| St Vincent Medical Education And Research Institute Inc | |
|
153 E 13th St Ste 1300 Erie PA 16503-1035 | |
| (814) 452-5772 | |
| (814) 452-7005 |
| Full Name | St Vincent Medical Education And Research Institute Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 153 E 13th St Ste 1300, Erie, Pennsylvania |
| Authorized Official Name and Position | Tamara L Hatt (SR. ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 8144525772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Vincent Medical Education And Research Institute Inc 153 E 13th St Ste 1300 Erie PA 16503-1035 Ph: (814) 452-5772 | St Vincent Medical Education And Research Institute Inc 153 E 13th St Ste 1300 Erie PA 16503-1035 Ph: (814) 452-5772 |
| NPI Number | 1902881477 |
|---|---|
| Provider Enumeration Date | 12/07/2005 |
| Last Update Date | 10/14/2020 |
| Certification Date | 10/14/2020 |
| Medicare PECOS PAC ID | 3870405137 |
|---|---|
| Medicare Enrollment ID | O20031104000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902881477 | NPI | - | NPPES |
| CA6522 | Other | RAILROAD MEDICARE | |
| 1007725200054 | Medicaid | PA |
| Provider Name | David E Overare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063490274 PECOS PAC ID: 6305750621 Enrollment ID: I20031119000370 |
| Provider Name | Howard A Nadworny |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790763001 PECOS PAC ID: 9436057064 Enrollment ID: I20031222000061 |
| Provider Name | Lisa A Treusch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528047313 PECOS PAC ID: 9032017678 Enrollment ID: I20031222000099 |
| Provider Name | John J Streiff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689652786 PECOS PAC ID: 9739088576 Enrollment ID: I20031231000317 |
| Provider Name | Peter O Kroemer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407834799 PECOS PAC ID: 4284533886 Enrollment ID: I20040102000459 |
| Provider Name | Laura J Mcintosh |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1427033208 PECOS PAC ID: 0042119646 Enrollment ID: I20040102000494 |
| Provider Name | Caitlin S Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063490340 PECOS PAC ID: 9234038720 Enrollment ID: I20040105000112 |
| Provider Name | Timothy D Pelkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588630362 PECOS PAC ID: 0042119596 Enrollment ID: I20040105000444 |
| Provider Name | Bradley P Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336124247 PECOS PAC ID: 8628977170 Enrollment ID: I20040105000478 |
| Provider Name | Nancy E Weissbach |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265410492 PECOS PAC ID: 2264331677 Enrollment ID: I20040105000843 |
| Provider Name | Paul J Gausman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558346577 PECOS PAC ID: 9638078827 Enrollment ID: I20040107000420 |
| Provider Name | Christopher Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093793341 PECOS PAC ID: 2567361603 Enrollment ID: I20040107000699 |
| Provider Name | Ronald S Filippi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891770475 PECOS PAC ID: 3375442320 Enrollment ID: I20040108000192 |
| Provider Name | Alaaeldin Omar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811976020 PECOS PAC ID: 9739088709 Enrollment ID: I20040108000300 |
| Provider Name | Wayne T Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578549283 PECOS PAC ID: 2769381763 Enrollment ID: I20040108000467 |
| Provider Name | James Lane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215913843 PECOS PAC ID: 1355240292 Enrollment ID: I20040108000687 |
| Provider Name | Thomas R White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518928340 PECOS PAC ID: 2961301817 Enrollment ID: I20040108000754 |
| Provider Name | Brett R Forehand |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518942192 PECOS PAC ID: 1850291774 Enrollment ID: I20040108001109 |
| Provider Name | Mark H Masteller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861470163 PECOS PAC ID: 8729988654 Enrollment ID: I20040108001124 |
| Provider Name | Frederick C Havko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841275872 PECOS PAC ID: 2769382522 Enrollment ID: I20040109000516 |
| Provider Name | William R Getson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487639910 PECOS PAC ID: 4587564273 Enrollment ID: I20040109000749 |
| Provider Name | Richard L Cogley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790760601 PECOS PAC ID: 0749193944 Enrollment ID: I20040109000942 |
| Provider Name | Mark K Vatavuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184603508 PECOS PAC ID: 8224938972 Enrollment ID: I20040109001017 |
| Provider Name | Linda L Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164498762 PECOS PAC ID: 2860387230 Enrollment ID: I20040216001203 |
| Provider Name | Deborah A Ranish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508832395 PECOS PAC ID: 4981599198 Enrollment ID: I20040217000798 |
| Provider Name | Kristin B Leone |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962808626 PECOS PAC ID: 2365338068 Enrollment ID: I20040227000272 |
| Provider Name | Wendy L Ripple |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447224316 PECOS PAC ID: 8527956515 Enrollment ID: I20040310000590 |
| Provider Name | Stephanie M Galey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194825133 PECOS PAC ID: 8224929294 Enrollment ID: I20040322000456 |
| Provider Name | Satish C Muluk |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1659372043 PECOS PAC ID: 3870485881 Enrollment ID: I20040325001233 |
| Provider Name | Mark Anthony Becker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598759714 PECOS PAC ID: 9234121427 Enrollment ID: I20040330001223 |
| Provider Name | Mary K Dolak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962496257 PECOS PAC ID: 0042202152 Enrollment ID: I20040331000175 |
| Provider Name | Tracey L Agnew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306821715 PECOS PAC ID: 8820082175 Enrollment ID: I20040412000331 |
| Provider Name | Brad Bulvin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114988987 PECOS PAC ID: 6800881921 Enrollment ID: I20040419000333 |
| Provider Name | Maribelle Gauna-estrada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093887200 PECOS PAC ID: 9335137785 Enrollment ID: I20040504000861 |
| Provider Name | David M Freeman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841396058 PECOS PAC ID: 8820077209 Enrollment ID: I20040719000755 |
| Provider Name | William Paul Greissinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194700641 PECOS PAC ID: 7315918620 Enrollment ID: I20040802000907 |
| Provider Name | Donald Unger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700824299 PECOS PAC ID: 0648242768 Enrollment ID: I20040810000414 |
| Provider Name | Jill M Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033223631 PECOS PAC ID: 6103893631 Enrollment ID: I20040914001046 |
| Provider Name | Allan Charles Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235132812 PECOS PAC ID: 4789644881 Enrollment ID: I20041013000786 |
| Provider Name | Lihui Tang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447279955 PECOS PAC ID: 7315902004 Enrollment ID: I20041122000903 |
| Provider Name | Christopher Yonko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336127562 PECOS PAC ID: 6305822602 Enrollment ID: I20041202000265 |
