| St Vincent Physician Services | |
|
2001 W 86th St Indianapolis IN 46260-1902 | |
| (317) 338-2273 | |
| Not Available |
| Full Name | St Vincent Physician Services |
|---|---|
| Speciality | Family Medicine |
| Location | 2001 W 86th St, Indianapolis, Indiana |
| Authorized Official Name and Position | Brian Morris (CFO (SVMG)) |
| Authorized Official Contact | 3173386234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Vincent Physician Services 10330 N Meridian St Suite 201 Indianapolis IN 46290-1024 Ph: () - | St Vincent Physician Services 2001 W 86th St Indianapolis IN 46260-1902 Ph: (317) 338-2273 |
| NPI Number | 1669422234 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 10/07/2021 |
| Certification Date | 10/07/2021 |
| Medicare PECOS PAC ID | 9638072184 |
|---|---|
| Medicare Enrollment ID | O20040223001092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669422234 | NPI | - | NPPES |
| 100055800A | Medicaid | IN | |
| 100055800C | Medicaid | IN | |
| 100345550A | Medicaid | IN | |
| 100055800B | Medicaid | IN | |
| 100055800D | Medicaid | IN | |
| 200827600B | Medicaid | IN | |
| 100055800F | Medicaid | IN | |
| 200802910A | Medicaid | IN | |
| 100055800G | Medicaid | IN | |
| 200827600C | Medicaid | IN | |
| 100055800E | Medicaid | IN | |
| 200827600A | Medicaid | IN |
| Provider Name | Patrick Andrew Kersey |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1053365825 PECOS PAC ID: 9638073927 Enrollment ID: I20031119000813 |
| Provider Name | Paige Fenton Huls |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265416507 PECOS PAC ID: 9931095262 Enrollment ID: I20040224001066 |
| Provider Name | David James Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831292036 PECOS PAC ID: 9234127333 Enrollment ID: I20040505001759 |
| Provider Name | Sanjay Rajnikant Parikh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891770707 PECOS PAC ID: 2567444185 Enrollment ID: I20040607000213 |
| Provider Name | Anil Kumar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356326243 PECOS PAC ID: 6507848140 Enrollment ID: I20040607000353 |
| Provider Name | James Michael Scheffler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407817109 PECOS PAC ID: 2062496508 Enrollment ID: I20040615000916 |
| Provider Name | Mary Norine Walsh |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1033175310 PECOS PAC ID: 8628053162 Enrollment ID: I20040621000384 |
| Provider Name | King Gin Yee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154394179 PECOS PAC ID: 6507841053 Enrollment ID: I20040621000413 |
| Provider Name | Bruce Frank Waller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114983095 PECOS PAC ID: 9739164179 Enrollment ID: I20040621001249 |
| Provider Name | Charles Paul Taliercio |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093771362 PECOS PAC ID: 2567447733 Enrollment ID: I20040622000442 |
| Provider Name | James Anthony Trippi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164488037 PECOS PAC ID: 7012992290 Enrollment ID: I20040622000526 |
| Provider Name | John Joseph Schutzman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083676365 PECOS PAC ID: 4587568746 Enrollment ID: I20040622000719 |
| Provider Name | Douglas Scott Segar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386606663 PECOS PAC ID: 3870578081 Enrollment ID: I20040622000762 |
| Provider Name | Leonard Alan Steinberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194700500 PECOS PAC ID: 2860477098 Enrollment ID: I20040622000983 |
| Provider Name | Joseph Edward Steinmetz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700848728 PECOS PAC ID: 6103801337 Enrollment ID: I20040622001006 |
| Provider Name | Elaine K Moen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649248006 PECOS PAC ID: 6800871039 Enrollment ID: I20040622001032 |
| Provider Name | Benzy James Padanilam |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1750350419 PECOS PAC ID: 3971588021 Enrollment ID: I20040622001211 |
| Provider Name | Kirk Lenox Parr |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932178571 PECOS PAC ID: 3072421445 Enrollment ID: I20040622001225 |
| Provider Name | Thomas Frederick Peters |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184693350 PECOS PAC ID: 3971588039 Enrollment ID: I20040622001299 |
| Provider Name | Eric N Prystowsky |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1306815964 PECOS PAC ID: 8022093186 Enrollment ID: I20040622001329 |
| Provider Name | Edward T Fry |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710951181 PECOS PAC ID: 4082518246 Enrollment ID: I20040623000063 |
| Provider Name | Frank J Green |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275509945 PECOS PAC ID: 5092790030 Enrollment ID: I20040623000117 |
| Provider Name | James Bernard Hermiller |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619943263 PECOS PAC ID: 6002710266 Enrollment ID: I20040623000159 |
| Provider Name | Zachary I Hodes |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750357315 PECOS PAC ID: 0446235493 Enrollment ID: I20040623000210 |
| Provider Name | Philip Charles Kirlin |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1558339952 PECOS PAC ID: 2163407131 Enrollment ID: I20040623000398 |
| Provider Name | Dennis K Dickos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780658104 PECOS PAC ID: 5799689964 Enrollment ID: I20040623000524 |
| Provider Name | Gregory Bruce Elsner |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619941895 PECOS PAC ID: 1355245515 Enrollment ID: I20040623000540 |
| Provider Name | Julie Kay Fetters |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861466211 PECOS PAC ID: 0648255638 Enrollment ID: I20040623000564 |
| Provider Name | Michael Walter Ball |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396719761 PECOS PAC ID: 7618871880 Enrollment ID: I20040623000617 |
| Provider Name | Nancy Ann Branyas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477527000 PECOS PAC ID: 1052396066 Enrollment ID: I20040623000679 |
| Provider Name | Duncan Charles Brindley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154395630 PECOS PAC ID: 3476538489 Enrollment ID: I20040623000696 |
| Provider Name | Eric Joseph Tuchscherer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013934611 PECOS PAC ID: 1153391792 Enrollment ID: I20040729001265 |
| Provider Name | Randall R Riley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558355032 PECOS PAC ID: 0244219103 Enrollment ID: I20040817001437 |
| Provider Name | Shivika Jain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659356202 PECOS PAC ID: 7113992421 Enrollment ID: I20040831000429 |
| Provider Name | Adam Lawrence Greene |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083680763 PECOS PAC ID: 9436118395 Enrollment ID: I20041006000792 |
| Provider Name | Kristin J Hem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023007440 PECOS PAC ID: 4981663572 Enrollment ID: I20041008000443 |
| Provider Name | Natasha Jane Tomlinson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1528016904 PECOS PAC ID: 6103886288 Enrollment ID: I20041013000645 |
| Provider Name | Georgiann C Linnemeier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588695621 PECOS PAC ID: 6103889860 Enrollment ID: I20041104000662 |
| Provider Name | Thomas Mikael Armstrong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518940816 PECOS PAC ID: 4981667243 Enrollment ID: I20041108000581 |
| Provider Name | Stephen Craig Swinney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043293913 PECOS PAC ID: 4082677273 Enrollment ID: I20041109000416 |
| Provider Name | June C Murphy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912933771 PECOS PAC ID: 8921064486 Enrollment ID: I20041207000010 |
| Provider Name | Maria V Fletcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982688024 PECOS PAC ID: 1052377108 Enrollment ID: I20041209000692 |
| Provider Name | Patricia K Scharfenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568415149 PECOS PAC ID: 8820048440 Enrollment ID: I20050131000789 |
