| University Of Toledo Physicians Llc | |
|
3000 Arlington Ave Toledo OH 43614-2595 | |
| (419) 383-5000 | |
| Not Available |
| Full Name | University Of Toledo Physicians Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3000 Arlington Ave, Toledo, Ohio |
| Authorized Official Name and Position | Tracey Berry (DIRECTOR, MEDICAL STAFF SERVICES) |
| Authorized Official Contact | 4193835330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Toledo Physicians Llc 4510 Dorr St # Ms 840 Toledo OH 43615-4040 Ph: (419) 383-5330 | University Of Toledo Physicians Llc 3000 Arlington Ave Toledo OH 43614-2595 Ph: (419) 383-5000 |
| NPI Number | 1942296033 |
|---|---|
| Provider Enumeration Date | 09/23/2005 |
| Last Update Date | 06/25/2024 |
| Certification Date | 06/25/2024 |
| Medicare PECOS PAC ID | 8729983416 |
|---|---|
| Medicare Enrollment ID | O20031205000019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942296033 | NPI | - | NPPES |
| 2120903 | Medicaid | OH |
| Provider Name | Marc M Crisenbery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881618841 PECOS PAC ID: 6709799505 Enrollment ID: I20031107000466 |
| Provider Name | Shashi B Bhatt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447252895 PECOS PAC ID: 2769387471 Enrollment ID: I20031205000106 |
| Provider Name | Lori A Rokicki |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831171529 PECOS PAC ID: 7719883248 Enrollment ID: I20031208000406 |
| Provider Name | Steven E Shekut |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285652172 PECOS PAC ID: 1557267333 Enrollment ID: I20031211000487 |
| Provider Name | Stephen A Eldridge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790707248 PECOS PAC ID: 1355247388 Enrollment ID: I20031211000643 |
| Provider Name | Jihad Tahsin Abbas |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245234129 PECOS PAC ID: 7810894425 Enrollment ID: I20031212000612 |
| Provider Name | Michael Alan Rees |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356337521 PECOS PAC ID: 8325945058 Enrollment ID: I20031218000927 |
| Provider Name | Yogesh Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861584021 PECOS PAC ID: 2264339985 Enrollment ID: I20031219000026 |
| Provider Name | Samer Jean Khouri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285628313 PECOS PAC ID: 1850291170 Enrollment ID: I20040112000504 |
| Provider Name | Nabil A Ebraheim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760479018 PECOS PAC ID: 2860398229 Enrollment ID: I20040113000469 |
| Provider Name | Abdul Azim Mustapha |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063409324 PECOS PAC ID: 8820990864 Enrollment ID: I20040121000962 |
| Provider Name | Martin Charles Skie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568459824 PECOS PAC ID: 1557263506 Enrollment ID: I20040121001032 |
| Provider Name | George Cajetan Stepanic |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881687192 PECOS PAC ID: 9739081795 Enrollment ID: I20040121001092 |
| Provider Name | Jai Lee |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1861467037 PECOS PAC ID: 1355243114 Enrollment ID: I20040127000815 |
| Provider Name | Basil E Akpunonu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023003530 PECOS PAC ID: 8820981590 Enrollment ID: I20040205000929 |
| Provider Name | M Bashar Kahaleh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1891781050 PECOS PAC ID: 6204729981 Enrollment ID: I20040205000982 |
| Provider Name | James Campbell Willey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821084831 PECOS PAC ID: 8224921903 Enrollment ID: I20040205001021 |
| Provider Name | Youngsook Yoon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023004272 PECOS PAC ID: 3577456284 Enrollment ID: I20040205001162 |
| Provider Name | Ragheb Akram Assaly |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134115389 PECOS PAC ID: 3274426994 Enrollment ID: I20040205001243 |
| Provider Name | Benjamin Andrew White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417923467 PECOS PAC ID: 1557264884 Enrollment ID: I20040206000297 |
| Provider Name | Roland Thor Skeel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1346246139 PECOS PAC ID: 6901702364 Enrollment ID: I20040211001079 |
| Provider Name | John Mcgreevey |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1750366506 PECOS PAC ID: 8426943648 Enrollment ID: I20040217000898 |
| Provider Name | Ruby N Nucklos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194710772 PECOS PAC ID: 6103711064 Enrollment ID: I20040218001168 |
| Provider Name | Deepak Kumar Malhotra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598751976 PECOS PAC ID: 8729974472 Enrollment ID: I20040227000554 |
| Provider Name | James Francis Kleshinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316932981 PECOS PAC ID: 8527954213 Enrollment ID: I20040227000748 |
| Provider Name | Dinkar Kaw |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255326849 PECOS PAC ID: 4082500772 Enrollment ID: I20040227000799 |
| Provider Name | Cletus Uzogo Iwuagwu |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1972598530 PECOS PAC ID: 9739076423 Enrollment ID: I20040227000854 |
| Provider Name | Srini K Hejeebu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154316354 PECOS PAC ID: 0446147144 Enrollment ID: I20040227000868 |
| Provider Name | Blair P Grubb |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386638211 PECOS PAC ID: 9133016835 Enrollment ID: I20040227000894 |
| Provider Name | Rashmi Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336134535 PECOS PAC ID: 5193612802 Enrollment ID: I20040227000918 |
| Provider Name | Lorie D Gottwald |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1720072275 PECOS PAC ID: 6406743111 Enrollment ID: I20040227000955 |
| Provider Name | Lucy S Goodenday |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578557609 PECOS PAC ID: 2567359276 Enrollment ID: I20040227000967 |
| Provider Name | Douglas Jay Federman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427043629 PECOS PAC ID: 2466349923 Enrollment ID: I20040301000824 |
