| St Josephs Hospital Health Center | |
|
301 Prospect Ave Administration Syracuse NY 13203-1807 | |
| (315) 448-5880 | |
| (315) 448-6161 |
| Full Name | St Josephs Hospital Health Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 301 Prospect Ave, Syracuse, New York |
| Authorized Official Name and Position | Meredith Price (SENIOR VP ACUTE OPERATIONS) |
| Authorized Official Contact | 3154485888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Josephs Hospital Health Center 301 Prospect Ave Administration Syracuse NY 13203-1807 Ph: (315) 448-5880 | St Josephs Hospital Health Center 301 Prospect Ave Administration Syracuse NY 13203-1807 Ph: (315) 448-5880 |
| NPI Number | 1508815333 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 01/30/2025 |
| Certification Date | 01/30/2025 |
| Medicare PECOS PAC ID | 9234043324 |
|---|---|
| Medicare Enrollment ID | O20031113000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508815333 | NPI | - | NPPES |
| 02995893 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Primary |
| Provider Name | Nasri N Ghaly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063479939 PECOS PAC ID: 5395640791 Enrollment ID: I20031126000578 |
| Provider Name | Lynne A Humphrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487614988 PECOS PAC ID: 5991601932 Enrollment ID: I20031210000318 |
| Provider Name | Walter Dodard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699720516 PECOS PAC ID: 9133020969 Enrollment ID: I20040115000806 |
| Provider Name | John O Rosser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588648844 PECOS PAC ID: 3072414945 Enrollment ID: I20040123000263 |
| Provider Name | Stephen D Nash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962427013 PECOS PAC ID: 9335041714 Enrollment ID: I20040126000272 |
| Provider Name | Laura Leso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336197532 PECOS PAC ID: 1658260377 Enrollment ID: I20040311001023 |
| Provider Name | William M Dutch |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689666331 PECOS PAC ID: 9830081199 Enrollment ID: I20040407000010 |
| Provider Name | Gail A Mcdonald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942277330 PECOS PAC ID: 4385637974 Enrollment ID: I20040407001621 |
| Provider Name | Helen M O Neill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659469856 PECOS PAC ID: 8224029749 Enrollment ID: I20040521001036 |
| Provider Name | Chris R Labounty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174584023 PECOS PAC ID: 5890778344 Enrollment ID: I20040608000283 |
| Provider Name | Ali A Al Mudamgha |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1144216649 PECOS PAC ID: 5698660173 Enrollment ID: I20040610001715 |
| Provider Name | Alan J Simons |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457347866 PECOS PAC ID: 0547155921 Enrollment ID: I20040611000557 |
| Provider Name | Elliott S Cohen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538114152 PECOS PAC ID: 5890771810 Enrollment ID: I20040629000540 |
| Provider Name | Kwame A Adusei |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942277256 PECOS PAC ID: 2668459637 Enrollment ID: I20040707000923 |
| Provider Name | Atul Maini |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396700985 PECOS PAC ID: 3577533942 Enrollment ID: I20040731000171 |
| Provider Name | William M Tucker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730273806 PECOS PAC ID: 0345223228 Enrollment ID: I20040803001150 |
| Provider Name | Ziad A El Khally |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538155239 PECOS PAC ID: 2264408582 Enrollment ID: I20040908001108 |
| Provider Name | Ayman S Iskander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972599728 PECOS PAC ID: 7911975487 Enrollment ID: I20040922000550 |
| Provider Name | Miron A Iosilevich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730132374 PECOS PAC ID: 3375505522 Enrollment ID: I20041029000698 |
| Provider Name | Narayana P Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326005661 PECOS PAC ID: 2062474224 Enrollment ID: I20041029000756 |
| Provider Name | Gerald P Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487673125 PECOS PAC ID: 3274596507 Enrollment ID: I20041108001167 |
| Provider Name | Uzma Iqbal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609862457 PECOS PAC ID: 8527022201 Enrollment ID: I20041112000536 |
| Provider Name | Pamela S Horst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033129721 PECOS PAC ID: 4587622436 Enrollment ID: I20041227000117 |
| Provider Name | Nelly Y Kazzaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760470900 PECOS PAC ID: 9739147166 Enrollment ID: I20041230000551 |
| Provider Name | Dennis A Ehrich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912050535 PECOS PAC ID: 8527953728 Enrollment ID: I20050207000614 |
| Provider Name | Claire M Paice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386655025 PECOS PAC ID: 0345292686 Enrollment ID: I20050215000929 |
| Provider Name | Linda H Lovig |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487781076 PECOS PAC ID: 6507811551 Enrollment ID: I20050315000205 |
| Provider Name | Beth T Wiedeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295797462 PECOS PAC ID: 9931154408 Enrollment ID: I20050317000339 |
| Provider Name | Wallace Glenn Jamison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215943279 PECOS PAC ID: 0840247961 Enrollment ID: I20050331001025 |
| Provider Name | John H Sun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205840899 PECOS PAC ID: 7315986734 Enrollment ID: I20050426000762 |
| Provider Name | Joel E Moses |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477661205 PECOS PAC ID: 0941242333 Enrollment ID: I20050526000706 |
| Provider Name | Loralei L Thornburg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518993294 PECOS PAC ID: 0446293476 Enrollment ID: I20050609000859 |
| Provider Name | Margaret D Plocek |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1508965187 PECOS PAC ID: 7113962036 Enrollment ID: I20050622000185 |
| Provider Name | Michael C Fischi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871589622 PECOS PAC ID: 2961448808 Enrollment ID: I20050707000767 |
| Provider Name | Dale W Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053472514 PECOS PAC ID: 1153354519 Enrollment ID: I20050920000462 |
| Provider Name | Dennis J Mckillop |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043305691 PECOS PAC ID: 2365475746 Enrollment ID: I20050920000540 |
| Provider Name | Dawn M Stanton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295896736 PECOS PAC ID: 0840224887 Enrollment ID: I20050920000717 |
| Provider Name | John F Harkulich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881755312 PECOS PAC ID: 8527091867 Enrollment ID: I20050920000731 |
