| Trinity Health Of New England Medical Group | |
|
271 Carew St Springfield MA 01104 | |
| (413) 781-7217 | |
| (413) 562-1605 |
| Full Name | Trinity Health Of New England Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 271 Carew St, Springfield, Massachusetts |
| Authorized Official Name and Position | James M Harris (REGIONAL DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Contact | 8607144396 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Health Of New England Medical Group 271 Carew St Springfield MA 01104-2377 Ph: (413) 781-7217 | Trinity Health Of New England Medical Group 271 Carew St Springfield MA 01104 Ph: (413) 781-7217 |
| NPI Number | 1841651197 |
|---|---|
| Provider Enumeration Date | 03/15/2016 |
| Last Update Date | 01/18/2021 |
| Certification Date | 01/18/2021 |
| Medicare PECOS PAC ID | 5698064343 |
|---|---|
| Medicare Enrollment ID | O20160614001710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841651197 | NPI | - | NPPES |
| Provider Name | Adele C Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871501429 PECOS PAC ID: 2860306636 Enrollment ID: I20031117000135 |
| Provider Name | Peter Darrow Bishop |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871528034 PECOS PAC ID: 3971596495 Enrollment ID: I20040408000197 |
| Provider Name | David B Mernoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477591683 PECOS PAC ID: 0244220622 Enrollment ID: I20040517001023 |
| Provider Name | Mrinal S. Mali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023055720 PECOS PAC ID: 7911997325 Enrollment ID: I20040517001204 |
| Provider Name | Bernita M Spagnoli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710945175 PECOS PAC ID: 1557351863 Enrollment ID: I20040517001301 |
| Provider Name | Anna Rokhlenko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699738187 PECOS PAC ID: 8426033614 Enrollment ID: I20040622000666 |
| Provider Name | Eugene Park Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528030525 PECOS PAC ID: 4486624160 Enrollment ID: I20040729000712 |
| Provider Name | Gretchen E Loebel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518967991 PECOS PAC ID: 1658342928 Enrollment ID: I20040802001356 |
| Provider Name | Chih M Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083604870 PECOS PAC ID: 3678545084 Enrollment ID: I20040806000936 |
| Provider Name | Patrick A Barnett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396781381 PECOS PAC ID: 6305812868 Enrollment ID: I20040907000823 |
| Provider Name | Daniel M Morrison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780681965 PECOS PAC ID: 9032178025 Enrollment ID: I20041006000199 |
| Provider Name | Larisa Altman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093917213 PECOS PAC ID: 8729044177 Enrollment ID: I20041207000788 |
| Provider Name | Wendy Medeiros Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891849139 PECOS PAC ID: 5698733640 Enrollment ID: I20041222000498 |
| Provider Name | Carmen Smidy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699747014 PECOS PAC ID: 4284685314 Enrollment ID: I20050207000596 |
| Provider Name | Viriato M Fiallo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326015983 PECOS PAC ID: 8123917341 Enrollment ID: I20050317000739 |
| Provider Name | Josephine Scottodicarlo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699739714 PECOS PAC ID: 0244286672 Enrollment ID: I20050329000305 |
| Provider Name | Anne B Shain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881657955 PECOS PAC ID: 5092761379 Enrollment ID: I20050330000194 |
| Provider Name | James K Katz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801833686 PECOS PAC ID: 7416944988 Enrollment ID: I20050331000277 |
| Provider Name | Jan B Wojcik |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1164405585 PECOS PAC ID: 6507755741 Enrollment ID: I20050411000010 |
| Provider Name | Warren L Thau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609839661 PECOS PAC ID: 6901843010 Enrollment ID: I20050411000762 |
| Provider Name | Carolyn E Brooks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205875515 PECOS PAC ID: 3476590209 Enrollment ID: I20050413000889 |
| Provider Name | James L Frank |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003867318 PECOS PAC ID: 4688563810 Enrollment ID: I20050415000726 |
| Provider Name | Heidi L Kolek |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881667517 PECOS PAC ID: 7315985132 Enrollment ID: I20050421001319 |
| Provider Name | Susan R Reuben |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801840913 PECOS PAC ID: 6507805967 Enrollment ID: I20050426000979 |
| Provider Name | Barry E Slitzky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639263726 PECOS PAC ID: 0446299804 Enrollment ID: I20050426001054 |
| Provider Name | Cathie Korey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962484253 PECOS PAC ID: 9638118425 Enrollment ID: I20050502000239 |
| Provider Name | Christina F Hayfron Benjamin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447350772 PECOS PAC ID: 1759322316 Enrollment ID: I20050513000636 |
