| Corewell Health Medical Group West | |
|
1840 Wealthy St Se Grand Rapids MI 49506-2921 | |
| (616) 486-6793 | |
| Not Available |
| Full Name | Corewell Health Medical Group West |
|---|---|
| Speciality | Internal Medicine |
| Location | 1840 Wealthy St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Ryan Catignani (VP FINANCE) |
| Authorized Official Contact | 9475220008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corewell Health Medical Group West Po Box 2864 Grand Rapids MI 49501-2864 Ph: () - | Corewell Health Medical Group West 1840 Wealthy St Se Grand Rapids MI 49506-2921 Ph: (616) 486-6793 |
| NPI Number | 1235188673 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Medicare PECOS PAC ID | 4587568647 |
|---|---|
| Medicare Enrollment ID | O20031121000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235188673 | NPI | - | NPPES |
| Provider Name | Wendy S Muma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720063654 PECOS PAC ID: 0941114839 Enrollment ID: I20031114000558 |
| Provider Name | Richard F Mcnamara |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528049111 PECOS PAC ID: 0648182386 Enrollment ID: I20031208000671 |
| Provider Name | Colleen Tallen |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1588697882 PECOS PAC ID: 8022914456 Enrollment ID: I20031208000901 |
| Provider Name | Kathleen E Mosentine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043251275 PECOS PAC ID: 0840196135 Enrollment ID: I20031209000166 |
| Provider Name | Beverly A Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750537924 PECOS PAC ID: 8820995277 Enrollment ID: I20031215000765 |
| Provider Name | Howard M Leroux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316939176 PECOS PAC ID: 4183521917 Enrollment ID: I20031218000353 |
| Provider Name | Diana E Davidson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013909878 PECOS PAC ID: 8325945157 Enrollment ID: I20031218000385 |
| Provider Name | Adelle M Cadieux |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417096397 PECOS PAC ID: 4688571482 Enrollment ID: I20031218000739 |
| Provider Name | Erlund J Larson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417949090 PECOS PAC ID: 5890693592 Enrollment ID: I20031219000257 |
| Provider Name | Yvonne Margaret Rekeny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831459254 PECOS PAC ID: 2567360274 Enrollment ID: I20031219000387 |
| Provider Name | Mary Elyse Veach |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992771398 PECOS PAC ID: 2961300603 Enrollment ID: I20031219000763 |
| Provider Name | Danielle D Light |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154368660 PECOS PAC ID: 4587564257 Enrollment ID: I20040109000637 |
| Provider Name | Marianne K Melnik |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1629142658 PECOS PAC ID: 4789585845 Enrollment ID: I20040120000924 |
| Provider Name | Bradley D Riley |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1912988023 PECOS PAC ID: 4880587500 Enrollment ID: I20040205001199 |
| Provider Name | Bartholomew D Sak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093755167 PECOS PAC ID: 1658267877 Enrollment ID: I20040225000342 |
| Provider Name | Annette Broersma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043300791 PECOS PAC ID: 3375439508 Enrollment ID: I20040225000398 |
| Provider Name | Deborah L Cloney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629048699 PECOS PAC ID: 1850289265 Enrollment ID: I20040308000900 |
| Provider Name | Bernard H Eisenga |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407820590 PECOS PAC ID: 8820989478 Enrollment ID: I20040323000683 |
| Provider Name | Joann E Baar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063436533 PECOS PAC ID: 5799676987 Enrollment ID: I20040324001643 |
| Provider Name | Carlos Scott Merritt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033183165 PECOS PAC ID: 8921990755 Enrollment ID: I20040326000856 |
| Provider Name | John T Dykstra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730177379 PECOS PAC ID: 7315839990 Enrollment ID: I20040329000052 |
| Provider Name | Joseph R Blodgett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699736280 PECOS PAC ID: 3375536899 Enrollment ID: I20040408000167 |
| Provider Name | Karen S Ogle |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1083721989 PECOS PAC ID: 2062407729 Enrollment ID: I20040420001009 |
| Provider Name | Irene E Franowicz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508027830 PECOS PAC ID: 8820087638 Enrollment ID: I20040507000689 |
| Provider Name | Leigh Hix |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265694210 PECOS PAC ID: 2769471572 Enrollment ID: I20040507000741 |
| Provider Name | Stephanie L Patterson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598811010 PECOS PAC ID: 2961491782 Enrollment ID: I20040507000790 |
| Provider Name | Catherine M Laarman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104972777 PECOS PAC ID: 6709875479 Enrollment ID: I20040507001161 |
| Provider Name | Lynn M Dewitt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902086382 PECOS PAC ID: 3577552165 Enrollment ID: I20040510000208 |
| Provider Name | Katherine M Lebarre |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932255502 PECOS PAC ID: 0446249049 Enrollment ID: I20040510000346 |
| Provider Name | Patrick J Droste |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972552628 PECOS PAC ID: 6507856630 Enrollment ID: I20040512001194 |
| Provider Name | Timothy M Bont |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821040106 PECOS PAC ID: 3971592643 Enrollment ID: I20040520000910 |
| Provider Name | Kimberly Bain Mitcham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457465155 PECOS PAC ID: 4284615527 Enrollment ID: I20040525000220 |
| Provider Name | Joshua S Kooistra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730196700 PECOS PAC ID: 2062493703 Enrollment ID: I20040527000847 |
| Provider Name | Melinda E Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821088220 PECOS PAC ID: 9234110875 Enrollment ID: I20040528000258 |
| Provider Name | Jean Anne Craig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194755736 PECOS PAC ID: 1951382514 Enrollment ID: I20040528000410 |
| Provider Name | John Patrick Lagrand |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972507911 PECOS PAC ID: 0547242208 Enrollment ID: I20040605000017 |
| Provider Name | Bobby G Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891767489 PECOS PAC ID: 0547153587 Enrollment ID: I20040608001204 |
| Provider Name | David A Zink |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386690162 PECOS PAC ID: 3678557063 Enrollment ID: I20040615000019 |
| Provider Name | David E Scheeres |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225102254 PECOS PAC ID: 3971587429 Enrollment ID: I20040616000280 |
| Provider Name | Peter W Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407807217 PECOS PAC ID: 8628054657 Enrollment ID: I20040629000589 |
| Provider Name | Heidi Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396856118 PECOS PAC ID: 1456331453 Enrollment ID: I20040721000803 |
| Provider Name | Erica Elsing Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447213269 PECOS PAC ID: 2163317181 Enrollment ID: I20040722000905 |
| Provider Name | Matthew A Parlmer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801860002 PECOS PAC ID: 0042290512 Enrollment ID: I20040723001091 |
| Provider Name | Matthew L Marvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679514731 PECOS PAC ID: 3274503255 Enrollment ID: I20040728000035 |
| Provider Name | Ashutosh P Chaudhari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679520803 PECOS PAC ID: 0749251015 Enrollment ID: I20040802001352 |
| Provider Name | Joyce Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841386505 PECOS PAC ID: 6103897053 Enrollment ID: I20040804000251 |
| Provider Name | Eric Stuart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447244819 PECOS PAC ID: 5294707659 Enrollment ID: I20040806001256 |
| Provider Name | Rebecca Elizabeth Hoedema |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1568419745 PECOS PAC ID: 8921070384 Enrollment ID: I20040806001258 |
| Provider Name | Brian Edward Buchanan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689617011 PECOS PAC ID: 3870566011 Enrollment ID: I20040817000198 |
| Provider Name | John F Harris |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033152467 PECOS PAC ID: 1759354996 Enrollment ID: I20040817000223 |
| Provider Name | Christopher R Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225079866 PECOS PAC ID: 3678548963 Enrollment ID: I20040831000268 |
| Provider Name | Kelly B Huggett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326036963 PECOS PAC ID: 7113992140 Enrollment ID: I20040901000668 |
| Provider Name | Rafael Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487745980 PECOS PAC ID: 7416923305 Enrollment ID: I20040902000359 |
| Provider Name | Jonathan Todd Bolthouse |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518906221 PECOS PAC ID: 7315913290 Enrollment ID: I20040902000960 |
| Provider Name | Brian E Woodruff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215921432 PECOS PAC ID: 3476529066 Enrollment ID: I20040903001185 |
| Provider Name | George Chee Chiu Fogg |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811901085 PECOS PAC ID: 5991771446 Enrollment ID: I20040907000238 |
| Provider Name | Stephen Welsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609829951 PECOS PAC ID: 1850367897 Enrollment ID: I20040909001183 |
| Provider Name | Amy B Robinson Defouw |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023316346 PECOS PAC ID: 0446227375 Enrollment ID: I20040910001219 |
| Provider Name | Susan Hosana Dilan Szanto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871520460 PECOS PAC ID: 3375510985 Enrollment ID: I20040914000199 |
| Provider Name | John Mogor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518932839 PECOS PAC ID: 7618944158 Enrollment ID: I20040914000419 |
| Provider Name | Stacie L Griemsman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417945288 PECOS PAC ID: 2860469368 Enrollment ID: I20040914000800 |
| Provider Name | Jeffrey Christopher Gawel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821039470 PECOS PAC ID: 3870560006 Enrollment ID: I20040915001179 |
| Provider Name | Jessica J Lalley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265488399 PECOS PAC ID: 5890762934 Enrollment ID: I20040916000782 |
| Provider Name | Stacie M Hudkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649490350 PECOS PAC ID: 9032186192 Enrollment ID: I20040916000878 |
| Provider Name | Kimberly A Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073672143 PECOS PAC ID: 2567430648 Enrollment ID: I20040917000535 |
| Provider Name | Erica R Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679525414 PECOS PAC ID: 6507834512 Enrollment ID: I20040917000816 |
| Provider Name | Stephen J Macedo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841294477 PECOS PAC ID: 6406824333 Enrollment ID: I20040920000305 |
| Provider Name | Peter Y Wong |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952344509 PECOS PAC ID: 5597733261 Enrollment ID: I20040924000226 |
| Provider Name | Stephen J Fitch |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538109574 PECOS PAC ID: 0749259646 Enrollment ID: I20040928000546 |
| Provider Name | Yelena Yavich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780630772 PECOS PAC ID: 3476522327 Enrollment ID: I20040928000976 |
| Provider Name | Richard A Vandyken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437198918 PECOS PAC ID: 3072582832 Enrollment ID: I20040928001097 |
| Provider Name | Lisa M Lowery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235119975 PECOS PAC ID: 7214906833 Enrollment ID: I20040930000444 |
| Provider Name | Timothy John Helder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306888367 PECOS PAC ID: 3870562366 Enrollment ID: I20040930001007 |
| Provider Name | Michael John Harrison |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528008554 PECOS PAC ID: 6709846140 Enrollment ID: I20041012000233 |
| Provider Name | M Ashraf Mansour |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1487697421 PECOS PAC ID: 4981671849 Enrollment ID: I20041025000835 |
| Provider Name | Maged S Hamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275509044 PECOS PAC ID: 3173585908 Enrollment ID: I20041103000147 |
| Provider Name | Kim M Winterhalter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730151952 PECOS PAC ID: 1557324647 Enrollment ID: I20041109001203 |
| Provider Name | Rima Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841267804 PECOS PAC ID: 0840253886 Enrollment ID: I20041110000467 |
| Provider Name | Linda M Vandenbosch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588618953 PECOS PAC ID: 7113982232 Enrollment ID: I20041130000724 |
| Provider Name | Jane Cottingham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467442053 PECOS PAC ID: 8022074004 Enrollment ID: I20041202000309 |
| Provider Name | Joel F Van De Riet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255372306 PECOS PAC ID: 9830155951 Enrollment ID: I20041209000489 |
| Provider Name | Glenn M Vanotteren |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700826880 PECOS PAC ID: 0446155071 Enrollment ID: I20041229000808 |
| Provider Name | Harvinder P Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861495558 PECOS PAC ID: 7517955974 Enrollment ID: I20050110000626 |
| Provider Name | Neal D Hillman |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073583126 PECOS PAC ID: 9436109493 Enrollment ID: I20050127000167 |
| Provider Name | Elizabeth J Welsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366493900 PECOS PAC ID: 8628028479 Enrollment ID: I20050128000583 |
| Provider Name | Jeffrey J Dood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174513865 PECOS PAC ID: 2062465842 Enrollment ID: I20050222000580 |
| Provider Name | Kathleen A Bierens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528049764 PECOS PAC ID: 5193778389 Enrollment ID: I20050228000901 |
| Provider Name | Elizabeth J Sperry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922089069 PECOS PAC ID: 2365495553 Enrollment ID: I20050228000922 |
| Provider Name | Jusith Anas Amparo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790869329 PECOS PAC ID: 7315990405 Enrollment ID: I20050301000602 |
| Provider Name | Kristen K Vanderhorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841244480 PECOS PAC ID: 7618920554 Enrollment ID: I20050302000973 |
| Provider Name | Douglas Smendik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487605531 PECOS PAC ID: 2961399407 Enrollment ID: I20050303000331 |
| Provider Name | Mark W Bates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245312917 PECOS PAC ID: 2062466816 Enrollment ID: I20050304000494 |
| Provider Name | Dawn D Dewitt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003914854 PECOS PAC ID: 4688628449 Enrollment ID: I20050304000513 |
| Provider Name | Gregory Raymond Page |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487601464 PECOS PAC ID: 9931153707 Enrollment ID: I20050304000614 |
| Provider Name | Steven T Deroos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528033990 PECOS PAC ID: 2769436393 Enrollment ID: I20050308000171 |
| Provider Name | Nino P Soave |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053539007 PECOS PAC ID: 4284689118 Enrollment ID: I20050314000890 |
| Provider Name | Tejinder S Mander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740265701 PECOS PAC ID: 9234127697 Enrollment ID: I20050503001139 |
| Provider Name | Steven N Triesenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588645139 PECOS PAC ID: 7810888005 Enrollment ID: I20050504000395 |
| Provider Name | Kara Lyn Krol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407897788 PECOS PAC ID: 0345281127 Enrollment ID: I20050523000280 |
| Provider Name | Mathew Hwayup Chung |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1386685592 PECOS PAC ID: 6709828437 Enrollment ID: I20050524000266 |
| Provider Name | Tracey A Haener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295709103 PECOS PAC ID: 2264475573 Enrollment ID: I20050608000115 |
| Provider Name | Hernan L Lescay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154322477 PECOS PAC ID: 6901849082 Enrollment ID: I20050609000409 |
| Provider Name | Peter Z Zadvinskis |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1043381353 PECOS PAC ID: 7719950179 Enrollment ID: I20050617000172 |
| Provider Name | Jason T Umfleet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114993474 PECOS PAC ID: 1759326861 Enrollment ID: I20050620000983 |
| Provider Name | Randall J Ceton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801846316 PECOS PAC ID: 4688619455 Enrollment ID: I20050622000645 |
| Provider Name | Dominic Joseph Sanfilippo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386615763 PECOS PAC ID: 9032154695 Enrollment ID: I20050623000609 |
| Provider Name | Sean Robert Goodwin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720021157 PECOS PAC ID: 3779529193 Enrollment ID: I20050707000124 |
| Provider Name | Kim G Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861587602 PECOS PAC ID: 6305872631 Enrollment ID: I20050721000138 |
| Provider Name | Jeffrey R Schneider |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366537177 PECOS PAC ID: 1951337286 Enrollment ID: I20050721000379 |
| Provider Name | Charles M Langdon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871541300 PECOS PAC ID: 8628005212 Enrollment ID: I20050726000387 |
| Provider Name | Michael D Tanis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427155308 PECOS PAC ID: 9537197835 Enrollment ID: I20050728000550 |
| Provider Name | Joash A Raj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487642021 PECOS PAC ID: 1951339290 Enrollment ID: I20050728000853 |
| Provider Name | Iris F Boettcher |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1003863226 PECOS PAC ID: 9133157175 Enrollment ID: I20050801000096 |
| Provider Name | James A Foote |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255372504 PECOS PAC ID: 8022047356 Enrollment ID: I20050808000487 |
| Provider Name | Dennis L Swanson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396799136 PECOS PAC ID: 6800825076 Enrollment ID: I20050808000860 |
| Provider Name | Edward J Snell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699757815 PECOS PAC ID: 4486683679 Enrollment ID: I20050808001039 |
| Provider Name | Andre John Gauri |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1215928684 PECOS PAC ID: 1557390606 Enrollment ID: I20050809000417 |
| Provider Name | Robert Vincent Bach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275581373 PECOS PAC ID: 4385673409 Enrollment ID: I20050809000957 |
| Provider Name | Nadav Dujovny |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1093760357 PECOS PAC ID: 4789614322 Enrollment ID: I20050815000227 |
| Provider Name | Julie Ann Bekius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629068309 PECOS PAC ID: 1153352000 Enrollment ID: I20050830000829 |
| Provider Name | Marion G Wendt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902870918 PECOS PAC ID: 0244262863 Enrollment ID: I20050906000024 |
| Provider Name | Kristin Suzanne Oldenberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346293362 PECOS PAC ID: 1658304084 Enrollment ID: I20050915000480 |
| Provider Name | Amy L Beeman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1891743837 PECOS PAC ID: 1456384536 Enrollment ID: I20050919000405 |
| Provider Name | Mark A Fredrickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356426712 PECOS PAC ID: 9739113770 Enrollment ID: I20050922000802 |
| Provider Name | Molly Elizabeth Okane |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235119314 PECOS PAC ID: 9335164219 Enrollment ID: I20051010000868 |
| Provider Name | Teresa R Farah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235158080 PECOS PAC ID: 3678598455 Enrollment ID: I20051011000487 |
| Provider Name | John Bevan Millett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386696664 PECOS PAC ID: 9436174166 Enrollment ID: I20051011000916 |
| Provider Name | Thomas John Visser |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730120007 PECOS PAC ID: 0244256238 Enrollment ID: I20051019000493 |
| Provider Name | Rebecca Lynn Bultman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972574309 PECOS PAC ID: 9537186713 Enrollment ID: I20051027000181 |
| Provider Name | Brian Kent Petroelje |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801823950 PECOS PAC ID: 5991722597 Enrollment ID: I20051101001037 |
| Provider Name | Steven L Pastyrnak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760434997 PECOS PAC ID: 8325067432 Enrollment ID: I20051117000900 |
| Provider Name | Katheryn L Knudson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063452118 PECOS PAC ID: 5193744191 Enrollment ID: I20051118000684 |
| Provider Name | Daniel L Osborne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629019443 PECOS PAC ID: 5496775199 Enrollment ID: I20051123000642 |
| Provider Name | Douglas Edward Henry |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639116122 PECOS PAC ID: 7012972318 Enrollment ID: I20051208000529 |
| Provider Name | Aneeta Rridhi Khanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558331306 PECOS PAC ID: 4880615343 Enrollment ID: I20051212000659 |
| Provider Name | Ian H Fox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295743920 PECOS PAC ID: 8921021999 Enrollment ID: I20060105000651 |
| Provider Name | Vlad Motoc |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1164462693 PECOS PAC ID: 5496715690 Enrollment ID: I20060106000375 |
| Provider Name | Kathryn M Kozak |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1306887989 PECOS PAC ID: 1355365883 Enrollment ID: I20060123000810 |
| Provider Name | Christopher George Skinner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609877307 PECOS PAC ID: 2567406416 Enrollment ID: I20060125000530 |
| Provider Name | Mary E Oatey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366404295 PECOS PAC ID: 2264322148 Enrollment ID: I20060125000974 |
| Provider Name | Michael J Forness |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700852977 PECOS PAC ID: 8820088990 Enrollment ID: I20060202000620 |
| Provider Name | Michael P Salata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275538670 PECOS PAC ID: 2860444098 Enrollment ID: I20060209000577 |
| Provider Name | Aly S Abdel Mageed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851361190 PECOS PAC ID: 5294741476 Enrollment ID: I20060224000467 |
| Provider Name | Liana G Rinzler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871540997 PECOS PAC ID: 3870509821 Enrollment ID: I20060228000379 |
| Provider Name | James L Loker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255311692 PECOS PAC ID: 6103832159 Enrollment ID: I20060228000405 |
| Provider Name | Mary M Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003859596 PECOS PAC ID: 2668488628 Enrollment ID: I20060228000512 |
| Provider Name | Valerie A Ahern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588665574 PECOS PAC ID: 4486660321 Enrollment ID: I20060301000436 |
| Provider Name | Samantha A Mcbee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902807969 PECOS PAC ID: 5294741138 Enrollment ID: I20060301000446 |
| Provider Name | Russel D Jelsema |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588654263 PECOS PAC ID: 9234192907 Enrollment ID: I20060302000687 |
| Provider Name | Gregory A Bernath |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497749873 PECOS PAC ID: 0143291138 Enrollment ID: I20060307000416 |
| Provider Name | Leigh G Seamon |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1821147422 PECOS PAC ID: 8123035789 Enrollment ID: I20060307000773 |
| Provider Name | Bonnie L Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528099884 PECOS PAC ID: 1658388657 Enrollment ID: I20060316000209 |
| Provider Name | Rebecca S Vandyke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669460218 PECOS PAC ID: 5991713257 Enrollment ID: I20060328000350 |
| Provider Name | Anas Aljanadi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790727360 PECOS PAC ID: 3577572171 Enrollment ID: I20060410000509 |
| Provider Name | Jon L Schram |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053335018 PECOS PAC ID: 0749299287 Enrollment ID: I20060412000129 |
| Provider Name | Jeanne Evelyn Cheshier Alvarado |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942365069 PECOS PAC ID: 1052321833 Enrollment ID: I20060424000338 |
| Provider Name | Ryan Elliot Figg |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1205806858 PECOS PAC ID: 5395755144 Enrollment ID: I20060425000287 |
| Provider Name | Anne Tyson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447472915 PECOS PAC ID: 0648280495 Enrollment ID: I20060425000312 |
| Provider Name | Kathleen J Yost |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780685149 PECOS PAC ID: 6406866987 Enrollment ID: I20060427000632 |
| Provider Name | Daniel A Farrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336144260 PECOS PAC ID: 5092617092 Enrollment ID: I20060503000309 |
| Provider Name | Darryl Adam Elmouchi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1548240732 PECOS PAC ID: 9638180607 Enrollment ID: I20060505000704 |
| Provider Name | Donald G Kim |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1548209000 PECOS PAC ID: 8426069378 Enrollment ID: I20060508000373 |
| Provider Name | Brian S Hood |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023009453 PECOS PAC ID: 9133131998 Enrollment ID: I20060615000347 |
| Provider Name | Michael G Dickinson |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1942289798 PECOS PAC ID: 0547272304 Enrollment ID: I20060616000034 |
| Provider Name | Philip Mark Waalkes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053355222 PECOS PAC ID: 9436161049 Enrollment ID: I20060626000024 |
| Provider Name | Annica Euurand Waalkes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538116199 PECOS PAC ID: 3072525237 Enrollment ID: I20060707000169 |
| Provider Name | Christopher J Hudson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568414860 PECOS PAC ID: 8022004936 Enrollment ID: I20060718000273 |
| Provider Name | Marc R Mcclelland |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760422786 PECOS PAC ID: 7113976747 Enrollment ID: I20060725000034 |
| Provider Name | Gregory L Trowbridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033181243 PECOS PAC ID: 4688687387 Enrollment ID: I20060725000274 |
| Provider Name | Daniel Peter Mcgee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477524833 PECOS PAC ID: 0345243283 Enrollment ID: I20060816000080 |
| Provider Name | Nancy J Bender Hausman |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1366460172 PECOS PAC ID: 9032112552 Enrollment ID: I20060822000472 |
| Provider Name | Randall S Meisner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003869215 PECOS PAC ID: 1254334725 Enrollment ID: I20060823000277 |
| Provider Name | Donna M Harold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982645644 PECOS PAC ID: 0042214389 Enrollment ID: I20060829000363 |
| Provider Name | Candace T Smith King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750336509 PECOS PAC ID: 7618971730 Enrollment ID: I20060905000010 |
| Provider Name | Robert C Mackinder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124022660 PECOS PAC ID: 2567466543 Enrollment ID: I20060905000545 |
| Provider Name | Heather Marie Adams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083692255 PECOS PAC ID: 7012911050 Enrollment ID: I20060906000499 |
| Provider Name | Simin Beg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003853987 PECOS PAC ID: 8729082508 Enrollment ID: I20060911000010 |
| Provider Name | Sohail Qadir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649247032 PECOS PAC ID: 4284638909 Enrollment ID: I20060911000458 |
| Provider Name | Peter A Ugolini |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821103193 PECOS PAC ID: 4284638990 Enrollment ID: I20060912000440 |
| Provider Name | Russell Lampen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811970304 PECOS PAC ID: 0840229472 Enrollment ID: I20060920000200 |
| Provider Name | Jennifer L Dykstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497700868 PECOS PAC ID: 7315942588 Enrollment ID: I20060921000217 |
| Provider Name | Paul C Elsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073567178 PECOS PAC ID: 6002811072 Enrollment ID: I20060926000057 |
| Provider Name | Duane C Berkompas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174521116 PECOS PAC ID: 0446162168 Enrollment ID: I20060926000338 |
| Provider Name | Allison A Bannick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821103441 PECOS PAC ID: 4688679699 Enrollment ID: I20060926000397 |
| Provider Name | Kristi Elizabeth Artz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558301820 PECOS PAC ID: 5496784936 Enrollment ID: I20061006000143 |
| Provider Name | Heather A Slay |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1154378404 PECOS PAC ID: 0648276014 Enrollment ID: I20061006000300 |
| Provider Name | Andrew M Parsons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649295031 PECOS PAC ID: 4789680042 Enrollment ID: I20061010000051 |
| Provider Name | Molly P Crissman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902808165 PECOS PAC ID: 3476455460 Enrollment ID: I20061018000187 |
| Provider Name | Martin A Luchtefeld |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1124069703 PECOS PAC ID: 6901802792 Enrollment ID: I20061019000101 |
| Provider Name | Brett W Martin |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1588674188 PECOS PAC ID: 0042217960 Enrollment ID: I20061106000542 |
| Provider Name | Jennifer M Lachapell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396773594 PECOS PAC ID: 6305844481 Enrollment ID: I20061128000323 |
| Provider Name | Anita L Hart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811910318 PECOS PAC ID: 9931107919 Enrollment ID: I20061130000080 |
| Provider Name | Daren Clarence Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336232487 PECOS PAC ID: 7113926775 Enrollment ID: I20061207000438 |
| Provider Name | Michael Ryan Lawrence |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326130857 PECOS PAC ID: 6608874219 Enrollment ID: I20070301000558 |
| Provider Name | Linda A Langholz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790831568 PECOS PAC ID: 1456454776 Enrollment ID: I20070307000136 |
| Provider Name | Sharon R Cabansag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871648576 PECOS PAC ID: 1850494576 Enrollment ID: I20070316000205 |
| Provider Name | Gregory S Mervenne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215955752 PECOS PAC ID: 3173522398 Enrollment ID: I20070409000266 |
| Provider Name | William A Frauenheim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497746952 PECOS PAC ID: 0244335024 Enrollment ID: I20070424000342 |
| Provider Name | Mark H Koets |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891735825 PECOS PAC ID: 4688770324 Enrollment ID: I20070426000328 |
| Provider Name | Eric A Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245247154 PECOS PAC ID: 9133225444 Enrollment ID: I20070503000096 |
| Provider Name | Greg M Marco |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427098433 PECOS PAC ID: 7012014491 Enrollment ID: I20070518000378 |
| Provider Name | Richard A Switzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588770846 PECOS PAC ID: 7618075573 Enrollment ID: I20070531000422 |
| Provider Name | Edward Erbter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376520106 PECOS PAC ID: 8426037557 Enrollment ID: I20070604000459 |
| Provider Name | John A Key |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134103732 PECOS PAC ID: 5597863563 Enrollment ID: I20070614000624 |
| Provider Name | Eric J Wielhouwer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790819449 PECOS PAC ID: 7517066392 Enrollment ID: I20070619000585 |
| Provider Name | Benjamin R Schipper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750415238 PECOS PAC ID: 2668571134 Enrollment ID: I20070625000229 |
| Provider Name | Matthew R Steensma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912025818 PECOS PAC ID: 2567561756 Enrollment ID: I20070629000113 |
| Provider Name | Robert K Fitzgerald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619949765 PECOS PAC ID: 8729188859 Enrollment ID: I20070703000061 |
| Provider Name | Gretchen J Roe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588794770 PECOS PAC ID: 2365542917 Enrollment ID: I20070711000464 |
| Provider Name | Richard S Hagelberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568499598 PECOS PAC ID: 7315048378 Enrollment ID: I20070720000806 |
| Provider Name | William M Merhi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386786044 PECOS PAC ID: 7214038124 Enrollment ID: I20070723000287 |
| Provider Name | Jeffrey M Decker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801001011 PECOS PAC ID: 9830290360 Enrollment ID: I20070727000042 |
| Provider Name | James S Collins |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679692206 PECOS PAC ID: 2668573098 Enrollment ID: I20070728000278 |
| Provider Name | Wael K Berjaoui |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851497424 PECOS PAC ID: 7719991405 Enrollment ID: I20070730000104 |
| Provider Name | Angela R Oostema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871562066 PECOS PAC ID: 8628169505 Enrollment ID: I20070807000329 |
| Provider Name | Sarah B Arnold |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285696591 PECOS PAC ID: 4880679893 Enrollment ID: I20070810000451 |
| Provider Name | Marisha I Stawiski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730211970 PECOS PAC ID: 6709977259 Enrollment ID: I20070813000342 |
| Provider Name | Michael Shawn Werkema |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093833451 PECOS PAC ID: 7517058910 Enrollment ID: I20070814000102 |
| Provider Name | Anne Marie Mccarthy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770701575 PECOS PAC ID: 3476645490 Enrollment ID: I20070822001163 |
| Provider Name | Timothy G Ocallaghan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982604617 PECOS PAC ID: 8022100551 Enrollment ID: I20070828000831 |
| Provider Name | Mary K Ocallaghan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558369884 PECOS PAC ID: 1759473283 Enrollment ID: I20070828000832 |
| Provider Name | Joshua S Brinks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982699476 PECOS PAC ID: 5496848913 Enrollment ID: I20070829000575 |
| Provider Name | Michael C Vredenburg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710968284 PECOS PAC ID: 0244142982 Enrollment ID: I20070911000304 |