| Provider Name | David Gray Zipes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689658486 PECOS PAC ID: 4385697614 Enrollment ID: I20050228000338 |
| Provider Name | Buland I Ashraf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710989199 PECOS PAC ID: 2062465289 Enrollment ID: I20050301000076 |
| Provider Name | Sandeep Anilkumar Joshi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1730158817 PECOS PAC ID: 7719924620 Enrollment ID: I20050412001347 |
| Provider Name | Mason Ross Goodman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508848433 PECOS PAC ID: 3779521976 Enrollment ID: I20050419000764 |
| Provider Name | Andrew Michael Fouts |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326012782 PECOS PAC ID: 3173562691 Enrollment ID: I20050425001121 |
| Provider Name | Lannie James Cation |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528042934 PECOS PAC ID: 6800822263 Enrollment ID: I20050718000108 |
| Provider Name | Gregory John Mazanek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710955166 PECOS PAC ID: 4385636075 Enrollment ID: I20050811001086 |
| Provider Name | Usama Lotfy Fahmy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487638722 PECOS PAC ID: 8224069562 Enrollment ID: I20050825000880 |
| Provider Name | Lanette C Brown Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598749772 PECOS PAC ID: 5193759298 Enrollment ID: I20050919000645 |
| Provider Name | Jan E Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033165931 PECOS PAC ID: 9133147978 Enrollment ID: I20051109001133 |
| Provider Name | Jeffrey Alan Olson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629047907 PECOS PAC ID: 5193749703 Enrollment ID: I20060123000573 |
| Provider Name | James Erbowor Becksen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497723696 PECOS PAC ID: 5991719577 Enrollment ID: I20060202000866 |
| Provider Name | Nancy Rose Frappier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598762510 PECOS PAC ID: 4688688252 Enrollment ID: I20060206000661 |
| Provider Name | Andrew Joseph Spoljaric |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699773309 PECOS PAC ID: 9537174925 Enrollment ID: I20060206000909 |
| Provider Name | Debra Lynn Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043278112 PECOS PAC ID: 3577579564 Enrollment ID: I20060228000690 |
| Provider Name | Thomas Philip Schleeter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588625149 PECOS PAC ID: 9638185341 Enrollment ID: I20060303000350 |
| Provider Name | Anthony Lewis Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871511055 PECOS PAC ID: 1850301771 Enrollment ID: I20060421000368 |
| Provider Name | Matthew Joseph Scozzaro |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1851342661 PECOS PAC ID: 5890707210 Enrollment ID: I20060628000208 |
| Provider Name | Deborah A Ronco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043269830 PECOS PAC ID: 5597778324 Enrollment ID: I20060724000025 |
| Provider Name | Girish Venugopalan Nair |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1477504694 PECOS PAC ID: 3173526373 Enrollment ID: I20060808000326 |
| Provider Name | Shayne Michael Small |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669420758 PECOS PAC ID: 0840294138 Enrollment ID: I20060829000041 |
| Provider Name | Alejandro A Vega |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316907819 PECOS PAC ID: 7719982339 Enrollment ID: I20061003000326 |
| Provider Name | Michael Todd Emmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417950726 PECOS PAC ID: 2769395839 Enrollment ID: I20061101000361 |
| Provider Name | Michael Joseph Kourany |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407824816 PECOS PAC ID: 3870590805 Enrollment ID: I20061103000258 |
| Provider Name | David Cheesman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093766826 PECOS PAC ID: 5890793541 Enrollment ID: I20061114000073 |
| Provider Name | Brian Christopher Bigelow |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689647216 PECOS PAC ID: 8628077781 Enrollment ID: I20061219000174 |
| Provider Name | Jeff K Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851329056 PECOS PAC ID: 5395778716 Enrollment ID: I20061226000056 |
| Provider Name | Sara Jane Bodenmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609913615 PECOS PAC ID: 2769484161 Enrollment ID: I20070214000280 |
| Provider Name | Robert J Price |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326017989 PECOS PAC ID: 2860494101 Enrollment ID: I20070215000339 |
| Provider Name | Natasha Schwent Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992723720 PECOS PAC ID: 0345242608 Enrollment ID: I20070215000534 |
| Provider Name | Robert W Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790851509 PECOS PAC ID: 4385747286 Enrollment ID: I20070314000283 |
| Provider Name | Tronya Nycholl Hawkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619059276 PECOS PAC ID: 4587767140 Enrollment ID: I20070320000227 |
| Provider Name | Tameka Shannel Oneal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558443127 PECOS PAC ID: 3375646938 Enrollment ID: I20070320000257 |
| Provider Name | Keith Edward Ennis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033292628 PECOS PAC ID: 6608971809 Enrollment ID: I20070417000470 |
| Provider Name | Mark Randall Jennings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003915539 PECOS PAC ID: 3678678505 Enrollment ID: I20070420000268 |
| Provider Name | Susan Lynn Benson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396826350 PECOS PAC ID: 4688779556 Enrollment ID: I20070421000002 |
| Provider Name | Richard W Gates |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306812078 PECOS PAC ID: 8325144934 Enrollment ID: I20070427000330 |
| Provider Name | Angela D Stevens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093781460 PECOS PAC ID: 2567568132 Enrollment ID: I20070430000032 |
| Provider Name | Christine Ely Gupta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043256456 PECOS PAC ID: 2668575200 Enrollment ID: I20070507000106 |
| Provider Name | Jeffrey C Pauloski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619967858 PECOS PAC ID: 0244337863 Enrollment ID: I20070516000281 |
| Provider Name | Kimberly K Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669697769 PECOS PAC ID: 2961509252 Enrollment ID: I20070522000155 |
| Provider Name | Stephen J Knaus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740404920 PECOS PAC ID: 4789781873 Enrollment ID: I20070524000434 |
| Provider Name | Laura M Hampton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205051307 PECOS PAC ID: 7911005467 Enrollment ID: I20070606000407 |
| Provider Name | Brandy M Hughes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497972665 PECOS PAC ID: 3274631429 Enrollment ID: I20070612000146 |
| Provider Name | Christopher Jon Hollon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679541049 PECOS PAC ID: 8022922020 Enrollment ID: I20070619000349 |
| Provider Name | David Edward Wrobleski |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1831155118 PECOS PAC ID: 4789783044 Enrollment ID: I20070627000326 |
| Provider Name | Michael James Callahan |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1548396492 PECOS PAC ID: 0941300586 Enrollment ID: I20070711000417 |
| Provider Name | Robert J Fick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164555066 PECOS PAC ID: 1254422587 Enrollment ID: I20070801000205 |
| Provider Name | Elizabeth Louise Roth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891906418 PECOS PAC ID: 6608967732 Enrollment ID: I20070803000446 |
| Provider Name | Thomas Ryan Clouse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508980343 PECOS PAC ID: 9638263189 Enrollment ID: I20070914000577 |
| Provider Name | Stefanie A Flora |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417949397 PECOS PAC ID: 0143315309 Enrollment ID: I20071003000012 |