| Provider Name | Antone B Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851354716 PECOS PAC ID: 3870529795 Enrollment ID: I20050712001048 |
| Provider Name | Tina M Tkaczek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154335354 PECOS PAC ID: 3476589995 Enrollment ID: I20050715000039 |
| Provider Name | Jessica Anchor-samuels |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932190295 PECOS PAC ID: 9335176627 Enrollment ID: I20050719000296 |
| Provider Name | Georges-elie Fares |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740260843 PECOS PAC ID: 7012945801 Enrollment ID: I20050802001019 |
| Provider Name | Diana Rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508849811 PECOS PAC ID: 4981633518 Enrollment ID: I20050804000452 |
| Provider Name | Paul K Azimov |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447207139 PECOS PAC ID: 2961308192 Enrollment ID: I20050812000790 |
| Provider Name | Mark Sprague |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003942699 PECOS PAC ID: 2860422078 Enrollment ID: I20050817000736 |
| Provider Name | James R Schumacher |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1770541195 PECOS PAC ID: 6103851951 Enrollment ID: I20050929000803 |
| Provider Name | Leonard Y Wagner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568457778 PECOS PAC ID: 4688692064 Enrollment ID: I20051103000904 |
| Provider Name | Hyun Young Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689657207 PECOS PAC ID: 6901824986 Enrollment ID: I20051108000786 |
| Provider Name | Annastasia Fernandes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083653703 PECOS PAC ID: 5193745610 Enrollment ID: I20051129000934 |
| Provider Name | Nancy A Posner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700832037 PECOS PAC ID: 9234159773 Enrollment ID: I20051129001052 |
| Provider Name | Barbara D Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780675926 PECOS PAC ID: 2365462660 Enrollment ID: I20060103000503 |
| Provider Name | Julie Feinland |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235239955 PECOS PAC ID: 6103849286 Enrollment ID: I20060104000890 |
| Provider Name | Natasha M Mckay |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1033162235 PECOS PAC ID: 1153344114 Enrollment ID: I20060105000527 |
| Provider Name | Joseph E. Flack |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1629095294 PECOS PAC ID: 0446274427 Enrollment ID: I20060117000931 |
| Provider Name | Hilda Puente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619985298 PECOS PAC ID: 9436173325 Enrollment ID: I20060118000701 |
| Provider Name | Dorothy J Sassi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356389043 PECOS PAC ID: 4587678867 Enrollment ID: I20060126000391 |
| Provider Name | Jeffrey L Friedman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013911957 PECOS PAC ID: 5496762379 Enrollment ID: I20060317000263 |
| Provider Name | William A Axton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396828489 PECOS PAC ID: 2365414448 Enrollment ID: I20060413000064 |
| Provider Name | Steven A Franks |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548251093 PECOS PAC ID: 6406865526 Enrollment ID: I20060418000153 |
| Provider Name | Marc A Goldman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003889726 PECOS PAC ID: 4587553714 Enrollment ID: I20060503000594 |
| Provider Name | Mark A Radzicki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598732281 PECOS PAC ID: 2163432220 Enrollment ID: I20060503000678 |
| Provider Name | Chanel G Bouchereau |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598830606 PECOS PAC ID: 7416967476 Enrollment ID: I20060504000675 |
| Provider Name | Paul S Farkas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932149911 PECOS PAC ID: 8325026545 Enrollment ID: I20060508000507 |
| Provider Name | Tara D. Futrell |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1558394544 PECOS PAC ID: 4385647551 Enrollment ID: I20060809000323 |
| Provider Name | Celeste A Enriquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679507339 PECOS PAC ID: 2769485846 Enrollment ID: I20060809000493 |
| Provider Name | Andrew Healy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477667756 PECOS PAC ID: 5092719476 Enrollment ID: I20060828000455 |
| Provider Name | Elizabeth A Armstrong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881626786 PECOS PAC ID: 4385649912 Enrollment ID: I20061003000392 |
| Provider Name | Steven Todd Mccormack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023000338 PECOS PAC ID: 4183651987 Enrollment ID: I20061109000190 |
| Provider Name | Brooke K Breen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598778961 PECOS PAC ID: 5698879377 Enrollment ID: I20070406000217 |
| Provider Name | Krishnan Babu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396725487 PECOS PAC ID: 0941304620 Enrollment ID: I20070406000238 |