| Provider Name | Rebecca Caldwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396768032 PECOS PAC ID: 7416960893 Enrollment ID: I20070913000842 |
| Provider Name | Kevin G Wolschleger |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790766640 PECOS PAC ID: 5698869113 Enrollment ID: I20070914000301 |
| Provider Name | James Robert Grove |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942281852 PECOS PAC ID: 0345152070 Enrollment ID: I20070914000320 |
| Provider Name | David H Wohns |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588655922 PECOS PAC ID: 8628980356 Enrollment ID: I20070914000668 |
| Provider Name | John W Winters |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265404495 PECOS PAC ID: 9830283209 Enrollment ID: I20070915000187 |
| Provider Name | Keith D Marcus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255371365 PECOS PAC ID: 0345259909 Enrollment ID: I20070919000668 |
| Provider Name | Timothy D Fritz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326023383 PECOS PAC ID: 5890607527 Enrollment ID: I20070919000915 |
| Provider Name | David E Langholz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831180231 PECOS PAC ID: 2466364195 Enrollment ID: I20070921000816 |
| Provider Name | John C Mulligan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659352847 PECOS PAC ID: 7416869151 Enrollment ID: I20070926000893 |
| Provider Name | Graceann Mary Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063428134 PECOS PAC ID: 6305931031 Enrollment ID: I20070926000913 |
| Provider Name | Lynn Cronin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194716621 PECOS PAC ID: 3173618857 Enrollment ID: I20070927000102 |
| Provider Name | Elizabeth A Leary |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437199411 PECOS PAC ID: 0648365999 Enrollment ID: I20071001000751 |
| Provider Name | Adelita Saenz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720110463 PECOS PAC ID: 9537132923 Enrollment ID: I20071002000322 |
| Provider Name | Lana K Gagin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669693487 PECOS PAC ID: 6305931353 Enrollment ID: I20071005000024 |
| Provider Name | Nagib Tony Chalfoun |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1518086230 PECOS PAC ID: 2961597877 Enrollment ID: I20071005000612 |
| Provider Name | Vikas Bajpai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407854458 PECOS PAC ID: 1557456381 Enrollment ID: I20071009000113 |
| Provider Name | Daniel L Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275525875 PECOS PAC ID: 5496841561 Enrollment ID: I20071019000640 |
| Provider Name | Mohamad A El Kurdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851518682 PECOS PAC ID: 2264529817 Enrollment ID: I20071030000473 |
| Provider Name | Julie A Norris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508080458 PECOS PAC ID: 5698862738 Enrollment ID: I20071106000408 |
| Provider Name | Peter B Lundeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467513234 PECOS PAC ID: 1850369927 Enrollment ID: I20071109000554 |
| Provider Name | John N Schuen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720054737 PECOS PAC ID: 4486742343 Enrollment ID: I20071112000180 |
| Provider Name | Jeffrey A Cassidy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316919798 PECOS PAC ID: 1456397090 Enrollment ID: I20071205000112 |
| Provider Name | Walter M Braunohler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023079290 PECOS PAC ID: 5496845364 Enrollment ID: I20071214000656 |
| Provider Name | Sarah K Depas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518020395 PECOS PAC ID: 9133116577 Enrollment ID: I20080116000589 |
| Provider Name | Karen Meyer-howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609896836 PECOS PAC ID: 4688647217 Enrollment ID: I20080208000351 |
| Provider Name | Emily J Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558548701 PECOS PAC ID: 8224114319 Enrollment ID: I20080331000101 |
| Provider Name | Linda J Morris Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639354152 PECOS PAC ID: 5395822142 Enrollment ID: I20080404000136 |
| Provider Name | Martina Inclan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457480618 PECOS PAC ID: 2961589304 Enrollment ID: I20080409000260 |
| Provider Name | Renee M Bates |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174547053 PECOS PAC ID: 8729166814 Enrollment ID: I20080415000187 |
| Provider Name | Malar Vasanthan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639366743 PECOS PAC ID: 4880763523 Enrollment ID: I20080520000857 |
| Provider Name | Mark W Armstrong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932104882 PECOS PAC ID: 1658336326 Enrollment ID: I20080529000791 |
| Provider Name | Johannie M Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467437384 PECOS PAC ID: 5395700868 Enrollment ID: I20080604000689 |
| Provider Name | Kenneth D Minks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235129875 PECOS PAC ID: 5890751556 Enrollment ID: I20080620000096 |
| Provider Name | Cindy J Bilisko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366427296 PECOS PAC ID: 0941371553 Enrollment ID: I20080625000095 |
| Provider Name | Raul Rene Andino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033121652 PECOS PAC ID: 3274436449 Enrollment ID: I20080707000620 |
| Provider Name | Amy Lynn Manley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730296609 PECOS PAC ID: 4486726155 Enrollment ID: I20080712000148 |
| Provider Name | Aashish A Deshpande |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003915976 PECOS PAC ID: 8820161599 Enrollment ID: I20080715000180 |
| Provider Name | Chad E Afman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154532448 PECOS PAC ID: 7315010519 Enrollment ID: I20080722000144 |
| Provider Name | Christopher M Chambers |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1184831869 PECOS PAC ID: 8628141785 Enrollment ID: I20080722000751 |
| Provider Name | Danielle D Spilotro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609098516 PECOS PAC ID: 8224102900 Enrollment ID: I20080729000407 |
| Provider Name | Stacy A Dunning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427219898 PECOS PAC ID: 6103990338 Enrollment ID: I20080805000814 |
| Provider Name | Robert Ward Selfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003038605 PECOS PAC ID: 3072687078 Enrollment ID: I20080809000020 |
| Provider Name | Jeremy D Barber |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417177866 PECOS PAC ID: 1254406937 Enrollment ID: I20080814000253 |
| Provider Name | Kellie M Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457397523 PECOS PAC ID: 2062587181 Enrollment ID: I20080823000068 |
| Provider Name | Sandra K Depree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265475123 PECOS PAC ID: 7012083041 Enrollment ID: I20080827000492 |
| Provider Name | Michael Thomas Stout |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447372750 PECOS PAC ID: 2062595903 Enrollment ID: I20080829000359 |
| Provider Name | Wayne A Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104011824 PECOS PAC ID: 9931275468 Enrollment ID: I20080908000435 |
| Provider Name | Chethan Kalhalli Rajappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588869069 PECOS PAC ID: 9830266204 Enrollment ID: I20080930000670 |
| Provider Name | Nathan E Pomeroy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043338650 PECOS PAC ID: 4183792930 Enrollment ID: I20081006000692 |
| Provider Name | Eric R Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023231008 PECOS PAC ID: 6305905381 Enrollment ID: I20081105000564 |
| Provider Name | Mark E Jacoby |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871544551 PECOS PAC ID: 6103839691 Enrollment ID: I20081110000076 |
| Provider Name | Daryl R Diebler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467609180 PECOS PAC ID: 0648330050 Enrollment ID: I20081114000523 |
| Provider Name | Dandrea M Heeres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548480197 PECOS PAC ID: 6901966035 Enrollment ID: I20081119000818 |
| Provider Name | Matthew Moeller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386763704 PECOS PAC ID: 0244390136 Enrollment ID: I20081121000637 |
| Provider Name | Jorgelina De Sanctis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396950226 PECOS PAC ID: 4284794827 Enrollment ID: I20081126000608 |
| Provider Name | Allison P Tran |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952551178 PECOS PAC ID: 2062574254 Enrollment ID: I20081223000090 |
| Provider Name | Julie A Ondersma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538312889 PECOS PAC ID: 2365504594 Enrollment ID: I20081223000436 |
| Provider Name | George Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396735791 PECOS PAC ID: 1658323985 Enrollment ID: I20081229000210 |
| Provider Name | Thomas J Stout |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396774865 PECOS PAC ID: 8123913712 Enrollment ID: I20090107000176 |
| Provider Name | Kathleen M Hascher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417040296 PECOS PAC ID: 7416010087 Enrollment ID: I20090107000579 |
| Provider Name | Aaron J Defrang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689886608 PECOS PAC ID: 8123182813 Enrollment ID: I20090123000584 |
| Provider Name | Katherine M Vanotteren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174768469 PECOS PAC ID: 7911061965 Enrollment ID: I20090205000534 |
| Provider Name | Eugene Zolotarevsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508989633 PECOS PAC ID: 8527125301 Enrollment ID: I20090323000253 |
| Provider Name | Tonya A Simon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417110495 PECOS PAC ID: 3476629411 Enrollment ID: I20090327000410 |
| Provider Name | Theresa A Osborne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326087057 PECOS PAC ID: 8224185939 Enrollment ID: I20090415000703 |
| Provider Name | Shelly Lynn Oostindie |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124200423 PECOS PAC ID: 1153479498 Enrollment ID: I20090427000083 |
| Provider Name | Virginia V Harrington |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487635850 PECOS PAC ID: 6406754381 Enrollment ID: I20090428000456 |
| Provider Name | Duane A Oetman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417980822 PECOS PAC ID: 3274681085 Enrollment ID: I20090506000032 |
| Provider Name | Maryanne George |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811972730 PECOS PAC ID: 8628127123 Enrollment ID: I20090512000336 |
| Provider Name | Talawnda L Bragg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275736316 PECOS PAC ID: 1254489743 Enrollment ID: I20090514000124 |
| Provider Name | Michael A Metz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083694426 PECOS PAC ID: 9739238981 Enrollment ID: I20090519000509 |
| Provider Name | David M Stone |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770522245 PECOS PAC ID: 8123177953 Enrollment ID: I20090527000186 |
| Provider Name | John M Dysart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265425177 PECOS PAC ID: 2466501200 Enrollment ID: I20090527000223 |
| Provider Name | Nancy D Simms |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992775936 PECOS PAC ID: 0648329441 Enrollment ID: I20090528000137 |
| Provider Name | Martha Rachel Thormeier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720222748 PECOS PAC ID: 5092864959 Enrollment ID: I20090528000555 |
| Provider Name | Elizabeth R Prentice |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396946331 PECOS PAC ID: 4486704780 Enrollment ID: I20090608000505 |
| Provider Name | Jeffry D Knibbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700825296 PECOS PAC ID: 6901958529 Enrollment ID: I20090713000462 |
| Provider Name | Jose L Raygada |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063623981 PECOS PAC ID: 4587716824 Enrollment ID: I20090716000468 |
| Provider Name | Brian Robert Lane |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588787006 PECOS PAC ID: 7810069028 Enrollment ID: I20090720000325 |
| Provider Name | Jason A Squires |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164615688 PECOS PAC ID: 7315012986 Enrollment ID: I20090814000134 |
| Provider Name | Sara Huegli Mccune |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962610469 PECOS PAC ID: 5496828311 Enrollment ID: I20090821000405 |
| Provider Name | Michelle A Backus Walzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124011531 PECOS PAC ID: 9234106642 Enrollment ID: I20090826000635 |
| Provider Name | Kyle A Rasikas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114034162 PECOS PAC ID: 4082515366 Enrollment ID: I20090904000422 |
| Provider Name | Tomasz Andrzej Timek |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1578593612 PECOS PAC ID: 9436127735 Enrollment ID: I20090904000428 |
| Provider Name | Scott R Steenwyk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972723591 PECOS PAC ID: 9537215447 Enrollment ID: I20090917000651 |
| Provider Name | Leslie Jurecko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174789101 PECOS PAC ID: 6507903895 Enrollment ID: I20091019000341 |
| Provider Name | Joseph D Ortiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326073792 PECOS PAC ID: 1658340005 Enrollment ID: I20091116000280 |
| Provider Name | Rachel L Scholten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659504512 PECOS PAC ID: 1658419270 Enrollment ID: I20091118000634 |
| Provider Name | Beth A Kurt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700051679 PECOS PAC ID: 1658410121 Enrollment ID: I20091124000060 |
| Provider Name | Gerald R Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265437420 PECOS PAC ID: 8729129382 Enrollment ID: I20100105000698 |
| Provider Name | Robert K Jarve |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285639161 PECOS PAC ID: 2264573823 Enrollment ID: I20100105000715 |
| Provider Name | David Robert Heyboer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427052265 PECOS PAC ID: 7719028273 Enrollment ID: I20100105000721 |
| Provider Name | Lawrence G Foe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689678401 PECOS PAC ID: 6608917166 Enrollment ID: I20100105000736 |
| Provider Name | Brenda S Zook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467456103 PECOS PAC ID: 5698816155 Enrollment ID: I20100105000744 |
| Provider Name | Michelle Gianturco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649274408 PECOS PAC ID: 8224179783 Enrollment ID: I20100105000756 |
| Provider Name | Tarulata P Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659312874 PECOS PAC ID: 5395886725 Enrollment ID: I20100107000663 |
| Provider Name | Angela R Weirich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598706137 PECOS PAC ID: 0749321172 Enrollment ID: I20100107000676 |
| Provider Name | Keith J Postma |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710928007 PECOS PAC ID: 0840331187 Enrollment ID: I20100108000062 |
| Provider Name | Bruce M Fletter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518914779 PECOS PAC ID: 1658412994 Enrollment ID: I20100108000071 |
| Provider Name | Francis G Hart |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447291737 PECOS PAC ID: 7416098793 Enrollment ID: I20100108000420 |
| Provider Name | Colin Campbell Herd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417281510 PECOS PAC ID: 8022150929 Enrollment ID: I20100114000693 |
| Provider Name | Marcy L Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366770505 PECOS PAC ID: 5092857953 Enrollment ID: I20100115000404 |
| Provider Name | Josip Divic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770587305 PECOS PAC ID: 8527100304 Enrollment ID: I20100115000628 |
| Provider Name | Kevin J Mccormick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043215486 PECOS PAC ID: 2062554843 Enrollment ID: I20100115000639 |
| Provider Name | Sharon L Siefert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598769242 PECOS PAC ID: 7113069998 Enrollment ID: I20100115000678 |
| Provider Name | Thomas Farrell Boyden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558488874 PECOS PAC ID: 5698817492 Enrollment ID: I20100115000866 |
| Provider Name | Janet M Millermaier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558478370 PECOS PAC ID: 3678615416 Enrollment ID: I20100116000355 |
| Provider Name | Anne E Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851620280 PECOS PAC ID: 4082756283 Enrollment ID: I20100127000213 |
| Provider Name | Nasim A Yacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861440299 PECOS PAC ID: 0547303596 Enrollment ID: I20100130000068 |
| Provider Name | Ludie Weddle |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447588249 PECOS PAC ID: 1951444744 Enrollment ID: I20100202000371 |
| Provider Name | Sam J Giovannucci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164478509 PECOS PAC ID: 5698853638 Enrollment ID: I20100210000699 |
| Provider Name | Thomas H Rupp |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477593473 PECOS PAC ID: 9537202726 Enrollment ID: I20100210000703 |
| Provider Name | Gregory V Osborne |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285680132 PECOS PAC ID: 0345383535 Enrollment ID: I20100210000711 |
| Provider Name | Michelle Mascarinas Manalac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053413856 PECOS PAC ID: 4385788819 Enrollment ID: I20100222000112 |
| Provider Name | Brian V Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558365163 PECOS PAC ID: 8123162393 Enrollment ID: I20100225000798 |
| Provider Name | Susan M Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841294410 PECOS PAC ID: 7012051287 Enrollment ID: I20100225000815 |
| Provider Name | David E Burdette |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679648315 PECOS PAC ID: 2264577451 Enrollment ID: I20100226000069 |
| Provider Name | Gregory J Deines |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427098532 PECOS PAC ID: 4880739440 Enrollment ID: I20100306000383 |
| Provider Name | Melanie A Burghgraef |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457398208 PECOS PAC ID: 4284769936 Enrollment ID: I20100319000084 |
| Provider Name | John E Heslip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023016466 PECOS PAC ID: 6305971029 Enrollment ID: I20100319000842 |
| Provider Name | Robert D Lang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871597377 PECOS PAC ID: 7214062934 Enrollment ID: I20100319000844 |
| Provider Name | Philip E Henderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225032709 PECOS PAC ID: 9032244751 Enrollment ID: I20100319000847 |
| Provider Name | Thomas A Fasbender |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265465496 PECOS PAC ID: 3173658606 Enrollment ID: I20100322000929 |
| Provider Name | Maala S Daniel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821252545 PECOS PAC ID: 3375679186 Enrollment ID: I20100331000867 |
| Provider Name | Thompson Southwell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427005388 PECOS PAC ID: 3173650504 Enrollment ID: I20100416000234 |
| Provider Name | Mary L Watts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154399186 PECOS PAC ID: 3375670326 Enrollment ID: I20100422000582 |
| Provider Name | Sarah Roseanne Skavnak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548585367 PECOS PAC ID: 6608904537 Enrollment ID: I20100513000235 |
| Provider Name | Matthew R Garber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952412587 PECOS PAC ID: 4486541927 Enrollment ID: I20100518000068 |
| Provider Name | Susan L Millard |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144296344 PECOS PAC ID: 3375672009 Enrollment ID: I20100518000815 |
| Provider Name | Lee P Begrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528062155 PECOS PAC ID: 1052440732 Enrollment ID: I20100519000498 |
| Provider Name | Kurt J Koepnick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093761470 PECOS PAC ID: 0749319119 Enrollment ID: I20100524000048 |
| Provider Name | Natasha D Dehaan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295051209 PECOS PAC ID: 3375672579 Enrollment ID: I20100526000898 |
| Provider Name | Maricarman Fuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730136813 PECOS PAC ID: 8527146562 Enrollment ID: I20100527000223 |
| Provider Name | Samir A Rajani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720035892 PECOS PAC ID: 1951430081 Enrollment ID: I20100527000232 |
| Provider Name | Tara L Myaard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316994528 PECOS PAC ID: 1052440195 Enrollment ID: I20100527000323 |
| Provider Name | Michael R Puff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265471957 PECOS PAC ID: 6406751031 Enrollment ID: I20100527000561 |
| Provider Name | Robert R Camp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912948159 PECOS PAC ID: 8426187584 Enrollment ID: I20100527000585 |
| Provider Name | Adam G Edlund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073550216 PECOS PAC ID: 2961531025 Enrollment ID: I20100527000603 |
| Provider Name | Dale A Wiersma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639126832 PECOS PAC ID: 8022913656 Enrollment ID: I20100527000622 |
| Provider Name | James R Barron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295776441 PECOS PAC ID: 5890824965 Enrollment ID: I20100527000696 |
| Provider Name | Benjamin G Horn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801843032 PECOS PAC ID: 6901935923 Enrollment ID: I20100528000537 |
| Provider Name | Laura A Vandermolen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821039066 PECOS PAC ID: 8325177355 Enrollment ID: I20100528000583 |
| Provider Name | Vidyulatha Talla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528005899 PECOS PAC ID: 4688703614 Enrollment ID: I20100528000601 |
| Provider Name | Steven J Verkaik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003804642 PECOS PAC ID: 7618006552 Enrollment ID: I20100602000399 |
| Provider Name | Christopher Daniel Fink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588603658 PECOS PAC ID: 3274663083 Enrollment ID: I20100604000507 |
| Provider Name | James E Samuelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982643466 PECOS PAC ID: 1557491396 Enrollment ID: I20100604000903 |
| Provider Name | Ben J Kieff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760421440 PECOS PAC ID: 3678603438 Enrollment ID: I20100604001162 |
| Provider Name | Todd Vanheest |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679561229 PECOS PAC ID: 5496885253 Enrollment ID: I20100604001164 |
| Provider Name | Karen Garibaldi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396741682 PECOS PAC ID: 6002897774 Enrollment ID: I20100612000189 |
| Provider Name | Christopher C Radawski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659575017 PECOS PAC ID: 9739219874 Enrollment ID: I20100616000096 |
| Provider Name | Daniel R Fain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922088491 PECOS PAC ID: 4486784329 Enrollment ID: I20100618000793 |
| Provider Name | Mark A Evenhouse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053386367 PECOS PAC ID: 2769513431 Enrollment ID: I20100623000976 |
| Provider Name | Colleen Ac App |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649294091 PECOS PAC ID: 4981735586 Enrollment ID: I20100625000553 |
| Provider Name | Amy L Zomerlei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013232453 PECOS PAC ID: 1951433747 Enrollment ID: I20100714000339 |
| Provider Name | Yi Cai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518145812 PECOS PAC ID: 3072645506 Enrollment ID: I20100720000367 |
| Provider Name | Mary M Dagen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831341130 PECOS PAC ID: 3274666201 Enrollment ID: I20100728000456 |
| Provider Name | Hector Pimentel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063613800 PECOS PAC ID: 8729111760 Enrollment ID: I20100728000588 |
| Provider Name | Ashley Desrocher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104147792 PECOS PAC ID: 2062545742 Enrollment ID: I20100802000435 |
| Provider Name | Richard M Hackbarth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912979220 PECOS PAC ID: 3476687476 Enrollment ID: I20100812000555 |
| Provider Name | Charles Willekes |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1801868583 PECOS PAC ID: 2567596521 Enrollment ID: I20100813000176 |
| Provider Name | Edward Thomas Murphy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124090808 PECOS PAC ID: 9032194758 Enrollment ID: I20100813000378 |
| Provider Name | Julie J Sommerfield Ronek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902955214 PECOS PAC ID: 5597899237 Enrollment ID: I20100817000152 |
| Provider Name | Kira R Sieplinga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235346198 PECOS PAC ID: 0840366647 Enrollment ID: I20100817000311 |
| Provider Name | Melissa A Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063605822 PECOS PAC ID: 7618043795 Enrollment ID: I20100817000399 |
| Provider Name | Steven J Hamberg |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1447207709 PECOS PAC ID: 6507990298 Enrollment ID: I20100817000889 |
| Provider Name | Philip T Hoekstra |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558301556 PECOS PAC ID: 6305970997 Enrollment ID: I20100818000545 |
| Provider Name | Emily E Dietrich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053533646 PECOS PAC ID: 2567596158 Enrollment ID: I20100818000566 |
| Provider Name | Deanna S Mitchell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649241548 PECOS PAC ID: 8820122146 Enrollment ID: I20100820001132 |
| Provider Name | Harland T Holman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922049022 PECOS PAC ID: 5799714952 Enrollment ID: I20100903000499 |
| Provider Name | Cheryl J Kuz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447230107 PECOS PAC ID: 1951426691 Enrollment ID: I20100917000460 |
| Provider Name | Maureen U Tan Pedres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003015736 PECOS PAC ID: 9133244734 Enrollment ID: I20100920001027 |
| Provider Name | Philip D Nowicki |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366608986 PECOS PAC ID: 1254457492 Enrollment ID: I20100925000071 |
| Provider Name | Carol L Deweerd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285685461 PECOS PAC ID: 4880710938 Enrollment ID: I20100925000237 |
| Provider Name | Michael J Deweerd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942252440 PECOS PAC ID: 5991869661 Enrollment ID: I20100925000250 |
| Provider Name | Amanda J Overmyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104011394 PECOS PAC ID: 3375669138 Enrollment ID: I20100929000798 |
| Provider Name | Richard A Axtell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932170065 PECOS PAC ID: 3072705193 Enrollment ID: I20101007001134 |
| Provider Name | Douglas A Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043262918 PECOS PAC ID: 8527057298 Enrollment ID: I20101008000388 |
| Provider Name | Michael S Minasian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427000249 PECOS PAC ID: 5496947384 Enrollment ID: I20101011000664 |
| Provider Name | Michelle L Lenz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932150216 PECOS PAC ID: 4385836279 Enrollment ID: I20101011000690 |
| Provider Name | Allison J Fabian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972702603 PECOS PAC ID: 6406048115 Enrollment ID: I20101012001266 |
| Provider Name | Anacleto B Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922241942 PECOS PAC ID: 4981896511 Enrollment ID: I20101014000180 |
| Provider Name | Karen S Vanderlaan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447230891 PECOS PAC ID: 2062605603 Enrollment ID: I20101015000183 |
| Provider Name | William B Stratbucker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003883281 PECOS PAC ID: 3678766144 Enrollment ID: I20101018000636 |
| Provider Name | Aparna V Gadekar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548445620 PECOS PAC ID: 1658564992 Enrollment ID: I20101019001622 |
| Provider Name | Jane M Brouwer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881848430 PECOS PAC ID: 4981897709 Enrollment ID: I20101025000477 |
| Provider Name | April Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508174509 PECOS PAC ID: 7517151798 Enrollment ID: I20101102000052 |
| Provider Name | Yaw Appiagyei-dankah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093823940 PECOS PAC ID: 5698856672 Enrollment ID: I20101102000599 |
| Provider Name | James J Mead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265484067 PECOS PAC ID: 3577757343 Enrollment ID: I20101105000355 |
| Provider Name | Paul Mark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831137629 PECOS PAC ID: 9931205762 Enrollment ID: I20101111001066 |
| Provider Name | Arthur A Padilla |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1538104310 PECOS PAC ID: 1658396627 Enrollment ID: I20101113000074 |
| Provider Name | David A Vandyke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972779429 PECOS PAC ID: 7315090941 Enrollment ID: I20101115000833 |
| Provider Name | Kristina B Mcclish |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659595452 PECOS PAC ID: 0941495055 Enrollment ID: I20101115001314 |
| Provider Name | Shelley Lynn Schmidt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982780581 PECOS PAC ID: 7315132388 Enrollment ID: I20101116000788 |
| Provider Name | Ali Mahajerin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033269816 PECOS PAC ID: 1355420688 Enrollment ID: I20101117001559 |
| Provider Name | Karen L Gawel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497702799 PECOS PAC ID: 6608062872 Enrollment ID: I20101130000815 |
| Provider Name | Brooke E Geddie |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285840132 PECOS PAC ID: 3476605023 Enrollment ID: I20101203001191 |
| Provider Name | Laura M Franey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891995536 PECOS PAC ID: 9032306550 Enrollment ID: I20101209001159 |
| Provider Name | Alina M Mcdermed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902024714 PECOS PAC ID: 9133316417 Enrollment ID: I20101213000644 |
| Provider Name | Carlos Weiss |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1609880616 PECOS PAC ID: 4385642024 Enrollment ID: I20101228000573 |
| Provider Name | Julie M Baar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114964962 PECOS PAC ID: 6507054723 Enrollment ID: I20110103000457 |
| Provider Name | Brenda J Hoffner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710299532 PECOS PAC ID: 7517155757 Enrollment ID: I20110103000669 |
| Provider Name | Carey A Krause |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467408229 PECOS PAC ID: 5092904169 Enrollment ID: I20110105001292 |
| Provider Name | Andrew J Vanslooten |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811987597 PECOS PAC ID: 8426011198 Enrollment ID: I20110125000996 |
| Provider Name | Jason Coles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619088580 PECOS PAC ID: 3971683285 Enrollment ID: I20110127000458 |
| Provider Name | Danielle L Waggoner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396935003 PECOS PAC ID: 4183805518 Enrollment ID: I20110218000087 |
| Provider Name | Jeri W Kessenich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386624633 PECOS PAC ID: 6406037241 Enrollment ID: I20110225000833 |
| Provider Name | Anthony M Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578585964 PECOS PAC ID: 7416139043 Enrollment ID: I20110303000271 |
| Provider Name | Charles J Brummeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952321556 PECOS PAC ID: 2860674496 Enrollment ID: I20110303000285 |
| Provider Name | Suma Cherukuri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528247590 PECOS PAC ID: 5395927735 Enrollment ID: I20110307000838 |
| Provider Name | Steven J Vanlaan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982869137 PECOS PAC ID: 6608058532 Enrollment ID: I20110314000373 |
| Provider Name | Brenda M Daniels |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568599645 PECOS PAC ID: 1254513211 Enrollment ID: I20110318000855 |
| Provider Name | Jason D Slaikeu |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1225254907 PECOS PAC ID: 7719039080 Enrollment ID: I20110330000379 |
| Provider Name | Holly B Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295854545 PECOS PAC ID: 8729261508 Enrollment ID: I20110401000145 |
| Provider Name | Aimee M James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699071506 PECOS PAC ID: 9931383692 Enrollment ID: I20110405000737 |
| Provider Name | Monica A Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205989704 PECOS PAC ID: 0840474334 Enrollment ID: I20110407000284 |
| Provider Name | Suzanne M West |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013965052 PECOS PAC ID: 9032125802 Enrollment ID: I20110412000703 |
| Provider Name | Justin Fanning |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1700908522 PECOS PAC ID: 5092814798 Enrollment ID: I20110513000586 |
| Provider Name | Lisa L Hovingh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316248735 PECOS PAC ID: 3577749878 Enrollment ID: I20110523000334 |
| Provider Name | Jodi L Meinke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699712042 PECOS PAC ID: 2668658972 Enrollment ID: I20110523000458 |
| Provider Name | Matthew J Roberge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992997647 PECOS PAC ID: 0446436646 Enrollment ID: I20110524000832 |
| Provider Name | Arashdeep K Litt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386807139 PECOS PAC ID: 5395922512 Enrollment ID: I20110615000406 |
| Provider Name | Ryan Dean Madder |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306968763 PECOS PAC ID: 4880872530 Enrollment ID: I20110628000214 |
| Provider Name | Julie Grech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861798878 PECOS PAC ID: 9335327881 Enrollment ID: I20110701000361 |
| Provider Name | James Lebolt |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1245331941 PECOS PAC ID: 6507865565 Enrollment ID: I20110718000759 |
| Provider Name | Marcos A Madeiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205092681 PECOS PAC ID: 7719155332 Enrollment ID: I20110725000730 |
| Provider Name | Joanna Haveman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801080684 PECOS PAC ID: 3779751359 Enrollment ID: I20110726000639 |
| Provider Name | Kavitha Golipelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740586999 PECOS PAC ID: 5496923906 Enrollment ID: I20110727000206 |
| Provider Name | Charles C Sherry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720205495 PECOS PAC ID: 3971772294 Enrollment ID: I20110803000112 |
| Provider Name | Lauren E Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225299928 PECOS PAC ID: 1557530664 Enrollment ID: I20110805000779 |
| Provider Name | Alejandro Quiroga Chand |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508165630 PECOS PAC ID: 3577732205 Enrollment ID: I20110812000627 |
| Provider Name | Matthew R Schram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467681544 PECOS PAC ID: 4587833272 Enrollment ID: I20110815000579 |
