| St. Mary's Regional Medical Center | |
|
93 Campus Ave Lewiston ME 04240-6030 | |
| (207) 777-8100 | |
| (207) 777-8800 |
| Full Name | St. Mary's Regional Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 93 Campus Ave, Lewiston, Maine |
| Authorized Official Name and Position | Joseph E Marino (VP FINANCE) |
| Authorized Official Contact | 6104169573 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Mary's Regional Medical Center Po Box 95000 Lbx 7650 Philadelphia PA 19195-0001 Ph: () - | St. Mary's Regional Medical Center 93 Campus Ave Lewiston ME 04240-6030 Ph: (207) 777-8100 |
| NPI Number | 1447226584 |
|---|---|
| Provider Enumeration Date | 02/28/2006 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Medicare PECOS PAC ID | 0042107120 |
|---|---|
| Medicare Enrollment ID | O20040303000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447226584 | NPI | - | NPPES |
| Provider Name | Michael Edward Kelley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265464804 PECOS PAC ID: 7113829029 Enrollment ID: I20040122000177 |
| Provider Name | Thomas J Ryan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326019563 PECOS PAC ID: 3971497694 Enrollment ID: I20040212000608 |
| Provider Name | Edward J Teufel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215907761 PECOS PAC ID: 9133013857 Enrollment ID: I20040213000331 |
| Provider Name | Andrew C Corsello |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1265412951 PECOS PAC ID: 9638063357 Enrollment ID: I20040214000029 |
| Provider Name | Paul W Sweeney |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073583522 PECOS PAC ID: 5597659219 Enrollment ID: I20040214000089 |
| Provider Name | Michael L Parker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356382964 PECOS PAC ID: 9032004536 Enrollment ID: I20040216000205 |
| Provider Name | Daniel C Buck |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972580009 PECOS PAC ID: 9739077116 Enrollment ID: I20040308000700 |
| Provider Name | Gregory L Penner |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275610198 PECOS PAC ID: 1850289869 Enrollment ID: I20040310000106 |
| Provider Name | Debra S Koch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750301370 PECOS PAC ID: 4486646346 Enrollment ID: I20040331001165 |
| Provider Name | Jeffrey Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942237490 PECOS PAC ID: 2668455866 Enrollment ID: I20040609000838 |
| Provider Name | Adrian M Moran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255301974 PECOS PAC ID: 0941284020 Enrollment ID: I20040616000484 |
| Provider Name | Abhay Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245264654 PECOS PAC ID: 8628055134 Enrollment ID: I20040702000102 |
| Provider Name | Jenae D Limoges |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679552244 PECOS PAC ID: 8921098831 Enrollment ID: I20040714001524 |
| Provider Name | Roy J Ulin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154357770 PECOS PAC ID: 3072592864 Enrollment ID: I20040715000775 |
| Provider Name | Michael Pinette |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063443836 PECOS PAC ID: 4688586381 Enrollment ID: I20040724000080 |
| Provider Name | Lynette J Weeman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275588261 PECOS PAC ID: 0840270245 Enrollment ID: I20040726000330 |
| Provider Name | James P Parker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790712982 PECOS PAC ID: 5597736280 Enrollment ID: I20040805000046 |
| Provider Name | Carl D Robinson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639103997 PECOS PAC ID: 8123090453 Enrollment ID: I20040809000259 |
| Provider Name | Edwin Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629074240 PECOS PAC ID: 8325011950 Enrollment ID: I20040812001517 |
| Provider Name | David W Butzel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801832589 PECOS PAC ID: 4486629227 Enrollment ID: I20040826000616 |
| Provider Name | Joseph Wax |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609926930 PECOS PAC ID: 5294701827 Enrollment ID: I20040907000074 |
| Provider Name | Jennifer Mogul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801952718 PECOS PAC ID: 4981667581 Enrollment ID: I20041104001004 |
| Provider Name | Dorene A Dostal Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407886443 PECOS PAC ID: 1557327475 Enrollment ID: I20041202000685 |
| Provider Name | Robert D Mcardle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073625356 PECOS PAC ID: 5395733794 Enrollment ID: I20041213000618 |
| Provider Name | Jennifer L Hillstrom |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881637155 PECOS PAC ID: 2860459377 Enrollment ID: I20041216000430 |
| Provider Name | James Joseph Ray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760548432 PECOS PAC ID: 7517925944 Enrollment ID: I20041230000587 |
| Provider Name | Stephen W Gallagher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427076793 PECOS PAC ID: 5597706705 Enrollment ID: I20050518000632 |
| Provider Name | Helen M Mcnelly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982616314 PECOS PAC ID: 8022059104 Enrollment ID: I20050518001238 |
| Provider Name | Joseph N Wight |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295777092 PECOS PAC ID: 1759323348 Enrollment ID: I20050524000861 |
| Provider Name | Jon P Donnelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023102456 PECOS PAC ID: 7911949516 Enrollment ID: I20050524000880 |
| Provider Name | Darleen Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285658997 PECOS PAC ID: 4183666795 Enrollment ID: I20050524000980 |
| Provider Name | Maria O Ikossi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1922184613 PECOS PAC ID: 8426090051 Enrollment ID: I20050524001200 |
| Provider Name | Kenneth E Brodsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134159593 PECOS PAC ID: 2264474618 Enrollment ID: I20050525000731 |
| Provider Name | Marie F Sharkey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225057615 PECOS PAC ID: 1850333253 Enrollment ID: I20050525001104 |
| Provider Name | Teresita L Maguire |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558340133 PECOS PAC ID: 4385686526 Enrollment ID: I20050526000909 |
| Provider Name | David M Burke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316970254 PECOS PAC ID: 8123060373 Enrollment ID: I20050526001001 |
| Provider Name | Amy F Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518073725 PECOS PAC ID: 0244272235 Enrollment ID: I20050601000037 |
