| Bcm Physicians Of San Antonio | |
|
333 N Santa Rosa San Antonio TX 78207-3108 | |
| (210) 704-3030 | |
| Not Available |
| Full Name | Bcm Physicians Of San Antonio |
|---|---|
| Speciality | Pediatrics |
| Location | 333 N Santa Rosa, San Antonio, Texas |
| Authorized Official Name and Position | Richard C. Allison (DIRECTOR) |
| Authorized Official Contact | 7137981746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bcm Physicians Of San Antonio 333 N Santa Rosa San Antonio TX 78207-3108 Ph: (210) 704-3030 | Bcm Physicians Of San Antonio 333 N Santa Rosa San Antonio TX 78207-3108 Ph: (210) 704-3030 |
| NPI Number | 1285079764 |
|---|---|
| Provider Enumeration Date | 05/09/2013 |
| Last Update Date | 06/24/2024 |
| Certification Date | 06/24/2024 |
| Medicare PECOS PAC ID | 0648405738 |
|---|---|
| Medicare Enrollment ID | O20131025000939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285079764 | NPI | - | NPPES |
| Provider Name | Elizabeth R Roeder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164432696 PECOS PAC ID: 5799673034 Enrollment ID: I20040308001143 |
| Provider Name | Charles D Dubose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750335485 PECOS PAC ID: 3375537053 Enrollment ID: I20040414000742 |
| Provider Name | Maureen R Nelson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801820170 PECOS PAC ID: 7214923879 Enrollment ID: I20040421000558 |
| Provider Name | Timothy C Griffin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093811572 PECOS PAC ID: 0042208423 Enrollment ID: I20040504001115 |
| Provider Name | Mary Kirkendall-atkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659315687 PECOS PAC ID: 3779573316 Enrollment ID: I20040514000981 |
| Provider Name | Clinton Woosley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316952088 PECOS PAC ID: 9830172808 Enrollment ID: I20040610000832 |
| Provider Name | Joe L Cole |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1780604793 PECOS PAC ID: 0244214765 Enrollment ID: I20040614001255 |
| Provider Name | William G Hunt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366434904 PECOS PAC ID: 6901880913 Enrollment ID: I20040616001452 |
| Provider Name | Robert A Noel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336150762 PECOS PAC ID: 5395729032 Enrollment ID: I20040617001574 |
| Provider Name | Tarak J Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013954221 PECOS PAC ID: 4587649025 Enrollment ID: I20040621000341 |
| Provider Name | Jose L Aceves |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275544207 PECOS PAC ID: 6800863150 Enrollment ID: I20040915000614 |
| Provider Name | Wayne L Farley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093764417 PECOS PAC ID: 4082673579 Enrollment ID: I20041012001516 |
| Provider Name | Alberto Samuel Carranza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073507810 PECOS PAC ID: 9931160066 Enrollment ID: I20041022000172 |
| Provider Name | Anthony G Gardea |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497862494 PECOS PAC ID: 2860455078 Enrollment ID: I20041109000542 |
| Provider Name | Luisa Maria Rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912087339 PECOS PAC ID: 3274597968 Enrollment ID: I20041112000604 |
| Provider Name | David C Riojas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902873201 PECOS PAC ID: 1254398589 Enrollment ID: I20041217000412 |
| Provider Name | Marisol A Garcia Hodge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659388957 PECOS PAC ID: 1052379500 Enrollment ID: I20041229001043 |
| Provider Name | Kristine K Rittichier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912921016 PECOS PAC ID: 0345290540 Enrollment ID: I20050126000062 |
| Provider Name | Kathlene Bassett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801875273 PECOS PAC ID: 3476503590 Enrollment ID: I20050126001037 |
| Provider Name | Morey J Silverman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861497208 PECOS PAC ID: 0042262800 Enrollment ID: I20050221000257 |
| Provider Name | Richard Wayne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669408779 PECOS PAC ID: 2466361258 Enrollment ID: I20050221000453 |
| Provider Name | Deborah L Callanan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720087703 PECOS PAC ID: 1658280441 Enrollment ID: I20050221000603 |
| Provider Name | Joseline F Borchardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497894612 PECOS PAC ID: 4284687047 Enrollment ID: I20050222000459 |
| Provider Name | Leslie M Hunter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952338576 PECOS PAC ID: 6800849589 Enrollment ID: I20050222000658 |
| Provider Name | Santos Cantu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942273511 PECOS PAC ID: 9234182916 Enrollment ID: I20050222000680 |
| Provider Name | Farooq Mirza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073625430 PECOS PAC ID: 3577516251 Enrollment ID: I20050222000703 |
| Provider Name | Bryan A Dickson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104887306 PECOS PAC ID: 1951355775 Enrollment ID: I20050304000212 |
| Provider Name | David Wesley Rindfusz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558377531 PECOS PAC ID: 4587619481 Enrollment ID: I20050420001027 |
| Provider Name | Lisa A Friedman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619970662 PECOS PAC ID: 2769421932 Enrollment ID: I20050427000612 |
| Provider Name | Felix R Shardonofsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225097546 PECOS PAC ID: 3173563640 Enrollment ID: I20050504001050 |
| Provider Name | Edward A Porrata |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114944048 PECOS PAC ID: 2264461912 Enrollment ID: I20050811001114 |
| Provider Name | Henry Rendon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730291105 PECOS PAC ID: 9537190731 Enrollment ID: I20050827000104 |
| Provider Name | Ricardo A Quinonez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770663197 PECOS PAC ID: 5092747584 Enrollment ID: I20050906000677 |
| Provider Name | Angelica Chavez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306852405 PECOS PAC ID: 7517999808 Enrollment ID: I20050907001176 |
| Provider Name | Micam W Tullous |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295768463 PECOS PAC ID: 5991737017 Enrollment ID: I20050908001063 |
| Provider Name | Theresa L Stewart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003859901 PECOS PAC ID: 9830122621 Enrollment ID: I20050913000501 |
| Provider Name | Lee M Armstrong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174596670 PECOS PAC ID: 6204852270 Enrollment ID: I20051019000311 |
| Provider Name | Samuel L Zuckerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831156595 PECOS PAC ID: 8426079526 Enrollment ID: I20051216000474 |
| Provider Name | Daniel J Sedillo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801853502 PECOS PAC ID: 0749228260 Enrollment ID: I20051220000467 |
| Provider Name | Jeffrey R Warman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992711279 PECOS PAC ID: 8224086798 Enrollment ID: I20060105000148 |
| Provider Name | Maria T Camacho |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295716025 PECOS PAC ID: 3173546504 Enrollment ID: I20060111000566 |
| Provider Name | Jose L Olarte-motta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306942487 PECOS PAC ID: 1355357831 Enrollment ID: I20060222000168 |
| Provider Name | Jana L Sullivan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801805213 PECOS PAC ID: 2163336207 Enrollment ID: I20060224000603 |
| Provider Name | David B Newby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467480624 PECOS PAC ID: 0244290914 Enrollment ID: I20060327000476 |
| Provider Name | David M Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578541801 PECOS PAC ID: 2264437102 Enrollment ID: I20060927000122 |
| Provider Name | Jason Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134238777 PECOS PAC ID: 2062419062 Enrollment ID: I20061106000247 |