| Provider Name | Brian M Howard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902068091 PECOS PAC ID: 4385814797 Enrollment ID: I20110823000039 |
| Provider Name | Jennifer E Viggiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083869564 PECOS PAC ID: 4981874237 Enrollment ID: I20110824000851 |
| Provider Name | Christina L Reisinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093019218 PECOS PAC ID: 8921278284 Enrollment ID: I20110824000933 |
| Provider Name | Lisa D Maskill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962611277 PECOS PAC ID: 3971636606 Enrollment ID: I20110826000430 |
| Provider Name | Carole L Donazzolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043548449 PECOS PAC ID: 6204006018 Enrollment ID: I20110906000522 |
| Provider Name | Terri Duran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134266638 PECOS PAC ID: 6800859794 Enrollment ID: I20110913000131 |
| Provider Name | Karen E Wiseman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831222967 PECOS PAC ID: 8022289537 Enrollment ID: I20110913000841 |
| Provider Name | Vessela Giger-mateeva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487896254 PECOS PAC ID: 4789855776 Enrollment ID: I20110923000201 |
| Provider Name | Randall J Duthler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740420082 PECOS PAC ID: 5496926495 Enrollment ID: I20110923000244 |
| Provider Name | Fergus M Peacock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245479971 PECOS PAC ID: 1355513367 Enrollment ID: I20111018000380 |
| Provider Name | Ayyoub B Haddad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336390012 PECOS PAC ID: 9830361716 Enrollment ID: I20111019000424 |
| Provider Name | Matthew C Slendebroek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942445945 PECOS PAC ID: 6608913470 Enrollment ID: I20111020000519 |
| Provider Name | Cara A Poland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184890642 PECOS PAC ID: 5294908612 Enrollment ID: I20111101000066 |
| Provider Name | Michael Byars |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790773166 PECOS PAC ID: 4284829839 Enrollment ID: I20111117000365 |
| Provider Name | Amanda Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962595405 PECOS PAC ID: 5890960553 Enrollment ID: I20111207000414 |
| Provider Name | Karen D Kerridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609144724 PECOS PAC ID: 2567638364 Enrollment ID: I20111228000588 |
| Provider Name | Heather A Sowinski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700036274 PECOS PAC ID: 0648446302 Enrollment ID: I20111229000621 |
| Provider Name | Tanya M Vanderveen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104193259 PECOS PAC ID: 6507033743 Enrollment ID: I20120111000735 |
| Provider Name | Amanda C Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942577150 PECOS PAC ID: 9032386065 Enrollment ID: I20120116000061 |
| Provider Name | Erin E Broene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134496342 PECOS PAC ID: 0840467874 Enrollment ID: I20120116000078 |
| Provider Name | Leisha Jane Cuddihy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700173978 PECOS PAC ID: 4183891088 Enrollment ID: I20120117000835 |
| Provider Name | Albert S Cornelius |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417927781 PECOS PAC ID: 3476720004 Enrollment ID: I20120121000120 |
| Provider Name | Victor Hajjar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215979216 PECOS PAC ID: 9234182445 Enrollment ID: I20120220000388 |
| Provider Name | Grace B Kulhanek |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295858553 PECOS PAC ID: 4981862604 Enrollment ID: I20120225000129 |
| Provider Name | Kelly A Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013294222 PECOS PAC ID: 8628238268 Enrollment ID: I20120320000156 |
| Provider Name | Andrea G Demonbrun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083986665 PECOS PAC ID: 4981865029 Enrollment ID: I20120417000095 |
| Provider Name | Janet Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689951626 PECOS PAC ID: 2769644939 Enrollment ID: I20120504000161 |
| Provider Name | Paul J Gillard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861655029 PECOS PAC ID: 2961664909 Enrollment ID: I20120508000666 |
| Provider Name | Balaji Vutla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740442219 PECOS PAC ID: 8022271667 Enrollment ID: I20120518000348 |
| Provider Name | Benjamin L Dozeman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134332794 PECOS PAC ID: 0345405478 Enrollment ID: I20120622000353 |
| Provider Name | Reda Girgis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336193648 PECOS PAC ID: 4789710286 Enrollment ID: I20120626000177 |
| Provider Name | Jayne Elizabeth Paulson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144315920 PECOS PAC ID: 6507021540 Enrollment ID: I20120626000268 |
| Provider Name | Chad Matthew Coe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255595807 PECOS PAC ID: 4082879887 Enrollment ID: I20120628000605 |
| Provider Name | Shan E Abbas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730362674 PECOS PAC ID: 5597920272 Enrollment ID: I20120702000303 |
| Provider Name | Stephanie L Cunningham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982832226 PECOS PAC ID: 2062678188 Enrollment ID: I20120718000214 |
| Provider Name | Karen M Revitte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598021487 PECOS PAC ID: 7012173164 Enrollment ID: I20120718000473 |
| Provider Name | Sanjay E Patra |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811106511 PECOS PAC ID: 1052577061 Enrollment ID: I20120719000154 |
| Provider Name | Liam Robert Sullivan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619158359 PECOS PAC ID: 6901089325 Enrollment ID: I20120727000771 |
| Provider Name | Kania G Mcghee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801058912 PECOS PAC ID: 9931355237 Enrollment ID: I20120801000700 |
| Provider Name | Andrea M Wolf |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508078544 PECOS PAC ID: 5092961268 Enrollment ID: I20120804000083 |
| Provider Name | Matthew C Axtman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255478988 PECOS PAC ID: 1759537871 Enrollment ID: I20120806000516 |
| Provider Name | Shanna Tenclay |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518185263 PECOS PAC ID: 0547351520 Enrollment ID: I20120806000684 |
| Provider Name | Jonathon M Reither |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669615407 PECOS PAC ID: 9234385394 Enrollment ID: I20120807000023 |
| Provider Name | Matthew J Gale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952565509 PECOS PAC ID: 4789830845 Enrollment ID: I20120807000028 |
| Provider Name | Lora Z Silverman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023214822 PECOS PAC ID: 4587810403 Enrollment ID: I20120809000016 |
| Provider Name | John J Gribar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1770600462 PECOS PAC ID: 5496924441 Enrollment ID: I20120809000265 |
| Provider Name | Ericka L Vander Sys |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295013571 PECOS PAC ID: 6608022439 Enrollment ID: I20120810000430 |
| Provider Name | Marcus P Haw |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1205197639 PECOS PAC ID: 7113173659 Enrollment ID: I20120815000793 |
| Provider Name | Gustavo Cumbo Nacheli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013124312 PECOS PAC ID: 9638325012 Enrollment ID: I20120820000402 |
| Provider Name | Cynthia M Hingtgen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598789034 PECOS PAC ID: 0749341063 Enrollment ID: I20120820000458 |
| Provider Name | Bryan S Kamps |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144290172 PECOS PAC ID: 5395799209 Enrollment ID: I20120830000624 |
| Provider Name | Rosemary M Olivero |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679749378 PECOS PAC ID: 0143371401 Enrollment ID: I20120831000116 |
| Provider Name | Hayden Mk Boyce |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164631818 PECOS PAC ID: 1557432812 Enrollment ID: I20120906000878 |
| Provider Name | Vivian C Romero Romero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245432368 PECOS PAC ID: 7719135011 Enrollment ID: I20120911000619 |
| Provider Name | Nicholas C Watson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477671691 PECOS PAC ID: 8224182167 Enrollment ID: I20120912000652 |
| Provider Name | Brian M Boville |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902863871 PECOS PAC ID: 2264454511 Enrollment ID: I20120924000229 |
| Provider Name | Molly C Maniscalco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174751309 PECOS PAC ID: 7416106042 Enrollment ID: I20120925000783 |
| Provider Name | Cheryl N Peavler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932337177 PECOS PAC ID: 0042469678 Enrollment ID: I20120925000799 |
| Provider Name | Michael K Distler |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1215193917 PECOS PAC ID: 8123277753 Enrollment ID: I20120925000810 |
| Provider Name | Todd W Vitaz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770576977 PECOS PAC ID: 4688695612 Enrollment ID: I20120926000562 |
| Provider Name | Musa I Dahu |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770782716 PECOS PAC ID: 6608063680 Enrollment ID: I20120927000589 |
| Provider Name | Eric J Kort |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033340450 PECOS PAC ID: 4587813902 Enrollment ID: I20120928000482 |
| Provider Name | Randell C Ganchua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609009414 PECOS PAC ID: 9830348283 Enrollment ID: I20121001000079 |
| Provider Name | Margaret Hermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497010615 PECOS PAC ID: 3678722030 Enrollment ID: I20121001000199 |
| Provider Name | Tricia M Oneal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801190103 PECOS PAC ID: 1052594520 Enrollment ID: I20121002000237 |
| Provider Name | Heather D Lavigne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700184942 PECOS PAC ID: 6204085913 Enrollment ID: I20121012000131 |
| Provider Name | Nancy Renn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275668774 PECOS PAC ID: 7214188044 Enrollment ID: I20121103000112 |
| Provider Name | Jacquelyn Oliai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306099973 PECOS PAC ID: 1153572847 Enrollment ID: I20121105000684 |
| Provider Name | Laura Borst Braunohler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598914228 PECOS PAC ID: 0840441549 Enrollment ID: I20121106000152 |
| Provider Name | Bradd G Hemker |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366632408 PECOS PAC ID: 5799953865 Enrollment ID: I20121106000248 |
| Provider Name | Cynthia Elizabeth Louise Peacock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790941102 PECOS PAC ID: 8729265806 Enrollment ID: I20121108000276 |
| Provider Name | Erin I Becksvoort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376893693 PECOS PAC ID: 0042461204 Enrollment ID: I20121115000582 |
| Provider Name | Heather J Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790035160 PECOS PAC ID: 5294986477 Enrollment ID: I20121116000117 |
| Provider Name | Julie M Gunderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891926234 PECOS PAC ID: 2163673039 Enrollment ID: I20121127000601 |
| Provider Name | David Bertram |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427308741 PECOS PAC ID: 4082866975 Enrollment ID: I20121128000106 |
| Provider Name | Ruel R Lirio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679561211 PECOS PAC ID: 9638346646 Enrollment ID: I20121212000537 |
| Provider Name | Tricia L Browneye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962754366 PECOS PAC ID: 2466604525 Enrollment ID: I20121218000516 |
| Provider Name | Raisa O Platte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285892653 PECOS PAC ID: 7416000799 Enrollment ID: I20121231000118 |
| Provider Name | Ryan J Hadley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770732414 PECOS PAC ID: 1254484603 Enrollment ID: I20130109000753 |
| Provider Name | Jessica M Guiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326392176 PECOS PAC ID: 6103079728 Enrollment ID: I20130110000315 |
| Provider Name | Lyndsay Volpe Bertram |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669604658 PECOS PAC ID: 6800049347 Enrollment ID: I20130110000575 |
| Provider Name | Ashley A Verhey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164766879 PECOS PAC ID: 0345494324 Enrollment ID: I20130128000260 |
| Provider Name | Kathleen S Van Til |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710224019 PECOS PAC ID: 8123272747 Enrollment ID: I20130207000367 |
| Provider Name | Beth J Makowski-shell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477739787 PECOS PAC ID: 7315191830 Enrollment ID: I20130211000362 |
| Provider Name | Ryan W Felix |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932430808 PECOS PAC ID: 8527234830 Enrollment ID: I20130215000231 |
| Provider Name | Brett R Leingang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780815688 PECOS PAC ID: 5092960906 Enrollment ID: I20130226000464 |
| Provider Name | Katherine R Elenbaas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326349671 PECOS PAC ID: 0749435196 Enrollment ID: I20130309000014 |
| Provider Name | Judy A Taber-tanis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487905360 PECOS PAC ID: 0042455388 Enrollment ID: I20130314000449 |
| Provider Name | Allison L Rund |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164685608 PECOS PAC ID: 2769651850 Enrollment ID: I20130314000459 |
| Provider Name | Darius L Randall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720201742 PECOS PAC ID: 9032354907 Enrollment ID: I20130325000301 |
| Provider Name | Paul T Twydell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225044597 PECOS PAC ID: 7315987898 Enrollment ID: I20130401000158 |
| Provider Name | Brent A Becklin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700070067 PECOS PAC ID: 9436247186 Enrollment ID: I20130404000403 |
| Provider Name | Amy R Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184962672 PECOS PAC ID: 5395981450 Enrollment ID: I20130415000419 |
| Provider Name | Michael W Mcnamara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336268747 PECOS PAC ID: 3577703552 Enrollment ID: I20130716000430 |
| Provider Name | Melinda K Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437393535 PECOS PAC ID: 0941441794 Enrollment ID: I20130722000121 |
| Provider Name | Hanna C Jaworski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588878631 PECOS PAC ID: 3375739907 Enrollment ID: I20130724000047 |
| Provider Name | Justin T Kessler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811209570 PECOS PAC ID: 2860633328 Enrollment ID: I20130725000292 |
| Provider Name | Parth Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649595372 PECOS PAC ID: 9436391182 Enrollment ID: I20130809000262 |
| Provider Name | Stefano John Bordoli |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760648364 PECOS PAC ID: 6507014206 Enrollment ID: I20130815000082 |
| Provider Name | Joel G Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851617856 PECOS PAC ID: 2163667528 Enrollment ID: I20130815000566 |
| Provider Name | Ashok K Sriram |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881880623 PECOS PAC ID: 1456505247 Enrollment ID: I20130821000101 |
| Provider Name | Praveen Sateesh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629218219 PECOS PAC ID: 7315116217 Enrollment ID: I20130823000078 |
| Provider Name | Benjamin M Busman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275769739 PECOS PAC ID: 8224291430 Enrollment ID: I20130823001274 |
| Provider Name | Diego Conci |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548442627 PECOS PAC ID: 2769625649 Enrollment ID: I20130823001288 |
| Provider Name | Maximiliano A Tamae Kakazu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811134562 PECOS PAC ID: 5395926729 Enrollment ID: I20130826000480 |
| Provider Name | Andrea N Fleuren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659692945 PECOS PAC ID: 0042453797 Enrollment ID: I20130827000835 |
| Provider Name | Katherine Ellen Kowalczyk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295997633 PECOS PAC ID: 8224271994 Enrollment ID: I20130828000132 |
| Provider Name | Ryan J Marin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174787543 PECOS PAC ID: 4688845811 Enrollment ID: I20130828001031 |
| Provider Name | Jiangyong Min |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811152887 PECOS PAC ID: 4284877739 Enrollment ID: I20130830000491 |
| Provider Name | Melissa J Kline |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245467851 PECOS PAC ID: 4082857263 Enrollment ID: I20130909000412 |
| Provider Name | Kerianne H Holman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891814190 PECOS PAC ID: 3779726963 Enrollment ID: I20130909000475 |
| Provider Name | Allison Long |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578876249 PECOS PAC ID: 3779727904 Enrollment ID: I20130910000300 |
| Provider Name | James W Ogilvie |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1467409029 PECOS PAC ID: 9436162054 Enrollment ID: I20130913000550 |
| Provider Name | Justin G Voorhees |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154634764 PECOS PAC ID: 8921242850 Enrollment ID: I20130916000626 |
| Provider Name | Amol S Ekhande |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1922240480 PECOS PAC ID: 1153565916 Enrollment ID: I20130917000294 |
| Provider Name | John W Kemppainen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215107636 PECOS PAC ID: 2860636529 Enrollment ID: I20130918000823 |
| Provider Name | Caitlin E Groeneveld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154768224 PECOS PAC ID: 8628212339 Enrollment ID: I20130919000537 |
| Provider Name | Brent G Whittaker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164637906 PECOS PAC ID: 6800911397 Enrollment ID: I20130923000684 |
| Provider Name | Rebecca S Mccurdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992149934 PECOS PAC ID: 2668616103 Enrollment ID: I20130923000705 |
| Provider Name | Paul J Spilotro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982823159 PECOS PAC ID: 9133363567 Enrollment ID: I20130924000933 |
| Provider Name | Kimberly S Devlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891014569 PECOS PAC ID: 1254312895 Enrollment ID: I20130924000952 |
| Provider Name | Carolyn F Vollmer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821226978 PECOS PAC ID: 2567606916 Enrollment ID: I20130925000147 |
| Provider Name | Alpesh Korant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619281300 PECOS PAC ID: 9537303896 Enrollment ID: I20130926000650 |
| Provider Name | Donna S Eng |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407024029 PECOS PAC ID: 9234373598 Enrollment ID: I20130926000687 |
| Provider Name | Grace Eugenio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902111818 PECOS PAC ID: 2062646375 Enrollment ID: I20130927000407 |
| Provider Name | Eanas S Yassa |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1396954376 PECOS PAC ID: 2668606898 Enrollment ID: I20131001000574 |
| Provider Name | Heather Lynn Osborn-heaford |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710197355 PECOS PAC ID: 5991873549 Enrollment ID: I20131003000338 |
| Provider Name | Courtney M Abernathy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073771689 PECOS PAC ID: 0446499560 Enrollment ID: I20131007001083 |
| Provider Name | Ravichand Madala |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1083730907 PECOS PAC ID: 9537337845 Enrollment ID: I20131008000656 |
| Provider Name | Nisha S Bertucci |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215170766 PECOS PAC ID: 1658522123 Enrollment ID: I20131008001565 |
| Provider Name | Jacob P Scott |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033309380 PECOS PAC ID: 6709947120 Enrollment ID: I20131009000645 |
| Provider Name | Kristi R Stoutjesdyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104264613 PECOS PAC ID: 1557595345 Enrollment ID: I20131010000489 |
| Provider Name | David R Fermin |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1447442215 PECOS PAC ID: 4880749753 Enrollment ID: I20131011001394 |
| Provider Name | Kendall D Hamilton |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1538366034 PECOS PAC ID: 3476787946 Enrollment ID: I20131016001372 |
| Provider Name | Sarah A Vandyke-velasquez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356787345 PECOS PAC ID: 3274767637 Enrollment ID: I20131018000364 |
| Provider Name | Ryan D Budloo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164862025 PECOS PAC ID: 1456586858 Enrollment ID: I20131018001730 |
| Provider Name | Maegan R Hatfield Eldred |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710264379 PECOS PAC ID: 5496980682 Enrollment ID: I20131023002231 |
| Provider Name | Renee M Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497024517 PECOS PAC ID: 5597990671 Enrollment ID: I20131025000804 |
| Provider Name | Luke T Durling |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356544514 PECOS PAC ID: 5193974095 Enrollment ID: I20131028001803 |
| Provider Name | Amanda Yang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154576098 PECOS PAC ID: 2567615438 Enrollment ID: I20131029000829 |
| Provider Name | Matthew Pridgeon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255642732 PECOS PAC ID: 8224263108 Enrollment ID: I20131031000083 |
| Provider Name | Steven Andrew Speet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194085845 PECOS PAC ID: 8325273964 Enrollment ID: I20131106001576 |
| Provider Name | Adrianne Jabaay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205276219 PECOS PAC ID: 7012142698 Enrollment ID: I20131107000719 |
| Provider Name | Megan E Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376978700 PECOS PAC ID: 8921234105 Enrollment ID: I20131118000612 |
| Provider Name | David J Sterken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578997680 PECOS PAC ID: 0941436158 Enrollment ID: I20131118001147 |
| Provider Name | Kelliann Rawlinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760702666 PECOS PAC ID: 1658507884 Enrollment ID: I20131118001955 |
| Provider Name | Timothy Allen Sparling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124451927 PECOS PAC ID: 9830325919 Enrollment ID: I20131119001653 |
| Provider Name | Rami Kassis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396050779 PECOS PAC ID: 7810123726 Enrollment ID: I20131125001424 |
| Provider Name | Steven G Moser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831396449 PECOS PAC ID: 2860660214 Enrollment ID: I20131126000321 |
| Provider Name | Stacie D Adams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679869143 PECOS PAC ID: 1355578782 Enrollment ID: I20131210002193 |
| Provider Name | Courtney A Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720410400 PECOS PAC ID: 8729215009 Enrollment ID: I20131211001542 |
| Provider Name | Adrienne N Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407084429 PECOS PAC ID: 8224265517 Enrollment ID: I20131211001979 |
| Provider Name | Leah M Tordi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255766390 PECOS PAC ID: 9830326974 Enrollment ID: I20131216001374 |
| Provider Name | Judy Lynn Smith |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1154302172 PECOS PAC ID: 4789596255 Enrollment ID: I20131227001821 |
| Provider Name | Lindsay L Fox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023200789 PECOS PAC ID: 5890969158 Enrollment ID: I20131230001904 |
| Provider Name | Christopher Ratnasamy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043411721 PECOS PAC ID: 7315039302 Enrollment ID: I20140107001260 |
| Provider Name | Amy R Spencer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043489842 PECOS PAC ID: 7113155953 Enrollment ID: I20140124000457 |
| Provider Name | Tenille L Schlachter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811327307 PECOS PAC ID: 3072742576 Enrollment ID: I20140203001335 |
| Provider Name | Donna L Verschueren |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639323579 PECOS PAC ID: 9335378520 Enrollment ID: I20140211000782 |
| Provider Name | Heather Hardiman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700217742 PECOS PAC ID: 8224267307 Enrollment ID: I20140213000137 |
| Provider Name | Jessica Hyland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497906325 PECOS PAC ID: 9931338878 Enrollment ID: I20140218001773 |
| Provider Name | Nikita L Vandenbosch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447689922 PECOS PAC ID: 9133358013 Enrollment ID: I20140219000938 |
| Provider Name | Elizabeth A Steensma |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174681316 PECOS PAC ID: 5890925564 Enrollment ID: I20140224002015 |
| Provider Name | Timothy C Hudson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487814315 PECOS PAC ID: 2567692254 Enrollment ID: I20140225000782 |
| Provider Name | Andrew C Heaford |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801005251 PECOS PAC ID: 2668611765 Enrollment ID: I20140226001124 |
| Provider Name | Stacy A Frye |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689871576 PECOS PAC ID: 1355516162 Enrollment ID: I20140228001884 |
| Provider Name | Alice M Serou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154628600 PECOS PAC ID: 7719118793 Enrollment ID: I20140317001562 |
| Provider Name | Gregory Bismack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619293149 PECOS PAC ID: 2466604921 Enrollment ID: I20140326000988 |
| Provider Name | Kelly J Jamison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356423933 PECOS PAC ID: 3577608231 Enrollment ID: I20140328001530 |
| Provider Name | Jennifer M Cameron |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174944235 PECOS PAC ID: 6406087634 Enrollment ID: I20140401000514 |
| Provider Name | Rebecca G Eckert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699055194 PECOS PAC ID: 9931331931 Enrollment ID: I20140404001721 |
| Provider Name | Lisa Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669807970 PECOS PAC ID: 9335371848 Enrollment ID: I20140416001071 |
| Provider Name | Thomas M Kerwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760505952 PECOS PAC ID: 1951533140 Enrollment ID: I20140423000652 |
| Provider Name | Kartik H Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265750632 PECOS PAC ID: 1153560636 Enrollment ID: I20140423002286 |
| Provider Name | Alicia Christine Eichenberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336451897 PECOS PAC ID: 4880823582 Enrollment ID: I20140505000646 |
| Provider Name | Tamara S Ashley-oswalt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578981627 PECOS PAC ID: 6406089903 Enrollment ID: I20140508000512 |
| Provider Name | Mohammad Kawji |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811151426 PECOS PAC ID: 0345473633 Enrollment ID: I20140513000895 |
| Provider Name | Carl Thomas Hinshaw |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1407085129 PECOS PAC ID: 1759504004 Enrollment ID: I20140514001144 |
| Provider Name | Michelle D De Jesus Brazitis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922315522 PECOS PAC ID: 3870732415 Enrollment ID: I20140515000840 |
| Provider Name | John A Girotto |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1417984162 PECOS PAC ID: 0143211102 Enrollment ID: I20140519000481 |
| Provider Name | Wissam M Abdallah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043410145 PECOS PAC ID: 4486815362 Enrollment ID: I20140519001882 |
| Provider Name | Moises Steven Googe |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497089833 PECOS PAC ID: 9931322963 Enrollment ID: I20140520002799 |
| Provider Name | Benjamin R Braun |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720294267 PECOS PAC ID: 1951583293 Enrollment ID: I20140604001028 |
| Provider Name | Christina Therese Fahlsing |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730315474 PECOS PAC ID: 8820212202 Enrollment ID: I20140605001607 |
| Provider Name | Kelly Anne Waters |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1821232455 PECOS PAC ID: 3375767650 Enrollment ID: I20140605001965 |
| Provider Name | Brittany N Barber Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750701330 PECOS PAC ID: 9436373610 Enrollment ID: I20140609001134 |
| Provider Name | Rajat Praveenchandra Pareek |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417247099 PECOS PAC ID: 7618113432 Enrollment ID: I20140610001037 |
| Provider Name | Julia Beth Becker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902969546 PECOS PAC ID: 7517018245 Enrollment ID: I20140613000161 |
| Provider Name | Ryan F Cox |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033317540 PECOS PAC ID: 0941424824 Enrollment ID: I20140616001570 |
| Provider Name | Mubarak Alhassan Dawaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710265624 PECOS PAC ID: 2961632666 Enrollment ID: I20140616002165 |
| Provider Name | Lesley A. Reid |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366641649 PECOS PAC ID: 5698999100 Enrollment ID: I20140623002518 |
| Provider Name | Patricia L Fick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457639361 PECOS PAC ID: 7911136973 Enrollment ID: I20140630000632 |
| Provider Name | Daniel Jay Gritters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205249414 PECOS PAC ID: 1355566324 Enrollment ID: I20140707001592 |
| Provider Name | Ajay Khilanani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043410400 PECOS PAC ID: 4183849961 Enrollment ID: I20140711000376 |
| Provider Name | Joseph Michael Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184911034 PECOS PAC ID: 8426273137 Enrollment ID: I20140711001622 |
| Provider Name | Meagan N Goldsmith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407266893 PECOS PAC ID: 5698990356 Enrollment ID: I20140714001243 |
| Provider Name | Julie A Conley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669600714 PECOS PAC ID: 0345484663 Enrollment ID: I20140715000404 |
| Provider Name | Emily M Cera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083906051 PECOS PAC ID: 5092931683 Enrollment ID: I20140716001534 |
| Provider Name | Rachel Rene Fabris |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669601464 PECOS PAC ID: 5890989032 Enrollment ID: I20140717000205 |
| Provider Name | Seth Devries |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518128974 PECOS PAC ID: 9032335518 Enrollment ID: I20140717002262 |
| Provider Name | Margaret Ann Shimkus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669487377 PECOS PAC ID: 3971729344 Enrollment ID: I20140721000307 |
| Provider Name | Amy E Pugh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003141359 PECOS PAC ID: 4981749124 Enrollment ID: I20140723001328 |
| Provider Name | Jennifer J Watson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306048442 PECOS PAC ID: 7113143264 Enrollment ID: I20140725000135 |
| Provider Name | Jessica B O'neil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801182605 PECOS PAC ID: 7416173570 Enrollment ID: I20140725000413 |
| Provider Name | Natasha Peoples |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356757173 PECOS PAC ID: 8022234988 Enrollment ID: I20140729002558 |
| Provider Name | Michael W Wheaton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659506459 PECOS PAC ID: 9436375300 Enrollment ID: I20140730000087 |
| Provider Name | Kathleen S Simmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043503519 PECOS PAC ID: 0143446914 Enrollment ID: I20140731001011 |
| Provider Name | Katherine Olga Defouw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467869859 PECOS PAC ID: 1759508021 Enrollment ID: I20140811000078 |
| Provider Name | Mohamad Kenaan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487854485 PECOS PAC ID: 9436333143 Enrollment ID: I20140812002094 |
| Provider Name | Jennifer Trpkovski |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1245545615 PECOS PAC ID: 8022235175 Enrollment ID: I20140813001248 |
| Provider Name | Lindsay Snyder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528274099 PECOS PAC ID: 0941369813 Enrollment ID: I20140813002513 |
| Provider Name | Robin S O Meara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821021551 PECOS PAC ID: 9931160876 Enrollment ID: I20140828001785 |
| Provider Name | Sangjin Lee |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1013050764 PECOS PAC ID: 4789788787 Enrollment ID: I20140904000115 |
| Provider Name | Julie A Kirby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942509278 PECOS PAC ID: 0345469631 Enrollment ID: I20140918001863 |
| Provider Name | Joshua D Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073914214 PECOS PAC ID: 2860611803 Enrollment ID: I20140924000603 |
| Provider Name | Dennis Suzara |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1407162217 PECOS PAC ID: 5597984518 Enrollment ID: I20140924001637 |
| Provider Name | Cathryn L Chadwick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003945908 PECOS PAC ID: 8123175148 Enrollment ID: I20140925000177 |
| Provider Name | Laurie Jo Vollink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043611239 PECOS PAC ID: 1052531001 Enrollment ID: I20140925002137 |
| Provider Name | Jodi Kortman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013325083 PECOS PAC ID: 8527288398 Enrollment ID: I20140929001409 |
| Provider Name | Andrea J Tramper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477954626 PECOS PAC ID: 6305066804 Enrollment ID: I20141006000543 |
| Provider Name | Anastasia Luniova |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942461447 PECOS PAC ID: 8325277213 Enrollment ID: I20141013002133 |
| Provider Name | Mary Katherine Snell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235539677 PECOS PAC ID: 8628299641 Enrollment ID: I20141016000769 |
| Provider Name | Kyle L Snell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215297973 PECOS PAC ID: 9931320835 Enrollment ID: I20141017001277 |
| Provider Name | Sadia Najamuddin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922242635 PECOS PAC ID: 6709007651 Enrollment ID: I20141020000426 |
| Provider Name | Jason Lazor |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1083841845 PECOS PAC ID: 9931356987 Enrollment ID: I20141027001308 |
| Provider Name | Kristi Joy Veltkamp |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215342142 PECOS PAC ID: 7315168754 Enrollment ID: I20141028001100 |
| Provider Name | Arida Siripong |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1386807782 PECOS PAC ID: 8628292471 Enrollment ID: I20141029002647 |
| Provider Name | Katherine L Foster |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295047942 PECOS PAC ID: 8123240207 Enrollment ID: I20141104002433 |
| Provider Name | Ann M Wiltshire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629353974 PECOS PAC ID: 2163696543 Enrollment ID: I20141106001819 |
| Provider Name | Jon R Felt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699060665 PECOS PAC ID: 5193954808 Enrollment ID: I20141107001309 |