| Provider Name | David C Burkey |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225064272 PECOS PAC ID: 7618910555 Enrollment ID: I20050602000348 |
| Provider Name | Jeffrey S Michaud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407885213 PECOS PAC ID: 1951344670 Enrollment ID: I20050603000644 |
| Provider Name | William D Collins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033181409 PECOS PAC ID: 6608819123 Enrollment ID: I20050606001125 |
| Provider Name | Anne J C Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629007232 PECOS PAC ID: 6800839044 Enrollment ID: I20050608000336 |
| Provider Name | Lynne F Barlow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982616306 PECOS PAC ID: 9931142106 Enrollment ID: I20050608000604 |
| Provider Name | Jonathan Dreifus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235111048 PECOS PAC ID: 8022051200 Enrollment ID: I20050608000680 |
| Provider Name | Lane M Kaplan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427162809 PECOS PAC ID: 3274576202 Enrollment ID: I20050609000847 |
| Provider Name | Sidney G Steinkeler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437173648 PECOS PAC ID: 0749224657 Enrollment ID: I20050613000245 |
| Provider Name | James B Powers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316974496 PECOS PAC ID: 4284678954 Enrollment ID: I20050614000376 |
| Provider Name | Richard K Kappelmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407881121 PECOS PAC ID: 8325082985 Enrollment ID: I20050614001132 |
| Provider Name | Stephan O. Bamberger |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003881319 PECOS PAC ID: 3577523471 Enrollment ID: I20050616000730 |
| Provider Name | Douglas W Nam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114999364 PECOS PAC ID: 4789628017 Enrollment ID: I20050616000857 |
| Provider Name | Joel E Cutler |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1821024753 PECOS PAC ID: 2163467028 Enrollment ID: I20050622000474 |
| Provider Name | Mylan C Cohen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023044096 PECOS PAC ID: 1052356698 Enrollment ID: I20050623000429 |
| Provider Name | John M Woytowicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205802212 PECOS PAC ID: 0547205197 Enrollment ID: I20050623000475 |
| Provider Name | Colin S Pope |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770649642 PECOS PAC ID: 2961447271 Enrollment ID: I20050627000627 |
| Provider Name | Charles M Carpenter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477598431 PECOS PAC ID: 0749225019 Enrollment ID: I20050627001120 |
| Provider Name | Matthew W Carroll |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104006691 PECOS PAC ID: 4587609706 Enrollment ID: I20050628000137 |
| Provider Name | Christopher L. Short |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528189958 PECOS PAC ID: 0749225969 Enrollment ID: I20050628000164 |
| Provider Name | Timothy E Dutton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285706572 PECOS PAC ID: 6507801743 Enrollment ID: I20050628000312 |
| Provider Name | Michael R Sivulich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639155393 PECOS PAC ID: 2062448814 Enrollment ID: I20050713000035 |
| Provider Name | Ronald E Chicoine |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447368774 PECOS PAC ID: 4385670041 Enrollment ID: I20050713000951 |
| Provider Name | Mats Agren |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427003417 PECOS PAC ID: 6002843778 Enrollment ID: I20050725000589 |
| Provider Name | Robert W Berks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124177522 PECOS PAC ID: 4082642483 Enrollment ID: I20050727000829 |
| Provider Name | Denise M Dube Stevenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164434502 PECOS PAC ID: 9133157340 Enrollment ID: I20050729000268 |
| Provider Name | Daniel P Landry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609948827 PECOS PAC ID: 7911971023 Enrollment ID: I20050801001016 |
| Provider Name | Jon B Thompson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538140140 PECOS PAC ID: 8628039088 Enrollment ID: I20050802001117 |
| Provider Name | Lisa J Parsons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265526784 PECOS PAC ID: 8729018395 Enrollment ID: I20050815000455 |
| Provider Name | Marco N Diaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629000302 PECOS PAC ID: 3870523392 Enrollment ID: I20050815000907 |
| Provider Name | Richard Kahn |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114957503 PECOS PAC ID: 3678503786 Enrollment ID: I20050818000390 |
| Provider Name | Scott W Treworgy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225145006 PECOS PAC ID: 3577594472 Enrollment ID: I20050830000458 |
| Provider Name | Sherry N Decker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225058688 PECOS PAC ID: 4880627058 Enrollment ID: I20050917000115 |
| Provider Name | Douglas G Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619991320 PECOS PAC ID: 3971538141 Enrollment ID: I20050927001232 |
| Provider Name | Richard E Evans |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780756072 PECOS PAC ID: 6800819764 Enrollment ID: I20060106000433 |
| Provider Name | Susan L Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346349180 PECOS PAC ID: 4183616873 Enrollment ID: I20060120000660 |
| Provider Name | Kamlesh N Bajpai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518018878 PECOS PAC ID: 7911911268 Enrollment ID: I20060126000161 |
| Provider Name | Mark D Shaughnessy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104880350 PECOS PAC ID: 9739138728 Enrollment ID: I20060424000348 |
| Provider Name | Nan Boucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033157227 PECOS PAC ID: 6709892847 Enrollment ID: I20060718000067 |
| Provider Name | Kemedy K Mcquillen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720054273 PECOS PAC ID: 4587645486 Enrollment ID: I20060815000303 |
| Provider Name | Candice A Hammerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558306910 PECOS PAC ID: 1153325691 Enrollment ID: I20060914000227 |
| Provider Name | Imad H Durra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891716155 PECOS PAC ID: 3072514736 Enrollment ID: I20070123000357 |
| Provider Name | Sally A Cooper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013070580 PECOS PAC ID: 8628070950 Enrollment ID: I20070215000218 |
| Provider Name | Rebecca Mastrianno |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366548224 PECOS PAC ID: 9830291798 Enrollment ID: I20070223000018 |