| Provider Name | Vanessa L Hill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245260611 PECOS PAC ID: 6901805258 Enrollment ID: I20061213000595 |
| Provider Name | Megan M Obrien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033125588 PECOS PAC ID: 3779585856 Enrollment ID: I20070201000524 |
| Provider Name | Cecilia A Vanbibber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437136207 PECOS PAC ID: 0547262545 Enrollment ID: I20070205000120 |
| Provider Name | John C Browning |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1124181615 PECOS PAC ID: 9638271729 Enrollment ID: I20070220000388 |
| Provider Name | Martha R Morse |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831191071 PECOS PAC ID: 1153423868 Enrollment ID: I20070227000563 |
| Provider Name | Amy Dawn Holder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194890335 PECOS PAC ID: 0446355283 Enrollment ID: I20070423000556 |
| Provider Name | Sharvari R Parghi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487663357 PECOS PAC ID: 3476659954 Enrollment ID: I20070430000213 |
| Provider Name | Joel A. Reyes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417916594 PECOS PAC ID: 7618067836 Enrollment ID: I20071212000155 |
| Provider Name | Brian A Bates |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891774154 PECOS PAC ID: 1355423427 Enrollment ID: I20080128000771 |
| Provider Name | Kelly J Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528198405 PECOS PAC ID: 8820173289 Enrollment ID: I20080310000203 |
| Provider Name | Gerardo Quezada |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427227602 PECOS PAC ID: 5890870869 Enrollment ID: I20080314000454 |
| Provider Name | Shaylon D Rettig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679595045 PECOS PAC ID: 7214014091 Enrollment ID: I20080403000088 |
| Provider Name | Purushothaman Madhu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922110113 PECOS PAC ID: 8325033848 Enrollment ID: I20080505000534 |
| Provider Name | Lissa Melvin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881677979 PECOS PAC ID: 3173502556 Enrollment ID: I20080711000455 |
| Provider Name | Thomas Nagel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326064767 PECOS PAC ID: 0547333536 Enrollment ID: I20080724000298 |
| Provider Name | Becky Crews Doran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063615888 PECOS PAC ID: 5597856278 Enrollment ID: I20080813000711 |
| Provider Name | Michel G Baum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841251808 PECOS PAC ID: 8123186442 Enrollment ID: I20081015000239 |
| Provider Name | Christopher Curzon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952582074 PECOS PAC ID: 7911066568 Enrollment ID: I20081111000577 |
| Provider Name | Veronica H Jude |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275715856 PECOS PAC ID: 6002975562 Enrollment ID: I20081112000756 |
| Provider Name | William K Koeck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982878195 PECOS PAC ID: 2264592476 Enrollment ID: I20081118000547 |
| Provider Name | Carla M Laos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134278476 PECOS PAC ID: 5991865057 Enrollment ID: I20081119000157 |
| Provider Name | Charles E White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295739183 PECOS PAC ID: 4587725049 Enrollment ID: I20081203000329 |
| Provider Name | Bonnie H Hartstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588635577 PECOS PAC ID: 4587725411 Enrollment ID: I20081210000246 |
| Provider Name | Vivian V Carlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740281484 PECOS PAC ID: 2062576382 Enrollment ID: I20090202000378 |
| Provider Name | Elizabeth Magnabosco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225006893 PECOS PAC ID: 8224131602 Enrollment ID: I20090226000291 |
| Provider Name | Mark Robert Lee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861413536 PECOS PAC ID: 4587626726 Enrollment ID: I20090420000099 |
| Provider Name | Donald M Currie |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861509846 PECOS PAC ID: 6002964376 Enrollment ID: I20090427000330 |
| Provider Name | Jimmy L. Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699913780 PECOS PAC ID: 6901954437 Enrollment ID: I20090511000251 |
| Provider Name | Charles T Leach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073620142 PECOS PAC ID: 1052464583 Enrollment ID: I20090731000333 |
| Provider Name | Maria D Sandoval |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790931541 PECOS PAC ID: 3971656083 Enrollment ID: I20090806000145 |
| Provider Name | Nipa Vijay Sanghani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528204187 PECOS PAC ID: 2062567381 Enrollment ID: I20090909000595 |
| Provider Name | Shaine Alaine Morris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184677296 PECOS PAC ID: 9537108394 Enrollment ID: I20090923000358 |
| Provider Name | Christine Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104911551 PECOS PAC ID: 3870542624 Enrollment ID: I20090929000432 |
| Provider Name | Joel S Blumberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508845736 PECOS PAC ID: 8628988730 Enrollment ID: I20091021000061 |
| Provider Name | Dmitry Tuder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992779292 PECOS PAC ID: 0143325753 Enrollment ID: I20091103000174 |
| Provider Name | Michelle R Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104041854 PECOS PAC ID: 2365580081 Enrollment ID: I20091117000248 |
| Provider Name | Celia B Alviso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174858591 PECOS PAC ID: 1850430398 Enrollment ID: I20091123000463 |
| Provider Name | Timothy K Tong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467425314 PECOS PAC ID: 2466555255 Enrollment ID: I20100201000473 |
| Provider Name | Janet L Rowe |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013962588 PECOS PAC ID: 5991849135 Enrollment ID: I20100225000506 |
| Provider Name | Erika G Gonzalez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427022516 PECOS PAC ID: 9032254842 Enrollment ID: I20100304000520 |
| Provider Name | Ashu Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689854895 PECOS PAC ID: 7719015940 Enrollment ID: I20100510000545 |
| Provider Name | Eric W Stern |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922280213 PECOS PAC ID: 5294889697 Enrollment ID: I20100709000525 |
| Provider Name | Mark L Rodkey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508803289 PECOS PAC ID: 7214949742 Enrollment ID: I20100813000885 |
| Provider Name | Leticia A Shanley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558450031 PECOS PAC ID: 3274691282 Enrollment ID: I20100920000712 |
| Provider Name | Roy A Guerrero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376734558 PECOS PAC ID: 7517083934 Enrollment ID: I20100923000085 |
| Provider Name | Monesha Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972521763 PECOS PAC ID: 4284750522 Enrollment ID: I20100924000036 |
| Provider Name | Steven R Neish |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841370251 PECOS PAC ID: 7911994884 Enrollment ID: I20101027000183 |
| Provider Name | Qilin Ye |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952475220 PECOS PAC ID: 9032304449 Enrollment ID: I20101111000305 |
| Provider Name | Summer M Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518277961 PECOS PAC ID: 5799966628 Enrollment ID: I20110224000450 |
| Provider Name | Heather E Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407156805 PECOS PAC ID: 1153503313 Enrollment ID: I20110309000129 |
| Provider Name | Mark Boston |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023000601 PECOS PAC ID: 0648452870 Enrollment ID: I20110309000966 |
| Provider Name | Roberta J Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801101936 PECOS PAC ID: 3779766654 Enrollment ID: I20110330000856 |
| Provider Name | Edwin Arturo Batista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871788018 PECOS PAC ID: 0042392680 Enrollment ID: I20110425000546 |