| Provider Name | Christopher Arnos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386931319 PECOS PAC ID: 2860620671 Enrollment ID: I20141119000968 |
| Provider Name | Christopher Kobet |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609087907 PECOS PAC ID: 8123292984 Enrollment ID: I20141202000358 |
| Provider Name | Courtney Hilbert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033134846 PECOS PAC ID: 7315943107 Enrollment ID: I20141205001795 |
| Provider Name | Angela C Zamarripa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598081242 PECOS PAC ID: 9931421534 Enrollment ID: I20141210001783 |
| Provider Name | Kimberly Vanwingen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518029248 PECOS PAC ID: 6901129261 Enrollment ID: I20141218000917 |
| Provider Name | Araya K Negash |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669793253 PECOS PAC ID: 8628392115 Enrollment ID: I20150109000331 |
| Provider Name | Allison J Amidon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356749337 PECOS PAC ID: 8628392800 Enrollment ID: I20150116000517 |
| Provider Name | Andrea P Sylvester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942608005 PECOS PAC ID: 2062736036 Enrollment ID: I20150122000297 |
| Provider Name | Paige E Mclaren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568867828 PECOS PAC ID: 2668796665 Enrollment ID: I20150122001434 |
| Provider Name | Nathan Bouwkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740601756 PECOS PAC ID: 9032433990 Enrollment ID: I20150123001831 |
| Provider Name | Megan Lomonaco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205231446 PECOS PAC ID: 5890019764 Enrollment ID: I20150123002079 |
| Provider Name | Yasser Al-khatib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053311779 PECOS PAC ID: 3971580705 Enrollment ID: I20150129002304 |
| Provider Name | Sarah Elizabeth Kent |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467850552 PECOS PAC ID: 1759605371 Enrollment ID: I20150130000294 |
| Provider Name | Gerald P Wright |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1700199809 PECOS PAC ID: 5395973101 Enrollment ID: I20150218001021 |
| Provider Name | Cynthia Ann Betterly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508254426 PECOS PAC ID: 2163748781 Enrollment ID: I20150225002450 |
| Provider Name | Gretchen Lynn Chase-rey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750789715 PECOS PAC ID: 7911223375 Enrollment ID: I20150302000626 |
| Provider Name | Kathleen Lynne Willbrandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184015232 PECOS PAC ID: 5395061105 Enrollment ID: I20150312002486 |
| Provider Name | Miranda Hillard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942597729 PECOS PAC ID: 1658698394 Enrollment ID: I20150318000512 |
| Provider Name | Ryan L Grayburn |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1841415098 PECOS PAC ID: 1658540679 Enrollment ID: I20150325002155 |
| Provider Name | Kari Dressler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043603277 PECOS PAC ID: 7618295502 Enrollment ID: I20150403000544 |
| Provider Name | Sarah K Brouwer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558758680 PECOS PAC ID: 8426378522 Enrollment ID: I20150513000282 |
| Provider Name | Kathleen R Everitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841677895 PECOS PAC ID: 7810217981 Enrollment ID: I20150514000159 |
| Provider Name | Alfred J Albano |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1609054394 PECOS PAC ID: 0840486288 Enrollment ID: I20150526002547 |
| Provider Name | Adam Z Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487913158 PECOS PAC ID: 6507186806 Enrollment ID: I20150528001548 |
| Provider Name | Garrett M Kerndt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043578982 PECOS PAC ID: 3173843315 Enrollment ID: I20150529000167 |
| Provider Name | Lindsay F Huber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992022636 PECOS PAC ID: 8426297318 Enrollment ID: I20150603002497 |
| Provider Name | Jennifer L Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285654566 PECOS PAC ID: 2668442435 Enrollment ID: I20150603002722 |
| Provider Name | Christopher Brede |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093958621 PECOS PAC ID: 4981925781 Enrollment ID: I20150604002753 |
| Provider Name | Robert R Coleman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134357015 PECOS PAC ID: 4981844586 Enrollment ID: I20150608001183 |
| Provider Name | Frank Cyril Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104872373 PECOS PAC ID: 6800824301 Enrollment ID: I20150609000333 |
| Provider Name | William Doanld Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184987711 PECOS PAC ID: 8426290115 Enrollment ID: I20150609001557 |
| Provider Name | Bethany Lynne Beard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679891394 PECOS PAC ID: 1456593417 Enrollment ID: I20150615001959 |
| Provider Name | Vernesa Gazic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417212135 PECOS PAC ID: 8628207107 Enrollment ID: I20150625000899 |
| Provider Name | Susan Passavant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124406582 PECOS PAC ID: 7618289026 Enrollment ID: I20150626001192 |
| Provider Name | Sarah Darnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639416662 PECOS PAC ID: 8921310285 Enrollment ID: I20150630001357 |
| Provider Name | Philip P Mcclarty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851557698 PECOS PAC ID: 6901060573 Enrollment ID: I20150701001625 |
| Provider Name | Lia Kaufman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790915361 PECOS PAC ID: 5890982813 Enrollment ID: I20150706000387 |
| Provider Name | Andrea R Hadley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285927111 PECOS PAC ID: 5890924138 Enrollment ID: I20150707000816 |
| Provider Name | Milena Jani |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1447411004 PECOS PAC ID: 5193989945 Enrollment ID: I20150707003303 |
| Provider Name | Ashley-ann Storms |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083812952 PECOS PAC ID: 1456663145 Enrollment ID: I20150709001005 |
| Provider Name | Amy Banks-venegoni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235367715 PECOS PAC ID: 8628207149 Enrollment ID: I20150709001314 |
| Provider Name | Gordana Simeunovic |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104133776 PECOS PAC ID: 9032421649 Enrollment ID: I20150709001871 |
| Provider Name | John Humphrey |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740419001 PECOS PAC ID: 9739491374 Enrollment ID: I20150709002600 |
| Provider Name | Erin Schaub |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265819049 PECOS PAC ID: 1153633730 Enrollment ID: I20150710000808 |
| Provider Name | Yijia Chu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538487673 PECOS PAC ID: 7517279102 Enrollment ID: I20150710000822 |
| Provider Name | Thomas Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114169570 PECOS PAC ID: 0941453807 Enrollment ID: I20150710001208 |
| Provider Name | Matthew Robert Karek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861620718 PECOS PAC ID: 0345460382 Enrollment ID: I20150713001172 |
| Provider Name | Murwarid Assifi |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1548416563 PECOS PAC ID: 1658550934 Enrollment ID: I20150714000209 |
| Provider Name | Eric Allen Chase |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881857910 PECOS PAC ID: 1052580123 Enrollment ID: I20150714000861 |
| Provider Name | Michael P Brunner |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1659545440 PECOS PAC ID: 0840314050 Enrollment ID: I20150720000731 |
| Provider Name | Abdul Sattar Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427314111 PECOS PAC ID: 9133343577 Enrollment ID: I20150720001112 |
| Provider Name | Peter Freswick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699906263 PECOS PAC ID: 7719290766 Enrollment ID: I20150720001718 |
| Provider Name | Stephanie Downing |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174834055 PECOS PAC ID: 6002039708 Enrollment ID: I20150721000467 |
| Provider Name | Joseph K Mclaughlan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376923979 PECOS PAC ID: 3779896600 Enrollment ID: I20150721000959 |
| Provider Name | Ryan Joshua Wong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497070718 PECOS PAC ID: 2567596349 Enrollment ID: I20150723008799 |
| Provider Name | Daliya Khuon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598909202 PECOS PAC ID: 4486890183 Enrollment ID: I20150724011992 |
| Provider Name | Giedrius Baliulis |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1215311220 PECOS PAC ID: 4880908425 Enrollment ID: I20150727002772 |
| Provider Name | David Colombo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164487716 PECOS PAC ID: 0042111072 Enrollment ID: I20150729007057 |
| Provider Name | Faesal E Elbakoush |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336545417 PECOS PAC ID: 1355655705 Enrollment ID: I20150730010790 |
| Provider Name | C A Alcid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871854596 PECOS PAC ID: 0648584912 Enrollment ID: I20150730011859 |
| Provider Name | Rosalie Pilbeam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487940441 PECOS PAC ID: 4284863978 Enrollment ID: I20150803001318 |
| Provider Name | John Devlin Sprague |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609215086 PECOS PAC ID: 3577705953 Enrollment ID: I20150803001325 |
| Provider Name | Khalid M Abulaban |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033379458 PECOS PAC ID: 9335310960 Enrollment ID: I20150803001629 |
| Provider Name | Christel M Keefe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669616462 PECOS PAC ID: 9638483696 Enrollment ID: I20150804004925 |
| Provider Name | Melissa Kurek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902289655 PECOS PAC ID: 3577877281 Enrollment ID: I20150807014424 |
| Provider Name | Michael Terrell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366822553 PECOS PAC ID: 9931413622 Enrollment ID: I20150810001166 |
| Provider Name | Nicole Bedore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962694752 PECOS PAC ID: 5193960797 Enrollment ID: I20150811005588 |
| Provider Name | Karl John Lauterbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902184666 PECOS PAC ID: 4183939630 Enrollment ID: I20150813009996 |
| Provider Name | Jason Frost |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033260005 PECOS PAC ID: 6901050319 Enrollment ID: I20150817000261 |
| Provider Name | Sara A Dumich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093071094 PECOS PAC ID: 9133435480 Enrollment ID: I20150901001016 |
| Provider Name | Valerie Kowalski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174960991 PECOS PAC ID: 0648586701 Enrollment ID: I20150903001654 |
| Provider Name | Amy N Sanborn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861752164 PECOS PAC ID: 1456667492 Enrollment ID: I20150904001564 |
| Provider Name | Patricia Anne Pentiak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083877120 PECOS PAC ID: 8820229313 Enrollment ID: I20150910002230 |
| Provider Name | Vanessa Vanderkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659757748 PECOS PAC ID: 6901113570 Enrollment ID: I20150914003037 |
| Provider Name | Jennifer J Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528367687 PECOS PAC ID: 2466769039 Enrollment ID: I20150915000216 |
| Provider Name | Katrina M Vandebunte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871914952 PECOS PAC ID: 8224260476 Enrollment ID: I20150915001316 |
| Provider Name | Matthew H Armstrong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003137720 PECOS PAC ID: 3274706213 Enrollment ID: I20150917000499 |
| Provider Name | Melissa Joye Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659748259 PECOS PAC ID: 7810204062 Enrollment ID: I20150921000940 |
| Provider Name | Jared Lee Pomeroy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548573249 PECOS PAC ID: 8325355464 Enrollment ID: I20150922001366 |
| Provider Name | Erin K Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104262476 PECOS PAC ID: 5395052468 Enrollment ID: I20150922002358 |
| Provider Name | Andrew B Shreiner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437461639 PECOS PAC ID: 6608184650 Enrollment ID: I20150924002899 |
| Provider Name | Christina Limke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457720310 PECOS PAC ID: 2668780552 Enrollment ID: I20150925001128 |
| Provider Name | Steven Dennis Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548608474 PECOS PAC ID: 3274841721 Enrollment ID: I20151001002456 |
| Provider Name | Timothy Glerum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255708921 PECOS PAC ID: 7113235474 Enrollment ID: I20151006001978 |
| Provider Name | Aaron Emmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275902595 PECOS PAC ID: 8224346390 Enrollment ID: I20151009001209 |
| Provider Name | Nicole Brookehutchcraft Vanaken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144699422 PECOS PAC ID: 9234448358 Enrollment ID: I20151012001274 |
| Provider Name | Veronique Wan Fook Cheung |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043629231 PECOS PAC ID: 4587973599 Enrollment ID: I20151014000696 |
| Provider Name | Sandra Van Brouwer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235459033 PECOS PAC ID: 0446430417 Enrollment ID: I20151019000652 |
| Provider Name | Kaitlin M Schoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720462872 PECOS PAC ID: 8820308034 Enrollment ID: I20151029002674 |
| Provider Name | Sarah Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588031256 PECOS PAC ID: 6204146384 Enrollment ID: I20151102000490 |
| Provider Name | Geoffrey T Lam |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619156205 PECOS PAC ID: 1456661438 Enrollment ID: I20151103001202 |
| Provider Name | Allison A Ilem |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730416462 PECOS PAC ID: 0547570285 Enrollment ID: I20151109000508 |
| Provider Name | Shannon E Fritz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952641060 PECOS PAC ID: 7618109927 Enrollment ID: I20151111001769 |
| Provider Name | Suzanne Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841673787 PECOS PAC ID: 2264732494 Enrollment ID: I20151119002446 |
| Provider Name | Taemyn K Hollis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841518818 PECOS PAC ID: 5991943961 Enrollment ID: I20151130001017 |
| Provider Name | Emily Woodcock |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245605823 PECOS PAC ID: 8820399710 Enrollment ID: I20151218000152 |
| Provider Name | Stephane Leung Wai Sang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1366859985 PECOS PAC ID: 5698994911 Enrollment ID: I20151222000812 |
| Provider Name | Jimmie D Woodall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649566076 PECOS PAC ID: 0345479028 Enrollment ID: I20151229000408 |
| Provider Name | Sarah Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639517758 PECOS PAC ID: 8325349871 Enrollment ID: I20151229000961 |
| Provider Name | Jean A Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306210745 PECOS PAC ID: 5597068148 Enrollment ID: I20160114002376 |
| Provider Name | Amy Ellen Jamison |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1790919876 PECOS PAC ID: 9830353788 Enrollment ID: I20160127001071 |
| Provider Name | Kelsie Rae Sakuta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972968527 PECOS PAC ID: 5890098644 Enrollment ID: I20160128000757 |
| Provider Name | Abimbola Adenike Matti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386931178 PECOS PAC ID: 7911176680 Enrollment ID: I20160201000825 |
| Provider Name | Lauren A Quiniff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326471590 PECOS PAC ID: 4385948488 Enrollment ID: I20160210001982 |
| Provider Name | Ashley Eggleston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134587488 PECOS PAC ID: 3072818582 Enrollment ID: I20160222001360 |
| Provider Name | Lauryn J Verstrate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649643057 PECOS PAC ID: 6406151877 Enrollment ID: I20160223000806 |
| Provider Name | Rebecca Joanne Preston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609247618 PECOS PAC ID: 4183929367 Enrollment ID: I20160225001912 |
| Provider Name | Abdul Jalil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568621365 PECOS PAC ID: 8426213299 Enrollment ID: I20160303002534 |
| Provider Name | Jennifer E Keegstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134504905 PECOS PAC ID: 5496051153 Enrollment ID: I20160308000079 |
| Provider Name | Quiana J Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477911865 PECOS PAC ID: 8921305160 Enrollment ID: I20160401001088 |
| Provider Name | Ruth Anne Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669835955 PECOS PAC ID: 4385943521 Enrollment ID: I20160422000472 |
| Provider Name | Crystal Mae Ritsema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093958548 PECOS PAC ID: 6002070414 Enrollment ID: I20160503002308 |
| Provider Name | Theodore Kelbel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326333444 PECOS PAC ID: 3577792274 Enrollment ID: I20160509002193 |
| Provider Name | Birgitte D Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184007379 PECOS PAC ID: 9133418288 Enrollment ID: I20160513000277 |
| Provider Name | Kyle Geda |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1720434442 PECOS PAC ID: 6204125024 Enrollment ID: I20160518001659 |
| Provider Name | Christa A Rector |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730443466 PECOS PAC ID: 8628370897 Enrollment ID: I20160531000854 |
| Provider Name | Sandeep Walia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467763607 PECOS PAC ID: 2264665751 Enrollment ID: I20160603000676 |
| Provider Name | Samantha K Rosen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740668607 PECOS PAC ID: 8022322593 Enrollment ID: I20160603001200 |
| Provider Name | Andrew Mundwiler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265725147 PECOS PAC ID: 6002118692 Enrollment ID: I20160603001902 |
| Provider Name | Alistair Jon Chapman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225266331 PECOS PAC ID: 1052540754 Enrollment ID: I20160606000569 |
| Provider Name | Johanna Astrid Zea-hernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285980193 PECOS PAC ID: 3072803949 Enrollment ID: I20160606000666 |
| Provider Name | Charles Jerard Gibson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740596402 PECOS PAC ID: 8022247626 Enrollment ID: I20160606000860 |
| Provider Name | Tiana Ekhande |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255656385 PECOS PAC ID: 6800186784 Enrollment ID: I20160606000931 |
| Provider Name | Daniel Herrick |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1356500409 PECOS PAC ID: 9133369812 Enrollment ID: I20160606001091 |
| Provider Name | Justin M Simmons |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235392598 PECOS PAC ID: 8325273022 Enrollment ID: I20160606001239 |
| Provider Name | Laurie H Seaver |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477661908 PECOS PAC ID: 2860455227 Enrollment ID: I20160620000878 |
| Provider Name | Katherine A Skurski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750727608 PECOS PAC ID: 0941519920 Enrollment ID: I20160622000918 |
| Provider Name | Justin A Singer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831331347 PECOS PAC ID: 0648561571 Enrollment ID: I20160623000287 |
| Provider Name | Evan Tank |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124316054 PECOS PAC ID: 9931417813 Enrollment ID: I20160623000568 |
| Provider Name | Joseph Zachariah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548585722 PECOS PAC ID: 3274759212 Enrollment ID: I20160623000802 |
| Provider Name | Tara Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679904379 PECOS PAC ID: 0547498214 Enrollment ID: I20160623001349 |
| Provider Name | Jonathan Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245686161 PECOS PAC ID: 6709177553 Enrollment ID: I20160624001599 |
| Provider Name | Paul Mazaris |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386841187 PECOS PAC ID: 1850514167 Enrollment ID: I20160627002560 |
| Provider Name | Jason Eric Essenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487093860 PECOS PAC ID: 8325280084 Enrollment ID: I20160630000251 |
| Provider Name | Jordan Combs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114289527 PECOS PAC ID: 6406096015 Enrollment ID: I20160701000358 |
| Provider Name | Sophia Sharfstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639165269 PECOS PAC ID: 8325024649 Enrollment ID: I20160706001051 |
| Provider Name | Ryan Conway |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861787475 PECOS PAC ID: 5799927240 Enrollment ID: I20160707000601 |
| Provider Name | Mae Zakhour |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1427342294 PECOS PAC ID: 4688816630 Enrollment ID: I20160707000602 |
| Provider Name | Sara Denolf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750644597 PECOS PAC ID: 5597994459 Enrollment ID: I20160707000746 |
| Provider Name | Meghan Behrmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134431968 PECOS PAC ID: 8921325291 Enrollment ID: I20160708000443 |
| Provider Name | Tyson J Lahti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477814846 PECOS PAC ID: 8123310273 Enrollment ID: I20160711000264 |
| Provider Name | Megan L Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366882359 PECOS PAC ID: 4789976846 Enrollment ID: I20160711000548 |
| Provider Name | Nicholas Hartog |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1669766325 PECOS PAC ID: 4284860073 Enrollment ID: I20160712000142 |
| Provider Name | Anas Taqatqa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538471230 PECOS PAC ID: 9931491966 Enrollment ID: I20160712000428 |
| Provider Name | Jena Krueger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679898357 PECOS PAC ID: 8527350289 Enrollment ID: I20160718000389 |
| Provider Name | Renzo Y Loyaga-rendon |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1275742389 PECOS PAC ID: 2769639509 Enrollment ID: I20160719000411 |
| Provider Name | Rachel Cardosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295186534 PECOS PAC ID: 2163715822 Enrollment ID: I20160719001285 |
| Provider Name | Leigh A Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609186642 PECOS PAC ID: 3072806637 Enrollment ID: I20160720001728 |
| Provider Name | Kathryn M Driza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740625672 PECOS PAC ID: 2466761309 Enrollment ID: I20160722000281 |
| Provider Name | Nathan Bradley Zokoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780023077 PECOS PAC ID: 8729217435 Enrollment ID: I20160725002080 |
| Provider Name | Yamini Atluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700198595 PECOS PAC ID: 0143453308 Enrollment ID: I20160725002713 |
| Provider Name | Venkatanagaraja Sara Vadlamudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902035660 PECOS PAC ID: 7416184411 Enrollment ID: I20160726000237 |
| Provider Name | Imran Hayat Tarrar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639510662 PECOS PAC ID: 4880987759 Enrollment ID: I20160729001663 |
| Provider Name | Gabriel Gallardo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730409178 PECOS PAC ID: 5395038178 Enrollment ID: I20160802000081 |
| Provider Name | Faith Marie Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831549815 PECOS PAC ID: 4486948239 Enrollment ID: I20160802002497 |
| Provider Name | Manish Kumar Thakur |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093022386 PECOS PAC ID: 5799925640 Enrollment ID: I20160803000223 |
| Provider Name | Lindsay S Negash |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649581810 PECOS PAC ID: 4082908728 Enrollment ID: I20160803002155 |
| Provider Name | Kristin Nicole Essenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912342015 PECOS PAC ID: 0941431456 Enrollment ID: I20160804000335 |
| Provider Name | Patrick R Mullan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720354723 PECOS PAC ID: 9032403654 Enrollment ID: I20160804001376 |
| Provider Name | Aubrey M Brannick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821440728 PECOS PAC ID: 9032403548 Enrollment ID: I20160805001587 |
| Provider Name | Amber Goetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295186971 PECOS PAC ID: 8527352079 Enrollment ID: I20160808000192 |
| Provider Name | Amber Gall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033569587 PECOS PAC ID: 9335433887 Enrollment ID: I20160808000228 |
| Provider Name | Amie Hop |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194014019 PECOS PAC ID: 3476781329 Enrollment ID: I20160808000314 |
| Provider Name | Jarrad Montie Utter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942614185 PECOS PAC ID: 6608096813 Enrollment ID: I20160810000063 |
| Provider Name | Heather Joy Mcgovern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902246085 PECOS PAC ID: 3577863208 Enrollment ID: I20160810000367 |
| Provider Name | Laura J Messing |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1154774545 PECOS PAC ID: 9335433598 Enrollment ID: I20160810001986 |
| Provider Name | Levi L Hinkelman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770804031 PECOS PAC ID: 4183853641 Enrollment ID: I20160812001836 |
| Provider Name | Kristen V Dib |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144673070 PECOS PAC ID: 6507151313 Enrollment ID: I20160818000368 |
| Provider Name | Nicole Harpold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881047652 PECOS PAC ID: 4688969405 Enrollment ID: I20160818000769 |
| Provider Name | Alyssa Ashley Churchill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699018135 PECOS PAC ID: 5597050278 Enrollment ID: I20160819000178 |
| Provider Name | Sharon Schroeder Dass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295125375 PECOS PAC ID: 2668799800 Enrollment ID: I20160819001218 |
| Provider Name | Natasha Holt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306286059 PECOS PAC ID: 8921236258 Enrollment ID: I20160822000557 |
| Provider Name | Casey Madura |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013172949 PECOS PAC ID: 6709009079 Enrollment ID: I20160823001755 |
| Provider Name | Jill Marie Johnson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033284278 PECOS PAC ID: 1355636580 Enrollment ID: I20160826000041 |
| Provider Name | Anne Hoekstra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326381310 PECOS PAC ID: 4587805452 Enrollment ID: I20160830002317 |
| Provider Name | Sarah Grohowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225405822 PECOS PAC ID: 8426366873 Enrollment ID: I20160902000473 |
| Provider Name | Sarah Joy Bratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306390885 PECOS PAC ID: 6507152352 Enrollment ID: I20160906000557 |
| Provider Name | Sheri L Tack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740633700 PECOS PAC ID: 5698061380 Enrollment ID: I20160906002524 |
| Provider Name | Kristin Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811250368 PECOS PAC ID: 4981834876 Enrollment ID: I20160912001350 |
| Provider Name | Richard Mason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942640834 PECOS PAC ID: 7113246372 Enrollment ID: I20160913001614 |
| Provider Name | Muriel Ann Arrowsmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205382538 PECOS PAC ID: 7315233533 Enrollment ID: I20160914000338 |
| Provider Name | Mary Manilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649726829 PECOS PAC ID: 0547557639 Enrollment ID: I20160916001128 |
| Provider Name | Randa Preihs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306390950 PECOS PAC ID: 0345537494 Enrollment ID: I20160919000106 |
| Provider Name | Rachel C Kloosterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194178129 PECOS PAC ID: 3577850460 Enrollment ID: I20160920002673 |
| Provider Name | Carly Heinz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942756481 PECOS PAC ID: 3870880438 Enrollment ID: I20160926000363 |
| Provider Name | Kate Zvonek |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669928107 PECOS PAC ID: 3779870332 Enrollment ID: I20160926000405 |
| Provider Name | Lauren M Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386082683 PECOS PAC ID: 0648567040 Enrollment ID: I20160929000177 |
| Provider Name | Shawn Hillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245683002 PECOS PAC ID: 0143517482 Enrollment ID: I20160929001892 |
| Provider Name | Stacey L Tubergen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427507946 PECOS PAC ID: 3577850858 Enrollment ID: I20160930000227 |
| Provider Name | Michelle Lynnea Vandentoorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396196440 PECOS PAC ID: 5698062818 Enrollment ID: I20160930002043 |
| Provider Name | Danielle Lobdell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215484324 PECOS PAC ID: 7618265828 Enrollment ID: I20161004000473 |
| Provider Name | Lauren Dice Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013466523 PECOS PAC ID: 0042508673 Enrollment ID: I20161013001058 |
| Provider Name | Erica Marie Tavares |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578977211 PECOS PAC ID: 3779709282 Enrollment ID: I20161013002188 |
| Provider Name | Shelley A Meyerholtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992252795 PECOS PAC ID: 4587952981 Enrollment ID: I20161018002780 |
| Provider Name | Marcos Itamar Cordoba-munoz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003084286 PECOS PAC ID: 8820217003 Enrollment ID: I20161019000698 |
| Provider Name | Elizabeth Parker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720427412 PECOS PAC ID: 9830329531 Enrollment ID: I20161020000542 |
| Provider Name | Caitlin Lundsten |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801342340 PECOS PAC ID: 2264710540 Enrollment ID: I20161021001059 |
| Provider Name | Emily Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184935835 PECOS PAC ID: 8921248683 Enrollment ID: I20161025000086 |
| Provider Name | Patricia Howe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548313810 PECOS PAC ID: 1951493188 Enrollment ID: I20161025001310 |
| Provider Name | Heather Grantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669856142 PECOS PAC ID: 3870883259 Enrollment ID: I20161103000026 |
| Provider Name | Ethan Braden Morrical |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376954917 PECOS PAC ID: 6204115306 Enrollment ID: I20161114000100 |
| Provider Name | Laura Neubecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952751778 PECOS PAC ID: 4486933496 Enrollment ID: I20161115002179 |
| Provider Name | Courtney Ferch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316176282 PECOS PAC ID: 6800042979 Enrollment ID: I20161116001101 |
| Provider Name | Alexandra Bratschie |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669809711 PECOS PAC ID: 6002135514 Enrollment ID: I20161117000712 |
| Provider Name | Adam Hiske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104375807 PECOS PAC ID: 5698054492 Enrollment ID: I20161118001234 |
| Provider Name | Daniel De Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437601945 PECOS PAC ID: 3577842244 Enrollment ID: I20161121001184 |
| Provider Name | Catelyn Gillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326405275 PECOS PAC ID: 3870872336 Enrollment ID: I20161128001878 |
| Provider Name | Douglas Casey Rau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376085191 PECOS PAC ID: 1951681261 Enrollment ID: I20161202001021 |
| Provider Name | James Hartzler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992142699 PECOS PAC ID: 6103106208 Enrollment ID: I20161207000950 |
| Provider Name | Angel W Hernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457444531 PECOS PAC ID: 0749187516 Enrollment ID: I20161208000403 |
| Provider Name | Abigail M Rienstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407307275 PECOS PAC ID: 4688955081 Enrollment ID: I20161222001631 |
| Provider Name | Medardo Richard Maroto |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700045317 PECOS PAC ID: 4284701269 Enrollment ID: I20161228001570 |
| Provider Name | Deborah St Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437692415 PECOS PAC ID: 3678854999 Enrollment ID: I20161228002062 |
| Provider Name | Brian A Trethowan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386188761 PECOS PAC ID: 0345521670 Enrollment ID: I20161229000285 |
| Provider Name | Mona Mcclellan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295007581 PECOS PAC ID: 0941581912 Enrollment ID: I20170105001607 |
| Provider Name | Alison G Schut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225382906 PECOS PAC ID: 8729224191 Enrollment ID: I20170106001871 |
| Provider Name | Leslie Ann Kearfott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962838599 PECOS PAC ID: 7911289624 Enrollment ID: I20170112001682 |
| Provider Name | Casey Parini |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487637492 PECOS PAC ID: 2567686447 Enrollment ID: I20170117001416 |
| Provider Name | Rueben Adekunle Adegoke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134380470 PECOS PAC ID: 5799972592 Enrollment ID: I20170119000259 |
| Provider Name | Elizabeth A Kessler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649492802 PECOS PAC ID: 3375854292 Enrollment ID: I20170124000939 |
| Provider Name | Katherine A Van Drunen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154761237 PECOS PAC ID: 8123321221 Enrollment ID: I20170127000463 |
| Provider Name | Elora Hussain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245487438 PECOS PAC ID: 2264606714 Enrollment ID: I20170206001593 |
| Provider Name | Mudita Bhugra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033347216 PECOS PAC ID: 7618126384 Enrollment ID: I20170207000071 |
| Provider Name | Leah Meiste |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821391566 PECOS PAC ID: 9931482346 Enrollment ID: I20170209001053 |
| Provider Name | Aaron R Frostick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861946048 PECOS PAC ID: 8123301280 Enrollment ID: I20170215001868 |
| Provider Name | Nicholas Michael Hountras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184038101 PECOS PAC ID: 2860617800 Enrollment ID: I20170217000716 |
| Provider Name | Kathleen Jarrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639583651 PECOS PAC ID: 3173740552 Enrollment ID: I20170224002270 |
| Provider Name | Grace Burkheimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871904409 PECOS PAC ID: 0749564037 Enrollment ID: I20170306001307 |
| Provider Name | Karim Robert Saleeby |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710322110 PECOS PAC ID: 7517264732 Enrollment ID: I20170315001018 |
| Provider Name | Marcel Michael Letourneau |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013355007 PECOS PAC ID: 1658691613 Enrollment ID: I20170327001200 |