| Provider Name | Charlotte Harward Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346272861 PECOS PAC ID: 2466556014 Enrollment ID: I20070409000464 |
| Provider Name | Anayda De Jesus-cruz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083665012 PECOS PAC ID: 5597860023 Enrollment ID: I20070412000047 |
| Provider Name | Scott White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144276338 PECOS PAC ID: 4385745215 Enrollment ID: I20070723000508 |
| Provider Name | Laki Rousou |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871680918 PECOS PAC ID: 2567553233 Enrollment ID: I20070809000443 |
| Provider Name | Rose Ganim |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851412217 PECOS PAC ID: 2062316284 Enrollment ID: I20070917000174 |
| Provider Name | Piyali Datta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730247727 PECOS PAC ID: 5193810752 Enrollment ID: I20070927000837 |
| Provider Name | Peter Weinstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467410308 PECOS PAC ID: 7618066622 Enrollment ID: I20071128000645 |
| Provider Name | Adrienne D Hines |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467592634 PECOS PAC ID: 6305928094 Enrollment ID: I20080204000314 |
| Provider Name | Frederik A Pennings |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215126479 PECOS PAC ID: 4789769043 Enrollment ID: I20080311000298 |
| Provider Name | Mark Skalski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467676478 PECOS PAC ID: 0547247074 Enrollment ID: I20080407000202 |
| Provider Name | Elizabeth Pitoniak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700952165 PECOS PAC ID: 3870672595 Enrollment ID: I20080507000152 |
| Provider Name | Tazeen Aleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760466494 PECOS PAC ID: 3577634708 Enrollment ID: I20080616000774 |
| Provider Name | Catherine Spath |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1063491264 PECOS PAC ID: 9931200953 Enrollment ID: I20080619000281 |
| Provider Name | Kenneth Mcpartland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811187941 PECOS PAC ID: 9537232376 Enrollment ID: I20080726000080 |
| Provider Name | Spencer L Haller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679787535 PECOS PAC ID: 7618044462 Enrollment ID: I20080922000181 |
| Provider Name | Rose S Bernal-larioza |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053529453 PECOS PAC ID: 3072680560 Enrollment ID: I20080925000271 |
| Provider Name | Joanna Sampson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124183074 PECOS PAC ID: 0143253047 Enrollment ID: I20081027000227 |
| Provider Name | David J Doyle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588622070 PECOS PAC ID: 5991863375 Enrollment ID: I20081029000631 |
| Provider Name | Robert J Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437285129 PECOS PAC ID: 8527115799 Enrollment ID: I20090406000427 |
| Provider Name | Warren P Shepherd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659595148 PECOS PAC ID: 0840343836 Enrollment ID: I20090810000307 |
| Provider Name | Rachael M Rividelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902813538 PECOS PAC ID: 0749336923 Enrollment ID: I20090914000713 |
| Provider Name | Juan Gonzalez Herran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942442538 PECOS PAC ID: 5294881793 Enrollment ID: I20090925000011 |
| Provider Name | Fadi A Bsat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033216007 PECOS PAC ID: 2769522721 Enrollment ID: I20091223000115 |
| Provider Name | Marc J Starer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205921855 PECOS PAC ID: 8729129838 Enrollment ID: I20100112000476 |
| Provider Name | Frank Joseph Welte |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568676948 PECOS PAC ID: 6800933847 Enrollment ID: I20100728000709 |
| Provider Name | Narayana Lebaka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538390752 PECOS PAC ID: 7416090352 Enrollment ID: I20100824000365 |
| Provider Name | Wesley Neal Klein |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1609193366 PECOS PAC ID: 1759405251 Enrollment ID: I20100907000519 |
| Provider Name | Alison E Wondriska |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144285800 PECOS PAC ID: 1052401817 Enrollment ID: I20100916001281 |
| Provider Name | Charles S Weston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053379248 PECOS PAC ID: 0446442990 Enrollment ID: I20101004000204 |
| Provider Name | Zhongmo Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497718407 PECOS PAC ID: 3779673538 Enrollment ID: I20101006000658 |
| Provider Name | Lourdes Beauzile-delimon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164689865 PECOS PAC ID: 4981897220 Enrollment ID: I20101020000009 |
| Provider Name | Uma Chaganti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609173954 PECOS PAC ID: 1153599394 Enrollment ID: I20110714000375 |
| Provider Name | Brian Pickell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447267067 PECOS PAC ID: 9739358813 Enrollment ID: I20110805000353 |