| Provider Name | Harvey M Delson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346301819 PECOS PAC ID: 3870527823 Enrollment ID: I20050920000759 |
| Provider Name | Joseph Leon Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699837690 PECOS PAC ID: 9537192901 Enrollment ID: I20050923000468 |
| Provider Name | Gerald V Mcmahon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356369060 PECOS PAC ID: 0345275947 Enrollment ID: I20051003000572 |
| Provider Name | James B Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922020197 PECOS PAC ID: 7416972138 Enrollment ID: I20051012000302 |
| Provider Name | Michael T Kernan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013936798 PECOS PAC ID: 6800811522 Enrollment ID: I20051012000375 |
| Provider Name | Sandra M Sulik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861414021 PECOS PAC ID: 0749205367 Enrollment ID: I20051012000451 |
| Provider Name | Deann L Cummings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154356996 PECOS PAC ID: 8224054515 Enrollment ID: I20051017000198 |
| Provider Name | Matthew L Picone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346262508 PECOS PAC ID: 7416973508 Enrollment ID: I20051018000876 |
| Provider Name | David E Kolva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710066162 PECOS PAC ID: 0042291569 Enrollment ID: I20051027000889 |
| Provider Name | Nishith Amin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336136860 PECOS PAC ID: 4486568011 Enrollment ID: I20051103000794 |
| Provider Name | Joseph Cambareri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891774543 PECOS PAC ID: 7618995085 Enrollment ID: I20051103000807 |
| Provider Name | Edward T Downing |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811939069 PECOS PAC ID: 8426076860 Enrollment ID: I20051104000136 |
| Provider Name | Thomas R Aiello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669414421 PECOS PAC ID: 5496773848 Enrollment ID: I20051104000172 |
| Provider Name | Tanya R Paul |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548210966 PECOS PAC ID: 3870511694 Enrollment ID: I20051109000948 |
| Provider Name | Ahmed R Nizar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063590115 PECOS PAC ID: 7719907633 Enrollment ID: I20051207000265 |
| Provider Name | Dawn M Brink Cymerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689604357 PECOS PAC ID: 0042231748 Enrollment ID: I20051209000125 |
| Provider Name | Eva K Pressman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336173723 PECOS PAC ID: 8224051198 Enrollment ID: I20060105000712 |
| Provider Name | Lucy S Kolloori |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114004272 PECOS PAC ID: 2466467782 Enrollment ID: I20060208000237 |
| Provider Name | Anthony Oliva |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093775330 PECOS PAC ID: 1153214812 Enrollment ID: I20060210000428 |
| Provider Name | Gary Mayne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558782524 PECOS PAC ID: 5890700306 Enrollment ID: I20060221000523 |
| Provider Name | Paula Pons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679533483 PECOS PAC ID: 7517979925 Enrollment ID: I20060707000234 |
| Provider Name | Xiwu John Sun |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487696241 PECOS PAC ID: 3072516681 Enrollment ID: I20060822000227 |
| Provider Name | Diwakar V Lingam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952324311 PECOS PAC ID: 2961420591 Enrollment ID: I20061017000330 |
| Provider Name | Geoffrey M Hopkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336161850 PECOS PAC ID: 1557368206 Enrollment ID: I20061023000354 |
| Provider Name | Monique Ho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699702902 PECOS PAC ID: 0244238954 Enrollment ID: I20061113000299 |
| Provider Name | Kevin W Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659477560 PECOS PAC ID: 7416970108 Enrollment ID: I20070215000613 |
| Provider Name | Austin Tsai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235225756 PECOS PAC ID: 8022115849 Enrollment ID: I20070514000009 |
| Provider Name | John C Bowen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164527693 PECOS PAC ID: 8628964897 Enrollment ID: I20070514000135 |
| Provider Name | James S. Demer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891779849 PECOS PAC ID: 0042318578 Enrollment ID: I20070607000276 |
| Provider Name | Michael J Flintrop |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376581702 PECOS PAC ID: 9234132259 Enrollment ID: I20070821000182 |
| Provider Name | Sherif G El Bayadi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730127168 PECOS PAC ID: 4789687708 Enrollment ID: I20070821000209 |
| Provider Name | Melinda L Payne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700864196 PECOS PAC ID: 4385658012 Enrollment ID: I20070822001242 |
| Provider Name | Collins O Osula |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831169432 PECOS PAC ID: 9931292778 Enrollment ID: I20070910000678 |
| Provider Name | Damon A Tohtz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972633840 PECOS PAC ID: 9234225244 Enrollment ID: I20071022000272 |
| Provider Name | John P O'brien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013123579 PECOS PAC ID: 6406942424 Enrollment ID: I20071022000383 |
| Provider Name | Kristen A Mcnamara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396959987 PECOS PAC ID: 8820184716 Enrollment ID: I20071024000210 |
| Provider Name | Jillian L Eastman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336253285 PECOS PAC ID: 7315035474 Enrollment ID: I20071127000049 |
| Provider Name | Saundra Barnett Reyes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689783748 PECOS PAC ID: 3072603455 Enrollment ID: I20071221000495 |
| Provider Name | Jorge M Davidenko |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215923990 PECOS PAC ID: 1759295389 Enrollment ID: I20080218000440 |
| Provider Name | Mark J Charlamb |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760480982 PECOS PAC ID: 5890680094 Enrollment ID: I20080221000491 |
| Provider Name | Matthew S O Hern |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821098625 PECOS PAC ID: 1153410204 Enrollment ID: I20080225000575 |
| Provider Name | Larry S Charlamb |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376541730 PECOS PAC ID: 2264520469 Enrollment ID: I20080226000483 |
| Provider Name | Mary G Defuria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740394683 PECOS PAC ID: 1759466477 Enrollment ID: I20080305000412 |
| Provider Name | Benjamin Ray Christensen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801805585 PECOS PAC ID: 9234214701 Enrollment ID: I20080307000230 |