| Provider Name | Huy T Trieu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467529602 PECOS PAC ID: 3779514864 Enrollment ID: I20070702000441 |
| Provider Name | Henry W Sesselberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609819978 PECOS PAC ID: 3274564422 Enrollment ID: I20070828000065 |
| Provider Name | David V Bann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518022441 PECOS PAC ID: 0648220699 Enrollment ID: I20070906000531 |
| Provider Name | Kristen J Schroeder-cyr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770703811 PECOS PAC ID: 9931298668 Enrollment ID: I20071204000346 |
| Provider Name | Samir A Haydar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598782153 PECOS PAC ID: 8628088598 Enrollment ID: I20080114000587 |
| Provider Name | Tobin M Piker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457314510 PECOS PAC ID: 3476575648 Enrollment ID: I20080125000082 |
| Provider Name | Chris I Gillis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811920994 PECOS PAC ID: 5294817599 Enrollment ID: I20080125000103 |
| Provider Name | Mark T Branda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861619058 PECOS PAC ID: 3476620485 Enrollment ID: I20080917000194 |
| Provider Name | Elizabeth R Linnell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356416739 PECOS PAC ID: 9133296544 Enrollment ID: I20080927000047 |
| Provider Name | Brooke S Ritvo |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1346240033 PECOS PAC ID: 8426015629 Enrollment ID: I20081119000919 |
| Provider Name | Osama N Aziz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285826792 PECOS PAC ID: 2264525344 Enrollment ID: I20090106000807 |
| Provider Name | David E Schenk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881701670 PECOS PAC ID: 0840353462 Enrollment ID: I20090108000243 |
| Provider Name | Jean M Dowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932163599 PECOS PAC ID: 0547317604 Enrollment ID: I20090408000128 |
| Provider Name | Maureen E Mcmackin Daviault |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144461609 PECOS PAC ID: 0143377135 Enrollment ID: I20090408000487 |
| Provider Name | Patricia A Kittredge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467650457 PECOS PAC ID: 2062505050 Enrollment ID: I20090423000380 |
| Provider Name | Sarah K Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891933677 PECOS PAC ID: 0941358196 Enrollment ID: I20090428000454 |
| Provider Name | Christopher C Canto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801857149 PECOS PAC ID: 6608850144 Enrollment ID: I20090624000629 |
| Provider Name | Veronica L Diamond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841424207 PECOS PAC ID: 3678627189 Enrollment ID: I20090818000782 |
| Provider Name | Angela L Wood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003145053 PECOS PAC ID: 2567591803 Enrollment ID: I20100526000094 |
| Provider Name | Jennifer M Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861678781 PECOS PAC ID: 0143345611 Enrollment ID: I20100921000791 |
| Provider Name | Thaddeus T Shattuck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285798447 PECOS PAC ID: 6305039504 Enrollment ID: I20101020000803 |
| Provider Name | Lynn Dumont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366755928 PECOS PAC ID: 0941489405 Enrollment ID: I20110130000000 |
| Provider Name | Amy M Fradel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881671345 PECOS PAC ID: 1153502349 Enrollment ID: I20110222000053 |
| Provider Name | Judy A Franciose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376847103 PECOS PAC ID: 7416139688 Enrollment ID: I20110309000255 |
| Provider Name | Hannah-mariah W Severns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083802391 PECOS PAC ID: 5991845604 Enrollment ID: I20110512000364 |
| Provider Name | Joan Flint |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386804029 PECOS PAC ID: 7618148586 Enrollment ID: I20110926000573 |
| Provider Name | Caitlin R Sloan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942598420 PECOS PAC ID: 2860663739 Enrollment ID: I20110926000622 |
| Provider Name | Sarah L Alto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487934436 PECOS PAC ID: 8820260854 Enrollment ID: I20111017000299 |
| Provider Name | Tina M Moring |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649549650 PECOS PAC ID: 0446419915 Enrollment ID: I20120302000465 |
| Provider Name | Eileen S Geer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225308463 PECOS PAC ID: 1254590250 Enrollment ID: I20120312000280 |
| Provider Name | Bruce Hamilton Dick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306872775 PECOS PAC ID: 6507880077 Enrollment ID: I20120516000692 |
| Provider Name | Paul F Frey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235351669 PECOS PAC ID: 0244321222 Enrollment ID: I20120907000515 |
| Provider Name | Ronald M Reilly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194725465 PECOS PAC ID: 9234100744 Enrollment ID: I20120927000450 |
| Provider Name | Samip C Vasaiwala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326201773 PECOS PAC ID: 3971797887 Enrollment ID: I20121009000507 |
| Provider Name | Julie E Pelletier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336469063 PECOS PAC ID: 9032363627 Enrollment ID: I20130207000060 |
| Provider Name | Kristin M Milberger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073851309 PECOS PAC ID: 2163667338 Enrollment ID: I20130319000137 |
| Provider Name | Shana M D'andrea |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669718789 PECOS PAC ID: 1355586496 Enrollment ID: I20130321000008 |
| Provider Name | Dylan M Mckenney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922233071 PECOS PAC ID: 3870738529 Enrollment ID: I20130328000386 |
| Provider Name | Brianne L Cox |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457698235 PECOS PAC ID: 0446496400 Enrollment ID: I20130417000254 |
| Provider Name | Jeffrey Larue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437490224 PECOS PAC ID: 6800033341 Enrollment ID: I20130501000057 |
| Provider Name | Jesica L Todd-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568700151 PECOS PAC ID: 4284872045 Enrollment ID: I20130606000274 |
| Provider Name | Emil Peter Miskovsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427043942 PECOS PAC ID: 8123059706 Enrollment ID: I20130801000316 |
| Provider Name | Scott P Pelletier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881914513 PECOS PAC ID: 3870734809 Enrollment ID: I20130802000190 |
