| St Joseph Hospital Of Nashua Nh | |
|
172 Kinsley Street Nashua NH 03060-3648 | |
| (603) 882-3000 | |
| (603) 889-1651 |
| Full Name | St Joseph Hospital Of Nashua Nh |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 172 Kinsley Street, Nashua, New Hampshire |
| Authorized Official Name and Position | Richard J Plamondon (CFO) |
| Authorized Official Contact | 6038823000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Joseph Hospital Of Nashua Nh Po Box 95000 Lbx 7655 Philadelphia PA 19195-0001 Ph: (207) 777-8202 | St Joseph Hospital Of Nashua Nh 172 Kinsley Street Nashua NH 03060-3648 Ph: (603) 882-3000 |
| NPI Number | 1093787384 |
|---|---|
| Provider Enumeration Date | 02/02/2006 |
| Last Update Date | 11/14/2022 |
| Certification Date | 11/14/2022 |
| Medicare PECOS PAC ID | 2062455611 |
|---|---|
| Medicare Enrollment ID | O20050606000515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093787384 | NPI | - | NPPES |
| Provider Name | Casey M Poulios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134145634 PECOS PAC ID: 5698660579 Enrollment ID: I20040219000143 |
| Provider Name | Harriet Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841248937 PECOS PAC ID: 2466348974 Enrollment ID: I20040223000883 |
| Provider Name | Cheng Ta R Dai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023189891 PECOS PAC ID: 7618867573 Enrollment ID: I20040316001098 |
| Provider Name | Gregory M Mccarthy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942393525 PECOS PAC ID: 6800889338 Enrollment ID: I20040408000271 |
| Provider Name | Ehsan A Biswas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255393815 PECOS PAC ID: 3870587488 Enrollment ID: I20040414000999 |
| Provider Name | Thomas J Synan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497739692 PECOS PAC ID: 4587654819 Enrollment ID: I20040517001401 |
| Provider Name | Brian J Lohnes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386653145 PECOS PAC ID: 4082685466 Enrollment ID: I20040802000637 |
| Provider Name | Brian G Sweeney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275542060 PECOS PAC ID: 4486542255 Enrollment ID: I20040804001781 |
| Provider Name | Michael H Remar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043283799 PECOS PAC ID: 2769454958 Enrollment ID: I20040809000864 |
| Provider Name | David Ross Kosofsky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053397125 PECOS PAC ID: 6305818998 Enrollment ID: I20040812001207 |
| Provider Name | Kelly M Macmillan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114903630 PECOS PAC ID: 8325017155 Enrollment ID: I20040929000226 |
| Provider Name | Leonard B Wasserman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902882962 PECOS PAC ID: 0143299974 Enrollment ID: I20040929000248 |
| Provider Name | Mark Conway |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538145040 PECOS PAC ID: 3870562606 Enrollment ID: I20040929000264 |
| Provider Name | Jie Cheng |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1881659662 PECOS PAC ID: 9436113578 Enrollment ID: I20041117001005 |
| Provider Name | Laurence P Young |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1588722177 PECOS PAC ID: 3971568510 Enrollment ID: I20041123000715 |
| Provider Name | Raymond T King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902807431 PECOS PAC ID: 5496710469 Enrollment ID: I20041201000668 |
| Provider Name | Birgit R Houston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881664274 PECOS PAC ID: 8820049943 Enrollment ID: I20050207000495 |
| Provider Name | Mitchell G Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972589208 PECOS PAC ID: 4486699873 Enrollment ID: I20050627000328 |
| Provider Name | Khawaja Rahman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871687038 PECOS PAC ID: 3870539083 Enrollment ID: I20050628000991 |
| Provider Name | Angelica Rosario R Gonzalez |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720064454 PECOS PAC ID: 7719923614 Enrollment ID: I20050630000674 |
| Provider Name | Prasanna V Gulur |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164443750 PECOS PAC ID: 0547297871 Enrollment ID: I20050719000624 |
| Provider Name | Mitchell R Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770522880 PECOS PAC ID: 8820025471 Enrollment ID: I20050726000038 |
| Provider Name | William B White |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114973815 PECOS PAC ID: 5991733271 Enrollment ID: I20050728000328 |
| Provider Name | Sabine Manoli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659345858 PECOS PAC ID: 6608809520 Enrollment ID: I20050912001264 |
| Provider Name | Robert C Quirbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851376693 PECOS PAC ID: 4981637766 Enrollment ID: I20050913000369 |
| Provider Name | Craig C Berry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104802446 PECOS PAC ID: 2466487251 Enrollment ID: I20050929001113 |
| Provider Name | Donald Reape |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689650319 PECOS PAC ID: 1355366766 Enrollment ID: I20051013000780 |
| Provider Name | Deborah T Dennis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710963798 PECOS PAC ID: 9739106238 Enrollment ID: I20051024001029 |
| Provider Name | Patrick Leong |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1447237003 PECOS PAC ID: 6103843057 Enrollment ID: I20051029000262 |
| Provider Name | James S Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508931841 PECOS PAC ID: 4981503430 Enrollment ID: I20051103000934 |
| Provider Name | Donald B Mcdonah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851377550 PECOS PAC ID: 7517985765 Enrollment ID: I20051105000223 |
| Provider Name | Steven P Beaudette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265418594 PECOS PAC ID: 8123040052 Enrollment ID: I20051220000643 |
| Provider Name | Nicola E Kernan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093791832 PECOS PAC ID: 9931122439 Enrollment ID: I20060111000295 |
