Somc Medical Care Foundation, Inc. - Medicare Mental Health Clinic in Portsmouth, OH

Somc Medical Care Foundation, Inc. is a medicare enrolled mental health clinic (Family Medicine) in Portsmouth, Ohio. The current practice location for Somc Medical Care Foundation, Inc. is 1805 27th St, Portsmouth, Ohio. For appointments, you can reach them via phone at (740) 356-8681. The mailing address for Somc Medical Care Foundation, Inc. is 1735 27th St, Waller Building, Suite B06, Portsmouth, Ohio and phone number is (740) 356-8008.

Somc Medical Care Foundation, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1457467227. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (740) 356-8681.

Contact Information

Somc Medical Care Foundation, Inc.
1805 27th St
Portsmouth
OH 45662-2640
(740) 356-8681
(740) 356-1256

Map and Direction


Mental Health Clinic Profile

Full NameSomc Medical Care Foundation, Inc.
SpecialityFamily Medicine
Location1805 27th St, Portsmouth, Ohio
Authorized Official Name and PositionRebecca L Fite (ADMINISTRATIVE DIRECTOR)
Authorized Official Contact7403568008
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Somc Medical Care Foundation, Inc.
1735 27th St
Waller Building, Suite B06
Portsmouth
OH 45662-2677

Ph: (740) 356-8008
Somc Medical Care Foundation, Inc.
1805 27th St
Portsmouth
OH 45662-2640

Ph: (740) 356-8681

NPI Details:

NPI Number1457467227
Provider Enumeration Date08/22/2006
Last Update Date01/30/2024
Certification Date01/30/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9436061645
Medicare Enrollment IDO20031125000203