| Provider Name | Kara J Crannell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669429098 PECOS PAC ID: 6305803040 Enrollment ID: I20041215000045 |
| Provider Name | Jay B Huff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184658288 PECOS PAC ID: 3779573563 Enrollment ID: I20041220000690 |
| Provider Name | Lisa Lynn Cone |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003811506 PECOS PAC ID: 0547219255 Enrollment ID: I20050120000405 |
| Provider Name | Ann E. Kelly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730173931 PECOS PAC ID: 7416907316 Enrollment ID: I20050128000057 |
| Provider Name | Jason David Crilley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437148418 PECOS PAC ID: 9234183088 Enrollment ID: I20050304000410 |
| Provider Name | Betty A Croxall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043204928 PECOS PAC ID: 8527013390 Enrollment ID: I20050315000060 |
| Provider Name | Edward J Mcvay |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1093720732 PECOS PAC ID: 2466407887 Enrollment ID: I20050318000511 |
| Provider Name | Jeffrey Peter Mcgovern |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780651554 PECOS PAC ID: 9032156344 Enrollment ID: I20050408000304 |
| Provider Name | Dinesh C Khera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427037969 PECOS PAC ID: 1153368774 Enrollment ID: I20050414000444 |
| Provider Name | Krista L Glaser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275527160 PECOS PAC ID: 0648210799 Enrollment ID: I20050509000091 |
| Provider Name | Violet J Frost |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033103239 PECOS PAC ID: 1153361233 Enrollment ID: I20050509000290 |
| Provider Name | Kelly A Mclaughlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780678086 PECOS PAC ID: 1355381005 Enrollment ID: I20050512000028 |
| Provider Name | Thomas Carl Krivak |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1609840057 PECOS PAC ID: 7012909278 Enrollment ID: I20050707000255 |
| Provider Name | Joseph E Rowane |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891762431 PECOS PAC ID: 0446284079 Enrollment ID: I20050923000064 |
| Provider Name | Aron Terry Goldberg |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1285605915 PECOS PAC ID: 4587698899 Enrollment ID: I20050926000235 |
| Provider Name | Frank J Mclaughlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427024777 PECOS PAC ID: 3971523879 Enrollment ID: I20051206000598 |
| Provider Name | William E Mizikar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417914623 PECOS PAC ID: 9931113313 Enrollment ID: I20060206000825 |
| Provider Name | Jack E Yakish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417947730 PECOS PAC ID: 8123096864 Enrollment ID: I20060207000379 |
| Provider Name | Gregory J Rys |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164428728 PECOS PAC ID: 8729093398 Enrollment ID: I20060217000664 |
| Provider Name | Stephen Hugh Bailey |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1033185277 PECOS PAC ID: 7113961053 Enrollment ID: I20060418000385 |
| Provider Name | Steven A Levy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578525945 PECOS PAC ID: 0840201059 Enrollment ID: I20060531000102 |
| Provider Name | Marta Christine Kolthoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598719767 PECOS PAC ID: 1456362631 Enrollment ID: I20060602000010 |
| Provider Name | Andrew J Kiskadden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104863018 PECOS PAC ID: 4385656479 Enrollment ID: I20060607000138 |
| Provider Name | Mary Beth Verdecchia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780627208 PECOS PAC ID: 1355353855 Enrollment ID: I20060628000019 |
| Provider Name | Michael Richard Evankovich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689621898 PECOS PAC ID: 7911910898 Enrollment ID: I20060718000266 |
| Provider Name | Segun Eneji Abogunde |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659302669 PECOS PAC ID: 4688687981 Enrollment ID: I20060802000335 |
| Provider Name | Philip W Campbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255374773 PECOS PAC ID: 3072516970 Enrollment ID: I20060815000205 |
| Provider Name | Patrick John Recio |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1023064318 PECOS PAC ID: 9537163050 Enrollment ID: I20060914000050 |
| Provider Name | Amy I Whitsel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710984000 PECOS PAC ID: 5597783373 Enrollment ID: I20061003000369 |
| Provider Name | Elayne M Schweikert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124062526 PECOS PAC ID: 9234159203 Enrollment ID: I20061012000418 |
| Provider Name | Bart A Chess |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023037413 PECOS PAC ID: 6406854710 Enrollment ID: I20061121000396 |
| Provider Name | Paul Lewis Diana |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639186687 PECOS PAC ID: 7416957055 Enrollment ID: I20070105000183 |
| Provider Name | Mitchell Scott Humphrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538168315 PECOS PAC ID: 6305949330 Enrollment ID: I20070313000326 |
| Provider Name | Rameshwarnaik Kethavath |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609809995 PECOS PAC ID: 6507860244 Enrollment ID: I20070508000457 |
| Provider Name | Martin Benignus Vandort |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225239445 PECOS PAC ID: 9133229453 Enrollment ID: I20070716000082 |
| Provider Name | James F Semple |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568424604 PECOS PAC ID: 9638270531 Enrollment ID: I20070723000223 |
| Provider Name | Daniel E Godfrey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285839134 PECOS PAC ID: 7911099486 Enrollment ID: I20070829000013 |
| Provider Name | Jeffrey Douglas Kim |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1558311092 PECOS PAC ID: 5092808725 Enrollment ID: I20070911000342 |
| Provider Name | Rajeev Kumar Garg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265562359 PECOS PAC ID: 8820182546 Enrollment ID: I20070925000511 |
| Provider Name | Tabitha D Delo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770777575 PECOS PAC ID: 3173618238 Enrollment ID: I20071004000049 |
| Provider Name | Khoa D Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427013986 PECOS PAC ID: 5799763207 Enrollment ID: I20071120000456 |
| Provider Name | Jeffrey R Spires |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306014865 PECOS PAC ID: 2668543786 Enrollment ID: I20080618000059 |
| Provider Name | Rhonda R Tobin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326206913 PECOS PAC ID: 6608947668 Enrollment ID: I20080618000504 |
| Provider Name | Lisa A Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689747297 PECOS PAC ID: 5991871758 Enrollment ID: I20080903000270 |
| Provider Name | Melissa B Jorden |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1649429986 PECOS PAC ID: 0345300943 Enrollment ID: I20081126000260 |
| Provider Name | Mary P Vlahos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609862770 PECOS PAC ID: 9537217518 Enrollment ID: I20090430000393 |
| Provider Name | Carlos Rosales |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164626743 PECOS PAC ID: 0446302947 Enrollment ID: I20090714000634 |
| Provider Name | Stefanie Lyn Young |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447258439 PECOS PAC ID: 4688621865 Enrollment ID: I20090910000186 |