| Provider Name | Scott D Mendzef |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780683979 PECOS PAC ID: 0042396350 Enrollment ID: I20080327000217 |
| Provider Name | Carolina Goich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124132063 PECOS PAC ID: 3971689902 Enrollment ID: I20080331000364 |
| Provider Name | Muhammad S Hasan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689761678 PECOS PAC ID: 9739267121 Enrollment ID: I20080425000256 |
| Provider Name | Gregory G Kenien |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770582843 PECOS PAC ID: 5092600296 Enrollment ID: I20080425000426 |
| Provider Name | Christopher Nardone |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104825199 PECOS PAC ID: 9032004239 Enrollment ID: I20080425000462 |
| Provider Name | Charles Perla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730180589 PECOS PAC ID: 4082509286 Enrollment ID: I20080428000147 |
| Provider Name | Thomas A Grady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962400754 PECOS PAC ID: 2860387065 Enrollment ID: I20080428000202 |
| Provider Name | Stephen D Hoag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740254242 PECOS PAC ID: 1759450570 Enrollment ID: I20080520000612 |
| Provider Name | Monideepa Baruah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881816015 PECOS PAC ID: 8628148053 Enrollment ID: I20080528000378 |
| Provider Name | Dawn G Laporte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063639813 PECOS PAC ID: 6204908437 Enrollment ID: I20080703000498 |
| Provider Name | Ahmad Bilal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487747424 PECOS PAC ID: 0446291405 Enrollment ID: I20080708000213 |
| Provider Name | Vera Solovieva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952479800 PECOS PAC ID: 1557438348 Enrollment ID: I20080919000414 |
| Provider Name | Dana J Gosson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841459542 PECOS PAC ID: 7012076052 Enrollment ID: I20081106000189 |
| Provider Name | Fadi N Makhlouf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497918890 PECOS PAC ID: 8527128479 Enrollment ID: I20081121000240 |
| Provider Name | Elizabeth H Mcnany |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346494655 PECOS PAC ID: 0446313803 Enrollment ID: I20090112000003 |
| Provider Name | Catalin Butunoi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942325857 PECOS PAC ID: 8729137914 Enrollment ID: I20090518000561 |
| Provider Name | Balasubramaniam Siva Kumar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134189483 PECOS PAC ID: 4385533264 Enrollment ID: I20090619000303 |
| Provider Name | Cynthia H Fraser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518930544 PECOS PAC ID: 8123178928 Enrollment ID: I20090701000368 |
| Provider Name | Xianjin Yi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033312046 PECOS PAC ID: 5597801423 Enrollment ID: I20091007000477 |
| Provider Name | Maria Victoria Paz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720020449 PECOS PAC ID: 3274673074 Enrollment ID: I20091229000233 |
| Provider Name | Haizhu P Liu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033369491 PECOS PAC ID: 0547304511 Enrollment ID: I20100216000056 |
| Provider Name | Muhammad A Khan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1659530343 PECOS PAC ID: 6507900412 Enrollment ID: I20100216000471 |
| Provider Name | Eugene C Lozner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083600779 PECOS PAC ID: 0749194371 Enrollment ID: I20100303001145 |
| Provider Name | Michael P Gabris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023005568 PECOS PAC ID: 1951215581 Enrollment ID: I20100304000000 |
| Provider Name | Mazen Beshara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912993692 PECOS PAC ID: 8022922657 Enrollment ID: I20100311000731 |
| Provider Name | Daniel S Fuleihan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245226919 PECOS PAC ID: 6002729399 Enrollment ID: I20100311000783 |
| Provider Name | Kara C Kort |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386696896 PECOS PAC ID: 2163558404 Enrollment ID: I20100326000024 |
| Provider Name | Gwen M Sorber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205980109 PECOS PAC ID: 8022144260 Enrollment ID: I20100327000026 |
| Provider Name | Michael D Rutkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568495380 PECOS PAC ID: 1254228521 Enrollment ID: I20100809000521 |
| Provider Name | Russell Silverman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700808250 PECOS PAC ID: 6507751997 Enrollment ID: I20100811000001 |
| Provider Name | Lawrence Semel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1861561953 PECOS PAC ID: 5193849388 Enrollment ID: I20100825000001 |
| Provider Name | Syed N Zaman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053490045 PECOS PAC ID: 0547251480 Enrollment ID: I20100826000032 |
| Provider Name | Robert E Carlin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1033289137 PECOS PAC ID: 3375668197 Enrollment ID: I20100917000099 |
| Provider Name | Sunday Asaju |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013906403 PECOS PAC ID: 3375669864 Enrollment ID: I20100921001271 |
| Provider Name | Borys Buniak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497747091 PECOS PAC ID: 5395789952 Enrollment ID: I20101006000621 |
| Provider Name | Jane Kou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144337163 PECOS PAC ID: 3678765682 Enrollment ID: I20101008000853 |
| Provider Name | Maryellen C Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114133402 PECOS PAC ID: 9739371667 Enrollment ID: I20101011000000 |
| Provider Name | David N Sperber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255577250 PECOS PAC ID: 1658564877 Enrollment ID: I20101020001137 |
| Provider Name | Sally Patricia Klemens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538194832 PECOS PAC ID: 8921291972 Enrollment ID: I20101022000023 |
| Provider Name | Helen M Jacoby |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467417493 PECOS PAC ID: 7719915370 Enrollment ID: I20101022000040 |
| Provider Name | Steven A Naprawa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669436341 PECOS PAC ID: 2567656440 Enrollment ID: I20101104000836 |
| Provider Name | David K Frey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225057649 PECOS PAC ID: 2365636107 Enrollment ID: I20101105000029 |
| Provider Name | Cynthia S Wong |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891751418 PECOS PAC ID: 1052506540 Enrollment ID: I20101110000339 |
| Provider Name | Robert A Dracker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528175361 PECOS PAC ID: 3274577903 Enrollment ID: I20101111001049 |
