| Swedish Covenant Medical Group | |
|
5140 N California Ave Chicago IL 60625-3645 | |
| (847) 570-2040 | |
| Not Available |
| Full Name | Swedish Covenant Medical Group |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 5140 N California Ave, Chicago, Illinois |
| Authorized Official Name and Position | Carrie L. Bradford (AVP, PHYSICIAN SERVICES AND CVO) |
| Authorized Official Contact | 8475702041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swedish Covenant Medical Group 2650 Ridge Ave Ste 1223 Evanston IL 60201-1700 Ph: (847) 570-2040 | Swedish Covenant Medical Group 5140 N California Ave Chicago IL 60625-3645 Ph: (847) 570-2040 |
| NPI Number | 1760432348 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 06/08/2021 |
| Certification Date | 06/08/2021 |
| Medicare PECOS PAC ID | 4486556016 |
|---|---|
| Medicare Enrollment ID | O20040123000850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760432348 | NPI | - | NPPES |
| Provider Name | Michelle A Kominiarek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902822737 PECOS PAC ID: 4284530411 Enrollment ID: I20031209000850 |
| Provider Name | Jeanine M Maurice |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831149350 PECOS PAC ID: 7618874314 Enrollment ID: I20031218000773 |
| Provider Name | Nandi R Narine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750407201 PECOS PAC ID: 0648164137 Enrollment ID: I20040216000097 |
| Provider Name | Richard Levy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265431381 PECOS PAC ID: 0547155210 Enrollment ID: I20040220000407 |
| Provider Name | Tony J Nahhas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285619056 PECOS PAC ID: 5890680565 Enrollment ID: I20040301000051 |
| Provider Name | Edelberto C Perez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881705242 PECOS PAC ID: 3678460086 Enrollment ID: I20040301001121 |
| Provider Name | Elyse A Lambiase |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1912992561 PECOS PAC ID: 1355233958 Enrollment ID: I20040329000175 |
| Provider Name | David C Engblade |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700821204 PECOS PAC ID: 7113819442 Enrollment ID: I20040330000015 |
| Provider Name | Jeffrey C Cilley |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1316028780 PECOS PAC ID: 2668464413 Enrollment ID: I20040401000093 |
| Provider Name | Jayshree Dhali |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952350803 PECOS PAC ID: 3870586142 Enrollment ID: I20040405000650 |
| Provider Name | Terry I Younger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598731481 PECOS PAC ID: 4880593177 Enrollment ID: I20040424000283 |
| Provider Name | Eduardo J Villa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447347802 PECOS PAC ID: 7012906092 Enrollment ID: I20040506001362 |
| Provider Name | Leo C Dilan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598717944 PECOS PAC ID: 3476544958 Enrollment ID: I20040522000120 |
| Provider Name | Bruce W Mcnulty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629015839 PECOS PAC ID: 9830170257 Enrollment ID: I20040601000194 |
| Provider Name | Ketki C Modi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477502326 PECOS PAC ID: 6204818263 Enrollment ID: I20040603000387 |
| Provider Name | Trina L Norman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548214877 PECOS PAC ID: 4284616707 Enrollment ID: I20040607000904 |
| Provider Name | Danish Haque |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336193093 PECOS PAC ID: 0446235410 Enrollment ID: I20040623000385 |
| Provider Name | Mark Gerald Neerhof |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255359675 PECOS PAC ID: 7517942386 Enrollment ID: I20040624000317 |
| Provider Name | Sylveena E Ali |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134174931 PECOS PAC ID: 7214914654 Enrollment ID: I20040702000402 |
| Provider Name | Felicia G Lane Fincher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467471185 PECOS PAC ID: 7719965417 Enrollment ID: I20040709000582 |
| Provider Name | Debra M Block |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871624890 PECOS PAC ID: 7719967207 Enrollment ID: I20040723001253 |
| Provider Name | Charles Strulovitch |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1821040841 PECOS PAC ID: 4981675774 Enrollment ID: I20040804001461 |
| Provider Name | James B Morosco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467498923 PECOS PAC ID: 0941198428 Enrollment ID: I20040810000007 |
| Provider Name | Michael G Feinzimer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457455065 PECOS PAC ID: 2961474069 Enrollment ID: I20040810000280 |
| Provider Name | Mary Ann Figel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972593184 PECOS PAC ID: 4082515960 Enrollment ID: I20040812001410 |
| Provider Name | Carl K Moshovitis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598702912 PECOS PAC ID: 5092789149 Enrollment ID: I20040824000698 |
| Provider Name | Andrew Costello |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710931001 PECOS PAC ID: 7315915659 Enrollment ID: I20040923000701 |
| Provider Name | Pamela E Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821060039 PECOS PAC ID: 5890763171 Enrollment ID: I20040923001009 |
| Provider Name | Beth A Plunkett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437180650 PECOS PAC ID: 3072582394 Enrollment ID: I20041001000888 |
| Provider Name | Deborah A Butler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760474233 PECOS PAC ID: 7719946888 Enrollment ID: I20041005000541 |
| Provider Name | Edgar G Chedrawy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1629089495 PECOS PAC ID: 6800790312 Enrollment ID: I20041014000883 |
| Provider Name | Shayna A Mancuso |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558394510 PECOS PAC ID: 4981665833 Enrollment ID: I20041023000041 |
| Provider Name | Marguerite A Vitulski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285805655 PECOS PAC ID: 6406819903 Enrollment ID: I20041105000534 |
| Provider Name | Myron Glassenberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487758850 PECOS PAC ID: 9830152081 Enrollment ID: I20041109000107 |
| Provider Name | Jaroslaw B Dzwinyk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427164367 PECOS PAC ID: 8628032927 Enrollment ID: I20041116001127 |
| Provider Name | Daniel R Greenberg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952398919 PECOS PAC ID: 6800852443 Enrollment ID: I20041206001034 |
| Provider Name | Alina S Angyalosy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326082140 PECOS PAC ID: 8426014929 Enrollment ID: I20041207000310 |
| Provider Name | Tanya Reeves Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427106921 PECOS PAC ID: 6103877758 Enrollment ID: I20050201000812 |
| Provider Name | Heather L Forster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396759551 PECOS PAC ID: 4486608817 Enrollment ID: I20050309000387 |
| Provider Name | Ronald D Curran |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1407867286 PECOS PAC ID: 9638126436 Enrollment ID: I20050404001065 |
| Provider Name | Oleh Terleckyj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144247958 PECOS PAC ID: 5294772836 Enrollment ID: I20050414000721 |
| Provider Name | Krister Martin Johansson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831136027 PECOS PAC ID: 9830136472 Enrollment ID: I20050414001005 |
| Provider Name | Daniel T. Laich |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558357046 PECOS PAC ID: 5395649255 Enrollment ID: I20050518001030 |
| Provider Name | Kelly Hoberman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922038553 PECOS PAC ID: 4587605514 Enrollment ID: I20050519000446 |
| Provider Name | Dorota Jadwiga Domanski Erdman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033206636 PECOS PAC ID: 0749223139 Enrollment ID: I20050607000376 |