| Provider Name | Dianna Ehlert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336695923 PECOS PAC ID: 1850676180 Enrollment ID: I20170328001973 |
| Provider Name | April Beresford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255872354 PECOS PAC ID: 3476839291 Enrollment ID: I20170411000107 |
| Provider Name | Sara Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336688639 PECOS PAC ID: 2062798515 Enrollment ID: I20170417001741 |
| Provider Name | Kerri Lynn Herder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679004303 PECOS PAC ID: 7113203688 Enrollment ID: I20170418000181 |
| Provider Name | Amaury Damian Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871932160 PECOS PAC ID: 7517198476 Enrollment ID: I20170420001366 |
| Provider Name | Julie Ann Polakowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134650732 PECOS PAC ID: 5698051852 Enrollment ID: I20170425000372 |
| Provider Name | Aimee Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457765257 PECOS PAC ID: 5890910103 Enrollment ID: I20170505000632 |
| Provider Name | Trisha M Bruns |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568862654 PECOS PAC ID: 9133406416 Enrollment ID: I20170516000886 |
| Provider Name | Barakat Thabet |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1184979577 PECOS PAC ID: 9234431594 Enrollment ID: I20170523001159 |
| Provider Name | Laura Defraia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194092957 PECOS PAC ID: 2163681669 Enrollment ID: I20170524000646 |
| Provider Name | Rivka Weinstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588945075 PECOS PAC ID: 7315112257 Enrollment ID: I20170525001657 |
| Provider Name | Jahir Ramos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962763078 PECOS PAC ID: 5991008781 Enrollment ID: I20170525002573 |
| Provider Name | Joseph Pitcher |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962721902 PECOS PAC ID: 6709029069 Enrollment ID: I20170530000443 |
| Provider Name | Jennifer Bowden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093911505 PECOS PAC ID: 4587815709 Enrollment ID: I20170601001187 |
| Provider Name | Ruth E Mulder |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720325194 PECOS PAC ID: 4688941263 Enrollment ID: I20170602000470 |
| Provider Name | Rajinder S Marok |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740410455 PECOS PAC ID: 6002100989 Enrollment ID: I20170605000634 |
| Provider Name | Gayathri Sathiyamoorthy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831405539 PECOS PAC ID: 0042588444 Enrollment ID: I20170607001395 |
| Provider Name | Stefano Crescentini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275947590 PECOS PAC ID: 9830484583 Enrollment ID: I20170608000266 |
| Provider Name | Sanjay Dandamudi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1760703284 PECOS PAC ID: 1456523083 Enrollment ID: I20170614001404 |
| Provider Name | Michael Tsimis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174840185 PECOS PAC ID: 7315166055 Enrollment ID: I20170621000667 |
| Provider Name | Kory B Mace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427460195 PECOS PAC ID: 6204155468 Enrollment ID: I20170621001046 |
| Provider Name | Jacqueline Eastman Yam |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1346509692 PECOS PAC ID: 8123243383 Enrollment ID: I20170622000548 |
| Provider Name | Megan Beckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326578428 PECOS PAC ID: 3971872490 Enrollment ID: I20170627000497 |
| Provider Name | Jennifer Renee Rigg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447788757 PECOS PAC ID: 0547539074 Enrollment ID: I20170627000825 |
| Provider Name | Gaurav Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831538354 PECOS PAC ID: 0749411742 Enrollment ID: I20170627002828 |
| Provider Name | Nicole Ellis Sherwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043747876 PECOS PAC ID: 5799054086 Enrollment ID: I20170629001527 |
| Provider Name | Lauren Elizabeth Rink Deleon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740728617 PECOS PAC ID: 4688943996 Enrollment ID: I20170629002441 |
| Provider Name | Stanley Sedore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306163092 PECOS PAC ID: 5193011450 Enrollment ID: I20170706001597 |
| Provider Name | Sheetal Das |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720492747 PECOS PAC ID: 3971720368 Enrollment ID: I20170706002698 |
| Provider Name | Jennifer Curtis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386907491 PECOS PAC ID: 4486883816 Enrollment ID: I20170706003185 |
| Provider Name | Benjamin Brand Davidson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215341458 PECOS PAC ID: 3678884244 Enrollment ID: I20170707000162 |
| Provider Name | Jillian Bybee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932429362 PECOS PAC ID: 6406125491 Enrollment ID: I20170707000189 |
| Provider Name | Erin Fricke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003128471 PECOS PAC ID: 6800025503 Enrollment ID: I20170707001772 |
| Provider Name | William De Las Navas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447699343 PECOS PAC ID: 5193016889 Enrollment ID: I20170707001787 |
| Provider Name | Justin Triemstra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588002661 PECOS PAC ID: 0648578674 Enrollment ID: I20170707003100 |
| Provider Name | Oliver E Aregullin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275882599 PECOS PAC ID: 4789953688 Enrollment ID: I20170710000752 |
| Provider Name | Nima Shah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083954606 PECOS PAC ID: 0143599720 Enrollment ID: I20170713001769 |
| Provider Name | Joya Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770922957 PECOS PAC ID: 3577792449 Enrollment ID: I20170713001827 |
| Provider Name | Brittni S Rohde |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295174167 PECOS PAC ID: 5395974356 Enrollment ID: I20170713002476 |
| Provider Name | Maxwell Martin Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255759031 PECOS PAC ID: 8527280056 Enrollment ID: I20170714002799 |
| Provider Name | Lauren Zedan Blenman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104231158 PECOS PAC ID: 8527387216 Enrollment ID: I20170717000230 |
| Provider Name | Leah Renae Vanenk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184036089 PECOS PAC ID: 6002186582 Enrollment ID: I20170717000248 |
| Provider Name | Courtney Millward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376958132 PECOS PAC ID: 6901119841 Enrollment ID: I20170718001531 |
| Provider Name | Jason S Puckett |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265727408 PECOS PAC ID: 4981852837 Enrollment ID: I20170721001403 |
| Provider Name | Kara L Keeling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083143663 PECOS PAC ID: 3476823543 Enrollment ID: I20170721002127 |
| Provider Name | Priyanka Hirlekar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740695345 PECOS PAC ID: 0840596557 Enrollment ID: I20170724001058 |
| Provider Name | Wassim I Jawad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174761837 PECOS PAC ID: 9638349996 Enrollment ID: I20170725001920 |
| Provider Name | Mohamed Mohamed |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861742751 PECOS PAC ID: 6406078161 Enrollment ID: I20170725002891 |
| Provider Name | Tuyen D Nguyen |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1255777397 PECOS PAC ID: 3476782962 Enrollment ID: I20170726000817 |
| Provider Name | Kevin Coalter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396163887 PECOS PAC ID: 5597981902 Enrollment ID: I20170726002157 |
| Provider Name | Tarin Lee Devoursney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205253663 PECOS PAC ID: 0547530362 Enrollment ID: I20170726002465 |
| Provider Name | Ghassan Al Nabhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326458068 PECOS PAC ID: 9739474735 Enrollment ID: I20170727001703 |
| Provider Name | Michael Vizachero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164834818 PECOS PAC ID: 9436473808 Enrollment ID: I20170727004078 |
| Provider Name | Troy Pearce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861621070 PECOS PAC ID: 2769779578 Enrollment ID: I20170728000786 |
| Provider Name | Carlyn Ann Hoeppner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447678115 PECOS PAC ID: 1153627872 Enrollment ID: I20170802002832 |
| Provider Name | Amy Goebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558883280 PECOS PAC ID: 6002187044 Enrollment ID: I20170809001096 |
| Provider Name | Arshdeep Sandhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730593146 PECOS PAC ID: 6103043914 Enrollment ID: I20170811001391 |
| Provider Name | David Calderhead |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992123756 PECOS PAC ID: 8325269301 Enrollment ID: I20170811002217 |
| Provider Name | Ashley Barcroft |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215376512 PECOS PAC ID: 5395057863 Enrollment ID: I20170816000637 |
| Provider Name | Amy Joy Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982133583 PECOS PAC ID: 4880966464 Enrollment ID: I20170816002527 |
| Provider Name | Kimberly Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962924084 PECOS PAC ID: 8325310923 Enrollment ID: I20170816003596 |
| Provider Name | Luke Vandezande |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497194799 PECOS PAC ID: 9931338977 Enrollment ID: I20170817002638 |
| Provider Name | Brett C Erickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447670765 PECOS PAC ID: 8224259304 Enrollment ID: I20170818000383 |
| Provider Name | Dora Eva Hillman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033478094 PECOS PAC ID: 1254603533 Enrollment ID: I20170822000299 |
| Provider Name | Velisa Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184892952 PECOS PAC ID: 0648542944 Enrollment ID: I20170822001300 |
| Provider Name | Jeremy B Petrous |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639584196 PECOS PAC ID: 4880999002 Enrollment ID: I20170823001094 |
| Provider Name | Ryan E Wissner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811309958 PECOS PAC ID: 1759506975 Enrollment ID: I20170823003760 |
| Provider Name | Carlos Alberto Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255711347 PECOS PAC ID: 7012280928 Enrollment ID: I20170829000139 |
| Provider Name | Kayli Terell Stanley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093129850 PECOS PAC ID: 0446475743 Enrollment ID: I20170901001261 |
| Provider Name | Lauren Phillips Michelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285046086 PECOS PAC ID: 8729383021 Enrollment ID: I20170907001096 |
| Provider Name | Natalie Debernardi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1144484049 PECOS PAC ID: 8628205374 Enrollment ID: I20170911000427 |
| Provider Name | Matthew Aaron Falkiewicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447631411 PECOS PAC ID: 7810200631 Enrollment ID: I20170911001840 |
| Provider Name | Jessica Diann Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588047229 PECOS PAC ID: 4587978788 Enrollment ID: I20170921000167 |
| Provider Name | Kimberlee A Tomerlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013321140 PECOS PAC ID: 1759690605 Enrollment ID: I20170926000169 |
| Provider Name | Nicholas Blank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275914244 PECOS PAC ID: 4789997511 Enrollment ID: I20170926002522 |
| Provider Name | Ronald Rasch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902288947 PECOS PAC ID: 5890008742 Enrollment ID: I20170927000247 |
| Provider Name | Kaitlin Beth Demaagd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710404587 PECOS PAC ID: 7315224540 Enrollment ID: I20170927003061 |
| Provider Name | Heather Chappell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023077005 PECOS PAC ID: 1850349481 Enrollment ID: I20170927003607 |
| Provider Name | Lorie Marie Rademacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164949103 PECOS PAC ID: 0941575088 Enrollment ID: I20170929000329 |
| Provider Name | Adrienne Renee Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184142556 PECOS PAC ID: 3870868763 Enrollment ID: I20171003004879 |
| Provider Name | Katherine Orourke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366708869 PECOS PAC ID: 1052543261 Enrollment ID: I20171010000552 |
| Provider Name | Kelsee Amber Vanderbaan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497270524 PECOS PAC ID: 8820363229 Enrollment ID: I20171011002441 |
| Provider Name | Ryan John Buteyn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184141103 PECOS PAC ID: 9335414671 Enrollment ID: I20171012000675 |
| Provider Name | Christa Mae Huston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306294616 PECOS PAC ID: 3274809967 Enrollment ID: I20171025000315 |
| Provider Name | Lindsey J Brace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760993091 PECOS PAC ID: 6901172303 Enrollment ID: I20171031001537 |
| Provider Name | Stephanie Marie Burdick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871904144 PECOS PAC ID: 6901106749 Enrollment ID: I20171102002455 |
| Provider Name | Judith Thorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720597446 PECOS PAC ID: 1557627833 Enrollment ID: I20171102003334 |
| Provider Name | Kelli Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811409303 PECOS PAC ID: 1052677234 Enrollment ID: I20171102003621 |
| Provider Name | Meagan N Viel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811415136 PECOS PAC ID: 2365708575 Enrollment ID: I20171103001223 |
| Provider Name | Soheila Roossien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629589015 PECOS PAC ID: 3476819236 Enrollment ID: I20171110000605 |
| Provider Name | Megan Krummen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124547039 PECOS PAC ID: 7911263736 Enrollment ID: I20171113000123 |
| Provider Name | Laura Gerencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013429323 PECOS PAC ID: 2264798958 Enrollment ID: I20171114000310 |
| Provider Name | Lindsey Marie Keuning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104336726 PECOS PAC ID: 0446516140 Enrollment ID: I20171114000802 |
| Provider Name | Nader R Kasim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972893527 PECOS PAC ID: 7911128160 Enrollment ID: I20171115001684 |
| Provider Name | Brooke Renee Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144746686 PECOS PAC ID: 4284990680 Enrollment ID: I20171116002721 |
| Provider Name | Evan John Peissig |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457733495 PECOS PAC ID: 1052625258 Enrollment ID: I20171128000151 |
| Provider Name | Bethany Eriksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881108207 PECOS PAC ID: 1850658931 Enrollment ID: I20171128000517 |
| Provider Name | Natalie C Mattson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295164820 PECOS PAC ID: 4486911310 Enrollment ID: I20171201001682 |
| Provider Name | Cari J Dufel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265662167 PECOS PAC ID: 6800070038 Enrollment ID: I20171208001988 |
| Provider Name | Muriam Afzal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174759906 PECOS PAC ID: 7315195393 Enrollment ID: I20171211000150 |
| Provider Name | Katie Elizabeth Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740793041 PECOS PAC ID: 4082972500 Enrollment ID: I20171211000917 |
| Provider Name | Travis James Menge |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891011060 PECOS PAC ID: 4880987882 Enrollment ID: I20171212001334 |
| Provider Name | Daniel Mayer-william Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275045999 PECOS PAC ID: 4981962206 Enrollment ID: I20171214001734 |
| Provider Name | Sheila Skok Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053567578 PECOS PAC ID: 8820164254 Enrollment ID: I20171215001027 |
| Provider Name | Treg A Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871963611 PECOS PAC ID: 3678831708 Enrollment ID: I20171219003139 |
| Provider Name | Heather Marie Covey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871984377 PECOS PAC ID: 4789942756 Enrollment ID: I20171220002215 |
| Provider Name | Nichole Anne Bundschuh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568973345 PECOS PAC ID: 9537427554 Enrollment ID: I20171221001328 |
| Provider Name | Sara Beth Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770098030 PECOS PAC ID: 9931467578 Enrollment ID: I20180103000676 |
| Provider Name | Lisa Michele Thiel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699898940 PECOS PAC ID: 6901057280 Enrollment ID: I20180104000660 |
| Provider Name | Sheryl Lynn Romero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275049793 PECOS PAC ID: 4789943820 Enrollment ID: I20180117000921 |
| Provider Name | Elaina Stewart |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740797943 PECOS PAC ID: 2567721285 Enrollment ID: I20180125001235 |
| Provider Name | Jennifer Bursley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902313364 PECOS PAC ID: 8527328202 Enrollment ID: I20180129002624 |
| Provider Name | Courtney Dotinga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275048431 PECOS PAC ID: 1254691363 Enrollment ID: I20180212000642 |
| Provider Name | Eryn Hart Dutta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184808651 PECOS PAC ID: 3072557388 Enrollment ID: I20180222000528 |
| Provider Name | Allison Elizabeth Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912405234 PECOS PAC ID: 8628339934 Enrollment ID: I20180301001945 |
| Provider Name | Andrew Ellis Kingsbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881193639 PECOS PAC ID: 8325300213 Enrollment ID: I20180312001488 |
| Provider Name | Jaime Nicole Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851899959 PECOS PAC ID: 3173885829 Enrollment ID: I20180319000484 |
| Provider Name | Kelly Barcheski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659753101 PECOS PAC ID: 2365756541 Enrollment ID: I20180322000647 |
| Provider Name | Erik Christopher Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043728207 PECOS PAC ID: 1153683594 Enrollment ID: I20180322000874 |
| Provider Name | Derek Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770553901 PECOS PAC ID: 2860596772 Enrollment ID: I20180327001576 |
| Provider Name | Jordon Alexander Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467954784 PECOS PAC ID: 2466715164 Enrollment ID: I20180411000524 |
| Provider Name | Bobbye Koning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265846281 PECOS PAC ID: 6103147764 Enrollment ID: I20180412000952 |
| Provider Name | Lisa Marie Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992209522 PECOS PAC ID: 2769745256 Enrollment ID: I20180416001097 |
| Provider Name | Robert Thomas Bischoff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891106001 PECOS PAC ID: 6608161567 Enrollment ID: I20180425001937 |
| Provider Name | Amberly Nicole Pinkleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962906123 PECOS PAC ID: 2668736364 Enrollment ID: I20180504001067 |
| Provider Name | Ericka Ann Singer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780066795 PECOS PAC ID: 1759694698 Enrollment ID: I20180510002450 |
| Provider Name | Anthony M Avellino |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730279621 PECOS PAC ID: 2365435237 Enrollment ID: I20180530002147 |
| Provider Name | Jay Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962766006 PECOS PAC ID: 2365753365 Enrollment ID: I20180606003024 |
| Provider Name | Lisa Chieko Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356831903 PECOS PAC ID: 4284999517 Enrollment ID: I20180607000723 |
| Provider Name | Matthew Ronald Bottke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982086302 PECOS PAC ID: 5496060808 Enrollment ID: I20180607001020 |
| Provider Name | Matthew James Ebright |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164869129 PECOS PAC ID: 8123335619 Enrollment ID: I20180608000711 |
| Provider Name | Nabil Wees |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164862454 PECOS PAC ID: 9133362700 Enrollment ID: I20180613002088 |
| Provider Name | Jamie J. Mccartney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982017265 PECOS PAC ID: 3971805557 Enrollment ID: I20180613002303 |
| Provider Name | Aditya V Dewoolkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376893487 PECOS PAC ID: 6800026170 Enrollment ID: I20180620003259 |
| Provider Name | Trisha L Slocum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407236904 PECOS PAC ID: 4385999739 Enrollment ID: I20180626002135 |
| Provider Name | Angela Embree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225407554 PECOS PAC ID: 2567739386 Enrollment ID: I20180628002244 |
| Provider Name | Peter Andrea Beaulieu |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053750349 PECOS PAC ID: 4486882768 Enrollment ID: I20180703000457 |
| Provider Name | Anna Jaclyn Conterato |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376804674 PECOS PAC ID: 6406071174 Enrollment ID: I20180703000807 |
| Provider Name | Todd Kiernan Conlan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215298732 PECOS PAC ID: 5597998948 Enrollment ID: I20180703000821 |
| Provider Name | Syed Ali Masum Razvi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306193735 PECOS PAC ID: 2567691520 Enrollment ID: I20180703000964 |
| Provider Name | Jayme Boros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265940977 PECOS PAC ID: 7719233733 Enrollment ID: I20180705002460 |
| Provider Name | Laura Deloach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154819647 PECOS PAC ID: 1355697236 Enrollment ID: I20180706001902 |
| Provider Name | Elizabeth Jelinek White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457764425 PECOS PAC ID: 0941593370 Enrollment ID: I20180709001196 |
| Provider Name | Laura Schipper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922502269 PECOS PAC ID: 1759637283 Enrollment ID: I20180712003551 |
| Provider Name | Malik Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740539733 PECOS PAC ID: 0244469724 Enrollment ID: I20180712003665 |
| Provider Name | Rada R Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891175907 PECOS PAC ID: 4284938101 Enrollment ID: I20180713000073 |
| Provider Name | Daniel K Erck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881076206 PECOS PAC ID: 2466769336 Enrollment ID: I20180714000103 |
| Provider Name | Megan M Deshetler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245612662 PECOS PAC ID: 3971818378 Enrollment ID: I20180717000437 |
| Provider Name | Kathryn Louise Ellens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154819035 PECOS PAC ID: 2567719966 Enrollment ID: I20180717000867 |
| Provider Name | Leslie Ann Schulte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013278852 PECOS PAC ID: 7315171105 Enrollment ID: I20180717001086 |
| Provider Name | Vanessa Cardenas Kimball |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558622209 PECOS PAC ID: 8224346093 Enrollment ID: I20180717002276 |
| Provider Name | Lindsey Cortez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578056784 PECOS PAC ID: 8426305715 Enrollment ID: I20180718000301 |
| Provider Name | Kelsey Ann Gonring |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861903668 PECOS PAC ID: 2062769367 Enrollment ID: I20180718000694 |
| Provider Name | Habiba Hassouna |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225478860 PECOS PAC ID: 6406090125 Enrollment ID: I20180724003808 |
| Provider Name | Shastin E Shull |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679991350 PECOS PAC ID: 6305146929 Enrollment ID: I20180725001162 |
| Provider Name | Zachary Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871908947 PECOS PAC ID: 2769703719 Enrollment ID: I20180725002870 |
| Provider Name | Amanda Holsworth |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1811336506 PECOS PAC ID: 1557590023 Enrollment ID: I20180726002096 |
| Provider Name | Nadeem Israr Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427481498 PECOS PAC ID: 6204052285 Enrollment ID: I20180727000287 |
| Provider Name | Craig Michael Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568876290 PECOS PAC ID: 1951521897 Enrollment ID: I20180727000487 |
| Provider Name | John Mahajan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013264787 PECOS PAC ID: 5799056313 Enrollment ID: I20180727001934 |
| Provider Name | Jeremy Gentile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669867081 PECOS PAC ID: 9133437403 Enrollment ID: I20180731004048 |
| Provider Name | Hannah Rae Chase |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023504024 PECOS PAC ID: 7113275686 Enrollment ID: I20180801000095 |
| Provider Name | Haley Outcalt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437648151 PECOS PAC ID: 9335497635 Enrollment ID: I20180802001968 |
| Provider Name | Mikhail Shteynvil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750764064 PECOS PAC ID: 2163739772 Enrollment ID: I20180803002902 |
| Provider Name | Gable B Moffitt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568723484 PECOS PAC ID: 7810269123 Enrollment ID: I20180807002051 |
| Provider Name | Kara Anne Willoughby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720468622 PECOS PAC ID: 6800144874 Enrollment ID: I20180807003961 |
| Provider Name | John Patrick Egan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295977221 PECOS PAC ID: 0749507341 Enrollment ID: I20180808000632 |
| Provider Name | Katherine M Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619393899 PECOS PAC ID: 0042437774 Enrollment ID: I20180809005097 |
| Provider Name | Chelsea Rae Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174016521 PECOS PAC ID: 7911255633 Enrollment ID: I20180810003076 |
| Provider Name | Anna Marie Rykse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538654835 PECOS PAC ID: 4486902103 Enrollment ID: I20180813000114 |
| Provider Name | Nour Zleik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396185534 PECOS PAC ID: 1658667233 Enrollment ID: I20180814002148 |
| Provider Name | Lauren E Fletcher-morehouse |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336586361 PECOS PAC ID: 1557598729 Enrollment ID: I20180814002486 |
| Provider Name | Heather Marie Klingeman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295174076 PECOS PAC ID: 7618117037 Enrollment ID: I20180815003942 |
| Provider Name | Erica Michelle Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932698883 PECOS PAC ID: 2163771635 Enrollment ID: I20180815003962 |
| Provider Name | Sarah Wiersma Gorski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265924336 PECOS PAC ID: 7517216088 Enrollment ID: I20180815003994 |
| Provider Name | Ariana Lockstadt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992188684 PECOS PAC ID: 8325351141 Enrollment ID: I20180820000128 |
| Provider Name | Tiffany Angela-dawn Jarois |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497012843 PECOS PAC ID: 5294055331 Enrollment ID: I20180821003033 |
| Provider Name | Allison Margaret Toth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508352832 PECOS PAC ID: 7315296597 Enrollment ID: I20180821003202 |
| Provider Name | Jennifer C Cannon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487996930 PECOS PAC ID: 7719116326 Enrollment ID: I20180824002824 |
| Provider Name | Amrita Jaswa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467834408 PECOS PAC ID: 6608126933 Enrollment ID: I20180907001918 |
| Provider Name | Kirsten Anne Phillips |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831501279 PECOS PAC ID: 2163772302 Enrollment ID: I20180907002748 |
| Provider Name | Alyssa Caminata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457837460 PECOS PAC ID: 8123378080 Enrollment ID: I20180913003105 |
| Provider Name | Rochelle Ashley Hughes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386063022 PECOS PAC ID: 7911257878 Enrollment ID: I20180913003244 |
| Provider Name | Erin K Hayhow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922489772 PECOS PAC ID: 8325398282 Enrollment ID: I20180913003460 |
| Provider Name | Tricia Maria Vanderbilt Luke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609354489 PECOS PAC ID: 0042561896 Enrollment ID: I20180918003581 |
| Provider Name | Cynthia M Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033698865 PECOS PAC ID: 9537410980 Enrollment ID: I20180924001781 |
| Provider Name | Nicholas Alexander Stephanoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033407689 PECOS PAC ID: 8325362445 Enrollment ID: I20180925002720 |
| Provider Name | Edward Matusik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255811246 PECOS PAC ID: 5991056103 Enrollment ID: I20180927002636 |
| Provider Name | Courtney Golding |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881138220 PECOS PAC ID: 3577814631 Enrollment ID: I20180928001547 |
| Provider Name | Shannon Lorelle Wiersma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316428253 PECOS PAC ID: 6901158971 Enrollment ID: I20181003001255 |
| Provider Name | David Cheesman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093766826 PECOS PAC ID: 5890793541 Enrollment ID: I20181004000158 |
| Provider Name | Kendra Bedient Nyhof |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487131363 PECOS PAC ID: 5395097323 Enrollment ID: I20181009001932 |
| Provider Name | Margaret Anne Konwinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376026641 PECOS PAC ID: 7618229220 Enrollment ID: I20181010000370 |
| Provider Name | Alyssa Lynn Gillette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710479415 PECOS PAC ID: 3779835277 Enrollment ID: I20181011000400 |
| Provider Name | Garett Joseph Pangrazzi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952614497 PECOS PAC ID: 2163653924 Enrollment ID: I20181023001291 |
| Provider Name | Brittany G Knudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952883639 PECOS PAC ID: 6406109297 Enrollment ID: I20181024002133 |
| Provider Name | Andrew Gene Harrington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386093169 PECOS PAC ID: 9032463112 Enrollment ID: I20181107002848 |
| Provider Name | Robin Marie Linton-fisher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730682261 PECOS PAC ID: 2365796455 Enrollment ID: I20181107003126 |
| Provider Name | Amy Marie Olinzock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922573369 PECOS PAC ID: 5294089108 Enrollment ID: I20181113000796 |
| Provider Name | Janiece Ann Feuerstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043797830 PECOS PAC ID: 5991059453 Enrollment ID: I20181120000111 |
| Provider Name | Amanda Marie Meulenberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467694786 PECOS PAC ID: 5294887873 Enrollment ID: I20181128000863 |
| Provider Name | Laura Lynn Rohrs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447727326 PECOS PAC ID: 1951645514 Enrollment ID: I20181207002385 |
| Provider Name | Michael Daly Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295116986 PECOS PAC ID: 9739423146 Enrollment ID: I20181211002836 |
| Provider Name | Clayton Richard Perry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083927396 PECOS PAC ID: 9830494715 Enrollment ID: I20181213001206 |
| Provider Name | David Sung-wook Moon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164866414 PECOS PAC ID: 2769727064 Enrollment ID: I20181214000167 |
| Provider Name | Jeff Gietzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871061085 PECOS PAC ID: 6406191766 Enrollment ID: I20181214002350 |
| Provider Name | Stacy Lu Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841775483 PECOS PAC ID: 6800131830 Enrollment ID: I20181220000519 |
| Provider Name | Leah Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194297077 PECOS PAC ID: 1456697796 Enrollment ID: I20190108002332 |
| Provider Name | Kolton Brusveen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790136828 PECOS PAC ID: 0143566356 Enrollment ID: I20190109001381 |
| Provider Name | Kathryn Francisco |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891702387 PECOS PAC ID: 0446596506 Enrollment ID: I20190109003487 |
| Provider Name | Vanessa Rae Smitko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003387655 PECOS PAC ID: 7416293139 Enrollment ID: I20190116002282 |
| Provider Name | Kelly Ann Levitt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750835005 PECOS PAC ID: 3971849571 Enrollment ID: I20190117002056 |
| Provider Name | Amber Gwyn Juhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568933646 PECOS PAC ID: 6204172828 Enrollment ID: I20190117003164 |
| Provider Name | Meredith Kay Penning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326511999 PECOS PAC ID: 0547507923 Enrollment ID: I20190123001387 |
| Provider Name | Erin M Okazaki |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760747877 PECOS PAC ID: 3173756301 Enrollment ID: I20190124002550 |
| Provider Name | Emily Thrower |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164994976 PECOS PAC ID: 7719224971 Enrollment ID: I20190125000193 |
| Provider Name | Ryan K Doyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164950481 PECOS PAC ID: 8224309174 Enrollment ID: I20190129002182 |
| Provider Name | Michelle Elizabeth Firlit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740751775 PECOS PAC ID: 1557608460 Enrollment ID: I20190131001157 |
| Provider Name | Abbey Nolan Mulder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932673407 PECOS PAC ID: 3476891052 Enrollment ID: I20190206000456 |
| Provider Name | Keith Smart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164809067 PECOS PAC ID: 6103120878 Enrollment ID: I20190208002538 |
| Provider Name | Jennifer Dykhouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922562040 PECOS PAC ID: 6204174519 Enrollment ID: I20190212002225 |
| Provider Name | Erin Marie Willink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548732381 PECOS PAC ID: 0345588331 Enrollment ID: I20190218001587 |
| Provider Name | Daniel J Adams |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467862052 PECOS PAC ID: 3971816315 Enrollment ID: I20190304002962 |
| Provider Name | Katy Kimble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972016566 PECOS PAC ID: 0345589677 Enrollment ID: I20190305001173 |
| Provider Name | Justin Rieth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629428552 PECOS PAC ID: 7012201957 Enrollment ID: I20190311002269 |
| Provider Name | Kaitlyn Collette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336604354 PECOS PAC ID: 4688914468 Enrollment ID: I20190313002020 |
| Provider Name | Jacquelyn Vorachek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154893956 PECOS PAC ID: 9739429598 Enrollment ID: I20190314001759 |
| Provider Name | Bridget Leigh Darga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710450259 PECOS PAC ID: 9638419385 Enrollment ID: I20190318000470 |
| Provider Name | Farashin Farhan Silevany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265819171 PECOS PAC ID: 0042550576 Enrollment ID: I20190320002033 |
| Provider Name | Melissa Nicole Wangler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801351762 PECOS PAC ID: 6305186701 Enrollment ID: I20190321001937 |