| Provider Name | Christian Garfield Litton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639339237 PECOS PAC ID: 4284773508 Enrollment ID: I20130917000037 |
| Provider Name | Esther Shao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154522035 PECOS PAC ID: 1052326550 Enrollment ID: I20130920000515 |
| Provider Name | Heather S Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649603366 PECOS PAC ID: 0941435556 Enrollment ID: I20131106000739 |
| Provider Name | Virginia S Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417372335 PECOS PAC ID: 9537391198 Enrollment ID: I20140414000347 |
| Provider Name | Dashiell Jordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053632901 PECOS PAC ID: 4183884109 Enrollment ID: I20140616000006 |
| Provider Name | Lee D Hallagan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225297989 PECOS PAC ID: 5294950333 Enrollment ID: I20140707000431 |
| Provider Name | Kimberly Pirrone Wells |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063648111 PECOS PAC ID: 6507007010 Enrollment ID: I20140815000005 |
| Provider Name | Jennifer S Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093122475 PECOS PAC ID: 1456579572 Enrollment ID: I20140902001093 |
| Provider Name | Stephen Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558504258 PECOS PAC ID: 7113185117 Enrollment ID: I20140918001482 |
| Provider Name | Matthew D Harnden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417365099 PECOS PAC ID: 5496974719 Enrollment ID: I20140919000219 |
| Provider Name | Noreen M Flanagan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508186594 PECOS PAC ID: 1850525635 Enrollment ID: I20141001002099 |
| Provider Name | Stacey M Labonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831506872 PECOS PAC ID: 4284854621 Enrollment ID: I20141007000066 |
| Provider Name | Tiffany M Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063813962 PECOS PAC ID: 0345461497 Enrollment ID: I20141015000863 |
| Provider Name | Adrienne E Lucey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912316753 PECOS PAC ID: 3971724576 Enrollment ID: I20141024000082 |
| Provider Name | Gary P Degen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720053606 PECOS PAC ID: 6406875905 Enrollment ID: I20141111000668 |
| Provider Name | Erica J Richards |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053646737 PECOS PAC ID: 0042533614 Enrollment ID: I20150107000230 |
| Provider Name | Barbara J Seaborg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417997800 PECOS PAC ID: 6103853056 Enrollment ID: I20150121001085 |
| Provider Name | Sabrina Gowell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598153090 PECOS PAC ID: 3971829656 Enrollment ID: I20150225000528 |
| Provider Name | Kelley E Conroy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619130275 PECOS PAC ID: 2769631472 Enrollment ID: I20150701000368 |
| Provider Name | Na Liu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1518288307 PECOS PAC ID: 4082929229 Enrollment ID: I20150817001415 |
| Provider Name | Lars M Qvick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104054071 PECOS PAC ID: 6305153503 Enrollment ID: I20150921002801 |
| Provider Name | Sanjeev A Francis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265462311 PECOS PAC ID: 1759465776 Enrollment ID: I20151105002212 |
| Provider Name | Jeffrey N Davila |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144394099 PECOS PAC ID: 4880876630 Enrollment ID: I20151109002437 |
| Provider Name | Sarah E Varney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427429810 PECOS PAC ID: 9537469382 Enrollment ID: I20151130000919 |
| Provider Name | Lauren E Blais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518327576 PECOS PAC ID: 0446557730 Enrollment ID: I20160331002196 |
| Provider Name | Janessa D Leger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902242704 PECOS PAC ID: 7517109820 Enrollment ID: I20160629001257 |
| Provider Name | Danielle L Dubuc |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144679390 PECOS PAC ID: 8224321526 Enrollment ID: I20160725001574 |
| Provider Name | Cheryl F Noe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801250329 PECOS PAC ID: 3476847963 Enrollment ID: I20160805001079 |
| Provider Name | Travis M Hawksley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982979175 PECOS PAC ID: 8729373303 Enrollment ID: I20160822000731 |
| Provider Name | Aline Iskandar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134436801 PECOS PAC ID: 8123259231 Enrollment ID: I20160827000329 |
| Provider Name | Donna C Doucette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316490394 PECOS PAC ID: 8325334857 Enrollment ID: I20160909001714 |
| Provider Name | Alison Daigle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730476839 PECOS PAC ID: 9032338579 Enrollment ID: I20160917000404 |
| Provider Name | Jessica E Newcomb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487005088 PECOS PAC ID: 4981991999 Enrollment ID: I20160919002485 |
| Provider Name | Christopher Abbott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982043329 PECOS PAC ID: 5597043521 Enrollment ID: I20161026002053 |
| Provider Name | Jeremy R Estrada |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225447725 PECOS PAC ID: 2466759923 Enrollment ID: I20161026002708 |
| Provider Name | Siva P Sivakumar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992788442 PECOS PAC ID: 2961305511 Enrollment ID: I20161109001358 |
| Provider Name | Annette L Siler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437593555 PECOS PAC ID: 9335389048 Enrollment ID: I20161111001069 |
| Provider Name | Mohamed G Farah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891243358 PECOS PAC ID: 3173802147 Enrollment ID: I20161115000524 |
| Provider Name | Andrea M Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700236742 PECOS PAC ID: 8628357654 Enrollment ID: I20161116000505 |
| Provider Name | Samuel T Coffin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649413121 PECOS PAC ID: 1355596586 Enrollment ID: I20161118002144 |
| Provider Name | Christopher S Sweeney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942566450 PECOS PAC ID: 5991029084 Enrollment ID: I20170220001948 |
| Provider Name | Israel Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457744310 PECOS PAC ID: 8022327352 Enrollment ID: I20170503000237 |
| Provider Name | Michelle L Ramirez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083876296 PECOS PAC ID: 8628207016 Enrollment ID: I20170508000234 |