| Provider Name | Therese C Wos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053360610 PECOS PAC ID: 2860435815 Enrollment ID: I20050609001068 |
| Provider Name | Tatiana A Batista |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972612760 PECOS PAC ID: 8921035478 Enrollment ID: I20050726000894 |
| Provider Name | Alan D Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083605034 PECOS PAC ID: 5496787632 Enrollment ID: I20050909000251 |
| Provider Name | Scott N. Macgregor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275561193 PECOS PAC ID: 1850203209 Enrollment ID: I20050920000543 |
| Provider Name | Johanna Chookaszian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366455818 PECOS PAC ID: 2567458227 Enrollment ID: I20051017000345 |
| Provider Name | Kudus K Akinde |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659365245 PECOS PAC ID: 1355368713 Enrollment ID: I20051026000207 |
| Provider Name | Veena Jacob Korah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780761692 PECOS PAC ID: 6507880184 Enrollment ID: I20060123000363 |
| Provider Name | Michael Dennis Amer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275615353 PECOS PAC ID: 4082629431 Enrollment ID: I20060207000527 |
| Provider Name | Ian A. Grable |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972538031 PECOS PAC ID: 9436165222 Enrollment ID: I20060303000128 |
| Provider Name | Eric H Gluck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952351470 PECOS PAC ID: 4789692310 Enrollment ID: I20060323000550 |
| Provider Name | Ann E B Borders |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841240397 PECOS PAC ID: 0941218820 Enrollment ID: I20060404000441 |
| Provider Name | Basava P Ancha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265488647 PECOS PAC ID: 4486663945 Enrollment ID: I20060411000352 |
| Provider Name | Richard H Tarabey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649427931 PECOS PAC ID: 3971530270 Enrollment ID: I20060417000028 |
| Provider Name | Jonathan J Younan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568405710 PECOS PAC ID: 7113937822 Enrollment ID: I20060426000061 |
| Provider Name | James H Vasilakis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093769382 PECOS PAC ID: 3173533619 Enrollment ID: I20060428000260 |
| Provider Name | Jonathan D Getz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386683969 PECOS PAC ID: 1850301995 Enrollment ID: I20060503000516 |
| Provider Name | Kirsten G Hefele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992849137 PECOS PAC ID: 6204847213 Enrollment ID: I20060505000176 |
| Provider Name | Stanislaw Bryjak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932159126 PECOS PAC ID: 2264443688 Enrollment ID: I20060525000014 |
| Provider Name | Leonid Zetser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174577340 PECOS PAC ID: 6709898349 Enrollment ID: I20060622000081 |
| Provider Name | Frederick Wilburn Bylsma |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164491817 PECOS PAC ID: 3678586450 Enrollment ID: I20060721000168 |
| Provider Name | John R Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083655310 PECOS PAC ID: 9234133406 Enrollment ID: I20060830000194 |
| Provider Name | Cecylia K Mizera |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1114937687 PECOS PAC ID: 2567466626 Enrollment ID: I20060831000479 |
| Provider Name | Kate L Maxouris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215986062 PECOS PAC ID: 3476557331 Enrollment ID: I20060907000122 |
| Provider Name | Kristin A Dolling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174557524 PECOS PAC ID: 0648236760 Enrollment ID: I20060928000261 |
| Provider Name | Anne Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912973181 PECOS PAC ID: 2961408075 Enrollment ID: I20061012000624 |
| Provider Name | Ann M Mcdermott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437109204 PECOS PAC ID: 4688670664 Enrollment ID: I20061016000027 |
| Provider Name | Emma Marion Tanase |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346259256 PECOS PAC ID: 8123027919 Enrollment ID: I20061205000147 |
| Provider Name | Sarah C Kotek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780604546 PECOS PAC ID: 1355340894 Enrollment ID: I20061212000213 |
| Provider Name | Jennifer Otoole |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538182332 PECOS PAC ID: 1557360823 Enrollment ID: I20061214000133 |
| Provider Name | David W Ouyang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821043944 PECOS PAC ID: 4082615505 Enrollment ID: I20070126000290 |
| Provider Name | Shameem Abbasy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063425965 PECOS PAC ID: 9931204914 Enrollment ID: I20070419000497 |
| Provider Name | Sean-adam Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578552915 PECOS PAC ID: 6608972310 Enrollment ID: I20070426000033 |
| Provider Name | Eden Horigan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497725451 PECOS PAC ID: 1456360049 Enrollment ID: I20070725000138 |
| Provider Name | Sung Sup Kim |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700822541 PECOS PAC ID: 6305947011 Enrollment ID: I20070725000402 |
| Provider Name | Abed E Dehnee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285778472 PECOS PAC ID: 0840381596 Enrollment ID: I20070809000310 |
| Provider Name | Brandy L Frost |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548326507 PECOS PAC ID: 8325139876 Enrollment ID: I20070813000366 |
| Provider Name | Steven E Press |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467479097 PECOS PAC ID: 5698867380 Enrollment ID: I20070827000216 |
| Provider Name | Jacqueline K Souza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770636979 PECOS PAC ID: 8426141763 Enrollment ID: I20070904000100 |
| Provider Name | Sung J Cho |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770789307 PECOS PAC ID: 0840383618 Enrollment ID: I20070910000892 |
| Provider Name | Halleh Akbarnia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144301227 PECOS PAC ID: 4587757208 Enrollment ID: I20070914000489 |
| Provider Name | Vaidotas J Petrus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154513505 PECOS PAC ID: 9032204193 Enrollment ID: I20071004000095 |
| Provider Name | Atika T Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174713648 PECOS PAC ID: 3971698929 Enrollment ID: I20071005000004 |
| Provider Name | Kimberly M Bloomcamp |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154547875 PECOS PAC ID: 2264527167 Enrollment ID: I20071008000448 |
| Provider Name | Mary C Dewberry Lait |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598811994 PECOS PAC ID: 8325138621 Enrollment ID: I20071226000018 |
| Provider Name | Sheba Ampalloor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023039138 PECOS PAC ID: 9830279785 Enrollment ID: I20080103000751 |
| Provider Name | Jyothi V Thota |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205808102 PECOS PAC ID: 1153403365 Enrollment ID: I20080128000221 |
| Provider Name | Bozena G Theodoropoulos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619970225 PECOS PAC ID: 7113096512 Enrollment ID: I20080527000036 |
| Provider Name | Lynette C Connell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891997540 PECOS PAC ID: 1951471010 Enrollment ID: I20080531000052 |
| Provider Name | Sheldon D Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811910185 PECOS PAC ID: 3577635580 Enrollment ID: I20080709000119 |
| Provider Name | Ronnie Ranjan Mandal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104002872 PECOS PAC ID: 0244303543 Enrollment ID: I20080721000093 |
| Provider Name | Benjamin T Flagel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619185303 PECOS PAC ID: 1355416777 Enrollment ID: I20080820000343 |
| Provider Name | Andrew Sagan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689699365 PECOS PAC ID: 3779659057 Enrollment ID: I20080910000533 |