| Provider Name | Tucker Harris |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629232418 PECOS PAC ID: 8426246273 Enrollment ID: I20101221000915 |
| Provider Name | Alexandr Glozman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972591089 PECOS PAC ID: 8820277163 Enrollment ID: I20110119000714 |
| Provider Name | Agata Wojtasiewicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376798520 PECOS PAC ID: 0042492001 Enrollment ID: I20110311000463 |
| Provider Name | Anthony Vigliotti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033288113 PECOS PAC ID: 9931384898 Enrollment ID: I20110420000013 |
| Provider Name | Olumuyiwa Gay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477708311 PECOS PAC ID: 1456378785 Enrollment ID: I20110518000564 |
| Provider Name | Mark T Baesl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750547386 PECOS PAC ID: 2264563162 Enrollment ID: I20110617000079 |
| Provider Name | Andrew M Weinberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750572657 PECOS PAC ID: 0143408260 Enrollment ID: I20110620000616 |
| Provider Name | Monique M Winnett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649319203 PECOS PAC ID: 3476721440 Enrollment ID: I20110718000505 |
| Provider Name | Avrille Beverly George |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770734782 PECOS PAC ID: 8426227331 Enrollment ID: I20110811000019 |
| Provider Name | Haider A Khadim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174788541 PECOS PAC ID: 2163692351 Enrollment ID: I20110825000439 |
| Provider Name | Neil S Seligman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497961767 PECOS PAC ID: 3577733443 Enrollment ID: I20110901000126 |
| Provider Name | Shilpa M Gowda Kabbli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518255710 PECOS PAC ID: 4880866789 Enrollment ID: I20111019000658 |
| Provider Name | James E Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538159447 PECOS PAC ID: 5193708733 Enrollment ID: I20111111000503 |
| Provider Name | Suchitra Kavety |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730179037 PECOS PAC ID: 2961676747 Enrollment ID: I20111111000519 |
| Provider Name | Christopher P Larussa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710977616 PECOS PAC ID: 8325212160 Enrollment ID: I20111114000436 |
| Provider Name | Cheryl J Smith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306931795 PECOS PAC ID: 6800060658 Enrollment ID: I20111114000531 |
| Provider Name | Kenya K Cain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356488464 PECOS PAC ID: 0840459236 Enrollment ID: I20120305000050 |
| Provider Name | Aafaque Akhter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629129382 PECOS PAC ID: 4880666163 Enrollment ID: I20120418000562 |
| Provider Name | Douglas D Macqueen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427129543 PECOS PAC ID: 0648323667 Enrollment ID: I20120628000462 |
| Provider Name | Karen I Bertrand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053566299 PECOS PAC ID: 0042475774 Enrollment ID: I20120703000307 |
| Provider Name | Hooman Ranjbaran Jahromi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104039742 PECOS PAC ID: 7517122997 Enrollment ID: I20120710000551 |
| Provider Name | Yi Zhang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467652172 PECOS PAC ID: 7618133448 Enrollment ID: I20120724000379 |
| Provider Name | Gracia Lynnette Roulan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285989681 PECOS PAC ID: 1557519436 Enrollment ID: I20120918000820 |
| Provider Name | Jessica L Lefebvre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952565921 PECOS PAC ID: 5890945505 Enrollment ID: I20121015000416 |
| Provider Name | Elijah Dut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982956868 PECOS PAC ID: 5193976124 Enrollment ID: I20121121000138 |
| Provider Name | Riya Chacko |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265622369 PECOS PAC ID: 2062607534 Enrollment ID: I20130329000088 |
| Provider Name | Eugene Palchik |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760587430 PECOS PAC ID: 6507048931 Enrollment ID: I20130429000058 |
| Provider Name | John Patrick Barrett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104886688 PECOS PAC ID: 1951480730 Enrollment ID: I20130509000010 |
| Provider Name | Karen J Odrzywolski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184898595 PECOS PAC ID: 4284877390 Enrollment ID: I20130821000160 |
| Provider Name | Patrice R Paolucci |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316180573 PECOS PAC ID: 8426291535 Enrollment ID: I20130821000202 |
| Provider Name | Susan M Volles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427493683 PECOS PAC ID: 5092958173 Enrollment ID: I20130821001043 |
| Provider Name | Timothy Patrick Cobb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174781892 PECOS PAC ID: 3971746785 Enrollment ID: I20130827000300 |
| Provider Name | Maria C Srinivasan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457682536 PECOS PAC ID: 5597908947 Enrollment ID: I20130904000213 |
| Provider Name | Michelle J Auerbach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154556884 PECOS PAC ID: 2769626571 Enrollment ID: I20130918000069 |
| Provider Name | Scott P Albert |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1982851176 PECOS PAC ID: 7113161431 Enrollment ID: I20130926000180 |
| Provider Name | Ingrid L Montgomery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487947974 PECOS PAC ID: 3779717418 Enrollment ID: I20131011000110 |
| Provider Name | Carol M Stevens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891958898 PECOS PAC ID: 6406080894 Enrollment ID: I20131018001144 |
| Provider Name | Erika M Hegland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417278912 PECOS PAC ID: 4486889714 Enrollment ID: I20131022002082 |
| Provider Name | Jodi B Wallis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811135684 PECOS PAC ID: 0042362931 Enrollment ID: I20131030000490 |
| Provider Name | Jennifer A George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548234081 PECOS PAC ID: 9931335544 Enrollment ID: I20131203001580 |
| Provider Name | Darcy K Defruscio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699072157 PECOS PAC ID: 5395972905 Enrollment ID: I20131206000194 |
| Provider Name | Reem Akkawi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285907105 PECOS PAC ID: 1355579434 Enrollment ID: I20140117000540 |
| Provider Name | Katie Mcbeth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558792515 PECOS PAC ID: 2961632898 Enrollment ID: I20140220000827 |
| Provider Name | Tafiea A Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023459534 PECOS PAC ID: 3779713946 Enrollment ID: I20140310000305 |