| Provider Name | Shari L Wellen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801181136 PECOS PAC ID: 7517136633 Enrollment ID: I20170512001783 |
| Provider Name | Elizabeth J. Madore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356698518 PECOS PAC ID: 0941519672 Enrollment ID: I20170719003057 |
| Provider Name | Lee A Baggott |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396778619 PECOS PAC ID: 4789644642 Enrollment ID: I20170814000147 |
| Provider Name | Patrick K Hohl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669796215 PECOS PAC ID: 2567604523 Enrollment ID: I20170829003934 |
| Provider Name | Monica Daigle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780944488 PECOS PAC ID: 6608000526 Enrollment ID: I20170831001668 |
| Provider Name | Robin A. Dobrinick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710404769 PECOS PAC ID: 8527332402 Enrollment ID: I20170915000201 |
| Provider Name | Alycia D Reppel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366702821 PECOS PAC ID: 0143519694 Enrollment ID: I20170929000660 |
| Provider Name | Daniel R Eraso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013336718 PECOS PAC ID: 8820368525 Enrollment ID: I20171026000234 |
| Provider Name | Mina Assadollahzadeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487068698 PECOS PAC ID: 0941427231 Enrollment ID: I20171102001692 |
| Provider Name | John J Gullo |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700865243 PECOS PAC ID: 0345141479 Enrollment ID: I20171120002555 |
| Provider Name | Bridgid Neptune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831619170 PECOS PAC ID: 0648530212 Enrollment ID: I20180131001411 |
| Provider Name | Peter H Bagley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003899683 PECOS PAC ID: 0840195467 Enrollment ID: I20180221000516 |
| Provider Name | Bonnie M Lemieux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073061321 PECOS PAC ID: 8729341300 Enrollment ID: I20180412001217 |
| Provider Name | Weafue Saab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780941690 PECOS PAC ID: 5698993525 Enrollment ID: I20180524000643 |
| Provider Name | Colin T Phillips |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629363742 PECOS PAC ID: 1254631625 Enrollment ID: I20180606000542 |
| Provider Name | Bram J Geller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275828311 PECOS PAC ID: 2567769086 Enrollment ID: I20180723001565 |
| Provider Name | Valerie Porcello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942722723 PECOS PAC ID: 2769758390 Enrollment ID: I20180806001050 |
| Provider Name | Amanda Mary Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982043477 PECOS PAC ID: 4082900857 Enrollment ID: I20180809003992 |
| Provider Name | David J. Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073009908 PECOS PAC ID: 2860741386 Enrollment ID: I20180816002337 |
| Provider Name | Terry L Mooers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437645363 PECOS PAC ID: 6204185457 Enrollment ID: I20180821001855 |
| Provider Name | Jordan S Leyton Mange |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245415140 PECOS PAC ID: 6204098940 Enrollment ID: I20180828003126 |
| Provider Name | Eric T Lubiner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487645628 PECOS PAC ID: 1951437821 Enrollment ID: I20180828003533 |
| Provider Name | Edward Y Sze |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1609191485 PECOS PAC ID: 8820390982 Enrollment ID: I20180829000869 |
| Provider Name | Andrew D Schwartzman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336301795 PECOS PAC ID: 8628247228 Enrollment ID: I20180829003353 |
| Provider Name | Michael Rushton Barnes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467864454 PECOS PAC ID: 1355567082 Enrollment ID: I20180928001029 |
| Provider Name | Cameron W Donaldson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194940593 PECOS PAC ID: 5890922462 Enrollment ID: I20190124001113 |
| Provider Name | Josephine A Poulin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114480860 PECOS PAC ID: 8628301934 Enrollment ID: I20190531000096 |
| Provider Name | Annabel L Bradford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215324694 PECOS PAC ID: 1355655572 Enrollment ID: I20190605000427 |
| Provider Name | Sreeparna Ghosh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366858425 PECOS PAC ID: 5597001784 Enrollment ID: I20190617002313 |
| Provider Name | Maxwell Afari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942565247 PECOS PAC ID: 9234368929 Enrollment ID: I20190725002912 |
| Provider Name | Shane Griffith |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114346251 PECOS PAC ID: 8820307960 Enrollment ID: I20190801001556 |
| Provider Name | Michael R Hart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376809707 PECOS PAC ID: 3678801081 Enrollment ID: I20190822003993 |
| Provider Name | Dafina Pruthi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295174514 PECOS PAC ID: 9133457427 Enrollment ID: I20190823003328 |
| Provider Name | Phyllis Wolf Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356802540 PECOS PAC ID: 8527397306 Enrollment ID: I20190903002728 |
| Provider Name | William J Nash |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902453483 PECOS PAC ID: 2769711779 Enrollment ID: I20190916003345 |
| Provider Name | Thomas A Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780883405 PECOS PAC ID: 0143451948 Enrollment ID: I20191025000777 |
| Provider Name | Andrea J Farrar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164871331 PECOS PAC ID: 8325470339 Enrollment ID: I20191113001517 |
| Provider Name | Jillbeth V Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861968380 PECOS PAC ID: 4486987088 Enrollment ID: I20191113001712 |
| Provider Name | Nicole Marie Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578105516 PECOS PAC ID: 5294168365 Enrollment ID: I20191203001950 |
| Provider Name | Andrea Lynn Gallant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962043364 PECOS PAC ID: 1456784412 Enrollment ID: I20191204002421 |
| Provider Name | Alexandria M Betz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538458377 PECOS PAC ID: 4183936248 Enrollment ID: I20191206001080 |
| Provider Name | Jessica D Langella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881149250 PECOS PAC ID: 4688008931 Enrollment ID: I20191219002805 |
| Provider Name | Marissa P Tardif |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821635020 PECOS PAC ID: 2163857871 Enrollment ID: I20200127000175 |