| Provider Name | Linda Simon-price |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659484871 PECOS PAC ID: 7214003300 Enrollment ID: I20080915000404 |
| Provider Name | Christine A Patte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659564342 PECOS PAC ID: 1456428119 Enrollment ID: I20080922000357 |
| Provider Name | Dana M Glasenhardt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619124179 PECOS PAC ID: 4587731252 Enrollment ID: I20080922000494 |
| Provider Name | Jeffrey A Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952374795 PECOS PAC ID: 7719944156 Enrollment ID: I20080926000634 |
| Provider Name | Latasha D Nelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841460862 PECOS PAC ID: 1355383357 Enrollment ID: I20081010000277 |
| Provider Name | Kirk Kittikamron |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972769222 PECOS PAC ID: 3072671759 Enrollment ID: I20081024000140 |
| Provider Name | Amera Manzoor Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760502306 PECOS PAC ID: 7719046192 Enrollment ID: I20081030000742 |
| Provider Name | Keri Jh Robertson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427244094 PECOS PAC ID: 8123196615 Enrollment ID: I20081105000425 |
| Provider Name | Oksana Barilyak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588855498 PECOS PAC ID: 3274694138 Enrollment ID: I20081210000475 |
| Provider Name | Daniel Orozco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154329399 PECOS PAC ID: 9537221957 Enrollment ID: I20081218000729 |
| Provider Name | Christal West |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427016856 PECOS PAC ID: 0446312730 Enrollment ID: I20081220000037 |
| Provider Name | Hanho Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437109857 PECOS PAC ID: 6305993445 Enrollment ID: I20090407000528 |
| Provider Name | Nancy J Chaiken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639316334 PECOS PAC ID: 7012065832 Enrollment ID: I20090506000072 |
| Provider Name | Vanda N Esme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306074067 PECOS PAC ID: 2264585884 Enrollment ID: I20090729000902 |
| Provider Name | Sara J Rosenbaum |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902055213 PECOS PAC ID: 8729131883 Enrollment ID: I20090806000632 |
| Provider Name | Frederman Concepcion |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417181116 PECOS PAC ID: 1254485980 Enrollment ID: I20090814000560 |
| Provider Name | Sonia J Antony |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033141494 PECOS PAC ID: 7416002159 Enrollment ID: I20090902000389 |
| Provider Name | Raymond A Mcdermott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295883551 PECOS PAC ID: 9537205695 Enrollment ID: I20091005000344 |
| Provider Name | Randa Hassan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558459560 PECOS PAC ID: 0840392338 Enrollment ID: I20091104000169 |
| Provider Name | Mike T Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134396112 PECOS PAC ID: 2668511072 Enrollment ID: I20091124000536 |
| Provider Name | Elizabeth A Oppert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699001107 PECOS PAC ID: 2961545918 Enrollment ID: I20100130000110 |
| Provider Name | Saji Oommen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497856330 PECOS PAC ID: 9133262728 Enrollment ID: I20100204000432 |
| Provider Name | Paul Andrew Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356357792 PECOS PAC ID: 2567505076 Enrollment ID: I20100205000546 |
| Provider Name | Hany Naem Demo |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1790964484 PECOS PAC ID: 7416091244 Enrollment ID: I20100217000692 |
| Provider Name | Maribe Fe Bangayan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982602629 PECOS PAC ID: 2769519198 Enrollment ID: I20100416000191 |
| Provider Name | Nelson Kanter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750389490 PECOS PAC ID: 3971670472 Enrollment ID: I20100416000243 |
| Provider Name | Susan E Gerber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679504179 PECOS PAC ID: 2961539127 Enrollment ID: I20100420000181 |
| Provider Name | Kathleen H Moe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649218397 PECOS PAC ID: 5193852341 Enrollment ID: I20100421000132 |
| Provider Name | Lauren K Thorpe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760432744 PECOS PAC ID: 9436286507 Enrollment ID: I20100421000406 |
| Provider Name | Carey M Bacalar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376549394 PECOS PAC ID: 1254469067 Enrollment ID: I20100514000073 |
| Provider Name | Cathleen S Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417287129 PECOS PAC ID: 7810026952 Enrollment ID: I20100527000278 |
| Provider Name | Tony R Vancauwelaert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649386822 PECOS PAC ID: 9931246162 Enrollment ID: I20100604000122 |
| Provider Name | William Grobman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508895129 PECOS PAC ID: 9830220730 Enrollment ID: I20100621000663 |
| Provider Name | Priya V Rajan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528136843 PECOS PAC ID: 6406885037 Enrollment ID: I20100625000790 |
| Provider Name | Leslie S Zun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376543421 PECOS PAC ID: 7012049174 Enrollment ID: I20100726000169 |
| Provider Name | Patrick K Lau |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184637639 PECOS PAC ID: 8820121692 Enrollment ID: I20100730000076 |
| Provider Name | John P Beacom |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811900368 PECOS PAC ID: 3375676158 Enrollment ID: I20100730000091 |
| Provider Name | Liping L Zhong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295710697 PECOS PAC ID: 3274657978 Enrollment ID: I20100902000139 |
| Provider Name | Peter G Chioros |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457302986 PECOS PAC ID: 2961694286 Enrollment ID: I20101005001033 |
| Provider Name | Bennett H Mccabe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396731196 PECOS PAC ID: 2668500265 Enrollment ID: I20101011000407 |
| Provider Name | Katherine M Hanson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326132119 PECOS PAC ID: 6608068440 Enrollment ID: I20101012000274 |
| Provider Name | Denis A Williams |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1750552881 PECOS PAC ID: 2567656572 Enrollment ID: I20101103001394 |
| Provider Name | Parav Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285890236 PECOS PAC ID: 1153516000 Enrollment ID: I20101117000749 |
| Provider Name | Irina Daniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831399583 PECOS PAC ID: 5890982326 Enrollment ID: I20101209001264 |
| Provider Name | Javed Imam |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1548271380 PECOS PAC ID: 9931397676 Enrollment ID: I20101222000826 |
| Provider Name | Lawrence Mark Steinberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073761953 PECOS PAC ID: 6002005527 Enrollment ID: I20110113000743 |
| Provider Name | Richa Dhawan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073836375 PECOS PAC ID: 7416146881 Enrollment ID: I20110117000188 |
| Provider Name | Elizabeth Mary Gabzdyl |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497866008 PECOS PAC ID: 7012196017 Enrollment ID: I20110124000246 |
| Provider Name | Jaime D Novales |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730395609 PECOS PAC ID: 0749469393 Enrollment ID: I20110127000951 |
| Provider Name | Eiman H El-tag |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407065154 PECOS PAC ID: 3678647245 Enrollment ID: I20110131000465 |
| Provider Name | Howard Clark Federer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023039674 PECOS PAC ID: 8224218037 Enrollment ID: I20110211000177 |
| Provider Name | Faith C Harris |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649294869 PECOS PAC ID: 0446255475 Enrollment ID: I20110228000485 |