| Provider Name | Pardeep Bansal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750526141 PECOS PAC ID: 0941356778 Enrollment ID: I20090921000455 |
| Provider Name | Michael D Patterson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437341633 PECOS PAC ID: 7810033370 Enrollment ID: I20091014000228 |
| Provider Name | Jamie L Moraski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023249224 PECOS PAC ID: 9032258835 Enrollment ID: I20091208000709 |
| Provider Name | Jestin N Carlson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164615175 PECOS PAC ID: 8123169083 Enrollment ID: I20100114000220 |
| Provider Name | Susan J Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912982661 PECOS PAC ID: 9739222597 Enrollment ID: I20100203000045 |
| Provider Name | Michael David Rancurello |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619978996 PECOS PAC ID: 0042346868 Enrollment ID: I20100331000932 |
| Provider Name | Arthur Reeves Crowley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326150079 PECOS PAC ID: 6002957941 Enrollment ID: I20100407000680 |
| Provider Name | Scott E Helsley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124077763 PECOS PAC ID: 4688701808 Enrollment ID: I20100420000803 |
| Provider Name | Jennifer Celebrezze |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588664155 PECOS PAC ID: 8729115654 Enrollment ID: I20100423000460 |
| Provider Name | George M Eid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992778393 PECOS PAC ID: 2769510270 Enrollment ID: I20100504000458 |
| Provider Name | Robert Lupo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902861321 PECOS PAC ID: 3072584705 Enrollment ID: I20100504000594 |
| Provider Name | David German |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689639015 PECOS PAC ID: 9436120169 Enrollment ID: I20100504000713 |
| Provider Name | Mark T Bloomstine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144285560 PECOS PAC ID: 9537130265 Enrollment ID: I20100504000831 |
| Provider Name | Nicolette C Walsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760416275 PECOS PAC ID: 4981732435 Enrollment ID: I20100505000024 |
| Provider Name | Mark Buseck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194789396 PECOS PAC ID: 3274504907 Enrollment ID: I20100505000431 |
| Provider Name | Melinda Dawn Markiewicz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114948502 PECOS PAC ID: 9830229269 Enrollment ID: I20100611000316 |
| Provider Name | Kenneth Chinsky |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508833112 PECOS PAC ID: 2264479500 Enrollment ID: I20100611000382 |
| Provider Name | Georgiann Marie Kirdahy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346569845 PECOS PAC ID: 8224169164 Enrollment ID: I20100622000167 |
| Provider Name | Christopher R Serafini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043535453 PECOS PAC ID: 7618000530 Enrollment ID: I20100729000328 |
| Provider Name | Travis M Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558687996 PECOS PAC ID: 1658404231 Enrollment ID: I20100803000622 |
| Provider Name | Nancy R Flynn Mcgarvie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861447070 PECOS PAC ID: 1355392689 Enrollment ID: I20100803000874 |
| Provider Name | Janet E Friedman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588981724 PECOS PAC ID: 5698808897 Enrollment ID: I20100809000049 |
| Provider Name | Philip Kondylis |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1407842016 PECOS PAC ID: 3779587332 Enrollment ID: I20100820000279 |
| Provider Name | Jessica A Hynes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609193879 PECOS PAC ID: 9335273739 Enrollment ID: I20100820000760 |
| Provider Name | Debra Rice Shreve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427078807 PECOS PAC ID: 2163546409 Enrollment ID: I20100824000502 |
| Provider Name | Joseph Robert Dailey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447571500 PECOS PAC ID: 6103940481 Enrollment ID: I20100824001009 |
| Provider Name | Caroline A Colleran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033376553 PECOS PAC ID: 1254455306 Enrollment ID: I20100826000864 |
| Provider Name | Bernard C Proy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790708493 PECOS PAC ID: 6204882616 Enrollment ID: I20100826001087 |
| Provider Name | Vincent B Proy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023270741 PECOS PAC ID: 5991820615 Enrollment ID: I20100917000133 |
| Provider Name | Jose R Relampagos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558354035 PECOS PAC ID: 7911986609 Enrollment ID: I20101108001216 |
| Provider Name | Alan L Glaser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710970298 PECOS PAC ID: 9335042126 Enrollment ID: I20101109000157 |
| Provider Name | Deborah L Mingey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174516645 PECOS PAC ID: 9830178524 Enrollment ID: I20101109001028 |
| Provider Name | Erika L Nornhold |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1093928624 PECOS PAC ID: 1153516794 Enrollment ID: I20101109001219 |
| Provider Name | Constance J Kranz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285628586 PECOS PAC ID: 2860689718 Enrollment ID: I20101206000158 |
| Provider Name | Jamie F Cornali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396803177 PECOS PAC ID: 1052500162 Enrollment ID: I20110105000513 |
| Provider Name | Jillian Halmi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508800459 PECOS PAC ID: 5395934046 Enrollment ID: I20110111000480 |
| Provider Name | David C Lesseski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538165493 PECOS PAC ID: 9032390711 Enrollment ID: I20110301000475 |
| Provider Name | Anthony P Behm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710920244 PECOS PAC ID: 8921281650 Enrollment ID: I20110317000721 |
| Provider Name | Ryan C Kobylinski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043374218 PECOS PAC ID: 8022105857 Enrollment ID: I20110325000033 |
| Provider Name | Anne Marie Zomcik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558349787 PECOS PAC ID: 4385827104 Enrollment ID: I20110331000451 |
| Provider Name | Lisa J Scibetta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124006325 PECOS PAC ID: 6406030212 Enrollment ID: I20110401000622 |
| Provider Name | Christopher M Kaufman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396034674 PECOS PAC ID: 4183809569 Enrollment ID: I20110428000491 |
| Provider Name | Cynthia L Dahlkemper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023277118 PECOS PAC ID: 1658556923 Enrollment ID: I20110502000131 |
| Provider Name | Jamie A Blatt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710278288 PECOS PAC ID: 8325225139 Enrollment ID: I20110603000381 |
| Provider Name | Devon Ramaeker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437349826 PECOS PAC ID: 9234317470 Enrollment ID: I20110617000207 |
| Provider Name | Vladislava Buntic |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689796120 PECOS PAC ID: 8729188198 Enrollment ID: I20110621000167 |
| Provider Name | Megan B Mcgreevy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740423698 PECOS PAC ID: 2567640105 Enrollment ID: I20110629000557 |