Medical Identifiers

Medical identifiers for Somc Medical Care Foundation, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457467227NPI-NPPES
0916512MedicaidOH
65921835MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
104100000XSocial Worker (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Primary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207RH0003XInternal Medicine - Hematology & Oncology (* (Not Available))Secondary
207RI0200XInternal Medicine - Infectious Disease (* (Not Available))Secondary
207RP1001XInternal Medicine - Pulmonary Disease (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Secondary
208200000XPlastic Surgery (* (Not Available))Secondary
2084N0400XPsychiatry & Neurology - Neurology (* (Not Available))Secondary
2085R0001XRadiology - Radiation Oncology (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Secondary
231H00000XAudiologist (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Somc Medical Care Foundation, Inc. acts as a billing entity for following providers:
Provider NameRobert E Newman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154491249
PECOS PAC ID: 5890607006
Enrollment ID: I20031106000097
Provider NameMatthew G Hutchins
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1114926813
PECOS PAC ID: 0648183715
Enrollment ID: I20031106000295
Provider NameJames R Otworth
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1487615209
PECOS PAC ID: 2466359344
Enrollment ID: I20031218000026
Provider NameDaniel P Marck
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1750466082
PECOS PAC ID: 4789582172
Enrollment ID: I20031223000035
Provider NameScott Logan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1154321867
PECOS PAC ID: 1355249319
Enrollment ID: I20040106000024
Provider NameKaren S Hergenreder
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1265484083
PECOS PAC ID: 2668372517
Enrollment ID: I20040108001219
Provider NameDiana C Hyden
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1093813529
PECOS PAC ID: 7416858147
Enrollment ID: I20040116000016
Provider NameRayann S Huntsman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1629039441
PECOS PAC ID: 3274436159
Enrollment ID: I20040128001033
Provider NameBarbara M Mastriana
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1639146525
PECOS PAC ID: 3173419587
Enrollment ID: I20040224000256
Provider NameNathan H Kander
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1073518940
PECOS PAC ID: 6204738057
Enrollment ID: I20040303000551
Provider NameVernon D Reynolds
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1174600852
PECOS PAC ID: 6406744655
Enrollment ID: I20040309000436
Provider NameRena Zimmerman
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1851350318
PECOS PAC ID: 9537058417
Enrollment ID: I20040311000183
Provider NameG Garth Grant
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1114910486
PECOS PAC ID: 2466351234
Enrollment ID: I20040326000248
Provider NameKathryn Opal Lusenhop
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1487611216
PECOS PAC ID: 2668465386
Enrollment ID: I20040407000538
Provider NameJoy A Bennett
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1285649970
PECOS PAC ID: 9830090281
Enrollment ID: I20040503001626
Provider NameJames J Sardo
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1992750145
PECOS PAC ID: 4880676675
Enrollment ID: I20040607000033
Provider NameLouis Salib
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1023003480
PECOS PAC ID: 1153304423
Enrollment ID: I20040608001225
Provider NameCynthia G Hamm
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487760237
PECOS PAC ID: 8022092410
Enrollment ID: I20040615000030
Provider NameScott A Tritt
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1326057126
PECOS PAC ID: 6901898360
Enrollment ID: I20040624000333
Provider NameLori A Guinn
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730266214
PECOS PAC ID: 9931172152
Enrollment ID: I20040817000066
Provider NameKimberly Sue Umhoefer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225140007
PECOS PAC ID: 7618943341
Enrollment ID: I20040907000016
Provider NameJim R Armstrong
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1972505899
PECOS PAC ID: 4688642572
Enrollment ID: I20040920000051
Provider NamePeter K Bauer
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1548261761
PECOS PAC ID: 3476521717
Enrollment ID: I20040923000642
Provider NameBryan H Fuller
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104898592
PECOS PAC ID: 2264400233
Enrollment ID: I20041014000158
Provider NameNadja Barnett
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1871551663
PECOS PAC ID: 2365408937
Enrollment ID: I20041206000381
Provider NameSteven William Mccornack
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1669459772
PECOS PAC ID: 6204885718
Enrollment ID: I20050121000257
Provider NameToni E Miller
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1912083007
PECOS PAC ID: 7113978057
Enrollment ID: I20050208000571
Provider NameGregory Karasik
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1144299884
PECOS PAC ID: 1153373634
Enrollment ID: I20050211000848