| Provider Name | Darwin Eton |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1770549594 PECOS PAC ID: 7416043393 Enrollment ID: I20110307000555 |
| Provider Name | Rosemary J Baldwin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780861674 PECOS PAC ID: 6002093002 Enrollment ID: I20110531000182 |
| Provider Name | Emily S Rubenstein |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598982019 PECOS PAC ID: 8628255452 Enrollment ID: I20110603000582 |
| Provider Name | Joel D Carnazzo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013020452 PECOS PAC ID: 5597943951 Enrollment ID: I20110707000364 |
| Provider Name | Danny S Park |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811148786 PECOS PAC ID: 5890963789 Enrollment ID: I20110720000324 |
| Provider Name | Samer M Bashiti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770744831 PECOS PAC ID: 4385812023 Enrollment ID: I20110722000520 |
| Provider Name | Kavita Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255597985 PECOS PAC ID: 2769651983 Enrollment ID: I20110804000334 |
| Provider Name | Andrew J Freeman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972835494 PECOS PAC ID: 2668661380 Enrollment ID: I20110824000800 |
| Provider Name | Kristin Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497065080 PECOS PAC ID: 8224200647 Enrollment ID: I20111007000135 |
| Provider Name | Anna M Kulik-carlos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841453909 PECOS PAC ID: 1254503527 Enrollment ID: I20111010000212 |
| Provider Name | Joanna E Horwitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548424153 PECOS PAC ID: 6608048996 Enrollment ID: I20111010000506 |
| Provider Name | Andrea L Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184900144 PECOS PAC ID: 8527232529 Enrollment ID: I20111130000494 |
| Provider Name | Janelle R Bolden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780892851 PECOS PAC ID: 8325128846 Enrollment ID: I20111220000766 |
| Provider Name | Carri Grennan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396024931 PECOS PAC ID: 8628236288 Enrollment ID: I20120228000742 |
| Provider Name | Elizandra Pierre |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447489513 PECOS PAC ID: 2668525114 Enrollment ID: I20120320000587 |
| Provider Name | Steve Attanasio |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972760718 PECOS PAC ID: 7719147214 Enrollment ID: I20120320000816 |
| Provider Name | Bridget R Davidson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285990911 PECOS PAC ID: 7214199264 Enrollment ID: I20120509000020 |
| Provider Name | Senka Hadzic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205101003 PECOS PAC ID: 0042474868 Enrollment ID: I20120607000263 |
| Provider Name | Lyudmyla M Polupan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790091809 PECOS PAC ID: 6507020740 Enrollment ID: I20120619000506 |
| Provider Name | Mohammed A Mubeen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578720777 PECOS PAC ID: 8325203474 Enrollment ID: I20120622000610 |
| Provider Name | Emilee E Gancarz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750644795 PECOS PAC ID: 6901062231 Enrollment ID: I20120731000613 |
| Provider Name | Rebecca L Wenig |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952664534 PECOS PAC ID: 2668628405 Enrollment ID: I20120809000392 |
| Provider Name | Jason Michael Kalk |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427331347 PECOS PAC ID: 5597911347 Enrollment ID: I20120809000501 |
| Provider Name | Elizabeth M Leweling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265632459 PECOS PAC ID: 9638326028 Enrollment ID: I20120820000659 |
| Provider Name | Joanna L Kmiecik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508173329 PECOS PAC ID: 0648427401 Enrollment ID: I20120829000714 |
| Provider Name | Susan Haido |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285715136 PECOS PAC ID: 3274707302 Enrollment ID: I20120904000339 |
| Provider Name | Elizabeth Uhrig |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568754133 PECOS PAC ID: 6002063534 Enrollment ID: I20120905000657 |
| Provider Name | Michael Yuzhou Shao |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508196122 PECOS PAC ID: 5496903296 Enrollment ID: I20120920000361 |
| Provider Name | Emily M Leuvoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144457060 PECOS PAC ID: 4880843556 Enrollment ID: I20121012000812 |
| Provider Name | Mary E Conte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336466903 PECOS PAC ID: 9931350444 Enrollment ID: I20121109000402 |
| Provider Name | Dominic D Patawaran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902873342 PECOS PAC ID: 4587612635 Enrollment ID: I20130122000509 |
| Provider Name | Deepti Agarwal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598901423 PECOS PAC ID: 7012161938 Enrollment ID: I20130131000078 |
| Provider Name | Linda H Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023242104 PECOS PAC ID: 7214181015 Enrollment ID: I20130201000432 |
| Provider Name | Mark T Cappello |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346370467 PECOS PAC ID: 8022003987 Enrollment ID: I20130227000289 |
| Provider Name | Katarzyna A Koziol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710222344 PECOS PAC ID: 9234384918 Enrollment ID: I20130302000005 |
| Provider Name | Rebecca Fosket |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548523129 PECOS PAC ID: 1254576317 Enrollment ID: I20130321000119 |
| Provider Name | Allison Lazar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518264688 PECOS PAC ID: 7810133915 Enrollment ID: I20130416000302 |
| Provider Name | Christina J Wagener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033469994 PECOS PAC ID: 4789823055 Enrollment ID: I20130617000660 |
| Provider Name | Jasmine Kanappilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932542016 PECOS PAC ID: 2567601719 Enrollment ID: I20130619000059 |
| Provider Name | Allison F Manko |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316242423 PECOS PAC ID: 1850530700 Enrollment ID: I20130625000669 |
| Provider Name | Chaimaa F Matar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942515010 PECOS PAC ID: 3779723382 Enrollment ID: I20130702000580 |
| Provider Name | Ila L Englof |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225342884 PECOS PAC ID: 2163662453 Enrollment ID: I20130710000298 |
| Provider Name | Artemis Khojasteh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063689552 PECOS PAC ID: 2264600907 Enrollment ID: I20130717000797 |
| Provider Name | Craig A Backous |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073713418 PECOS PAC ID: 3375784275 Enrollment ID: I20130718000298 |
| Provider Name | Amit Bhambri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962714428 PECOS PAC ID: 0547401283 Enrollment ID: I20130723000824 |
| Provider Name | Humera Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821280256 PECOS PAC ID: 1658512140 Enrollment ID: I20130725000571 |
| Provider Name | Jennifer A Spanier-stiasny |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235341587 PECOS PAC ID: 0840449740 Enrollment ID: I20130923000415 |
| Provider Name | Dale A Swims |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265748008 PECOS PAC ID: 8123253358 Enrollment ID: I20131024000997 |
| Provider Name | Sarah Yoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669808465 PECOS PAC ID: 5395971691 Enrollment ID: I20131114001725 |
| Provider Name | Matthew M Pellerite |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548593049 PECOS PAC ID: 7012143233 Enrollment ID: I20131118001566 |
| Provider Name | Jorge J Chedrauy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154617421 PECOS PAC ID: 0244467660 Enrollment ID: I20131210001912 |
| Provider Name | Joel Robert Mensing |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336454404 PECOS PAC ID: 2365679719 Enrollment ID: I20131211000650 |