| Provider Name | Sheila S Paolini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093851735 PECOS PAC ID: 0941432439 Enrollment ID: I20140416000443 |
| Provider Name | Tracy A Torelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750509832 PECOS PAC ID: 0648403006 Enrollment ID: I20140509000623 |
| Provider Name | Travis P Webb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730321894 PECOS PAC ID: 9739305087 Enrollment ID: I20140723001576 |
| Provider Name | Savita Kumari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205124526 PECOS PAC ID: 1759508377 Enrollment ID: I20140805002315 |
| Provider Name | Emily M Glisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164837589 PECOS PAC ID: 6406073675 Enrollment ID: I20140812001018 |
| Provider Name | Alexander W Filipski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598056202 PECOS PAC ID: 5496975336 Enrollment ID: I20140929000013 |
| Provider Name | Nadine Khouzam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134410855 PECOS PAC ID: 3779703566 Enrollment ID: I20140929002437 |
| Provider Name | Shannon K Spina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174937361 PECOS PAC ID: 7618197435 Enrollment ID: I20140930000722 |
| Provider Name | Rosanne M Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285040774 PECOS PAC ID: 5294955860 Enrollment ID: I20141002000401 |
| Provider Name | Brian R Kline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689965303 PECOS PAC ID: 4789805912 Enrollment ID: I20141031000917 |
| Provider Name | Michael Blue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588835185 PECOS PAC ID: 8921286626 Enrollment ID: I20150116000470 |
| Provider Name | Regine Bruny-olawaiye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336356393 PECOS PAC ID: 5395061782 Enrollment ID: I20150302001844 |
| Provider Name | Vanessa Lalley-demong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841511342 PECOS PAC ID: 6305065657 Enrollment ID: I20150323000083 |
| Provider Name | Wei-yu W Chou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215215421 PECOS PAC ID: 4688992910 Enrollment ID: I20150416000351 |
| Provider Name | Kathleen A. Spillett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588099287 PECOS PAC ID: 9931428273 Enrollment ID: I20150507001695 |
| Provider Name | Jill Agne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144299397 PECOS PAC ID: 8820319411 Enrollment ID: I20150608002396 |
| Provider Name | Kathy E Penner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760716336 PECOS PAC ID: 7810218153 Enrollment ID: I20150611001555 |
| Provider Name | Dana C Aiello |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871727297 PECOS PAC ID: 7214248301 Enrollment ID: I20150616001455 |
| Provider Name | Brianne M Aiello |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912132838 PECOS PAC ID: 3971727314 Enrollment ID: I20150618002849 |
| Provider Name | Archana Kathpal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649306606 PECOS PAC ID: 6103138797 Enrollment ID: I20150710001003 |
| Provider Name | Tarun Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144589201 PECOS PAC ID: 9032421581 Enrollment ID: I20150713000027 |
| Provider Name | Renee M Nickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760797229 PECOS PAC ID: 7618146994 Enrollment ID: I20150908000664 |
| Provider Name | Yajaira Y Paparone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124255872 PECOS PAC ID: 9537476569 Enrollment ID: I20150923001480 |
| Provider Name | Catherine W Bailey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730470402 PECOS PAC ID: 5597060640 Enrollment ID: I20160226001472 |
| Provider Name | Leonard C Vanderlinde |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235142548 PECOS PAC ID: 7113979865 Enrollment ID: I20160303001433 |
| Provider Name | Stephanie Stolberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710116447 PECOS PAC ID: 8426354127 Enrollment ID: I20160307000989 |
| Provider Name | Maria Ela Aguilar-donis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811285901 PECOS PAC ID: 3274822150 Enrollment ID: I20160516002276 |
| Provider Name | Fahed A Saada |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316223613 PECOS PAC ID: 8729371349 Enrollment ID: I20160720000313 |
| Provider Name | Donna M Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477793420 PECOS PAC ID: 8921394164 Enrollment ID: I20160914000848 |
| Provider Name | Mary E Geiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508205980 PECOS PAC ID: 6507152642 Enrollment ID: I20160915001730 |
| Provider Name | Heather N Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255579751 PECOS PAC ID: 8224324371 Enrollment ID: I20160915002132 |
| Provider Name | Daniel Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881044295 PECOS PAC ID: 4880598762 Enrollment ID: I20160916000341 |
| Provider Name | Shelly L Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942754015 PECOS PAC ID: 0941598734 Enrollment ID: I20161011001773 |
| Provider Name | Tara L Magee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518310499 PECOS PAC ID: 9436447786 Enrollment ID: I20161019001845 |
| Provider Name | Theresa A Waters |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629393202 PECOS PAC ID: 2860770534 Enrollment ID: I20161101000009 |
| Provider Name | Abbie S Ware |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417401449 PECOS PAC ID: 9133409584 Enrollment ID: I20161201000786 |
| Provider Name | Craig M Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164783825 PECOS PAC ID: 1850671975 Enrollment ID: I20161207001648 |
| Provider Name | Jane E Fico |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437568763 PECOS PAC ID: 1254611270 Enrollment ID: I20161209000659 |
| Provider Name | Sara Mollie Freer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760711063 PECOS PAC ID: 3870723661 Enrollment ID: I20161219001465 |
| Provider Name | Carrie I Edick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649620493 PECOS PAC ID: 4486935517 Enrollment ID: I20170104002022 |
| Provider Name | Julie A Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912142308 PECOS PAC ID: 2567748247 Enrollment ID: I20170412000141 |
| Provider Name | Muhammad Abdel Migeed |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1063431351 PECOS PAC ID: 8123932753 Enrollment ID: I20170518000787 |
| Provider Name | Audrey I Tyszka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184976805 PECOS PAC ID: 4385911007 Enrollment ID: I20170601000791 |
| Provider Name | Ahmed Ahmed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366770554 PECOS PAC ID: 8820396963 Enrollment ID: I20170602001412 |
| Provider Name | Sarah B Marsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215345830 PECOS PAC ID: 9537437223 Enrollment ID: I20170621002742 |