| Provider Name | Cathy A Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780668871 PECOS PAC ID: 7719074368 Enrollment ID: I20071030000468 |
| Provider Name | Amy L Steffey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568660421 PECOS PAC ID: 8426148479 Enrollment ID: I20071214000360 |
| Provider Name | Julia Helen Schnieders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558459644 PECOS PAC ID: 1850472754 Enrollment ID: I20080117000011 |
| Provider Name | Jeffrey Allen Hatcher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437128220 PECOS PAC ID: 7810070042 Enrollment ID: I20080212000320 |
| Provider Name | Meenu Goel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447457346 PECOS PAC ID: 4486738465 Enrollment ID: I20080229000046 |
| Provider Name | Susan Schneider Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386818144 PECOS PAC ID: 9830268481 Enrollment ID: I20080521000881 |
| Provider Name | John Andrew Oconnor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700053816 PECOS PAC ID: 9537230032 Enrollment ID: I20080611000030 |
| Provider Name | Willette Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205901410 PECOS PAC ID: 4688628183 Enrollment ID: I20080703000542 |
| Provider Name | Joseph Michael Szwed |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1922064898 PECOS PAC ID: 9335213594 Enrollment ID: I20080806000152 |
| Provider Name | Robert Glen Blessing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598939902 PECOS PAC ID: 8426124264 Enrollment ID: I20080903000095 |
| Provider Name | Anne N Knox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528238466 PECOS PAC ID: 0840366266 Enrollment ID: I20080909000706 |
| Provider Name | Lisa A Schloneger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770541864 PECOS PAC ID: 4284700600 Enrollment ID: I20080909000716 |
| Provider Name | Jerry Herbert Fletcher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770567026 PECOS PAC ID: 4082781877 Enrollment ID: I20080919000429 |
| Provider Name | Ryan R Houghton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730205790 PECOS PAC ID: 3870661044 Enrollment ID: I20081001000685 |
| Provider Name | David Larry Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750391918 PECOS PAC ID: 6608830427 Enrollment ID: I20081222000296 |
| Provider Name | James Bernard Rea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821188376 PECOS PAC ID: 3173686821 Enrollment ID: I20090107000369 |
| Provider Name | Alan Bercovitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992814537 PECOS PAC ID: 4587727185 Enrollment ID: I20090108000113 |
| Provider Name | Cynthia K Seffernick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568455491 PECOS PAC ID: 6901881721 Enrollment ID: I20090112000320 |
| Provider Name | Alton Brooks Parker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942272711 PECOS PAC ID: 7315001245 Enrollment ID: I20090121000597 |
| Provider Name | Jo Anne Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659520831 PECOS PAC ID: 2163587155 Enrollment ID: I20090206000265 |
| Provider Name | Adam W Shunk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891939823 PECOS PAC ID: 9638228729 Enrollment ID: I20090520000219 |
| Provider Name | Elizabeth Mary Wilke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649444969 PECOS PAC ID: 0749332591 Enrollment ID: I20090709000186 |
| Provider Name | Angel Ann-walker Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275781544 PECOS PAC ID: 0840342218 Enrollment ID: I20090715000621 |
| Provider Name | Laurel Bailey Fick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144301482 PECOS PAC ID: 9638249659 Enrollment ID: I20090724000408 |
| Provider Name | Chase Robberts Stuart |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952553992 PECOS PAC ID: 8022157759 Enrollment ID: I20091209000274 |
| Provider Name | Barbara A Matakevich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285624429 PECOS PAC ID: 0345380986 Enrollment ID: I20091212000130 |
| Provider Name | Jason M Blocksom |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144488495 PECOS PAC ID: 2062559297 Enrollment ID: I20100625000335 |
| Provider Name | Leah Kay Gehring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629241591 PECOS PAC ID: 9739211707 Enrollment ID: I20100712000144 |
| Provider Name | Ubaidullah Sharief |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1053348326 PECOS PAC ID: 1153322797 Enrollment ID: I20100730000279 |
| Provider Name | Cassidy A Menard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073780656 PECOS PAC ID: 0941333272 Enrollment ID: I20100806000114 |
| Provider Name | Nikhil M Patel |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1881699296 PECOS PAC ID: 1052444288 Enrollment ID: I20100809000449 |
| Provider Name | Michelle Lee Lucia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144496761 PECOS PAC ID: 1254231178 Enrollment ID: I20100818001221 |
| Provider Name | Patrick Allen Deheer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639172034 PECOS PAC ID: 9234115171 Enrollment ID: I20100820000239 |
| Provider Name | Rajan S Kheradiya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902070501 PECOS PAC ID: 9234253287 Enrollment ID: I20100827000948 |
| Provider Name | Tobi M Hough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174559736 PECOS PAC ID: 8426173329 Enrollment ID: I20100915001153 |
| Provider Name | Heidi L Harris-bromund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366426850 PECOS PAC ID: 5092831099 Enrollment ID: I20100928000406 |
| Provider Name | Douglas J Kaderabek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821097338 PECOS PAC ID: 7810948536 Enrollment ID: I20101021001330 |
| Provider Name | Terry L Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700884806 PECOS PAC ID: 9436348810 Enrollment ID: I20110118000064 |
| Provider Name | John T Cleary |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942340799 PECOS PAC ID: 0840471926 Enrollment ID: I20110222001179 |
| Provider Name | James William Malenkos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386887834 PECOS PAC ID: 8921289828 Enrollment ID: I20110225000223 |
| Provider Name | Hilary Gaudreau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194865956 PECOS PAC ID: 0941482764 Enrollment ID: I20110315000458 |
| Provider Name | Colleen C Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407026099 PECOS PAC ID: 6800079260 Enrollment ID: I20110322000572 |
| Provider Name | Loanne Marie Faulstich-fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114224557 PECOS PAC ID: 0547443822 Enrollment ID: I20110323000918 |
| Provider Name | Olivia Ann Fondoble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033137955 PECOS PAC ID: 5991693269 Enrollment ID: I20110324000391 |
| Provider Name | Susan Jo Kuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215234752 PECOS PAC ID: 2860675071 Enrollment ID: I20110325000367 |
| Provider Name | Lori Ann Petrie |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760781249 PECOS PAC ID: 7416131552 Enrollment ID: I20110413000928 |
| Provider Name | Michael Charles Walls |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497877526 PECOS PAC ID: 6406034834 Enrollment ID: I20110707000013 |
| Provider Name | Jeffrey Michael Rothenberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386671006 PECOS PAC ID: 3274718325 Enrollment ID: I20110721000229 |
| Provider Name | Sadaf Hussain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356651624 PECOS PAC ID: 8527237379 Enrollment ID: I20110811000479 |
| Provider Name | Brian Jeffrey Veerkamp |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114194628 PECOS PAC ID: 4587837133 Enrollment ID: I20111027000355 |
| Provider Name | Islam Ahmed Ghoneim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629301932 PECOS PAC ID: 2062688948 Enrollment ID: I20111223000082 |
| Provider Name | Timothy Feeney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215077938 PECOS PAC ID: 4284800772 Enrollment ID: I20120105000007 |