| Provider Name | Michelle Kristine Buist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144732850 PECOS PAC ID: 0143560193 Enrollment ID: I20190329000293 |
| Provider Name | Cara Ashni Weber |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922566462 PECOS PAC ID: 0547500506 Enrollment ID: I20190329000560 |
| Provider Name | Debra Christine Brunette |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891255188 PECOS PAC ID: 2769723121 Enrollment ID: I20190411002092 |
| Provider Name | Sheila Marie Zank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225596588 PECOS PAC ID: 2961743232 Enrollment ID: I20190415001656 |
| Provider Name | Colleen E Tillema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720503329 PECOS PAC ID: 9335412790 Enrollment ID: I20190424000702 |
| Provider Name | Margaret Elizabeth Peklo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417421405 PECOS PAC ID: 0547502304 Enrollment ID: I20190425002813 |
| Provider Name | Lacey Crumback |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144783457 PECOS PAC ID: 9032451836 Enrollment ID: I20190426001289 |
| Provider Name | Steven Lewis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538519467 PECOS PAC ID: 4284927856 Enrollment ID: I20190430000895 |
| Provider Name | Calvin Tebbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326572702 PECOS PAC ID: 3375886484 Enrollment ID: I20190513001254 |
| Provider Name | Jonathan B Abraham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679953848 PECOS PAC ID: 8527372994 Enrollment ID: I20190515003181 |
| Provider Name | Elizabeth Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114475019 PECOS PAC ID: 7416221247 Enrollment ID: I20190520002316 |
| Provider Name | Lyndi Jo Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508321456 PECOS PAC ID: 9335482926 Enrollment ID: I20190522003271 |
| Provider Name | Samantha Wylie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962954354 PECOS PAC ID: 0143569277 Enrollment ID: I20190531000571 |
| Provider Name | Sarah L Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013479765 PECOS PAC ID: 6305179938 Enrollment ID: I20190612003920 |
| Provider Name | Matthew Hans Gonzalez |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1639445844 PECOS PAC ID: 0648420695 Enrollment ID: I20190624002915 |
| Provider Name | Jess Alan Spradling |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114352309 PECOS PAC ID: 7618281312 Enrollment ID: I20190701000135 |
| Provider Name | Harlori Kaur Bains |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497097588 PECOS PAC ID: 3476888769 Enrollment ID: I20190709001662 |
| Provider Name | David Arthur Mcnamara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881959161 PECOS PAC ID: 5092040923 Enrollment ID: I20190715000908 |
| Provider Name | James Griffith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306238274 PECOS PAC ID: 8022321850 Enrollment ID: I20190715001265 |
| Provider Name | Matthew Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760724132 PECOS PAC ID: 6406152362 Enrollment ID: I20190715001343 |
| Provider Name | Sumaiya Ansari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265845598 PECOS PAC ID: 9436376811 Enrollment ID: I20190715001842 |
| Provider Name | David Cameron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720425788 PECOS PAC ID: 8022312297 Enrollment ID: I20190715003242 |
| Provider Name | Beena Philip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366006942 PECOS PAC ID: 8123353935 Enrollment ID: I20190717000348 |
| Provider Name | Ruchira Sengupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669813259 PECOS PAC ID: 2668605817 Enrollment ID: I20190718000502 |
| Provider Name | Lauren Vandam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174973002 PECOS PAC ID: 8921392861 Enrollment ID: I20190722000256 |
| Provider Name | Stephen Thomas Doyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013357722 PECOS PAC ID: 3476858515 Enrollment ID: I20190726000705 |
| Provider Name | Brian Thomas Gavin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710337647 PECOS PAC ID: 0840584785 Enrollment ID: I20190727000397 |
| Provider Name | Danielle M Zageris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457733644 PECOS PAC ID: 6002142072 Enrollment ID: I20190729002677 |
| Provider Name | Stephanie Flermoen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689056244 PECOS PAC ID: 8729391768 Enrollment ID: I20190731000171 |
| Provider Name | John Samuel Fleming |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295145803 PECOS PAC ID: 7113143355 Enrollment ID: I20190731000226 |
| Provider Name | Hope Ann Vivian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053976258 PECOS PAC ID: 8527395144 Enrollment ID: I20190806000118 |
| Provider Name | Marisa Hodges |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1184074809 PECOS PAC ID: 8224320338 Enrollment ID: I20190806000584 |
| Provider Name | Morgan Ashley Kochajda-watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396300745 PECOS PAC ID: 7618204793 Enrollment ID: I20190813000192 |
| Provider Name | Bernice A Theule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679135958 PECOS PAC ID: 9931436953 Enrollment ID: I20190813002361 |
| Provider Name | Rebecca Lynn Bond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912319757 PECOS PAC ID: 6103122510 Enrollment ID: I20190814003670 |
| Provider Name | Seema Mahdavi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427505890 PECOS PAC ID: 4688901523 Enrollment ID: I20190814003836 |
| Provider Name | Jane Sielski Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992244974 PECOS PAC ID: 1658648944 Enrollment ID: I20190815002960 |
| Provider Name | Kathy Amber Crystal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841842192 PECOS PAC ID: 0446587232 Enrollment ID: I20190816002345 |
| Provider Name | Boris Vidri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518373794 PECOS PAC ID: 0446476949 Enrollment ID: I20190817000439 |
| Provider Name | Tara Ann Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841859691 PECOS PAC ID: 6608104351 Enrollment ID: I20190820002048 |
| Provider Name | Carrie Kastein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437509585 PECOS PAC ID: 1456645860 Enrollment ID: I20190821000458 |
| Provider Name | Patrick Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396108320 PECOS PAC ID: 6709170319 Enrollment ID: I20190822001007 |
| Provider Name | Kristen Bottke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669853511 PECOS PAC ID: 0941513980 Enrollment ID: I20190826001526 |
| Provider Name | Julie Lynn Cusic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326607029 PECOS PAC ID: 0244568459 Enrollment ID: I20190827000613 |
| Provider Name | Mary Maya Mcphail-ciufo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124467949 PECOS PAC ID: 2365713435 Enrollment ID: I20190827003787 |
| Provider Name | Aubrey Elizabeth Dewildt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275198533 PECOS PAC ID: 9830427905 Enrollment ID: I20190827003789 |
| Provider Name | Matthew Holden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578913265 PECOS PAC ID: 4284922642 Enrollment ID: I20190829000807 |
| Provider Name | Erin Jean Walma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528611373 PECOS PAC ID: 8820326820 Enrollment ID: I20190829001755 |
| Provider Name | Andrea Lynn Eastway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467005165 PECOS PAC ID: 1456689454 Enrollment ID: I20190829001800 |
| Provider Name | Raja A Rabadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265815476 PECOS PAC ID: 5395025464 Enrollment ID: I20190829002211 |
| Provider Name | Jennifer Leah Schlatter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386201010 PECOS PAC ID: 0547599284 Enrollment ID: I20190905003333 |
| Provider Name | Derek Blok |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306367230 PECOS PAC ID: 5193095396 Enrollment ID: I20190907000031 |
| Provider Name | Heshan Jude Fernando |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942860119 PECOS PAC ID: 1456680008 Enrollment ID: I20190909000743 |
| Provider Name | Shefali Sharma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164866281 PECOS PAC ID: 5294040606 Enrollment ID: I20190910001031 |
| Provider Name | Lauren Liesbeth Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548821564 PECOS PAC ID: 4688903040 Enrollment ID: I20190910002030 |
| Provider Name | Sarah Ellen Deleon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114304342 PECOS PAC ID: 1557663051 Enrollment ID: I20190912000616 |
| Provider Name | Heather L Bur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356892624 PECOS PAC ID: 0648509877 Enrollment ID: I20190912001984 |
| Provider Name | Payal A Boss |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245675024 PECOS PAC ID: 0941517114 Enrollment ID: I20190912002320 |
| Provider Name | Leah R Koetje |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871908921 PECOS PAC ID: 7214228634 Enrollment ID: I20190913000286 |
| Provider Name | Stephanie Anne Machinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790135259 PECOS PAC ID: 8426312240 Enrollment ID: I20190913000796 |
| Provider Name | Katelin Anne Aris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730748609 PECOS PAC ID: 4486983541 Enrollment ID: I20190916000719 |
| Provider Name | Hien Luu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053849810 PECOS PAC ID: 7810226974 Enrollment ID: I20190916000809 |
| Provider Name | Bridget Lynn Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467008342 PECOS PAC ID: 4486983574 Enrollment ID: I20190916002015 |
| Provider Name | John M Paris |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1871512293 PECOS PAC ID: 1456487164 Enrollment ID: I20190918001387 |
| Provider Name | Julie Dragt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497309751 PECOS PAC ID: 4183954977 Enrollment ID: I20190920001015 |
| Provider Name | Rachel Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447601380 PECOS PAC ID: 5698005106 Enrollment ID: I20190926000949 |
| Provider Name | Wendy A Hunting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205486156 PECOS PAC ID: 2264762590 Enrollment ID: I20190928000144 |
| Provider Name | Amy Elizabeth Veltkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144879875 PECOS PAC ID: 5890025183 Enrollment ID: I20190930002679 |
| Provider Name | James R Polega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740700236 PECOS PAC ID: 4486924016 Enrollment ID: I20191001000742 |
| Provider Name | Stephanie Kathleen Witte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558711739 PECOS PAC ID: 2769779081 Enrollment ID: I20191003002251 |
| Provider Name | Amanda Mayo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578032124 PECOS PAC ID: 1759612740 Enrollment ID: I20191004002055 |
| Provider Name | Lindsey M Van Drunen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154765071 PECOS PAC ID: 3072831833 Enrollment ID: I20191004002482 |
| Provider Name | Jo-leighanne M Pascoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073163846 PECOS PAC ID: 3870824535 Enrollment ID: I20191010000288 |
| Provider Name | Lauren Ann Gressley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245883784 PECOS PAC ID: 7618208042 Enrollment ID: I20191015003314 |
| Provider Name | Shadia Lynn Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457908626 PECOS PAC ID: 4688905037 Enrollment ID: I20191016000688 |
| Provider Name | Margaret Love |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396298337 PECOS PAC ID: 9537454137 Enrollment ID: I20191016001081 |
| Provider Name | Hope L Mickelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487114070 PECOS PAC ID: 7315278710 Enrollment ID: I20191016002645 |
| Provider Name | Susan R Littler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790342509 PECOS PAC ID: 4789916826 Enrollment ID: I20191023000870 |
| Provider Name | Anne Frances Lefere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588205801 PECOS PAC ID: 5092047696 Enrollment ID: I20191031002064 |
| Provider Name | Brian Wilder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275983835 PECOS PAC ID: 5698107753 Enrollment ID: I20191112002037 |
| Provider Name | Kelsey Nicole Kloosterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720621709 PECOS PAC ID: 9436581493 Enrollment ID: I20191112002369 |
| Provider Name | Dana Elise Reckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225671381 PECOS PAC ID: 7719319508 Enrollment ID: I20191115002845 |
| Provider Name | Linda Barbara Pauliks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013903947 PECOS PAC ID: 7618881160 Enrollment ID: I20191126000091 |
| Provider Name | Jennifer Marklevitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750923843 PECOS PAC ID: 1355774639 Enrollment ID: I20191126002252 |
| Provider Name | Rebecca Jo Rietberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407407315 PECOS PAC ID: 5294168126 Enrollment ID: I20191209000418 |
| Provider Name | Julie A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144337882 PECOS PAC ID: 2567632193 Enrollment ID: I20191209000426 |
| Provider Name | Jori Anna Grit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396388369 PECOS PAC ID: 3870926454 Enrollment ID: I20191212001660 |
| Provider Name | Mavjuda Np-c Saydazamova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538705660 PECOS PAC ID: 3971937152 Enrollment ID: I20191220001400 |
| Provider Name | Amanda Ann Woodworth |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124664867 PECOS PAC ID: 2163856170 Enrollment ID: I20191230000632 |
| Provider Name | Joshua Dennis Witherspoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790323970 PECOS PAC ID: 0345675807 Enrollment ID: I20200111000077 |
| Provider Name | Ashley Brooke Gavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295373736 PECOS PAC ID: 2668807066 Enrollment ID: I20200113001851 |
| Provider Name | Kevin Anthony Seymour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245878792 PECOS PAC ID: 0547695702 Enrollment ID: I20200115002562 |
| Provider Name | Brigette L Mast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669932943 PECOS PAC ID: 4486089364 Enrollment ID: I20200123000445 |
| Provider Name | Ashley Nicole Widdis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679113344 PECOS PAC ID: 9931535457 Enrollment ID: I20200131001815 |
| Provider Name | Christopher E Hummel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396985206 PECOS PAC ID: 0143468587 Enrollment ID: I20200212002292 |
| Provider Name | Michelle Renee Vugteveen Faber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245364744 PECOS PAC ID: 2365432135 Enrollment ID: I20200227001304 |
| Provider Name | Breanne Renae Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023648912 PECOS PAC ID: 8426484635 Enrollment ID: I20200228000049 |
| Provider Name | Sarah Elizabeth Knoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588204598 PECOS PAC ID: 6204263494 Enrollment ID: I20200228000257 |
| Provider Name | Eric R Dejong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629619903 PECOS PAC ID: 1052748001 Enrollment ID: I20200304000066 |
| Provider Name | Holly Elizabeth Mullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245861251 PECOS PAC ID: 4082041900 Enrollment ID: I20200305000168 |
| Provider Name | John Roche |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205837689 PECOS PAC ID: 8022132174 Enrollment ID: I20200319002885 |
| Provider Name | Andrea Sewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326672767 PECOS PAC ID: 4385072545 Enrollment ID: I20200322000055 |
| Provider Name | Stephen G Simmer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972953917 PECOS PAC ID: 1153657812 Enrollment ID: I20200401002781 |
| Provider Name | Jeanette Marie Arrendondo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285276519 PECOS PAC ID: 0446689996 Enrollment ID: I20200403000623 |
| Provider Name | Emily A Jandasek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093237356 PECOS PAC ID: 5294164398 Enrollment ID: I20200409003400 |
| Provider Name | Krista M Gast |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023164506 PECOS PAC ID: 7911336078 Enrollment ID: I20200411000301 |
| Provider Name | Susan L Gunnink |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043366768 PECOS PAC ID: 9436589819 Enrollment ID: I20200427001459 |
| Provider Name | Sarah Marie Nava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356971261 PECOS PAC ID: 7810327095 Enrollment ID: I20200501000960 |
| Provider Name | Timothy Jelsema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871944397 PECOS PAC ID: 6406144625 Enrollment ID: I20200504001926 |
| Provider Name | Jessica Lynn Feistel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952757817 PECOS PAC ID: 5496048068 Enrollment ID: I20200507002488 |
| Provider Name | Jacob Reisner |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1033503594 PECOS PAC ID: 2860785086 Enrollment ID: I20200511003138 |
| Provider Name | Aiesha Ahmed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548482573 PECOS PAC ID: 5092861880 Enrollment ID: I20200514002946 |
| Provider Name | Jose Mariano Tiu Tan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265849541 PECOS PAC ID: 6002112232 Enrollment ID: I20200515001026 |
| Provider Name | James Thompson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003235755 PECOS PAC ID: 9931405321 Enrollment ID: I20200520001444 |
| Provider Name | Subodh Jain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033341888 PECOS PAC ID: 2567602360 Enrollment ID: I20200528001519 |
| Provider Name | David A Folt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801214226 PECOS PAC ID: 9335364348 Enrollment ID: I20200602002476 |
| Provider Name | Ali Saker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407205883 PECOS PAC ID: 3274826219 Enrollment ID: I20200609002481 |
| Provider Name | Adrian James Ptacek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528418670 PECOS PAC ID: 5193016863 Enrollment ID: I20200612000220 |
| Provider Name | Bradley M Boelkins |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1073908091 PECOS PAC ID: 3779855440 Enrollment ID: I20200615001487 |
| Provider Name | Philip Ryan Kaseska |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902338619 PECOS PAC ID: 4082985494 Enrollment ID: I20200619000122 |
| Provider Name | Sheila Krishnan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487948329 PECOS PAC ID: 2769622448 Enrollment ID: I20200622001892 |
| Provider Name | Pranav Kidambi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861892556 PECOS PAC ID: 9830511773 Enrollment ID: I20200622002364 |
| Provider Name | Keith Frank |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609217165 PECOS PAC ID: 9032428214 Enrollment ID: I20200625000335 |
| Provider Name | Jason Peter Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093154775 PECOS PAC ID: 9830329721 Enrollment ID: I20200625000444 |
| Provider Name | Erin Mcneely |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750673075 PECOS PAC ID: 5597983262 Enrollment ID: I20200625000720 |
| Provider Name | Amjad Abdallah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528418761 PECOS PAC ID: 7719309467 Enrollment ID: I20200625000903 |
| Provider Name | Upney Mehta Maniar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427585785 PECOS PAC ID: 9537438718 Enrollment ID: I20200707003167 |
| Provider Name | Conrad Maxwell Tobert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366853293 PECOS PAC ID: 7719106319 Enrollment ID: I20200707003258 |
| Provider Name | Daniel Edward Hess |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033538277 PECOS PAC ID: 1658599501 Enrollment ID: I20200708001631 |
| Provider Name | Caesy Lewis Yarling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235511668 PECOS PAC ID: 1355655267 Enrollment ID: I20200713001936 |
| Provider Name | Robin Johnson Cook |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487068383 PECOS PAC ID: 8527375427 Enrollment ID: I20200716000074 |
| Provider Name | Justin Walter Beuthin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346627916 PECOS PAC ID: 5294042156 Enrollment ID: I20200717002938 |
| Provider Name | Cory Minier Schmidt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003336595 PECOS PAC ID: 4486924990 Enrollment ID: I20200720003649 |
| Provider Name | Lissette E Jimenez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932631322 PECOS PAC ID: 6507133279 Enrollment ID: I20200722001128 |
| Provider Name | Jens Goebel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144246760 PECOS PAC ID: 9335285923 Enrollment ID: I20200722001526 |
| Provider Name | Claire Groskurth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972985521 PECOS PAC ID: 6103132618 Enrollment ID: I20200724001519 |
| Provider Name | Abigail Suzanne Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033727110 PECOS PAC ID: 5496179194 Enrollment ID: I20200727003374 |
| Provider Name | Joshua Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184006124 PECOS PAC ID: 2668785643 Enrollment ID: I20200731000192 |
| Provider Name | George Ghareeb |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528403235 PECOS PAC ID: 4587807318 Enrollment ID: I20200731000246 |
| Provider Name | Matthew Villerot |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1386023224 PECOS PAC ID: 5294046579 Enrollment ID: I20200731001972 |
| Provider Name | Kevin Charles Patterson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457779274 PECOS PAC ID: 3678894573 Enrollment ID: I20200803000784 |
| Provider Name | Andrea Lynn Giffel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669098935 PECOS PAC ID: 7315362753 Enrollment ID: I20200803001359 |
| Provider Name | Megan Denise Quist |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487068623 PECOS PAC ID: 3173740263 Enrollment ID: I20200803001531 |
| Provider Name | Nathan Andrew Patterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003229584 PECOS PAC ID: 1759697147 Enrollment ID: I20200803002814 |
| Provider Name | Ana T Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679191548 PECOS PAC ID: 7012332307 Enrollment ID: I20200804000450 |
| Provider Name | Stephen Peter Duquette |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538507025 PECOS PAC ID: 0749424695 Enrollment ID: I20200806003156 |
| Provider Name | Michael Han Raymond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497286447 PECOS PAC ID: 0446520506 Enrollment ID: I20200806003370 |
| Provider Name | Nobert Kahari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023635034 PECOS PAC ID: 5597180547 Enrollment ID: I20200807000746 |
| Provider Name | Derek Paul Axibal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598183196 PECOS PAC ID: 4880916493 Enrollment ID: I20200807002067 |
| Provider Name | Nicholas James Lannen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619358686 PECOS PAC ID: 8527372606 Enrollment ID: I20200813000453 |
| Provider Name | Bryan Kunkler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518487909 PECOS PAC ID: 1153691340 Enrollment ID: I20200813003155 |
| Provider Name | Matthew Charles Starke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861811036 PECOS PAC ID: 8123357183 Enrollment ID: I20200813003570 |
| Provider Name | Kailyn Kwong Hing |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528477387 PECOS PAC ID: 3476771676 Enrollment ID: I20200818000495 |
| Provider Name | Tia Chakraborty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548677263 PECOS PAC ID: 6204054505 Enrollment ID: I20200818000752 |
| Provider Name | Brianne Brooker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619346285 PECOS PAC ID: 2769808070 Enrollment ID: I20200818000922 |
| Provider Name | Lillie Anna Morgan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376961177 PECOS PAC ID: 7214277995 Enrollment ID: I20200819002940 |
| Provider Name | Layla Lynn Noordhof |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346850153 PECOS PAC ID: 4082030994 Enrollment ID: I20200821000961 |
| Provider Name | Carly R Quinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003336850 PECOS PAC ID: 8325317183 Enrollment ID: I20200825000708 |
| Provider Name | Matthew Diep |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841724192 PECOS PAC ID: 3678990298 Enrollment ID: I20200827002840 |
| Provider Name | Kayla Andres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992155824 PECOS PAC ID: 1759675697 Enrollment ID: I20200828000306 |
| Provider Name | Abby Erhorn |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1922541655 PECOS PAC ID: 4082031505 Enrollment ID: I20200828002840 |
| Provider Name | Malgorzata M Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073996120 PECOS PAC ID: 8729397765 Enrollment ID: I20200831002779 |
| Provider Name | Vanessa Sue Steen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295346682 PECOS PAC ID: 2062839475 Enrollment ID: I20200831003245 |
| Provider Name | Katrina Y Cole-riley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932186426 PECOS PAC ID: 7214281500 Enrollment ID: I20200911002104 |
| Provider Name | Robert Francis Morrell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316969983 PECOS PAC ID: 4486719952 Enrollment ID: I20200914000170 |
| Provider Name | Sanam Chopra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538519848 PECOS PAC ID: 4587948906 Enrollment ID: I20200921001468 |
| Provider Name | Elizabeth Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083233209 PECOS PAC ID: 1759704497 Enrollment ID: I20201006000143 |
| Provider Name | Elizabeth Ann Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295343986 PECOS PAC ID: 0941629273 Enrollment ID: I20201006000728 |
| Provider Name | Alicia Beth Vanden Bussche Jantz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144678020 PECOS PAC ID: 5698194819 Enrollment ID: I20201007001282 |
| Provider Name | Joseph Michael Joostens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417560038 PECOS PAC ID: 4981024148 Enrollment ID: I20201009001101 |
| Provider Name | Mary Kathleen Swier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780205773 PECOS PAC ID: 7315367497 Enrollment ID: I20201009002330 |
| Provider Name | Mohammad Mahmoud Hasan Alhyari |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346554912 PECOS PAC ID: 7113150111 Enrollment ID: I20201013002066 |
| Provider Name | Christine Jarocki |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891164638 PECOS PAC ID: 1658627294 Enrollment ID: I20201014000976 |
| Provider Name | Amy Manderscheid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609482330 PECOS PAC ID: 2163842931 Enrollment ID: I20201015002766 |
| Provider Name | Andrea Brouwer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063864858 PECOS PAC ID: 2466736038 Enrollment ID: I20201021002191 |
| Provider Name | Nathan Stanley Stein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336654656 PECOS PAC ID: 2466872908 Enrollment ID: I20201021002256 |
| Provider Name | Bettina L Jones |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467050880 PECOS PAC ID: 6002226347 Enrollment ID: I20201028000219 |
| Provider Name | Elise Marie Hoxworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164936480 PECOS PAC ID: 4082024195 Enrollment ID: I20201030001910 |
| Provider Name | Michael Timothy Mobley Finn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437785151 PECOS PAC ID: 0547681157 Enrollment ID: I20201118001915 |
| Provider Name | Andrew Cureton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467866020 PECOS PAC ID: 2264658145 Enrollment ID: I20201123002382 |
| Provider Name | Joseph D Stehouwer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437752177 PECOS PAC ID: 3173934015 Enrollment ID: I20201124002136 |
| Provider Name | Hillary Maxine Ottenbaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689281396 PECOS PAC ID: 4486065398 Enrollment ID: I20201125001897 |
| Provider Name | Michelle D Price |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508279589 PECOS PAC ID: 3577883537 Enrollment ID: I20201130000495 |
| Provider Name | Asaf Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154842193 PECOS PAC ID: 7416226279 Enrollment ID: I20201130001862 |
| Provider Name | Leia Cherie Vos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306335914 PECOS PAC ID: 6406267293 Enrollment ID: I20201130002370 |
| Provider Name | Logan Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114300928 PECOS PAC ID: 1850607268 Enrollment ID: I20201214001856 |
| Provider Name | Abigail Leigh Wenzlick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821518317 PECOS PAC ID: 6608146220 Enrollment ID: I20201215001584 |
| Provider Name | Jaclyn Denenfeld |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194068197 PECOS PAC ID: 3476825803 Enrollment ID: I20201221000560 |
| Provider Name | Ellen M Manegold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194376053 PECOS PAC ID: 3375955040 Enrollment ID: I20201222001807 |
| Provider Name | Irene Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508257858 PECOS PAC ID: 5294148656 Enrollment ID: I20210105000678 |
| Provider Name | Francis Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346437175 PECOS PAC ID: 6800012337 Enrollment ID: I20210108001489 |
| Provider Name | Jillian Marie Mccarthy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134577885 PECOS PAC ID: 1153698162 Enrollment ID: I20210115001105 |
| Provider Name | Cheryl D Wolfe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962497909 PECOS PAC ID: 1456310713 Enrollment ID: I20210120000291 |
| Provider Name | Sarah Flessner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316575988 PECOS PAC ID: 7012321151 Enrollment ID: I20210201000598 |
| Provider Name | Sara Kay Constantine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437414133 PECOS PAC ID: 7416186564 Enrollment ID: I20210202001040 |
| Provider Name | Elizabeth Charlotte Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316387442 PECOS PAC ID: 7012146293 Enrollment ID: I20210204000837 |
| Provider Name | Grayson R Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144812561 PECOS PAC ID: 9436564853 Enrollment ID: I20210217002319 |
| Provider Name | Caleb S Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487253654 PECOS PAC ID: 0648685909 Enrollment ID: I20210218000872 |
| Provider Name | Gregory Matthew Gressel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972895092 PECOS PAC ID: 0941564512 Enrollment ID: I20210224001050 |
| Provider Name | Matthew Brent Dull |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346503455 PECOS PAC ID: 9133358914 Enrollment ID: I20210225001251 |
| Provider Name | Stephen Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508458399 PECOS PAC ID: 0042626723 Enrollment ID: I20210303002459 |
| Provider Name | Jenna Kathryn Schierbeek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639761380 PECOS PAC ID: 2567878119 Enrollment ID: I20210308000698 |
| Provider Name | Marcia Stonehouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932793262 PECOS PAC ID: 7810303070 Enrollment ID: I20210312001057 |
| Provider Name | Edward Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992110316 PECOS PAC ID: 0143640748 Enrollment ID: I20210326001618 |
| Provider Name | Kristin L Darr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508393950 PECOS PAC ID: 3476820051 Enrollment ID: I20210330000670 |
| Provider Name | Dana Nagelkirk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174023220 PECOS PAC ID: 0648687970 Enrollment ID: I20210401001565 |
| Provider Name | Mackenzie Rae Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457941411 PECOS PAC ID: 4880001189 Enrollment ID: I20210405000587 |
| Provider Name | Nicole Lynn Block |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700488582 PECOS PAC ID: 8022425289 Enrollment ID: I20210406000698 |
| Provider Name | Adam Tibble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184265282 PECOS PAC ID: 3375951205 Enrollment ID: I20210414001489 |
| Provider Name | David Joseph Burkard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285129643 PECOS PAC ID: 9830443266 Enrollment ID: I20210426002692 |
| Provider Name | James Michael Moses |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912998683 PECOS PAC ID: 0547202509 Enrollment ID: I20210504000897 |
| Provider Name | Humna Abid Memon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033594932 PECOS PAC ID: 9638428683 Enrollment ID: I20210507000143 |
| Provider Name | Lingling Rong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396064994 PECOS PAC ID: 7214244698 Enrollment ID: I20210524000446 |
| Provider Name | Susan Pasnick |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669671772 PECOS PAC ID: 0547499980 Enrollment ID: I20210524000563 |
| Provider Name | Kevin Swiatek |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982022901 PECOS PAC ID: 0143542977 Enrollment ID: I20210528000108 |
| Provider Name | Ghaleb Bassam Ghaleb Khirfan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508241498 PECOS PAC ID: 2062714082 Enrollment ID: I20210601001855 |
| Provider Name | Allison M Tenfelde |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356590566 PECOS PAC ID: 4789825076 Enrollment ID: I20210602000882 |
| Provider Name | Nicholas Thomas Abbey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174052187 PECOS PAC ID: 7214205913 Enrollment ID: I20210602003236 |
| Provider Name | Blake Edward Senay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922480136 PECOS PAC ID: 0143534198 Enrollment ID: I20210603001289 |
| Provider Name | Matthew Joseph Rausch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326420514 PECOS PAC ID: 6002215589 Enrollment ID: I20210603001901 |
| Provider Name | Junwen Law |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275945842 PECOS PAC ID: 3375813082 Enrollment ID: I20210603002688 |
| Provider Name | David Marshall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508387598 PECOS PAC ID: 5799022968 Enrollment ID: I20210604000181 |
| Provider Name | Timothy Andrew Joseph |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013328236 PECOS PAC ID: 5597065433 Enrollment ID: I20210604002712 |
| Provider Name | Christopher J Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104228360 PECOS PAC ID: 4587941588 Enrollment ID: I20210607001394 |
| Provider Name | Yelena Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851812929 PECOS PAC ID: 7618247149 Enrollment ID: I20210607001748 |
| Provider Name | Giuseppe Zambito |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598116956 PECOS PAC ID: 8628340775 Enrollment ID: I20210607002273 |
| Provider Name | Kelsey Satkowiak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609238294 PECOS PAC ID: 2163715012 Enrollment ID: I20210608002865 |
| Provider Name | Colton Wolfe-sabo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609361666 PECOS PAC ID: 9931443140 Enrollment ID: I20210609000419 |
| Provider Name | Kylee Christena Staky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982286555 PECOS PAC ID: 3173923448 Enrollment ID: I20210609000882 |