| Provider Name | Susan Baxter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417959842 PECOS PAC ID: 6406749951 Enrollment ID: I20200319002464 |
| Provider Name | Tammy Lynn Abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578199246 PECOS PAC ID: 9436587573 Enrollment ID: I20200324000291 |
| Provider Name | Darcy J Mccabe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689739955 PECOS PAC ID: 3577529213 Enrollment ID: I20200413002086 |
| Provider Name | Danielle L Jamison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174156202 PECOS PAC ID: 6103256599 Enrollment ID: I20200427001834 |
| Provider Name | Carley D Laverriere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558982215 PECOS PAC ID: 3870924699 Enrollment ID: I20200512001131 |
| Provider Name | Amy E Rousseau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962023630 PECOS PAC ID: 7012338155 Enrollment ID: I20200528001406 |
| Provider Name | Aimee C Welsh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033233374 PECOS PAC ID: 6204950108 Enrollment ID: I20200610001095 |
| Provider Name | Erik W Oconnell |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1891085122 PECOS PAC ID: 0345466389 Enrollment ID: I20200630002553 |
| Provider Name | Steven Gene Wong |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275553307 PECOS PAC ID: 6901066554 Enrollment ID: I20200708001812 |
| Provider Name | Neina Orrillo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033538533 PECOS PAC ID: 8123243268 Enrollment ID: I20200710001014 |
| Provider Name | Virginia Katherine Horne Weiss |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720441058 PECOS PAC ID: 4688969264 Enrollment ID: I20200715000917 |
| Provider Name | Maria A. Ordonez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053577197 PECOS PAC ID: 9335296359 Enrollment ID: I20200721002065 |
| Provider Name | Tapan H Mehta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962840744 PECOS PAC ID: 1355648213 Enrollment ID: I20200727001599 |
| Provider Name | Szymon L Wiernek |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063709400 PECOS PAC ID: 4587881438 Enrollment ID: I20200730001273 |
| Provider Name | Angela Higgins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730441346 PECOS PAC ID: 3072807692 Enrollment ID: I20200818001578 |
| Provider Name | Alisa A Siulinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528684842 PECOS PAC ID: 4082030317 Enrollment ID: I20200818001967 |
| Provider Name | Diana Trofimovitch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902336340 PECOS PAC ID: 6204254220 Enrollment ID: I20200908002229 |
| Provider Name | Basem Mohamed Elbrolosy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326211582 PECOS PAC ID: 3678908936 Enrollment ID: I20201006000891 |
| Provider Name | Abraham D Abernethy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306071428 PECOS PAC ID: 7719121011 Enrollment ID: I20201008000963 |
| Provider Name | Leonard M Copertino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356662753 PECOS PAC ID: 9537457247 Enrollment ID: I20201013003597 |
| Provider Name | Katherine Jeniffer Dawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306303813 PECOS PAC ID: 8426390311 Enrollment ID: I20201015002116 |
| Provider Name | Alyssa K Rouleau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538778972 PECOS PAC ID: 1850701798 Enrollment ID: I20201105000327 |
| Provider Name | Marc Lafrance Demers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396847794 PECOS PAC ID: 6608883251 Enrollment ID: I20201110002067 |
| Provider Name | Elise M Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063019636 PECOS PAC ID: 7911318829 Enrollment ID: I20201125001938 |
| Provider Name | Vanessa Alvarez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023034196 PECOS PAC ID: 3971506072 Enrollment ID: I20201218000947 |
| Provider Name | Cecilia K Trydestam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811121684 PECOS PAC ID: 7719113471 Enrollment ID: I20201221002471 |
| Provider Name | Rachel L Mergen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861819468 PECOS PAC ID: 1951628098 Enrollment ID: I20210407002467 |
| Provider Name | David M Gast |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1518953934 PECOS PAC ID: 0941484364 Enrollment ID: I20210426002898 |
| Provider Name | Steven G Yerid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265524276 PECOS PAC ID: 6901709799 Enrollment ID: I20210510000840 |
| Provider Name | Ricardo A San Pedro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447247671 PECOS PAC ID: 4981864402 Enrollment ID: I20210602000711 |
| Provider Name | Geoffrey J Cole |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174842223 PECOS PAC ID: 5597987057 Enrollment ID: I20210610002505 |
| Provider Name | Jessica A Kvasic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023405479 PECOS PAC ID: 6406258045 Enrollment ID: I20210706001634 |
| Provider Name | Clara Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083078075 PECOS PAC ID: 6608279286 Enrollment ID: I20210720001173 |
| Provider Name | Louis Di Salvo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861854978 PECOS PAC ID: 2062704869 Enrollment ID: I20210721003244 |
| Provider Name | Nicole Elizabeth Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396336699 PECOS PAC ID: 7517361850 Enrollment ID: I20210809000646 |
| Provider Name | Boris V Kovalenko |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366838278 PECOS PAC ID: 2769797984 Enrollment ID: I20210813002424 |
| Provider Name | Kendra Anne Greene |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043882772 PECOS PAC ID: 5991100497 Enrollment ID: I20210821000271 |
| Provider Name | Jodi Alexis Conrad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023556990 PECOS PAC ID: 6406108463 Enrollment ID: I20210907001657 |
| Provider Name | David Taylor Gammons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073976189 PECOS PAC ID: 0244560894 Enrollment ID: I20210907002314 |
| Provider Name | Kunal Tandon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619314960 PECOS PAC ID: 5799912986 Enrollment ID: I20210909000751 |
| Provider Name | Shiva K Annamalai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972915544 PECOS PAC ID: 3678862968 Enrollment ID: I20210913003614 |
| Provider Name | Lauren M Andrade |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1841551140 PECOS PAC ID: 4981912250 Enrollment ID: I20210915003352 |
| Provider Name | Jaidip Chakravartti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639432966 PECOS PAC ID: 9931348398 Enrollment ID: I20210917002527 |