| Provider Name | Andrew James Williams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942473814 PECOS PAC ID: 4385811611 Enrollment ID: I20120126000763 |
| Provider Name | Nahid Eftekhari Marsden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528250438 PECOS PAC ID: 5991869307 Enrollment ID: I20120511000445 |
| Provider Name | Adam Michael Werne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235304460 PECOS PAC ID: 2062675572 Enrollment ID: I20120521000445 |
| Provider Name | Kapil A Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316180235 PECOS PAC ID: 5991969859 Enrollment ID: I20120606000293 |
| Provider Name | Degesew A Bezza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487961397 PECOS PAC ID: 5991969602 Enrollment ID: I20120608000469 |
| Provider Name | Muniza Masleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770717498 PECOS PAC ID: 4789840703 Enrollment ID: I20120719000264 |
| Provider Name | Kandice Marie Franklin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477797249 PECOS PAC ID: 1456517317 Enrollment ID: I20120720000161 |
| Provider Name | Ramesh C Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649458712 PECOS PAC ID: 9335214709 Enrollment ID: I20121011000794 |
| Provider Name | Colette R Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548511413 PECOS PAC ID: 9537310693 Enrollment ID: I20121119000428 |
| Provider Name | Jack Shamoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730497470 PECOS PAC ID: 0042464513 Enrollment ID: I20130208000448 |
| Provider Name | Susan K Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144577818 PECOS PAC ID: 6608021555 Enrollment ID: I20130227000193 |
| Provider Name | Yasir Mohamed Ahamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295963502 PECOS PAC ID: 7214172782 Enrollment ID: I20130404000227 |
| Provider Name | Melinda Sue-anne Mumford-dawdy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720250665 PECOS PAC ID: 0446496616 Enrollment ID: I20130412000115 |
| Provider Name | Devon Nicole Kendrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073774410 PECOS PAC ID: 8022286798 Enrollment ID: I20130821000510 |
| Provider Name | Amanda K Kreimer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235447913 PECOS PAC ID: 1759545064 Enrollment ID: I20130821000896 |
| Provider Name | Ashwin K Ravichandran |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1407012776 PECOS PAC ID: 8325214869 Enrollment ID: I20130904000599 |
| Provider Name | Adeshola W Afolabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689982803 PECOS PAC ID: 5193968584 Enrollment ID: I20130904000673 |
| Provider Name | Andrew David Pannabecker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467708834 PECOS PAC ID: 9830325174 Enrollment ID: I20131115000600 |
| Provider Name | Melissa Dawn Cave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225047640 PECOS PAC ID: 2365442480 Enrollment ID: I20140129000613 |
| Provider Name | Fadi Hayek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932123205 PECOS PAC ID: 5799882809 Enrollment ID: I20140214001357 |
| Provider Name | Rachelle Grace C Greist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316959919 PECOS PAC ID: 6204962657 Enrollment ID: I20140228001677 |
| Provider Name | Elizabeth Ann Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235267410 PECOS PAC ID: 6901048701 Enrollment ID: I20140603001748 |
| Provider Name | Ajit Dhakal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649558024 PECOS PAC ID: 9638394026 Enrollment ID: I20140626001622 |
| Provider Name | Murat Gonulalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790084325 PECOS PAC ID: 9830321504 Enrollment ID: I20140627000241 |
| Provider Name | Arzu Karaman Gonulalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184903981 PECOS PAC ID: 5597980821 Enrollment ID: I20140630001822 |
| Provider Name | Marie Cecilia Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063704104 PECOS PAC ID: 8628293669 Enrollment ID: I20140707000555 |
| Provider Name | Austin Grant Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154737021 PECOS PAC ID: 2961629209 Enrollment ID: I20140811002157 |
| Provider Name | Augusta Uwah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205065471 PECOS PAC ID: 7618194614 Enrollment ID: I20140815000611 |
| Provider Name | Melissa E King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265849632 PECOS PAC ID: 0244457166 Enrollment ID: I20140815001578 |
| Provider Name | Marley Ann Griffin Fagg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811283005 PECOS PAC ID: 6709004187 Enrollment ID: I20140826002779 |
| Provider Name | Kyle Mark Harry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659691913 PECOS PAC ID: 8921247420 Enrollment ID: I20140826002871 |
| Provider Name | Avinash Patil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720291024 PECOS PAC ID: 5496885915 Enrollment ID: I20140904002523 |
| Provider Name | William Benjamin Wince |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881741601 PECOS PAC ID: 4587798194 Enrollment ID: I20140923001219 |
| Provider Name | Jordan W Guse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952690315 PECOS PAC ID: 4486887270 Enrollment ID: I20140924002452 |
| Provider Name | Amy J Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578992939 PECOS PAC ID: 1355561846 Enrollment ID: I20141006000339 |
| Provider Name | Michelle D Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649688771 PECOS PAC ID: 5597986471 Enrollment ID: I20141017000369 |
| Provider Name | Heather Caul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003217753 PECOS PAC ID: 3971724824 Enrollment ID: I20141020000077 |
| Provider Name | Peter Sebastian Marcus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962431213 PECOS PAC ID: 5890971956 Enrollment ID: I20150306000834 |
| Provider Name | Stephanie R Strouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962893230 PECOS PAC ID: 8628395233 Enrollment ID: I20150319000956 |
| Provider Name | Anthony Todd Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457694770 PECOS PAC ID: 8123246394 Enrollment ID: I20150323001713 |
| Provider Name | Dianna Pauline Dye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962486209 PECOS PAC ID: 9335326685 Enrollment ID: I20150511002270 |
| Provider Name | Xu Jing Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821098328 PECOS PAC ID: 2062408693 Enrollment ID: I20150610001482 |
| Provider Name | Jay Edward Mast |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447516620 PECOS PAC ID: 0042521320 Enrollment ID: I20150615000222 |
| Provider Name | Ryan James Summitt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225430283 PECOS PAC ID: 4284945478 Enrollment ID: I20150615000979 |
| Provider Name | Maram Adnan Said |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740573716 PECOS PAC ID: 4880905389 Enrollment ID: I20150625000351 |
| Provider Name | Jennifer N Tinder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245539600 PECOS PAC ID: 6901118314 Enrollment ID: I20150626001149 |
| Provider Name | James Faulkner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184999435 PECOS PAC ID: 6406089275 Enrollment ID: I20150708002691 |
| Provider Name | Sarah Kay Goodrich |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1760656508 PECOS PAC ID: 5496901944 Enrollment ID: I20150722004067 |
| Provider Name | Amy Lynn Corrigan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1881980449 PECOS PAC ID: 4082844857 Enrollment ID: I20150724011729 |
| Provider Name | Abdul Moiz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760672760 PECOS PAC ID: 1850425299 Enrollment ID: I20151002000803 |
| Provider Name | Bushra Rafeeq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366607616 PECOS PAC ID: 1456426584 Enrollment ID: I20151023000490 |
| Provider Name | Lyree N Mikhail |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306872700 PECOS PAC ID: 9830372143 Enrollment ID: I20151215000576 |
