| Sanford Health Psychiatry & Psychology Clinic | |
|
2400 W 49th St Sioux Falls SD 57105-6581 | |
| (605) 312-8700 | |
| (605) 312-8701 |
| Full Name | Sanford Health Psychiatry & Psychology Clinic |
|---|---|
| Speciality | Psychologist |
| Location | 2400 W 49th St, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Tony Lee Morrison (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Contact | 6053288380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Health Psychiatry & Psychology Clinic Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | Sanford Health Psychiatry & Psychology Clinic 2400 W 49th St Sioux Falls SD 57105-6581 Ph: (605) 312-8700 |
| NPI Number | 1396764254 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 10/13/2022 |
| Certification Date | 10/13/2022 |
| Medicare PECOS PAC ID | 0244143824 |
|---|---|
| Medicare Enrollment ID | O20031110000532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396764254 | NPI | - | NPPES |
| 0537886 | Medicaid | IA | |
| 682698900 | Medicaid | MN |
| Provider Name | David A Swanson |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1104825918 PECOS PAC ID: 4284535857 Enrollment ID: I20040116000268 |
| Provider Name | Maria Caroline Bell |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1174529929 PECOS PAC ID: 0941102024 Enrollment ID: I20040121000531 |
| Provider Name | Thomas J Huber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982645594 PECOS PAC ID: 3678567369 Enrollment ID: I20040414000787 |
| Provider Name | Joseph S Villa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639126071 PECOS PAC ID: 4587657283 Enrollment ID: I20040506001090 |
| Provider Name | David W Zeigler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346245222 PECOS PAC ID: 1951390517 Enrollment ID: I20040510000047 |
| Provider Name | William W Devine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376522854 PECOS PAC ID: 6608865324 Enrollment ID: I20040510000584 |
| Provider Name | Mark C Erickson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083651707 PECOS PAC ID: 5496744732 Enrollment ID: I20040511000722 |
| Provider Name | David C Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538164066 PECOS PAC ID: 4587653787 Enrollment ID: I20040512000064 |
| Provider Name | Scott W Ecklund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306892633 PECOS PAC ID: 2769472380 Enrollment ID: I20040515000306 |
| Provider Name | Deborah Renee Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801842174 PECOS PAC ID: 5799776662 Enrollment ID: I20040519001453 |
| Provider Name | Candice L Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629024997 PECOS PAC ID: 3375534241 Enrollment ID: I20040519001486 |
| Provider Name | Keith A Hansen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023014719 PECOS PAC ID: 8921099862 Enrollment ID: I20040520000343 |
| Provider Name | Tomasz P Stys |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1891790978 PECOS PAC ID: 9537155650 Enrollment ID: I20040604000489 |
| Provider Name | Brandon L Allard |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124023882 PECOS PAC ID: 0648252353 Enrollment ID: I20040607000051 |
| Provider Name | Nancy K Reishus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427037928 PECOS PAC ID: 0547245300 Enrollment ID: I20040624000216 |
| Provider Name | Rhonda L Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225084106 PECOS PAC ID: 4789669557 Enrollment ID: I20040624000243 |
| Provider Name | Kevin D Benson |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1649259227 PECOS PAC ID: 9638155443 Enrollment ID: I20040624000587 |
| Provider Name | Fred C Lovrien |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1497751341 PECOS PAC ID: 2466448907 Enrollment ID: I20040628000461 |
| Provider Name | Ross Bacon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366528838 PECOS PAC ID: 4688569965 Enrollment ID: I20040702000053 |
| Provider Name | Marian S Petrasko |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881699965 PECOS PAC ID: 5092786467 Enrollment ID: I20040802000560 |
| Provider Name | Julie A Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659445989 PECOS PAC ID: 8325019995 Enrollment ID: I20040805000783 |
| Provider Name | David P Munson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790738821 PECOS PAC ID: 4486566940 Enrollment ID: I20040805000998 |
| Provider Name | Theresa M Stamato |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649225129 PECOS PAC ID: 3173504750 Enrollment ID: I20040805001039 |
| Provider Name | James W Wallace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730135070 PECOS PAC ID: 0941271456 Enrollment ID: I20040805001108 |
| Provider Name | Laura A Davis Keppen |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1356394324 PECOS PAC ID: 0547231078 Enrollment ID: I20040805001230 |
| Provider Name | William F Waltz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649226986 PECOS PAC ID: 2264403708 Enrollment ID: I20040805001315 |
| Provider Name | Mohammed Akram A Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881647865 PECOS PAC ID: 4587636824 Enrollment ID: I20040809000330 |
| Provider Name | Jerome M Blake |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699760546 PECOS PAC ID: 9234101585 Enrollment ID: I20040809000395 |
| Provider Name | Julie A Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902800360 PECOS PAC ID: 6002880457 Enrollment ID: I20040823000671 |
| Provider Name | Teresa Buell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952307704 PECOS PAC ID: 8325012248 Enrollment ID: I20040825000514 |
| Provider Name | Shelley Janelle Morrison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093712630 PECOS PAC ID: 5991770729 Enrollment ID: I20040826000568 |
| Provider Name | Peter D Johnson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588660393 PECOS PAC ID: 9931174679 Enrollment ID: I20040827000003 |
| Provider Name | Karen A Hanisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881647774 PECOS PAC ID: 3577530575 Enrollment ID: I20040910000240 |
| Provider Name | Douglas D Wallin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114923034 PECOS PAC ID: 5092784934 Enrollment ID: I20040928000926 |
| Provider Name | Lisa A Ziegeldorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982678264 PECOS PAC ID: 8325008121 Enrollment ID: I20041015000612 |
| Provider Name | Robert E Vandemark |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1134126121 PECOS PAC ID: 7719890276 Enrollment ID: I20041026001092 |
| Provider Name | Clayton G Van Balen |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1316943251 PECOS PAC ID: 0345210753 Enrollment ID: I20041101000769 |
| Provider Name | Jitendra R Thakkar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598710782 PECOS PAC ID: 3274596713 Enrollment ID: I20041105000937 |
| Provider Name | Rifat Hussain |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1124071048 PECOS PAC ID: 6709849888 Enrollment ID: I20041109001131 |
| Provider Name | Daniel J Heinemann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508861329 PECOS PAC ID: 1759294283 Enrollment ID: I20041228000470 |
| Provider Name | Vickie Lynn Reiff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144226895 PECOS PAC ID: 6305894601 Enrollment ID: I20050104000179 |
| Provider Name | Rajesh Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710933684 PECOS PAC ID: 5092767087 Enrollment ID: I20050217000877 |
| Provider Name | Judi L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801875265 PECOS PAC ID: 0840244919 Enrollment ID: I20050310001048 |
| Provider Name | Derek J Ferrie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013962919 PECOS PAC ID: 5799767885 Enrollment ID: I20050412000284 |
| Provider Name | John P Reinschmidt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023064391 PECOS PAC ID: 5193764124 Enrollment ID: I20050428001235 |
| Provider Name | Brandy J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215932363 PECOS PAC ID: 7719965581 Enrollment ID: I20050503000055 |
| Provider Name | Alan R Christensen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023097565 PECOS PAC ID: 8921082371 Enrollment ID: I20050511000584 |
| Provider Name | Joseph E Segeleon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194778191 PECOS PAC ID: 8628019866 Enrollment ID: I20050518000066 |
| Provider Name | Edward T Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972559300 PECOS PAC ID: 6709827652 Enrollment ID: I20050520000344 |
| Provider Name | Steven T Redmond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548226061 PECOS PAC ID: 6103720834 Enrollment ID: I20050718000014 |
| Provider Name | Shirlene K Smook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578528576 PECOS PAC ID: 8123054970 Enrollment ID: I20050718000197 |
| Provider Name | Michelle L Vanbeek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962456491 PECOS PAC ID: 2961458609 Enrollment ID: I20050810000609 |
| Provider Name | Rebecca M Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073586632 PECOS PAC ID: 8527098649 Enrollment ID: I20050818000448 |
| Provider Name | Jeffry D Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336195643 PECOS PAC ID: 2668402983 Enrollment ID: I20050830000714 |
| Provider Name | Niccole J Mack |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063401503 PECOS PAC ID: 0941232235 Enrollment ID: I20050907001127 |
| Provider Name | Janet R Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649234105 PECOS PAC ID: 4587696893 Enrollment ID: I20050908000031 |
| Provider Name | Michelle L Baack |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1316911266 PECOS PAC ID: 0446243109 Enrollment ID: I20050919000877 |
| Provider Name | Donna K Dickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558317628 PECOS PAC ID: 0749215903 Enrollment ID: I20050927001184 |
| Provider Name | Rose Marie Hoiten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962496752 PECOS PAC ID: 3274568662 Enrollment ID: I20051005000100 |
| Provider Name | Ashley B Briggs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902851140 PECOS PAC ID: 6709803265 Enrollment ID: I20051025000373 |
| Provider Name | Laurie C Gromer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851361216 PECOS PAC ID: 0143248617 Enrollment ID: I20051103000742 |
| Provider Name | Christopher R Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225035215 PECOS PAC ID: 9436147824 Enrollment ID: I20051104000656 |
| Provider Name | Donald H Knudson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356341010 PECOS PAC ID: 9830110444 Enrollment ID: I20051212000161 |
| Provider Name | Jorge A Gilbert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205831377 PECOS PAC ID: 0547296741 Enrollment ID: I20051212000269 |
| Provider Name | Miroslaw A Mazurczak |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437155140 PECOS PAC ID: 8921029554 Enrollment ID: I20051212000365 |
| Provider Name | Brian L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699770073 PECOS PAC ID: 2163443615 Enrollment ID: I20051212000566 |
| Provider Name | Alla O Zamulko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699710822 PECOS PAC ID: 4880581743 Enrollment ID: I20051212000800 |
| Provider Name | Stephen T Foley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497701841 PECOS PAC ID: 0446271928 Enrollment ID: I20051212000822 |
| Provider Name | Craig J Uthe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174523674 PECOS PAC ID: 7719908151 Enrollment ID: I20051213000404 |
| Provider Name | Susan M Rohr |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558317826 PECOS PAC ID: 6507852563 Enrollment ID: I20051213000761 |
| Provider Name | Verle D Valentine |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1669426052 PECOS PAC ID: 1951322361 Enrollment ID: I20051213000782 |
| Provider Name | Scott L Boyens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700886389 PECOS PAC ID: 4880615129 Enrollment ID: I20051214000205 |
| Provider Name | Barry C Bauer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831195569 PECOS PAC ID: 4385553650 Enrollment ID: I20051214000227 |
| Provider Name | Patsy A Uken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912950130 PECOS PAC ID: 0941221287 Enrollment ID: I20051214000246 |
| Provider Name | Jeffrey R Heier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760437222 PECOS PAC ID: 0941221295 Enrollment ID: I20051214000365 |
| Provider Name | Donald B Graham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730136656 PECOS PAC ID: 0143133678 Enrollment ID: I20051214000443 |
| Provider Name | Gary L Timmerman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326095332 PECOS PAC ID: 2668493925 Enrollment ID: I20051214000479 |
| Provider Name | Bruce H Schulz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215983549 PECOS PAC ID: 8820019102 Enrollment ID: I20051214000570 |
| Provider Name | Terri A Peterson Henry |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1376548800 PECOS PAC ID: 5597786889 Enrollment ID: I20051214000631 |
| Provider Name | Timothy P Donelan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730189325 PECOS PAC ID: 4183645476 Enrollment ID: I20051214000672 |
| Provider Name | Douglas Dehaan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376548107 PECOS PAC ID: 7416978705 Enrollment ID: I20051214000700 |
| Provider Name | Scott D Henry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366448920 PECOS PAC ID: 4981517588 Enrollment ID: I20051214000710 |
| Provider Name | Todd A Sorensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104826692 PECOS PAC ID: 5496776791 Enrollment ID: I20051214000722 |
| Provider Name | Bradley L Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851396378 PECOS PAC ID: 5193746493 Enrollment ID: I20051214000749 |
| Provider Name | Julie A Bostic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700886363 PECOS PAC ID: 4880615103 Enrollment ID: I20051214000880 |
| Provider Name | Stacia L Greene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447206891 PECOS PAC ID: 8224059415 Enrollment ID: I20051215000439 |
| Provider Name | Dennis J Glatt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063468130 PECOS PAC ID: 9335160449 Enrollment ID: I20051215000718 |
| Provider Name | Jennifer A Schriever |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013912120 PECOS PAC ID: 0941221048 Enrollment ID: I20051216000505 |
| Provider Name | Amy L Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407856289 PECOS PAC ID: 5294756292 Enrollment ID: I20051216000610 |
| Provider Name | Aaron M Zylstra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093711731 PECOS PAC ID: 9335161363 Enrollment ID: I20051219000834 |
| Provider Name | Bryan L Barness |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205882081 PECOS PAC ID: 2567484462 Enrollment ID: I20051220000478 |
| Provider Name | Robert D Behrend |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578569000 PECOS PAC ID: 4981626801 Enrollment ID: I20051220000594 |
| Provider Name | Stephanie O Broderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437154606 PECOS PAC ID: 8224050141 Enrollment ID: I20051220000616 |
| Provider Name | Carol A Byrd |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811943244 PECOS PAC ID: 6002838943 Enrollment ID: I20051220000769 |
| Provider Name | Nancy L Carroll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235185919 PECOS PAC ID: 7719909654 Enrollment ID: I20051220000791 |
| Provider Name | Jeffrey A Murray |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457356529 PECOS PAC ID: 1355315979 Enrollment ID: I20051221000538 |
| Provider Name | Vernon H Stensland |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407851660 PECOS PAC ID: 3779505441 Enrollment ID: I20051221000808 |
| Provider Name | David A Thomas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578560017 PECOS PAC ID: 8123040896 Enrollment ID: I20051221000822 |