| Provider Name | Virginia M Sanders |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528084019 PECOS PAC ID: 6800849290 Enrollment ID: I20110506000200 |
| Provider Name | Jennifer L Joiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154420073 PECOS PAC ID: 8325224371 Enrollment ID: I20110510000042 |
| Provider Name | Dale D Dubois |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497742647 PECOS PAC ID: 1052393956 Enrollment ID: I20110520000562 |
| Provider Name | Amanda Miller Burkhalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487850129 PECOS PAC ID: 7315119104 Enrollment ID: I20111021000168 |
| Provider Name | Luminita Crisan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194934273 PECOS PAC ID: 2668537945 Enrollment ID: I20111122000687 |
| Provider Name | Holly Suzanne Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295016822 PECOS PAC ID: 8022282094 Enrollment ID: I20111201000335 |
| Provider Name | Michelle D Barajaz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154348936 PECOS PAC ID: 5991729741 Enrollment ID: I20111201000642 |
| Provider Name | Samiya Fatima Ahmad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518284405 PECOS PAC ID: 5799950259 Enrollment ID: I20111212000347 |
| Provider Name | Maria Sherry Ann Caimol |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588827810 PECOS PAC ID: 3072788231 Enrollment ID: I20111216000273 |
| Provider Name | Alec C. Stall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740324292 PECOS PAC ID: 7810163912 Enrollment ID: I20111220000267 |
| Provider Name | Patricia A Mancuso |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235154816 PECOS PAC ID: 7618920570 Enrollment ID: I20120307000220 |
| Provider Name | Marie T Berkenkamp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871572248 PECOS PAC ID: 2365602398 Enrollment ID: I20120328000511 |
| Provider Name | Sebrina D Perkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093735375 PECOS PAC ID: 4284895368 Enrollment ID: I20120417000514 |
| Provider Name | Amy W Flores |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073749388 PECOS PAC ID: 6204099898 Enrollment ID: I20120517000582 |
| Provider Name | Jaime Echartea Gonzalez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437368537 PECOS PAC ID: 0345403309 Enrollment ID: I20120531000614 |
| Provider Name | Shravan Vallala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104152487 PECOS PAC ID: 7719141969 Enrollment ID: I20120619000588 |
| Provider Name | Perla N. Soni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811186109 PECOS PAC ID: 5597952465 Enrollment ID: I20120625000609 |
| Provider Name | Freedom Perkins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679530554 PECOS PAC ID: 3476583774 Enrollment ID: I20120713000195 |
| Provider Name | Scott D Mclean |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851382501 PECOS PAC ID: 2365607538 Enrollment ID: I20120713000448 |
| Provider Name | Jimmy Espinoza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093990392 PECOS PAC ID: 8628248283 Enrollment ID: I20120724000383 |
| Provider Name | Martha D Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518906015 PECOS PAC ID: 0244237592 Enrollment ID: I20120726000580 |
| Provider Name | Thomas J Seery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639198096 PECOS PAC ID: 3274719257 Enrollment ID: I20120809000924 |
| Provider Name | Kristina Kypuros |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003024258 PECOS PAC ID: 3678669603 Enrollment ID: I20120820000243 |
| Provider Name | Jendi L Haug |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528244233 PECOS PAC ID: 0941457311 Enrollment ID: I20120821000329 |
| Provider Name | Sara K Sexson Tejtel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376769695 PECOS PAC ID: 6204083124 Enrollment ID: I20120829000234 |
| Provider Name | Crystal M. Davenport |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437477460 PECOS PAC ID: 4880841527 Enrollment ID: I20120830000740 |
| Provider Name | Araceli Elizalde |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1811174873 PECOS PAC ID: 3476691809 Enrollment ID: I20120904000125 |
| Provider Name | Alireza Shamshirsaz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881804235 PECOS PAC ID: 3173771649 Enrollment ID: I20120907000639 |
| Provider Name | Patricia A Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609157379 PECOS PAC ID: 9234387606 Enrollment ID: I20120911000182 |
| Provider Name | Judith Anne Becker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871532861 PECOS PAC ID: 8921000803 Enrollment ID: I20120924000567 |
| Provider Name | Latha Prasannan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013947043 PECOS PAC ID: 3577544915 Enrollment ID: I20121031000280 |
| Provider Name | Robert S Sanders |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023283637 PECOS PAC ID: 4880728666 Enrollment ID: I20121204000279 |
| Provider Name | Maria E Perez-johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427098011 PECOS PAC ID: 9335391424 Enrollment ID: I20121219000188 |
| Provider Name | Mary Phylinda R Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194075705 PECOS PAC ID: 1759534001 Enrollment ID: I20130117000064 |
| Provider Name | Maria S Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144270786 PECOS PAC ID: 5991771339 Enrollment ID: I20130201000236 |
| Provider Name | Lisa M Buckmiller |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033120399 PECOS PAC ID: 7911917752 Enrollment ID: I20130202000000 |
| Provider Name | Tracy Mccallin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487829115 PECOS PAC ID: 2264600733 Enrollment ID: I20130313000538 |
| Provider Name | Anna B Gonzalez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346443538 PECOS PAC ID: 5193879187 Enrollment ID: I20130625000436 |
| Provider Name | Jamie L Jaqua |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639360811 PECOS PAC ID: 8527222090 Enrollment ID: I20130703000555 |
| Provider Name | Heather A Kleczewski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679799423 PECOS PAC ID: 9032350616 Enrollment ID: I20130724000326 |
| Provider Name | Elizabeth J.n. Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811217086 PECOS PAC ID: 1951542372 Enrollment ID: I20130729000196 |
| Provider Name | Neeraj Srivastava |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427340157 PECOS PAC ID: 0244405108 Enrollment ID: I20131025001514 |
| Provider Name | Rachana Srivastava |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164775623 PECOS PAC ID: 4880829456 Enrollment ID: I20131107000563 |
| Provider Name | Lorraine T Barnes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093717126 PECOS PAC ID: 9830325943 Enrollment ID: I20131120000652 |
| Provider Name | Stacey L Manion |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508184771 PECOS PAC ID: 0648406603 Enrollment ID: I20131121000370 |
| Provider Name | Kelly M Basaldua |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396062964 PECOS PAC ID: 7416183496 Enrollment ID: I20131121001061 |
| Provider Name | Sarah Fall Denniston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093985509 PECOS PAC ID: 4082899588 Enrollment ID: I20131121001790 |
| Provider Name | Hetal T Gadhia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114247772 PECOS PAC ID: 6305072323 Enrollment ID: I20131122000288 |
| Provider Name | Suzanne E Cuda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841281235 PECOS PAC ID: 5890921829 Enrollment ID: I20131122000512 |
| Provider Name | Hilda M Rivera Santiago |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972568160 PECOS PAC ID: 2668608365 Enrollment ID: I20131203000814 |
| Provider Name | Rebecca Linn Schaub |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609042209 PECOS PAC ID: 7214164748 Enrollment ID: I20131209000387 |
| Provider Name | James M Noel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710977343 PECOS PAC ID: 7012070568 Enrollment ID: I20140210001223 |