| Provider Name | Puja Ganesh Samudra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992934178 PECOS PAC ID: 8628232832 Enrollment ID: I20160222002727 |
| Provider Name | Adnan Md Yousuf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538424734 PECOS PAC ID: 6204069552 Enrollment ID: I20160304001089 |
| Provider Name | Erin L Mccammack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306188248 PECOS PAC ID: 8820221617 Enrollment ID: I20160421002140 |
| Provider Name | Kristen Kay Kile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427412204 PECOS PAC ID: 7416246475 Enrollment ID: I20160513000862 |
| Provider Name | Lewis Lloyd Langley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811392608 PECOS PAC ID: 8729377585 Enrollment ID: I20160517002576 |
| Provider Name | Jennifer Sussan Mundell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356683866 PECOS PAC ID: 0345473112 Enrollment ID: I20160620001223 |
| Provider Name | Michelle Lee Bailey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023350923 PECOS PAC ID: 3779716550 Enrollment ID: I20160629000338 |
| Provider Name | Emily Anne Ruden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316180474 PECOS PAC ID: 3870732787 Enrollment ID: I20160708000585 |
| Provider Name | Jasen Lee Gilge |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1306188602 PECOS PAC ID: 4880827674 Enrollment ID: I20160711000438 |
| Provider Name | Rachel S Wyss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710253190 PECOS PAC ID: 5193958890 Enrollment ID: I20160712001265 |
| Provider Name | Ashley Gene-maire Funk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447579396 PECOS PAC ID: 8527368687 Enrollment ID: I20160721000526 |
| Provider Name | Sunit-preet Singh Chaudhry |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1861626038 PECOS PAC ID: 7214157940 Enrollment ID: I20160721002227 |
| Provider Name | Nicole Lee Plenty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841429602 PECOS PAC ID: 8921220757 Enrollment ID: I20160722000458 |
| Provider Name | Scott Nagel Myers |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447374293 PECOS PAC ID: 5395820005 Enrollment ID: I20160804001851 |
| Provider Name | Kathleen Lisa Morris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275971137 PECOS PAC ID: 9234371261 Enrollment ID: I20160823002868 |
| Provider Name | Martita Rolanda Meeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538512090 PECOS PAC ID: 7214223791 Enrollment ID: I20160909000352 |
| Provider Name | Doneeka Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689761629 PECOS PAC ID: 3476833237 Enrollment ID: I20161213001850 |
| Provider Name | David B Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750762506 PECOS PAC ID: 9335451541 Enrollment ID: I20161213002013 |
| Provider Name | Brian Anthony Schuetter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619428430 PECOS PAC ID: 1456632819 Enrollment ID: I20161227001794 |
| Provider Name | Adam Robert Smalley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548672298 PECOS PAC ID: 7911122668 Enrollment ID: I20170124002989 |
| Provider Name | Rebekah Marie Mozzone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427402973 PECOS PAC ID: 6204126428 Enrollment ID: I20170216001513 |
| Provider Name | Suzanne K Boyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659734648 PECOS PAC ID: 0042595050 Enrollment ID: I20170314000153 |
| Provider Name | Ashley Parmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538601174 PECOS PAC ID: 4284911488 Enrollment ID: I20170425002264 |
| Provider Name | Bahadur Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912010547 PECOS PAC ID: 3870512270 Enrollment ID: I20170612000500 |
| Provider Name | Elias Khalaf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720420607 PECOS PAC ID: 2860618014 Enrollment ID: I20170619002113 |
| Provider Name | Rebecca Jane Rothstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437569951 PECOS PAC ID: 0345518981 Enrollment ID: I20170622001591 |
| Provider Name | Rafael Samuel Garcia-cortes |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1013145986 PECOS PAC ID: 3971755737 Enrollment ID: I20170710000748 |
| Provider Name | Amit Chatur Patel |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1710205984 PECOS PAC ID: 8527384817 Enrollment ID: I20170726003838 |
| Provider Name | Michelle Maria Kurian Solik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447677331 PECOS PAC ID: 8123244423 Enrollment ID: I20170728000114 |
| Provider Name | Linda Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154748184 PECOS PAC ID: 0042436396 Enrollment ID: I20170810001258 |
| Provider Name | Kevin M Ball |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528453636 PECOS PAC ID: 2163735333 Enrollment ID: I20170814000615 |
| Provider Name | Kimberly Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841617701 PECOS PAC ID: 4789805219 Enrollment ID: I20170816002562 |
| Provider Name | Denise Rehfuss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205017241 PECOS PAC ID: 8820249352 Enrollment ID: I20170817000362 |
| Provider Name | Samsad Mansoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407273329 PECOS PAC ID: 5698991222 Enrollment ID: I20170822001067 |
| Provider Name | Megan Alyssa Woodsmall-reece |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497171300 PECOS PAC ID: 4284907460 Enrollment ID: I20170911000999 |
| Provider Name | Nizar Fayez Olabi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023004504 PECOS PAC ID: 3274529409 Enrollment ID: I20180103000320 |
| Provider Name | Ada Coryn Love-davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659706893 PECOS PAC ID: 9739440546 Enrollment ID: I20180219000339 |
| Provider Name | Deborah Ann Masiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164887618 PECOS PAC ID: 5496058521 Enrollment ID: I20180517001715 |
| Provider Name | Hilary Douglas Hinshaw |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1811211519 PECOS PAC ID: 2769606284 Enrollment ID: I20180523000175 |
| Provider Name | William Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578854725 PECOS PAC ID: 1557583754 Enrollment ID: I20180608002274 |
| Provider Name | Bradley Allen Clark |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1447510722 PECOS PAC ID: 4688994668 Enrollment ID: I20180719003786 |
| Provider Name | Kayla Marie Herget |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1700129343 PECOS PAC ID: 3678715638 Enrollment ID: I20180720000487 |
| Provider Name | Mary C Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134610058 PECOS PAC ID: 6305193418 Enrollment ID: I20180720000758 |
| Provider Name | Samantha Reid Loeser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750760161 PECOS PAC ID: 0446563621 Enrollment ID: I20180815003095 |
| Provider Name | Stephanie Ann Schen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073724357 PECOS PAC ID: 0345473120 Enrollment ID: I20180817002673 |
| Provider Name | Anayet Thakur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467453936 PECOS PAC ID: 6103983101 Enrollment ID: I20180821000111 |
| Provider Name | Kiran Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962899435 PECOS PAC ID: 4789982869 Enrollment ID: I20180827000620 |
| Provider Name | Timothy Allen Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801374137 PECOS PAC ID: 4385993260 Enrollment ID: I20180827001477 |
| Provider Name | Shelly Kakar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437544913 PECOS PAC ID: 4789990334 Enrollment ID: I20180827001552 |
| Provider Name | Michelle C Ziegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811491491 PECOS PAC ID: 2264782788 Enrollment ID: I20180904003518 |
| Provider Name | Rebecca Lauren Ridenour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902397482 PECOS PAC ID: 7416207931 Enrollment ID: I20180905000061 |
| Provider Name | Jeannette Lee Gould |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740771120 PECOS PAC ID: 5092066480 Enrollment ID: I20180925000291 |