| Provider Name | Amanda E. Ruddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154996684 PECOS PAC ID: 1456751601 Enrollment ID: I20210610000777 |
| Provider Name | Catherine Agnes Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629396965 PECOS PAC ID: 5799912523 Enrollment ID: I20210610001279 |
| Provider Name | Emily A Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710531686 PECOS PAC ID: 8527468354 Enrollment ID: I20210615002422 |
| Provider Name | Emily Reynolds Malling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154852838 PECOS PAC ID: 5799058079 Enrollment ID: I20210617000667 |
| Provider Name | Kyle Ramthun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972000255 PECOS PAC ID: 4587929591 Enrollment ID: I20210617000790 |
| Provider Name | Cynthia Piercefield |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538761416 PECOS PAC ID: 0042611378 Enrollment ID: I20210624001164 |
| Provider Name | Jose Alberto Morillas Rodriguez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124400668 PECOS PAC ID: 0042565525 Enrollment ID: I20210625000787 |
| Provider Name | Anna Carlson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1447678669 PECOS PAC ID: 3971904996 Enrollment ID: I20210629000879 |
| Provider Name | Cory Stingl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194067439 PECOS PAC ID: 6901135086 Enrollment ID: I20210629003118 |
| Provider Name | Shaiva Ginoya Meka |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376924647 PECOS PAC ID: 5496067795 Enrollment ID: I20210629003748 |
| Provider Name | Andrew Scott Kimball |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1700147873 PECOS PAC ID: 6002122587 Enrollment ID: I20210702001190 |
| Provider Name | Alexander Cobb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427543990 PECOS PAC ID: 1658620745 Enrollment ID: I20210706001135 |
| Provider Name | John Philip Kelpin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1891109971 PECOS PAC ID: 7012132541 Enrollment ID: I20210709000176 |
| Provider Name | Natalie Marie Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033795117 PECOS PAC ID: 9133521339 Enrollment ID: I20210712000253 |
| Provider Name | Albert V George |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700270634 PECOS PAC ID: 4183909658 Enrollment ID: I20210712001384 |
| Provider Name | Stason Vandegrift |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225534209 PECOS PAC ID: 3779912134 Enrollment ID: I20210712001680 |
| Provider Name | Christopher Bryan Riedinger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295147791 PECOS PAC ID: 4183927130 Enrollment ID: I20210712001692 |
| Provider Name | Mallorie Stacie Bleka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801388277 PECOS PAC ID: 4284036336 Enrollment ID: I20210712002655 |
| Provider Name | Ashlee Anne Senay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841672979 PECOS PAC ID: 6901102227 Enrollment ID: I20210712002783 |
| Provider Name | Molly Blackburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063886216 PECOS PAC ID: 7517369630 Enrollment ID: I20210713000658 |
| Provider Name | Laura Sue Deweerd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699344218 PECOS PAC ID: 0244632214 Enrollment ID: I20210713003192 |
| Provider Name | Lauren Julianne Alessi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407199466 PECOS PAC ID: 6103117817 Enrollment ID: I20210713003330 |
| Provider Name | Charles A Asbury |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114378692 PECOS PAC ID: 2769774728 Enrollment ID: I20210713003374 |
| Provider Name | Elitsa Nicolaou Perizes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902287212 PECOS PAC ID: 2264735968 Enrollment ID: I20210716001741 |
| Provider Name | Laura Katherine Bevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043803760 PECOS PAC ID: 2860894508 Enrollment ID: I20210716002279 |
| Provider Name | Krishna Chaitanya Meka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043698988 PECOS PAC ID: 0840593166 Enrollment ID: I20210719000412 |
| Provider Name | David Carey Synhorst |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538540505 PECOS PAC ID: 7214241413 Enrollment ID: I20210719000907 |
| Provider Name | Colleen Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881988616 PECOS PAC ID: 0840585899 Enrollment ID: I20210720000355 |
| Provider Name | Samantha Marie-balaj Hyzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417528787 PECOS PAC ID: 5496158776 Enrollment ID: I20210723002060 |
| Provider Name | Catherine Bartnik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548688773 PECOS PAC ID: 1658649306 Enrollment ID: I20210726002977 |
| Provider Name | Christopher Jon Palazzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285128801 PECOS PAC ID: 3577811835 Enrollment ID: I20210728000294 |
| Provider Name | Grant K Heide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093383242 PECOS PAC ID: 5193128965 Enrollment ID: I20210730002692 |
| Provider Name | Benjermen Alan Blackmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194218636 PECOS PAC ID: 8820342777 Enrollment ID: I20210803002019 |
| Provider Name | Erica Wrubel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376925313 PECOS PAC ID: 7911210992 Enrollment ID: I20210809001836 |
| Provider Name | Megan Buchman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396318051 PECOS PAC ID: 2163826116 Enrollment ID: I20210812001917 |
| Provider Name | Jessica Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982055349 PECOS PAC ID: 4082986138 Enrollment ID: I20210816000647 |
| Provider Name | Veronica Sarah Vandewege |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831761972 PECOS PAC ID: 9638574429 Enrollment ID: I20210817001205 |
| Provider Name | James M Regan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093061905 PECOS PAC ID: 9931348885 Enrollment ID: I20210817001208 |
| Provider Name | Sarah Jane Wilkes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083145551 PECOS PAC ID: 8022382761 Enrollment ID: I20210817001657 |
| Provider Name | Matthew W Dykstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386232460 PECOS PAC ID: 2961807060 Enrollment ID: I20210827002184 |
| Provider Name | Miranda Nicole Lindsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902499635 PECOS PAC ID: 3072918036 Enrollment ID: I20210830001256 |
| Provider Name | Stephen Manuszak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295185478 PECOS PAC ID: 7810288768 Enrollment ID: I20210831000903 |
| Provider Name | Dominic Ondieki Abuya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053984609 PECOS PAC ID: 7517363575 Enrollment ID: I20210831002186 |
| Provider Name | Kiva Da-shan Bauswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508531088 PECOS PAC ID: 0143626895 Enrollment ID: I20210907000651 |
| Provider Name | Ryan J Hodges |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851753610 PECOS PAC ID: 3779870142 Enrollment ID: I20210915003147 |
| Provider Name | Kelsey Carr |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700455201 PECOS PAC ID: 6709283567 Enrollment ID: I20210921001489 |
| Provider Name | Kelli Jo Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770086951 PECOS PAC ID: 8022415801 Enrollment ID: I20210921002436 |
| Provider Name | Charla Larae Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548811201 PECOS PAC ID: 4981030160 Enrollment ID: I20210922000576 |
| Provider Name | Jordan Ray Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891357810 PECOS PAC ID: 6507195864 Enrollment ID: I20210928001334 |
| Provider Name | Sandra Wilfore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871170928 PECOS PAC ID: 4385041698 Enrollment ID: I20210928003470 |
| Provider Name | Courtney Joy Mulder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740853225 PECOS PAC ID: 2567860737 Enrollment ID: I20211004000386 |
| Provider Name | Jeremy Matthew Kaley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972275832 PECOS PAC ID: 4789082769 Enrollment ID: I20211005002302 |
| Provider Name | Catherine M. Czesnowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013399245 PECOS PAC ID: 0042618951 Enrollment ID: I20211007000862 |
| Provider Name | Kevin A Krueger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942707856 PECOS PAC ID: 4082960208 Enrollment ID: I20211007003469 |
| Provider Name | Josephine Tenbrink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689341331 PECOS PAC ID: 1759789308 Enrollment ID: I20211012001579 |
| Provider Name | John Rizik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790245538 PECOS PAC ID: 0345674883 Enrollment ID: I20211015001446 |
| Provider Name | Daniel C Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073283164 PECOS PAC ID: 3274931522 Enrollment ID: I20211018001415 |
| Provider Name | Katelyn Deyoung |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346811346 PECOS PAC ID: 2062800352 Enrollment ID: I20211019000231 |
| Provider Name | Nicole Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508458456 PECOS PAC ID: 5092103382 Enrollment ID: I20211019000499 |
| Provider Name | Rebecca Anne Hershman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558031757 PECOS PAC ID: 2860880176 Enrollment ID: I20211019001227 |
| Provider Name | Stephanie Nicole Hayes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225559412 PECOS PAC ID: 1759630999 Enrollment ID: I20211021003073 |
| Provider Name | Sarah Noel Crayne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912301698 PECOS PAC ID: 0345638383 Enrollment ID: I20211025003042 |
| Provider Name | Sarah Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316618085 PECOS PAC ID: 1557759313 Enrollment ID: I20211027001570 |
| Provider Name | Sabrina Kristine-tower Rohdy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194487579 PECOS PAC ID: 4385032044 Enrollment ID: I20211028002659 |
| Provider Name | Nichole Lynn Prior |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619648920 PECOS PAC ID: 4688062383 Enrollment ID: I20211029001223 |
| Provider Name | Joseph Adam Droppers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194307306 PECOS PAC ID: 5991193484 Enrollment ID: I20211103000728 |
| Provider Name | Katie L Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306509013 PECOS PAC ID: 5193113595 Enrollment ID: I20211103001748 |
| Provider Name | Londa Faye Kurburski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437402625 PECOS PAC ID: 9133518566 Enrollment ID: I20211105000666 |
| Provider Name | Carly Jo Boss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487318606 PECOS PAC ID: 3870982846 Enrollment ID: I20211112000362 |
| Provider Name | Tatiana Rodriguez-klein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710521810 PECOS PAC ID: 8527457530 Enrollment ID: I20211112001988 |
| Provider Name | Eric James Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669033890 PECOS PAC ID: 9032448857 Enrollment ID: I20211115000937 |
| Provider Name | Shannon Madison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023428588 PECOS PAC ID: 6709008006 Enrollment ID: I20211117000838 |
| Provider Name | Allison M Brownlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952073686 PECOS PAC ID: 4981093648 Enrollment ID: I20211118000574 |
| Provider Name | Mary E Gilchrist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073275228 PECOS PAC ID: 2264821735 Enrollment ID: I20211123001056 |
| Provider Name | Eesha Purohit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689194664 PECOS PAC ID: 8325317381 Enrollment ID: I20211203001511 |
| Provider Name | Brieanne Sue Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487215505 PECOS PAC ID: 8729317698 Enrollment ID: I20211208001032 |
| Provider Name | Drew Bennett Krumm |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538720750 PECOS PAC ID: 6406185115 Enrollment ID: I20211209001146 |
| Provider Name | Alexandra Marie Menillo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770016636 PECOS PAC ID: 6305249905 Enrollment ID: I20211209001615 |
| Provider Name | Joel Tyler Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235791328 PECOS PAC ID: 3173854072 Enrollment ID: I20211213001516 |
| Provider Name | Aryn Jane Pawloski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336653161 PECOS PAC ID: 5193115798 Enrollment ID: I20211213002615 |
| Provider Name | Roneidra Dionne Hill Lucky |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790442168 PECOS PAC ID: 3476943044 Enrollment ID: I20211214002247 |
| Provider Name | Rebecca Emery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376104596 PECOS PAC ID: 9234468059 Enrollment ID: I20211214002661 |
| Provider Name | Alysa Michelle Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356903371 PECOS PAC ID: 7719216068 Enrollment ID: I20211215002907 |
| Provider Name | Marvin L Kajy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346774981 PECOS PAC ID: 1254609431 Enrollment ID: I20211216000431 |
| Provider Name | Uma E Erard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588817118 PECOS PAC ID: 3274717509 Enrollment ID: I20211220000232 |
| Provider Name | Daniel Francis Summers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447811567 PECOS PAC ID: 9032448907 Enrollment ID: I20211220000406 |
| Provider Name | Jason E Hernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992236285 PECOS PAC ID: 9335541390 Enrollment ID: I20211227000563 |
| Provider Name | Joshua David Donkin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669967964 PECOS PAC ID: 8921352279 Enrollment ID: I20211228000085 |
| Provider Name | Katie Ranay Steele |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952067944 PECOS PAC ID: 1850782988 Enrollment ID: I20211229000523 |
| Provider Name | Emerson Albert Lim |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1407030307 PECOS PAC ID: 4082895883 Enrollment ID: I20211229002017 |
| Provider Name | Suresh Yadav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649288465 PECOS PAC ID: 3971506643 Enrollment ID: I20211230000859 |
| Provider Name | Jennifer Lyn Jeffries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962992958 PECOS PAC ID: 8527459494 Enrollment ID: I20220104000260 |
| Provider Name | Sabrina Huq |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083062087 PECOS PAC ID: 6305132671 Enrollment ID: I20220104000694 |
| Provider Name | Justin Dean Roelofs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376200584 PECOS PAC ID: 2769873678 Enrollment ID: I20220104002101 |
| Provider Name | Nicholas Jon Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912569914 PECOS PAC ID: 0941538367 Enrollment ID: I20220104002521 |
| Provider Name | Jorge Zamudio Mora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861065369 PECOS PAC ID: 8527459387 Enrollment ID: I20220105001383 |
| Provider Name | Amy Ludmilla Rechenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851953822 PECOS PAC ID: 3274861620 Enrollment ID: I20220107000605 |
| Provider Name | Rajus Chopra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649632720 PECOS PAC ID: 8628491438 Enrollment ID: I20220107000695 |
| Provider Name | Ashley Wejrowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013673128 PECOS PAC ID: 3274925995 Enrollment ID: I20220110000246 |
| Provider Name | Mallory Christine Layman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558959429 PECOS PAC ID: 3971995606 Enrollment ID: I20220110000777 |
| Provider Name | Joseph Mark Banno |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306339064 PECOS PAC ID: 1759637515 Enrollment ID: I20220110001751 |
| Provider Name | Hassan Saleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861997074 PECOS PAC ID: 3274880505 Enrollment ID: I20220111000742 |
| Provider Name | Mariam Tajalli Khan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588225692 PECOS PAC ID: 9931438157 Enrollment ID: I20220111002209 |
| Provider Name | Travis James Tomaszewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568024545 PECOS PAC ID: 1951630821 Enrollment ID: I20220114000221 |
| Provider Name | Christy Rae Roossien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710648258 PECOS PAC ID: 4183016421 Enrollment ID: I20220119002119 |
| Provider Name | Zachary Lee Wagar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033771191 PECOS PAC ID: 6002147931 Enrollment ID: I20220121001127 |
| Provider Name | Laura Ann Datema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861153736 PECOS PAC ID: 2961894936 Enrollment ID: I20220125001519 |
| Provider Name | Kennedy Miedema-westra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902567613 PECOS PAC ID: 9234521212 Enrollment ID: I20220125001917 |
| Provider Name | Marci Anne Bartholomew |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366799124 PECOS PAC ID: 9537438643 Enrollment ID: I20220125002924 |
| Provider Name | Rachel Marie Mccall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720747686 PECOS PAC ID: 5597157446 Enrollment ID: I20220126002222 |
| Provider Name | Laura Nicole Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124779095 PECOS PAC ID: 6103219746 Enrollment ID: I20220203001415 |
| Provider Name | Lauren Jean Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336733641 PECOS PAC ID: 0345633905 Enrollment ID: I20220203001982 |
| Provider Name | Abigail Creese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275177693 PECOS PAC ID: 2264865757 Enrollment ID: I20220203002012 |
| Provider Name | Katie Needler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659742153 PECOS PAC ID: 5991005209 Enrollment ID: I20220203002049 |
| Provider Name | Sarah Badran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114067469 PECOS PAC ID: 2062703820 Enrollment ID: I20220210000486 |
| Provider Name | Annelise Claerr Gauthier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740933886 PECOS PAC ID: 4688067663 Enrollment ID: I20220216000183 |
| Provider Name | Amber Vandenbos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922651322 PECOS PAC ID: 0143634584 Enrollment ID: I20220217002068 |
| Provider Name | Keowa Vasquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205255320 PECOS PAC ID: 3678851052 Enrollment ID: I20220217002339 |
| Provider Name | George T Contos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376075770 PECOS PAC ID: 5698043974 Enrollment ID: I20220218001780 |
| Provider Name | Laura Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487308904 PECOS PAC ID: 3779977640 Enrollment ID: I20220218002449 |
| Provider Name | Kathryn Worden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447910518 PECOS PAC ID: 5496149932 Enrollment ID: I20220228001728 |
| Provider Name | Katlynn Suzanne Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750049110 PECOS PAC ID: 1355735705 Enrollment ID: I20220228002322 |
| Provider Name | Meredith Carbone-doyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205241932 PECOS PAC ID: 8820214976 Enrollment ID: I20220301001039 |
| Provider Name | Mahnoor Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629439740 PECOS PAC ID: 9931491040 Enrollment ID: I20220308000654 |
| Provider Name | Janine M Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982779880 PECOS PAC ID: 5597150599 Enrollment ID: I20220309001452 |
| Provider Name | Roxanne Affholter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518457100 PECOS PAC ID: 8820483860 Enrollment ID: I20220309003065 |
| Provider Name | Catherine Jo Risley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124401161 PECOS PAC ID: 9436544806 Enrollment ID: I20220322000670 |
| Provider Name | Megan Drelles Ditty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821354994 PECOS PAC ID: 2668764150 Enrollment ID: I20220322000782 |
| Provider Name | Sarah Elizabeth De Lange |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205407038 PECOS PAC ID: 3476948852 Enrollment ID: I20220322000951 |
| Provider Name | John Linck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083878748 PECOS PAC ID: 7214167915 Enrollment ID: I20220322001899 |
| Provider Name | Tammy Bectel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881119667 PECOS PAC ID: 1557637832 Enrollment ID: I20220323002250 |
| Provider Name | Stacy Elise Jonio |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720737521 PECOS PAC ID: 3274928460 Enrollment ID: I20220325001293 |
| Provider Name | Joseph Anthony Petronio |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427138429 PECOS PAC ID: 7517000730 Enrollment ID: I20220325001880 |
| Provider Name | Kelly Ann Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982293478 PECOS PAC ID: 1850786971 Enrollment ID: I20220328000403 |
| Provider Name | Catheryn Ann Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801488606 PECOS PAC ID: 1456747203 Enrollment ID: I20220405001278 |
| Provider Name | Corie L Demski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982009577 PECOS PAC ID: 5193131563 Enrollment ID: I20220408002165 |
| Provider Name | Sara Marie Yettaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457091100 PECOS PAC ID: 1850787029 Enrollment ID: I20220415001155 |
| Provider Name | Leona Tamara Kwekel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538751326 PECOS PAC ID: 8628465655 Enrollment ID: I20220421002149 |
| Provider Name | Amanda Jean Gabbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437899572 PECOS PAC ID: 4385031277 Enrollment ID: I20220422001910 |
| Provider Name | Kylie Jo Roel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649623786 PECOS PAC ID: 4880081207 Enrollment ID: I20220503001096 |
| Provider Name | Erika Lynn South |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154095719 PECOS PAC ID: 7517362734 Enrollment ID: I20220511002508 |
| Provider Name | Genevieve Marie Mansour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891435194 PECOS PAC ID: 9133506082 Enrollment ID: I20220513001620 |
| Provider Name | Jean A Ballweg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043236730 PECOS PAC ID: 9032150644 Enrollment ID: I20220517002882 |
| Provider Name | Jennifer Christine Hall |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881926368 PECOS PAC ID: 6800273434 Enrollment ID: I20220519001588 |
| Provider Name | Faeq Kukhon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902258270 PECOS PAC ID: 8921394958 Enrollment ID: I20220523000806 |
| Provider Name | David Ranney |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1033451497 PECOS PAC ID: 8426435199 Enrollment ID: I20220526000886 |
| Provider Name | Asad Ahrar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861919722 PECOS PAC ID: 5890068696 Enrollment ID: I20220526001385 |
| Provider Name | Louis Philippe Tremblay |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255005666 PECOS PAC ID: 7517364193 Enrollment ID: I20220526002560 |
| Provider Name | Sara Lynn Haggerty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619621414 PECOS PAC ID: 2961880125 Enrollment ID: I20220601000665 |
| Provider Name | Sheila Frances Waslawski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558881045 PECOS PAC ID: 9436429966 Enrollment ID: I20220601001250 |
| Provider Name | Saja Mohammad Almaaitah |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1073033759 PECOS PAC ID: 1759652456 Enrollment ID: I20220602002749 |
| Provider Name | Muhammad Ali Akbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518529742 PECOS PAC ID: 6709112741 Enrollment ID: I20220603001374 |
| Provider Name | Preyantha Navaratnarajah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013577105 PECOS PAC ID: 5395076145 Enrollment ID: I20220604000123 |
| Provider Name | Ravi Kanth Velagapudi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194178178 PECOS PAC ID: 9133416506 Enrollment ID: I20220607000191 |
| Provider Name | John M Jansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437711520 PECOS PAC ID: 4183953938 Enrollment ID: I20220609000433 |
| Provider Name | Scott A Mazurek |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407272081 PECOS PAC ID: 0345628913 Enrollment ID: I20220610000167 |
| Provider Name | Shruti Anand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063908416 PECOS PAC ID: 4587900832 Enrollment ID: I20220613000210 |
| Provider Name | Robert Dylan Fulmer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487174231 PECOS PAC ID: 7012286677 Enrollment ID: I20220613001361 |
| Provider Name | Richard Donovan Koubek |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871987792 PECOS PAC ID: 5395091516 Enrollment ID: I20220613001414 |
| Provider Name | Samantha Cencer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114412418 PECOS PAC ID: 4688928922 Enrollment ID: I20220617000588 |
| Provider Name | Molly Frances Dollahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659010460 PECOS PAC ID: 5890174916 Enrollment ID: I20220621001986 |
| Provider Name | Vani Koets |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1679912976 PECOS PAC ID: 7911136080 Enrollment ID: I20220622002913 |
| Provider Name | Emily Kaye Wohlfeil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275096778 PECOS PAC ID: 0648505719 Enrollment ID: I20220623000748 |
| Provider Name | Joshua Knudson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588155030 PECOS PAC ID: 2860757226 Enrollment ID: I20220623003344 |
| Provider Name | Vikram Shantaram Kashyap |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548227457 PECOS PAC ID: 6800791500 Enrollment ID: I20220624000828 |
| Provider Name | Michelle Marie Barton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649765942 PECOS PAC ID: 9032463385 Enrollment ID: I20220627000435 |
| Provider Name | Rohit Kuthiala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386205276 PECOS PAC ID: 4880073576 Enrollment ID: I20220627002749 |
| Provider Name | Michelle Knapp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427610294 PECOS PAC ID: 1850629213 Enrollment ID: I20220629001757 |
| Provider Name | Colleen Reynolds Ray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295305811 PECOS PAC ID: 2668852211 Enrollment ID: I20220629001887 |
| Provider Name | Laura Marie Mattson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1265963193 PECOS PAC ID: 5698048411 Enrollment ID: I20220630000379 |
| Provider Name | Anita L Buckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073175303 PECOS PAC ID: 9234519760 Enrollment ID: I20220630001172 |
| Provider Name | Lucas Patrick Friedli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013571207 PECOS PAC ID: 1456731744 Enrollment ID: I20220705000503 |
| Provider Name | Amanda King |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740641661 PECOS PAC ID: 6305133679 Enrollment ID: I20220705001489 |
| Provider Name | Brett Jordan Capel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1710408000 PECOS PAC ID: 1355610130 Enrollment ID: I20220708001916 |
| Provider Name | Dorothy Mogilnicka Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689158826 PECOS PAC ID: 0042690877 Enrollment ID: I20220711000754 |
| Provider Name | Casey Key |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053870113 PECOS PAC ID: 0749610525 Enrollment ID: I20220711002487 |
| Provider Name | Kylie Hendges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902466071 PECOS PAC ID: 0749516144 Enrollment ID: I20220714001170 |
| Provider Name | Mohamed Somji |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972279305 PECOS PAC ID: 5496151722 Enrollment ID: I20220714001291 |
| Provider Name | Sydney Kelpin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467102244 PECOS PAC ID: 5193106672 Enrollment ID: I20220714002109 |
| Provider Name | Paula Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932873015 PECOS PAC ID: 1951782481 Enrollment ID: I20220714003955 |
| Provider Name | Sarah Elizabeth Fahnhorst |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699112607 PECOS PAC ID: 5597086348 Enrollment ID: I20220718000283 |
| Provider Name | Alisha Haniff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912466277 PECOS PAC ID: 3375973167 Enrollment ID: I20220719003337 |
| Provider Name | Katherine Joy Hughes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366174658 PECOS PAC ID: 8426439472 Enrollment ID: I20220721002487 |
| Provider Name | Daniel Savas Trierweiler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053816744 PECOS PAC ID: 4486900511 Enrollment ID: I20220725003035 |
| Provider Name | Haritha Yedla Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245760669 PECOS PAC ID: 8224300884 Enrollment ID: I20220726001632 |
| Provider Name | Brenda Marie Thorington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538899950 PECOS PAC ID: 2466834288 Enrollment ID: I20220726002980 |
| Provider Name | Thomas Carberry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487043907 PECOS PAC ID: 6800278664 Enrollment ID: I20220727000945 |
| Provider Name | Donald Chaffee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679856694 PECOS PAC ID: 8527294099 Enrollment ID: I20220727004185 |
| Provider Name | Zeyad Sako |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1588016448 PECOS PAC ID: 9931495165 Enrollment ID: I20220728001953 |
| Provider Name | Candice Kwon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568964211 PECOS PAC ID: 0547642076 Enrollment ID: I20220801001268 |
| Provider Name | Brittany Ann Merrifield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083109409 PECOS PAC ID: 9032453352 Enrollment ID: I20220802002102 |
| Provider Name | Katherine Jane Devries |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811586274 PECOS PAC ID: 7517349855 Enrollment ID: I20220802003249 |
| Provider Name | Brittney Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316579758 PECOS PAC ID: 0143602466 Enrollment ID: I20220803002485 |
| Provider Name | Sophie Pokhrel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336709633 PECOS PAC ID: 9638551864 Enrollment ID: I20220803003482 |
| Provider Name | Nilesh Maraj Prashad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548820558 PECOS PAC ID: 1355671942 Enrollment ID: I20220804002855 |
| Provider Name | Stephanie Grace Abinoja Raymundo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003294455 PECOS PAC ID: 1254603566 Enrollment ID: I20220805000239 |
| Provider Name | Lyndsey Reynolds |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629428776 PECOS PAC ID: 7719271139 Enrollment ID: I20220805000656 |
| Provider Name | Brittney Taylor Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285368571 PECOS PAC ID: 0648652719 Enrollment ID: I20220805001641 |
| Provider Name | Autumn Sophia Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275279630 PECOS PAC ID: 8224410337 Enrollment ID: I20220806000052 |
| Provider Name | Natalie Janine Burdis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548990195 PECOS PAC ID: 8022490069 Enrollment ID: I20220808000963 |
| Provider Name | Julie Anne Hubner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396474185 PECOS PAC ID: 2163804071 Enrollment ID: I20220809000269 |
| Provider Name | Zachary Carl Ciochetto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821520545 PECOS PAC ID: 1254600018 Enrollment ID: I20220809001517 |
| Provider Name | Tong Gan |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1275941791 PECOS PAC ID: 0345558425 Enrollment ID: I20220809001589 |
| Provider Name | Paulina Michele Glovick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275267759 PECOS PAC ID: 0648653311 Enrollment ID: I20220812000476 |
| Provider Name | David Leonard Ortiz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619312246 PECOS PAC ID: 0345545273 Enrollment ID: I20220818000800 |
| Provider Name | Jessica Lynn Ham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558093104 PECOS PAC ID: 1153704499 Enrollment ID: I20220818001615 |
| Provider Name | Haley Stutzky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063147486 PECOS PAC ID: 4981088986 Enrollment ID: I20220824003184 |
| Provider Name | Mario Pasquale Zambito |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083078844 PECOS PAC ID: 7517341456 Enrollment ID: I20220826001406 |
| Provider Name | Dylan Drummond |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1275028235 PECOS PAC ID: 0244574457 Enrollment ID: I20220830002570 |
| Provider Name | Carissa Greenlund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194457242 PECOS PAC ID: 4385028901 Enrollment ID: I20220831002282 |
| Provider Name | Catherine Laatsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740822592 PECOS PAC ID: 9739563115 Enrollment ID: I20220902001332 |
| Provider Name | Claire Berkel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023743465 PECOS PAC ID: 4688058787 Enrollment ID: I20220908000400 |
| Provider Name | Leahthan Faye Domeshek |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1659683225 PECOS PAC ID: 0941438915 Enrollment ID: I20220909001828 |
| Provider Name | Vanessa Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508597055 PECOS PAC ID: 2567847627 Enrollment ID: I20220910000577 |
| Provider Name | Brian Matthew Oconnell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306349006 PECOS PAC ID: 1658363924 Enrollment ID: I20220919000851 |
| Provider Name | Tamara Kurbanova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659832715 PECOS PAC ID: 3375928849 Enrollment ID: I20220920000633 |
| Provider Name | Allyson Lenn Hunt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043871270 PECOS PAC ID: 0143559963 Enrollment ID: I20220920002007 |
| Provider Name | Allison Elizabeth Wilkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992432116 PECOS PAC ID: 2365827730 Enrollment ID: I20220921001671 |
| Provider Name | Andrew Mark Skowronek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740946110 PECOS PAC ID: 2567847718 Enrollment ID: I20220923001941 |
| Provider Name | Jamie Baum Governal |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1194971523 PECOS PAC ID: 6608924048 Enrollment ID: I20220926003547 |
| Provider Name | Jennifer Rebecca Haverkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255059119 PECOS PAC ID: 5597141176 Enrollment ID: I20221005001697 |
| Provider Name | Rachel Lien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285184283 PECOS PAC ID: 4284061292 Enrollment ID: I20221012001158 |
| Provider Name | Gerrit W Rauch |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1093379349 PECOS PAC ID: 0648505701 Enrollment ID: I20221012001765 |
| Provider Name | Stella Zichat-asabat Okoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760112221 PECOS PAC ID: 9931575990 Enrollment ID: I20221014002942 |
| Provider Name | Meagan Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225773674 PECOS PAC ID: 2466828405 Enrollment ID: I20221017002703 |
| Provider Name | Olivia H Gratz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992255103 PECOS PAC ID: 2163898032 Enrollment ID: I20221018000625 |
| Provider Name | Rebecca Koepke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568839579 PECOS PAC ID: 9931575677 Enrollment ID: I20221020000823 |
| Provider Name | Elizabeth Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043934391 PECOS PAC ID: 6507232907 Enrollment ID: I20221025003248 |
| Provider Name | Darcy Ann Storms |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134845456 PECOS PAC ID: 4789051707 Enrollment ID: I20221104000294 |