| Provider Name | Rebecca A Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841622057 PECOS PAC ID: 9830329556 Enrollment ID: I20140225001574 |
| Provider Name | Muhammad A Mumtaz |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1275625840 PECOS PAC ID: 7810993169 Enrollment ID: I20140307000686 |
| Provider Name | Elizabeth Anne Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821421181 PECOS PAC ID: 4486885027 Enrollment ID: I20140325001844 |
| Provider Name | Manoj Kumar Nepal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063783454 PECOS PAC ID: 7517115835 Enrollment ID: I20140402000220 |
| Provider Name | Javier J Monagas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326214586 PECOS PAC ID: 1456538610 Enrollment ID: I20140416000855 |
| Provider Name | Joe A Uranga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417121047 PECOS PAC ID: 9335362268 Enrollment ID: I20140522000899 |
| Provider Name | Lucille Mcloughlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063429025 PECOS PAC ID: 0244125698 Enrollment ID: I20140529000320 |
| Provider Name | Elena Mikalsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093855710 PECOS PAC ID: 3971604869 Enrollment ID: I20140604002624 |
| Provider Name | Bandana Paudyal-nepal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427497163 PECOS PAC ID: 7810111804 Enrollment ID: I20140613000099 |
| Provider Name | Jonathan D Crews |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821394495 PECOS PAC ID: 7719101682 Enrollment ID: I20140616000998 |
| Provider Name | Jennifer M Hemmeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548502792 PECOS PAC ID: 6901020619 Enrollment ID: I20140620000479 |
| Provider Name | Matei S Petrescu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851580617 PECOS PAC ID: 4385724319 Enrollment ID: I20140625000762 |
| Provider Name | Elumalai Appachi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437262441 PECOS PAC ID: 3173554201 Enrollment ID: I20140701000904 |
| Provider Name | Nadia L Cheek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629277926 PECOS PAC ID: 7719121409 Enrollment ID: I20140709002048 |
| Provider Name | Luis A Castagnini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952635658 PECOS PAC ID: 9537284740 Enrollment ID: I20140729000344 |
| Provider Name | Mark C Stahl |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1912932476 PECOS PAC ID: 6800012543 Enrollment ID: I20140801000460 |
| Provider Name | Morgan T Fordham |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558522615 PECOS PAC ID: 3173740826 Enrollment ID: I20140804002232 |
| Provider Name | Adam D Wolfe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750545778 PECOS PAC ID: 4981876638 Enrollment ID: I20140828000671 |
| Provider Name | Amanda J Dizzine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841518487 PECOS PAC ID: 9638397672 Enrollment ID: I20140904000716 |
| Provider Name | Emma I Rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639580962 PECOS PAC ID: 3779702279 Enrollment ID: I20140916000939 |
| Provider Name | Yu Tze Ng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215041942 PECOS PAC ID: 3779577093 Enrollment ID: I20140926001111 |
| Provider Name | Merlita Ariany Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124388194 PECOS PAC ID: 4688894553 Enrollment ID: I20140929001052 |
| Provider Name | Ruchi Kaushik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902965767 PECOS PAC ID: 6103958095 Enrollment ID: I20141024000475 |
| Provider Name | Melissa D Svoboda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346413283 PECOS PAC ID: 8022263771 Enrollment ID: I20141024000754 |
| Provider Name | Abhishek P Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982850707 PECOS PAC ID: 9032331103 Enrollment ID: I20141105002708 |
| Provider Name | Roopali Varma Donepudi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033323951 PECOS PAC ID: 2961644547 Enrollment ID: I20141118000352 |
| Provider Name | Daniel Nento |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1447426176 PECOS PAC ID: 7618299892 Enrollment ID: I20141124002011 |
| Provider Name | Richard Lorber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669565149 PECOS PAC ID: 4486652815 Enrollment ID: I20141125000358 |
| Provider Name | Jeremiah J Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104816362 PECOS PAC ID: 9537104260 Enrollment ID: I20150126001523 |
| Provider Name | Srinath T Gowda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487768149 PECOS PAC ID: 9537266945 Enrollment ID: I20150130000179 |
| Provider Name | Harinder Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073556288 PECOS PAC ID: 8426065079 Enrollment ID: I20150303002354 |
| Provider Name | Mala Appachi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306830369 PECOS PAC ID: 4880911213 Enrollment ID: I20150324002155 |
| Provider Name | Kristi M Olivares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053549691 PECOS PAC ID: 3870714892 Enrollment ID: I20150406000899 |
| Provider Name | April D Sorrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023192085 PECOS PAC ID: 5890883110 Enrollment ID: I20150420000585 |
| Provider Name | Haleema F Harhara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548580236 PECOS PAC ID: 9830332907 Enrollment ID: I20150507002449 |
| Provider Name | Elizabeth M Yust |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255534244 PECOS PAC ID: 5597901231 Enrollment ID: I20150508000895 |
| Provider Name | Sheikh S Ahmed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265541361 PECOS PAC ID: 1254309404 Enrollment ID: I20150513002227 |
| Provider Name | Andrew Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497172829 PECOS PAC ID: 2860703246 Enrollment ID: I20150626000064 |
| Provider Name | Nitin Madan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548420292 PECOS PAC ID: 0446498117 Enrollment ID: I20150630002659 |
| Provider Name | Patricia Diane Scherrer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962492637 PECOS PAC ID: 7416053228 Enrollment ID: I20150716001639 |
| Provider Name | Courtney A Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891053484 PECOS PAC ID: 5991018913 Enrollment ID: I20150721000472 |
| Provider Name | Manuel Iii Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992049464 PECOS PAC ID: 7416261508 Enrollment ID: I20150803002272 |
| Provider Name | Justin Weigand |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093977472 PECOS PAC ID: 9739493685 Enrollment ID: I20150805008031 |
| Provider Name | Nicholas Lino Fleming |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578856779 PECOS PAC ID: 0840505566 Enrollment ID: I20150810002659 |
| Provider Name | Nicole Lavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790952877 PECOS PAC ID: 9537228176 Enrollment ID: I20150818003759 |
| Provider Name | Mark Gorelik |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245459551 PECOS PAC ID: 2264673466 Enrollment ID: I20150819008677 |
| Provider Name | Moshood Karimu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730462771 PECOS PAC ID: 8527231562 Enrollment ID: I20150928003006 |
| Provider Name | Dimarys Dolores Sanchez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487817755 PECOS PAC ID: 9032336854 Enrollment ID: I20151024000111 |
| Provider Name | Peter E. Nielsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669444295 PECOS PAC ID: 3577887207 Enrollment ID: I20151117000848 |
| Provider Name | Khurrum Siddique |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154640324 PECOS PAC ID: 4486954013 Enrollment ID: I20151203000486 |
| Provider Name | Rose M Walczak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578748257 PECOS PAC ID: 0446435002 Enrollment ID: I20151210001986 |
| Provider Name | Kellie N Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629238787 PECOS PAC ID: 1759547029 Enrollment ID: I20151214001808 |
| Provider Name | Sabrina K Esquivel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891166682 PECOS PAC ID: 6608179874 Enrollment ID: I20160121001288 |