| Provider Name | Paula Gentile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952071656 PECOS PAC ID: 2466859251 Enrollment ID: I20210921002576 |
| Provider Name | Michelle R Calderini |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902464217 PECOS PAC ID: 9133527484 Enrollment ID: I20211018001595 |
| Provider Name | Jenna Nicole Hodges |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568020154 PECOS PAC ID: 1759789019 Enrollment ID: I20211018001718 |
| Provider Name | Stanley Ilchul Kim |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1306940705 PECOS PAC ID: 2163566175 Enrollment ID: I20211020002842 |
| Provider Name | Heather Lynn Errington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487231932 PECOS PAC ID: 8921496076 Enrollment ID: I20211022001652 |
| Provider Name | Rachel E Goulet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174288740 PECOS PAC ID: 4789073396 Enrollment ID: I20211118003034 |
| Provider Name | Nathaniel M Sands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477211985 PECOS PAC ID: 9537559166 Enrollment ID: I20211214000600 |
| Provider Name | Holly Frey Bosse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649935479 PECOS PAC ID: 0840680401 Enrollment ID: I20211214001686 |
| Provider Name | Paul Zorsky |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245283076 PECOS PAC ID: 2163481946 Enrollment ID: I20220105002646 |
| Provider Name | Kara Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033716717 PECOS PAC ID: 6103218078 Enrollment ID: I20220126002949 |
| Provider Name | Nadia Shaukat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164743134 PECOS PAC ID: 5193969582 Enrollment ID: I20220210002414 |
| Provider Name | Jennifer Dissell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790437143 PECOS PAC ID: 9436543162 Enrollment ID: I20220223001679 |
| Provider Name | George M Charron |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770587594 PECOS PAC ID: 3375535206 Enrollment ID: I20220318000808 |
| Provider Name | Manh Dang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780663880 PECOS PAC ID: 4082659628 Enrollment ID: I20220610001057 |
| Provider Name | Daniel B Desiderio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841788916 PECOS PAC ID: 8628323300 Enrollment ID: I20220706003286 |
| Provider Name | Laura L Onderko |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174919864 PECOS PAC ID: 6204143944 Enrollment ID: I20220804001988 |
| Provider Name | Lila M Martin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255788535 PECOS PAC ID: 6507152931 Enrollment ID: I20220809002319 |
| Provider Name | Gregory L Judson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396182721 PECOS PAC ID: 5395038889 Enrollment ID: I20220811000687 |
| Provider Name | Brendan Tarzia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609339514 PECOS PAC ID: 5698158806 Enrollment ID: I20220822001820 |
| Provider Name | Christopher Patrick Tuohy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1437578580 PECOS PAC ID: 3779700257 Enrollment ID: I20220822003010 |
| Provider Name | Ross M Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639699051 PECOS PAC ID: 5395018428 Enrollment ID: I20220829002730 |
| Provider Name | David W Sobel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881011872 PECOS PAC ID: 4688976285 Enrollment ID: I20220830003540 |
| Provider Name | Joseph Edward Schinsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093208563 PECOS PAC ID: 9234513334 Enrollment ID: I20220908000341 |
| Provider Name | Eric William Black-maier |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1225456775 PECOS PAC ID: 0648511147 Enrollment ID: I20220914001618 |
| Provider Name | Brittany Misercola |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356787154 PECOS PAC ID: 6709028186 Enrollment ID: I20220915003227 |
| Provider Name | Micah John Gaspary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962630368 PECOS PAC ID: 2264791458 Enrollment ID: I20220926001794 |
| Provider Name | Ashley Stanhiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528791050 PECOS PAC ID: 7315323391 Enrollment ID: I20220928001347 |
| Provider Name | Elizabeth Pauline Hurd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548989973 PECOS PAC ID: 1153797873 Enrollment ID: I20221021000458 |
| Provider Name | James Francis Sexton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760416879 PECOS PAC ID: 8921088832 Enrollment ID: I20221101001494 |
| Provider Name | Jay Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538571997 PECOS PAC ID: 4284850116 Enrollment ID: I20221102000310 |
| Provider Name | Kyle Theresa Mcclintock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053629857 PECOS PAC ID: 7214119254 Enrollment ID: I20221107002926 |
| Provider Name | Muhammad A Sheikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235252859 PECOS PAC ID: 0345330338 Enrollment ID: I20221207002011 |
| Provider Name | Yong Ji |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518963875 PECOS PAC ID: 9638111651 Enrollment ID: I20230109001952 |
| Provider Name | Ferdous Barlaskar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184981490 PECOS PAC ID: 3072826312 Enrollment ID: I20230113000740 |
| Provider Name | James P Mcgovern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790763928 PECOS PAC ID: 5698728939 Enrollment ID: I20230116000495 |
| Provider Name | Nicholas D Anthony |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598261737 PECOS PAC ID: 8224378815 Enrollment ID: I20230119000829 |
| Provider Name | Jacqueline Sly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912284316 PECOS PAC ID: 0749449569 Enrollment ID: I20230215000159 |
| Provider Name | Carol Swicker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619683372 PECOS PAC ID: 2466825229 Enrollment ID: I20230227002549 |
| Provider Name | Crystal V Antoine-pepeljugoski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073856357 PECOS PAC ID: 1850701210 Enrollment ID: I20230308001771 |
| Provider Name | Timothy W Wild |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467530360 PECOS PAC ID: 6204022940 Enrollment ID: I20230309002220 |
| Provider Name | Diane B Turcot |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952369423 PECOS PAC ID: 4880666833 Enrollment ID: I20230329000508 |
| Provider Name | Cesar Delaguila |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225019136 PECOS PAC ID: 2163433590 Enrollment ID: I20230421000188 |