| Provider Name | Alsia Marie Kabari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578902060 PECOS PAC ID: 3678844685 Enrollment ID: I20170810000050 |
| Provider Name | Alexander John Langley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376961383 PECOS PAC ID: 6406176635 Enrollment ID: I20170905001501 |
| Provider Name | Kathleen Chanatry Rogers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982047445 PECOS PAC ID: 7012143886 Enrollment ID: I20170908000370 |
| Provider Name | Kelechi U Ogbuji |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720336159 PECOS PAC ID: 0941590178 Enrollment ID: I20170914003398 |
| Provider Name | Jennifer Macblane |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386941193 PECOS PAC ID: 6800160961 Enrollment ID: I20170928000788 |
| Provider Name | Katherine A Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235652850 PECOS PAC ID: 9032484068 Enrollment ID: I20171002001117 |
| Provider Name | Zakiya F Zeahwon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366967366 PECOS PAC ID: 6406121995 Enrollment ID: I20171010000619 |
| Provider Name | Sung E Shim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851798029 PECOS PAC ID: 1052679511 Enrollment ID: I20171211002681 |
| Provider Name | Melissa S Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285061028 PECOS PAC ID: 4981963303 Enrollment ID: I20180110002700 |
| Provider Name | Naomi Lian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851659015 PECOS PAC ID: 1355600404 Enrollment ID: I20180117001295 |
| Provider Name | Linet Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255595153 PECOS PAC ID: 7719120054 Enrollment ID: I20180420000984 |
| Provider Name | Jessica L Wilcox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891176624 PECOS PAC ID: 6204182702 Enrollment ID: I20180712002236 |
| Provider Name | David Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386139285 PECOS PAC ID: 4688922339 Enrollment ID: I20180813001550 |
| Provider Name | Stuart L Blackwood |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730321761 PECOS PAC ID: 8426355199 Enrollment ID: I20180822001462 |
| Provider Name | Sarah T Schell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831685791 PECOS PAC ID: 9739438805 Enrollment ID: I20180822002677 |
| Provider Name | Ryan G Planer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194106096 PECOS PAC ID: 9234488008 Enrollment ID: I20180828001628 |
| Provider Name | Natalie Rivard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558849463 PECOS PAC ID: 0446502108 Enrollment ID: I20181008000402 |
| Provider Name | Colleen Zogby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497240105 PECOS PAC ID: 9739431248 Enrollment ID: I20181011001060 |
| Provider Name | Joshua H Blodgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457847204 PECOS PAC ID: 7517211451 Enrollment ID: I20181113001900 |
| Provider Name | Anne Lise S Musselman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275055980 PECOS PAC ID: 3476807231 Enrollment ID: I20181114000188 |
| Provider Name | Melissa L Gervais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831665454 PECOS PAC ID: 3072859842 Enrollment ID: I20190115003763 |
| Provider Name | Patricia Kloser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801988787 PECOS PAC ID: 9537328760 Enrollment ID: I20190308001108 |
| Provider Name | Charles E Spears |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669502019 PECOS PAC ID: 8426159369 Enrollment ID: I20190325002783 |
| Provider Name | Debora C Murphy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912919168 PECOS PAC ID: 0941293088 Enrollment ID: I20190404001710 |
| Provider Name | Sadielyn Bernice Ashby-wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811326390 PECOS PAC ID: 5496985004 Enrollment ID: I20190502000934 |
| Provider Name | Rhonda Dillon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578907366 PECOS PAC ID: 4688954092 Enrollment ID: I20190510001213 |
| Provider Name | Patti J Finton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518367713 PECOS PAC ID: 8820321797 Enrollment ID: I20190607000704 |
| Provider Name | Scott Douglas Stahle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508846312 PECOS PAC ID: 9335172212 Enrollment ID: I20190625000646 |
| Provider Name | Mari E Sinatra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467916759 PECOS PAC ID: 8426382151 Enrollment ID: I20190628001074 |
| Provider Name | Madiha Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437543907 PECOS PAC ID: 0143539981 Enrollment ID: I20190712001495 |
| Provider Name | Michelle L Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639730690 PECOS PAC ID: 5698003887 Enrollment ID: I20190827000176 |
| Provider Name | Maria S Stimson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689235079 PECOS PAC ID: 6800124710 Enrollment ID: I20190829002318 |
| Provider Name | Dean R Carpenter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265470009 PECOS PAC ID: 4981681343 Enrollment ID: I20190913002043 |
| Provider Name | Dominique J Jodry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124445689 PECOS PAC ID: 2365746567 Enrollment ID: I20190913002357 |
| Provider Name | Lyudmila A Kostiv |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447819271 PECOS PAC ID: 1658600606 Enrollment ID: I20190917001266 |
| Provider Name | Panakkal David |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942271937 PECOS PAC ID: 4688905102 Enrollment ID: I20191015002542 |
| Provider Name | David N Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881248391 PECOS PAC ID: 2567794456 Enrollment ID: I20191025001013 |
| Provider Name | Mary Jo Hughes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427028364 PECOS PAC ID: 1052643665 Enrollment ID: I20191031002364 |
| Provider Name | Virginia L. Cronin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164619888 PECOS PAC ID: 5496062424 Enrollment ID: I20200120001029 |
| Provider Name | Eboni C January |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851602593 PECOS PAC ID: 8426273434 Enrollment ID: I20200211000615 |
| Provider Name | Tiffany L Bolden Watkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982845897 PECOS PAC ID: 0648404012 Enrollment ID: I20200224002305 |
| Provider Name | Richard K Chapman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699202564 PECOS PAC ID: 8820426570 Enrollment ID: I20200312000846 |
| Provider Name | Jaskirit Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962846147 PECOS PAC ID: 1052669579 Enrollment ID: I20200427002149 |
| Provider Name | Kenneth V Master |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659317949 PECOS PAC ID: 0143203083 Enrollment ID: I20200519000617 |