| Provider Name | Mayu Sekiguchi Runge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295944593 PECOS PAC ID: 3779754635 Enrollment ID: I20110926000494 |
| Provider Name | Erik E Zimmerman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437197290 PECOS PAC ID: 8325138183 Enrollment ID: I20110930000379 |
| Provider Name | Johanna Q Howland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225326275 PECOS PAC ID: 2961677992 Enrollment ID: I20111202000404 |
| Provider Name | Anthony Rhodes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427043082 PECOS PAC ID: 0143361733 Enrollment ID: I20120124000595 |
| Provider Name | Teresa A Svart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508143231 PECOS PAC ID: 9830357862 Enrollment ID: I20120222000830 |
| Provider Name | Bryan T Suchecki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184686933 PECOS PAC ID: 7416119540 Enrollment ID: I20120611000500 |
| Provider Name | Sanjana Pai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457580953 PECOS PAC ID: 1153573423 Enrollment ID: I20121213000011 |
| Provider Name | Joanne M Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972757987 PECOS PAC ID: 9133373970 Enrollment ID: I20130204000211 |
| Provider Name | Cyril Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720156615 PECOS PAC ID: 1759474901 Enrollment ID: I20130321000634 |
| Provider Name | Mary C Carpenter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194078329 PECOS PAC ID: 6901041771 Enrollment ID: I20130327000078 |
| Provider Name | Izabela Krakowiak Colasacco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972795102 PECOS PAC ID: 2062570898 Enrollment ID: I20130523000008 |
| Provider Name | Sarah E. Barton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801140231 PECOS PAC ID: 1951549211 Enrollment ID: I20130528000068 |
| Provider Name | Shilpa Pandey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225297450 PECOS PAC ID: 0143469403 Enrollment ID: I20130617000523 |
| Provider Name | Nada Kawar |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1518093293 PECOS PAC ID: 5698829372 Enrollment ID: I20130919000583 |
| Provider Name | Milliam L Kataoka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295976504 PECOS PAC ID: 2961646476 Enrollment ID: I20130924000576 |
| Provider Name | Durane K Walker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124317714 PECOS PAC ID: 3375787799 Enrollment ID: I20130924000868 |
| Provider Name | Jackie P-d Garrett |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1740487867 PECOS PAC ID: 5496916447 Enrollment ID: I20131126001356 |
| Provider Name | Yi-lo Yu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194952838 PECOS PAC ID: 8123255692 Enrollment ID: I20131209001701 |
| Provider Name | Sherron T Colgram |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922239193 PECOS PAC ID: 3173750361 Enrollment ID: I20131213001316 |
| Provider Name | Elizabeth M Cherella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962674507 PECOS PAC ID: 0840428884 Enrollment ID: I20140121000022 |
| Provider Name | Sarah J Mcpartland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245351584 PECOS PAC ID: 5496984007 Enrollment ID: I20140131000006 |
| Provider Name | Karen Conway |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871597120 PECOS PAC ID: 6103828306 Enrollment ID: I20140217000234 |
| Provider Name | Danita L Packard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285901132 PECOS PAC ID: 4486810520 Enrollment ID: I20140808000456 |
| Provider Name | Rachel Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467705558 PECOS PAC ID: 7113162322 Enrollment ID: I20140813002013 |
| Provider Name | Elizabeth L Rose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235315854 PECOS PAC ID: 0345563847 Enrollment ID: I20150107001720 |
| Provider Name | Michelle A Connor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467742924 PECOS PAC ID: 7911184726 Enrollment ID: I20150119000350 |
| Provider Name | Alfredo De La Guardia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841422425 PECOS PAC ID: 6002131950 Enrollment ID: I20150217001092 |
| Provider Name | Sasi K Penukonda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811220957 PECOS PAC ID: 3870812035 Enrollment ID: I20150805006499 |
| Provider Name | Roy Bryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396021648 PECOS PAC ID: 7113171240 Enrollment ID: I20150812008003 |
| Provider Name | Julio A Miranda |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063552008 PECOS PAC ID: 1759697857 Enrollment ID: I20150903003012 |
| Provider Name | Kyle Hirschman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801175401 PECOS PAC ID: 2466686126 Enrollment ID: I20150929000393 |
| Provider Name | Suzanne F Malloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174780175 PECOS PAC ID: 9032427760 Enrollment ID: I20150930000960 |
| Provider Name | Sarah O'shea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912269622 PECOS PAC ID: 4981924503 Enrollment ID: I20151029000141 |