Provider NameRoland E Benton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891774675
PECOS PAC ID: 5890789192
Enrollment ID: I20050504000330
Provider NameNadeem N Malik
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1306822275
PECOS PAC ID: 8224071675
Enrollment ID: I20050607000122
Provider NameMary Ann T Gardner
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1861422206
PECOS PAC ID: 3870536857
Enrollment ID: I20050610000023
Provider NameMichael E Martin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629170600
PECOS PAC ID: 2466496690
Enrollment ID: I20050617000381
Provider NameNanci L Burton
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1780623314
PECOS PAC ID: 8123091956
Enrollment ID: I20050822000019
Provider NameTiffany L Harris
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1639176753
PECOS PAC ID: 4981635760
Enrollment ID: I20050823000006
Provider NameJeffrey M Abood
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1538247770
PECOS PAC ID: 5092746560
Enrollment ID: I20050824000562
Provider NameVincent H Randaisi
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1114915279
PECOS PAC ID: 6608807003
Enrollment ID: I20050829001089
Provider NameDeidre Redd
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1306995865
PECOS PAC ID: 1658397658
Enrollment ID: I20051019000555
Provider NameDebra Skerlec-caylor
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1639168917
PECOS PAC ID: 9739105693
Enrollment ID: I20051019001132
Provider NamePhilip E Willis
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1457331670
PECOS PAC ID: 7012812985
Enrollment ID: I20051108000677
Provider NameRaymond Gathiuni
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1609927763
PECOS PAC ID: 0547288417
Enrollment ID: I20051109000469
Provider NameJoseph R Leith
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1598719890
PECOS PAC ID: 6305856279
Enrollment ID: I20060424000162
Provider NameMary C Vaughn-greathouse
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1942240643
PECOS PAC ID: 7719980952
Enrollment ID: I20060809000083
Provider NameTammam H Abdul-aziz
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1457343816
PECOS PAC ID: 3173526001
Enrollment ID: I20060816000054
Provider NameAugusto C Juguilon
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1043269434
PECOS PAC ID: 0244235240
Enrollment ID: I20060926000374
Provider NameCharanjit Singh Bahniwal
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1225028020
PECOS PAC ID: 1658376397
Enrollment ID: I20061002000186
Provider NameJames T Wolfe
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1174502934
PECOS PAC ID: 5991700668
Enrollment ID: I20061002000528
Provider NameTimothy C Mcglone
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1861443004
PECOS PAC ID: 9436156593
Enrollment ID: I20061102000216
Provider NameArthur J Ramey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932299161
PECOS PAC ID: 9739187246
Enrollment ID: I20061116000543
Provider NameDavid W Tesar
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1205913746
PECOS PAC ID: 9133127566
Enrollment ID: I20061120000336
Provider NameRobin Lee Franklin
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1659444511
PECOS PAC ID: 8325047228
Enrollment ID: I20061204000010
Provider NameWilliam Titman
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1285726745
PECOS PAC ID: 2567463433
Enrollment ID: I20070119000005
Provider NameChristy L Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255409108
PECOS PAC ID: 3678574126
Enrollment ID: I20070125000319
Provider NameStella Ling
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1871695700
PECOS PAC ID: 0941269997
Enrollment ID: I20070129000319
Provider NameDarren Chad Adams
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1770549024
PECOS PAC ID: 0244232130
Enrollment ID: I20070206000274
Provider NameErika H Poehm
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1669448551
PECOS PAC ID: 6305881939
Enrollment ID: I20070215000303
Provider NameKevin Francis Forsthoefel
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1982605010
PECOS PAC ID: 1850333931
Enrollment ID: I20070312000377
Provider NameKimberly A Queener
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1750308110
PECOS PAC ID: 3678671534
Enrollment ID: I20070531000366
Provider NameNancy Jeanne Smith
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1154343747
PECOS PAC ID: 2769403807
Enrollment ID: I20070613000824
Provider NameDavid E Riley
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1568481976
PECOS PAC ID: 2769581735
Enrollment ID: I20070618000030
Provider NameVincent M Scarpinato
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1275614026
PECOS PAC ID: 9830105907
Enrollment ID: I20070621000408
Provider NameMatthew S Schwamburger
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1457552119
PECOS PAC ID: 9133210727
Enrollment ID: I20070810000701
Provider NameBlessing Otoabasi Godwin
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1538245618
PECOS PAC ID: 7719080456
Enrollment ID: I20070813000168
Provider NameDarby W Wehrley
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1306935226
PECOS PAC ID: 8921190034
Enrollment ID: I20070822000049