| Provider Name | Tracy A Malinowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659660389 PECOS PAC ID: 6406034974 Enrollment ID: I20110705000265 |
| Provider Name | Thomas D Person |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811154867 PECOS PAC ID: 4981873049 Enrollment ID: I20110805000136 |
| Provider Name | Tunc Aksehirli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548559743 PECOS PAC ID: 2860662053 Enrollment ID: I20110825000470 |
| Provider Name | Trevor Olsen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578774766 PECOS PAC ID: 7810169265 Enrollment ID: I20111007000571 |
| Provider Name | Kathleen A Costanzo |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1528349396 PECOS PAC ID: 0840464566 Enrollment ID: I20111115000495 |
| Provider Name | Paul J Weinbaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558398040 PECOS PAC ID: 7315974045 Enrollment ID: I20111229000106 |
| Provider Name | Craig J Rush |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962667832 PECOS PAC ID: 3971779562 Enrollment ID: I20120103000582 |
| Provider Name | Zdzislaw J Chorazy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396778551 PECOS PAC ID: 4082675202 Enrollment ID: I20120109000096 |
| Provider Name | Lori M Dulabon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043477334 PECOS PAC ID: 4284800467 Enrollment ID: I20120110000800 |
| Provider Name | Peter S Lund |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407881899 PECOS PAC ID: 0547221764 Enrollment ID: I20120123000208 |
| Provider Name | Jennifer Jocuns Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205958022 PECOS PAC ID: 3476711367 Enrollment ID: I20120223000378 |
| Provider Name | Kathleen A Scutella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326316266 PECOS PAC ID: 6103085576 Enrollment ID: I20120306000123 |
| Provider Name | Jan K Brydon |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1053479980 PECOS PAC ID: 2769642560 Enrollment ID: I20120403000062 |
| Provider Name | Sonia Kaur Panesar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578756383 PECOS PAC ID: 2769645084 Enrollment ID: I20120524000501 |
| Provider Name | Gregory J Lucas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659638435 PECOS PAC ID: 6204099468 Enrollment ID: I20120525000274 |
| Provider Name | Joshua D Czerwinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174813406 PECOS PAC ID: 4082878228 Enrollment ID: I20120619000469 |
| Provider Name | William Edward Crowder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518965466 PECOS PAC ID: 2163410960 Enrollment ID: I20120802000410 |
| Provider Name | Cheryl L Beckman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558621953 PECOS PAC ID: 5890941074 Enrollment ID: I20120802000579 |
| Provider Name | Kenneth Molinero |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578661658 PECOS PAC ID: 0840385449 Enrollment ID: I20120828000045 |
| Provider Name | Melanie E Glennon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104175660 PECOS PAC ID: 5193976280 Enrollment ID: I20121120000192 |
| Provider Name | Martha Lee James |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174623623 PECOS PAC ID: 4880623255 Enrollment ID: I20121221000276 |
| Provider Name | Brian T Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093794893 PECOS PAC ID: 0042214538 Enrollment ID: I20130201000390 |
| Provider Name | Michael J Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528233426 PECOS PAC ID: 4789745977 Enrollment ID: I20130222000068 |
| Provider Name | Sheri A Coletta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558608075 PECOS PAC ID: 6507001880 Enrollment ID: I20130315000202 |
| Provider Name | Ann R Schlimm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700124104 PECOS PAC ID: 6305082470 Enrollment ID: I20130416000019 |
| Provider Name | Linda M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942540141 PECOS PAC ID: 6608013685 Enrollment ID: I20130510000412 |
| Provider Name | Jenny R Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891037503 PECOS PAC ID: 7113168055 Enrollment ID: I20130718000692 |
| Provider Name | David Thomas Steves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033432828 PECOS PAC ID: 9739354671 Enrollment ID: I20130720000094 |
| Provider Name | Kathy Arlene Simanowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841638038 PECOS PAC ID: 7315189321 Enrollment ID: I20130803000157 |
| Provider Name | Maggie R Biebel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366732273 PECOS PAC ID: 1456593813 Enrollment ID: I20130814000409 |
| Provider Name | Stephanie M Traud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689964587 PECOS PAC ID: 2567604838 Enrollment ID: I20130815000730 |
| Provider Name | Katherine Lund |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477780104 PECOS PAC ID: 0143463257 Enrollment ID: I20130821000215 |
| Provider Name | Jacqueline R Kuth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215375670 PECOS PAC ID: 9335382340 Enrollment ID: I20130823000296 |
| Provider Name | Philip St. Julien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841580750 PECOS PAC ID: 1951545508 Enrollment ID: I20130920000336 |
| Provider Name | Faraz A Siddiqui |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326354374 PECOS PAC ID: 2668600172 Enrollment ID: I20140108000454 |
| Provider Name | Laurie M Fife |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841620515 PECOS PAC ID: 5294964052 Enrollment ID: I20140128000625 |
| Provider Name | Louis J Nitsos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043392475 PECOS PAC ID: 2567481757 Enrollment ID: I20140131000563 |
| Provider Name | Siobhan H Kobal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972932960 PECOS PAC ID: 6305075821 Enrollment ID: I20140204000139 |
| Provider Name | Jennifer Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972835833 PECOS PAC ID: 1658503495 Enrollment ID: I20140410000757 |
| Provider Name | Keven Schattner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518916790 PECOS PAC ID: 0648230581 Enrollment ID: I20140527001464 |
| Provider Name | Charles J Feronti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568612620 PECOS PAC ID: 9234376872 Enrollment ID: I20140804000800 |
| Provider Name | Navalkishor Udgiri |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275700585 PECOS PAC ID: 2769609213 Enrollment ID: I20140807000903 |
| Provider Name | Kelli K Desanctis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598057424 PECOS PAC ID: 5799902086 Enrollment ID: I20140811000667 |
| Provider Name | Geoffrey B Betz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043503253 PECOS PAC ID: 6901024041 Enrollment ID: I20140902001412 |
| Provider Name | Cynthia L Clagett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265647317 PECOS PAC ID: 4789804410 Enrollment ID: I20141001001320 |
| Provider Name | April Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770983520 PECOS PAC ID: 7517127822 Enrollment ID: I20141014001722 |
| Provider Name | Heather R Mozdy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639586308 PECOS PAC ID: 7810119526 Enrollment ID: I20141113001302 |
| Provider Name | Divya Koradia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134411051 PECOS PAC ID: 3274855309 Enrollment ID: I20141201000905 |