| Provider Name | Anthony Bekasiak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639699416 PECOS PAC ID: 5193135648 Enrollment ID: I20230504002577 |
| Provider Name | Bei He |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417341686 PECOS PAC ID: 7517275399 Enrollment ID: I20230601000591 |
| Provider Name | Archana Agarwal |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1548592165 PECOS PAC ID: 3870786437 Enrollment ID: I20230606001987 |
| Provider Name | Laurie Jepson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073538559 PECOS PAC ID: 7810026820 Enrollment ID: I20230606002088 |
| Provider Name | Alexis L Glassman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689364663 PECOS PAC ID: 2466810494 Enrollment ID: I20230622002431 |
| Provider Name | Anuj Mediratta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457508574 PECOS PAC ID: 4587842588 Enrollment ID: I20230630000093 |
| Provider Name | William V Elbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326154139 PECOS PAC ID: 8224930409 Enrollment ID: I20230710000427 |
| Provider Name | Richard Nass |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316018153 PECOS PAC ID: 8628256120 Enrollment ID: I20230712000592 |
| Provider Name | Rachel Ivanov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053916379 PECOS PAC ID: 1355741745 Enrollment ID: I20230719001453 |
| Provider Name | Tison Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346694312 PECOS PAC ID: 7315309994 Enrollment ID: I20230814002827 |
| Provider Name | Lily J Wang |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811344146 PECOS PAC ID: 7315226768 Enrollment ID: I20230919002168 |
| Provider Name | Ghazanfar Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437327756 PECOS PAC ID: 9537326806 Enrollment ID: I20230921004158 |
| Provider Name | Alan S Ginzburg |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659390888 PECOS PAC ID: 3476442716 Enrollment ID: I20230922002449 |
| Provider Name | Curran J Lecomte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912687492 PECOS PAC ID: 5698129450 Enrollment ID: I20230927002236 |
| Provider Name | Jennifer Bolton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215468509 PECOS PAC ID: 0840563656 Enrollment ID: I20231003000441 |
| Provider Name | Daniel Lawrence Shpilsky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184011827 PECOS PAC ID: 4385959824 Enrollment ID: I20231003001109 |
| Provider Name | Jennifer Hall |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417022559 PECOS PAC ID: 0143599852 Enrollment ID: I20231003002649 |
| Provider Name | Mohamed Gamal-eldin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801670989 PECOS PAC ID: 7214382696 Enrollment ID: I20231005001635 |
| Provider Name | Anna G Meader |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902283021 PECOS PAC ID: 6709190929 Enrollment ID: I20231023002389 |
| Provider Name | Diana Zackey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922528538 PECOS PAC ID: 2567854326 Enrollment ID: I20231024002493 |
| Provider Name | Chelcie Murch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629752449 PECOS PAC ID: 8022464189 Enrollment ID: I20231025002187 |
| Provider Name | Zafar Iqbal Ahmad |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750161782 PECOS PAC ID: 6507212404 Enrollment ID: I20231030001134 |
| Provider Name | Christopher T Perry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326109455 PECOS PAC ID: 0446589956 Enrollment ID: I20231117002756 |
| Provider Name | Ali Al Alwan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235320318 PECOS PAC ID: 4284877630 Enrollment ID: I20231215001457 |
| Provider Name | Heather Ann Khansari Nejad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164296505 PECOS PAC ID: 0941659940 Enrollment ID: I20231215003379 |
| Provider Name | Sheela Krishnan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750794608 PECOS PAC ID: 0648497941 Enrollment ID: I20231221002907 |
| Provider Name | Amy Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760261010 PECOS PAC ID: 5294185799 Enrollment ID: I20231226000720 |
| Provider Name | Anseruddin Mohammed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093978165 PECOS PAC ID: 7719155407 Enrollment ID: I20240102001494 |
| Provider Name | Ashley Beaulieu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023490638 PECOS PAC ID: 8224459029 Enrollment ID: I20240105000161 |
| Provider Name | Morgan Kay Evans Suta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518747906 PECOS PAC ID: 7810348562 Enrollment ID: I20240108003871 |
| Provider Name | Jacob Elie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306624374 PECOS PAC ID: 2365885563 Enrollment ID: I20240205002130 |
| Provider Name | John Nikolhaus Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639523194 PECOS PAC ID: 0547569048 Enrollment ID: I20240219001917 |
| Provider Name | Harmandeep Singh |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1265886832 PECOS PAC ID: 4486981669 Enrollment ID: I20240227003311 |
| Provider Name | Carolyn Fruci |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952341653 PECOS PAC ID: 0749257939 Enrollment ID: I20240503003084 |
| Provider Name | Daniel E Stanhiser |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1619940111 PECOS PAC ID: 6800709437 Enrollment ID: I20240514004261 |
| Provider Name | Devjani Ganesan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932685906 PECOS PAC ID: 3678819661 Enrollment ID: I20240605001289 |
| Provider Name | Christopher John Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992558993 PECOS PAC ID: 6709328677 Enrollment ID: I20240606002060 |
Central Maine Family Counseling Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 300 Pine St, Lewiston, ME 04240 Phone: 207-777-3399 Fax: 207-777-3391 | |
Becket Academy, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 47 Pond Rd, Lewiston, ME 04240 Phone: 207-241-7552 | |
Life Seasons, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Pond Rd, Lewiston, ME 04240 Phone: 877-838-5741 Fax: 877-832-3961 | |
Bates College Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 Campus Ave, Lewiston, ME 04240 Phone: 207-786-6199 Fax: 207-786-8240 | |
Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 Park Street, Suite 305, Lewiston, ME 04240 Phone: 207-755-9042 Fax: 207-755-9041 | |
Tranquility Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 183 Main St, Lewiston, ME 04240 Phone: 207-344-0018 Fax: 207-344-0019 | |
The Canvas Of Life Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Canal St Ste 2, Lewiston, ME 04240 Phone: 207-241-9332 Fax: 207-782-9011 |