| Provider Name | Alex Clayton Irwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275028128 PECOS PAC ID: 9830440817 Enrollment ID: I20181002001007 |
| Provider Name | Peter Harris Baenziger |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1235542101 PECOS PAC ID: 0446474233 Enrollment ID: I20181011002324 |
| Provider Name | Jennifer Erin Scarberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144717927 PECOS PAC ID: 7214289693 Enrollment ID: I20181012000971 |
| Provider Name | Krystle J Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487066015 PECOS PAC ID: 2264653955 Enrollment ID: I20181018000206 |
| Provider Name | Samantha Josephine Montuno Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972999803 PECOS PAC ID: 7416267430 Enrollment ID: I20181025002541 |
| Provider Name | Cara Jane Crone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780160069 PECOS PAC ID: 8628321940 Enrollment ID: I20181101003240 |
| Provider Name | Adina Andreea Ionescu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831468214 PECOS PAC ID: 7214167428 Enrollment ID: I20181108001728 |
| Provider Name | Dawn Renee Utz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073869160 PECOS PAC ID: 3971563479 Enrollment ID: I20190318001763 |
| Provider Name | Daphne Kyomuhendo Muzoora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467772624 PECOS PAC ID: 2769622554 Enrollment ID: I20190327001871 |
| Provider Name | Shakeel Choudhry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801258355 PECOS PAC ID: 3173863131 Enrollment ID: I20190329000661 |
| Provider Name | Sangita Sudharshan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528353448 PECOS PAC ID: 1052549961 Enrollment ID: I20190606000774 |
| Provider Name | Vanessa D Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437717295 PECOS PAC ID: 3476887183 Enrollment ID: I20190701001200 |
| Provider Name | Spencer T Romstadt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215399001 PECOS PAC ID: 2062705163 Enrollment ID: I20190717000271 |
| Provider Name | Amanda J Lyon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124465083 PECOS PAC ID: 2062712904 Enrollment ID: I20190717000415 |
| Provider Name | Tovah A Buikema |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063714459 PECOS PAC ID: 8921308149 Enrollment ID: I20190724000202 |
| Provider Name | Jonathan S Aeschliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396108742 PECOS PAC ID: 4082905690 Enrollment ID: I20190725000674 |
| Provider Name | Alexander D Facista |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316394992 PECOS PAC ID: 4284925009 Enrollment ID: I20190731000095 |
| Provider Name | Shai Mandelboim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609209600 PECOS PAC ID: 7315231107 Enrollment ID: I20190803000052 |
| Provider Name | Kara Huff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780001925 PECOS PAC ID: 1557583200 Enrollment ID: I20190809001820 |
| Provider Name | Megan Elyse Buechel |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1215203559 PECOS PAC ID: 8921335886 Enrollment ID: I20190815000178 |
| Provider Name | Christopher Benell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457714644 PECOS PAC ID: 8022309632 Enrollment ID: I20190823003498 |
| Provider Name | Jordan Schiller Thomas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104192343 PECOS PAC ID: 9234370016 Enrollment ID: I20190826001530 |
| Provider Name | Kirk Akaydin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851745954 PECOS PAC ID: 0941592208 Enrollment ID: I20190913001032 |
| Provider Name | Katherine Palmisano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467815134 PECOS PAC ID: 5294026894 Enrollment ID: I20190913001095 |
| Provider Name | Brad A Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275090151 PECOS PAC ID: 2466781570 Enrollment ID: I20190913002097 |
| Provider Name | Whitney Marie Fraiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487017141 PECOS PAC ID: 2163713785 Enrollment ID: I20190917003514 |
| Provider Name | Sergiu Stefanescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215919261 PECOS PAC ID: 2860527488 Enrollment ID: I20191004001312 |
| Provider Name | Larissa Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407404676 PECOS PAC ID: 0446582423 Enrollment ID: I20191023003120 |
| Provider Name | Amy Hueston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558905554 PECOS PAC ID: 9133552649 Enrollment ID: I20191213000348 |
| Provider Name | William Garry Birch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790339943 PECOS PAC ID: 6103252804 Enrollment ID: I20200128001927 |
| Provider Name | Jacqueline Kelly Roberts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871947440 PECOS PAC ID: 7315238490 Enrollment ID: I20200206001003 |
| Provider Name | Alex Cantafio |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235184656 PECOS PAC ID: 9739230772 Enrollment ID: I20200305000935 |
| Provider Name | Nathan Atallah Sayegh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063052868 PECOS PAC ID: 4486082831 Enrollment ID: I20200317002452 |
| Provider Name | Carrie Friedrich Gaerte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710950563 PECOS PAC ID: 4587093919 Enrollment ID: I20200406000790 |
| Provider Name | Kelly Lynn Hoonhout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528617453 PECOS PAC ID: 2769811066 Enrollment ID: I20200408001647 |
| Provider Name | Sharon Isaacs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750929592 PECOS PAC ID: 6901236066 Enrollment ID: I20200414001699 |
| Provider Name | Brittany Sherron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124481924 PECOS PAC ID: 3870884471 Enrollment ID: I20200616000609 |
| Provider Name | Katherine Wynne Han |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679002778 PECOS PAC ID: 4880016153 Enrollment ID: I20200616000984 |
| Provider Name | Christian C Dawes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548619596 PECOS PAC ID: 5890117972 Enrollment ID: I20200618000188 |
| Provider Name | Angela Barton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588019004 PECOS PAC ID: 5395036719 Enrollment ID: I20200623002068 |
| Provider Name | Kevin Mcnulty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134657109 PECOS PAC ID: 5496023582 Enrollment ID: I20200706002522 |
| Provider Name | Arham Ashraf Zavery |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780116038 PECOS PAC ID: 4486925534 Enrollment ID: I20200708001874 |
| Provider Name | Macon Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205357860 PECOS PAC ID: 7618391244 Enrollment ID: I20200715003348 |
| Provider Name | Amber Boksa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255863742 PECOS PAC ID: 0244654812 Enrollment ID: I20200716000921 |
| Provider Name | Eric Nyberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043743909 PECOS PAC ID: 9032488713 Enrollment ID: I20200730001096 |
| Provider Name | Peter Davis |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1033525662 PECOS PAC ID: 8921224031 Enrollment ID: I20200818000935 |
| Provider Name | Cara Louise Melvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508486267 PECOS PAC ID: 7214353457 Enrollment ID: I20200818002524 |
| Provider Name | Elizabette Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922539295 PECOS PAC ID: 7618246380 Enrollment ID: I20200821000937 |
| Provider Name | Kalyan Sreeram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457884272 PECOS PAC ID: 0446528681 Enrollment ID: I20200821002023 |
| Provider Name | Adil Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780117176 PECOS PAC ID: 5597003202 Enrollment ID: I20200827001825 |
| Provider Name | Sudhir Dhobale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124294988 PECOS PAC ID: 4183817695 Enrollment ID: I20200929002366 |
| Provider Name | Shelby M Forney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073158986 PECOS PAC ID: 1456770890 Enrollment ID: I20201002002559 |