| Provider Name | Michael Hurley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851782460 PECOS PAC ID: 7719204957 Enrollment ID: I20150326001401 |
| Provider Name | Scott A Ducharme |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174836019 PECOS PAC ID: 2163473760 Enrollment ID: I20150327000322 |
| Provider Name | Alexa Meyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366877086 PECOS PAC ID: 7416278015 Enrollment ID: I20150608002597 |
| Provider Name | Beth Pike |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497149165 PECOS PAC ID: 5799096046 Enrollment ID: I20150612002048 |
| Provider Name | Sara A Meyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154611291 PECOS PAC ID: 8628381464 Enrollment ID: I20150722004462 |
| Provider Name | Jason C Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669853909 PECOS PAC ID: 7810200532 Enrollment ID: I20150723007510 |
| Provider Name | Gregory L Vrabel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447250758 PECOS PAC ID: 2567366107 Enrollment ID: I20150728005123 |
| Provider Name | David Olszewski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396126918 PECOS PAC ID: 5395050942 Enrollment ID: I20150812006706 |
| Provider Name | Courtney R Yokom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942696521 PECOS PAC ID: 7214242320 Enrollment ID: I20150819007223 |
| Provider Name | Catherine D Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073995833 PECOS PAC ID: 2567778160 Enrollment ID: I20150827000837 |
| Provider Name | Patricia D Salvador |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194037093 PECOS PAC ID: 0244466902 Enrollment ID: I20150915002537 |
| Provider Name | Colleen M Rzomp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023485091 PECOS PAC ID: 2466760830 Enrollment ID: I20151005001192 |
| Provider Name | Kelly G Sakoian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356727622 PECOS PAC ID: 5991014037 Enrollment ID: I20151012002172 |
| Provider Name | Dawn Karns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134480445 PECOS PAC ID: 2860701489 Enrollment ID: I20151022000908 |
| Provider Name | Burkhardt H Zorn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528026986 PECOS PAC ID: 1850341629 Enrollment ID: I20151118000218 |
| Provider Name | Jacob E Guzman Calderon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134447774 PECOS PAC ID: 3072813419 Enrollment ID: I20151208000184 |
| Provider Name | Lydia Angelique Travnik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396006607 PECOS PAC ID: 6800198896 Enrollment ID: I20160107002387 |
| Provider Name | Pamela Campbell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790906212 PECOS PAC ID: 2860796448 Enrollment ID: I20160202000165 |
| Provider Name | Prabhav S Patil |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356578033 PECOS PAC ID: 4880823988 Enrollment ID: I20160208002077 |
| Provider Name | Stephen C Myers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679612071 PECOS PAC ID: 8022147842 Enrollment ID: I20160215000181 |
| Provider Name | Maxim I Novikov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982807467 PECOS PAC ID: 8426142191 Enrollment ID: I20160412002751 |
| Provider Name | Jennifer Saldanha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750694618 PECOS PAC ID: 8123339116 Enrollment ID: I20160531000198 |
| Provider Name | Kyle G Schuyler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871882548 PECOS PAC ID: 8729387618 Enrollment ID: I20160615000538 |
| Provider Name | Ashley N Morganti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831548148 PECOS PAC ID: 8527353390 Enrollment ID: I20160818002204 |
| Provider Name | Christopher J Karns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275894537 PECOS PAC ID: 8325364227 Enrollment ID: I20160823001487 |
| Provider Name | James L Sadler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285899047 PECOS PAC ID: 1456427764 Enrollment ID: I20160823002114 |
| Provider Name | Leah M Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730524364 PECOS PAC ID: 2860781499 Enrollment ID: I20160829001481 |
| Provider Name | Ryan Hancox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982040168 PECOS PAC ID: 5193020709 Enrollment ID: I20160909001457 |
| Provider Name | Edward R Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770921538 PECOS PAC ID: 5092093211 Enrollment ID: I20161024000099 |
| Provider Name | Kailey E Tarbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497202931 PECOS PAC ID: 2860770005 Enrollment ID: I20161024000641 |
| Provider Name | Lauren Narbey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972954634 PECOS PAC ID: 6204114234 Enrollment ID: I20161026002133 |
| Provider Name | Kaitlyn M Leone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861944050 PECOS PAC ID: 3173804820 Enrollment ID: I20170111002680 |
| Provider Name | Tina Renee Recker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629511571 PECOS PAC ID: 1951683788 Enrollment ID: I20170131000808 |
| Provider Name | Melissa Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114467347 PECOS PAC ID: 1951679240 Enrollment ID: I20170608002538 |
| Provider Name | Amy Lynn Pearce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649639899 PECOS PAC ID: 6406149855 Enrollment ID: I20170627000183 |
| Provider Name | Bashar Jouma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518921980 PECOS PAC ID: 9537197389 Enrollment ID: I20170720000258 |
| Provider Name | Karandeep Maur |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013209592 PECOS PAC ID: 1456678051 Enrollment ID: I20170803002237 |
| Provider Name | Elias Fares |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134476500 PECOS PAC ID: 6901107630 Enrollment ID: I20170815001033 |
| Provider Name | Goutham Vemana |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245429075 PECOS PAC ID: 6709042120 Enrollment ID: I20170911001985 |
| Provider Name | Keyur Parikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700157450 PECOS PAC ID: 0042584419 Enrollment ID: I20170922003440 |
| Provider Name | Jay Deimel |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1992948186 PECOS PAC ID: 3072732809 Enrollment ID: I20171019000150 |
| Provider Name | John Patrick Lawrence |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952320376 PECOS PAC ID: 0143249458 Enrollment ID: I20171024003031 |
| Provider Name | Andres Bryant Duran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154734861 PECOS PAC ID: 9830486075 Enrollment ID: I20171102000637 |
| Provider Name | Brandi Roxanne Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629587159 PECOS PAC ID: 7416215736 Enrollment ID: I20171214001804 |
| Provider Name | Steven Do |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447611124 PECOS PAC ID: 8921306168 Enrollment ID: I20180122000089 |
| Provider Name | Gina M Skelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083127559 PECOS PAC ID: 3779843487 Enrollment ID: I20180126002507 |
| Provider Name | Michele Ann Chereson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083127013 PECOS PAC ID: 8527328996 Enrollment ID: I20180202000427 |
| Provider Name | Jennifer Ann Mcquade |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1508050394 PECOS PAC ID: 9133281595 Enrollment ID: I20180228000599 |
| Provider Name | Jennifer Lynn Kuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982110912 PECOS PAC ID: 7810258183 Enrollment ID: I20180301000184 |