| Provider Name | Nancy K Foss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932105590 PECOS PAC ID: 7517989296 Enrollment ID: I20051221000902 |
| Provider Name | Eric A Larson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134124019 PECOS PAC ID: 4981626678 Enrollment ID: I20051221000995 |
| Provider Name | Edward R Mailloux |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710931266 PECOS PAC ID: 3870515562 Enrollment ID: I20051221001008 |
| Provider Name | Patricia J Bultsma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841258159 PECOS PAC ID: 7315969003 Enrollment ID: I20051221001016 |
| Provider Name | Michael Farritor |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1710982996 PECOS PAC ID: 5496668972 Enrollment ID: I20051222000198 |
| Provider Name | Michael D Keppen |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1881690592 PECOS PAC ID: 1254244791 Enrollment ID: I20051222000600 |
| Provider Name | Michael C Wilde |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841295722 PECOS PAC ID: 2264454842 Enrollment ID: I20051222000723 |
| Provider Name | John C Yu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922005461 PECOS PAC ID: 0345262929 Enrollment ID: I20051222000731 |
| Provider Name | Ashraf A Elshami |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306842968 PECOS PAC ID: 5698797272 Enrollment ID: I20051222000746 |
| Provider Name | Nancy M Free |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992751267 PECOS PAC ID: 7810919412 Enrollment ID: I20051223000123 |
| Provider Name | Scott W Mckercher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710933080 PECOS PAC ID: 9638191232 Enrollment ID: I20051223000127 |
| Provider Name | Jerel E Tieszen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730184623 PECOS PAC ID: 1557274016 Enrollment ID: I20051223000135 |
| Provider Name | Jennifer L Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790731024 PECOS PAC ID: 4688696297 Enrollment ID: I20051223000180 |
| Provider Name | Fernando Escobar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548265994 PECOS PAC ID: 0648294884 Enrollment ID: I20060116000043 |
| Provider Name | Kimberlee C Bohy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518934777 PECOS PAC ID: 8921090713 Enrollment ID: I20060125000429 |
| Provider Name | Travis M Sanger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922054378 PECOS PAC ID: 9032127881 Enrollment ID: I20060405000246 |
| Provider Name | David A Ellerbusch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972507713 PECOS PAC ID: 5890761530 Enrollment ID: I20060727000179 |
| Provider Name | Susan Halbritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295788271 PECOS PAC ID: 8325042765 Enrollment ID: I20060828000146 |
| Provider Name | Suzanne D Reuter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538115993 PECOS PAC ID: 6002810454 Enrollment ID: I20060828000185 |
| Provider Name | Jeremy M Cauwels |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942243100 PECOS PAC ID: 5890731376 Enrollment ID: I20060829000127 |
| Provider Name | Heather N Spies |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023024213 PECOS PAC ID: 9537163126 Enrollment ID: I20060913000453 |
| Provider Name | Heather L Karu |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1396791232 PECOS PAC ID: 9537165758 Enrollment ID: I20061011000640 |
| Provider Name | Randall B Lamfers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831157106 PECOS PAC ID: 3274539416 Enrollment ID: I20061012000020 |
| Provider Name | William C Brunner |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639125818 PECOS PAC ID: 2567468432 Enrollment ID: I20061017000236 |
| Provider Name | Robin S Weiner |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548216724 PECOS PAC ID: 5890791651 Enrollment ID: I20061018000532 |
| Provider Name | Bonnie J Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548214273 PECOS PAC ID: 8123912490 Enrollment ID: I20061102000431 |
| Provider Name | Ricky C Jensen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780685651 PECOS PAC ID: 2860490380 Enrollment ID: I20061117000016 |
| Provider Name | Adam R Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649370784 PECOS PAC ID: 4880693357 Enrollment ID: I20061211000239 |
| Provider Name | Mark K Huntington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326007469 PECOS PAC ID: 4082515069 Enrollment ID: I20061228000420 |
| Provider Name | Jerome W Freeman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609899665 PECOS PAC ID: 6507778388 Enrollment ID: I20070104000132 |
| Provider Name | Ingrid S Hernberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982618641 PECOS PAC ID: 6800897927 Enrollment ID: I20070116000346 |
| Provider Name | Alison R Tendler |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205812328 PECOS PAC ID: 1557388790 Enrollment ID: I20070306000743 |
| Provider Name | Tracy J Pierret |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700831534 PECOS PAC ID: 6406959733 Enrollment ID: I20070307000277 |
| Provider Name | Nicolas Jon Van Es |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285620120 PECOS PAC ID: 3274550900 Enrollment ID: I20070319000628 |
| Provider Name | Cynthia J Pallesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407935901 PECOS PAC ID: 8820193451 Enrollment ID: I20070410000477 |
| Provider Name | Julie L Raysby |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1033218987 PECOS PAC ID: 3870699564 Enrollment ID: I20070425000588 |
| Provider Name | Ronald D Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558471573 PECOS PAC ID: 4587760582 Enrollment ID: I20070516000000 |
| Provider Name | Christine S Arnold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487620894 PECOS PAC ID: 6800994377 Enrollment ID: I20070606000552 |
| Provider Name | Darcey J Stockland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174745467 PECOS PAC ID: 6103924246 Enrollment ID: I20070613000218 |
| Provider Name | Kristin L Hermanson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770577967 PECOS PAC ID: 3870539182 Enrollment ID: I20070711000931 |
| Provider Name | Anthony A Sierra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942283163 PECOS PAC ID: 6901906114 Enrollment ID: I20070717000069 |
| Provider Name | Eugenio B Matos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023128444 PECOS PAC ID: 4486755279 Enrollment ID: I20070724000156 |
| Provider Name | Orvar T Jonsson |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1831302009 PECOS PAC ID: 3274624994 Enrollment ID: I20070810000062 |
| Provider Name | Harold E Hoyme |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1518077908 PECOS PAC ID: 3577558840 Enrollment ID: I20070822000213 |
| Provider Name | Adam T Stys |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083656821 PECOS PAC ID: 5496736019 Enrollment ID: I20070913000696 |
| Provider Name | Scott Pham |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1558366500 PECOS PAC ID: 0446231518 Enrollment ID: I20070920000079 |
| Provider Name | Maria A Stys |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740493964 PECOS PAC ID: 6002901592 Enrollment ID: I20070928000033 |
| Provider Name | Mary G Schmitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366402083 PECOS PAC ID: 3678543139 Enrollment ID: I20071023000760 |
| Provider Name | James F Walery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851366207 PECOS PAC ID: 8628167814 Enrollment ID: I20071211000742 |
| Provider Name | Heather A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073795928 PECOS PAC ID: 3375633837 Enrollment ID: I20071220000313 |
| Provider Name | Betsy M Van Genderen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780865626 PECOS PAC ID: 4486735917 Enrollment ID: I20080122000694 |
| Provider Name | Thomas M Boetel |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1043276645 PECOS PAC ID: 7315914256 Enrollment ID: I20080205000114 |
| Provider Name | Gary L Famestad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811959323 PECOS PAC ID: 4688577166 Enrollment ID: I20080325000105 |
| Provider Name | Susan K Wicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245359504 PECOS PAC ID: 0941386379 Enrollment ID: I20080326000506 |
| Provider Name | Michael F Mcnamara |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1972575843 PECOS PAC ID: 4688608748 Enrollment ID: I20080501000437 |
| Provider Name | Kelly J Messner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457522179 PECOS PAC ID: 2769561174 Enrollment ID: I20080509000119 |
| Provider Name | Brock J Doubledee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013994730 PECOS PAC ID: 4284688813 Enrollment ID: I20080513000007 |
| Provider Name | Dana Eden Brandys |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336339357 PECOS PAC ID: 9335233147 Enrollment ID: I20080605000069 |
| Provider Name | Gaddum H Reddy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356389118 PECOS PAC ID: 9739156746 Enrollment ID: I20080623000518 |
| Provider Name | Geoffrey T Tufty |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104886654 PECOS PAC ID: 7618869678 Enrollment ID: I20080626000702 |
| Provider Name | Meredith L Kemper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215145784 PECOS PAC ID: 7416021381 Enrollment ID: I20080811000635 |
| Provider Name | Marc Alan Capitano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285612978 PECOS PAC ID: 5395643480 Enrollment ID: I20080812000492 |
| Provider Name | Matthew J Sorrell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972577757 PECOS PAC ID: 7012806375 Enrollment ID: I20080814000769 |
| Provider Name | Desirae M Muirhead |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740490333 PECOS PAC ID: 6002981297 Enrollment ID: I20080822000442 |
| Provider Name | Keri L Orstad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821009143 PECOS PAC ID: 8022015544 Enrollment ID: I20080825000276 |
| Provider Name | Jon G Ryckman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437311735 PECOS PAC ID: 8426124249 Enrollment ID: I20080902000512 |
| Provider Name | Jenifer D Reitsma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598911182 PECOS PAC ID: 6204902919 Enrollment ID: I20080903000627 |
| Provider Name | Tracy F Sorenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629224167 PECOS PAC ID: 5193892529 Enrollment ID: I20080926000003 |
| Provider Name | Rebecca A Palugyay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295982577 PECOS PAC ID: 9931276268 Enrollment ID: I20080929000100 |
| Provider Name | Brian D Tjarks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215935325 PECOS PAC ID: 4284523705 Enrollment ID: I20081020000159 |
| Provider Name | William C Spanos |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184833584 PECOS PAC ID: 7911061858 Enrollment ID: I20090121000644 |
| Provider Name | Srividya Srinivasan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790923100 PECOS PAC ID: 6305902917 Enrollment ID: I20090306000068 |
| Provider Name | Renee M Siegmann |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922110279 PECOS PAC ID: 5799836847 Enrollment ID: I20090630000565 |
| Provider Name | Arvin Lopez Santos |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336363324 PECOS PAC ID: 5395896328 Enrollment ID: I20090702000031 |
| Provider Name | Steven C Mcgraw |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396702338 PECOS PAC ID: 9234281817 Enrollment ID: I20090713000082 |
| Provider Name | Tonya R Adamiak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174570659 PECOS PAC ID: 0446304364 Enrollment ID: I20090812000199 |
| Provider Name | Miranda M Pray Dede |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174668107 PECOS PAC ID: 5193828853 Enrollment ID: I20090824000676 |
| Provider Name | Richard A Clark |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457466617 PECOS PAC ID: 6103971254 Enrollment ID: I20090826000275 |
| Provider Name | Elizabeth Bromert Bauer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124024153 PECOS PAC ID: 7315982337 Enrollment ID: I20090826000341 |
| Provider Name | Michelle L Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912107426 PECOS PAC ID: 3678628740 Enrollment ID: I20090826000478 |
| Provider Name | Christopher J Janssen |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1063686186 PECOS PAC ID: 9032264817 Enrollment ID: I20090831000313 |
| Provider Name | Michele M Lohr |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215908686 PECOS PAC ID: 6103853189 Enrollment ID: I20090901000228 |
| Provider Name | Devin Bissoon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215120506 PECOS PAC ID: 3375698129 Enrollment ID: I20090901000229 |
| Provider Name | Kayelyn J Wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043429087 PECOS PAC ID: 5991850620 Enrollment ID: I20090902000351 |
| Provider Name | Alexey Merunko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467699926 PECOS PAC ID: 7012062540 Enrollment ID: I20090903000734 |
| Provider Name | Christopher D Fischer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679736755 PECOS PAC ID: 3274688601 Enrollment ID: I20090908000336 |
| Provider Name | Mark G Lounsbery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568654648 PECOS PAC ID: 2860548948 Enrollment ID: I20090914000794 |
| Provider Name | Angela Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699906370 PECOS PAC ID: 4486700143 Enrollment ID: I20090922000132 |
| Provider Name | Tracy A Kallheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932251139 PECOS PAC ID: 1153468582 Enrollment ID: I20091016000409 |
| Provider Name | Tonya R Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629200639 PECOS PAC ID: 8426196866 Enrollment ID: I20091105000278 |
| Provider Name | Lindsay K Speer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447584743 PECOS PAC ID: 9537207477 Enrollment ID: I20091112000471 |
| Provider Name | Kristin J Turek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386979623 PECOS PAC ID: 8426196361 Enrollment ID: I20091112000491 |
| Provider Name | Randal L Welter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336101831 PECOS PAC ID: 2365345832 Enrollment ID: I20091120000610 |
| Provider Name | Marlene K Schulz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285869453 PECOS PAC ID: 5698814754 Enrollment ID: I20091202000469 |
| Provider Name | David L Hoversten |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326014135 PECOS PAC ID: 2769521657 Enrollment ID: I20091207000283 |
| Provider Name | Catherine M Martin Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669608600 PECOS PAC ID: 1850432899 Enrollment ID: I20100112000864 |
| Provider Name | Glenn A Ridder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003816885 PECOS PAC ID: 7214078294 Enrollment ID: I20100113000341 |
| Provider Name | Caryn M Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821098633 PECOS PAC ID: 2264573245 Enrollment ID: I20100113000386 |
| Provider Name | Robert R. Seidel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760488209 PECOS PAC ID: 9133031917 Enrollment ID: I20100113000575 |
| Provider Name | James A Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528094497 PECOS PAC ID: 3779626411 Enrollment ID: I20100203000805 |
| Provider Name | Brian C Aamlid |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710984133 PECOS PAC ID: 7517959943 Enrollment ID: I20100211000439 |
| Provider Name | Mark W Johnson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558347765 PECOS PAC ID: 4981696671 Enrollment ID: I20100223000540 |
| Provider Name | Ali D Jassim |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265418248 PECOS PAC ID: 5991797516 Enrollment ID: I20100223000714 |
| Provider Name | Andrew J Chontos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699708800 PECOS PAC ID: 0749263465 Enrollment ID: I20100322000534 |
| Provider Name | Brenna L Tate |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164756243 PECOS PAC ID: 4981745015 Enrollment ID: I20100324000579 |