| Provider Name | Cherise L Cokley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285835025 PECOS PAC ID: 7517196843 Enrollment ID: I20140210000082 |
| Provider Name | Bogusia E Miszczyszyn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356763213 PECOS PAC ID: 2163651233 Enrollment ID: I20140213000030 |
| Provider Name | Youshay Humayun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093010423 PECOS PAC ID: 6709015621 Enrollment ID: I20140218001193 |
| Provider Name | Monica A Joseph-griffin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326112277 PECOS PAC ID: 8729218359 Enrollment ID: I20140227001532 |
| Provider Name | Noorain Akhtar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962718791 PECOS PAC ID: 4082845920 Enrollment ID: I20140318001724 |
| Provider Name | Rachel L Blumenthal |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861618647 PECOS PAC ID: 1658450499 Enrollment ID: I20140401001059 |
| Provider Name | Aimee S Crow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235299686 PECOS PAC ID: 3870725765 Enrollment ID: I20140408000589 |
| Provider Name | Mehgan Kathleen Devine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093153066 PECOS PAC ID: 7810120722 Enrollment ID: I20140430000840 |
| Provider Name | Bridget M Wild |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821387150 PECOS PAC ID: 7113140492 Enrollment ID: I20140514002232 |
| Provider Name | Gloria Nezianya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023430832 PECOS PAC ID: 2365665502 Enrollment ID: I20140515002211 |
| Provider Name | Fyeqa I Sheikh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932480290 PECOS PAC ID: 1153544820 Enrollment ID: I20140527001591 |
| Provider Name | Kelly Erin Wright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427366020 PECOS PAC ID: 2567686744 Enrollment ID: I20140609001475 |
| Provider Name | Iryna I Aleksandrova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346536638 PECOS PAC ID: 7810111077 Enrollment ID: I20140610001899 |
| Provider Name | Eric M Liotta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700048139 PECOS PAC ID: 2567688393 Enrollment ID: I20140730002640 |
| Provider Name | Angel Luis Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629218235 PECOS PAC ID: 5395962450 Enrollment ID: I20140813001626 |
| Provider Name | Janette Maldonado |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033342548 PECOS PAC ID: 9739308446 Enrollment ID: I20140911000786 |
| Provider Name | Jamilah Jamah Okoe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871814061 PECOS PAC ID: 5698994275 Enrollment ID: I20140912001310 |
| Provider Name | Meagan M Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023426897 PECOS PAC ID: 5597984146 Enrollment ID: I20140915001323 |
| Provider Name | Barrett K Robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669505053 PECOS PAC ID: 6002088655 Enrollment ID: I20141014001948 |
| Provider Name | Mark Behnam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992995591 PECOS PAC ID: 7416133020 Enrollment ID: I20141112001860 |
| Provider Name | Maria Olga Cardenas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154408375 PECOS PAC ID: 9436223823 Enrollment ID: I20141201000821 |
| Provider Name | Katherine M Willey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427142454 PECOS PAC ID: 3577587757 Enrollment ID: I20150114001917 |
| Provider Name | Elizabeth A Dobler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972828002 PECOS PAC ID: 0648592154 Enrollment ID: I20150211001332 |
| Provider Name | Donna Rose Matras Warder |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043454739 PECOS PAC ID: 2961727995 Enrollment ID: I20150213000587 |
| Provider Name | Ali A Ader |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225308281 PECOS PAC ID: 0840457214 Enrollment ID: I20150302000175 |
| Provider Name | Chloe F Haney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780089367 PECOS PAC ID: 8527384601 Enrollment ID: I20150309000698 |
| Provider Name | Ariele Keats |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265847461 PECOS PAC ID: 3577889526 Enrollment ID: I20150310001225 |
| Provider Name | Sobha J Kottoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457743510 PECOS PAC ID: 6002133287 Enrollment ID: I20150327000490 |
| Provider Name | Natalia Galkine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518177450 PECOS PAC ID: 5698803864 Enrollment ID: I20150430001749 |
| Provider Name | Sara Byerly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710195813 PECOS PAC ID: 6800115502 Enrollment ID: I20150430001857 |
| Provider Name | Louis Dvorkin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891905436 PECOS PAC ID: 4688860943 Enrollment ID: I20150527002635 |
| Provider Name | Jessica Dee Starr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376939512 PECOS PAC ID: 3072834258 Enrollment ID: I20150601001446 |
| Provider Name | Lynn M Yee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659608941 PECOS PAC ID: 8921329319 Enrollment ID: I20150610002696 |
| Provider Name | Shelly H Tien |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457500787 PECOS PAC ID: 4082860168 Enrollment ID: I20150616001574 |
| Provider Name | Igor Prus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205199502 PECOS PAC ID: 1456663202 Enrollment ID: I20150707003140 |
| Provider Name | Oladimeji M Kassim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861885675 PECOS PAC ID: 8224341938 Enrollment ID: I20150723007351 |
| Provider Name | Shilpan Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346536620 PECOS PAC ID: 9436463262 Enrollment ID: I20150806010995 |
| Provider Name | Marina Goodman-flider |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902184997 PECOS PAC ID: 0446567176 Enrollment ID: I20150914001321 |
| Provider Name | Elaine T Aguinaldo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528350865 PECOS PAC ID: 0143537365 Enrollment ID: I20150921000049 |
| Provider Name | Maureen Lynn Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811308844 PECOS PAC ID: 3072821511 Enrollment ID: I20151001002101 |
| Provider Name | Omar Hasan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558626564 PECOS PAC ID: 3678881133 Enrollment ID: I20151001003050 |
| Provider Name | Tina Sharma Marwaha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760794622 PECOS PAC ID: 3577872647 Enrollment ID: I20151013000743 |
| Provider Name | Kristin Kleiderer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770952764 PECOS PAC ID: 1456660562 Enrollment ID: I20151014000004 |
| Provider Name | Jenifer Ann Poell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558694190 PECOS PAC ID: 3971812223 Enrollment ID: I20151027002851 |
| Provider Name | Laurie Conavay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912375635 PECOS PAC ID: 8527378454 Enrollment ID: I20151105001400 |
| Provider Name | Zenaida A Magtibay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841660206 PECOS PAC ID: 5294036489 Enrollment ID: I20151211002025 |
| Provider Name | Chi Yung Ahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578857835 PECOS PAC ID: 5193993640 Enrollment ID: I20151218001208 |
| Provider Name | June Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093932436 PECOS PAC ID: 2466487707 Enrollment ID: I20160120000218 |
| Provider Name | Jonathan Alvaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811353089 PECOS PAC ID: 0244534212 Enrollment ID: I20160211001771 |
| Provider Name | Erin L Hallar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417320219 PECOS PAC ID: 8123325024 Enrollment ID: I20160321000703 |
| Provider Name | Maria Millichap |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356706097 PECOS PAC ID: 3577860899 Enrollment ID: I20160330002699 |
| Provider Name | Steven J Bachta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790943231 PECOS PAC ID: 8527252543 Enrollment ID: I20160613002203 |