Provider NameChristine C Christensen
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1871595405
PECOS PAC ID: 3870546823
Enrollment ID: I20070906000120
Provider NameJustin Greenlee
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467655647
PECOS PAC ID: 1658464466
Enrollment ID: I20070911000157
Provider NameBoonlieng Wongchaowart
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1255431748
PECOS PAC ID: 3971698168
Enrollment ID: I20071003000260
Provider NameJitendra Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346224995
PECOS PAC ID: 7810999778
Enrollment ID: I20071203000427
Provider NameNan Nelson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1396816625
PECOS PAC ID: 3577653708
Enrollment ID: I20071212000196
Provider NameKevin T Harris
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1841474517
PECOS PAC ID: 6608957287
Enrollment ID: I20080122000272
Provider NameAngela Y Rackley
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1619178621
PECOS PAC ID: 3375626898
Enrollment ID: I20080207000051
Provider NameMark T Wagner
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1346373446
PECOS PAC ID: 7416031034
Enrollment ID: I20080221000036
Provider NameJohn C Lee
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1730175019
PECOS PAC ID: 9537065859
Enrollment ID: I20080228000237
Provider NameNnamdi Azie
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1851366892
PECOS PAC ID: 2264483049
Enrollment ID: I20080307000108
Provider NameEugene Vitvitsky
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1578507299
PECOS PAC ID: 1153212063
Enrollment ID: I20080428000666
Provider NameJay E Risheh
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1386690485
PECOS PAC ID: 3870663529
Enrollment ID: I20080606000249
Provider NameLuis F Benitez Lopez
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1154368892
PECOS PAC ID: 0244300903
Enrollment ID: I20080606000378
Provider NameMohamed Fouad Soumakieh
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1487696720
PECOS PAC ID: 0345285326
Enrollment ID: I20080808000028
Provider NameKurt Palazzo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649298258
PECOS PAC ID: 4284700915
Enrollment ID: I20080904000164
Provider NameMeilani Hasmin Mapa
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1063600872
PECOS PAC ID: 3678655149
Enrollment ID: I20081008000058
Provider NameElie M Saab
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1447218169
PECOS PAC ID: 0547163123
Enrollment ID: I20081123000002
Provider NameRockford James Meadows
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346454154
PECOS PAC ID: 6800957762
Enrollment ID: I20090220000035
Provider NameLoretta Settonni
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1023011137
PECOS PAC ID: 7214824762
Enrollment ID: I20090318000143
Provider NameKristie J Thacker
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1780820597
PECOS PAC ID: 0143387639
Enrollment ID: I20090327000343
Provider NameYan Chen
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1659455160
PECOS PAC ID: 7911006721
Enrollment ID: I20090406000217
Provider NameKenneth R Greer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336265602
PECOS PAC ID: 5597740548
Enrollment ID: I20090422000093
Provider NameMatthew Onyekelu
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1316189764
PECOS PAC ID: 9335232560
Enrollment ID: I20090504000007
Provider NameAmy E Spencer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275770315
PECOS PAC ID: 0941358840
Enrollment ID: I20090504000191
Provider NameShay L Price
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1013113836
PECOS PAC ID: 0345321741
Enrollment ID: I20090601000543
Provider NameMasood Siddiqui
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1902034663
PECOS PAC ID: 8022161371
Enrollment ID: I20090807000482
Provider NameRoger Matthew Phillips
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477724235
PECOS PAC ID: 4880749423
Enrollment ID: I20090902000460
Provider NameMuhammad Taimoor Gill
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1033323381
PECOS PAC ID: 4082714563
Enrollment ID: I20090911000220
Provider NameJeffrey E Parker
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1942299565
PECOS PAC ID: 6002908977
Enrollment ID: I20090918000038
Provider NameMarion R Hochstetler
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1336346808
PECOS PAC ID: 7315093127
Enrollment ID: I20090921000224
Provider NamePhillip D Roberts
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871742338
PECOS PAC ID: 9234276726
Enrollment ID: I20091103000194
Provider NameAngela M Shupert
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821043449
PECOS PAC ID: 3577597137
Enrollment ID: I20091217000369
Provider NameJohn Shupert
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932148160
PECOS PAC ID: 0941195622
Enrollment ID: I20091229000476
Provider NameAnil Jagetia
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1023019486
PECOS PAC ID: 6204908809
Enrollment ID: I20100119000189
Provider NameGretchen Rhea Horner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962667691
PECOS PAC ID: 3577622521
Enrollment ID: I20100415000351
Provider NameChandreshkumar S Shah