| Provider Name | Elizabeth Powers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154983310 PECOS PAC ID: 2567839459 Enrollment ID: I20221107000542 |
| Provider Name | Jon Llamas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841915162 PECOS PAC ID: 1052788841 Enrollment ID: I20221108002094 |
| Provider Name | Felisha A Bitler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184130601 PECOS PAC ID: 6406223221 Enrollment ID: I20221108003135 |
| Provider Name | Isaac J Vandam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649809229 PECOS PAC ID: 9537583513 Enrollment ID: I20221109000732 |
| Provider Name | Julia H Daining |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770137838 PECOS PAC ID: 0446683213 Enrollment ID: I20221109001924 |
| Provider Name | Lauren E Roedema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265157416 PECOS PAC ID: 9931576568 Enrollment ID: I20221110001098 |
| Provider Name | Baila Harris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588185664 PECOS PAC ID: 5597035915 Enrollment ID: I20221110001654 |
| Provider Name | Tabitha Bennett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770290041 PECOS PAC ID: 1759758329 Enrollment ID: I20221110002554 |
| Provider Name | Houda Jamal Colson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861117301 PECOS PAC ID: 6204203748 Enrollment ID: I20221112000219 |
| Provider Name | Marlee Ann Kiander |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437874955 PECOS PAC ID: 8426425968 Enrollment ID: I20221114000174 |
| Provider Name | Bobbie Lynn Warmbein |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780310474 PECOS PAC ID: 5193193480 Enrollment ID: I20221117000449 |
| Provider Name | Abby Leigh Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801513205 PECOS PAC ID: 9931577228 Enrollment ID: I20221117000700 |
| Provider Name | Benjamin P Bizar-stanton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881006245 PECOS PAC ID: 7315367463 Enrollment ID: I20221118002168 |
| Provider Name | Susan Renee Van Duine |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558010918 PECOS PAC ID: 1254709173 Enrollment ID: I20221128001885 |
| Provider Name | Kenney Vu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952835514 PECOS PAC ID: 5991076051 Enrollment ID: I20221202002550 |
| Provider Name | Murad Baba |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750757209 PECOS PAC ID: 5092001610 Enrollment ID: I20221203000158 |
| Provider Name | Stacy Lynn Hansen-goodell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689394660 PECOS PAC ID: 5890164230 Enrollment ID: I20221207001926 |
| Provider Name | James Joseph Rossi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194365155 PECOS PAC ID: 7012386303 Enrollment ID: I20221208000668 |
| Provider Name | Lindsey Rae Jelsma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659766749 PECOS PAC ID: 2961871181 Enrollment ID: I20221210000499 |
| Provider Name | Chloe Vanheest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477277556 PECOS PAC ID: 7517336746 Enrollment ID: I20221212000197 |
| Provider Name | Cienna Renee Lodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811612690 PECOS PAC ID: 4880063023 Enrollment ID: I20221212000573 |
| Provider Name | Katelyn Renee Roberts |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790354850 PECOS PAC ID: 5395114433 Enrollment ID: I20221212001167 |
| Provider Name | Bradley J Wallsteadt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922649102 PECOS PAC ID: 9436528502 Enrollment ID: I20221212002260 |
| Provider Name | Sarah Lyn Spencer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275260796 PECOS PAC ID: 6103295142 Enrollment ID: I20221213002688 |
| Provider Name | Emily Autumn Pianko |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144931015 PECOS PAC ID: 3274903851 Enrollment ID: I20221222001042 |
| Provider Name | Catherine Anne Cimbalik |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598473746 PECOS PAC ID: 4183094758 Enrollment ID: I20221227000177 |
| Provider Name | Alexandra Engler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770291833 PECOS PAC ID: 7911377304 Enrollment ID: I20221229000605 |
| Provider Name | Megan Nicole Hannon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013624550 PECOS PAC ID: 8527438969 Enrollment ID: I20221230000541 |
| Provider Name | Jayme Marie Aubry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053780791 PECOS PAC ID: 0648640870 Enrollment ID: I20230105000780 |
| Provider Name | Angela Marie Heard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588372437 PECOS PAC ID: 0648640763 Enrollment ID: I20230106001723 |
| Provider Name | Aubrey Jo Longstreet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023628864 PECOS PAC ID: 9830569730 Enrollment ID: I20230111001283 |
| Provider Name | Susan Elizabeth Manske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750090536 PECOS PAC ID: 1557731395 Enrollment ID: I20230112000251 |
| Provider Name | Jennifer Lynn Hauck |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558992172 PECOS PAC ID: 7416327259 Enrollment ID: I20230112000426 |
| Provider Name | Mariam Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912469511 PECOS PAC ID: 3971974643 Enrollment ID: I20230118000267 |
| Provider Name | Ajay Kumar Arora |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265720999 PECOS PAC ID: 3678944147 Enrollment ID: I20230119001924 |
| Provider Name | Corianna Anderson Hirsch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205217056 PECOS PAC ID: 8820303589 Enrollment ID: I20230121000032 |
| Provider Name | Rachel Lee Danks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043785793 PECOS PAC ID: 4385984855 Enrollment ID: I20230123000987 |
| Provider Name | Alissa Stachowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043956063 PECOS PAC ID: 7618348822 Enrollment ID: I20230126002263 |
| Provider Name | Satyanarayan Hegde |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831212505 PECOS PAC ID: 0143490359 Enrollment ID: I20230127002400 |
| Provider Name | Timothy Burton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306292859 PECOS PAC ID: 2264727833 Enrollment ID: I20230130002245 |
| Provider Name | Karie Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891193710 PECOS PAC ID: 7810213089 Enrollment ID: I20230131002467 |
| Provider Name | Jennifer Renay Salander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992254320 PECOS PAC ID: 3476925306 Enrollment ID: I20230202000899 |
| Provider Name | Cody Voss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376171439 PECOS PAC ID: 7517381551 Enrollment ID: I20230207000273 |
| Provider Name | Joshua Luke Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770245086 PECOS PAC ID: 8729477609 Enrollment ID: I20230208000914 |
| Provider Name | Allison Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417662792 PECOS PAC ID: 5799157855 Enrollment ID: I20230218000229 |
| Provider Name | Rose Ann Ribbens |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740997501 PECOS PAC ID: 9032582788 Enrollment ID: I20230301000163 |
| Provider Name | Philip J Husband |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417019753 PECOS PAC ID: 3971412503 Enrollment ID: I20230301002555 |
| Provider Name | Alexis Marie Meelker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871112276 PECOS PAC ID: 5294159497 Enrollment ID: I20230302000833 |
| Provider Name | Dana Gail Voorheis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225734825 PECOS PAC ID: 1759754278 Enrollment ID: I20230303001795 |
| Provider Name | Lindsey Rettke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740986322 PECOS PAC ID: 3678947710 Enrollment ID: I20230313001901 |
| Provider Name | Jolie Elizabeth Carmack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750033544 PECOS PAC ID: 3274907092 Enrollment ID: I20230317002239 |
| Provider Name | Jennifer Kay Barone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689326597 PECOS PAC ID: 4082088810 Enrollment ID: I20230319000069 |
| Provider Name | Jenna Pasma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407556533 PECOS PAC ID: 5193199511 Enrollment ID: I20230324001910 |
| Provider Name | Kathryn Sue Mcqueen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922556109 PECOS PAC ID: 9234411075 Enrollment ID: I20230403000349 |
| Provider Name | Lama Kholoud Khalek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063112324 PECOS PAC ID: 1850766791 Enrollment ID: I20230407000320 |
| Provider Name | Colleen Benoit |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871257881 PECOS PAC ID: 8022483965 Enrollment ID: I20230407000340 |
| Provider Name | Jodi Lyn Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316595689 PECOS PAC ID: 9638587322 Enrollment ID: I20230410000180 |
| Provider Name | Andrea Lise Emens |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558079442 PECOS PAC ID: 7416322151 Enrollment ID: I20230411000267 |
| Provider Name | Nichole Anguilm |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033569330 PECOS PAC ID: 4082902853 Enrollment ID: I20230412002279 |
| Provider Name | Shelby Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386218519 PECOS PAC ID: 8325413925 Enrollment ID: I20230413000691 |
| Provider Name | Ceara Elaina Sibley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578180899 PECOS PAC ID: 3375918824 Enrollment ID: I20230414000141 |
| Provider Name | Brent Tabata |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922702638 PECOS PAC ID: 8628443173 Enrollment ID: I20230414000184 |
| Provider Name | Sara Elizabeth Koepke |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477730240 PECOS PAC ID: 1153796412 Enrollment ID: I20230419000901 |
| Provider Name | Samantha Marie Cabala |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134846603 PECOS PAC ID: 4385019660 Enrollment ID: I20230419001752 |
| Provider Name | Lucille Glaize Frey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720476971 PECOS PAC ID: 6103141445 Enrollment ID: I20230420001523 |
| Provider Name | Desree Ortega-furgeson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477257863 PECOS PAC ID: 9739544776 Enrollment ID: I20230427000544 |
| Provider Name | Lyndsay Rose Cooper |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770292583 PECOS PAC ID: 6204291172 Enrollment ID: I20230427002274 |
| Provider Name | Jack Bevins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467983411 PECOS PAC ID: 9436580099 Enrollment ID: I20230428000417 |
| Provider Name | Emily Marie Stevenson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306540729 PECOS PAC ID: 0446615355 Enrollment ID: I20230428000685 |
| Provider Name | Bradley Sherman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801102439 PECOS PAC ID: 9133448541 Enrollment ID: I20230428002541 |
| Provider Name | Marissa Roslyn-clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679734941 PECOS PAC ID: 5092004960 Enrollment ID: I20230511002199 |
| Provider Name | Jill Marie Granger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134644362 PECOS PAC ID: 8921464272 Enrollment ID: I20230511003355 |
| Provider Name | Farhan Malik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942569454 PECOS PAC ID: 7517228638 Enrollment ID: I20230515000576 |
| Provider Name | Eiman Elhouderi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740832203 PECOS PAC ID: 5496169732 Enrollment ID: I20230515001352 |
| Provider Name | Lori Lynn Vanderweele |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154608578 PECOS PAC ID: 9931162658 Enrollment ID: I20230516000548 |
| Provider Name | Nicholas William Beam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336636927 PECOS PAC ID: 1759638638 Enrollment ID: I20230517000234 |
| Provider Name | Brandon Joel Vieder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093205619 PECOS PAC ID: 3072878925 Enrollment ID: I20230517000795 |
| Provider Name | Chad Wrisley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558067678 PECOS PAC ID: 1658737531 Enrollment ID: I20230518002314 |
| Provider Name | Shontreal Monique Cooper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235540154 PECOS PAC ID: 8921356437 Enrollment ID: I20230523001461 |
| Provider Name | Amie Dena Hinshaw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255751012 PECOS PAC ID: 1658673744 Enrollment ID: I20230524001699 |
| Provider Name | Brian M Shaw |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518321819 PECOS PAC ID: 1153614631 Enrollment ID: I20230525002247 |
| Provider Name | Pragyan Patro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457307092 PECOS PAC ID: 5698802569 Enrollment ID: I20230530002078 |
| Provider Name | Noah J Jentzen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508109034 PECOS PAC ID: 8820345804 Enrollment ID: I20230531000321 |
| Provider Name | Margaret Diane Horrigan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093417214 PECOS PAC ID: 2365809639 Enrollment ID: I20230531002773 |
| Provider Name | Stefania Lorena Soria Zurita |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962922955 PECOS PAC ID: 3274957261 Enrollment ID: I20230601000231 |
| Provider Name | Helene Miller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356926190 PECOS PAC ID: 9032576384 Enrollment ID: I20230601001881 |
| Provider Name | Philip Michael Mccarthy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720573025 PECOS PAC ID: 1153665336 Enrollment ID: I20230602000564 |
| Provider Name | Elizabeth Grace Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437809258 PECOS PAC ID: 4082098363 Enrollment ID: I20230606001611 |
| Provider Name | Ali Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790306058 PECOS PAC ID: 5092131961 Enrollment ID: I20230606003092 |
| Provider Name | Marlene Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780145896 PECOS PAC ID: 8325405202 Enrollment ID: I20230608000726 |
| Provider Name | Nathan Winkler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780179903 PECOS PAC ID: 3870847270 Enrollment ID: I20230609002954 |
| Provider Name | Lara De Stefano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174018337 PECOS PAC ID: 1658628292 Enrollment ID: I20230611000034 |
| Provider Name | Hafsa Abdulla |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093240855 PECOS PAC ID: 8729354618 Enrollment ID: I20230612001662 |
| Provider Name | Amin Marji |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427554518 PECOS PAC ID: 2567717622 Enrollment ID: I20230615002870 |
| Provider Name | Justin E Steele |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225522410 PECOS PAC ID: 6800146648 Enrollment ID: I20230616001853 |
| Provider Name | Justin Robert Crow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588350862 PECOS PAC ID: 1456719780 Enrollment ID: I20230620000795 |
| Provider Name | Kenna Laskovy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184117954 PECOS PAC ID: 0749536878 Enrollment ID: I20230620003090 |
| Provider Name | Michelle Renae Nicewander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407545049 PECOS PAC ID: 6608234778 Enrollment ID: I20230621003349 |
| Provider Name | Russell James Brouwer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194417998 PECOS PAC ID: 7911365952 Enrollment ID: I20230622002922 |
| Provider Name | Allison Anne Vander Lugt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134660061 PECOS PAC ID: 0244517076 Enrollment ID: I20230623001556 |
| Provider Name | Rachael Polter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962066183 PECOS PAC ID: 5496083800 Enrollment ID: I20230623002033 |
| Provider Name | Craig Matisoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598384620 PECOS PAC ID: 2668896846 Enrollment ID: I20230627001413 |
| Provider Name | Brett James Janowiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366133050 PECOS PAC ID: 5092174573 Enrollment ID: I20230630000704 |
| Provider Name | Nikko Sirdenis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568099661 PECOS PAC ID: 0446675136 Enrollment ID: I20230705002713 |
| Provider Name | Shawn D Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700414802 PECOS PAC ID: 9335563527 Enrollment ID: I20230706001461 |
| Provider Name | John Benson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780048942 PECOS PAC ID: 6507291663 Enrollment ID: I20230706003010 |
| Provider Name | Michelle Teshome |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306362512 PECOS PAC ID: 6406215631 Enrollment ID: I20230706003345 |
| Provider Name | Vincent Andrew Pallazola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336670165 PECOS PAC ID: 5799052908 Enrollment ID: I20230707000231 |
| Provider Name | Tina Wai Ting Wong |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1578940334 PECOS PAC ID: 9133523020 Enrollment ID: I20230710003664 |
| Provider Name | Dima Alfakara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295175529 PECOS PAC ID: 2567685274 Enrollment ID: I20230712000706 |
| Provider Name | Anand S Veerabahu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346235264 PECOS PAC ID: 8224061528 Enrollment ID: I20230712001537 |
| Provider Name | Carolyn Dress |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982136347 PECOS PAC ID: 5698135283 Enrollment ID: I20230713003716 |
| Provider Name | Michael Scott Bassett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780213256 PECOS PAC ID: 1951723709 Enrollment ID: I20230714002666 |
| Provider Name | Ryan Scott Richmond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831718832 PECOS PAC ID: 0042633372 Enrollment ID: I20230717001923 |
| Provider Name | Stephen Rivard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568081354 PECOS PAC ID: 5092139188 Enrollment ID: I20230721001772 |
| Provider Name | Gregory Dane Fritz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437644655 PECOS PAC ID: 6305190737 Enrollment ID: I20230725001463 |
| Provider Name | Justin Drobish |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992233068 PECOS PAC ID: 8325318330 Enrollment ID: I20230725003012 |
| Provider Name | Katherine Jane Boss |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639842545 PECOS PAC ID: 9436510120 Enrollment ID: I20230727001842 |
| Provider Name | Fadi Mohammad Rabih |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790162246 PECOS PAC ID: 0143572990 Enrollment ID: I20230728002504 |
| Provider Name | Nidhi Manu Atri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649766585 PECOS PAC ID: 3779984018 Enrollment ID: I20230731001011 |
| Provider Name | Adam Mcmillan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336778083 PECOS PAC ID: 1557785748 Enrollment ID: I20230731003684 |
| Provider Name | Brandon Almy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336830181 PECOS PAC ID: 8022479518 Enrollment ID: I20230731003693 |
| Provider Name | Syed A Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235753294 PECOS PAC ID: 1355764473 Enrollment ID: I20230801000474 |
| Provider Name | Janna Lynn Williams |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033552740 PECOS PAC ID: 6709018062 Enrollment ID: I20230801001225 |
| Provider Name | Emily K Seif |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366718611 PECOS PAC ID: 6901119411 Enrollment ID: I20230801002020 |
| Provider Name | Kayle E Noble-taylor |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1699270454 PECOS PAC ID: 9638428188 Enrollment ID: I20230801004494 |
| Provider Name | Sinan Tankut |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1780070870 PECOS PAC ID: 1759624919 Enrollment ID: I20230802000304 |
| Provider Name | Rinko Grewal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659995777 PECOS PAC ID: 0648693762 Enrollment ID: I20230802000602 |
| Provider Name | Jacob Allen Lytle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033644430 PECOS PAC ID: 9739459173 Enrollment ID: I20230802002074 |
| Provider Name | Rachel Nicole Harper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790301703 PECOS PAC ID: 2668896655 Enrollment ID: I20230803003529 |
| Provider Name | Allison Honderd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114697885 PECOS PAC ID: 8820459936 Enrollment ID: I20230804000889 |
| Provider Name | Keaghan Ottenbaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558987149 PECOS PAC ID: 1254754146 Enrollment ID: I20230804002602 |
| Provider Name | Michael Joseph Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407483134 PECOS PAC ID: 7315308301 Enrollment ID: I20230808000461 |
| Provider Name | Zachary Aaron Pounders |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1841726965 PECOS PAC ID: 5890063887 Enrollment ID: I20230808000549 |
| Provider Name | Warda Zaidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285250738 PECOS PAC ID: 9133545973 Enrollment ID: I20230809000182 |
| Provider Name | Stephen Francis Wanner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538608625 PECOS PAC ID: 9436533353 Enrollment ID: I20230809000825 |
| Provider Name | Anita Lynn Hoekstra |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477684629 PECOS PAC ID: 4587557194 Enrollment ID: I20230810002419 |
| Provider Name | Abigail Maria Gawron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962181131 PECOS PAC ID: 4789046467 Enrollment ID: I20230811001534 |
| Provider Name | Connor Charles Kerndt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114546389 PECOS PAC ID: 2466876610 Enrollment ID: I20230814001541 |
| Provider Name | Jesse Isaiah-keirnan Skok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487278834 PECOS PAC ID: 2062836158 Enrollment ID: I20230815002008 |
| Provider Name | Kinjal Desai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679860290 PECOS PAC ID: 5294050951 Enrollment ID: I20230815003076 |
| Provider Name | Andrew Brett Sorah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518239748 PECOS PAC ID: 4486922259 Enrollment ID: I20230816003455 |
| Provider Name | Lindsay J Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336653716 PECOS PAC ID: 3072877323 Enrollment ID: I20230816003874 |
| Provider Name | Anne Ceinwen Barron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134780315 PECOS PAC ID: 7416286125 Enrollment ID: I20230817003707 |
| Provider Name | Jessica Renee Vansetters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083236657 PECOS PAC ID: 0446612717 Enrollment ID: I20230817003807 |
| Provider Name | Wendy Anne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588344691 PECOS PAC ID: 3577925882 Enrollment ID: I20230818001204 |
| Provider Name | Vanessa Doty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326662065 PECOS PAC ID: 0941608657 Enrollment ID: I20230821002770 |
| Provider Name | Erika Sheffield |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871958520 PECOS PAC ID: 8325344377 Enrollment ID: I20230822002303 |
| Provider Name | Kurt Ryan Bjorkman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609254499 PECOS PAC ID: 7719299940 Enrollment ID: I20230828000986 |
| Provider Name | Lauren J Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710447149 PECOS PAC ID: 1456686385 Enrollment ID: I20230829000202 |
| Provider Name | Sierra Lynn Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336795517 PECOS PAC ID: 4789047309 Enrollment ID: I20230830001962 |
| Provider Name | Angela Scarlato |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417069014 PECOS PAC ID: 5890158422 Enrollment ID: I20230830002395 |
| Provider Name | Ellie Jean Hile Corbin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285328724 PECOS PAC ID: 1456714955 Enrollment ID: I20230831001265 |
| Provider Name | Cameron Katkic |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1033899687 PECOS PAC ID: 4082077508 Enrollment ID: I20230831002456 |
| Provider Name | Dhaval D Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487181707 PECOS PAC ID: 0446523302 Enrollment ID: I20230905000891 |
| Provider Name | Jennifer Smeage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598388100 PECOS PAC ID: 6204299571 Enrollment ID: I20230905000906 |
| Provider Name | Anna M Kegel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396265302 PECOS PAC ID: 1456620996 Enrollment ID: I20230905002533 |
| Provider Name | Mahnoor Asghar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508488438 PECOS PAC ID: 6608265475 Enrollment ID: I20230905003850 |
| Provider Name | Michael Richard Everell Stevens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871024869 PECOS PAC ID: 3072865013 Enrollment ID: I20230912002698 |
| Provider Name | Jamie Molesta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841864451 PECOS PAC ID: 1658735147 Enrollment ID: I20230918000772 |
| Provider Name | Jessica Ruth Collister Priestley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366935439 PECOS PAC ID: 0840654299 Enrollment ID: I20230918003977 |
| Provider Name | Jay Brian Allaire |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134621881 PECOS PAC ID: 2365896495 Enrollment ID: I20230923000200 |
| Provider Name | Jeffrey Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134749583 PECOS PAC ID: 8325462658 Enrollment ID: I20231004003776 |
| Provider Name | Joseph Niezer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538509476 PECOS PAC ID: 3072812122 Enrollment ID: I20231006000482 |
| Provider Name | Carrie Elizabeth Wicklund |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336718907 PECOS PAC ID: 1658726872 Enrollment ID: I20231009000909 |
| Provider Name | Brenda Michelle Abbey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770767048 PECOS PAC ID: 7315392115 Enrollment ID: I20231014000063 |
| Provider Name | Nathanial Ray Chumley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316218571 PECOS PAC ID: 8820234396 Enrollment ID: I20231016000618 |
| Provider Name | Taylor Marie Blank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023891876 PECOS PAC ID: 9335595529 Enrollment ID: I20231024003017 |
| Provider Name | Zhanttal Castro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194451757 PECOS PAC ID: 6709232820 Enrollment ID: I20231026000887 |
| Provider Name | Katherine Rachel Van Oss |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1801020474 PECOS PAC ID: 0941500037 Enrollment ID: I20231026003463 |
| Provider Name | Yahya A Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225562606 PECOS PAC ID: 6103194881 Enrollment ID: I20231027000937 |
| Provider Name | Sarah Susan Asch |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1972731933 PECOS PAC ID: 3072744705 Enrollment ID: I20231030000287 |
| Provider Name | Abigail Jean Voss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093596819 PECOS PAC ID: 3678920261 Enrollment ID: I20231102003418 |
| Provider Name | Hao Shen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740715671 PECOS PAC ID: 1254602501 Enrollment ID: I20231108002601 |
| Provider Name | Heather Gladfelter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265061378 PECOS PAC ID: 2961826334 Enrollment ID: I20231109000838 |
| Provider Name | Allegra Paige Burgher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881237873 PECOS PAC ID: 0547692030 Enrollment ID: I20231113002758 |
| Provider Name | Maria Carolina Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013792548 PECOS PAC ID: 7911355680 Enrollment ID: I20231120001329 |
| Provider Name | Susan George |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053835082 PECOS PAC ID: 7012365794 Enrollment ID: I20231120001725 |
| Provider Name | Bridget May Shook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730965898 PECOS PAC ID: 0840648440 Enrollment ID: I20231120003299 |
| Provider Name | Mary Thu Van Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457976177 PECOS PAC ID: 6305268459 Enrollment ID: I20231205002035 |
| Provider Name | Cheyenne Theresa Kaufman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841062353 PECOS PAC ID: 5991154601 Enrollment ID: I20231206003301 |
| Provider Name | Sallini Kalachandran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396397246 PECOS PAC ID: 5496084295 Enrollment ID: I20231207001789 |
| Provider Name | Hannah C Mathiot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124574264 PECOS PAC ID: 2062861396 Enrollment ID: I20231212003893 |
| Provider Name | Nicole Denice Broderson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073388559 PECOS PAC ID: 2668821760 Enrollment ID: I20231214002920 |
| Provider Name | Ammar Kheder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770925976 PECOS PAC ID: 3779711791 Enrollment ID: I20231215001463 |
| Provider Name | Guibin Li |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1578733325 PECOS PAC ID: 2264579788 Enrollment ID: I20231220003081 |
| Provider Name | Mariel Christine Haverdink |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144804048 PECOS PAC ID: 2062811458 Enrollment ID: I20231226000920 |
| Provider Name | Haley Christine Perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013595388 PECOS PAC ID: 1759731193 Enrollment ID: I20231227000856 |
| Provider Name | Kostika Mulo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205498326 PECOS PAC ID: 4688902927 Enrollment ID: I20231227001614 |
| Provider Name | Karl Brian Romaneschi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558320481 PECOS PAC ID: 4981696184 Enrollment ID: I20231227001836 |
| Provider Name | Suzanne Irene Knecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619071297 PECOS PAC ID: 2163445883 Enrollment ID: I20240102001621 |
| Provider Name | Robert Hooker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265405765 PECOS PAC ID: 1759366487 Enrollment ID: I20240102002608 |
| Provider Name | Ashley Lynn Backus |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437923034 PECOS PAC ID: 7214388271 Enrollment ID: I20240104000755 |
| Provider Name | Sharon Getz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467840991 PECOS PAC ID: 1658722442 Enrollment ID: I20240105001530 |
| Provider Name | Robert V Trask |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366525966 PECOS PAC ID: 0547172124 Enrollment ID: I20240105003240 |
| Provider Name | Jordan Groskurth |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1780064659 PECOS PAC ID: 1850605940 Enrollment ID: I20240116000529 |
| Provider Name | Amanda Thompson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750937074 PECOS PAC ID: 8628420502 Enrollment ID: I20240116003034 |
| Provider Name | Danae Alexis Howe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376116434 PECOS PAC ID: 2860845732 Enrollment ID: I20240126001685 |
| Provider Name | Janine Collinge |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114193497 PECOS PAC ID: 9638333669 Enrollment ID: I20240127000481 |
| Provider Name | Katherine Tina Lomeo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558940700 PECOS PAC ID: 2163823105 Enrollment ID: I20240201000954 |
| Provider Name | William T Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265716294 PECOS PAC ID: 2961677901 Enrollment ID: I20240206000910 |
| Provider Name | Kayla Marie White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881474195 PECOS PAC ID: 4284077991 Enrollment ID: I20240209002184 |
| Provider Name | Erica Lynn Meleca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467134767 PECOS PAC ID: 1951744671 Enrollment ID: I20240209002380 |
| Provider Name | Cara Joelle Vanderjagt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619744430 PECOS PAC ID: 2567806300 Enrollment ID: I20240220002094 |
| Provider Name | Karshawna Ashley Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447012356 PECOS PAC ID: 0446694160 Enrollment ID: I20240221000319 |
| Provider Name | Marie Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861188658 PECOS PAC ID: 7719322114 Enrollment ID: I20240226000673 |
| Provider Name | Daniel Michael Killian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669187860 PECOS PAC ID: 2466897582 Enrollment ID: I20240228004125 |
| Provider Name | Valerie Anne Laster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174950877 PECOS PAC ID: 5294171617 Enrollment ID: I20240307003372 |
| Provider Name | Shefali Aggarwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720408313 PECOS PAC ID: 2860763877 Enrollment ID: I20240308001248 |
| Provider Name | Andrew Caminata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225640345 PECOS PAC ID: 0446651780 Enrollment ID: I20240318000738 |
| Provider Name | Susie Ro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902965643 PECOS PAC ID: 7810932308 Enrollment ID: I20240319003221 |
| Provider Name | Scott Richard Chicotka |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1174899306 PECOS PAC ID: 7517376205 Enrollment ID: I20240325003411 |
| Provider Name | Leah Erin Kruk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205421286 PECOS PAC ID: 4688013949 Enrollment ID: I20240418003932 |
| Provider Name | Nicholas Scott Steed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285401331 PECOS PAC ID: 0446690267 Enrollment ID: I20240426002369 |
| Provider Name | Katlin Knodel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679080618 PECOS PAC ID: 4486094042 Enrollment ID: I20240430000676 |
| Provider Name | Karen Lynn Ganzevoort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609953967 PECOS PAC ID: 6709226244 Enrollment ID: I20240430003882 |
| Provider Name | Kyle Andrew Alexander |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1902335912 PECOS PAC ID: 7315216264 Enrollment ID: I20240506000702 |
| Provider Name | Jill Olivia Lampen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528818176 PECOS PAC ID: 3274974720 Enrollment ID: I20240515000229 |
| Provider Name | Gruschen Veldtman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437592359 PECOS PAC ID: 5294965836 Enrollment ID: I20240528000606 |
| Provider Name | Thomas Anthony Duda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043612286 PECOS PAC ID: 9830523133 Enrollment ID: I20240529003876 |
| Provider Name | James Ray Lim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619329406 PECOS PAC ID: 5799108619 Enrollment ID: I20240613000994 |
Reclaim Life Therapy Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 800 Monroe Ave Nw, Ste 300, Grand Rapids, MI 49503 Phone: 616-309-0107 Fax: 616-825-6185 | |
Bridges Counseling Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3280 E Beltline Ct Ne, Grand Rapids, MI 49525 Phone: 616-447-3404 | |
Tru Behavior Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 Joslin St Se, Grand Rapids, MI 49507 Phone: 616-287-0740 | |
Hra Psychological Services Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2851 Charlevoix Dr Se Ste 323, Grand Rapids, MI 49546 Phone: 616-458-0692 Fax: 616-458-8129 | |
Perennial Health Services Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 E Fulton St, Suite 114, Grand Rapids, MI 49503 Phone: 616-633-7203 Fax: 616-427-3023 | |
Heart Of The City Health Center West Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Sheldon Blvd Se, Grand Rapids, MI 49503 Phone: 616-965-8282 Fax: 616-940-5366 | |
Thriveworks Counseling Grand Rapids Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4079 Park East Ct Se, Suite C, Grand Rapids, MI 49546 Phone: 269-823-4873 |