| Provider Name | Lisa Kennedy-sheldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235102195 PECOS PAC ID: 5193748531 Enrollment ID: I20060111000660 |
| Provider Name | Gregory J Zuercher |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1043295645 PECOS PAC ID: 7911921705 Enrollment ID: I20060119000511 |
| Provider Name | Mary A Voltz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1578540670 PECOS PAC ID: 8921012766 Enrollment ID: I20060131000672 |
| Provider Name | Margaret C Flynn |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821094491 PECOS PAC ID: 1456330794 Enrollment ID: I20060131000729 |
| Provider Name | Robert D Yager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477519031 PECOS PAC ID: 0941216501 Enrollment ID: I20060306000758 |
| Provider Name | Jonathan W Sixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114027570 PECOS PAC ID: 2668489824 Enrollment ID: I20060313000461 |
| Provider Name | Geetanjali A Akerkar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144289166 PECOS PAC ID: 2567479793 Enrollment ID: I20060314000281 |
| Provider Name | Anuradha P Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174539654 PECOS PAC ID: 0042214595 Enrollment ID: I20060914000347 |
| Provider Name | Elizabeth J Spatola |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154368264 PECOS PAC ID: 7012955024 Enrollment ID: I20070419000261 |
| Provider Name | Shanta Mahmudi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528061637 PECOS PAC ID: 2769576453 Enrollment ID: I20070926000424 |
| Provider Name | Peter Barley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336163682 PECOS PAC ID: 6305869637 Enrollment ID: I20070929000092 |
| Provider Name | Chun Rui Ray Zhao |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1760432850 PECOS PAC ID: 7113987447 Enrollment ID: I20071001000680 |
| Provider Name | Cathy O Donnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740242908 PECOS PAC ID: 9234227943 Enrollment ID: I20071114000105 |
| Provider Name | Ihab M Ziada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053407114 PECOS PAC ID: 5193784411 Enrollment ID: I20071217000306 |
| Provider Name | Kathleen M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285826677 PECOS PAC ID: 8022108406 Enrollment ID: I20071221000462 |
| Provider Name | Ivy Gabai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841392024 PECOS PAC ID: 9335232180 Enrollment ID: I20080110000186 |
| Provider Name | Kevin Y Pho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326018755 PECOS PAC ID: 5799862165 Enrollment ID: I20080409000457 |
| Provider Name | Rebecca J Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811090616 PECOS PAC ID: 0648242487 Enrollment ID: I20080730000769 |
| Provider Name | Susan M Smiga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740202209 PECOS PAC ID: 5092890533 Enrollment ID: I20080908000167 |
| Provider Name | Peter Gould |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083789812 PECOS PAC ID: 3971671827 Enrollment ID: I20081006000538 |
| Provider Name | Safana Mushtaq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194909374 PECOS PAC ID: 4789742958 Enrollment ID: I20081017000207 |
| Provider Name | Vasuki Nagaraj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851477657 PECOS PAC ID: 2769541986 Enrollment ID: I20081103000571 |
| Provider Name | Jodi F Marshall |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1710093174 PECOS PAC ID: 1850454232 Enrollment ID: I20090112000266 |
| Provider Name | Andrew J Sebastyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992790745 PECOS PAC ID: 1850317934 Enrollment ID: I20090324000664 |
| Provider Name | Ann Girlie R Tkaczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073756821 PECOS PAC ID: 8921159039 Enrollment ID: I20090701000415 |
| Provider Name | Moushumi Mozumder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841455011 PECOS PAC ID: 8921154782 Enrollment ID: I20090918000486 |
| Provider Name | Harry D Mckinnon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144210410 PECOS PAC ID: 1456497650 Enrollment ID: I20091001000090 |
| Provider Name | Alok K Sinha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942443098 PECOS PAC ID: 0749326890 Enrollment ID: I20091005000245 |
| Provider Name | Kimberly A Ohman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942453188 PECOS PAC ID: 9436295490 Enrollment ID: I20091005000358 |
| Provider Name | Sazia Nowrin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194947903 PECOS PAC ID: 4284774837 Enrollment ID: I20091214000052 |
| Provider Name | Daniela Connelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518186733 PECOS PAC ID: 1153462007 Enrollment ID: I20100114000181 |
| Provider Name | Mary L Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871828574 PECOS PAC ID: 3274676051 Enrollment ID: I20100202000205 |
| Provider Name | Stephanie A Ballentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508196213 PECOS PAC ID: 8729122619 Enrollment ID: I20100216000272 |
| Provider Name | Donna D Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295057917 PECOS PAC ID: 6800843038 Enrollment ID: I20100604000439 |
| Provider Name | Shellie Hafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194923086 PECOS PAC ID: 1153368097 Enrollment ID: I20110706000392 |
| Provider Name | Sara A Shipley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023397841 PECOS PAC ID: 9537332440 Enrollment ID: I20111109000009 |
| Provider Name | Ivan K Ip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144480138 PECOS PAC ID: 1254597941 Enrollment ID: I20120725000048 |
| Provider Name | Jassir Witta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851524284 PECOS PAC ID: 7517136401 Enrollment ID: I20120921000007 |
| Provider Name | Leisa Maxwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154434462 PECOS PAC ID: 8527105808 Enrollment ID: I20121003000313 |