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1437154234
PECOS PAC ID: 1052398633
Enrollment ID: I20100602000044
Provider NameAngel R Ali
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093042087
PECOS PAC ID: 3577693035
Enrollment ID: I20100609000542
Provider NameMark T Tawil
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1285620179
PECOS PAC ID: 4486786738
Enrollment ID: I20100722000006
Provider NameEdward Chen
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1104868272
PECOS PAC ID: 9638202419
Enrollment ID: I20100730000100
Provider NameGeorge William Shahade
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1588777825
PECOS PAC ID: 3870581887
Enrollment ID: I20100813000278
Provider NameRichard Randall Jacobs
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1447457171
PECOS PAC ID: 6305738550
Enrollment ID: I20100913001178
Provider NameDuane Marchyn
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1104846906
PECOS PAC ID: 5890728554
Enrollment ID: I20101026000085
Provider NameBrennon E Giles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194034553
PECOS PAC ID: 4688868599
Enrollment ID: I20101104000039
Provider NameMeshelle A Lynch
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1144520198
PECOS PAC ID: 3779779558
Enrollment ID: I20101118000874
Provider NameYinong Liu
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1457357758
PECOS PAC ID: 4981662178
Enrollment ID: I20110225000401
Provider NameKaitlyn H Jakubec
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1184920712
PECOS PAC ID: 8921289604
Enrollment ID: I20110301000492
Provider NameJared Carson Bentley
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1114238805
PECOS PAC ID: 5698957124
Enrollment ID: I20110307000667
Provider NameBobbie C Sutton
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1093807083
PECOS PAC ID: 7810186343
Enrollment ID: I20110311000317
Provider NameMargaret M Smith
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1023092269
PECOS PAC ID: 9739169558
Enrollment ID: I20110323000838
Provider NameJustin D Nolen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366743569
PECOS PAC ID: 8022291301
Enrollment ID: I20110323001003
Provider NameNathan E Rider
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669782413
PECOS PAC ID: 1456535368
Enrollment ID: I20110418000213
Provider NameMargaret A Guest
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1700830148
PECOS PAC ID: 6002869526
Enrollment ID: I20110606000495
Provider NameCynthia Bayer
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1407818164
PECOS PAC ID: 6204809296
Enrollment ID: I20110613000129
Provider NameNathan D Bennington
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1972777589
PECOS PAC ID: 2668641820
Enrollment ID: I20110805000062
Provider NameJenifer R Combs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932493871
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Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1659434710
PECOS PAC ID: 6103873963
Enrollment ID: I20180604001497
Provider NameClara E Smith
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1922599711
PECOS PAC ID: 1557616877
Enrollment ID: I20180608001750
Provider NameBriana D Otworth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265932008
PECOS PAC ID: 6103173463
Enrollment ID: I20180718002801
Provider NameRay A Ervin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356851893
PECOS PAC ID: 0446519003
Enrollment ID: I20180827001938
Provider NameDenise M Duffy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194219949
PECOS PAC ID: 8921358409
Enrollment ID: I20180904001888
Provider NameElaine Jones
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1912965864
PECOS PAC ID: 4789622358
Enrollment ID: I20180924002064
Provider NameJames Milton Jones
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1700974177
PECOS PAC ID: 2466415872
Enrollment ID: I20180927001788
Provider NameYousef K Kaid
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194012112
PECOS PAC ID: 8224258744
Enrollment ID: I20181026000389
Provider NameGary L Eddy
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1508825324
PECOS PAC ID: 1951384544
Enrollment ID: I20190109003297
Provider NameLaura F Sova
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780917898
PECOS PAC ID: 0547415473
Enrollment ID: I20190114002224
Provider NameJoseph A Wapenski
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1487654281
PECOS PAC ID: 1153229463
Enrollment ID: I20190214001619
Provider NameSanjiv M Kaul
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1588659247
PECOS PAC ID: 0345383139
Enrollment ID: I20190221001897
Provider NameBrittany Bolton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114491461
PECOS PAC ID: 7517206782
Enrollment ID: I20190306000089
Provider NameTraci Swingler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548725773
PECOS PAC ID: 7517207350
Enrollment ID: I20190314001075
Provider NameSara E Reed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417413279
PECOS PAC ID: 2769722537
Enrollment ID: I20190314002104
Provider NamePhilip A Witek
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1639584402
PECOS PAC ID: 8426311127