| Provider Name | Trevor R Kuston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912347204 PECOS PAC ID: 7517256092 Enrollment ID: I20160711000311 |
| Provider Name | Kristin Warner Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013364926 PECOS PAC ID: 9436442852 Enrollment ID: I20160722001418 |
| Provider Name | Jacob A Kalliath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134569395 PECOS PAC ID: 4486947421 Enrollment ID: I20160728000009 |
| Provider Name | Melissa Ann Miara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801231634 PECOS PAC ID: 4880989391 Enrollment ID: I20160823002310 |
| Provider Name | Nickyla M Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083969513 PECOS PAC ID: 6901108695 Enrollment ID: I20160826001184 |
| Provider Name | Svjetlana Lozo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326277435 PECOS PAC ID: 5597990879 Enrollment ID: I20160831002177 |
| Provider Name | Nicole Kurian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679956247 PECOS PAC ID: 7315235066 Enrollment ID: I20161012000755 |
| Provider Name | Kara Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215483151 PECOS PAC ID: 4981984234 Enrollment ID: I20161205000174 |
| Provider Name | Jennifer Lynn Brenton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649364498 PECOS PAC ID: 1052372927 Enrollment ID: I20161208000129 |
| Provider Name | Jonathan Reuben Rosenberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083900989 PECOS PAC ID: 5496059891 Enrollment ID: I20161228000991 |
| Provider Name | Nidal Elbaridi |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1780821264 PECOS PAC ID: 7214992957 Enrollment ID: I20161229001609 |
| Provider Name | Katie L. Meier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689119752 PECOS PAC ID: 4385926740 Enrollment ID: I20170119000473 |
| Provider Name | Jimena Beatriz Alvarez Soto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679817365 PECOS PAC ID: 8325357510 Enrollment ID: I20170308001830 |
| Provider Name | Michelle F Riggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407392491 PECOS PAC ID: 8628353661 Enrollment ID: I20170314001255 |
| Provider Name | Christopher Michael Zook |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659639219 PECOS PAC ID: 1456636067 Enrollment ID: I20170322002030 |
| Provider Name | Christopher Farnan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750753844 PECOS PAC ID: 1658673769 Enrollment ID: I20170327001321 |
| Provider Name | Rodney M Fullmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497096978 PECOS PAC ID: 8527346527 Enrollment ID: I20170405000969 |
| Provider Name | Andrew Kelly Johnson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386890150 PECOS PAC ID: 1254651979 Enrollment ID: I20170419000865 |
| Provider Name | Paresh Kumar Kumar Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861833576 PECOS PAC ID: 8224315502 Enrollment ID: I20170516000879 |
| Provider Name | Albert C Vien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508283599 PECOS PAC ID: 8426368705 Enrollment ID: I20170516002516 |
| Provider Name | Ammar Salhadar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851704035 PECOS PAC ID: 8729355839 Enrollment ID: I20170522000015 |
| Provider Name | Moeun Son |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639498801 PECOS PAC ID: 6507149978 Enrollment ID: I20170609001496 |
| Provider Name | Ann M Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699193490 PECOS PAC ID: 4183992886 Enrollment ID: I20170621003181 |
| Provider Name | Jonathan R Mizgala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164968434 PECOS PAC ID: 9739459587 Enrollment ID: I20170726003963 |
| Provider Name | Stacy Suzanne Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366880908 PECOS PAC ID: 7810288347 Enrollment ID: I20170814001991 |
| Provider Name | Michelle Lynn Beck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235576158 PECOS PAC ID: 5193015337 Enrollment ID: I20170815000494 |
| Provider Name | Ryan J Levenhagen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609289040 PECOS PAC ID: 5890067276 Enrollment ID: I20170818002833 |
| Provider Name | Thomas Robert Schumacher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073926234 PECOS PAC ID: 7113299512 Enrollment ID: I20170819000232 |
| Provider Name | Gregory Owen Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255771358 PECOS PAC ID: 1254603426 Enrollment ID: I20170823000922 |
| Provider Name | Jai S Jani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487960951 PECOS PAC ID: 6204124274 Enrollment ID: I20170901000224 |
| Provider Name | Ghislaine Balharry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235541392 PECOS PAC ID: 1254620057 Enrollment ID: I20170915000088 |
| Provider Name | Tina Y Mantanona |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922362623 PECOS PAC ID: 8224347463 Enrollment ID: I20171003007628 |
| Provider Name | Robert M Flores |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275680043 PECOS PAC ID: 5698864312 Enrollment ID: I20171024000371 |
| Provider Name | Sara Rummelhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497277354 PECOS PAC ID: 1254607781 Enrollment ID: I20171026003631 |
| Provider Name | Desiree M Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528504909 PECOS PAC ID: 5193082345 Enrollment ID: I20171127002154 |
| Provider Name | Ladouglas Suber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265788483 PECOS PAC ID: 0446517239 Enrollment ID: I20171204001424 |
| Provider Name | John Laftsidis |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1477689917 PECOS PAC ID: 5496014219 Enrollment ID: I20180123003232 |
| Provider Name | Kate Lynne Karabinos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881102325 PECOS PAC ID: 4284994542 Enrollment ID: I20180205002869 |
| Provider Name | Isaac Obenzinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407364219 PECOS PAC ID: 0345500575 Enrollment ID: I20180208002248 |
| Provider Name | Ashley L Collins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194223446 PECOS PAC ID: 4981964855 Enrollment ID: I20180214002169 |
| Provider Name | David Eugene Stiasny |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043491426 PECOS PAC ID: 5799818001 Enrollment ID: I20180529001232 |
| Provider Name | Brett Hapeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811316334 PECOS PAC ID: 9931497435 Enrollment ID: I20180625001265 |
| Provider Name | Mi Kyung Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194973982 PECOS PAC ID: 1759406176 Enrollment ID: I20180627002864 |
| Provider Name | Shamroze Mohammed Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376936856 PECOS PAC ID: 7214284066 Enrollment ID: I20180725000346 |
| Provider Name | Emily C Dudek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487048948 PECOS PAC ID: 4981908068 Enrollment ID: I20180730000028 |
| Provider Name | Bethany T Stetson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669761177 PECOS PAC ID: 5698064962 Enrollment ID: I20180801002758 |
| Provider Name | Matthew Scott Kominsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003159153 PECOS PAC ID: 8325311608 Enrollment ID: I20180802001935 |
| Provider Name | Sarah Krishnan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477948313 PECOS PAC ID: 2264793728 Enrollment ID: I20180817001240 |
| Provider Name | Erin Elizabeth Tran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245539774 PECOS PAC ID: 4385802768 Enrollment ID: I20180911003000 |
| Provider Name | Aileen Newport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366921413 PECOS PAC ID: 2860743671 Enrollment ID: I20180918002170 |
| Provider Name | Erin M Rigert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972981009 PECOS PAC ID: 2668760125 Enrollment ID: I20181029000820 |