| Provider Name | Yong H Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295849198 PECOS PAC ID: 2668403882 Enrollment ID: I20121003000666 |
| Provider Name | Sarah L Shadallah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902142367 PECOS PAC ID: 9436303013 Enrollment ID: I20130207000012 |
| Provider Name | Kristin Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235480815 PECOS PAC ID: 5799920534 Enrollment ID: I20130326000414 |
| Provider Name | Stephanie J Tewksbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285949941 PECOS PAC ID: 5698914984 Enrollment ID: I20130618000178 |
| Provider Name | Mark L Petrarca |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548499668 PECOS PAC ID: 0042461121 Enrollment ID: I20130712000369 |
| Provider Name | Lan P Tran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790948693 PECOS PAC ID: 9335399377 Enrollment ID: I20130816000417 |
| Provider Name | Raymond Edwin Suarez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255538245 PECOS PAC ID: 9436334786 Enrollment ID: I20130820000021 |
| Provider Name | Cara Jean Donaghey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184907800 PECOS PAC ID: 0446417968 Enrollment ID: I20130912000225 |
| Provider Name | Kathleen Czarnec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477988178 PECOS PAC ID: 5092947572 Enrollment ID: I20140416000214 |
| Provider Name | Jenny L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356756647 PECOS PAC ID: 7315165263 Enrollment ID: I20140905002163 |
| Provider Name | Samuel Joffe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871758060 PECOS PAC ID: 2264697770 Enrollment ID: I20140923001023 |
| Provider Name | Malida Suong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073836391 PECOS PAC ID: 4183759103 Enrollment ID: I20150630002772 |
| Provider Name | Carol Lynn H Odea |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780859249 PECOS PAC ID: 2567631120 Enrollment ID: I20150724010226 |
| Provider Name | Brittney L Bergeron |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487035531 PECOS PAC ID: 7012223811 Enrollment ID: I20150824002172 |
| Provider Name | Mikhail Signalov |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316138910 PECOS PAC ID: 7214121524 Enrollment ID: I20151001000390 |
| Provider Name | Kimberly D Badessa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750769469 PECOS PAC ID: 5698084465 Enrollment ID: I20151016001734 |
| Provider Name | Sarah E Ming |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346459633 PECOS PAC ID: 3779777636 Enrollment ID: I20151030000952 |
| Provider Name | Albert Tom |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124056023 PECOS PAC ID: 8820093263 Enrollment ID: I20151202000698 |
| Provider Name | Jennifer A Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356541791 PECOS PAC ID: 5890888929 Enrollment ID: I20160227000019 |
| Provider Name | Lindsay Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891055372 PECOS PAC ID: 0749438505 Enrollment ID: I20160420001506 |
| Provider Name | Karyn T Romanoski-newick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629486899 PECOS PAC ID: 4789907247 Enrollment ID: I20160516000415 |
| Provider Name | Darlaine J Laviolette |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568595429 PECOS PAC ID: 4688774649 Enrollment ID: I20160607000034 |
| Provider Name | Deepak Vatti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235573296 PECOS PAC ID: 3375837198 Enrollment ID: I20160802001495 |
| Provider Name | Corey Gittleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043448350 PECOS PAC ID: 7911147319 Enrollment ID: I20160802003259 |
| Provider Name | Richard M Hayes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104814896 PECOS PAC ID: 8325068422 Enrollment ID: I20161017000169 |
| Provider Name | Susan Lynne Barnard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588102214 PECOS PAC ID: 3779855739 Enrollment ID: I20170825001447 |
| Provider Name | Ashley A Sartori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053841510 PECOS PAC ID: 1658645098 Enrollment ID: I20170922002043 |
| Provider Name | Colleen M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457642654 PECOS PAC ID: 9335414093 Enrollment ID: I20171005000636 |
| Provider Name | Ananta Bhatt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295025435 PECOS PAC ID: 3870729635 Enrollment ID: I20171012001908 |
| Provider Name | Richard K Nasstrom |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144665712 PECOS PAC ID: 3779859335 Enrollment ID: I20171026000304 |
| Provider Name | Jaylon A Von Mertens |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386162188 PECOS PAC ID: 9234495490 Enrollment ID: I20171106000094 |
| Provider Name | Besiana L Liti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689937278 PECOS PAC ID: 4486966504 Enrollment ID: I20180522000653 |
| Provider Name | Sofia Lai Zuercher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104911999 PECOS PAC ID: 5294825303 Enrollment ID: I20180709001968 |
| Provider Name | Michelle D Tyler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124344502 PECOS PAC ID: 0547566838 Enrollment ID: I20180710000291 |
| Provider Name | Adrienne A Pitts |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194114561 PECOS PAC ID: 1658699327 Enrollment ID: I20180724003345 |
| Provider Name | Chut Sombutmai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649320987 PECOS PAC ID: 4284807413 Enrollment ID: I20180808002738 |
| Provider Name | Stanley Garken Lue |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003017427 PECOS PAC ID: 6204005648 Enrollment ID: I20180821004117 |
| Provider Name | Mark Norman Messier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104933035 PECOS PAC ID: 0446269732 Enrollment ID: I20181023000273 |
| Provider Name | Patricia Colon-garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427157270 PECOS PAC ID: 0446356216 Enrollment ID: I20181102001454 |