Enrollment ID: I20190318000728
Provider NameCheryl A Dahlstroem
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619480027
PECOS PAC ID: 9436418928
Enrollment ID: I20190320003344
Provider NameAdam D Evans
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1053748822
PECOS PAC ID: 0446573943
Enrollment ID: I20190520002612
Provider NameSona K Shah
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1083667695
PECOS PAC ID: 6507878477
Enrollment ID: I20190522001051
Provider NameTara R. Applegate
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447611652
PECOS PAC ID: 8820397391
Enrollment ID: I20190524002345
Provider NameJami Michelle Lyon
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1083057178
PECOS PAC ID: 8325398704
Enrollment ID: I20190529002580
Provider NameWilson Christian
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1932528296
PECOS PAC ID: 8022241157
Enrollment ID: I20190606000626
Provider NameMisty L Hawk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720543457
PECOS PAC ID: 1658604541
Enrollment ID: I20190607001596
Provider NameYara D Nazzal
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1477845584
PECOS PAC ID: 3173832995
Enrollment ID: I20190717003018
Provider NameDavid T Newman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1114589413
PECOS PAC ID: 9335476878
Enrollment ID: I20190807001112
Provider NameDolores Contreras-urby
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1356390744
PECOS PAC ID: 3577695022
Enrollment ID: I20190824000479
Provider NameMatthew Watson
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1720320658
PECOS PAC ID: 5890929020
Enrollment ID: I20190826003399
Provider NameElizabeth A Bentley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740421130
PECOS PAC ID: 1355629536
Enrollment ID: I20190827002629
Provider NameStacia Boyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528613346
PECOS PAC ID: 6800124918
Enrollment ID: I20190828001486
Provider NameJohn Rutter
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1891709549
PECOS PAC ID: 9638171515
Enrollment ID: I20190905002700
Provider NameDuane Burton
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1992368245
PECOS PAC ID: 2860722485
Enrollment ID: I20190925000895
Provider NameAdam Bray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245888734
PECOS PAC ID: 5496085631
Enrollment ID: I20191001001961
Provider NameNatosha L Staggs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629535190
PECOS PAC ID: 7911238258
Enrollment ID: I20191017000515
Provider NameCindi Bradley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205313574
PECOS PAC ID: 1052218799
Enrollment ID: I20191023002280
Provider NameJackie Pierson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447808936
PECOS PAC ID: 4486986973
Enrollment ID: I20191104000099
Provider NameWahid Rashidzada
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1346416021
PECOS PAC ID: 0749334738
Enrollment ID: I20191212001617
Provider NameStella Ugboma
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1073574919
PECOS PAC ID: 6204735921
Enrollment ID: I20191218002236
Provider NameBrea D Boggs-cline
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437793692
PECOS PAC ID: 2961836754
Enrollment ID: I20200103000545
Provider NameChristopher C Wiler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699248575
PECOS PAC ID: 6608113634
Enrollment ID: I20200118000051
Provider NameCaleb Davis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528416427
PECOS PAC ID: 7416382148
Enrollment ID: I20200127001187
Provider NameCynthia Napier
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1023454907
PECOS PAC ID: 6800038449
Enrollment ID: I20200221001054
Provider NameMatthew R Sloan
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1861674087
PECOS PAC ID: 7810074135
Enrollment ID: I20200422002921
Provider NameDaniel C Sufficool
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1083098669
PECOS PAC ID: 1456774629
Enrollment ID: I20200706003041
Provider NameCharles R Roberts
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1386262251
PECOS PAC ID: 1355766916
Enrollment ID: I20200730001587
Provider NameVanessa L Wanjeri
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1033564521
PECOS PAC ID: 1456777374
Enrollment ID: I20200821001284
Provider NameDeanna J Potter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083225031
PECOS PAC ID: 5698192227
Enrollment ID: I20200827003147
Provider NameAlisha M Wyscarver
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1578094413
PECOS PAC ID: 6002187861
Enrollment ID: I20201013003091
Provider NameHolly L Travis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871195305
PECOS PAC ID: 6305258625
Enrollment ID: I20201210000875
Provider NameCourtney Elaine Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497351993
PECOS PAC ID: 5294148417
Enrollment ID: I20210107002446
Provider NameKendall L Stewart
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1215014550
PECOS PAC ID: 8921902503
Enrollment ID: I20210301002737
Provider NameShad T Ruby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700476900
PECOS PAC ID: 0244254175
Enrollment ID: I20210304001294