| Provider Name | Utpal Bhalala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255604104 PECOS PAC ID: 8224290168 Enrollment ID: I20160223002275 |
| Provider Name | Shawn Sheldon Funk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497071252 PECOS PAC ID: 0547569279 Enrollment ID: I20160503000064 |
| Provider Name | Saranya Srinivasan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932335932 PECOS PAC ID: 5496901894 Enrollment ID: I20160511000391 |
| Provider Name | Brook Thomson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548290141 PECOS PAC ID: 1951377076 Enrollment ID: I20160516000327 |
| Provider Name | Christina Carol Hill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215905096 PECOS PAC ID: 0042500464 Enrollment ID: I20160526000364 |
| Provider Name | Rhianna Little |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194920314 PECOS PAC ID: 1658520093 Enrollment ID: I20160906002108 |
| Provider Name | Richard K Wagner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003858952 PECOS PAC ID: 7618979022 Enrollment ID: I20160914002686 |
| Provider Name | Miriam Garcia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790044469 PECOS PAC ID: 6709173966 Enrollment ID: I20161003001340 |
| Provider Name | James B Hill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932178738 PECOS PAC ID: 6406944925 Enrollment ID: I20161012001388 |
| Provider Name | Lisa Katherine Beckner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790125995 PECOS PAC ID: 4082992110 Enrollment ID: I20161025001362 |
| Provider Name | Anna K Schlechter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588954945 PECOS PAC ID: 0345487831 Enrollment ID: I20161118001197 |
| Provider Name | Lakshmi Nagaraju |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316179336 PECOS PAC ID: 0446565188 Enrollment ID: I20161221001031 |
| Provider Name | Adanna Linda Anyikam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629415708 PECOS PAC ID: 2365677366 Enrollment ID: I20170111002141 |
| Provider Name | Erin E Flaherty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053537951 PECOS PAC ID: 9133347479 Enrollment ID: I20170121000025 |
| Provider Name | Kara D Raful |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154868131 PECOS PAC ID: 8729361126 Enrollment ID: I20170209000645 |
| Provider Name | Lingkun Kong |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275796096 PECOS PAC ID: 6002199288 Enrollment ID: I20170214000752 |
| Provider Name | Golden Mae Eagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487024279 PECOS PAC ID: 3870879232 Enrollment ID: I20170419001609 |
| Provider Name | Carrie A Schmid |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538246541 PECOS PAC ID: 2769750017 Enrollment ID: I20170609002192 |
| Provider Name | Sarah Hinojosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437686136 PECOS PAC ID: 3971871062 Enrollment ID: I20170614000122 |
| Provider Name | Elizabeth A Byrne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750657748 PECOS PAC ID: 8820366628 Enrollment ID: I20170620002517 |
| Provider Name | John J Byrne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922447648 PECOS PAC ID: 7113220617 Enrollment ID: I20170626001808 |
| Provider Name | Jillian Lopiano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770786345 PECOS PAC ID: 9638342652 Enrollment ID: I20170627001398 |
| Provider Name | Douglas James Creedon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295714780 PECOS PAC ID: 1052454253 Enrollment ID: I20170829002625 |
| Provider Name | Oluwatosin O Fatusin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396970620 PECOS PAC ID: 3072764000 Enrollment ID: I20170830001091 |
| Provider Name | Jesus Rogelio Garcia Jacques |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609034065 PECOS PAC ID: 3779700604 Enrollment ID: I20171004001727 |
| Provider Name | Demetrice Lamotte Hill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407823735 PECOS PAC ID: 7416125398 Enrollment ID: I20171006001844 |
| Provider Name | Elwaseila M Hamdoun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528370764 PECOS PAC ID: 7416252275 Enrollment ID: I20171211000321 |
| Provider Name | Benjamin Louis Moresco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215322318 PECOS PAC ID: 2860757143 Enrollment ID: I20180607002948 |
| Provider Name | Jesse Wei-dirk Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174815005 PECOS PAC ID: 3971870460 Enrollment ID: I20180611000284 |
| Provider Name | Arjun Chandran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033591938 PECOS PAC ID: 3476836792 Enrollment ID: I20180611001776 |
| Provider Name | Marcela Svojsik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114304789 PECOS PAC ID: 7517274319 Enrollment ID: I20180731001469 |
| Provider Name | Peter Hsu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194012906 PECOS PAC ID: 3870841620 Enrollment ID: I20180810000037 |
| Provider Name | Alexander Henri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972997500 PECOS PAC ID: 3971852617 Enrollment ID: I20180814002084 |
| Provider Name | Jazmin Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336513902 PECOS PAC ID: 4082963616 Enrollment ID: I20180815002065 |
| Provider Name | Sabrina Lynn Condon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730671595 PECOS PAC ID: 8224387410 Enrollment ID: I20180821003684 |
| Provider Name | Arpit Agarwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336428689 PECOS PAC ID: 4688924376 Enrollment ID: I20180829004041 |
| Provider Name | Kathryn E Berryman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225249568 PECOS PAC ID: 5698037885 Enrollment ID: I20180831001752 |
| Provider Name | Shimona Bhatia Thakrar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386845030 PECOS PAC ID: 9537355490 Enrollment ID: I20180904002521 |
| Provider Name | Daniela Alejandra Vidaurri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932441334 PECOS PAC ID: 2365793171 Enrollment ID: I20180918001984 |
| Provider Name | Tamika Cherron Bush |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962113159 PECOS PAC ID: 7719053859 Enrollment ID: I20181106001130 |
| Provider Name | Jacqueline Danielle Battistelli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760772479 PECOS PAC ID: 8820226228 Enrollment ID: I20181206001875 |
| Provider Name | Momena K Bajwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104005586 PECOS PAC ID: 8921285438 Enrollment ID: I20181220002047 |
| Provider Name | Michael Demarcantonio |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801058391 PECOS PAC ID: 3476810326 Enrollment ID: I20181231001724 |
| Provider Name | Summer Dawn Donovan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396919734 PECOS PAC ID: 7618116104 Enrollment ID: I20190125002946 |
| Provider Name | Sarah Nightingale Bowe |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851566442 PECOS PAC ID: 9931334323 Enrollment ID: I20190204001158 |
| Provider Name | Samiya Razzaq |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053401612 PECOS PAC ID: 3971632308 Enrollment ID: I20190204002480 |
| Provider Name | Shad Deering |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407836018 PECOS PAC ID: 5092780320 Enrollment ID: I20190225002420 |
| Provider Name | Marissa Valencia Ylagan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942266051 PECOS PAC ID: 2163423369 Enrollment ID: I20190314002505 |
| Provider Name | Angelique Marie Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518310606 PECOS PAC ID: 0749521888 Enrollment ID: I20190417002939 |
| Provider Name | Paul David Speer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598705444 PECOS PAC ID: 3072548668 Enrollment ID: I20190515003345 |
| Provider Name | David Robert Stachniak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457746364 PECOS PAC ID: 8921341611 Enrollment ID: I20190521001441 |