| Provider Name | Elizabeth Salie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477037372 PECOS PAC ID: 1456605260 Enrollment ID: I20181114002150 |
| Provider Name | Susan M Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437625399 PECOS PAC ID: 0840535902 Enrollment ID: I20181218000535 |
| Provider Name | Erica J Fasano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912264334 PECOS PAC ID: 9234359357 Enrollment ID: I20181219001318 |
| Provider Name | Jessica Floyd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386888113 PECOS PAC ID: 3779729868 Enrollment ID: I20190111000619 |
| Provider Name | Yelena G Vidgop |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336300771 PECOS PAC ID: 0941444095 Enrollment ID: I20190116003065 |
| Provider Name | Theresa R Small |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033684659 PECOS PAC ID: 2567708266 Enrollment ID: I20190117001764 |
| Provider Name | Paul Dennis Jondro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083818348 PECOS PAC ID: 9830286905 Enrollment ID: I20190125000977 |
| Provider Name | Nicole K Washburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609331495 PECOS PAC ID: 9830431329 Enrollment ID: I20190502002032 |
| Provider Name | Ashley M. Pearse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043763352 PECOS PAC ID: 7012296882 Enrollment ID: I20190507000261 |
| Provider Name | Tehila Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578847521 PECOS PAC ID: 5193967446 Enrollment ID: I20190528001633 |
| Provider Name | Richard Newman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831199850 PECOS PAC ID: 2365415957 Enrollment ID: I20190531001938 |
| Provider Name | Alison C. Madden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306829221 PECOS PAC ID: 5092765719 Enrollment ID: I20190610002168 |
| Provider Name | Theresa B. Sevilis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407111461 PECOS PAC ID: 6608191911 Enrollment ID: I20190619001406 |
| Provider Name | Geetanjali Vajapey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740523935 PECOS PAC ID: 5799087441 Enrollment ID: I20190626000773 |
| Provider Name | Harsha Ghatge Nagaraja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568606259 PECOS PAC ID: 5496983009 Enrollment ID: I20190626002686 |
| Provider Name | Sarah G Bay |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568779056 PECOS PAC ID: 1951597889 Enrollment ID: I20190627001122 |
| Provider Name | Michelle Boudreau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346534864 PECOS PAC ID: 7416182480 Enrollment ID: I20190701000240 |
| Provider Name | Vivian Marie Suarez Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801107388 PECOS PAC ID: 7618145830 Enrollment ID: I20190705000298 |
| Provider Name | Neetu Dhadwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962842492 PECOS PAC ID: 4183852270 Enrollment ID: I20190710001623 |
| Provider Name | Vahid Behravan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871722520 PECOS PAC ID: 6507189123 Enrollment ID: I20190711001194 |
| Provider Name | Yazan M Suradi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952600223 PECOS PAC ID: 5698055945 Enrollment ID: I20190711002928 |
| Provider Name | Katherine Colleen Riordan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689832107 PECOS PAC ID: 8224174354 Enrollment ID: I20190712001437 |
| Provider Name | Rajae Raji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518442664 PECOS PAC ID: 2567797392 Enrollment ID: I20190716001218 |
| Provider Name | Mohammed Zaman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215126032 PECOS PAC ID: 4284882895 Enrollment ID: I20190807002697 |
| Provider Name | Samantha Cillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902458847 PECOS PAC ID: 6305174137 Enrollment ID: I20190819000628 |
| Provider Name | Peter W Shaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023283009 PECOS PAC ID: 4981728847 Enrollment ID: I20190821001792 |
| Provider Name | Amir Y Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073744983 PECOS PAC ID: 5799925111 Enrollment ID: I20190827000982 |
| Provider Name | Elise M Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972165074 PECOS PAC ID: 9537498258 Enrollment ID: I20190905002357 |
| Provider Name | Mai Won |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871676676 PECOS PAC ID: 2860418175 Enrollment ID: I20190920000783 |
| Provider Name | Raina Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366698482 PECOS PAC ID: 4385816685 Enrollment ID: I20190925003125 |
| Provider Name | Shubhangi Chumble |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881684074 PECOS PAC ID: 6305844242 Enrollment ID: I20191001000417 |
| Provider Name | Hassan Yameen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922350883 PECOS PAC ID: 8022241199 Enrollment ID: I20191004000305 |
| Provider Name | Joao Mc-oneil Plancher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700142668 PECOS PAC ID: 9638317837 Enrollment ID: I20191011001246 |
| Provider Name | Michael F Kelly |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801278783 PECOS PAC ID: 4981976057 Enrollment ID: I20191018000922 |
| Provider Name | John Isaac |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225037435 PECOS PAC ID: 3375595408 Enrollment ID: I20200319001827 |
| Provider Name | Ronald Howell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336345941 PECOS PAC ID: 2860626801 Enrollment ID: I20200326001266 |
| Provider Name | Christopher Bixler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770575656 PECOS PAC ID: 8224100334 Enrollment ID: I20200408003573 |
| Provider Name | Clifford William Meyers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699090217 PECOS PAC ID: 4688988256 Enrollment ID: I20200514000339 |
| Provider Name | Samantha L Arnold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043758238 PECOS PAC ID: 6103195144 Enrollment ID: I20200519003103 |