Provider NameKayla M Tackett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013502798
PECOS PAC ID: 3072920545
Enrollment ID: I20210329002550
Provider NameDerek A Lawhorn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952932642
PECOS PAC ID: 2567871684
Enrollment ID: I20210430002096
Provider NameLuke T Porginski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417547506
PECOS PAC ID: 5799194692
Enrollment ID: I20210505002083
Provider NameScott Edward Kauffman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1437146842
PECOS PAC ID: 0345272241
Enrollment ID: I20210507000826
Provider NameKelsey Louise Potter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619597010
PECOS PAC ID: 1456750702
Enrollment ID: I20210519000820
Provider NameWilliam C Ferguson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1841866415
PECOS PAC ID: 1951702422
Enrollment ID: I20210622003082
Provider NameFrancis Joseph Moorhead
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1255445664
PECOS PAC ID: 3173411659
Enrollment ID: I20210624003543
Provider NamePhu Sy Le
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1073046371
PECOS PAC ID: 0244577625
Enrollment ID: I20210714002625
Provider NameJenny R White
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1063866606
PECOS PAC ID: 0941606107
Enrollment ID: I20210914000548
Provider NameTimothy J Young
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1932722659
PECOS PAC ID: 6103249362
Enrollment ID: I20211112000539
Provider NameSamantha Lore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851057350
PECOS PAC ID: 6002206331
Enrollment ID: I20211201000481
Provider NamePamela P Clegg
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1922091859
PECOS PAC ID: 4789787490
Enrollment ID: I20220218000012
Provider NameAshley L Risner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831840990
PECOS PAC ID: 6709270515
Enrollment ID: I20220221001777
Provider NameMadison L Wiseman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477206522
PECOS PAC ID: 7315331121
Enrollment ID: I20220221001919
Provider NameKhanh T Vu
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1538425947
PECOS PAC ID: 3678797875
Enrollment ID: I20220309001628
Provider NameTatiana Vasylievna Barsukova
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1093974057
PECOS PAC ID: 5496935710
Enrollment ID: I20220310000627
Provider NameCarole Hunt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770160194
PECOS PAC ID: 5799181475
Enrollment ID: I20220318000104
Provider NameDenise Francois
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1720048598
PECOS PAC ID: 2466501036
Enrollment ID: I20220504002426
Provider NameBlake Barnes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912674151
PECOS PAC ID: 1355720806
Enrollment ID: I20220614001509
Provider NameLawrence Ingber
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1841326782
PECOS PAC ID: 3779682687
Enrollment ID: I20220620001033
Provider NameApril Dawn Pemberton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326337494
PECOS PAC ID: 1557764156
Enrollment ID: I20220630000256
Provider NameCharles Stephen Woolums
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1699772665
PECOS PAC ID: 4183638323
Enrollment ID: I20220721001117
Provider NameJason B Crabtree
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063173771
PECOS PAC ID: 0547641615
Enrollment ID: I20220722002182
Provider NameBahig Shehata
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1932167624
PECOS PAC ID: 7113051830
Enrollment ID: I20220816003034
Provider NameJoseph L Sailors
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1861461311
PECOS PAC ID: 5597828848
Enrollment ID: I20220830000517
Provider NameLorine M Lagatta
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1588722201
PECOS PAC ID: 4284987942
Enrollment ID: I20220908000647
Provider NamePaul Richard Ramey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598320129
PECOS PAC ID: 9436485778
Enrollment ID: I20221006000341
Provider NameJeffrey July
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558004994
PECOS PAC ID: 2466828538
Enrollment ID: I20221013002931
Provider NameTori Howell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700508769
PECOS PAC ID: 3274909155
Enrollment ID: I20221018000888
Provider NameJordyn N Thiel
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1568997211
PECOS PAC ID: 8123495470
Enrollment ID: I20221031000914
Provider NameJasmine P Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437874278
PECOS PAC ID: 8820465636
Enrollment ID: I20221108002779
Provider NameJohn M Sheldon
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1467415646
PECOS PAC ID: 8527017904
Enrollment ID: I20221108003592
Provider NameAndrew O'halloran
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1740713775
PECOS PAC ID: 4082982137
Enrollment ID: I20221123000319
Provider NameCourtney Marie Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649995994
PECOS PAC ID: 8224406111
Enrollment ID: I20221128000676
Provider NameAshley N Crace-speas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902544414
PECOS PAC ID: 9335518133
Enrollment ID: I20221219001139
Provider NameHarlan I Rumjahn