| Provider Name | Natasha Fontaine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598938177 PECOS PAC ID: 4789809484 Enrollment ID: I20180320001359 |
| Provider Name | Avinash G Purohit |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801860077 PECOS PAC ID: 2163448150 Enrollment ID: I20180426000497 |
| Provider Name | Carol A Weilacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750817904 PECOS PAC ID: 9537432901 Enrollment ID: I20180518001441 |
| Provider Name | Scott Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114435088 PECOS PAC ID: 4385909035 Enrollment ID: I20180530000173 |
| Provider Name | Feno M Monaco |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1104267830 PECOS PAC ID: 9234484304 Enrollment ID: I20180613000552 |
| Provider Name | Sean W Nutter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972097129 PECOS PAC ID: 2163778002 Enrollment ID: I20180706000373 |
| Provider Name | Apurwa Karki |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629467105 PECOS PAC ID: 1951673003 Enrollment ID: I20180809000035 |
| Provider Name | Timothy Justin Germain |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1013934538 PECOS PAC ID: 0648293449 Enrollment ID: I20180813000084 |
| Provider Name | Ellen M Hancox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609287580 PECOS PAC ID: 8628328374 Enrollment ID: I20180830001915 |
| Provider Name | Daniel Noble |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902225568 PECOS PAC ID: 8426354424 Enrollment ID: I20180917000397 |
| Provider Name | Jacob Tuttle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679065106 PECOS PAC ID: 6406107382 Enrollment ID: I20180918000350 |
| Provider Name | Carleen Cho |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205231982 PECOS PAC ID: 6103177886 Enrollment ID: I20180919001085 |
| Provider Name | Mary Lou Olszewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962904896 PECOS PAC ID: 1052662244 Enrollment ID: I20180927001201 |
| Provider Name | Joshua Bernard Metzger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669951448 PECOS PAC ID: 0941552202 Enrollment ID: I20181015002239 |
| Provider Name | Holly R Bean |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164866372 PECOS PAC ID: 1456648625 Enrollment ID: I20181031001243 |
| Provider Name | Amrita Chakraborty |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1912326455 PECOS PAC ID: 1254557523 Enrollment ID: I20181105002752 |
| Provider Name | Kayla Gabbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366910069 PECOS PAC ID: 6608114871 Enrollment ID: I20190213001796 |
| Provider Name | Jean Fitzgibbons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841751427 PECOS PAC ID: 4789926619 Enrollment ID: I20190425000970 |
| Provider Name | Susheel Narain Thekkiam Muralidharan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427302926 PECOS PAC ID: 8628215373 Enrollment ID: I20190429000935 |
| Provider Name | Jacqueline A Carlson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942291935 PECOS PAC ID: 9931196540 Enrollment ID: I20190507001423 |
| Provider Name | Natalie Michelle Grow |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386943983 PECOS PAC ID: 4587907688 Enrollment ID: I20190513001067 |
| Provider Name | Maggie Ho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235695511 PECOS PAC ID: 8224371604 Enrollment ID: I20190529000413 |
| Provider Name | Pallavi Yonghang Limbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053880575 PECOS PAC ID: 6002149622 Enrollment ID: I20190612003236 |
| Provider Name | Aaron Meehl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992263495 PECOS PAC ID: 6800120643 Enrollment ID: I20190627000987 |
| Provider Name | Stuart Bergman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992859805 PECOS PAC ID: 4587608112 Enrollment ID: I20190702001529 |
| Provider Name | Hallie R Hilinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265992077 PECOS PAC ID: 0446585848 Enrollment ID: I20190708001254 |
| Provider Name | Animesh C Gour |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477994713 PECOS PAC ID: 1153656418 Enrollment ID: I20190710000603 |
| Provider Name | Kristina Daly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063809077 PECOS PAC ID: 9931405156 Enrollment ID: I20190723001185 |
| Provider Name | Jessica Lynn Culbertson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548647175 PECOS PAC ID: 8729362017 Enrollment ID: I20190806000127 |
| Provider Name | Kiet T Ma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497098776 PECOS PAC ID: 5496989618 Enrollment ID: I20190817000108 |
| Provider Name | Casey Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295122968 PECOS PAC ID: 7012205768 Enrollment ID: I20190828002120 |
| Provider Name | Tannous K Fakhry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962715821 PECOS PAC ID: 3173815271 Enrollment ID: I20190909000524 |
| Provider Name | Amanda Wincik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720442098 PECOS PAC ID: 9638457831 Enrollment ID: I20190910000508 |
| Provider Name | Marjorie Cua |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487096152 PECOS PAC ID: 2668756263 Enrollment ID: I20191001000058 |
| Provider Name | Nicholas J Sciamanda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902259021 PECOS PAC ID: 4981991437 Enrollment ID: I20191008003147 |
| Provider Name | Kelsey Elizabeth Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457996092 PECOS PAC ID: 7517391402 Enrollment ID: I20191231001934 |
| Provider Name | Richard W Graf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629613187 PECOS PAC ID: 6204262371 Enrollment ID: I20200309000887 |
| Provider Name | Laura Gephart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568783306 PECOS PAC ID: 6002035003 Enrollment ID: I20200325002237 |
| Provider Name | Peter Rattner |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710203765 PECOS PAC ID: 4486887007 Enrollment ID: I20200430001658 |
| Provider Name | Saad Javed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780019356 PECOS PAC ID: 8628499811 Enrollment ID: I20200526000472 |
| Provider Name | Padma Natarajan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508247594 PECOS PAC ID: 1355687716 Enrollment ID: I20200702000513 |
| Provider Name | Bijal Patel Neal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801013420 PECOS PAC ID: 3072522101 Enrollment ID: I20200713002309 |
| Provider Name | Aurelio Feliciano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548201031 PECOS PAC ID: 8729979232 Enrollment ID: I20200723002676 |
| Provider Name | Shruthi Thiagarajasubramanian |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1902292378 PECOS PAC ID: 7517256787 Enrollment ID: I20200804002524 |
| Provider Name | Anisha Pratap Kamath |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508272162 PECOS PAC ID: 0547686842 Enrollment ID: I20200818000626 |
| Provider Name | Jordan Luke Allen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245626266 PECOS PAC ID: 6406272533 Enrollment ID: I20200819002056 |
| Provider Name | Jennifer K Potthoff |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427437896 PECOS PAC ID: 1254758014 Enrollment ID: I20200826000307 |
| Provider Name | Lauren A Petrovich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508211434 PECOS PAC ID: 5092001297 Enrollment ID: I20200826002460 |