| Provider Name | Lisa J Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285600965 PECOS PAC ID: 8022172261 Enrollment ID: I20100504000712 |
| Provider Name | Michelle M Vandemark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518283779 PECOS PAC ID: 8527197078 Enrollment ID: I20100521000770 |
| Provider Name | Fanny M Jaquez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740212208 PECOS PAC ID: 1456341726 Enrollment ID: I20100604000563 |
| Provider Name | Gretchen D Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336101849 PECOS PAC ID: 1658402862 Enrollment ID: I20100703000043 |
| Provider Name | Laurie B Landeen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043216799 PECOS PAC ID: 5193808327 Enrollment ID: I20100826000349 |
| Provider Name | Jeanne R Hassebroek-johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740286491 PECOS PAC ID: 1850468265 Enrollment ID: I20100826000365 |
| Provider Name | Mir H Ali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841454634 PECOS PAC ID: 3476692245 Enrollment ID: I20100826001191 |
| Provider Name | Matthew D Jahraus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750588703 PECOS PAC ID: 5496879207 Enrollment ID: I20100831000903 |
| Provider Name | Lee T Austin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306927074 PECOS PAC ID: 6709900145 Enrollment ID: I20100907001136 |
| Provider Name | Ryan David Jepperson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184836199 PECOS PAC ID: 5799800470 Enrollment ID: I20100917001005 |
| Provider Name | Melinda R Talley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881851558 PECOS PAC ID: 2860542461 Enrollment ID: I20100917001043 |
| Provider Name | Sarah C Kerr |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1265630719 PECOS PAC ID: 4789700279 Enrollment ID: I20100921001222 |
| Provider Name | Carl S Galloway |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518291293 PECOS PAC ID: 5395861132 Enrollment ID: I20100929000650 |
| Provider Name | Rachael Dekker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033423322 PECOS PAC ID: 7719003565 Enrollment ID: I20100929000699 |
| Provider Name | Shane D Hartman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699818013 PECOS PAC ID: 0345366100 Enrollment ID: I20100929000835 |
| Provider Name | David W Bean |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477515948 PECOS PAC ID: 2860395332 Enrollment ID: I20101004001432 |
| Provider Name | Christina E Lankhorst |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134336340 PECOS PAC ID: 7416040753 Enrollment ID: I20101019001240 |
| Provider Name | Charles E Flohr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306808738 PECOS PAC ID: 7719880285 Enrollment ID: I20101020001042 |
| Provider Name | Terry D Yeager |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760444269 PECOS PAC ID: 6002009016 Enrollment ID: I20101022000769 |
| Provider Name | Susan M Duffek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538121959 PECOS PAC ID: 3274726112 Enrollment ID: I20101022001133 |
| Provider Name | Rochelle M Christensen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497795769 PECOS PAC ID: 8224024757 Enrollment ID: I20101023000040 |
| Provider Name | Edward J Czarnecki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093777443 PECOS PAC ID: 2062606601 Enrollment ID: I20101028000161 |
| Provider Name | Thomas W Free |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962468926 PECOS PAC ID: 0749474914 Enrollment ID: I20101101001489 |
| Provider Name | Dustin M Snelling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174501043 PECOS PAC ID: 3577757681 Enrollment ID: I20101103000207 |
| Provider Name | Robert M Smith |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1538113337 PECOS PAC ID: 9032190434 Enrollment ID: I20101105000414 |
| Provider Name | Kristofer Kimber |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942493721 PECOS PAC ID: 2163575622 Enrollment ID: I20101111000210 |
| Provider Name | Braj N Singh |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1295049757 PECOS PAC ID: 2668668427 Enrollment ID: I20101119000374 |
| Provider Name | Jennifer S Degroot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841500857 PECOS PAC ID: 1456548239 Enrollment ID: I20101206000625 |
| Provider Name | Thavachenthan Thambipillai |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1487610465 PECOS PAC ID: 3779598164 Enrollment ID: I20101207000349 |
| Provider Name | Leslie A Greguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699079095 PECOS PAC ID: 9830370428 Enrollment ID: I20110302000755 |
| Provider Name | Pamela K Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689988743 PECOS PAC ID: 6002092905 Enrollment ID: I20110510000571 |
| Provider Name | John H Shelso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164425740 PECOS PAC ID: 1456303676 Enrollment ID: I20110606000456 |
| Provider Name | Patty A Juhnke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790941748 PECOS PAC ID: 4082891346 Enrollment ID: I20110614000435 |
| Provider Name | Mohammad Qamar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104035955 PECOS PAC ID: 6002954195 Enrollment ID: I20110629000364 |
| Provider Name | Patrick D Munson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811976285 PECOS PAC ID: 1658390042 Enrollment ID: I20110722000421 |
| Provider Name | Muslim Atiq |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548475031 PECOS PAC ID: 5294904504 Enrollment ID: I20110802000758 |
| Provider Name | Michael W Shirley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467629477 PECOS PAC ID: 9931379344 Enrollment ID: I20110823000145 |
| Provider Name | Matthew D Tschetter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568692671 PECOS PAC ID: 4688844822 Enrollment ID: I20110826000213 |
| Provider Name | Nofil Irfan Arain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568543932 PECOS PAC ID: 3971773920 Enrollment ID: I20110830000281 |
| Provider Name | Anthony J Rupp |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154524288 PECOS PAC ID: 1052507704 Enrollment ID: I20110912000517 |
| Provider Name | Vishnu V Kanala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073779138 PECOS PAC ID: 1153592704 Enrollment ID: I20110912000792 |
| Provider Name | Janet Dubois |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164646782 PECOS PAC ID: 4486754694 Enrollment ID: I20110914000006 |
| Provider Name | Ellen E Hopper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487850913 PECOS PAC ID: 9335310515 Enrollment ID: I20110920000181 |
| Provider Name | Julia A Prescott Focht |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619907706 PECOS PAC ID: 5799974432 Enrollment ID: I20110920000826 |
| Provider Name | Godfrey O Wabwire |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225325459 PECOS PAC ID: 1759552722 Enrollment ID: I20110922000686 |
| Provider Name | Obinna E Nwadibia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790940658 PECOS PAC ID: 0547431470 Enrollment ID: I20110926000010 |
| Provider Name | Christopher K Boschee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295992154 PECOS PAC ID: 0042481897 Enrollment ID: I20110927000718 |
| Provider Name | Emily E Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255610572 PECOS PAC ID: 1153593843 Enrollment ID: I20110929000742 |
| Provider Name | Pastel A Fligge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821255647 PECOS PAC ID: 0345412946 Enrollment ID: I20111004000001 |
| Provider Name | Amanda L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699056069 PECOS PAC ID: 8426220021 Enrollment ID: I20111004000011 |
| Provider Name | Sarah J Sorrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245528900 PECOS PAC ID: 3274705371 Enrollment ID: I20111014000361 |
| Provider Name | Stephen E Messier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174727184 PECOS PAC ID: 0345413118 Enrollment ID: I20111024000696 |
| Provider Name | Ramesh Kashyap |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912203696 PECOS PAC ID: 7315110194 Enrollment ID: I20111024000742 |
| Provider Name | Jennifer S Senge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033403233 PECOS PAC ID: 8325213481 Enrollment ID: I20111219000831 |
| Provider Name | Heather E Mcdougall |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396840401 PECOS PAC ID: 6507032976 Enrollment ID: I20120106000134 |
| Provider Name | Brooke M Brusseau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609157189 PECOS PAC ID: 3173799467 Enrollment ID: I20120109000733 |
| Provider Name | David P Ellis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659411080 PECOS PAC ID: 6507962560 Enrollment ID: I20120111000252 |
| Provider Name | Cassandra L Bondesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427334341 PECOS PAC ID: 6507033024 Enrollment ID: I20120124000144 |
| Provider Name | Amy B Kelley-osodoba |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598847154 PECOS PAC ID: 2567568934 Enrollment ID: I20120221000722 |
| Provider Name | Kevin J Aston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457319121 PECOS PAC ID: 9537262894 Enrollment ID: I20120404000303 |
| Provider Name | Jacob M Kusmak |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1285833459 PECOS PAC ID: 4789847971 Enrollment ID: I20120525000562 |
| Provider Name | Jonathan S Bleeker |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457573974 PECOS PAC ID: 2860557998 Enrollment ID: I20120619000290 |
| Provider Name | Barney Daniel Stoutamire |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619198801 PECOS PAC ID: 5890829725 Enrollment ID: I20120705000514 |
| Provider Name | Joshua J Vetter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124280136 PECOS PAC ID: 5193993848 Enrollment ID: I20120808000843 |
| Provider Name | Erica L Schipper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942263660 PECOS PAC ID: 7214111962 Enrollment ID: I20120810000100 |
| Provider Name | Roxana A Lupu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801059936 PECOS PAC ID: 2860662665 Enrollment ID: I20120810000129 |
| Provider Name | Karla R Salem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881631463 PECOS PAC ID: 9931105137 Enrollment ID: I20120813000147 |
| Provider Name | Mark S Monasky |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467537217 PECOS PAC ID: 3476536772 Enrollment ID: I20120813000611 |
| Provider Name | Jesse L Dirksen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730389941 PECOS PAC ID: 3476715301 Enrollment ID: I20120814000047 |
| Provider Name | Aaron D Berg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154530020 PECOS PAC ID: 2860648458 Enrollment ID: I20120815000040 |
| Provider Name | Meredith L Hayes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457339897 PECOS PAC ID: 9830162668 Enrollment ID: I20120816000679 |
| Provider Name | Wendy A Vetter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053575092 PECOS PAC ID: 6305093287 Enrollment ID: I20120828000783 |
| Provider Name | Matthew S Hayes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538148481 PECOS PAC ID: 6507827128 Enrollment ID: I20120905000571 |
| Provider Name | Betsy Jo Rentschler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598010662 PECOS PAC ID: 8628225109 Enrollment ID: I20120906000455 |
| Provider Name | Shannon R Peck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083819650 PECOS PAC ID: 2668513276 Enrollment ID: I20120920000191 |
| Provider Name | Jessica M Dickes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093979429 PECOS PAC ID: 2769631282 Enrollment ID: I20120927000198 |
| Provider Name | Jorge E Patino Buelvas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003040296 PECOS PAC ID: 2769632314 Enrollment ID: I20121017000503 |
| Provider Name | Sara J Ruter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346475787 PECOS PAC ID: 4183874597 Enrollment ID: I20121019000692 |
| Provider Name | Jody N Huber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558564567 PECOS PAC ID: 5991955304 Enrollment ID: I20121020000013 |
| Provider Name | Wallace L Fritz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114169646 PECOS PAC ID: 6800046079 Enrollment ID: I20121024000329 |
| Provider Name | Marioara D Gavozdea Barna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144575234 PECOS PAC ID: 8921258112 Enrollment ID: I20121024000539 |
| Provider Name | Bhargavi Ghanta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114156676 PECOS PAC ID: 4284884479 Enrollment ID: I20121024000561 |
| Provider Name | Brett D Baloun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245448869 PECOS PAC ID: 2466523824 Enrollment ID: I20121025000108 |
| Provider Name | Elizabeth D Rubin-peck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669678777 PECOS PAC ID: 7113103326 Enrollment ID: I20121025000141 |
| Provider Name | Kerry R Jerke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649525825 PECOS PAC ID: 5799935813 Enrollment ID: I20121026000370 |
| Provider Name | Bethany K Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013263979 PECOS PAC ID: 6406007079 Enrollment ID: I20121107000280 |
| Provider Name | Kelly J Steffen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043430572 PECOS PAC ID: 2365693793 Enrollment ID: I20121113000415 |
| Provider Name | Angela J Merron |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508129586 PECOS PAC ID: 2163673088 Enrollment ID: I20121127000009 |
| Provider Name | Amy L Wagoner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376554568 PECOS PAC ID: 6406939321 Enrollment ID: I20121128000532 |
| Provider Name | Michelle J Holtquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487909008 PECOS PAC ID: 5991957821 Enrollment ID: I20121128000609 |
| Provider Name | Laurie A Richards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508826447 PECOS PAC ID: 5092967885 Enrollment ID: I20121129000522 |
| Provider Name | Kurt R Eeg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558542738 PECOS PAC ID: 5092897991 Enrollment ID: I20121130000440 |
| Provider Name | Chuanpit Moser |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730285222 PECOS PAC ID: 0749244291 Enrollment ID: I20121201000050 |
| Provider Name | Ashley M Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619227519 PECOS PAC ID: 4880846237 Enrollment ID: I20121210000496 |
| Provider Name | Rebecca A Risty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437401247 PECOS PAC ID: 6103078282 Enrollment ID: I20121219000139 |
| Provider Name | Paula L Denevan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750488227 PECOS PAC ID: 5597762138 Enrollment ID: I20121219000293 |
| Provider Name | Balasubramanya Kolar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285824011 PECOS PAC ID: 2961655873 Enrollment ID: I20121228000458 |
| Provider Name | Uma M Motapothula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225365927 PECOS PAC ID: 5799938528 Enrollment ID: I20130103000448 |
| Provider Name | Matthew C Anderson |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1477590925 PECOS PAC ID: 8729092275 Enrollment ID: I20130130000381 |
| Provider Name | Kassy A Thorpe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750538096 PECOS PAC ID: 0244377877 Enrollment ID: I20130206000441 |
| Provider Name | Paul M Bjordahl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366647885 PECOS PAC ID: 4284765629 Enrollment ID: I20130211000541 |
| Provider Name | Mary D Nettleman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699702613 PECOS PAC ID: 9335279108 Enrollment ID: I20130306000259 |
| Provider Name | David M Maziarz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1265643985 PECOS PAC ID: 1951494731 Enrollment ID: I20130522000340 |
| Provider Name | Bette J Paulsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841263837 PECOS PAC ID: 1850539214 Enrollment ID: I20130524000647 |