| Provider Name | Suzanne C Trinkl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952742678 PECOS PAC ID: 6204066947 Enrollment ID: I20190710000928 |
| Provider Name | Alexandra Noel Grace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295291938 PECOS PAC ID: 8729314869 Enrollment ID: I20190726000305 |
| Provider Name | Cory Lynn Henson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962846006 PECOS PAC ID: 3971875287 Enrollment ID: I20190727000021 |
| Provider Name | John R Bruyere |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245686120 PECOS PAC ID: 4587990205 Enrollment ID: I20190801001718 |
| Provider Name | Lauren Allyson Kjolhede |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083076574 PECOS PAC ID: 3779810197 Enrollment ID: I20190808000328 |
| Provider Name | Robert James Stewart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528323797 PECOS PAC ID: 5395056329 Enrollment ID: I20190816002622 |
| Provider Name | Oluwadamilola O Ejike |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841633823 PECOS PAC ID: 3971831140 Enrollment ID: I20190826003156 |
| Provider Name | Julie Voeller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518301811 PECOS PAC ID: 5294021879 Enrollment ID: I20190911003714 |
| Provider Name | Amy L Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093239345 PECOS PAC ID: 3779813126 Enrollment ID: I20190926003262 |
| Provider Name | Martin Andreansky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275505067 PECOS PAC ID: 8426021502 Enrollment ID: I20191001003052 |
| Provider Name | Mohammed Salameh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528395985 PECOS PAC ID: 6406001817 Enrollment ID: I20191007001330 |
| Provider Name | Tyler James Stavinoha |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811253453 PECOS PAC ID: 7315243243 Enrollment ID: I20191022003241 |
| Provider Name | Mary Ellen Tehas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164990198 PECOS PAC ID: 7214269075 Enrollment ID: I20191028001695 |
| Provider Name | Ashlie Vandine-rose Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669931275 PECOS PAC ID: 2860826732 Enrollment ID: I20191231001146 |
| Provider Name | Erin Allison Keyser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275730012 PECOS PAC ID: 3870928773 Enrollment ID: I20200123001228 |
| Provider Name | Irene Pacheco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932755568 PECOS PAC ID: 5092142711 Enrollment ID: I20200219000295 |
| Provider Name | Shahid Nadeem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417111964 PECOS PAC ID: 1153547567 Enrollment ID: I20200316001918 |
| Provider Name | Niveditha Balakumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487061321 PECOS PAC ID: 5597195487 Enrollment ID: I20200416001505 |
| Provider Name | Kirstin Henley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720408578 PECOS PAC ID: 7911338157 Enrollment ID: I20200504000947 |
| Provider Name | Chetan Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861808834 PECOS PAC ID: 4486957792 Enrollment ID: I20200512003259 |
| Provider Name | Desiree Masten |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962881383 PECOS PAC ID: 1658652268 Enrollment ID: I20200521002002 |
| Provider Name | Christopher Lawrence Case |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427315837 PECOS PAC ID: 0042631392 Enrollment ID: I20200522000941 |
| Provider Name | Franca Iorember |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689841579 PECOS PAC ID: 7618040213 Enrollment ID: I20200611001349 |
| Provider Name | Cody Clary |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255862272 PECOS PAC ID: 7719309079 Enrollment ID: I20200616000817 |
| Provider Name | Lauren Ashley Gabriel Betancourt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821529900 PECOS PAC ID: 4587086475 Enrollment ID: I20200623001218 |
| Provider Name | Sasha Md Wee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881072171 PECOS PAC ID: 8820346778 Enrollment ID: I20200624002844 |
| Provider Name | Kerry Graebe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053742262 PECOS PAC ID: 4385863810 Enrollment ID: I20200714000938 |
| Provider Name | Tina D Holley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891208377 PECOS PAC ID: 1153748405 Enrollment ID: I20200901001178 |
| Provider Name | Victor Bautista-hernandez |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1972134013 PECOS PAC ID: 6406276443 Enrollment ID: I20201013003181 |
| Provider Name | Lyannette Calderon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225501885 PECOS PAC ID: 4880029370 Enrollment ID: I20201028001338 |
| Provider Name | Stephanie Baskin |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1265889117 PECOS PAC ID: 3072923697 Enrollment ID: I20201110000094 |
| Provider Name | Sheetal Khiyani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831506757 PECOS PAC ID: 6204246648 Enrollment ID: I20201113000672 |
| Provider Name | Sarah D Wheeler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184903551 PECOS PAC ID: 8729250428 Enrollment ID: I20201231000093 |
| Provider Name | Katie Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851994735 PECOS PAC ID: 3971916099 Enrollment ID: I20210111001471 |
| Provider Name | Jayme Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922576982 PECOS PAC ID: 4789097726 Enrollment ID: I20210112000015 |
| Provider Name | Katherine Barsness |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679771349 PECOS PAC ID: 3678651973 Enrollment ID: I20210210001624 |
| Provider Name | Hussain Shakir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922491547 PECOS PAC ID: 6103133459 Enrollment ID: I20210225000573 |
| Provider Name | Angelica Wong Despain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194136820 PECOS PAC ID: 3274866389 Enrollment ID: I20210331000055 |
| Provider Name | Matthew Sattler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194221895 PECOS PAC ID: 6002224037 Enrollment ID: I20210412002694 |
| Provider Name | Jessica Rae Gallegos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699289892 PECOS PAC ID: 8628486081 Enrollment ID: I20210423000661 |
| Provider Name | Monica Dussan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700154267 PECOS PAC ID: 0143448696 Enrollment ID: I20210514002508 |
| Provider Name | Diana Villazana-kretzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578791190 PECOS PAC ID: 0143655837 Enrollment ID: I20210517001817 |
| Provider Name | Phillip Juarez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821452467 PECOS PAC ID: 5799068235 Enrollment ID: I20210525002979 |
| Provider Name | Kristen Gill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396241071 PECOS PAC ID: 2769881507 Enrollment ID: I20210526003405 |
| Provider Name | Thu A Pham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114304771 PECOS PAC ID: 0446659106 Enrollment ID: I20210528001719 |
| Provider Name | Nicole Clifton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659765949 PECOS PAC ID: 4486975414 Enrollment ID: I20210601002813 |
| Provider Name | Mark Porter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871970301 PECOS PAC ID: 6709134182 Enrollment ID: I20210614003072 |
| Provider Name | Laurie Michelle Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518308204 PECOS PAC ID: 1254732795 Enrollment ID: I20210622002128 |
| Provider Name | Sreenivas Avula |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154634566 PECOS PAC ID: 5991011801 Enrollment ID: I20210622002545 |
| Provider Name | Veronica Villarreal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942695861 PECOS PAC ID: 8527469089 Enrollment ID: I20210622002930 |
| Provider Name | Reinaldo Acosta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619927571 PECOS PAC ID: 4486676251 Enrollment ID: I20210624000511 |
| Provider Name | Ashley Savoie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578068441 PECOS PAC ID: 8527460518 Enrollment ID: I20210713004057 |