| Provider Name | Nicole P Saenz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619358116 PECOS PAC ID: 1355651902 Enrollment ID: I20151110002613 |
| Provider Name | Halim O Muslu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639177710 PECOS PAC ID: 1355333683 Enrollment ID: I20151118000345 |
| Provider Name | Brian Pryor |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1962730820 PECOS PAC ID: 1850692005 Enrollment ID: I20151214001165 |
| Provider Name | Scott A Markham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306153788 PECOS PAC ID: 3274839097 Enrollment ID: I20160304000050 |
| Provider Name | Mohammed Quraishi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871545269 PECOS PAC ID: 8123030814 Enrollment ID: I20160414002182 |
| Provider Name | Paul Louis Pilegi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073979498 PECOS PAC ID: 9335448406 Enrollment ID: I20160425001931 |
| Provider Name | Ashley Rosati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447611041 PECOS PAC ID: 9830480771 Enrollment ID: I20160623000571 |
| Provider Name | Jessica A Zina-duarte |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407199847 PECOS PAC ID: 0547497190 Enrollment ID: I20160725000425 |
| Provider Name | Elizabeth Rottenberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275891822 PECOS PAC ID: 1153642376 Enrollment ID: I20160810001745 |
| Provider Name | Corina N Schoen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720323496 PECOS PAC ID: 7911139530 Enrollment ID: I20160818002332 |
| Provider Name | Erin E Eppsteiner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922234517 PECOS PAC ID: 7911146048 Enrollment ID: I20161007001691 |
| Provider Name | Esther M Oziel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710319116 PECOS PAC ID: 8022244839 Enrollment ID: I20161012000190 |
| Provider Name | Helena C Gabriel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477993806 PECOS PAC ID: 5890083539 Enrollment ID: I20161012000340 |
| Provider Name | Karthik Gunachelvan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740604941 PECOS PAC ID: 6103104211 Enrollment ID: I20161025000455 |
| Provider Name | Kamila Izabela Szweda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265890123 PECOS PAC ID: 7113205840 Enrollment ID: I20161031001194 |
| Provider Name | Jonathan Jaksha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871555649 PECOS PAC ID: 3274632054 Enrollment ID: I20161108001557 |
| Provider Name | Lindsey G Mabry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548588056 PECOS PAC ID: 0749408078 Enrollment ID: I20161115000807 |
| Provider Name | Laxmitejaswi Mittapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184064313 PECOS PAC ID: 9436438207 Enrollment ID: I20161118000282 |
| Provider Name | Barla R Bishop |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669616694 PECOS PAC ID: 7416081153 Enrollment ID: I20161214001909 |
| Provider Name | Filipe A Sobral |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326201211 PECOS PAC ID: 8628296696 Enrollment ID: I20170109000087 |
| Provider Name | Elie S Semaan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336208792 PECOS PAC ID: 7416002183 Enrollment ID: I20170328000918 |
| Provider Name | Loic Rickel Assobmo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972030922 PECOS PAC ID: 2163795337 Enrollment ID: I20170911000681 |
| Provider Name | Zachary Schepart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154688646 PECOS PAC ID: 0547485971 Enrollment ID: I20170920001002 |
| Provider Name | Karolina Ogrodnik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316364425 PECOS PAC ID: 7416174115 Enrollment ID: I20170922002092 |
| Provider Name | Katie S Nason |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1417913146 PECOS PAC ID: 9638145295 Enrollment ID: I20171004003767 |
| Provider Name | Varun Miriyala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043683824 PECOS PAC ID: 1759656259 Enrollment ID: I20171010001189 |
| Provider Name | Amanda Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912436619 PECOS PAC ID: 5496020760 Enrollment ID: I20171012001662 |
| Provider Name | Priya Mohani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497938971 PECOS PAC ID: 9335265644 Enrollment ID: I20171109002546 |
| Provider Name | Jonathan P Shepherd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114048329 PECOS PAC ID: 3577741750 Enrollment ID: I20180119001025 |
| Provider Name | Robin M Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629587928 PECOS PAC ID: 3577823269 Enrollment ID: I20180126001376 |
| Provider Name | Scott A Bissell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356320931 PECOS PAC ID: 4789658295 Enrollment ID: I20180127000019 |
| Provider Name | Nicolas Cal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588081699 PECOS PAC ID: 2860619509 Enrollment ID: I20180209000303 |
| Provider Name | Scott R Fecteau |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1376582445 PECOS PAC ID: 2264473131 Enrollment ID: I20180329001118 |