| Provider Name | Daniel Tseytlin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1629413398 PECOS PAC ID: 9335389295 Enrollment ID: I20200622000449 |
| Provider Name | Stephen King |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609806165 PECOS PAC ID: 4789682345 Enrollment ID: I20200623001436 |
| Provider Name | Rebecca Jimenez-sanders |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154587152 PECOS PAC ID: 0143536656 Enrollment ID: I20200715000755 |
| Provider Name | Timur T Graham |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497933683 PECOS PAC ID: 4284780693 Enrollment ID: I20200722000280 |
| Provider Name | Umer M Syed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851734834 PECOS PAC ID: 1658669254 Enrollment ID: I20200724000908 |
| Provider Name | Carol Wong |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437423647 PECOS PAC ID: 6507020229 Enrollment ID: I20200806002085 |
| Provider Name | Murtaza Amir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508971920 PECOS PAC ID: 4688602915 Enrollment ID: I20200828002473 |
| Provider Name | Neil J Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295155364 PECOS PAC ID: 5193076578 Enrollment ID: I20200903001067 |
| Provider Name | Jane C Wieler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366971483 PECOS PAC ID: 2163752510 Enrollment ID: I20200925000359 |
| Provider Name | Sui Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992026371 PECOS PAC ID: 0345554929 Enrollment ID: I20201015000776 |
| Provider Name | Mazen Almidani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912936725 PECOS PAC ID: 4587667282 Enrollment ID: I20201019002486 |
| Provider Name | Paul Stetsyuk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346580958 PECOS PAC ID: 5092045146 Enrollment ID: I20201027001012 |
| Provider Name | Nattasha Acevedo Ramirez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366786451 PECOS PAC ID: 7214217793 Enrollment ID: I20201027001366 |
| Provider Name | Elizabeth G Tseytlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427404177 PECOS PAC ID: 8628308285 Enrollment ID: I20201028000592 |
| Provider Name | Lorianne Elizabeth Avino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306898762 PECOS PAC ID: 6305859919 Enrollment ID: I20201105002038 |
| Provider Name | Marc Silver |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528155918 PECOS PAC ID: 1052414943 Enrollment ID: I20201110001646 |
| Provider Name | Sandro James Corti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538503131 PECOS PAC ID: 4789953696 Enrollment ID: I20201112000803 |
| Provider Name | Tigist Mehari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235490426 PECOS PAC ID: 4688955370 Enrollment ID: I20201112001510 |
| Provider Name | Mark Mitchell Mcdonald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366837429 PECOS PAC ID: 6709156334 Enrollment ID: I20201113001268 |
| Provider Name | Mariecken V Fowler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548200116 PECOS PAC ID: 4688602758 Enrollment ID: I20201113002198 |
| Provider Name | Kelsey Kilgore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457962623 PECOS PAC ID: 8022429497 Enrollment ID: I20201117000464 |
| Provider Name | Tao Tong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942401815 PECOS PAC ID: 2961558168 Enrollment ID: I20201118002560 |
| Provider Name | Joshua Todd Mendelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265641070 PECOS PAC ID: 8921139023 Enrollment ID: I20201121000148 |
| Provider Name | Jessica G Clem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679919658 PECOS PAC ID: 6204078462 Enrollment ID: I20201123003202 |
| Provider Name | Birenkumar Rajandrakumar Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679900062 PECOS PAC ID: 0547533788 Enrollment ID: I20201124001225 |
| Provider Name | James Whalen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134245954 PECOS PAC ID: 6507833936 Enrollment ID: I20201221000175 |
| Provider Name | Renata Chalfin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043637143 PECOS PAC ID: 4486988383 Enrollment ID: I20210211003223 |
| Provider Name | Thomas Devlin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891723284 PECOS PAC ID: 4082648076 Enrollment ID: I20210216000789 |
| Provider Name | John Giragos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639272818 PECOS PAC ID: 3577632157 Enrollment ID: I20210217000499 |
| Provider Name | Andrew Haas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316940687 PECOS PAC ID: 0143278267 Enrollment ID: I20210223002656 |
| Provider Name | Morgan Patrylo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972946002 PECOS PAC ID: 4880948959 Enrollment ID: I20210315002685 |
| Provider Name | Hsiong Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912165374 PECOS PAC ID: 1456548601 Enrollment ID: I20210317002724 |
| Provider Name | Fermina Alia Pirmohamed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508138314 PECOS PAC ID: 9133369754 Enrollment ID: I20210412002328 |
| Provider Name | Oleg Dolghi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003058397 PECOS PAC ID: 0941517171 Enrollment ID: I20210422002138 |
| Provider Name | Kelly Anne Mcallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417534942 PECOS PAC ID: 8921417734 Enrollment ID: I20210507000678 |
| Provider Name | Nina Grace Bradley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750692422 PECOS PAC ID: 6709025505 Enrollment ID: I20210609002590 |
| Provider Name | Jenna R Kanter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063737302 PECOS PAC ID: 1850514456 Enrollment ID: I20210713001681 |
| Provider Name | Erik W Doty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235628504 PECOS PAC ID: 2961757414 Enrollment ID: I20210722000260 |
| Provider Name | Ciara A Kazakis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629438379 PECOS PAC ID: 0143654434 Enrollment ID: I20210730002254 |