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1063570232
PECOS PAC ID: 7911377007
Enrollment ID: I20230106000330
Provider NameBradley J Craft
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417669391
PECOS PAC ID: 0648641084
Enrollment ID: I20230124000555
Provider NameEssam Kazmouz
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1851551162
PECOS PAC ID: 1456411099
Enrollment ID: I20230131002537
Provider NameUmera Paracha
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1558717850
PECOS PAC ID: 2163810680
Enrollment ID: I20230209001611
Provider NameBrian J Robertson-dick
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1033452453
PECOS PAC ID: 9133419021
Enrollment ID: I20230217000570
Provider NameMatthew A Penix
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487352076
PECOS PAC ID: 5496128563
Enrollment ID: I20230310001905
Provider NameLene R Oglesby
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1518075647
PECOS PAC ID: 8022119312
Enrollment ID: I20230313001776
Provider NameKenneth G Fortress
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1487650180
PECOS PAC ID: 3173705753
Enrollment ID: I20230405002515
Provider NameAnirudh Gupta
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1306259668
PECOS PAC ID: 8628484946
Enrollment ID: I20230503003112
Provider NameHeidi J Eizman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225799091
PECOS PAC ID: 9436516689
Enrollment ID: I20230605000673
Provider NameLarry Zhao
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1700012689
PECOS PAC ID: 7416262621
Enrollment ID: I20230620000457
Provider NameElizabeth Mathis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003206046
PECOS PAC ID: 5395062251
Enrollment ID: I20230711001883
Provider NameHans H Kim
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1750885687
PECOS PAC ID: 1254681448
Enrollment ID: I20230811002245
Provider NameKriti Kalra Sehgal
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1184065336
PECOS PAC ID: 4880822204
Enrollment ID: I20230919000992
Provider NameAmy L Mason
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497367593
PECOS PAC ID: 5193139384
Enrollment ID: I20230922000915
Provider NameYaoxian Ding
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1427033943
PECOS PAC ID: 5698706489
Enrollment ID: I20231005000298
Provider NameKimberly R Kelley Harper
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1265413272
PECOS PAC ID: 8921900366
Enrollment ID: I20231016003200
Provider NameKatherine D Redmond
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1669038956
PECOS PAC ID: 9436504958
Enrollment ID: I20231018001083
Provider NameLaura T Molina
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1215577309
PECOS PAC ID: 1759717515
Enrollment ID: I20240126001959
Provider NameJames Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598161184
PECOS PAC ID: 5496070773
Enrollment ID: I20240215003928
Provider NameNevine Hanna
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1205170982
PECOS PAC ID: 9537471495
Enrollment ID: I20240301002695
Provider NameVickie J Camilli
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1053697888
PECOS PAC ID: 8224203641
Enrollment ID: I20240321001968
Provider NameCathleen Cleveland
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1861413601
PECOS PAC ID: 5597717017
Enrollment ID: I20240408000660
Provider NameSoe Htet Arker
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1629617295
PECOS PAC ID: 3971942616
Enrollment ID: I20240415002725
Provider NameEllis R Maxwell
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1730280264
PECOS PAC ID: 5799125795
Enrollment ID: I20240424001597
Provider NameMaureen Palazzolo
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1770821415
PECOS PAC ID: 9931333929
Enrollment ID: I20240425000509
Provider NamePaul Lavin
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1922539139
PECOS PAC ID: 9133506991
Enrollment ID: I20240516000106
Provider NameNandita Gatla
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1306166632
PECOS PAC ID: 8325321797
Enrollment ID: I20240522003245

Reviews and Comments

Family Medicine in Portsmouth, OH

Spectrumcare, Llc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1112 Gallia St, Portsmouth, OH 45662
Phone: 740-981-3176    
Port45 Recovery Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1907 11th St, Portsmouth, OH 45662
Phone: 740-529-7356    
Scioto Family And Behavioral Medicine
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4502 Gallia St, Portsmouth, OH 45662
Phone: 740-529-7020    Fax: 740-529-7085
Path Integrated Healthcare
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 902 Gallia St, Portsmouth, OH 45662
Phone: 740-529-2125    Fax: 740-529-2126
Shawnee Mental Health Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 901 Washington St, Portsmouth, OH 45662
Phone: 740-354-7702    Fax: 740-353-1662
Piece By Piece Learning Center Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 411 Harding Ave, Portsmouth, OH 45662
Phone: 740-250-4077    
Southern Ohio Medical Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1805 27th St, Portsmouth, OH 45662
Phone: 740-353-1105    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.