| Provider Name | Joann Maria Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982137246 PECOS PAC ID: 1557630241 Enrollment ID: I20201005000279 |
| Provider Name | Stacey Stevens Schmiedecke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124392741 PECOS PAC ID: 1153741152 Enrollment ID: I20210121002127 |
| Provider Name | Deepti Alluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376074955 PECOS PAC ID: 3971876715 Enrollment ID: I20210122000449 |
| Provider Name | Joy Dawn Isner Rugenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154913465 PECOS PAC ID: 0345655056 Enrollment ID: I20210210001510 |
| Provider Name | Gabrielle Ann Peterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396367165 PECOS PAC ID: 2264848910 Enrollment ID: I20210304001721 |
| Provider Name | Mercae Hearth |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225400898 PECOS PAC ID: 2365841764 Enrollment ID: I20210603003099 |
| Provider Name | Matthew Glogoza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356835474 PECOS PAC ID: 0143579805 Enrollment ID: I20210611002047 |
| Provider Name | Rachel Grey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669063673 PECOS PAC ID: 3173923992 Enrollment ID: I20210616002190 |
| Provider Name | Jessie M Thibedeau |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699282459 PECOS PAC ID: 9739435587 Enrollment ID: I20210624000479 |
| Provider Name | Julie Hennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114500865 PECOS PAC ID: 7113328477 Enrollment ID: I20210624002399 |
| Provider Name | Sig-linda Jacobson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033291323 PECOS PAC ID: 5698869980 Enrollment ID: I20210629002913 |
| Provider Name | Madeline Chikamba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154828986 PECOS PAC ID: 6204183544 Enrollment ID: I20210702001617 |
| Provider Name | Alexander Slaten |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104322676 PECOS PAC ID: 4385991645 Enrollment ID: I20210702002691 |
| Provider Name | Allison Palmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235636994 PECOS PAC ID: 6406103761 Enrollment ID: I20210708003132 |
| Provider Name | Stephen Hon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053817965 PECOS PAC ID: 3971850231 Enrollment ID: I20210709001042 |
| Provider Name | Philip Graves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265929079 PECOS PAC ID: 4880941681 Enrollment ID: I20210715000121 |
| Provider Name | Maryan Samsom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104313832 PECOS PAC ID: 1254733975 Enrollment ID: I20210716001453 |
| Provider Name | Olivia F Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922504034 PECOS PAC ID: 8729335088 Enrollment ID: I20210719001617 |
| Provider Name | Nicole Anne Slaten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174011142 PECOS PAC ID: 3375808777 Enrollment ID: I20210723002075 |
| Provider Name | Annabeth Fairchild |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922532290 PECOS PAC ID: 3072882745 Enrollment ID: I20210802001495 |
| Provider Name | Leslee Sell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083064265 PECOS PAC ID: 8022427251 Enrollment ID: I20210809000642 |
| Provider Name | Hasan Mukhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568953032 PECOS PAC ID: 5698179844 Enrollment ID: I20210810001742 |
| Provider Name | Saif Aljemmali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558723007 PECOS PAC ID: 4587068614 Enrollment ID: I20210811001128 |
| Provider Name | Jung-ho Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366934044 PECOS PAC ID: 9436407384 Enrollment ID: I20210824002214 |
| Provider Name | Aamer Javed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346737491 PECOS PAC ID: 0840546073 Enrollment ID: I20210830002523 |
| Provider Name | Eric Andonian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295402915 PECOS PAC ID: 9830596295 Enrollment ID: I20210928000667 |
| Provider Name | Daniel J Sheps |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245580331 PECOS PAC ID: 1254573066 Enrollment ID: I20211008001118 |
| Provider Name | Jonathan Koons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912490863 PECOS PAC ID: 4688929169 Enrollment ID: I20211021002693 |
| Provider Name | Abby Elizabeth Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346810918 PECOS PAC ID: 8022406990 Enrollment ID: I20211026001278 |
| Provider Name | Joni Marie Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518486968 PECOS PAC ID: 0446649719 Enrollment ID: I20211109000726 |
| Provider Name | Minakshee Mohanty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639528813 PECOS PAC ID: 8628303765 Enrollment ID: I20211118002358 |
| Provider Name | Ashley Marie Burks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740942382 PECOS PAC ID: 2062802317 Enrollment ID: I20211201001083 |
| Provider Name | Luanna Beauchamp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740224286 PECOS PAC ID: 0749211720 Enrollment ID: I20211221002066 |
| Provider Name | Sydni Alyse Rucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609446624 PECOS PAC ID: 9830580711 Enrollment ID: I20220104000712 |
| Provider Name | Amir Naderi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245736115 PECOS PAC ID: 2860883824 Enrollment ID: I20220125000938 |
| Provider Name | Melissa Anderson Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285249003 PECOS PAC ID: 9234522616 Enrollment ID: I20220207002297 |
| Provider Name | Jonathan Charles Mccollum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841782919 PECOS PAC ID: 1254686967 Enrollment ID: I20220208001439 |
| Provider Name | Lindsay Anne Schroeder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154748614 PECOS PAC ID: 7416233648 Enrollment ID: I20220301002164 |
| Provider Name | Taylor Lee Reuter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831868884 PECOS PAC ID: 2668867664 Enrollment ID: I20220309001515 |
| Provider Name | Marcia E Hoffheimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689946451 PECOS PAC ID: 8729375225 Enrollment ID: I20220323001630 |
| Provider Name | Molly Elizabeth Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265190730 PECOS PAC ID: 7214322429 Enrollment ID: I20220324000846 |
| Provider Name | Carli Dekeyser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982268751 PECOS PAC ID: 4183955156 Enrollment ID: I20220405001854 |
| Provider Name | Amanda Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942404884 PECOS PAC ID: 4880732213 Enrollment ID: I20220513002159 |
| Provider Name | Tina Mason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457301301 PECOS PAC ID: 8921052143 Enrollment ID: I20220520001640 |
| Provider Name | Justin L Arunthamakun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679936074 PECOS PAC ID: 1951639582 Enrollment ID: I20220602001035 |
| Provider Name | Christine M Alicea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689134280 PECOS PAC ID: 0345575023 Enrollment ID: I20220615001739 |
| Provider Name | Brett Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154060051 PECOS PAC ID: 6800276676 Enrollment ID: I20220711002276 |
| Provider Name | Brandon Pearce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740740869 PECOS PAC ID: 5799010476 Enrollment ID: I20220719001039 |
| Provider Name | Emily M Mathis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780145888 PECOS PAC ID: 5698000388 Enrollment ID: I20220720000645 |
| Provider Name | Joseph Daoko |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316100886 PECOS PAC ID: 4587700018 Enrollment ID: I20220727003108 |
| Provider Name | Bryce Fawcett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730642810 PECOS PAC ID: 9739416744 Enrollment ID: I20220812000777 |
| Provider Name | Paul Dugdale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689136988 PECOS PAC ID: 1456688837 Enrollment ID: I20220812000926 |
