrollment ID: I20211229000032 |
| Provider Name | Melissa Dearing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235897422 PECOS PAC ID: 7113319088 Enrollment ID: I20220126002861 |
| Provider Name | Adam Fields Mcconnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376962852 PECOS PAC ID: 9638442973 Enrollment ID: I20220127001978 |
| Provider Name | Vyjayanthi Ganga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144553538 PECOS PAC ID: 5890945786 Enrollment ID: I20220315000434 |
| Provider Name | Tiara Gaylynn Kersey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700544038 PECOS PAC ID: 3173918752 Enrollment ID: I20220317000784 |
| Provider Name | Jill Cacciabando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356378467 PECOS PAC ID: 7012926678 Enrollment ID: I20220323002831 |
| Provider Name | Aaron L Morgan |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1588985402 PECOS PAC ID: 5395018816 Enrollment ID: I20220330000383 |
| Provider Name | Binita Ghimire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992380158 PECOS PAC ID: 7810383247 Enrollment ID: I20220411001983 |
| Provider Name | Trisha Ruby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801447032 PECOS PAC ID: 6800229865 Enrollment ID: I20220509000066 |
| Provider Name | Kristi Ibarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316304652 PECOS PAC ID: 5597057422 Enrollment ID: I20220518000580 |
| Provider Name | Patricia Joy Boehle |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326544578 PECOS PAC ID: 8325399181 Enrollment ID: I20220519002135 |
| Provider Name | Brittany Werme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417511940 PECOS PAC ID: 9931587755 Enrollment ID: I20220608000009 |
| Provider Name | Hannah Loren Winters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275096315 PECOS PAC ID: 3476931015 Enrollment ID: I20220609001804 |
| Provider Name | Breanna Rochelle Edenborough |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174262646 PECOS PAC ID: 4587042064 Enrollment ID: I20220617000016 |
| Provider Name | Samid Muhammad Farooqui |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740632181 PECOS PAC ID: 9537497797 Enrollment ID: I20220714001640 |
| Provider Name | Sobhan Daneshfar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295237998 PECOS PAC ID: 2163803271 Enrollment ID: I20220721000547 |
| Provider Name | Jodi Lynn Elderton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538899869 PECOS PAC ID: 1052792801 Enrollment ID: I20220726000130 |
| Provider Name | Lauren E Floyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932696739 PECOS PAC ID: 6406239045 Enrollment ID: I20220816000058 |
| Provider Name | Jeaneth Rocio Hidalgo De Rangel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659006708 PECOS PAC ID: 0244614501 Enrollment ID: I20220906001028 |
| Provider Name | Shyla Rayne Hunn |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760110787 PECOS PAC ID: 4981088192 Enrollment ID: I20220907000047 |
| Provider Name | Andrew William Kinnamon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205568854 PECOS PAC ID: 3476939778 Enrollment ID: I20221010001290 |
| Provider Name | Zhanna O Goldkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457852204 PECOS PAC ID: 9537595913 Enrollment ID: I20221013002110 |
| Provider Name | Rabia Cheema |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295174431 PECOS PAC ID: 6709181746 Enrollment ID: I20221021000093 |
| Provider Name | Helen R Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295253359 PECOS PAC ID: 9830459379 Enrollment ID: I20221104000326 |
| Provider Name | Andrew D Barbosa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205453784 PECOS PAC ID: 0547637456 Enrollment ID: I20221107001555 |
| Provider Name | Aaron David Bennett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063039477 PECOS PAC ID: 0446623805 Enrollment ID: I20230306000998 |
| Provider Name | Stephanie Elaine Alvillar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265063960 PECOS PAC ID: 8426487943 Enrollment ID: I20230309000518 |
| Provider Name | Kristin E Grossman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861884264 PECOS PAC ID: 0749501906 Enrollment ID: I20230322002518 |
| Provider Name | Brandy Michele Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902217540 PECOS PAC ID: 6305061904 Enrollment ID: I20230327001526 |
| Provider Name | Autumn Nicole Work |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275241051 PECOS PAC ID: 5991170672 Enrollment ID: I20230411001882 |
| Provider Name | Kaitlyn Michelle Girod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588377089 PECOS PAC ID: 5698140119 Enrollment ID: I20230413002079 |
| Provider Name | Jasmyne Symone Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376241661 PECOS PAC ID: 9537524285 Enrollment ID: I20230502001051 |
| Provider Name | Shama Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083174502 PECOS PAC ID: 0042615585 Enrollment ID: I20230522001392 |
| Provider Name | Isma Nusrat Javed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285087536 PECOS PAC ID: 8022474634 Enrollment ID: I20230523002414 |
| Provider Name | Sarah Beth Fogg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164136404 PECOS PAC ID: 7911365044 Enrollment ID: I20230622001952 |
| Provider Name | Hee Kong Fong |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952751042 PECOS PAC ID: 3577855451 Enrollment ID: I20230623003137 |