| Provider Name | Jason Knudtson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255317038 PECOS PAC ID: 6507836376 Enrollment ID: I20130618000658 |
| Provider Name | Kevin P Gildner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922086958 PECOS PAC ID: 9537234513 Enrollment ID: I20130703000516 |
| Provider Name | Sarah E Konrady |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477999597 PECOS PAC ID: 0547400640 Enrollment ID: I20130715000255 |
| Provider Name | Nicole J Grossenburg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285755587 PECOS PAC ID: 5799971768 Enrollment ID: I20130724000056 |
| Provider Name | Shane M Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144554296 PECOS PAC ID: 4486895935 Enrollment ID: I20130725000189 |
| Provider Name | Amy M Kerkvliet |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184898090 PECOS PAC ID: 7315188893 Enrollment ID: I20130725000516 |
| Provider Name | Edward A Dickes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932411733 PECOS PAC ID: 8325289663 Enrollment ID: I20130729000556 |
| Provider Name | Nathan L Hensley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265746556 PECOS PAC ID: 1850532029 Enrollment ID: I20130731000038 |
| Provider Name | Melissa J Jensen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932365525 PECOS PAC ID: 1759522881 Enrollment ID: I20130801000055 |
| Provider Name | Kurt J Griffin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982669362 PECOS PAC ID: 8628074150 Enrollment ID: I20130805000397 |
| Provider Name | Tiffany A Von Wald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093825408 PECOS PAC ID: 4486543444 Enrollment ID: I20130808000400 |
| Provider Name | Randall S Fenner |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073780375 PECOS PAC ID: 9335381409 Enrollment ID: I20130820000766 |
| Provider Name | Stacey M Loen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285879445 PECOS PAC ID: 5395800221 Enrollment ID: I20130830000642 |
| Provider Name | Andrew M Terrell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720285323 PECOS PAC ID: 3779747134 Enrollment ID: I20130905000701 |
| Provider Name | Steven F Powell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548454291 PECOS PAC ID: 4284878489 Enrollment ID: I20130909000767 |
| Provider Name | Justin T Kastl |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588873335 PECOS PAC ID: 7113165317 Enrollment ID: I20130910000153 |
| Provider Name | Sreyoshi Thielen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760646699 PECOS PAC ID: 2567651318 Enrollment ID: I20130920000081 |
| Provider Name | Hillary A Becker |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1033316914 PECOS PAC ID: 1658431283 Enrollment ID: I20130920000646 |
| Provider Name | Keely M Hack |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184743148 PECOS PAC ID: 7810154671 Enrollment ID: I20130923000427 |
| Provider Name | Zoilo O Lansang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598077729 PECOS PAC ID: 0244474799 Enrollment ID: I20130923000783 |
| Provider Name | Kjerstin C Purintun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962834101 PECOS PAC ID: 9335373646 Enrollment ID: I20130927000403 |
| Provider Name | Kristi Jo Metzger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861838500 PECOS PAC ID: 8224262787 Enrollment ID: I20131016001290 |
| Provider Name | Chad A. Kurtenbach |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538310107 PECOS PAC ID: 1557518016 Enrollment ID: I20131028001565 |
| Provider Name | Breanne E Anderson Mueller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376771881 PECOS PAC ID: 4587899547 Enrollment ID: I20131028001900 |
| Provider Name | Krista M Hoyme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386960268 PECOS PAC ID: 3870728579 Enrollment ID: I20131106000046 |
| Provider Name | Susan E Hoover |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487690210 PECOS PAC ID: 0648274852 Enrollment ID: I20131119000166 |
| Provider Name | Robin L Horstman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164859427 PECOS PAC ID: 1052547783 Enrollment ID: I20131212000289 |
| Provider Name | Tiffany M Reitsma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275963506 PECOS PAC ID: 0143458307 Enrollment ID: I20140115000060 |
| Provider Name | Whitney K Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013358092 PECOS PAC ID: 1951539006 Enrollment ID: I20140116001485 |
| Provider Name | Arthur J Pepper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659718187 PECOS PAC ID: 2062652480 Enrollment ID: I20140312002146 |
| Provider Name | Suzanne L Bakken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558309211 PECOS PAC ID: 9830120054 Enrollment ID: I20140414000480 |
| Provider Name | Colleen M Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447675640 PECOS PAC ID: 2365675386 Enrollment ID: I20140428002051 |
| Provider Name | Rose Marie Hoiten |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962496752 PECOS PAC ID: 3274568662 Enrollment ID: I20140505002308 |
| Provider Name | Josephine Dc Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891752366 PECOS PAC ID: 1557419710 Enrollment ID: I20140519000765 |
| Provider Name | Ryan W Askeland |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205046265 PECOS PAC ID: 2567512965 Enrollment ID: I20140624001595 |
| Provider Name | Govarthanan Rajendiran |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1962633966 PECOS PAC ID: 8325294259 Enrollment ID: I20140709001118 |
| Provider Name | Dawn R Eckhoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881956811 PECOS PAC ID: 1456576271 Enrollment ID: I20140710000570 |
| Provider Name | David H Daniels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972558229 PECOS PAC ID: 0244318566 Enrollment ID: I20140716001436 |
| Provider Name | Megan J Leddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205242658 PECOS PAC ID: 4284851700 Enrollment ID: I20140807000035 |
| Provider Name | Ryan K Nowak |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265691133 PECOS PAC ID: 5496973232 Enrollment ID: I20140820001153 |
| Provider Name | Aarika L Menees |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699066431 PECOS PAC ID: 9234300898 Enrollment ID: I20140822000397 |
| Provider Name | Casey M Meier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104120955 PECOS PAC ID: 5799902698 Enrollment ID: I20140916002922 |
| Provider Name | Jennifer A Haggar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225357924 PECOS PAC ID: 4789814450 Enrollment ID: I20140919001837 |
| Provider Name | Sherri L Bostwick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508169731 PECOS PAC ID: 6002045366 Enrollment ID: I20140923001449 |
| Provider Name | Douglas W Lynch |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174767842 PECOS PAC ID: 1951544725 Enrollment ID: I20141001002834 |
| Provider Name | Lauritz Md Meyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518126622 PECOS PAC ID: 2567602709 Enrollment ID: I20141014000806 |
| Provider Name | Jennifer A Reed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285924043 PECOS PAC ID: 1153542022 Enrollment ID: I20141016002807 |
| Provider Name | Michelle D Schimelpfenig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649560319 PECOS PAC ID: 7911128723 Enrollment ID: I20141021002930 |
| Provider Name | Heather M Casper-mclay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023426350 PECOS PAC ID: 4183845860 Enrollment ID: I20141021003272 |
| Provider Name | Andrea G. Lamphiear |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982892220 PECOS PAC ID: 2264602853 Enrollment ID: I20141029000702 |
| Provider Name | Marcus L Frohm |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1316141310 PECOS PAC ID: 9830264522 Enrollment ID: I20141029000884 |
| Provider Name | Ann M Sarutzki Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760897268 PECOS PAC ID: 9739301912 Enrollment ID: I20141104002134 |
| Provider Name | Hoang M Nguyen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1962667154 PECOS PAC ID: 9638391766 Enrollment ID: I20141105001301 |
| Provider Name | William C Waterfield |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1871552760 PECOS PAC ID: 2466634258 Enrollment ID: I20141107001473 |
| Provider Name | Jalal U Akbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720063795 PECOS PAC ID: 3971559626 Enrollment ID: I20141111000029 |
| Provider Name | Tony I Oliver Elizabeth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598914970 PECOS PAC ID: 5294904785 Enrollment ID: I20141118001540 |
| Provider Name | Jocelyn J Frohm |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1033220538 PECOS PAC ID: 9931105988 Enrollment ID: I20141120001228 |
| Provider Name | Matthew J Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164830865 PECOS PAC ID: 6002138047 Enrollment ID: I20141203000329 |
| Provider Name | Shannon M Carruthers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437438611 PECOS PAC ID: 6901129048 Enrollment ID: I20141223000040 |
| Provider Name | Naveen Rajpurohit |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235369950 PECOS PAC ID: 9335379197 Enrollment ID: I20141227000119 |
| Provider Name | Adam H Nichols |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063856136 PECOS PAC ID: 3870816788 Enrollment ID: I20141230000651 |
| Provider Name | Erin N Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215341243 PECOS PAC ID: 6305169194 Enrollment ID: I20141231001490 |
| Provider Name | Janelle M Kittelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932503554 PECOS PAC ID: 8820312960 Enrollment ID: I20150121001383 |
| Provider Name | Lesta Dell Seger Whalen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619172145 PECOS PAC ID: 4587890801 Enrollment ID: I20150205002004 |
| Provider Name | Kelly A Ming |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023246915 PECOS PAC ID: 7214168251 Enrollment ID: I20150206000008 |
| Provider Name | Ronald J Ruszkowski |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1245237296 PECOS PAC ID: 8820031743 Enrollment ID: I20150213000367 |
| Provider Name | Nichole F Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699163253 PECOS PAC ID: 5193040806 Enrollment ID: I20150220000633 |
| Provider Name | Pamela Barthle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881837946 PECOS PAC ID: 9739239567 Enrollment ID: I20150228000020 |
| Provider Name | Mark Beard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013010081 PECOS PAC ID: 5193877827 Enrollment ID: I20150306000333 |
| Provider Name | Kiran Poudel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982803508 PECOS PAC ID: 2860545605 Enrollment ID: I20150319001549 |
| Provider Name | Sandeep S Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194990945 PECOS PAC ID: 3678742723 Enrollment ID: I20150414002450 |
| Provider Name | Jenny K Jenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417347196 PECOS PAC ID: 9133448384 Enrollment ID: I20150511000252 |
| Provider Name | Todd W Persson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164811618 PECOS PAC ID: 4880914233 Enrollment ID: I20150526002124 |
| Provider Name | Adebola Adesanya |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124080288 PECOS PAC ID: 0244331775 Enrollment ID: I20150526002612 |
| Provider Name | Margaret J Kuiper |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659587673 PECOS PAC ID: 7416106745 Enrollment ID: I20150606000113 |
| Provider Name | Jacklyn Ann Karli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003203456 PECOS PAC ID: 5395066823 Enrollment ID: I20150609000822 |
| Provider Name | Amy L Hiuser |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861624264 PECOS PAC ID: 2466763511 Enrollment ID: I20150616003100 |
| Provider Name | Ryan E Manson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164701876 PECOS PAC ID: 7214248913 Enrollment ID: I20150622002748 |
| Provider Name | Michelle M Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205244860 PECOS PAC ID: 9436464807 Enrollment ID: I20150813010687 |
| Provider Name | Christopher J Sumey |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588836548 PECOS PAC ID: 2567640055 Enrollment ID: I20150818003552 |
| Provider Name | Jessica Renee White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184881252 PECOS PAC ID: 9032397641 Enrollment ID: I20150824002329 |
| Provider Name | Connie N Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992016562 PECOS PAC ID: 3476869959 Enrollment ID: I20150828000914 |
| Provider Name | Peter Joachim Niemann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669602918 PECOS PAC ID: 1557517950 Enrollment ID: I20150901001171 |
| Provider Name | Timothy J Dillard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154680429 PECOS PAC ID: 7719116664 Enrollment ID: I20150901002708 |
| Provider Name | Lindsay Barnes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265425870 PECOS PAC ID: 5799913927 Enrollment ID: I20150908000045 |
| Provider Name | Abigail Grace Piazza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225384019 PECOS PAC ID: 6305069147 Enrollment ID: I20150908001273 |
| Provider Name | Daniele M Hartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366818114 PECOS PAC ID: 7911214465 Enrollment ID: I20150915003153 |
| Provider Name | Lyndsie A Deragisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700262664 PECOS PAC ID: 0840507323 Enrollment ID: I20150916000564 |
| Provider Name | Shana N Bauer-vaith |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1043695679 PECOS PAC ID: 0143538579 Enrollment ID: I20151002002660 |
| Provider Name | Natalie C Renda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710146329 PECOS PAC ID: 8729102496 Enrollment ID: I20151005000523 |
| Provider Name | Nichole R Krier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417330879 PECOS PAC ID: 8224346523 Enrollment ID: I20151007000436 |
| Provider Name | Robert Dons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508905928 PECOS PAC ID: 4183765431 Enrollment ID: I20151008002750 |
| Provider Name | Jason T Wurth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508840109 PECOS PAC ID: 6901895507 Enrollment ID: I20151009000036 |
| Provider Name | Sassen S Kwasa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255699260 PECOS PAC ID: 7113156233 Enrollment ID: I20151012000528 |
| Provider Name | David Bettis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053425603 PECOS PAC ID: 5597829895 Enrollment ID: I20151014003169 |
| Provider Name | Gilbert Simoni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316922958 PECOS PAC ID: 7315970787 Enrollment ID: I20151016001114 |
| Provider Name | Gokhan Olgun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144453762 PECOS PAC ID: 4789993205 Enrollment ID: I20151023002259 |
| Provider Name | Julie M Mayo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497711824 PECOS PAC ID: 5193751949 Enrollment ID: I20151028003129 |
| Provider Name | Ihab Hammoud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538378617 PECOS PAC ID: 0749475549 Enrollment ID: I20151104000824 |
| Provider Name | Stacy Lynn Rausch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992181200 PECOS PAC ID: 0749590479 Enrollment ID: I20151110001502 |
| Provider Name | Carolyn E Gilbertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679835979 PECOS PAC ID: 8729217013 Enrollment ID: I20151112003044 |
| Provider Name | Kimberly R Hamer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497127005 PECOS PAC ID: 5799086997 Enrollment ID: I20151211002262 |
| Provider Name | Mihir K Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649467218 PECOS PAC ID: 5890819692 Enrollment ID: I20151222000937 |
| Provider Name | Lindsay D Horstman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558769356 PECOS PAC ID: 4880997337 Enrollment ID: I20160118000529 |
| Provider Name | Patricia G Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629354634 PECOS PAC ID: 3173826922 Enrollment ID: I20160128000710 |