| Provider Name | Huei-wen Lim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588058465 PECOS PAC ID: 4789929811 Enrollment ID: I20210803001017 |
| Provider Name | Louise B Mermer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306822531 PECOS PAC ID: 8224432224 Enrollment ID: I20210813000158 |
| Provider Name | Samantha Chin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588027569 PECOS PAC ID: 4981996170 Enrollment ID: I20210814000283 |
| Provider Name | Benzion Chaim Yitzchok Blech |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538515465 PECOS PAC ID: 9638461056 Enrollment ID: I20210817002687 |
| Provider Name | Darshana Pritesh Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407901382 PECOS PAC ID: 4082750468 Enrollment ID: I20210817003085 |
| Provider Name | Morgan Elizabeth Figurelle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801241260 PECOS PAC ID: 8729373642 Enrollment ID: I20210817003087 |
| Provider Name | Ricky Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063779213 PECOS PAC ID: 6901039734 Enrollment ID: I20210818000080 |
| Provider Name | Georgy Cherkassky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760827778 PECOS PAC ID: 7416197702 Enrollment ID: I20210818000630 |
| Provider Name | Zafar N Naqvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649429440 PECOS PAC ID: 4385815869 Enrollment ID: I20210819002878 |
| Provider Name | Robert Myers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700248937 PECOS PAC ID: 7416356324 Enrollment ID: I20210916001841 |
| Provider Name | Philippe Gerard Douyon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306169487 PECOS PAC ID: 3072755396 Enrollment ID: I20210930000450 |
| Provider Name | Jessica Shin Choe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215194030 PECOS PAC ID: 3678857323 Enrollment ID: I20210930002443 |
| Provider Name | Yu-hsuan Liao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063868677 PECOS PAC ID: 9133523350 Enrollment ID: I20211001002822 |
| Provider Name | Abhi H Kapuria |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730542812 PECOS PAC ID: 8820493935 Enrollment ID: I20211101001355 |
| Provider Name | James M Hildebrand |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003041708 PECOS PAC ID: 6608036645 Enrollment ID: I20211109000520 |
| Provider Name | Julie E Hoegger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629408521 PECOS PAC ID: 0648569236 Enrollment ID: I20211111001527 |
| Provider Name | Virmarie Diaz Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306248075 PECOS PAC ID: 8628499506 Enrollment ID: I20211122002190 |
| Provider Name | Satinder Kaur Grewal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386085546 PECOS PAC ID: 7618229436 Enrollment ID: I20211130000945 |
| Provider Name | Kristi Patricia Gill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750514261 PECOS PAC ID: 6406080811 Enrollment ID: I20211130003104 |
| Provider Name | Guha K Venkatraman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356517593 PECOS PAC ID: 3476721887 Enrollment ID: I20211207002109 |
| Provider Name | Linda Y. Jiang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427476456 PECOS PAC ID: 3678870276 Enrollment ID: I20211216000987 |
| Provider Name | Andrew Novick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316568728 PECOS PAC ID: 7315335361 Enrollment ID: I20220112000278 |
| Provider Name | Colby A. Richardson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558724799 PECOS PAC ID: 2567866973 Enrollment ID: I20220113002029 |
| Provider Name | James H Reichheld |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184683716 PECOS PAC ID: 6406810001 Enrollment ID: I20220125002912 |
| Provider Name | Michael J Huang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295962397 PECOS PAC ID: 8820302235 Enrollment ID: I20220126001838 |
| Provider Name | Win J Travassos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861480220 PECOS PAC ID: 6709815814 Enrollment ID: I20220208001288 |
| Provider Name | Wendi I Kulin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043411333 PECOS PAC ID: 5193857647 Enrollment ID: I20220303002242 |
| Provider Name | Lakshmi Mukundan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619137015 PECOS PAC ID: 6800111303 Enrollment ID: I20220316000356 |
| Provider Name | James Andry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205192838 PECOS PAC ID: 6002119633 Enrollment ID: I20220323000312 |
| Provider Name | Ravi Yarlagadda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679531636 PECOS PAC ID: 7911975560 Enrollment ID: I20220406000084 |
| Provider Name | Anant Shenoy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194998005 PECOS PAC ID: 5991855140 Enrollment ID: I20220425001368 |
| Provider Name | Steven Gangloff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952756058 PECOS PAC ID: 4587951637 Enrollment ID: I20220425001715 |
| Provider Name | Minoo Hollis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215013552 PECOS PAC ID: 9335191683 Enrollment ID: I20220428002243 |
| Provider Name | Jessica Chineme |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750760625 PECOS PAC ID: 8921426974 Enrollment ID: I20220523002519 |
| Provider Name | Ryna Then |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427346303 PECOS PAC ID: 4587891080 Enrollment ID: I20220616001045 |
| Provider Name | Peter Gibson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528028057 PECOS PAC ID: 6305879966 Enrollment ID: I20220617000190 |
| Provider Name | Kelly L Vanderhave |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053375170 PECOS PAC ID: 3274538723 Enrollment ID: I20220621001944 |
| Provider Name | Christina Lipori Farnworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962019224 PECOS PAC ID: 2163834680 Enrollment ID: I20220804000732 |
| Provider Name | Beau C Vesely |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164833430 PECOS PAC ID: 3375854789 Enrollment ID: I20220830003902 |