| Provider Name | Vaibhav Achyut Surya Bhamidipati |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114423878 PECOS PAC ID: 5294137097 Enrollment ID: I20210716000389 |
| Provider Name | Joseph Shihao Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700306925 PECOS PAC ID: 7315211505 Enrollment ID: I20210716000404 |
| Provider Name | Gustavo Adolfo Charria-ortiz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326003237 PECOS PAC ID: 1153218599 Enrollment ID: I20210803002158 |
| Provider Name | Natalie Diane Ethridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023691243 PECOS PAC ID: 7810392677 Enrollment ID: I20210818000379 |
| Provider Name | Sara Del Campo De Gonzalez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467778415 PECOS PAC ID: 3072740018 Enrollment ID: I20210914001281 |
| Provider Name | Krittika U Joshi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154738722 PECOS PAC ID: 4880933423 Enrollment ID: I20210915003165 |
| Provider Name | Catherine M Gordon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326110545 PECOS PAC ID: 0941376826 Enrollment ID: I20210927001968 |
| Provider Name | Jessica Marie Schexnayder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497421465 PECOS PAC ID: 1557768934 Enrollment ID: I20210928001552 |
| Provider Name | John Manaloor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437351095 PECOS PAC ID: 0648320507 Enrollment ID: I20211025002313 |
| Provider Name | Jo Anna Cantu Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619103538 PECOS PAC ID: 1951792761 Enrollment ID: I20220104002484 |
| Provider Name | Katherine Elaine Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699380477 PECOS PAC ID: 5991198574 Enrollment ID: I20220202002231 |
| Provider Name | Ann Oconnor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154309284 PECOS PAC ID: 8224133681 Enrollment ID: I20220203001483 |
| Provider Name | Jacques Cayo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619132073 PECOS PAC ID: 0840420295 Enrollment ID: I20220208000678 |
| Provider Name | Govinda Paudel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215224712 PECOS PAC ID: 9638344773 Enrollment ID: I20220217001041 |
| Provider Name | Jennifer Lammers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265816474 PECOS PAC ID: 3577958891 Enrollment ID: I20220322003294 |
| Provider Name | Lisa Vargas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861593246 PECOS PAC ID: 0345481529 Enrollment ID: I20220324000355 |
| Provider Name | Saleem Almasarweh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093120941 PECOS PAC ID: 2466839766 Enrollment ID: I20220506000024 |
| Provider Name | Lawrence Quang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619994761 PECOS PAC ID: 6204802754 Enrollment ID: I20220506001982 |
| Provider Name | Brittany Mae Jaisankar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134862774 PECOS PAC ID: 7012394125 Enrollment ID: I20220511000715 |
| Provider Name | John Odom |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1497118004 PECOS PAC ID: 1355637638 Enrollment ID: I20220523001985 |
| Provider Name | Lydia Kathleen Davidson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285194597 PECOS PAC ID: 4486032968 Enrollment ID: I20220613001486 |
| Provider Name | Pamela Simmons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982950648 PECOS PAC ID: 3072806090 Enrollment ID: I20220718002943 |
| Provider Name | Kelli Sargent Franco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083350680 PECOS PAC ID: 3476935487 Enrollment ID: I20220806000673 |
| Provider Name | Nikia Marshall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710228192 PECOS PAC ID: 2860632981 Enrollment ID: I20220906002135 |
| Provider Name | Joshua Zaritsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396871844 PECOS PAC ID: 0446355515 Enrollment ID: I20220914001651 |
| Provider Name | Lurah Welch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043674864 PECOS PAC ID: 7416245774 Enrollment ID: I20221013001444 |
| Provider Name | Hannah Gardner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407241052 PECOS PAC ID: 0244547776 Enrollment ID: I20221020000892 |
| Provider Name | Shahab Fareed Abdessalam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174697502 PECOS PAC ID: 5395807242 Enrollment ID: I20221024000986 |
| Provider Name | Anjelica Allegra Moncada-gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740902964 PECOS PAC ID: 7618345810 Enrollment ID: I20221118002185 |
| Provider Name | Belinda Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982238317 PECOS PAC ID: 9436527249 Enrollment ID: I20221129002678 |
| Provider Name | Mary Beth Madonna |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265427108 PECOS PAC ID: 3173712437 Enrollment ID: I20221129003521 |
| Provider Name | Brook Alicia Danboise |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841828852 PECOS PAC ID: 9032588132 Enrollment ID: I20221213000245 |
| Provider Name | Justin Ogbevoen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487612370 PECOS PAC ID: 3476575101 Enrollment ID: I20230109001104 |
| Provider Name | Milissa Mckee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104809326 PECOS PAC ID: 4284783531 Enrollment ID: I20230118001401 |
| Provider Name | Sarah Elhag Elhadi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184875262 PECOS PAC ID: 0244528883 Enrollment ID: I20230119002596 |
| Provider Name | Thomas C Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518677327 PECOS PAC ID: 4880065226 Enrollment ID: I20230124000362 |
| Provider Name | Abhay K Kulkarni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275943946 PECOS PAC ID: 9335362946 Enrollment ID: I20230202001824 |
| Provider Name | Elliot Pennington |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235365081 PECOS PAC ID: 9931332962 Enrollment ID: I20230307001755 |
| Provider Name | Lea Porche |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033434170 PECOS PAC ID: 1850669219 Enrollment ID: I20230308001122 |
| Provider Name | Srikumar B Pillai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518953538 PECOS PAC ID: 3173551256 Enrollment ID: I20230314002335 |
| Provider Name | Brenda Giles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437593472 PECOS PAC ID: 5193952331 Enrollment ID: I20230320002996 |
| Provider Name | Clayton Farahani |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427598911 PECOS PAC ID: 0547635427 Enrollment ID: I20230406000410 |
| Provider Name | Michelle Lende |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972965028 PECOS PAC ID: 5698055549 Enrollment ID: I20230411002305 |
| Provider Name | Gabriela Nunez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518373307 PECOS PAC ID: 7810352192 Enrollment ID: I20230421000571 |
| Provider Name | Sasha Mcgovern |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114210200 PECOS PAC ID: 1951604685 Enrollment ID: I20230501000875 |
| Provider Name | Peter Woolman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316479868 PECOS PAC ID: 4880059385 Enrollment ID: I20230505002555 |
| Provider Name | Sarah Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609561000 PECOS PAC ID: 2769848902 Enrollment ID: I20230515001070 |
| Provider Name | Samantha Shapiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558808980 PECOS PAC ID: 0840656831 Enrollment ID: I20230517001525 |
| Provider Name | Katherine Renee French |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275154692 PECOS PAC ID: 7719343714 Enrollment ID: I20230517002412 |
| Provider Name | Britney Marie Harper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801424387 PECOS PAC ID: 2365808821 Enrollment ID: I20230525002400 |
| Provider Name | Cletus Onyiorah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477567758 PECOS PAC ID: 8325930225 Enrollment ID: I20230621002279 |
| Provider Name | Jack C Borders |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306800404 PECOS PAC ID: 4183652167 Enrollment ID: I20230707003277 |