| Provider Name | David Charles Simon |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1518908581 PECOS PAC ID: 1951322148 Enrollment ID: I20160211000725 |
| Provider Name | Barbara J Wendell-schechter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427413038 PECOS PAC ID: 9234434267 Enrollment ID: I20160229001634 |
| Provider Name | Jacqueline R Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245644780 PECOS PAC ID: 3971808874 Enrollment ID: I20160301000920 |
| Provider Name | Ahmed N Hassan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548426745 PECOS PAC ID: 8123179348 Enrollment ID: I20160303000793 |
| Provider Name | Amy M Soetaert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093741290 PECOS PAC ID: 1052467404 Enrollment ID: I20160316001413 |
| Provider Name | Casey D Grimsrud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134538085 PECOS PAC ID: 5092011056 Enrollment ID: I20160317000590 |
| Provider Name | Cari A Folkens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194184358 PECOS PAC ID: 5193023646 Enrollment ID: I20160415001524 |
| Provider Name | Mian Mansoor Javaid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184960452 PECOS PAC ID: 3173757101 Enrollment ID: I20160418001095 |
| Provider Name | Atif Shahzad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538361241 PECOS PAC ID: 0840382065 Enrollment ID: I20160420000325 |
| Provider Name | Thomas F Lieb |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871537563 PECOS PAC ID: 9436043858 Enrollment ID: I20160421001799 |
| Provider Name | Sella N Borgum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457718967 PECOS PAC ID: 0749570851 Enrollment ID: I20160601002960 |
| Provider Name | Stacey D Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982887493 PECOS PAC ID: 9638239700 Enrollment ID: I20160617001931 |
| Provider Name | Angelo Humberto Paredes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235289398 PECOS PAC ID: 9133318611 Enrollment ID: I20160719000853 |
| Provider Name | Bradley D Kamstra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538151287 PECOS PAC ID: 3375612310 Enrollment ID: I20160719001392 |
| Provider Name | Venkata S Dandamudi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184873762 PECOS PAC ID: 8729266234 Enrollment ID: I20160719001438 |
| Provider Name | Amit Jain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497080873 PECOS PAC ID: 1153616933 Enrollment ID: I20160817002635 |
| Provider Name | Jessica L Olcott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891131512 PECOS PAC ID: 6305086224 Enrollment ID: I20160908002438 |
| Provider Name | Kunut Kijsirichareanchai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386965580 PECOS PAC ID: 1254563638 Enrollment ID: I20160910000287 |
| Provider Name | Melissa A Acquazzino |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871722413 PECOS PAC ID: 8426209503 Enrollment ID: I20160913002914 |
| Provider Name | Jacalyn K Person |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093260523 PECOS PAC ID: 2264728393 Enrollment ID: I20160915001233 |
| Provider Name | Emily Renee Haggerty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336581552 PECOS PAC ID: 7214224021 Enrollment ID: I20160922000386 |
| Provider Name | Kathy M Geraets |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225472152 PECOS PAC ID: 4082843354 Enrollment ID: I20160922001393 |
| Provider Name | Kaitlyn Isaacson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003361296 PECOS PAC ID: 4183911670 Enrollment ID: I20160927002522 |
| Provider Name | James Won |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245340439 PECOS PAC ID: 2860445889 Enrollment ID: I20160927002911 |
| Provider Name | Paul A Berger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699921163 PECOS PAC ID: 7810295409 Enrollment ID: I20160929002005 |
| Provider Name | Amy C Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497199244 PECOS PAC ID: 2668601923 Enrollment ID: I20161026002006 |
| Provider Name | Julie L Weigandt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053670729 PECOS PAC ID: 7012295777 Enrollment ID: I20161031002101 |
| Provider Name | Jessica A Hagg |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1679958524 PECOS PAC ID: 1355629833 Enrollment ID: I20161103002387 |
| Provider Name | Kali F Huiskes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437501186 PECOS PAC ID: 0042598443 Enrollment ID: I20161104000698 |
| Provider Name | Rebecca A Krivarchka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760835276 PECOS PAC ID: 6103105390 Enrollment ID: I20161110001460 |
| Provider Name | Ukamaka N Nwadibia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316280936 PECOS PAC ID: 6709015985 Enrollment ID: I20161115002266 |
| Provider Name | Ashley J Holen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528519535 PECOS PAC ID: 1850671231 Enrollment ID: I20161130001161 |
| Provider Name | Amir M Abolhoda |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1891875951 PECOS PAC ID: 5597659037 Enrollment ID: I20161130001895 |
| Provider Name | Adam Gorra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730260803 PECOS PAC ID: 0345419917 Enrollment ID: I20161130002122 |
| Provider Name | Anish R Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346684115 PECOS PAC ID: 8729210455 Enrollment ID: I20161202000859 |
| Provider Name | Christina M Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255772257 PECOS PAC ID: 5294978532 Enrollment ID: I20161206002318 |
| Provider Name | Michal M Putzke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811358922 PECOS PAC ID: 2264712264 Enrollment ID: I20161208002490 |
| Provider Name | Brandi L Gjoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326598046 PECOS PAC ID: 5799065645 Enrollment ID: I20161209001948 |
| Provider Name | Jennifer L Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447703962 PECOS PAC ID: 7113207978 Enrollment ID: I20161213001769 |
| Provider Name | Adam R Norenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912452285 PECOS PAC ID: 5597045252 Enrollment ID: I20161215000809 |
| Provider Name | Stephanie A Bargmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669921136 PECOS PAC ID: 0840571931 Enrollment ID: I20170104000298 |
| Provider Name | Sarah Heckel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285177782 PECOS PAC ID: 2163703273 Enrollment ID: I20170104001299 |
| Provider Name | Rachel M Lynde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043769383 PECOS PAC ID: 5890076921 Enrollment ID: I20170104001766 |
| Provider Name | Elizabeth A Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619426111 PECOS PAC ID: 5395026330 Enrollment ID: I20170105000409 |
| Provider Name | Stephanie Van Dam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609327386 PECOS PAC ID: 8123309861 Enrollment ID: I20170111002393 |
| Provider Name | Michelle L Kutzke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972995371 PECOS PAC ID: 3779865373 Enrollment ID: I20170113002429 |
| Provider Name | Christopher H De Berg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689021537 PECOS PAC ID: 1557643509 Enrollment ID: I20170126001774 |
| Provider Name | Divyajot Sandhu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790915973 PECOS PAC ID: 6800193681 Enrollment ID: I20170126002503 |
| Provider Name | Michelle D Vanhove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679837413 PECOS PAC ID: 8820247828 Enrollment ID: I20170202001182 |
| Provider Name | Sara Angeline Kruse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417314295 PECOS PAC ID: 4981995768 Enrollment ID: I20170203001546 |
| Provider Name | Stacy R Stoterau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497203780 PECOS PAC ID: 0345523965 Enrollment ID: I20170206001772 |
| Provider Name | Katie E Larson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043576853 PECOS PAC ID: 6800026675 Enrollment ID: I20170309001903 |
| Provider Name | Donovan Dewayne Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699069930 PECOS PAC ID: 4688893027 Enrollment ID: I20170313000698 |
| Provider Name | Megan M Burgers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801105770 PECOS PAC ID: 9830475771 Enrollment ID: I20170407001753 |
| Provider Name | Timothy M Mccashland |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417908989 PECOS PAC ID: 0143364059 Enrollment ID: I20170502002633 |
| Provider Name | Elinor A Bunde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750523635 PECOS PAC ID: 5991950412 Enrollment ID: I20170509000327 |
| Provider Name | Alexis Bouteneff |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316982515 PECOS PAC ID: 1153461876 Enrollment ID: I20170509002108 |
| Provider Name | Jennifer A Waller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295271690 PECOS PAC ID: 9335426956 Enrollment ID: I20170509002348 |
| Provider Name | Christina J Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982141529 PECOS PAC ID: 7315224730 Enrollment ID: I20170511001599 |
| Provider Name | Cassandra K Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184168007 PECOS PAC ID: 7911284260 Enrollment ID: I20170515001972 |
| Provider Name | Dominick Anthony Rascona |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679540553 PECOS PAC ID: 9032289491 Enrollment ID: I20170524002638 |
| Provider Name | Michael J Crimmins |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689830564 PECOS PAC ID: 8426235003 Enrollment ID: I20170601001040 |
| Provider Name | Mark E Mailliard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699725036 PECOS PAC ID: 6002942398 Enrollment ID: I20170607001780 |
| Provider Name | Grant D Syverson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316033749 PECOS PAC ID: 7315125432 Enrollment ID: I20170622000827 |
| Provider Name | Sandra M Peynado Rojas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134354764 PECOS PAC ID: 5395976013 Enrollment ID: I20170629001368 |
| Provider Name | Arveity R Setty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174755615 PECOS PAC ID: 2769623032 Enrollment ID: I20170720002958 |
| Provider Name | Jolene Mitchell |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1215299292 PECOS PAC ID: 5698095859 Enrollment ID: I20170821003562 |
| Provider Name | John A Simonson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598184921 PECOS PAC ID: 6709003734 Enrollment ID: I20170826000450 |
| Provider Name | Kelli Jo Kolander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396296935 PECOS PAC ID: 1658644844 Enrollment ID: I20170911001315 |
| Provider Name | Megan M Weston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952843054 PECOS PAC ID: 4789957879 Enrollment ID: I20170912002608 |
| Provider Name | Holly A Hedge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043451412 PECOS PAC ID: 5799833778 Enrollment ID: I20170920001193 |
| Provider Name | Mindi K Vandekamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235651837 PECOS PAC ID: 5193099695 Enrollment ID: I20170921003695 |
| Provider Name | Jenny M Guido |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679800924 PECOS PAC ID: 8325312820 Enrollment ID: I20170921003827 |
| Provider Name | Jamal Dodin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609294081 PECOS PAC ID: 5799902748 Enrollment ID: I20170927000358 |
| Provider Name | Michael R Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437562139 PECOS PAC ID: 7517188378 Enrollment ID: I20170928000982 |
| Provider Name | Brandi L Craig |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043765019 PECOS PAC ID: 7416244868 Enrollment ID: I20171006002393 |
| Provider Name | Donella L Herman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1548608771 PECOS PAC ID: 2668601931 Enrollment ID: I20171006002589 |
| Provider Name | Abrea A Roark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508156613 PECOS PAC ID: 9234441262 Enrollment ID: I20171010001031 |
| Provider Name | Laura A Whittington |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518257047 PECOS PAC ID: 9436389384 Enrollment ID: I20171011002279 |
| Provider Name | Shaina L Riggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497193239 PECOS PAC ID: 9335370303 Enrollment ID: I20171019002053 |
| Provider Name | Afton Sue Zediker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881113199 PECOS PAC ID: 5193091924 Enrollment ID: I20171024000963 |
| Provider Name | Alisha Hemraj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306286992 PECOS PAC ID: 8921364290 Enrollment ID: I20171102002798 |
| Provider Name | Daniel W Mark |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1366704694 PECOS PAC ID: 6800017088 Enrollment ID: I20171103000112 |
| Provider Name | Nina N Bishop |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477973774 PECOS PAC ID: 7012273063 Enrollment ID: I20171108002037 |
| Provider Name | Kayla M Norenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104246297 PECOS PAC ID: 0244456077 Enrollment ID: I20171114003213 |
| Provider Name | Brooke E Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851690051 PECOS PAC ID: 1759647159 Enrollment ID: I20171116002625 |
| Provider Name | Brett D Fischer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982123659 PECOS PAC ID: 7517224793 Enrollment ID: I20171122002471 |
| Provider Name | Zachary Deutsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396260840 PECOS PAC ID: 3577820406 Enrollment ID: I20171201001676 |
| Provider Name | Robert Eugene Van Demark |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063708915 PECOS PAC ID: 1355590597 Enrollment ID: I20171206000473 |
| Provider Name | Sarah L Dorr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104335728 PECOS PAC ID: 2668739202 Enrollment ID: I20171206002461 |
| Provider Name | Chelsea A Dewaard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497264063 PECOS PAC ID: 9931467263 Enrollment ID: I20171214001992 |
| Provider Name | Shauna M Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275042707 PECOS PAC ID: 7517225592 Enrollment ID: I20171220002833 |
| Provider Name | Blake Kadinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578082335 PECOS PAC ID: 3870851850 Enrollment ID: I20171220002886 |
| Provider Name | Kristine A Wolbrink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457735763 PECOS PAC ID: 8729395835 Enrollment ID: I20171228001489 |
| Provider Name | Paige A Meester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215446802 PECOS PAC ID: 6709144421 Enrollment ID: I20171228002730 |
| Provider Name | Jenna L Wickersham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538579271 PECOS PAC ID: 5799905345 Enrollment ID: I20180201002720 |
| Provider Name | Kathryn A Radigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548772601 PECOS PAC ID: 2163783887 Enrollment ID: I20180220003206 |
| Provider Name | Thomas H Flesher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053407619 PECOS PAC ID: 2163458712 Enrollment ID: I20180302000051 |
| Provider Name | Michael Cackovic |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1962485045 PECOS PAC ID: 4082630983 Enrollment ID: I20180320002858 |
| Provider Name | Kelli J Wilson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821508607 PECOS PAC ID: 8123389970 Enrollment ID: I20180418000030 |
| Provider Name | Hamza Hamdi A Tantoush |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669737862 PECOS PAC ID: 1052627841 Enrollment ID: I20180418001974 |
| Provider Name | Melissa N Vanoverschelde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134623051 PECOS PAC ID: 0042574113 Enrollment ID: I20180426001554 |
| Provider Name | Jeana L Sides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386144756 PECOS PAC ID: 5799049755 Enrollment ID: I20180430000655 |
| Provider Name | Jonathon J Sorensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245731728 PECOS PAC ID: 2961766431 Enrollment ID: I20180509001067 |