| Provider Name | Srijana Zarkou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649482340 PECOS PAC ID: 3779617139 Enrollment ID: I20220921000710 |
| Provider Name | Sarah Rachel Mallios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881321974 PECOS PAC ID: 7315323433 Enrollment ID: I20220927002972 |
| Provider Name | Igor Alexandrovich Malenky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740714054 PECOS PAC ID: 8820361330 Enrollment ID: I20221004001889 |
| Provider Name | Benjamin C Groves |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396242202 PECOS PAC ID: 7012399033 Enrollment ID: I20221004002316 |
| Provider Name | Jason P Stabley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992713234 PECOS PAC ID: 8022904036 Enrollment ID: I20221007002817 |
| Provider Name | Praveena Walter Arya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790166239 PECOS PAC ID: 1052656121 Enrollment ID: I20221011001681 |
| Provider Name | Kristen L Veal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821594789 PECOS PAC ID: 5698141604 Enrollment ID: I20221018000350 |
| Provider Name | Arvind Vasudevan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770503526 PECOS PAC ID: 2860414091 Enrollment ID: I20221019000546 |
| Provider Name | James H Fortune |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811450869 PECOS PAC ID: 5799166559 Enrollment ID: I20221020002849 |
| Provider Name | Megan Berube |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992065676 PECOS PAC ID: 8527292200 Enrollment ID: I20221025001223 |
| Provider Name | Timothy L Chu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083058218 PECOS PAC ID: 2961637350 Enrollment ID: I20221027002065 |
| Provider Name | Christina R Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467175331 PECOS PAC ID: 7618344573 Enrollment ID: I20221104002422 |
| Provider Name | Carrie Ann Costa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538718952 PECOS PAC ID: 6406286152 Enrollment ID: I20221110002812 |
| Provider Name | Adam Mitchell Koss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760801112 PECOS PAC ID: 2769604123 Enrollment ID: I20221115001704 |
| Provider Name | Cintasha Redmond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639437452 PECOS PAC ID: 8628344728 Enrollment ID: I20221116001992 |
| Provider Name | Edward N Misulis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902396559 PECOS PAC ID: 8123409125 Enrollment ID: I20221129001389 |
| Provider Name | Nathanael J Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255794525 PECOS PAC ID: 0648560250 Enrollment ID: I20221201001303 |
| Provider Name | Allyson June Janosz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407503840 PECOS PAC ID: 0749659357 Enrollment ID: I20221202002185 |
| Provider Name | Shao-hwa P Wei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205062361 PECOS PAC ID: 7517278146 Enrollment ID: I20221221002883 |
| Provider Name | Jimmy Diep Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285815605 PECOS PAC ID: 5799837621 Enrollment ID: I20221228000224 |
| Provider Name | Nicholas Anthony Ressa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366974867 PECOS PAC ID: 8921370404 Enrollment ID: I20230117000969 |
| Provider Name | Stafford A Conway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366498206 PECOS PAC ID: 3870515752 Enrollment ID: I20230131001081 |
| Provider Name | Brian Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952018210 PECOS PAC ID: 1850763145 Enrollment ID: I20230215000364 |
| Provider Name | Norman Stone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518150168 PECOS PAC ID: 5193966547 Enrollment ID: I20230216002860 |
| Provider Name | Linda Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396821468 PECOS PAC ID: 4981011236 Enrollment ID: I20230310001512 |
| Provider Name | Patricia Kleinholz-owens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629344882 PECOS PAC ID: 5496043440 Enrollment ID: I20230314001760 |
| Provider Name | Agnelio Silverio Cardentey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164957452 PECOS PAC ID: 3870960412 Enrollment ID: I20230317000250 |
| Provider Name | Jacquelyn Hyde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659803286 PECOS PAC ID: 7416375704 Enrollment ID: I20230329001120 |
| Provider Name | Mark Sabra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942616560 PECOS PAC ID: 7911200340 Enrollment ID: I20230417001803 |
| Provider Name | Felix Rivera-perez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003078692 PECOS PAC ID: 4981755733 Enrollment ID: I20230418001225 |
| Provider Name | William F Dotson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033343579 PECOS PAC ID: 7719103332 Enrollment ID: I20230425001144 |
| Provider Name | Kyle Binder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841635422 PECOS PAC ID: 8325479116 Enrollment ID: I20230427000935 |
| Provider Name | Robert A Fishman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982807921 PECOS PAC ID: 2062667454 Enrollment ID: I20230508000889 |
| Provider Name | Indira De Jesus Alvelo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700074796 PECOS PAC ID: 2264651207 Enrollment ID: I20230508001996 |
| Provider Name | Mallory Noelle Luckey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770932170 PECOS PAC ID: 4183902356 Enrollment ID: I20230510001796 |
| Provider Name | Estella Margaret Kidwell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184696122 PECOS PAC ID: 1456398056 Enrollment ID: I20230605003066 |
| Provider Name | Meghana Reddy Malipeddi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629691050 PECOS PAC ID: 8325446404 Enrollment ID: I20230612001977 |
| Provider Name | Bradley M Klein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619314705 PECOS PAC ID: 6709154743 Enrollment ID: I20230614000165 |
| Provider Name | Parham J Zamani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184287427 PECOS PAC ID: 6800254327 Enrollment ID: I20230621000405 |