| Provider Name | Michael Matean Aziz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760819007 PECOS PAC ID: 3971921560 Enrollment ID: I20200914002513 |
| Provider Name | Kenechukwu Olufemi Chudy-onwugaje |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861749780 PECOS PAC ID: 1355632233 Enrollment ID: I20200918000792 |
| Provider Name | Rima Ahmad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154760742 PECOS PAC ID: 6608005467 Enrollment ID: I20200929002046 |
| Provider Name | Lisa Haslett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699040097 PECOS PAC ID: 5991925786 Enrollment ID: I20201117002720 |
| Provider Name | Stuart Cohen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043261449 PECOS PAC ID: 6406907542 Enrollment ID: I20210107000201 |
| Provider Name | Candra A Cummings |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164466330 PECOS PAC ID: 5991770760 Enrollment ID: I20210209000151 |
| Provider Name | Erin Lois Hayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689152241 PECOS PAC ID: 7810303872 Enrollment ID: I20210317001238 |
| Provider Name | Kimberly Kristen Amy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861080624 PECOS PAC ID: 4789091497 Enrollment ID: I20210325000410 |
| Provider Name | Katelyn Stumpf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669085890 PECOS PAC ID: 7113335464 Enrollment ID: I20210426002053 |
| Provider Name | John Martin Straker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558992503 PECOS PAC ID: 7113336785 Enrollment ID: I20210511002665 |
| Provider Name | Ravi Kumar Chekka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467626283 PECOS PAC ID: 5890104210 Enrollment ID: I20210514000034 |
| Provider Name | Joseph Lach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841794906 PECOS PAC ID: 8921362831 Enrollment ID: I20210615000699 |
| Provider Name | Anuja Manju Sabapathy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336541044 PECOS PAC ID: 8628380276 Enrollment ID: I20210727000011 |
| Provider Name | April Rose Cass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902494370 PECOS PAC ID: 9133523780 Enrollment ID: I20210804003039 |
| Provider Name | Elisa Bushman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629334982 PECOS PAC ID: 6305097684 Enrollment ID: I20210805000015 |
| Provider Name | Tatum Kutzer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326492315 PECOS PAC ID: 9133466741 Enrollment ID: I20210810000246 |
| Provider Name | Jason Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841891439 PECOS PAC ID: 4385049311 Enrollment ID: I20210830000029 |
| Provider Name | Darrick R Dominick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134583172 PECOS PAC ID: 5496039836 Enrollment ID: I20210907000079 |
| Provider Name | Dominic Edward Vanchieri |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1366978611 PECOS PAC ID: 7214327337 Enrollment ID: I20211203002604 |
| Provider Name | Diana Julia Calano |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477828622 PECOS PAC ID: 4981855897 Enrollment ID: I20220103001777 |
| Provider Name | Kimberly Wallace |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144881640 PECOS PAC ID: 1850621996 Enrollment ID: I20220120001620 |
| Provider Name | Elizabeth Ann Gillette Farbotnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114469616 PECOS PAC ID: 2668865890 Enrollment ID: I20220210000367 |
| Provider Name | Kara Robin Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073275889 PECOS PAC ID: 6002202470 Enrollment ID: I20220412001008 |
| Provider Name | Ethan P Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750042214 PECOS PAC ID: 9032506878 Enrollment ID: I20220427000010 |
| Provider Name | Ashley Fatica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174275853 PECOS PAC ID: 8921495458 Enrollment ID: I20220430000191 |
| Provider Name | Emily Diane Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821520677 PECOS PAC ID: 8628456860 Enrollment ID: I20220601000064 |
| Provider Name | Khadijat O Okasime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659034155 PECOS PAC ID: 3476933441 Enrollment ID: I20220707003752 |
| Provider Name | Briana Leigh Antalek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922615046 PECOS PAC ID: 5698155448 Enrollment ID: I20220711001564 |
| Provider Name | Jay Idler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538556501 PECOS PAC ID: 1951600386 Enrollment ID: I20220714000815 |
| Provider Name | Jason Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053842682 PECOS PAC ID: 9830460880 Enrollment ID: I20220727000141 |
| Provider Name | Patrice S Pantin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366889586 PECOS PAC ID: 2062656309 Enrollment ID: I20220809004122 |
| Provider Name | Timothy Yang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326569229 PECOS PAC ID: 6901289404 Enrollment ID: I20220816002892 |
| Provider Name | Shapir Rosenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063828473 PECOS PAC ID: 4082909379 Enrollment ID: I20220901000759 |
| Provider Name | Mary Katherine Lasher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003477407 PECOS PAC ID: 1456735646 Enrollment ID: I20220907003657 |
| Provider Name | Chidrup Tripathi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154850113 PECOS PAC ID: 0244505824 Enrollment ID: I20221003000346 |
| Provider Name | Kaitlin Malito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851034987 PECOS PAC ID: 5991181455 Enrollment ID: I20221006001378 |
| Provider Name | Brian Pickering |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023677127 PECOS PAC ID: 4284000365 Enrollment ID: I20221013003455 |
| Provider Name | Laurel Wassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518694066 PECOS PAC ID: 4486020427 Enrollment ID: I20221017002629 |
| Provider Name | Savanna Strick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104546779 PECOS PAC ID: 5092181909 Enrollment ID: I20221018002233 |
| Provider Name | Laurie M Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073842027 PECOS PAC ID: 5092181891 Enrollment ID: I20221019002315 |
| Provider Name | Brittney E Gregg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932867173 PECOS PAC ID: 4183090590 Enrollment ID: I20221026000059 |
| Provider Name | Thomas Patrick Long |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972556157 PECOS PAC ID: 8022034339 Enrollment ID: I20221201003277 |
| Provider Name | Halevoor B Mahalingaiah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598830804 PECOS PAC ID: 1759289598 Enrollment ID: I20230106000423 |
| Provider Name | Nadia Asif |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336609809 PECOS PAC ID: 7911234067 Enrollment ID: I20230126000157 |
| Provider Name | Sharon Elizabeth Bittner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154063766 PECOS PAC ID: 9830562800 Enrollment ID: I20230222003248 |
| Provider Name | Bonnie Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497754436 PECOS PAC ID: 1153399860 Enrollment ID: I20230228002734 |
| Provider Name | Louis Lazzara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558786186 PECOS PAC ID: 3870925381 Enrollment ID: I20230307001305 |
| Provider Name | Melissa M Franckowiak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700077278 PECOS PAC ID: 1557457405 Enrollment ID: I20230316001316 |