| Provider Name | Leticia Perea |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235625559 PECOS PAC ID: 8628312873 Enrollment ID: I20181129001413 |
| Provider Name | Nevert Badreldin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396011763 PECOS PAC ID: 8224337795 Enrollment ID: I20190102001658 |
| Provider Name | Faye L Gandeza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336623917 PECOS PAC ID: 2062758964 Enrollment ID: I20190115000630 |
| Provider Name | Graeme Richard Adams Twanow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326591892 PECOS PAC ID: 0749575538 Enrollment ID: I20190416002493 |
| Provider Name | Babatunde Eben Adeosun |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164892469 PECOS PAC ID: 1658689898 Enrollment ID: I20190507002610 |
| Provider Name | Erika Brewer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538508726 PECOS PAC ID: 9133434483 Enrollment ID: I20190520001813 |
| Provider Name | Maxie I Mcdonough |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023479946 PECOS PAC ID: 8325331051 Enrollment ID: I20190717001032 |
| Provider Name | Margaret A Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790240281 PECOS PAC ID: 9032445689 Enrollment ID: I20190719002103 |
| Provider Name | Andrew David Franklin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245676949 PECOS PAC ID: 3375834799 Enrollment ID: I20190725001604 |
| Provider Name | Quoc Tommy Dang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639539752 PECOS PAC ID: 6608102819 Enrollment ID: I20190725002821 |
| Provider Name | Kristopher M Musgraves |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679969091 PECOS PAC ID: 2163732777 Enrollment ID: I20190730002155 |
| Provider Name | Anibal Molina Lugo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396053708 PECOS PAC ID: 5890003537 Enrollment ID: I20190806001375 |
| Provider Name | Regina Ruffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164084133 PECOS PAC ID: 5294063939 Enrollment ID: I20190820001418 |
| Provider Name | Audra Stolz Masterton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881256154 PECOS PAC ID: 7517296387 Enrollment ID: I20190904003104 |
| Provider Name | Birte J Wolff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194091074 PECOS PAC ID: 6800180092 Enrollment ID: I20190912001021 |
| Provider Name | Rachel Allon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679954598 PECOS PAC ID: 6608166442 Enrollment ID: I20190920002368 |
| Provider Name | Drew Ludwig |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730379355 PECOS PAC ID: 7315111440 Enrollment ID: I20191022000070 |
| Provider Name | Sheena G. Mckenzie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336567536 PECOS PAC ID: 9032337662 Enrollment ID: I20191104002082 |
| Provider Name | Benjamin E Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851731590 PECOS PAC ID: 1759524002 Enrollment ID: I20191108001283 |
| Provider Name | Jenny K Hasler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760476550 PECOS PAC ID: 8820420979 Enrollment ID: I20191112001668 |
| Provider Name | Erika Danielle Hutz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821481607 PECOS PAC ID: 5395177927 Enrollment ID: I20191119002842 |
| Provider Name | Sherrlyn Harris Owens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720063357 PECOS PAC ID: 6800934910 Enrollment ID: I20191210002269 |
| Provider Name | Melissa Tentler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841841533 PECOS PAC ID: 5799110128 Enrollment ID: I20200114000259 |
| Provider Name | Ruheena Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336508795 PECOS PAC ID: 4981030582 Enrollment ID: I20200129003011 |
| Provider Name | Hannah B Cutts |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366084386 PECOS PAC ID: 7012343403 Enrollment ID: I20200203001696 |
| Provider Name | Bhuvaneshwari Dakshinamoorthy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881122562 PECOS PAC ID: 1153759568 Enrollment ID: I20200318002351 |
| Provider Name | Patrick Daniel Hughes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265845366 PECOS PAC ID: 4385948058 Enrollment ID: I20200324000183 |
| Provider Name | Rebecca June Anstee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679119945 PECOS PAC ID: 1254760234 Enrollment ID: I20200327000189 |
| Provider Name | Kendall Anne Ulbrich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326467069 PECOS PAC ID: 8921438052 Enrollment ID: I20200413003788 |
| Provider Name | Adeela Ahmed Cheema |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1841680287 PECOS PAC ID: 1850660960 Enrollment ID: I20200420002806 |
| Provider Name | Jaison Thekkekara |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588015416 PECOS PAC ID: 2567755952 Enrollment ID: I20200619002270 |
| Provider Name | James B Seipp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255861647 PECOS PAC ID: 4587086194 Enrollment ID: I20200626000469 |
| Provider Name | Monica Jayantilal Ankola |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740636356 PECOS PAC ID: 8325336738 Enrollment ID: I20200626000960 |
| Provider Name | Peter Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316477995 PECOS PAC ID: 5991128910 Enrollment ID: I20200709002638 |
| Provider Name | Talha S Ahmed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225560733 PECOS PAC ID: 6204108954 Enrollment ID: I20200716000162 |
| Provider Name | Rachel N Heise |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417578980 PECOS PAC ID: 2264857796 Enrollment ID: I20200731000271 |
| Provider Name | Bernhard H Allgaier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245399898 PECOS PAC ID: 9931524485 Enrollment ID: I20200731000805 |
| Provider Name | Auddie Musa Sweis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558788877 PECOS PAC ID: 3476863945 Enrollment ID: I20200803002269 |
| Provider Name | Atif Khawaja Hassan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588097596 PECOS PAC ID: 3971806522 Enrollment ID: I20200803002474 |
| Provider Name | Jonathan Russell Thomulka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811418718 PECOS PAC ID: 5496171183 Enrollment ID: I20200812000882 |
| Provider Name | Matthew Derrick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568544658 PECOS PAC ID: 9032535505 Enrollment ID: I20200813003334 |
| Provider Name | William P Mackendrick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437231529 PECOS PAC ID: 5799101697 Enrollment ID: I20200821000658 |
| Provider Name | Shweta M Stuart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245447119 PECOS PAC ID: 9436574282 Enrollment ID: I20200826000947 |
| Provider Name | Lindsey M Kilsdonk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568021434 PECOS PAC ID: 8921330515 Enrollment ID: I20200828000135 |
| Provider Name | Dietra Delaplane Millard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205918398 PECOS PAC ID: 3678990801 Enrollment ID: I20200902000524 |
| Provider Name | Gerelmaa Budmandakh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710510060 PECOS PAC ID: 4082031141 Enrollment ID: I20200903001553 |
| Provider Name | Brian J Stojak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932634003 PECOS PAC ID: 7719258052 Enrollment ID: I20201023000689 |
| Provider Name | Maryann Deleon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982786091 PECOS PAC ID: 8325458490 Enrollment ID: I20201030000134 |
| Provider Name | Omar F Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457702318 PECOS PAC ID: 7810309275 Enrollment ID: I20201209002319 |
| Provider Name | Jasjeet Singh Virk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033604236 PECOS PAC ID: 2567874746 Enrollment ID: I20201211001008 |
| Provider Name | Justin E Pile |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811492788 PECOS PAC ID: 5890030027 Enrollment ID: I20201211002134 |
| Provider Name | Jared Benjamin Hinds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306338470 PECOS PAC ID: 5496168536 Enrollment ID: I20210108000770 |