| Provider Name | Thomas J Welch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689017329 PECOS PAC ID: 2365670205 Enrollment ID: I20200811001233 |
| Provider Name | Arie Rennert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770011439 PECOS PAC ID: 9436575750 Enrollment ID: I20200818001548 |
| Provider Name | Lindsay A Howard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497140438 PECOS PAC ID: 6709192362 Enrollment ID: I20200831001493 |
| Provider Name | Natasha R Chase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972033843 PECOS PAC ID: 2365861838 Enrollment ID: I20201001003056 |
| Provider Name | Linda D Terrazas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780134551 PECOS PAC ID: 1052721339 Enrollment ID: I20201028001793 |
| Provider Name | Beata E Belfield |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023421625 PECOS PAC ID: 7911226998 Enrollment ID: I20201116001535 |
| Provider Name | Chia C Wee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144659624 PECOS PAC ID: 4981827219 Enrollment ID: I20201211002533 |
| Provider Name | Bridget R Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760948343 PECOS PAC ID: 3072926237 Enrollment ID: I20210106002974 |
| Provider Name | Nita W Rana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568447837 PECOS PAC ID: 5698969905 Enrollment ID: I20210122002773 |
| Provider Name | Jenna A Hiestand |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376655704 PECOS PAC ID: 9739188996 Enrollment ID: I20210201001294 |
| Provider Name | Renee L. Pierce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912193186 PECOS PAC ID: 4981836723 Enrollment ID: I20210216001919 |
| Provider Name | Jarrod A Marks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750731949 PECOS PAC ID: 6103162870 Enrollment ID: I20210217000482 |
| Provider Name | Madora Deon Mogensen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265042824 PECOS PAC ID: 6305251729 Enrollment ID: I20210217002084 |
| Provider Name | Sara E Donnelly |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699350157 PECOS PAC ID: 8527476407 Enrollment ID: I20210413002293 |
| Provider Name | Pamela M Roczen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750955324 PECOS PAC ID: 1355740002 Enrollment ID: I20210528001301 |
| Provider Name | Scott D Daniels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528384930 PECOS PAC ID: 7416173547 Enrollment ID: I20210611002629 |
| Provider Name | Charles D. Nicolais |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649533746 PECOS PAC ID: 4880915529 Enrollment ID: I20210622001091 |
| Provider Name | Jonathan Ramalho |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821452780 PECOS PAC ID: 4486055324 Enrollment ID: I20210629002059 |
| Provider Name | Sarah A Rosner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033564174 PECOS PAC ID: 7618378522 Enrollment ID: I20210630000451 |
| Provider Name | Syed Fawad Hussain Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255863627 PECOS PAC ID: 4789921305 Enrollment ID: I20210630000987 |
| Provider Name | David T Diglio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477528982 PECOS PAC ID: 6002846003 Enrollment ID: I20210708002319 |
| Provider Name | Erin K Cavallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124591961 PECOS PAC ID: 2668874546 Enrollment ID: I20210714003547 |
| Provider Name | Gregory S Faughnan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740770585 PECOS PAC ID: 8325441736 Enrollment ID: I20210722002926 |
| Provider Name | Christine J Haslam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629568175 PECOS PAC ID: 6709280431 Enrollment ID: I20210803002059 |
| Provider Name | Rebekah K Kaufman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790277168 PECOS PAC ID: 3870997877 Enrollment ID: I20210813000120 |
| Provider Name | Tiffany Shaughnessy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952980518 PECOS PAC ID: 1951707900 Enrollment ID: I20210831001464 |
| Provider Name | Shauna M Roloff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093489833 PECOS PAC ID: 0749686574 Enrollment ID: I20210902001679 |
| Provider Name | Lauren B Hehir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760159883 PECOS PAC ID: 3476950759 Enrollment ID: I20210929002218 |
| Provider Name | Waseem Ahangar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619386695 PECOS PAC ID: 4981826286 Enrollment ID: I20211021000543 |
| Provider Name | Debra A Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285865477 PECOS PAC ID: 2062801491 Enrollment ID: I20211105000625 |
| Provider Name | Tara E Wellington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407428071 PECOS PAC ID: 4183014145 Enrollment ID: I20211206001583 |
| Provider Name | Megan E Matott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760972418 PECOS PAC ID: 4284039686 Enrollment ID: I20220309000061 |
| Provider Name | Jessica M Brown |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164194817 PECOS PAC ID: 9234524331 Enrollment ID: I20220325001890 |
| Provider Name | Michael C Hoban |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366893141 PECOS PAC ID: 0345533451 Enrollment ID: I20220530000226 |
| Provider Name | Charli Ellis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114239316 PECOS PAC ID: 6002035813 Enrollment ID: I20220620001414 |
| Provider Name | Subrat Khanal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598218380 PECOS PAC ID: 0749527232 Enrollment ID: I20220630000398 |
| Provider Name | Roshan Ghimire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184936072 PECOS PAC ID: 9335391135 Enrollment ID: I20220806000037 |
| Provider Name | Sara-ann E Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194384826 PECOS PAC ID: 5395127252 Enrollment ID: I20220809002414 |
| Provider Name | Michelle Jean Limbaugh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144724998 PECOS PAC ID: 9133502800 Enrollment ID: I20220812000290 |
| Provider Name | Chidimma Kalu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528489770 PECOS PAC ID: 1658689559 Enrollment ID: I20220921003435 |
| Provider Name | Madison D Healey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760038277 PECOS PAC ID: 5496121881 Enrollment ID: I20221027000299 |
| Provider Name | Jerena R Barkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336875376 PECOS PAC ID: 9830566785 Enrollment ID: I20221104002186 |
| Provider Name | Daniel Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366975989 PECOS PAC ID: 3577800184 Enrollment ID: I20221111000099 |
| Provider Name | Nicholas B Buniak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619437001 PECOS PAC ID: 8123497724 Enrollment ID: I20221202001571 |