| Provider Name | Mary Kathryn Sehn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558089540 PECOS PAC ID: 2062887219 Enrollment ID: I20230331001797 |
| Provider Name | Muthanna Al Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881827699 PECOS PAC ID: 3577709104 Enrollment ID: I20230331002346 |
| Provider Name | David J Mitchell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518032648 PECOS PAC ID: 4486728136 Enrollment ID: I20230519001550 |
| Provider Name | Melissa Doughty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346912433 PECOS PAC ID: 8224429790 Enrollment ID: I20230523002109 |
| Provider Name | Katelyn Nuhfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952091456 PECOS PAC ID: 9133586241 Enrollment ID: I20230606000269 |
| Provider Name | Wolfgang Wadridge Nnchiiffor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215432844 PECOS PAC ID: 9739569708 Enrollment ID: I20230606002892 |
| Provider Name | Amy Bahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124741046 PECOS PAC ID: 2860850245 Enrollment ID: I20230615003865 |
| Provider Name | Vladimir Coca Soliz |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952537995 PECOS PAC ID: 3678872637 Enrollment ID: I20230731001115 |
| Provider Name | Murray David Schwalb |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851368468 PECOS PAC ID: 5597757054 Enrollment ID: I20230824004157 |
| Provider Name | Sona Shilpakar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558856559 PECOS PAC ID: 3971848110 Enrollment ID: I20230825000207 |
| Provider Name | Mary Kuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639654122 PECOS PAC ID: 1759627177 Enrollment ID: I20230828000141 |
| Provider Name | Steven D Forman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265445365 PECOS PAC ID: 9234309741 Enrollment ID: I20230907003720 |
| Provider Name | Lance Alquran |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194229393 PECOS PAC ID: 1456736990 Enrollment ID: I20230908002235 |
| Provider Name | Brian Scott Sohl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356801542 PECOS PAC ID: 0941664932 Enrollment ID: I20230908002565 |
| Provider Name | Marshall Carpenter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730144353 PECOS PAC ID: 6002856366 Enrollment ID: I20230913004172 |
| Provider Name | Andrew M. Rogers |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1710334628 PECOS PAC ID: 0941595995 Enrollment ID: I20231004001061 |
| Provider Name | Anna Prishchepova |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043748122 PECOS PAC ID: 4284057209 Enrollment ID: I20231005000328 |
| Provider Name | Jenny Underwood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487072062 PECOS PAC ID: 9436499043 Enrollment ID: I20231014000030 |
| Provider Name | Bethany Divell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518647239 PECOS PAC ID: 0941656920 Enrollment ID: I20231026004308 |
| Provider Name | Don Edward Brinberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235237090 PECOS PAC ID: 9739224148 Enrollment ID: I20231107001152 |
| Provider Name | David Pinn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992048722 PECOS PAC ID: 2668712589 Enrollment ID: I20231108000032 |
| Provider Name | Whitney Double |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669255899 PECOS PAC ID: 0345698536 Enrollment ID: I20231129000361 |
| Provider Name | Yali Tu |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1104289446 PECOS PAC ID: 7416350723 Enrollment ID: I20231130000022 |
| Provider Name | Jessica Lynn Trimer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861840779 PECOS PAC ID: 5193019610 Enrollment ID: I20231130003938 |
| Provider Name | Jaimee Renee Snippert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588440648 PECOS PAC ID: 9133579675 Enrollment ID: I20231227000390 |
| Provider Name | Francesca Provencher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710766654 PECOS PAC ID: 0840640801 Enrollment ID: I20240103001981 |
| Provider Name | John Rosenberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467448050 PECOS PAC ID: 8123180700 Enrollment ID: I20240118000173 |
| Provider Name | Patrick Ziemann-gimmel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023008489 PECOS PAC ID: 6305887753 Enrollment ID: I20240208000161 |
| Provider Name | Brian Todd Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164435533 PECOS PAC ID: 8022064880 Enrollment ID: I20240208000781 |
| Provider Name | Ayesha Punjabi |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1669867586 PECOS PAC ID: 4486038916 Enrollment ID: I20240306000465 |
| Provider Name | Douglas Gary Stazer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376307090 PECOS PAC ID: 0941647309 Enrollment ID: I20240320002893 |
| Provider Name | Paolo Angelo Balaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134831761 PECOS PAC ID: 8820469851 Enrollment ID: I20240325000674 |
| Provider Name | Abby Armella |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134982283 PECOS PAC ID: 0547607665 Enrollment ID: I20240326000680 |
| Provider Name | Katalin Vanegas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780097139 PECOS PAC ID: 6002100484 Enrollment ID: I20240404004271 |
| Provider Name | Jessica Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497521546 PECOS PAC ID: 3971941030 Enrollment ID: I20240409001710 |
| Provider Name | Chad A Kaltenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720858178 PECOS PAC ID: 8325487804 Enrollment ID: I20240417000016 |
| Provider Name | Erin Lyn Fisk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093406647 PECOS PAC ID: 0446699508 Enrollment ID: I20240422003257 |
| Provider Name | Nabil Khawand |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366455719 PECOS PAC ID: 1456489624 Enrollment ID: I20240425001285 |
| Provider Name | Jeffrey Spencer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861802373 PECOS PAC ID: 0446596258 Enrollment ID: I20240426001198 |
| Provider Name | Megan Colleen Gilmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295598399 PECOS PAC ID: 3971944992 Enrollment ID: I20240508002346 |
| Provider Name | Marlarie Charee Hardee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861959546 PECOS PAC ID: 0143561753 Enrollment ID: I20240515000178 |
Resilience Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3910 Caughey Rd Ste 120, Erie, PA 16506 Phone: 814-314-9207 | |
Stairways Behavioral Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2910 State St, Erie, PA 16508 Phone: 814-454-5686 Fax: 814-454-8946 | |
Solutions Et Al, Inc, Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3800 West 12 Street, Ste 5, Erie, PA 16505 Phone: 814-838-2282 Fax: 814-969-7733 | |
Saint Vincent Behavioral Services-lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 Sassafras St, Suite 100, Erie, PA 16502 Phone: 814-452-5490 Fax: 814-452-7610 | |
Sarah Bickel Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Palermo Dr, Erie, PA 16506 Phone: 814-860-3179 Fax: 814-616-7400 | |
Montera Health Pennsylvania Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 W 7th St Ste 100, Erie, PA 16502 Phone: 865-680-1516 | |
Barber National Institute Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 100 Barber Pl, Erie, PA 16507 Phone: 814-453-7661 Fax: 814-874-5505 |