| Provider Name | Amber M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730698408 PECOS PAC ID: 2567720543 Enrollment ID: I20180514003035 |
| Provider Name | Emily J Hutchinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881190312 PECOS PAC ID: 8628333499 Enrollment ID: I20180525001493 |
| Provider Name | Estelle S Yoo |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598953846 PECOS PAC ID: 3678704319 Enrollment ID: I20180614001220 |
| Provider Name | Keith B Mccollister |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427292796 PECOS PAC ID: 3476874264 Enrollment ID: I20180626001028 |
| Provider Name | Jill Waggoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710482450 PECOS PAC ID: 7517214208 Enrollment ID: I20180726001751 |
| Provider Name | Frederick J Severs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821292889 PECOS PAC ID: 9830159631 Enrollment ID: I20180808002559 |
| Provider Name | Christopher Keith Johansen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245250356 PECOS PAC ID: 2365446713 Enrollment ID: I20180821002353 |
| Provider Name | Kelly A Tolley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992299614 PECOS PAC ID: 7911258660 Enrollment ID: I20180919003949 |
| Provider Name | Jacquelyn Em Grev |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194088963 PECOS PAC ID: 7517103369 Enrollment ID: I20180928002490 |
| Provider Name | Nessim N Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316369523 PECOS PAC ID: 3476782764 Enrollment ID: I20181101001706 |
| Provider Name | Keung Ung |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1972640498 PECOS PAC ID: 9739274127 Enrollment ID: I20181105002313 |
| Provider Name | Holly Gwen Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346722790 PECOS PAC ID: 9436403565 Enrollment ID: I20181108001297 |
| Provider Name | Gregory K Nissen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1174813729 PECOS PAC ID: 3072756048 Enrollment ID: I20181109001004 |
| Provider Name | Samantha R Brandenburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700365681 PECOS PAC ID: 1456605443 Enrollment ID: I20181109001073 |
| Provider Name | Baiba Steinbrekera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184980997 PECOS PAC ID: 1355581976 Enrollment ID: I20181109001464 |
| Provider Name | Ashlee J Blumhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801373766 PECOS PAC ID: 7113271115 Enrollment ID: I20181109001922 |
| Provider Name | David I Ward |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1811263627 PECOS PAC ID: 0345554192 Enrollment ID: I20181109002440 |
| Provider Name | Sean M Johnson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053754994 PECOS PAC ID: 3577817287 Enrollment ID: I20181115002830 |
| Provider Name | Matthew H Muller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417344672 PECOS PAC ID: 9436461985 Enrollment ID: I20181116000908 |
| Provider Name | Ashley N Moisan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265928907 PECOS PAC ID: 2062766603 Enrollment ID: I20181116001291 |
| Provider Name | Spencer Schilling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831585462 PECOS PAC ID: 0244524379 Enrollment ID: I20181120002446 |
| Provider Name | Abby J Viereck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679081350 PECOS PAC ID: 4789928631 Enrollment ID: I20181203003023 |
| Provider Name | Stephanie L Deck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841776424 PECOS PAC ID: 4587909866 Enrollment ID: I20181213002645 |
| Provider Name | Gabrielle E Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962987081 PECOS PAC ID: 0941544803 Enrollment ID: I20181226001876 |
| Provider Name | Sarah Jo Tacke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902388341 PECOS PAC ID: 7810232667 Enrollment ID: I20181228001769 |
| Provider Name | Andrew Ollerton |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619233806 PECOS PAC ID: 6305074055 Enrollment ID: I20190102000976 |
| Provider Name | Molly A Kuehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609386358 PECOS PAC ID: 3779829163 Enrollment ID: I20190104002839 |
| Provider Name | Georgiana Nuss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023428505 PECOS PAC ID: 1850510819 Enrollment ID: I20190112000018 |
| Provider Name | Kyle C Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982170676 PECOS PAC ID: 3476899188 Enrollment ID: I20190116002058 |
| Provider Name | Erin M Stansbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407337819 PECOS PAC ID: 7012253602 Enrollment ID: I20190118002102 |
| Provider Name | Ashley R Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245713361 PECOS PAC ID: 8123365640 Enrollment ID: I20190122003211 |
| Provider Name | Elizabeth A Hahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477036358 PECOS PAC ID: 1254678519 Enrollment ID: I20190124000115 |
| Provider Name | Ali Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073097895 PECOS PAC ID: 1850638842 Enrollment ID: I20190129002882 |
| Provider Name | Carolyn Kippes |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1629010335 PECOS PAC ID: 8820089345 Enrollment ID: I20190129003430 |
| Provider Name | Santiago Mc Lopez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922351246 PECOS PAC ID: 5890033534 Enrollment ID: I20190205002046 |
| Provider Name | Kellie Sue Sweet Ciesielski |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1811977481 PECOS PAC ID: 8820126683 Enrollment ID: I20190212002986 |
| Provider Name | Lilian O Ebuoma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598947350 PECOS PAC ID: 8325207434 Enrollment ID: I20190213000399 |
| Provider Name | Melissa F Lehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639664014 PECOS PAC ID: 5799023701 Enrollment ID: I20190218002130 |
| Provider Name | Jill M Melby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063983898 PECOS PAC ID: 3375881238 Enrollment ID: I20190219001776 |
| Provider Name | Shalome M Dsouza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568741007 PECOS PAC ID: 4284935768 Enrollment ID: I20190223000013 |
| Provider Name | Aaron J Stoick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356828032 PECOS PAC ID: 7416192786 Enrollment ID: I20190308001964 |
| Provider Name | Andria J Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194280156 PECOS PAC ID: 8426397308 Enrollment ID: I20190312001039 |
| Provider Name | Kate R Andal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578669362 PECOS PAC ID: 0648510545 Enrollment ID: I20190312002431 |
| Provider Name | Katelyn L Burch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669944625 PECOS PAC ID: 8224378146 Enrollment ID: I20190312003185 |
| Provider Name | Marin M Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982160206 PECOS PAC ID: 3678814605 Enrollment ID: I20190401001310 |
| Provider Name | Ryan L Tennant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013488345 PECOS PAC ID: 4880935733 Enrollment ID: I20190403001227 |
| Provider Name | Gulsah Olgun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043507007 PECOS PAC ID: 8022350107 Enrollment ID: I20190422002343 |
| Provider Name | Salina A Neuman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972081453 PECOS PAC ID: 5193064111 Enrollment ID: I20190503000103 |
| Provider Name | Kathryn A Jelsma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467919522 PECOS PAC ID: 5193068567 Enrollment ID: I20190529000107 |
| Provider Name | Jared W Daniel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558681742 PECOS PAC ID: 4688814965 Enrollment ID: I20190531000506 |
| Provider Name | Jaime A Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487946984 PECOS PAC ID: 7214201003 Enrollment ID: I20190628002203 |
| Provider Name | Joshua M Doorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801244405 PECOS PAC ID: 7416242961 Enrollment ID: I20190715002012 |
| Provider Name | Derrick A Doolittle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932494390 PECOS PAC ID: 3072769744 Enrollment ID: I20190806002748 |
| Provider Name | Karen I Cordie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346490133 PECOS PAC ID: 7012244288 Enrollment ID: I20190809002373 |
| Provider Name | Vivek V Joseph |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669888566 PECOS PAC ID: 7315276516 Enrollment ID: I20190913001001 |
| Provider Name | Wais Afzal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1710377544 PECOS PAC ID: 2860769866 Enrollment ID: I20190924001846 |
| Provider Name | Ahmad El Khatib |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942562293 PECOS PAC ID: 4880924190 Enrollment ID: I20190930003294 |
| Provider Name | Leah L Defea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700446200 PECOS PAC ID: 2466782529 Enrollment ID: I20191002003696 |
| Provider Name | Andrew J Erie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013356781 PECOS PAC ID: 7911127873 Enrollment ID: I20191009000104 |
| Provider Name | Joseph Michael Mowery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386919579 PECOS PAC ID: 3577879550 Enrollment ID: I20191011001398 |
| Provider Name | Ahmad J. Khalifa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710947833 PECOS PAC ID: 8628003605 Enrollment ID: I20191018001581 |
| Provider Name | Kimberly D Tran |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215279104 PECOS PAC ID: 6204108111 Enrollment ID: I20191022000598 |
| Provider Name | Jamie C Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720421381 PECOS PAC ID: 2567693807 Enrollment ID: I20191022002154 |
| Provider Name | Nathan J Pfeifle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447803408 PECOS PAC ID: 8921330945 Enrollment ID: I20191024000922 |
| Provider Name | Mohit Datta |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1720217102 PECOS PAC ID: 2961657176 Enrollment ID: I20191024003171 |
| Provider Name | Alisha S Neises |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073175063 PECOS PAC ID: 1355673278 Enrollment ID: I20191025002557 |
| Provider Name | Mackenzie M Mertz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023426806 PECOS PAC ID: 0547480907 Enrollment ID: I20191114001767 |
| Provider Name | Rachel Leigh Rodel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023378726 PECOS PAC ID: 1850670605 Enrollment ID: I20191114002414 |
| Provider Name | Kathryn M Anderson |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1487099289 PECOS PAC ID: 3274965116 Enrollment ID: I20191118000172 |
| Provider Name | Scott J Keckler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154597011 PECOS PAC ID: 4789867664 Enrollment ID: I20191126002140 |
| Provider Name | Shawn Vuong |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861758856 PECOS PAC ID: 4486894201 Enrollment ID: I20191204001398 |
| Provider Name | Kelsey Schnepf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174173900 PECOS PAC ID: 1658704556 Enrollment ID: I20191206002193 |
| Provider Name | Katie C Fiegen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083264956 PECOS PAC ID: 4284067117 Enrollment ID: I20191209000458 |
| Provider Name | Ashwyna Sunassee |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225471493 PECOS PAC ID: 0840623484 Enrollment ID: I20191212000430 |
| Provider Name | Josefine Combs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508407313 PECOS PAC ID: 3274967468 Enrollment ID: I20191220001776 |
| Provider Name | Darrel P Richards |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861874075 PECOS PAC ID: 0345505111 Enrollment ID: I20191231002052 |
| Provider Name | Kendall M Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285279497 PECOS PAC ID: 0244665859 Enrollment ID: I20200108001504 |
| Provider Name | Kimberly Niemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164064226 PECOS PAC ID: 3173958659 Enrollment ID: I20200109001673 |
| Provider Name | Christopher S Gacke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235770231 PECOS PAC ID: 2466886213 Enrollment ID: I20200114001358 |
| Provider Name | Noelle M Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245871466 PECOS PAC ID: 4385079649 Enrollment ID: I20200114001898 |
| Provider Name | Brianna Murphy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447694617 PECOS PAC ID: 8022443167 Enrollment ID: I20200116003120 |
| Provider Name | Josie R Stockland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053763342 PECOS PAC ID: 9638466881 Enrollment ID: I20200117001751 |
| Provider Name | Mirza Omer M Baig |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285720490 PECOS PAC ID: 2668471715 Enrollment ID: I20200124000929 |
| Provider Name | Michael Joseph Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972986693 PECOS PAC ID: 7911253224 Enrollment ID: I20200210000532 |
| Provider Name | Kyle R Bruscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346899846 PECOS PAC ID: 3476989351 Enrollment ID: I20200213000370 |
| Provider Name | Kevin A Byrd |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1699725085 PECOS PAC ID: 7416216460 Enrollment ID: I20200305001286 |
| Provider Name | Kasandra P Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013567627 PECOS PAC ID: 8426485392 Enrollment ID: I20200305002558 |
| Provider Name | Trisha B Rieffenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386282549 PECOS PAC ID: 7012345606 Enrollment ID: I20200313000464 |
| Provider Name | Nnamdi A Uhegwu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861809717 PECOS PAC ID: 8527496025 Enrollment ID: I20200316002748 |
| Provider Name | Nathan W Skelley |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1316230667 PECOS PAC ID: 9234368572 Enrollment ID: I20200327003098 |
| Provider Name | Monoj Kumar Konda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275945073 PECOS PAC ID: 6002033461 Enrollment ID: I20200415003375 |
| Provider Name | Ruth W Kitilach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215565593 PECOS PAC ID: 6507296449 Enrollment ID: I20200417000001 |
| Provider Name | Aneta K Mergen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235778507 PECOS PAC ID: 8921436791 Enrollment ID: I20200422002147 |
| Provider Name | Luis A Garcia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104844752 PECOS PAC ID: 3971797309 Enrollment ID: I20200515000765 |
| Provider Name | Brian F Simpson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316357544 PECOS PAC ID: 6901195510 Enrollment ID: I20200515000949 |
| Provider Name | Jennifer Leigh Cypher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477197309 PECOS PAC ID: 8729419007 Enrollment ID: I20200521000762 |
| Provider Name | Sarah Boschee Krush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013403583 PECOS PAC ID: 0941621619 Enrollment ID: I20200604001952 |
| Provider Name | Christopher Ryan Newey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871751305 PECOS PAC ID: 0941513170 Enrollment ID: I20200606000095 |
| Provider Name | Mohammed A Qureshi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730163429 PECOS PAC ID: 9234112715 Enrollment ID: I20200625001463 |
| Provider Name | Sara Zoelle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417039447 PECOS PAC ID: 4587764618 Enrollment ID: I20200702000468 |
| Provider Name | Sudan Thapa |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831572684 PECOS PAC ID: 9931523297 Enrollment ID: I20200720001312 |
| Provider Name | Nour T Aljariri Alhesan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346625415 PECOS PAC ID: 4284924804 Enrollment ID: I20200722000901 |
| Provider Name | Antonios N Wehbeh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437564820 PECOS PAC ID: 8224306824 Enrollment ID: I20200807001735 |
| Provider Name | Emad M A Abu Sitta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194165977 PECOS PAC ID: 0840413654 Enrollment ID: I20200814001393 |
| Provider Name | Andreea Constanta Stan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679094726 PECOS PAC ID: 1759621634 Enrollment ID: I20200821001449 |