| Provider Name | Zaighum F Rana |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215257357 PECOS PAC ID: 3072817907 Enrollment ID: I20180514002235 |
| Provider Name | Catherine Elisabeth Dodds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902127244 PECOS PAC ID: 8123280351 Enrollment ID: I20180530001184 |
| Provider Name | Sarah M Morrissey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821401225 PECOS PAC ID: 6002136678 Enrollment ID: I20180604000362 |
| Provider Name | Ari Joshua Kriegsman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962781021 PECOS PAC ID: 1658543905 Enrollment ID: I20180614001075 |
| Provider Name | Benjamin Matthew Snyder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891016564 PECOS PAC ID: 2264730704 Enrollment ID: I20180822003266 |
| Provider Name | Aleksandra Ogrodnik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861782765 PECOS PAC ID: 3779874235 Enrollment ID: I20181106002882 |
| Provider Name | Julianne Mary Touchette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770067407 PECOS PAC ID: 9436403136 Enrollment ID: I20181115002516 |
| Provider Name | Andrea Romano |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417432998 PECOS PAC ID: 7618221268 Enrollment ID: I20181116001689 |
| Provider Name | Malavika Bhalla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447546403 PECOS PAC ID: 2365757895 Enrollment ID: I20181207002095 |
| Provider Name | Jumana Jaloudi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265813414 PECOS PAC ID: 4981991312 Enrollment ID: I20190312001898 |
| Provider Name | Nataliya Sevastyanova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518449198 PECOS PAC ID: 4587904040 Enrollment ID: I20190319002766 |
| Provider Name | Jamie Chandonnet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982102695 PECOS PAC ID: 7012257454 Enrollment ID: I20190320003097 |
| Provider Name | Elizabeth Ann Morgan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275898231 PECOS PAC ID: 0244523777 Enrollment ID: I20190705001030 |
| Provider Name | Michael Chill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689013906 PECOS PAC ID: 5991045296 Enrollment ID: I20190712002621 |
| Provider Name | Kathryn Cambron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396749867 PECOS PAC ID: 8224016530 Enrollment ID: I20190927001316 |
| Provider Name | Sowmya R Thadisina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972793370 PECOS PAC ID: 1557531308 Enrollment ID: I20191016002489 |
| Provider Name | Patricia Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982266011 PECOS PAC ID: 2769714476 Enrollment ID: I20191030001475 |
| Provider Name | Bridget Gosiewski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720621238 PECOS PAC ID: 0143656363 Enrollment ID: I20200207000089 |
| Provider Name | Rosa L Torres |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427281799 PECOS PAC ID: 6103252192 Enrollment ID: I20200211002223 |
| Provider Name | Shannon L St. Clair |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881030997 PECOS PAC ID: 3678714268 Enrollment ID: I20200402003686 |
| Provider Name | Alireza Jarihi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952948176 PECOS PAC ID: 9436570785 Enrollment ID: I20200522001285 |
| Provider Name | Loretta Richardson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063492452 PECOS PAC ID: 9638260151 Enrollment ID: I20200616000549 |
| Provider Name | Christopher Wolf |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093178709 PECOS PAC ID: 3870887573 Enrollment ID: I20200630003006 |
| Provider Name | Matthew R Deluzio |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1902167752 PECOS PAC ID: 0042530453 Enrollment ID: I20200710001952 |
| Provider Name | Lee M Appelbaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063876266 PECOS PAC ID: 9335563758 Enrollment ID: I20200717003037 |
| Provider Name | Kimberly D. Parrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467006858 PECOS PAC ID: 7113354978 Enrollment ID: I20200729002344 |
| Provider Name | Alistair Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265953616 PECOS PAC ID: 6204251051 Enrollment ID: I20200811000090 |
| Provider Name | Christopher J. Mozdzanowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083866784 PECOS PAC ID: 7113181603 Enrollment ID: I20200813002311 |
| Provider Name | Megan M Weatherborn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457799140 PECOS PAC ID: 9537391529 Enrollment ID: I20200818003949 |
| Provider Name | Matthew J Grosso |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316366792 PECOS PAC ID: 0446584627 Enrollment ID: I20200824000192 |
| Provider Name | Autumn M Fiedler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063030013 PECOS PAC ID: 8022435155 Enrollment ID: I20200903000609 |
| Provider Name | Timothy Conner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750385357 PECOS PAC ID: 6709784119 Enrollment ID: I20200928001370 |
| Provider Name | Jonathan G Reed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588653075 PECOS PAC ID: 3577669928 Enrollment ID: I20201102001769 |