| Provider Name | Angelea Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265935654 PECOS PAC ID: 5395086466 Enrollment ID: I20220812002466 |
| Provider Name | Jennifer Pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093249666 PECOS PAC ID: 9032482252 Enrollment ID: I20220909000841 |
| Provider Name | Elizabeth Wickstrom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952473118 PECOS PAC ID: 4284731662 Enrollment ID: I20220913002986 |
| Provider Name | Skyler Gick |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1366948507 PECOS PAC ID: 2466707526 Enrollment ID: I20220913003039 |
| Provider Name | Kerry Pieper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164156220 PECOS PAC ID: 5799161907 Enrollment ID: I20220926001277 |
| Provider Name | Codi Rae Raab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508587494 PECOS PAC ID: 2567848310 Enrollment ID: I20220930001405 |
| Provider Name | Shalanta Seawood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740925650 PECOS PAC ID: 7618353244 Enrollment ID: I20221004003111 |
| Provider Name | Stephanie Gleason |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578026217 PECOS PAC ID: 3870828569 Enrollment ID: I20221006001939 |
| Provider Name | James P Adlam |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033641949 PECOS PAC ID: 0446529119 Enrollment ID: I20221007002320 |
| Provider Name | Pedro Arrabal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588627236 PECOS PAC ID: 0345237863 Enrollment ID: I20221202001435 |
| Provider Name | Gabrielle Stubblefield Heinz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053036251 PECOS PAC ID: 6901276450 Enrollment ID: I20221228001652 |
| Provider Name | Jazmine Castaneda Loaiza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881338572 PECOS PAC ID: 3577933688 Enrollment ID: I20230106001084 |
| Provider Name | Brooke Ratcliffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710649496 PECOS PAC ID: 0042681330 Enrollment ID: I20230124003461 |
| Provider Name | Jacqueline Merritt Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538879184 PECOS PAC ID: 6305219189 Enrollment ID: I20230224002306 |
| Provider Name | Karen A Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821708629 PECOS PAC ID: 3678947249 Enrollment ID: I20230322000549 |
| Provider Name | Michelle Owens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669694063 PECOS PAC ID: 2860584109 Enrollment ID: I20230403002087 |
| Provider Name | Erin M Hedlund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386340396 PECOS PAC ID: 0446625123 Enrollment ID: I20230411001855 |
| Provider Name | Charles Elomba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669182663 PECOS PAC ID: 1759746001 Enrollment ID: I20230420002153 |
| Provider Name | Sapan Bhuta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487219135 PECOS PAC ID: 7214392778 Enrollment ID: I20230505000670 |
| Provider Name | Michelle Bekono Nsahlai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366962060 PECOS PAC ID: 9335505494 Enrollment ID: I20230515002443 |
| Provider Name | Caroline Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740935162 PECOS PAC ID: 6406213479 Enrollment ID: I20230606003389 |
| Provider Name | Jill Mccaulley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669607388 PECOS PAC ID: 0749400034 Enrollment ID: I20230612000505 |
| Provider Name | Janeesh Sekkath-veedu |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1770922726 PECOS PAC ID: 6002121803 Enrollment ID: I20230705000617 |
| Provider Name | Derek Duane Mounsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205464203 PECOS PAC ID: 9234553744 Enrollment ID: I20230711001550 |
| Provider Name | Cameron Whitler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265963797 PECOS PAC ID: 4981973658 Enrollment ID: I20230711001998 |
| Provider Name | Sheldon Watts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275162083 PECOS PAC ID: 8729402706 Enrollment ID: I20230711003874 |
| Provider Name | Claire Dougherty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386271310 PECOS PAC ID: 6204250715 Enrollment ID: I20230713000157 |
| Provider Name | Nhila Jagadeesan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720460355 PECOS PAC ID: 7517271299 Enrollment ID: I20230717001058 |
| Provider Name | Adam M Kloha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992333801 PECOS PAC ID: 9032533542 Enrollment ID: I20230802003734 |
| Provider Name | Emilie Jacobsen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548729445 PECOS PAC ID: 9638404999 Enrollment ID: I20230803004086 |
| Provider Name | Larita Raye Grimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578255915 PECOS PAC ID: 9638530827 Enrollment ID: I20230803004231 |
| Provider Name | Jesse D Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992496558 PECOS PAC ID: 3577925155 Enrollment ID: I20230814002930 |
| Provider Name | Michael Marcotte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326046889 PECOS PAC ID: 5890751457 Enrollment ID: I20230825001313 |
| Provider Name | Ashley Stowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255014007 PECOS PAC ID: 5193188654 Enrollment ID: I20230830003719 |
| Provider Name | Alexis M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538944293 PECOS PAC ID: 0446606800 Enrollment ID: I20231023000545 |
| Provider Name | Logan Raeanna Sears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801471362 PECOS PAC ID: 5991151946 Enrollment ID: I20231026002460 |
| Provider Name | Lashawnda P Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558051771 PECOS PAC ID: 3870940612 Enrollment ID: I20231115003074 |
| Provider Name | Abed Albadri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366222192 PECOS PAC ID: 5092162743 Enrollment ID: I20231117000255 |
| Provider Name | Fatima Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750843611 PECOS PAC ID: 0244566529 Enrollment ID: I20240103002186 |
| Provider Name | Armita Whelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639950462 PECOS PAC ID: 7113370701 Enrollment ID: I20240131000463 |
| Provider Name | Stephany Allison Keys |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033787098 PECOS PAC ID: 6002253663 Enrollment ID: I20240319002827 |
| Provider Name | Cathryn Luckoski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518389436 PECOS PAC ID: 1951748177 Enrollment ID: I20240325000362 |
| Provider Name | Dana J Chapman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619137122 PECOS PAC ID: 4385082973 Enrollment ID: I20240402001183 |
| Provider Name | Alhang Konyak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225266992 PECOS PAC ID: 4082897012 Enrollment ID: I20240405002530 |
| Provider Name | Patricia Nicole Ray |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1942503362 PECOS PAC ID: 7517307499 Enrollment ID: I20240425000728 |
| Provider Name | Edward Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992142814 PECOS PAC ID: 3678846425 Enrollment ID: I20240522000408 |
Indiana Behavior Analysis Academy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2417 Baur Dr, Indianapolis, IN 46220 Phone: 317-414-2147 | |
St. Vincent Stress Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8401 Harcourt Rd, Indianapolis, IN 46260 Phone: 317-338-4600 | |
Reach For Youth, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5401 Shelby St, Indianapolis, IN 46227 Phone: 317-788-4451 Fax: 317-788-4465 | |
Hns Consulting Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4954 E 56th St Ste 14, Indianapolis, IN 46220 Phone: 317-640-6997 | |
Brain Performance Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3003 E. 98th Street, Suite # 107, Indianapolis, IN 46280 Phone: 463-273-2093 Fax: 317-672-1971 | |
Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 931 E 86th St, Ste. 101, Indianapolis, IN 46240 Phone: 317-466-1516 | |
Mind Matters Counseling And Support Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7962 Oaklandon Rd Ste 106, Indianapolis, IN 46236 Phone: 317-721-6145 |