| Provider Name | Joshua Leighton Ryan |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1346669280 PECOS PAC ID: 4284851817 Enrollment ID: I20200827001046 |
| Provider Name | Elizabeth Marie Hultgren |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407207244 PECOS PAC ID: 3678868940 Enrollment ID: I20200901002596 |
| Provider Name | Shelby Kaye Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528628062 PECOS PAC ID: 9638409303 Enrollment ID: I20200903002773 |
| Provider Name | Sabrina Rae Sowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649670316 PECOS PAC ID: 2365663945 Enrollment ID: I20200903003398 |
| Provider Name | Daryl Goh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538681929 PECOS PAC ID: 5991136368 Enrollment ID: I20200908002389 |
| Provider Name | Michelle Janania Martinez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164836318 PECOS PAC ID: 6103124284 Enrollment ID: I20200909001024 |
| Provider Name | Kyla R Stoops |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952922932 PECOS PAC ID: 0749608545 Enrollment ID: I20200910001678 |
| Provider Name | David M Krause |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1295153617 PECOS PAC ID: 3870710809 Enrollment ID: I20200911002493 |
| Provider Name | Eric V Mittelstaedt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477996445 PECOS PAC ID: 3173825403 Enrollment ID: I20200916000279 |
| Provider Name | Adeem M Abdulwahab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720432073 PECOS PAC ID: 3476847500 Enrollment ID: I20200923003219 |
| Provider Name | Hassan Al Turaihi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407194996 PECOS PAC ID: 0345469029 Enrollment ID: I20200928001779 |
| Provider Name | Christen H Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437327343 PECOS PAC ID: 1456531409 Enrollment ID: I20201005002029 |
| Provider Name | Aimee Louise Koenig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437684610 PECOS PAC ID: 1951672112 Enrollment ID: I20201005002239 |
| Provider Name | David Saxon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689607418 PECOS PAC ID: 6800843848 Enrollment ID: I20201012000873 |
| Provider Name | Elizabeth J N Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013361716 PECOS PAC ID: 3072807973 Enrollment ID: I20201012002660 |
| Provider Name | Kayla R Nalan-sheffield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871014639 PECOS PAC ID: 4486074416 Enrollment ID: I20201013002851 |
| Provider Name | Ayodeji O. Balogun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588196448 PECOS PAC ID: 9739509613 Enrollment ID: I20201014001877 |
| Provider Name | Emuejevoke Okoh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013970482 PECOS PAC ID: 2567645484 Enrollment ID: I20201015002925 |
| Provider Name | Kristopher L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437761012 PECOS PAC ID: 1153741814 Enrollment ID: I20201019000986 |
| Provider Name | Xiyan Yi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952759805 PECOS PAC ID: 8123448701 Enrollment ID: I20201020002833 |
| Provider Name | Otis Sarpong Apau |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083145304 PECOS PAC ID: 6901226463 Enrollment ID: I20201021003406 |
| Provider Name | Rachel Thies |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1811351802 PECOS PAC ID: 8426306622 Enrollment ID: I20201102002399 |
| Provider Name | Katherine Ann Bice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982213344 PECOS PAC ID: 4284044181 Enrollment ID: I20201104001714 |
| Provider Name | John Roufail |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1033454194 PECOS PAC ID: 2567746688 Enrollment ID: I20201202001633 |
| Provider Name | Jane Kroese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396110318 PECOS PAC ID: 6608157292 Enrollment ID: I20201204000762 |
| Provider Name | Rebecca Frankenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275667834 PECOS PAC ID: 9032521430 Enrollment ID: I20201208003073 |
| Provider Name | Michael Shinners |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447395512 PECOS PAC ID: 5597864785 Enrollment ID: I20201210002908 |
| Provider Name | Gregory P Studer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437757622 PECOS PAC ID: 0840602058 Enrollment ID: I20201211002035 |
| Provider Name | Fawaz Ahmad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477786598 PECOS PAC ID: 9436305992 Enrollment ID: I20201215000210 |
| Provider Name | Anthony Paul Whitlow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386179570 PECOS PAC ID: 7416291265 Enrollment ID: I20201216000000 |
| Provider Name | Nathan Alan Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659971927 PECOS PAC ID: 8224441746 Enrollment ID: I20201230001130 |
| Provider Name | Abby Mae Walton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700497336 PECOS PAC ID: 3678986940 Enrollment ID: I20210105001637 |
| Provider Name | Mariah L Schurman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003413683 PECOS PAC ID: 8527471473 Enrollment ID: I20210113002414 |
| Provider Name | Taylor Nicole Vaksdal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427659721 PECOS PAC ID: 9234544081 Enrollment ID: I20210209001896 |
| Provider Name | Aleisha Holm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780087965 PECOS PAC ID: 9830504448 Enrollment ID: I20210211003476 |
| Provider Name | Janelle Vande Griend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033711544 PECOS PAC ID: 8628483252 Enrollment ID: I20210212000990 |
| Provider Name | Megan Marie Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861089385 PECOS PAC ID: 6305251745 Enrollment ID: I20210217003151 |
| Provider Name | Shelby Lemler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942898739 PECOS PAC ID: 0547675795 Enrollment ID: I20210219001962 |
| Provider Name | Thein Htike Win |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497139810 PECOS PAC ID: 6406104454 Enrollment ID: I20210223003131 |
| Provider Name | Kari L Westenkirchner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811598527 PECOS PAC ID: 8628483633 Enrollment ID: I20210224000612 |
| Provider Name | Lindsey Marie Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295336279 PECOS PAC ID: 6103231196 Enrollment ID: I20210225001896 |
| Provider Name | Ruth A Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821698598 PECOS PAC ID: 1759797384 Enrollment ID: I20210305002199 |
| Provider Name | Ashley Sorenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245829282 PECOS PAC ID: 2466868963 Enrollment ID: I20210308002702 |
| Provider Name | Sarah Marie Menking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124620448 PECOS PAC ID: 6709292725 Enrollment ID: I20210316002827 |
| Provider Name | Kaitlyn Mae Fritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396343505 PECOS PAC ID: 3476969403 Enrollment ID: I20210317000001 |
| Provider Name | Robert Edward Safar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205439171 PECOS PAC ID: 7719394717 Enrollment ID: I20210317003014 |
| Provider Name | Tyler John Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134723489 PECOS PAC ID: 1759798424 Enrollment ID: I20210324002002 |
| Provider Name | Katelyn Mackenzie Begeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215533625 PECOS PAC ID: 6103233390 Enrollment ID: I20210406002053 |
| Provider Name | Linne Y Curtis Bayt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730157793 PECOS PAC ID: 4486642717 Enrollment ID: I20210415001707 |
| Provider Name | Stephanie Marie Peyton-aas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083101869 PECOS PAC ID: 5991113466 Enrollment ID: I20210421002779 |
| Provider Name | Kaitlin Marie Halverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609470418 PECOS PAC ID: 2062821176 Enrollment ID: I20210430001849 |
| Provider Name | Jenna I Monshaugen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851953806 PECOS PAC ID: 4789018771 Enrollment ID: I20210517000329 |
| Provider Name | Kareem Halim |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174917421 PECOS PAC ID: 8325382062 Enrollment ID: I20210521001563 |
| Provider Name | Melissa Ann Schrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780226662 PECOS PAC ID: 9537568100 Enrollment ID: I20210602000647 |
| Provider Name | Charlie J Matteson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326198300 PECOS PAC ID: 9234328386 Enrollment ID: I20210621000089 |
| Provider Name | Kristina Marie Lewison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265015721 PECOS PAC ID: 8123421112 Enrollment ID: I20210728002899 |
| Provider Name | Paige Venard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679158570 PECOS PAC ID: 8123422854 Enrollment ID: I20210803001817 |
| Provider Name | Kavitha Ganesan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427402551 PECOS PAC ID: 2769716901 Enrollment ID: I20210816002436 |
| Provider Name | Miguel E Cervera Hernandez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093166209 PECOS PAC ID: 7517245095 Enrollment ID: I20210817001157 |
| Provider Name | Allison P Watson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750709739 PECOS PAC ID: 4284930439 Enrollment ID: I20210823002654 |
| Provider Name | Emma K Kroeze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356924229 PECOS PAC ID: 8022413426 Enrollment ID: I20210824000541 |
| Provider Name | Amy Allyn Clay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568050862 PECOS PAC ID: 4587060512 Enrollment ID: I20210831001056 |
| Provider Name | Cynthia Ann Comly-van Andel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700879152 PECOS PAC ID: 4981678091 Enrollment ID: I20210831003533 |
| Provider Name | Ellis Rupert Easterling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508286931 PECOS PAC ID: 1153631858 Enrollment ID: I20210901003153 |
| Provider Name | Samantha Lynn Darnall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952898447 PECOS PAC ID: 4486050606 Enrollment ID: I20210913002941 |
| Provider Name | Nicholas Aaron Horan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346603057 PECOS PAC ID: 8426340761 Enrollment ID: I20210916000951 |
| Provider Name | Kelly Rose Wharton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376216648 PECOS PAC ID: 8729485743 Enrollment ID: I20210917001489 |
| Provider Name | Edgardo S Fortuno |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1053847152 PECOS PAC ID: 2365710373 Enrollment ID: I20211007001497 |
| Provider Name | Alfredo Garcia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770089229 PECOS PAC ID: 6305194036 Enrollment ID: I20211008001962 |
| Provider Name | Joshua D Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811376171 PECOS PAC ID: 4688985351 Enrollment ID: I20211011002611 |
| Provider Name | Ahmed Abdullah |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1457353690 PECOS PAC ID: 8729011358 Enrollment ID: I20211012002154 |
| Provider Name | Jacqueline Deborah Weidauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548737018 PECOS PAC ID: 4587062849 Enrollment ID: I20211018001685 |
| Provider Name | Mouhanna Khaled Mahmoud Abu Ghanimeh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962812982 PECOS PAC ID: 2163725128 Enrollment ID: I20211022002024 |
| Provider Name | Anna M Sonstegard |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1902337298 PECOS PAC ID: 4082958897 Enrollment ID: I20211026003103 |
| Provider Name | Sreekanth Chavour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588998918 PECOS PAC ID: 5294981429 Enrollment ID: I20211027001483 |
| Provider Name | Cinthya Del Castillo Lemos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972923829 PECOS PAC ID: 1951723352 Enrollment ID: I20211117002043 |
| Provider Name | Wijdan M Rai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558747279 PECOS PAC ID: 9830499755 Enrollment ID: I20211124002110 |
| Provider Name | Hao Li |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932586997 PECOS PAC ID: 8224343991 Enrollment ID: I20211124002146 |
| Provider Name | Melanie B Lavoie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093101354 PECOS PAC ID: 1355693441 Enrollment ID: I20211129001733 |
| Provider Name | Lily Grace Gullickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487226833 PECOS PAC ID: 1658761671 Enrollment ID: I20211207001106 |
| Provider Name | Bethany K Zeigler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003304486 PECOS PAC ID: 5597011999 Enrollment ID: I20211208001750 |
| Provider Name | Marissia K Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801551544 PECOS PAC ID: 6709277320 Enrollment ID: I20211215001377 |
| Provider Name | Sara Marie Free |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073004727 PECOS PAC ID: 3476805409 Enrollment ID: I20211222001632 |
| Provider Name | Christopher Jon Failing |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1275946733 PECOS PAC ID: 7315253606 Enrollment ID: I20211227000268 |
| Provider Name | Logan L Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952064297 PECOS PAC ID: 0749672152 Enrollment ID: I20220114002035 |
| Provider Name | Eric Dean Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649940727 PECOS PAC ID: 3476696394 Enrollment ID: I20220117000425 |
| Provider Name | Rachel E Li |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1285021774 PECOS PAC ID: 1052624665 Enrollment ID: I20220118000674 |
| Provider Name | Anthony S Sallar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760845994 PECOS PAC ID: 9335472430 Enrollment ID: I20220120002531 |
| Provider Name | Clint L Benge |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710367719 PECOS PAC ID: 0042524159 Enrollment ID: I20220203002093 |
| Provider Name | Pamela A Koepsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619464294 PECOS PAC ID: 0840544474 Enrollment ID: I20220221001636 |
| Provider Name | Melchor V Demetria |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316951304 PECOS PAC ID: 2961457528 Enrollment ID: I20220223002012 |
| Provider Name | Mark E Graeber |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770969875 PECOS PAC ID: 5597016246 Enrollment ID: I20220309002353 |
| Provider Name | Na Smith |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811350218 PECOS PAC ID: 8325332901 Enrollment ID: I20220310000776 |
| Provider Name | Stefanie L Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225792716 PECOS PAC ID: 4587059035 Enrollment ID: I20220318001280 |
| Provider Name | Elizabeth Marie Hart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417454331 PECOS PAC ID: 5991053902 Enrollment ID: I20220325001020 |
| Provider Name | Kayla Jo Faber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184219560 PECOS PAC ID: 6103212105 Enrollment ID: I20220330002769 |
| Provider Name | Michael C Gordon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609842053 PECOS PAC ID: 9638173446 Enrollment ID: I20220404001292 |
| Provider Name | John Francis Grehan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275549784 PECOS PAC ID: 6204831324 Enrollment ID: I20220412001635 |
| Provider Name | Shannon M Peters |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1841442191 PECOS PAC ID: 1254484488 Enrollment ID: I20220413002605 |
| Provider Name | Amanda Louise Fellbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083377584 PECOS PAC ID: 9739575036 Enrollment ID: I20220414000967 |
| Provider Name | Leanne M Kramer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811909724 PECOS PAC ID: 6709273949 Enrollment ID: I20220418002632 |
| Provider Name | Alexandre Bendavid Bitton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104598143 PECOS PAC ID: 3274920350 Enrollment ID: I20220419002018 |
| Provider Name | Anne Marie Mcnally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154077980 PECOS PAC ID: 1456748458 Enrollment ID: I20220421000852 |
| Provider Name | Muayad Mamdooh Alali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558736405 PECOS PAC ID: 8123321189 Enrollment ID: I20220422001772 |