| Provider Name | Danielle Rose English |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881389971 PECOS PAC ID: 5496113276 Enrollment ID: I20230627001162 |
| Provider Name | Chris R Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114362613 PECOS PAC ID: 7416196639 Enrollment ID: I20230714001510 |
| Provider Name | Neil G Jhamb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477787067 PECOS PAC ID: 4082852769 Enrollment ID: I20230815001721 |
| Provider Name | Wendy E Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285780718 PECOS PAC ID: 3678613544 Enrollment ID: I20230815001917 |
| Provider Name | Numthip Chitravas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073761789 PECOS PAC ID: 4486898095 Enrollment ID: I20230815002033 |
| Provider Name | Kelly Milton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770882458 PECOS PAC ID: 8729206099 Enrollment ID: I20230815002769 |
| Provider Name | Amol R Mehta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649775503 PECOS PAC ID: 5395095293 Enrollment ID: I20230822001760 |
| Provider Name | Ellie Frazey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003472366 PECOS PAC ID: 2567820848 Enrollment ID: I20230823003801 |
| Provider Name | Anouch D Matevossian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689106247 PECOS PAC ID: 0345513446 Enrollment ID: I20230824000706 |
| Provider Name | Philip Yeung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316443575 PECOS PAC ID: 6406213156 Enrollment ID: I20230824001676 |
| Provider Name | Matthew Paul Kozminski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649303108 PECOS PAC ID: 1153586805 Enrollment ID: I20230829000863 |
| Provider Name | Danoushka Loris Tememe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255742227 PECOS PAC ID: 5294950812 Enrollment ID: I20230829001981 |
| Provider Name | Jacob A Sambursky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619436474 PECOS PAC ID: 2365806262 Enrollment ID: I20230911003764 |
| Provider Name | Justin De'prey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356872063 PECOS PAC ID: 3274806674 Enrollment ID: I20230912001746 |
| Provider Name | Sung O Jeon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669979654 PECOS PAC ID: 9537415633 Enrollment ID: I20230915001546 |
| Provider Name | Conny Tran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902365745 PECOS PAC ID: 2860856598 Enrollment ID: I20230919001844 |
| Provider Name | Charlene L Gunasekera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891292538 PECOS PAC ID: 1850648015 Enrollment ID: I20230928002197 |
| Provider Name | Scott Bannister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659001667 PECOS PAC ID: 4183006216 Enrollment ID: I20231003000060 |
| Provider Name | Anthony Frattalone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912101114 PECOS PAC ID: 1052697836 Enrollment ID: I20231003000741 |
| Provider Name | Brian-fred M Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134210594 PECOS PAC ID: 9032116082 Enrollment ID: I20231024001529 |
| Provider Name | Lana Nasief |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336747625 PECOS PAC ID: 6507214434 Enrollment ID: I20231201002995 |
| Provider Name | Branden Carr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316409733 PECOS PAC ID: 9436569233 Enrollment ID: I20231204000287 |
| Provider Name | Neal M Nolan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982194239 PECOS PAC ID: 0840542668 Enrollment ID: I20240122003196 |
| Provider Name | Ehizele M Osehobo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568921864 PECOS PAC ID: 8022348952 Enrollment ID: I20240122003345 |
| Provider Name | Robyn Ayer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659094290 PECOS PAC ID: 4284002338 Enrollment ID: I20240216001225 |
| Provider Name | Sang Myung Han |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700433398 PECOS PAC ID: 9739512278 Enrollment ID: I20240219003655 |
| Provider Name | Robert Malka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174785513 PECOS PAC ID: 7416118658 Enrollment ID: I20240227004473 |
| Provider Name | Piotr T Tekiela |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902268626 PECOS PAC ID: 2264725290 Enrollment ID: I20240305000231 |
| Provider Name | Erica Wilt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003253857 PECOS PAC ID: 5294084265 Enrollment ID: I20240319000376 |
| Provider Name | Karl Meisel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508068750 PECOS PAC ID: 2365608965 Enrollment ID: I20240327001882 |
| Provider Name | Julie B Seibert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740253822 PECOS PAC ID: 9436115961 Enrollment ID: I20240327002637 |
| Provider Name | Sathish Subramanian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962922708 PECOS PAC ID: 1759654924 Enrollment ID: I20240425003685 |
| Provider Name | Ashley Soulard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073365805 PECOS PAC ID: 9830530815 Enrollment ID: I20240508000844 |
The Youth Council Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Northeastern Blvd Ste 10a, Nashua, NH 03062 Phone: 603-889-1090 Fax: 603-598-1703 | |
Meghan Slaalien Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Broad St Ste 1511, Nashua, NH 03063 Phone: 603-557-5551 | |
Health & Education Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 34 Lake St, Nashua, NH 03060 Phone: 978-620-1773 | |
Cheryl A Carroll Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3b Taggart Dr, Nashua, NH 03060 Phone: 978-496-9276 | |
Gray Area, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 W Hollis St Ste 210, Nashua, NH 03062 Phone: 802-490-3916 | |
Family Counseling Associates Of New Hampshire Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Tara Blvd Ste 200, Nashua, NH 03062 Phone: 603-242-2296 | |
Ann M Rubinstein Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Broad St, Suite 1535, Nashua, NH 03063 Phone: 603-546-0297 |