| Provider Name | Neha Datta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093247405 PECOS PAC ID: 6103170493 Enrollment ID: I20230130000683 |
| Provider Name | Leticia Ferby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265711402 PECOS PAC ID: 4486028560 Enrollment ID: I20230314000876 |
| Provider Name | Nicole D Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184321150 PECOS PAC ID: 7719342369 Enrollment ID: I20230503002455 |
| Provider Name | Maureen Lynn Hayes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669905725 PECOS PAC ID: 2163810953 Enrollment ID: I20230508000299 |
| Provider Name | Justin T John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104529890 PECOS PAC ID: 4284090481 Enrollment ID: I20230512002009 |
| Provider Name | Michelle L Hastings |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306265871 PECOS PAC ID: 1557650066 Enrollment ID: I20230517000225 |
| Provider Name | Jennifer B Yu |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396447512 PECOS PAC ID: 4385001767 Enrollment ID: I20230530001812 |
| Provider Name | Elizabeth Homan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497080584 PECOS PAC ID: 0345484440 Enrollment ID: I20230608000332 |
| Provider Name | Emma Rudebusch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780144196 PECOS PAC ID: 0244567196 Enrollment ID: I20230713003820 |
| Provider Name | Amanda E Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588354849 PECOS PAC ID: 6305209388 Enrollment ID: I20230823002717 |
| Provider Name | Ashley M Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255036463 PECOS PAC ID: 4688038631 Enrollment ID: I20230911001123 |
| Provider Name | Kody G Brindley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346700317 PECOS PAC ID: 6800250473 Enrollment ID: I20230914003364 |
| Provider Name | Amber L Shutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013378827 PECOS PAC ID: 1759736028 Enrollment ID: I20231006002611 |
| Provider Name | Anthony L Ciricillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194285916 PECOS PAC ID: 4981002151 Enrollment ID: I20231013001669 |
| Provider Name | Nathaniel D Kaufman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427672898 PECOS PAC ID: 1759737331 Enrollment ID: I20231102002372 |
| Provider Name | Stacey M Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619657137 PECOS PAC ID: 6305293572 Enrollment ID: I20231109000590 |
| Provider Name | Ayodeji B Olawale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598395725 PECOS PAC ID: 1759711278 Enrollment ID: I20231110001644 |
| Provider Name | Franklin Urion |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902225303 PECOS PAC ID: 5092004606 Enrollment ID: I20231121000923 |
| Provider Name | Falisha Marie Gilman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396190252 PECOS PAC ID: 5092000455 Enrollment ID: I20231204002337 |
| Provider Name | Jennifer Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285346874 PECOS PAC ID: 5991154668 Enrollment ID: I20231207001665 |
| Provider Name | Bushra K Javaid |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912137738 PECOS PAC ID: 7810041738 Enrollment ID: I20231229002390 |
| Provider Name | Gabrielle A Mcdonald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477085124 PECOS PAC ID: 3375928476 Enrollment ID: I20240222002152 |
| Provider Name | Tausha V Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932529062 PECOS PAC ID: 0547607699 Enrollment ID: I20240325001988 |
| Provider Name | Leah M Bombard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881284784 PECOS PAC ID: 7113366568 Enrollment ID: I20240417003325 |
| Provider Name | Dorenda L Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902231475 PECOS PAC ID: 7517402373 Enrollment ID: I20240716004712 |
| Provider Name | Kaitlyn M Kennedy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154905594 PECOS PAC ID: 1254876931 Enrollment ID: I20240717004449 |
| Provider Name | Faiz Kidwai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437779808 PECOS PAC ID: 1153867072 Enrollment ID: I20240726001624 |
| Provider Name | Pranita Ghimire |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427571405 PECOS PAC ID: 0143566133 Enrollment ID: I20240730002466 |
| Provider Name | Eric R Alcorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407427982 PECOS PAC ID: 2264979947 Enrollment ID: I20240730003150 |
| Provider Name | Amy Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942873542 PECOS PAC ID: 8921545294 Enrollment ID: I20240805000718 |
| Provider Name | Kachikwulu A Ajulu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588284632 PECOS PAC ID: 0042757007 Enrollment ID: I20240808000455 |
| Provider Name | Hannah L Brundage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316513880 PECOS PAC ID: 6103363056 Enrollment ID: I20240808004197 |
| Provider Name | Samantha M Rebeor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891550455 PECOS PAC ID: 6406395458 Enrollment ID: I20240822001672 |
| Provider Name | Dorshey G Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154909752 PECOS PAC ID: 2163963315 Enrollment ID: I20240916002395 |
| Provider Name | Kaitlin B Mitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356105712 PECOS PAC ID: 4880135979 Enrollment ID: I20240917000329 |
| Provider Name | Jennifer Vandyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720833460 PECOS PAC ID: 6002357464 Enrollment ID: I20240925002363 |
| Provider Name | Kiranpreet A Dhother |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265004758 PECOS PAC ID: 9032640297 Enrollment ID: I20240930001934 |
| Provider Name | Jamie L Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083136725 PECOS PAC ID: 3274067137 Enrollment ID: I20241114001953 |
Symmetry Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2363 James St # 1013, Syracuse, NY 13206 Phone: 312-578-9990 Fax: 312-275-7663 | |
Psychiatry Services Of New York Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3300 James St Ste 100, Syracuse, NY 13206 Phone: 315-422-0300 | |
Buffalo Centre For The Treatment Of Eating Disorders Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 E Genesee St, Suite 217, Syracuse, NY 13202 Phone: 315-422-0300 Fax: 315-479-8455 | |
Central New York Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 W Onondaga St, Suite 10, Syracuse, NY 13202 Phone: 315-478-2030 Fax: 315-478-2250 | |
I-mobile Health Mission Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2849 S Salina St, Syracuse, NY 13205 Phone: 315-422-5690 | |
Sage Marriage And Family Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4317 E Genesee St Ste 202, Syracuse, NY 13214 Phone: 518-400-0313 | |
With Heart With Soul Therapy Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 James Heath Rd, Syracuse, NY 13203 Phone: 315-944-0007 |