| Provider Name | Elizabeth May Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720756679 PECOS PAC ID: 9133506579 Enrollment ID: I20220524002220 |
| Provider Name | Sydney Shea Kiewel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881353001 PECOS PAC ID: 3870971633 Enrollment ID: I20220607001278 |
| Provider Name | Brittney Lou Mulder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932789534 PECOS PAC ID: 9830577626 Enrollment ID: I20220607002301 |
| Provider Name | Monica Lutgendorf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740251917 PECOS PAC ID: 5698998086 Enrollment ID: I20220608001799 |
| Provider Name | Laura Loraine Rogness Peschong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083389159 PECOS PAC ID: 0345629150 Enrollment ID: I20220624002400 |
| Provider Name | Katherine A. Greenlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699446674 PECOS PAC ID: 7911387253 Enrollment ID: I20220705002474 |
| Provider Name | Jordyn Agnes Hofer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114698875 PECOS PAC ID: 1355721200 Enrollment ID: I20220708002555 |
| Provider Name | Alex Qader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841533932 PECOS PAC ID: 9234436163 Enrollment ID: I20220711003315 |
| Provider Name | Dana J Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316615818 PECOS PAC ID: 3072993724 Enrollment ID: I20220712001465 |
| Provider Name | Amanda Lee Vanmaanen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174286157 PECOS PAC ID: 7810378510 Enrollment ID: I20220712003585 |
| Provider Name | Lien Lieve Swieringa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003306994 PECOS PAC ID: 6103172390 Enrollment ID: I20220718001317 |
| Provider Name | Andrew T Thorp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013367515 PECOS PAC ID: 2163799453 Enrollment ID: I20220720002151 |
| Provider Name | Ashley L Fjeldheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679932487 PECOS PAC ID: 4789980624 Enrollment ID: I20220720003194 |
| Provider Name | Nicole Viola Gayle Konda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558608067 PECOS PAC ID: 2567607898 Enrollment ID: I20220722001513 |
| Provider Name | Jaroslaw Mateuszczyk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003997230 PECOS PAC ID: 0941191134 Enrollment ID: I20220722001552 |
| Provider Name | Sarah M Thu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275846214 PECOS PAC ID: 6305035874 Enrollment ID: I20220810000896 |
| Provider Name | Emily Elizabeth Boysen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003568288 PECOS PAC ID: 1951784560 Enrollment ID: I20220815002619 |
| Provider Name | Fiorela Calderon-sandoval |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548716889 PECOS PAC ID: 1254614290 Enrollment ID: I20220816000727 |
| Provider Name | Melanie Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629737705 PECOS PAC ID: 3779966957 Enrollment ID: I20220822000573 |
| Provider Name | Meggan V Kowalski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467113738 PECOS PAC ID: 7618351206 Enrollment ID: I20220831001143 |
| Provider Name | Jordan Elizabeth Fritch-hanson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659722478 PECOS PAC ID: 6002101375 Enrollment ID: I20220913003792 |
| Provider Name | Kevin Coy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336673235 PECOS PAC ID: 9638429970 Enrollment ID: I20220914001397 |
| Provider Name | Kim M Almodovar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831160316 PECOS PAC ID: 7618031782 Enrollment ID: I20220919003362 |
| Provider Name | Patrick Adinoyi Benjamin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770145039 PECOS PAC ID: 7810373727 Enrollment ID: I20220929003172 |
| Provider Name | Julian Robles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639739519 PECOS PAC ID: 5991031775 Enrollment ID: I20221006001386 |
| Provider Name | Sean D Kalagher |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1972715282 PECOS PAC ID: 4587810189 Enrollment ID: I20221006001774 |
| Provider Name | Swetha Alapati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982051421 PECOS PAC ID: 6800130345 Enrollment ID: I20221013003433 |
| Provider Name | Joshua B Floyd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255794897 PECOS PAC ID: 5991096836 Enrollment ID: I20221026000533 |
| Provider Name | Lindsey R Jader |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316301997 PECOS PAC ID: 4688077118 Enrollment ID: I20221028002407 |
| Provider Name | Bill Bingyang Liu |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1225482953 PECOS PAC ID: 1850686684 Enrollment ID: I20221031000553 |
| Provider Name | Murtuza Habeeb |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881897205 PECOS PAC ID: 0345370664 Enrollment ID: I20221107002855 |
| Provider Name | Tenelle Jenee Choal |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437893567 PECOS PAC ID: 7012384787 Enrollment ID: I20221109001745 |
| Provider Name | Thekla Bacharach |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1225442171 PECOS PAC ID: 7719106806 Enrollment ID: I20221109002535 |
| Provider Name | Kamonchanok Kijsirichareanchai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407377179 PECOS PAC ID: 9638441397 Enrollment ID: I20221118000971 |
| Provider Name | Ismail Omran |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023539590 PECOS PAC ID: 2769720713 Enrollment ID: I20221121002408 |
| Provider Name | Rashmi Jain |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1336437078 PECOS PAC ID: 3678841103 Enrollment ID: I20221122003045 |
| Provider Name | Kirsten T Weiser |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588758270 PECOS PAC ID: 6305909656 Enrollment ID: I20221124000005 |
| Provider Name | Gene Terry Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740778661 PECOS PAC ID: 7517353501 Enrollment ID: I20221129002078 |
| Provider Name | Heather E Reber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245444363 PECOS PAC ID: 4082883889 Enrollment ID: I20221208002249 |
| Provider Name | Jamie Larae Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457074304 PECOS PAC ID: 0941679831 Enrollment ID: I20221215002835 |
| Provider Name | Benjamin D Hoag |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1659767234 PECOS PAC ID: 1951603893 Enrollment ID: I20221221000705 |
| Provider Name | Anand Dayama |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891050969 PECOS PAC ID: 3577963495 Enrollment ID: I20221223000867 |
| Provider Name | Rebecca Matthews |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306086376 PECOS PAC ID: 3274710850 Enrollment ID: I20221223000991 |
| Provider Name | Peter James Holmberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861832487 PECOS PAC ID: 1254573991 Enrollment ID: I20230105000185 |
| Provider Name | Amanda Marie Peters |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093437162 PECOS PAC ID: 3870963671 Enrollment ID: I20230111001779 |
| Provider Name | Amanda Beth Mead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184335119 PECOS PAC ID: 1355713157 Enrollment ID: I20230203001117 |
| Provider Name | Karli Sanyour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861106734 PECOS PAC ID: 3577935345 Enrollment ID: I20230206000964 |
| Provider Name | Michael Opoku-darko |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205480704 PECOS PAC ID: 9335477835 Enrollment ID: I20230206002017 |
| Provider Name | Hadi Mohammad Khan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265605679 PECOS PAC ID: 0840509170 Enrollment ID: I20230208001279 |
| Provider Name | Rose Amaka Izuchi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548792724 PECOS PAC ID: 4284058124 Enrollment ID: I20230209002795 |
| Provider Name | Lauren A O'brien |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447513379 PECOS PAC ID: 5799931143 Enrollment ID: I20230214001698 |
| Provider Name | Rebecca S Mabee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780265439 PECOS PAC ID: 2062819386 Enrollment ID: I20230307003240 |
| Provider Name | Jennifer Kyounghwi Yoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235852427 PECOS PAC ID: 8426422056 Enrollment ID: I20230322003070 |
| Provider Name | Tara Ann Foxhoven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497469316 PECOS PAC ID: 9335513043 Enrollment ID: I20230324000561 |
| Provider Name | Emily Kathryn Friedman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265157556 PECOS PAC ID: 6901270388 Enrollment ID: I20230327001131 |
| Provider Name | Jeannette Marie Loftin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104435148 PECOS PAC ID: 4486058005 Enrollment ID: I20230403000962 |
| Provider Name | Samuel Putnam |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1023066404 PECOS PAC ID: 5991699522 Enrollment ID: I20230403002219 |
| Provider Name | Savanna Lee Pohl |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174252134 PECOS PAC ID: 0547635393 Enrollment ID: I20230407001519 |
| Provider Name | Omar Mohammed Hussein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639433907 PECOS PAC ID: 8224334990 Enrollment ID: I20230414001819 |
| Provider Name | Ninad Nadkarni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871943944 PECOS PAC ID: 3476849712 Enrollment ID: I20230516000643 |
| Provider Name | Daniel Lee Fetzer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144615576 PECOS PAC ID: 0244639201 Enrollment ID: I20230524002462 |
| Provider Name | Karen F Plati |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609890433 PECOS PAC ID: 6800969429 Enrollment ID: I20230606001810 |
| Provider Name | Allison M Rausch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144808437 PECOS PAC ID: 5597161729 Enrollment ID: I20230609000315 |
| Provider Name | Samantha Diane Daugherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184227068 PECOS PAC ID: 3577977768 Enrollment ID: I20230710000616 |
| Provider Name | Michael A Naegle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619544129 PECOS PAC ID: 5698172039 Enrollment ID: I20230725003088 |
| Provider Name | Anna Cecilia Willet Giusti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568025286 PECOS PAC ID: 5294111555 Enrollment ID: I20230816000695 |
| Provider Name | Zachary Jonathan Osborne |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548581408 PECOS PAC ID: 6406169762 Enrollment ID: I20230823001800 |
| Provider Name | Mamoon Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679184360 PECOS PAC ID: 6305266750 Enrollment ID: I20230823003279 |
| Provider Name | Emelia S Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235816273 PECOS PAC ID: 7810351673 Enrollment ID: I20230912002125 |
| Provider Name | Aaron D Dewald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881081743 PECOS PAC ID: 8729392030 Enrollment ID: I20230913004356 |
| Provider Name | Rachel Gordon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386904092 PECOS PAC ID: 3476777665 Enrollment ID: I20230914001466 |
| Provider Name | Kamolyut Lapumnuaypol |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912357823 PECOS PAC ID: 1355795980 Enrollment ID: I20230929001646 |
| Provider Name | Michael D Hodge |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225561863 PECOS PAC ID: 3173895091 Enrollment ID: I20231006000582 |
| Provider Name | Taylor Frances High Elk |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588449813 PECOS PAC ID: 7911352281 Enrollment ID: I20231006002681 |
| Provider Name | Anna Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881372506 PECOS PAC ID: 8921453036 Enrollment ID: I20231010001799 |
| Provider Name | Joaquin A Duarte Ow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336589779 PECOS PAC ID: 0345546859 Enrollment ID: I20231011002790 |
| Provider Name | Karah Dawn White |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932634078 PECOS PAC ID: 8921379033 Enrollment ID: I20231013000275 |
| Provider Name | Backer Mahmoud Abdu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306366760 PECOS PAC ID: 0143675652 Enrollment ID: I20231018000703 |
| Provider Name | Jieqi Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316488521 PECOS PAC ID: 1456621051 Enrollment ID: I20231018004145 |
| Provider Name | Weizhe Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144741414 PECOS PAC ID: 0941566822 Enrollment ID: I20231109002464 |
| Provider Name | Meghan Elizabeth Clemensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033899349 PECOS PAC ID: 5395192462 Enrollment ID: I20231110001476 |
| Provider Name | Nicholas J Harms |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295965457 PECOS PAC ID: 4486879426 Enrollment ID: I20231205000095 |
| Provider Name | Nicole Buchele |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801450317 PECOS PAC ID: 6608225438 Enrollment ID: I20231205003848 |
| Provider Name | Rachel Christopherson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316392343 PECOS PAC ID: 9436508355 Enrollment ID: I20231218000638 |
| Provider Name | Rachael Ann Fricke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144839788 PECOS PAC ID: 0446657795 Enrollment ID: I20240102001155 |
| Provider Name | Meghan Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356006001 PECOS PAC ID: 5597116590 Enrollment ID: I20240103003775 |
| Provider Name | Kelly Lauck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629472220 PECOS PAC ID: 1153772090 Enrollment ID: I20240104004313 |
| Provider Name | Alison Dawn Neufeld |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811495856 PECOS PAC ID: 5799040986 Enrollment ID: I20240109003779 |
| Provider Name | Richard E Gandee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316331861 PECOS PAC ID: 0042586166 Enrollment ID: I20240118003151 |
| Provider Name | Santiago E Encalada |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184989428 PECOS PAC ID: 0941441133 Enrollment ID: I20240216004495 |
| Provider Name | Sarada V Kanala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306429428 PECOS PAC ID: 8426456757 Enrollment ID: I20240219000177 |
| Provider Name | Mark Komorowski |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1407935042 PECOS PAC ID: 9931209152 Enrollment ID: I20240220002861 |
| Provider Name | Sivjot Binepal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134659568 PECOS PAC ID: 9436428380 Enrollment ID: I20240304000663 |
| Provider Name | Joy K. Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821399130 PECOS PAC ID: 9931545324 Enrollment ID: I20240307002412 |
| Provider Name | Rachel Paulsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588201404 PECOS PAC ID: 3779904941 Enrollment ID: I20240326001190 |
| Provider Name | Ashley Zuraff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881456226 PECOS PAC ID: 2062850035 Enrollment ID: I20240410000718 |
| Provider Name | Kaveh Kardooni |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1558492124 PECOS PAC ID: 7315087079 Enrollment ID: I20240503002345 |
Sozo Counseling Care, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 S Minnesota Ave, Suite 3, Sioux Falls, SD 57105 Phone: 605-339-3378 Fax: 605-339-0510 | |
Abide Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6809 S Minnesota Ave Ste 102, Sioux Falls, SD 57108 Phone: 605-988-8125 Fax: 605-362-5803 | |
Wellnite Medical Group Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5013 S Louise Ave, Sioux Falls, SD 57108 Phone: 877-644-6008 | |
Family Service, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2210 S Brown Pl, Sioux Falls, SD 57105 Phone: 605-336-1974 | |
Lisa Reyes Social Work, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9309 W Kingfisher Dr, Sioux Falls, SD 57107 Phone: 605-610-6307 | |
Avera Mckennan Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4400 W 69th St Ste 3100, Sioux Falls, SD 57108 Phone: 605-504-3522 Fax: 605-322-4345 | |
Avera Medical Group University Psychiatry Associates Sioux Falls Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4400 W 69th St Ste 1500, Sioux Falls, SD 57108 Phone: 605-322-5700 Fax: 605-322-5704 |