| Provider Name | Shawn T Stone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891040689 PECOS PAC ID: 6103103569 Enrollment ID: I20201108000015 |
| Provider Name | Amy Bruce |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679969273 PECOS PAC ID: 7517295272 Enrollment ID: I20201124001668 |
| Provider Name | Eunice D Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609492115 PECOS PAC ID: 5698186369 Enrollment ID: I20201201003141 |
| Provider Name | Waheed Jalalzai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669444246 PECOS PAC ID: 6305816513 Enrollment ID: I20201214000065 |
| Provider Name | Sara Migneault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497252696 PECOS PAC ID: 5991050072 Enrollment ID: I20210122000410 |
| Provider Name | John Walter Mann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487631602 PECOS PAC ID: 8224925482 Enrollment ID: I20210204002460 |
| Provider Name | Heather Lovelace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275008021 PECOS PAC ID: 0941616924 Enrollment ID: I20210317001982 |
| Provider Name | Kristen Kowal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679168983 PECOS PAC ID: 0648688168 Enrollment ID: I20210422001995 |
| Provider Name | Jake Vrdoljak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619976230 PECOS PAC ID: 8527253400 Enrollment ID: I20210611002121 |
| Provider Name | Tarang Jethwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013412998 PECOS PAC ID: 0042568255 Enrollment ID: I20210726001781 |
| Provider Name | David Samuels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780260265 PECOS PAC ID: 8729482146 Enrollment ID: I20210807000003 |
| Provider Name | Francis E Carmel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336348432 PECOS PAC ID: 9830170224 Enrollment ID: I20210811001887 |
| Provider Name | Anam Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366963407 PECOS PAC ID: 5294139390 Enrollment ID: I20210811004014 |
| Provider Name | Karen G Phillips |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801992813 PECOS PAC ID: 8729024161 Enrollment ID: I20210825002946 |
| Provider Name | Sannah Rashid |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902382401 PECOS PAC ID: 3678978863 Enrollment ID: I20210826001111 |
| Provider Name | Rebecca Bousquet Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063065662 PECOS PAC ID: 8527463454 Enrollment ID: I20210913000785 |
| Provider Name | Maria Haslip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942829015 PECOS PAC ID: 6800206236 Enrollment ID: I20211006002432 |
| Provider Name | Yin Hung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588651822 PECOS PAC ID: 1153377353 Enrollment ID: I20211019002006 |
| Provider Name | Kevin W Marcum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619166675 PECOS PAC ID: 0042480303 Enrollment ID: I20211101000895 |
| Provider Name | Jason Robert Divito |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558604876 PECOS PAC ID: 4183981947 Enrollment ID: I20211108001125 |
| Provider Name | Tilahun Gemtessa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780905174 PECOS PAC ID: 9335453455 Enrollment ID: I20220107000112 |
| Provider Name | Loyd Tomlinson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811341811 PECOS PAC ID: 9931453255 Enrollment ID: I20220112001338 |
| Provider Name | Kristina Joy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063954170 PECOS PAC ID: 5991086407 Enrollment ID: I20220221000654 |
| Provider Name | Dawn Froonjian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891079190 PECOS PAC ID: 5597903856 Enrollment ID: I20220324000899 |
| Provider Name | Anna Natenzon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073893459 PECOS PAC ID: 9032422431 Enrollment ID: I20220406002402 |
| Provider Name | Mary Beth Janicki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407947526 PECOS PAC ID: 1850397977 Enrollment ID: I20220408000972 |
| Provider Name | Michelle Mattia |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114670502 PECOS PAC ID: 5890182992 Enrollment ID: I20220419002846 |
| Provider Name | Veronica Maria Pimentel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720309206 PECOS PAC ID: 0446482038 Enrollment ID: I20220524000219 |
| Provider Name | Hammad Khurshid Bhatti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649831116 PECOS PAC ID: 1850623430 Enrollment ID: I20220616001656 |
| Provider Name | John Robinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023403938 PECOS PAC ID: 6507161650 Enrollment ID: I20220624000598 |
| Provider Name | Anil Shankar Magge |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295154821 PECOS PAC ID: 2567782915 Enrollment ID: I20220708001458 |
| Provider Name | Taylor Caldwell Screws |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114586815 PECOS PAC ID: 8022346295 Enrollment ID: I20220712000948 |
| Provider Name | Ishita Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629624184 PECOS PAC ID: 5799166427 Enrollment ID: I20220713000591 |