| Provider Name | Nicholas Manolitsis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1558523084 PECOS PAC ID: 1557506490 Enrollment ID: I20210112001047 |
| Provider Name | Sagarkumar N Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962922187 PECOS PAC ID: 3375958051 Enrollment ID: I20210210000441 |
| Provider Name | Bridget M Prendergast |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316553969 PECOS PAC ID: 3476968199 Enrollment ID: I20210210001964 |
| Provider Name | Basma M Iskandarani |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356809206 PECOS PAC ID: 2769890722 Enrollment ID: I20210413001116 |
| Provider Name | Brynn N Karch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700364197 PECOS PAC ID: 6709294416 Enrollment ID: I20210419001855 |
| Provider Name | Justin Jie Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962993238 PECOS PAC ID: 8729496377 Enrollment ID: I20210420000589 |
| Provider Name | Solomiya Britska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225523103 PECOS PAC ID: 8921356635 Enrollment ID: I20210510001387 |
| Provider Name | Jacky Luong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639674567 PECOS PAC ID: 9133522527 Enrollment ID: I20210722002087 |
| Provider Name | Tyler J Saunders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174018899 PECOS PAC ID: 2769888767 Enrollment ID: I20210830003338 |
| Provider Name | Nathan Scott Steiner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851826861 PECOS PAC ID: 2264709518 Enrollment ID: I20210831003032 |
| Provider Name | Amit Gupta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245423573 PECOS PAC ID: 0941385710 Enrollment ID: I20210902001350 |
| Provider Name | Bimel Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689169690 PECOS PAC ID: 4082010798 Enrollment ID: I20210903002100 |
| Provider Name | Alexandra Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720583396 PECOS PAC ID: 8628474129 Enrollment ID: I20210909000113 |
| Provider Name | Osvaldo Luis Martinez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851882385 PECOS PAC ID: 3274939699 Enrollment ID: I20210910001452 |
| Provider Name | Meghan S Kilmer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336816644 PECOS PAC ID: 5597161661 Enrollment ID: I20210915001639 |
| Provider Name | Daniel David King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235584053 PECOS PAC ID: 1951692011 Enrollment ID: I20210930001881 |
| Provider Name | Jeremy Wallin-sanchez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760918635 PECOS PAC ID: 2062782279 Enrollment ID: I20211027000747 |
| Provider Name | Wilmer Fernando Davila |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063945939 PECOS PAC ID: 7214206846 Enrollment ID: I20211108002786 |
| Provider Name | Rayna Ben Moha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720475585 PECOS PAC ID: 7719270008 Enrollment ID: I20211124001747 |
| Provider Name | Paul E. Antczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790457190 PECOS PAC ID: 9638560998 Enrollment ID: I20211221000137 |
| Provider Name | Nita Gupta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376102202 PECOS PAC ID: 1355676941 Enrollment ID: I20220105002082 |
| Provider Name | Ashley Marie Shonibare |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285003699 PECOS PAC ID: 0042595159 Enrollment ID: I20220110000047 |
| Provider Name | Shannon Ervin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124788898 PECOS PAC ID: 6800289109 Enrollment ID: I20220209001968 |
| Provider Name | Emily Ruth Mikhail |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114685518 PECOS PAC ID: 4688068216 Enrollment ID: I20220224003040 |
| Provider Name | Ikechukwu I Okafo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295264182 PECOS PAC ID: 5890050744 Enrollment ID: I20220308001692 |
| Provider Name | Keziah Vargas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467981357 PECOS PAC ID: 1557639028 Enrollment ID: I20220609002095 |
| Provider Name | Lauren Catherine Westbay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861888562 PECOS PAC ID: 8022312131 Enrollment ID: I20220613001427 |
| Provider Name | Chang Hyun Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588169718 PECOS PAC ID: 9032590872 Enrollment ID: I20220725003363 |
| Provider Name | Kelly Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265887590 PECOS PAC ID: 2466725767 Enrollment ID: I20220726003040 |
| Provider Name | Piotr K Zasadny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427615277 PECOS PAC ID: 6800278524 Enrollment ID: I20220727003749 |
| Provider Name | Cassandra Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790318525 PECOS PAC ID: 1153752746 Enrollment ID: I20220728000474 |
| Provider Name | Katherine Dornan Derby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538654256 PECOS PAC ID: 3072860055 Enrollment ID: I20220804003160 |
| Provider Name | Oluwatosin Odunsi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801216429 PECOS PAC ID: 7618276015 Enrollment ID: I20220805000205 |
| Provider Name | Anum Abbasi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679063010 PECOS PAC ID: 0244614824 Enrollment ID: I20220831000780 |
| Provider Name | Janet Montes De Oca-corona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902579790 PECOS PAC ID: 9537537568 Enrollment ID: I20221123002030 |
| Provider Name | Dhollie Lyn Dayao Quiamco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790499580 PECOS PAC ID: 9830560069 Enrollment ID: I20230125002069 |
| Provider Name | Ron Kyle Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407560287 PECOS PAC ID: 6305218413 Enrollment ID: I20230217000533 |
| Provider Name | Thomas Alan Brozek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659678621 PECOS PAC ID: 7315176195 Enrollment ID: I20230501001226 |
| Provider Name | Julia Ellen Cartledge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023679073 PECOS PAC ID: 6103152129 Enrollment ID: I20230503002668 |
| Provider Name | Rachel Neal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194253831 PECOS PAC ID: 2860761483 Enrollment ID: I20230519001534 |
| Provider Name | Patrick M Boyle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396305124 PECOS PAC ID: 9638536964 Enrollment ID: I20230601001178 |
| Provider Name | Asha A. Mannancheril |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053932756 PECOS PAC ID: 3173934494 Enrollment ID: I20230815002505 |
| Provider Name | Christopher M Logas |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780140640 PECOS PAC ID: 9739542630 Enrollment ID: I20230824003386 |
| Provider Name | James Peter Ruska |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801410022 PECOS PAC ID: 4284097072 Enrollment ID: I20230825003558 |
| Provider Name | Basharath Ali Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760004345 PECOS PAC ID: 4082078282 Enrollment ID: I20230906002547 |
| Provider Name | Hanna Erin Legator |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164980769 PECOS PAC ID: 5698129708 Enrollment ID: I20230922003084 |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
Amy Lynn, Lcpc, Atr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657 Phone: 773-746-7429 | |
K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601 | |
King Community Mental Health Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 S King Drive, Suite 101, Chicago, IL 60653 Phone: 773-536-2700 Fax: 773-751-2250 | |
Young Adult Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4219 N Lincoln Ave, Chicago, IL 60618 Phone: 773-572-5500 Fax: 773-537-3488 | |
Professional Diagnostic Service, S.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 W Van Buren St, Chicago, IL 60607 Phone: 312-491-0404 Fax: 312-491-0505 | |
Universal Medical Group Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 E 42nd Pl, Chicago, IL 60653 Phone: 773-285-3422 |