| Provider Name | Jonathan I Greenfeld |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063490191 PECOS PAC ID: 7315042777 Enrollment ID: I20230713003029 |
| Provider Name | Evans Valerie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548271067 PECOS PAC ID: 1557345014 Enrollment ID: I20230718001119 |
| Provider Name | Oluwafemi Akinnawo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780207654 PECOS PAC ID: 2668832502 Enrollment ID: I20230724002344 |
| Provider Name | Sathish Mallenahalli Chikkabyrappa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447589700 PECOS PAC ID: 7012201403 Enrollment ID: I20230725003507 |
| Provider Name | Seth T Sorensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033510037 PECOS PAC ID: 8022364256 Enrollment ID: I20230728000092 |
| Provider Name | Sushitha Surendran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912265760 PECOS PAC ID: 3971875881 Enrollment ID: I20230807002745 |
| Provider Name | Jacob Stephenson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265411979 PECOS PAC ID: 3577665660 Enrollment ID: I20230807002747 |
| Provider Name | Anshu Maheshwari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871896571 PECOS PAC ID: 7618277328 Enrollment ID: I20230808003839 |
| Provider Name | Obinna C Ubah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053939488 PECOS PAC ID: 1951763564 Enrollment ID: I20230814004010 |
| Provider Name | Kristin Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134808165 PECOS PAC ID: 1052774858 Enrollment ID: I20230828000381 |
| Provider Name | Melissa Cadnapaphornchai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477638112 PECOS PAC ID: 1153514161 Enrollment ID: I20230828002530 |
| Provider Name | Ravi C Ashwath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164636502 PECOS PAC ID: 8123126687 Enrollment ID: I20230922001777 |
| Provider Name | Asmaa Soliman Abu Maziad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922394139 PECOS PAC ID: 5991062598 Enrollment ID: I20230923000397 |
| Provider Name | Benjamin Robert Silva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073967667 PECOS PAC ID: 7911338264 Enrollment ID: I20230923000712 |
| Provider Name | Satesh K Raju |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669553178 PECOS PAC ID: 9537488457 Enrollment ID: I20231002002765 |
| Provider Name | John Marin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316637028 PECOS PAC ID: 8426403585 Enrollment ID: I20231009003321 |
| Provider Name | Meagan Desmet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386343093 PECOS PAC ID: 9830544907 Enrollment ID: I20231010000456 |
| Provider Name | Amber Hathcock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962794123 PECOS PAC ID: 0143572032 Enrollment ID: I20231010003008 |
| Provider Name | Gavin L Mills |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477085934 PECOS PAC ID: 9830429083 Enrollment ID: I20231011001636 |
| Provider Name | Issa Alhamoud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407231913 PECOS PAC ID: 6002164050 Enrollment ID: I20231019000326 |
| Provider Name | Robert Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154617371 PECOS PAC ID: 6709033400 Enrollment ID: I20231024002026 |
| Provider Name | Olivia Lynn Samuelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699454785 PECOS PAC ID: 6901252071 Enrollment ID: I20231025002397 |
| Provider Name | Scott Penney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467812784 PECOS PAC ID: 4385976992 Enrollment ID: I20231106002491 |
| Provider Name | Jerard M Connors |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487680211 PECOS PAC ID: 8022100833 Enrollment ID: I20231110000229 |
| Provider Name | Evan Nadler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316931850 PECOS PAC ID: 7214900471 Enrollment ID: I20231121000186 |
| Provider Name | Brian Schultz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316309701 PECOS PAC ID: 1052608007 Enrollment ID: I20231121000245 |
| Provider Name | Onyinyechi Ukwuoma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891105714 PECOS PAC ID: 1759661218 Enrollment ID: I20231206001087 |
| Provider Name | Bassel Bali |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1407502644 PECOS PAC ID: 6103275268 Enrollment ID: I20231214001090 |
| Provider Name | David Goo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508944588 PECOS PAC ID: 3173796463 Enrollment ID: I20231214002420 |
| Provider Name | Sahar Salim Barayan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083659296 PECOS PAC ID: 1254380629 Enrollment ID: I20240123000573 |
| Provider Name | Nasser J Moiduddin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689815888 PECOS PAC ID: 4082756416 Enrollment ID: I20240220004416 |
| Provider Name | Yosef Greenspon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942364690 PECOS PAC ID: 3577665090 Enrollment ID: I20240228001798 |
| Provider Name | Oleg Kovalenko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205082393 PECOS PAC ID: 1850437625 Enrollment ID: I20240304003275 |
| Provider Name | Edna Osei |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821870999 PECOS PAC ID: 3678918265 Enrollment ID: I20240305003911 |
| Provider Name | Laura Jean Wilner |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780669325 PECOS PAC ID: 3072574268 Enrollment ID: I20240308002293 |
| Provider Name | Rebecca Hutchings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851405971 PECOS PAC ID: 6103868823 Enrollment ID: I20240321000906 |
| Provider Name | David F Piper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679573984 PECOS PAC ID: 1254429038 Enrollment ID: I20240321003537 |
| Provider Name | Valerie Erwin Parr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639312408 PECOS PAC ID: 6709032709 Enrollment ID: I20240328002149 |
| Provider Name | Daniel Sanchez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346284148 PECOS PAC ID: 5294820411 Enrollment ID: I20240401002079 |
| Provider Name | Jordan Seth Vanzant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235627357 PECOS PAC ID: 9739435629 Enrollment ID: I20240411004289 |
| Provider Name | Christopher James Westgarth-taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497407530 PECOS PAC ID: 8426435363 Enrollment ID: I20240412000721 |
| Provider Name | Jaimie Elizabeth Long |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770161101 PECOS PAC ID: 5597104380 Enrollment ID: I20240412001205 |
| Provider Name | Torin Karsonovich |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770931297 PECOS PAC ID: 5193017358 Enrollment ID: I20240506001147 |
| Provider Name | Elizabeth Greer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730686684 PECOS PAC ID: 3779989264 Enrollment ID: I20240514003781 |
| Provider Name | Ricky Inocencio Rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588151468 PECOS PAC ID: 2062954373 Enrollment ID: I20240602000010 |
Accessing Individual Minds, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10223 Vernlyn Dr, San Antonio, TX 78230 Phone: 210-413-3855 | |
Westover Hills Behavioral Therapy Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3903 Wiseman Blvd Ste 204, San Antonio, TX 78251 Phone: 210-521-1600 Fax: 210-521-1626 | |
Training Solutions And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Mabry, Suite 100, San Antonio, TX 78226 Phone: 210-922-1274 Fax: 210-932-9891 | |
Bailey Peyton Delaney Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4499 Medical Dr Ste 122, San Antonio, TX 78229 Phone: 210-616-0665 Fax: 210-616-0932 | |
South Texas Neuropsychological Associates Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3603 Paesanos Pkwy, Ste 300a, San Antonio, TX 78231 Phone: 210-614-3011 Fax: 210-615-6906 | |
Hillary Marvin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6602 Ivywood Dr, San Antonio, TX 78249 Phone: 281-467-4917 | |
Third Space Counseling And Consultation, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1380 Pantheon Way Suite 245, San Antonio, TX 78232 Phone: 210-602-9499 |