| Provider Name | Fhamida Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013575026 PECOS PAC ID: 3870974553 Enrollment ID: I20220713002070 |
| Provider Name | Lina Maria Parra Jaramillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871155937 PECOS PAC ID: 3971984063 Enrollment ID: I20220720003703 |
| Provider Name | Angela Yuan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316325244 PECOS PAC ID: 0042519068 Enrollment ID: I20220817002658 |
| Provider Name | Oyinkansola Oyenike Ogundipe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811459597 PECOS PAC ID: 6103209531 Enrollment ID: I20220818000995 |
| Provider Name | Aleena Zia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245752328 PECOS PAC ID: 4082036074 Enrollment ID: I20220822000972 |
| Provider Name | Nani Phillips Moss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730574807 PECOS PAC ID: 9830435718 Enrollment ID: I20220902001536 |
| Provider Name | Vidur Shaam Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154817377 PECOS PAC ID: 5496130403 Enrollment ID: I20220912002300 |
| Provider Name | Cullen D. White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285164459 PECOS PAC ID: 5193192110 Enrollment ID: I20221104000490 |
| Provider Name | Mandana Naderi Mehr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083153894 PECOS PAC ID: 6103165667 Enrollment ID: I20221201003131 |
| Provider Name | Suzy-ann N Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952051120 PECOS PAC ID: 0244600351 Enrollment ID: I20230106000900 |
| Provider Name | Sharifa M Bayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164152443 PECOS PAC ID: 2264803071 Enrollment ID: I20230113000520 |
| Provider Name | Julianna Dannenhoffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780183988 PECOS PAC ID: 8123363751 Enrollment ID: I20230310000456 |
| Provider Name | Monica Mbugua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821700493 PECOS PAC ID: 4981078243 Enrollment ID: I20230328001863 |
| Provider Name | Alexandra M Allard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043943087 PECOS PAC ID: 8527423359 Enrollment ID: I20230501002766 |
| Provider Name | Carissa Webster Lake |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134448269 PECOS PAC ID: 9830467935 Enrollment ID: I20230515000942 |
| Provider Name | Tanzeem Alam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821773136 PECOS PAC ID: 8921461781 Enrollment ID: I20230825002225 |
| Provider Name | Trusha Mukeshkumar Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841816451 PECOS PAC ID: 7719340918 Enrollment ID: I20230905002456 |
| Provider Name | Stefan Kachala |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538329578 PECOS PAC ID: 0143598219 Enrollment ID: I20230920000608 |
| Provider Name | Edward Detweiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588152789 PECOS PAC ID: 6002220639 Enrollment ID: I20231102003121 |
| Provider Name | Emily Dewolf |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639897747 PECOS PAC ID: 7214389188 Enrollment ID: I20240116002858 |
| Provider Name | Christopher Kuzminski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023319704 PECOS PAC ID: 3678743721 Enrollment ID: I20240315000944 |
| Provider Name | Sean Snodgress |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205030665 PECOS PAC ID: 4880755891 Enrollment ID: I20240326002888 |
| Provider Name | Daniel Burritt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265775928 PECOS PAC ID: 1951527498 Enrollment ID: I20240327000964 |
| Provider Name | Jennifer Huckabee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689017345 PECOS PAC ID: 3375885551 Enrollment ID: I20240501000865 |
| Provider Name | Yuyang Zhang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538304035 PECOS PAC ID: 4880833615 Enrollment ID: I20240506003262 |
| Provider Name | Sean Feinberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104273549 PECOS PAC ID: 3476952557 Enrollment ID: I20240530001788 |
Latino Counseling Center, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 121 State St Ste 100, Springfield, MA 01103 Phone: 413-301-7797 | |
Phoenix House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Madison Ave, Springfield, MA 01105 Phone: 413-733-6051 | |
South Bay Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 High St, Suite 230, Springfield, MA 01105 Phone: 508-791-4976 | |
Sleep Medicine Services Of Western Massachusetts Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3640 Main St., Suite 208, Springfield, MA 01107 Phone: 413-253-2767 Fax: 413-253-9767 | |
Jewish Family Service Of Western Massachusetts Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 15 Lenox St., Springfield, MA 01108 Phone: 413-737-2601 Fax: 413-737-0323 | |
Clinical & Support Options, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Maple St, Springfield, MA 01103 Phone: 414-737-9544 | |
Boriken Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 Norfolk St, Springfield, MA 01109 Phone: 413-883-5213 |