| Provider Name | Suzanne Diesel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942955885 PECOS PAC ID: 0941660872 Enrollment ID: I20230724002274 |
| Provider Name | Ronald Dale Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740805498 PECOS PAC ID: 0941660807 Enrollment ID: I20230724003246 |
| Provider Name | Kim M Puterbaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831171362 PECOS PAC ID: 8820028202 Enrollment ID: I20230724003790 |
| Provider Name | Olufolake Olufowote |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417578725 PECOS PAC ID: 5092176925 Enrollment ID: I20230725002685 |
| Provider Name | Lang Van |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619505369 PECOS PAC ID: 2365803053 Enrollment ID: I20230727001724 |
| Provider Name | Cameron P Shirazi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699207498 PECOS PAC ID: 7719252972 Enrollment ID: I20230802001336 |
| Provider Name | Amanda Marie Fite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538944665 PECOS PAC ID: 6305200270 Enrollment ID: I20230911002522 |
| Provider Name | Alaina Lee Guillory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225813132 PECOS PAC ID: 2567826308 Enrollment ID: I20230913001483 |
| Provider Name | Clara L Tang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275094252 PECOS PAC ID: 6406181833 Enrollment ID: I20231020000848 |
| Provider Name | Abhishek Singh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003044793 PECOS PAC ID: 1254642218 Enrollment ID: I20231101002536 |
| Provider Name | Jeanette D Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225058571 PECOS PAC ID: 0143672246 Enrollment ID: I20240113000040 |
| Provider Name | Amanda B Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780103143 PECOS PAC ID: 1850666462 Enrollment ID: I20240222001525 |
| Provider Name | Cherry E Cockrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639551666 PECOS PAC ID: 3173826609 Enrollment ID: I20240313002818 |
| Provider Name | Katherine Scodary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376047704 PECOS PAC ID: 5890059877 Enrollment ID: I20240318003523 |
| Provider Name | Nishant S Ranawat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366658627 PECOS PAC ID: 9739350059 Enrollment ID: I20240321001768 |
| Provider Name | Steve M Cordina |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1972777290 PECOS PAC ID: 6002084498 Enrollment ID: I20240326003332 |
| Provider Name | Lauren E Fehr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578129243 PECOS PAC ID: 4587030887 Enrollment ID: I20240410000033 |
| Provider Name | Mekenzi E Peck |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063816890 PECOS PAC ID: 0446699433 Enrollment ID: I20240424001018 |
| Provider Name | Kyle William Dammann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487213666 PECOS PAC ID: 7113367582 Enrollment ID: I20240502000350 |
| Provider Name | Lori R Crow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346551488 PECOS PAC ID: 2961837026 Enrollment ID: I20240507002399 |
| Provider Name | David M Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528418175 PECOS PAC ID: 0941595086 Enrollment ID: I20240514002713 |
| Provider Name | Brittani Rushing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255813754 PECOS PAC ID: 2365786183 Enrollment ID: I20240514004067 |
| Provider Name | Karen A Rose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992793699 PECOS PAC ID: 4082675095 Enrollment ID: I20240521001788 |
| Provider Name | Matthew J Kepford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760943617 PECOS PAC ID: 7810439742 Enrollment ID: I20240607000066 |
| Provider Name | Banke Agarwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134137011 PECOS PAC ID: 4284779539 Enrollment ID: I20240610001444 |
| Provider Name | Nabeel A Herial |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1477866101 PECOS PAC ID: 6103043864 Enrollment ID: I20240610001688 |
| Provider Name | Mohamed H Elgabaly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861656282 PECOS PAC ID: 9931366564 Enrollment ID: I20240610002095 |
| Provider Name | Spencer Falcon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366935348 PECOS PAC ID: 8123376662 Enrollment ID: I20240610002943 |
| Provider Name | Thomas Wayne Wiseman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851979777 PECOS PAC ID: 0840732368 Enrollment ID: I20240611003836 |
Innovative Community Resource Specialist Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 Nw 58th St Ste 870e, Oklahoma City, OK 73112 Phone: 405-205-8346 | |
Ohh Physicians South, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5200 E I 240 Service Rd, Oklahoma City, OK 73135 Phone: 405-628-6000 | |
Nami Oklahoma, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1920 N Drexel Blvd, Oklahoma City, OK 73107 Phone: 405-230-1900 Fax: 405-230-1903 | |
Gabriel M Pitman Do Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Sw 80th St, Suite 201, Oklahoma City, OK 73109 Phone: 405-632-9090 Fax: 405-632-9097 | |
Quality Counseling & Intervention Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 N Classen Blvd, Suite 311, Oklahoma City, OK 73106 Phone: 405-702-0502 Fax: 405-702-0502 | |
Building Up People Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Nw Expressway, 531, Oklahoma City, OK 73112 Phone: 405-242-5031 | |
Todd A. Ephraim & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3829 N Classen Blvd, Suite 200, Oklahoma City, OK 73118 Phone: 913-481-5387 |