| Provider Name | Joan M Duggan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891780300 PECOS PAC ID: 5193612554 Enrollment ID: I20040301000943 |
| Provider Name | Christopher John Cooper |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538154950 PECOS PAC ID: 5193612588 Enrollment ID: I20040301001015 |
| Provider Name | Mark W Burket |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750375887 PECOS PAC ID: 1850288259 Enrollment ID: I20040301001120 |
| Provider Name | Alamdar Kazmi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457361768 PECOS PAC ID: 5698663847 Enrollment ID: I20040309000424 |
| Provider Name | Christine A Utley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457347528 PECOS PAC ID: 6901794114 Enrollment ID: I20040309000844 |
| Provider Name | Terrence J Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760568745 PECOS PAC ID: 6002706447 Enrollment ID: I20040318000716 |
| Provider Name | Anthony Louis Braida |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750380853 PECOS PAC ID: 5698665057 Enrollment ID: I20040318000822 |
| Provider Name | Thomas A Rooney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073507281 PECOS PAC ID: 1951291350 Enrollment ID: I20040318001072 |
| Provider Name | Mukesh Vrajlal Pitroda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780685735 PECOS PAC ID: 4981594389 Enrollment ID: I20040318001122 |
| Provider Name | Colleen Deran Lancz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629077581 PECOS PAC ID: 2860382199 Enrollment ID: I20040318001346 |
| Provider Name | James Patrick Hofmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902805864 PECOS PAC ID: 5799675054 Enrollment ID: I20040318001569 |
| Provider Name | Ali M Hassan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689668717 PECOS PAC ID: 7810887189 Enrollment ID: I20040318001636 |
| Provider Name | Andrew B Casabianca |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770584732 PECOS PAC ID: 5698665982 Enrollment ID: I20040318001720 |
| Provider Name | Jennifer M Jackson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1427042357 PECOS PAC ID: 3678566122 Enrollment ID: I20040408000385 |
| Provider Name | Patrick Bolger |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1376544338 PECOS PAC ID: 4688668171 Enrollment ID: I20040408000778 |
| Provider Name | Richard Simman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1760448740 PECOS PAC ID: 0042206005 Enrollment ID: I20040423000901 |
| Provider Name | Kristopher R Brickman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649373838 PECOS PAC ID: 4082519921 Enrollment ID: I20040504000780 |
| Provider Name | Samar Khoury |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144206103 PECOS PAC ID: 5395733349 Enrollment ID: I20040506000293 |
| Provider Name | Mark Boswell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992767495 PECOS PAC ID: 4981693967 Enrollment ID: I20040506001318 |
| Provider Name | Vicki A Ramsey-williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467405043 PECOS PAC ID: 0446231658 Enrollment ID: I20040525000847 |
| Provider Name | Walid Mahmoud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285611020 PECOS PAC ID: 7517949365 Enrollment ID: I20040604000238 |
| Provider Name | Thomas J Papadimos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720070956 PECOS PAC ID: 7315921897 Enrollment ID: I20040614000829 |
| Provider Name | Debra S Achinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992798029 PECOS PAC ID: 6002891272 Enrollment ID: I20040622000446 |
| Provider Name | Tallat Rizk |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245237155 PECOS PAC ID: 8729066535 Enrollment ID: I20040708001398 |
| Provider Name | Shobha Ratnam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1902891591 PECOS PAC ID: 1759361538 Enrollment ID: I20040722000539 |
| Provider Name | Linda Marie Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538147871 PECOS PAC ID: 3476524430 Enrollment ID: I20040804001927 |
| Provider Name | Donald L Cox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083791107 PECOS PAC ID: 4385615962 Enrollment ID: I20040805000808 |
| Provider Name | Steven James Farrell |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386642726 PECOS PAC ID: 6103899984 Enrollment ID: I20040818001469 |
| Provider Name | Jacob Zachaey Kanjuparamban |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1356338578 PECOS PAC ID: 3173598109 Enrollment ID: I20040901000623 |
| Provider Name | Divya Goutam Vijendra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164502373 PECOS PAC ID: 1759359623 Enrollment ID: I20040918000136 |
| Provider Name | David Richard Cervantes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831158906 PECOS PAC ID: 4385606557 Enrollment ID: I20041029000879 |
| Provider Name | Michael Patrick Mott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477593937 PECOS PAC ID: 4880677665 Enrollment ID: I20041110000747 |
| Provider Name | Cara Marie Gatto Weis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356349971 PECOS PAC ID: 1355393919 Enrollment ID: I20050211000668 |
| Provider Name | Robert Lee Booth |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023016649 PECOS PAC ID: 6103895909 Enrollment ID: I20050211000709 |
| Provider Name | Amira Faltaous Gohara |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831197458 PECOS PAC ID: 7113823576 Enrollment ID: I20050211000769 |
| Provider Name | Marcus Ma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336102847 PECOS PAC ID: 2961315072 Enrollment ID: I20050228001051 |
| Provider Name | Tamara S Martin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376538405 PECOS PAC ID: 1951356179 Enrollment ID: I20050322000315 |
| Provider Name | Timothy J Quinn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396730446 PECOS PAC ID: 8123073277 Enrollment ID: I20050322000396 |
| Provider Name | Raluca Avram |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538154422 PECOS PAC ID: 3779539499 Enrollment ID: I20050325000308 |
| Provider Name | Thyagarajan Subramanian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003864091 PECOS PAC ID: 2567409956 Enrollment ID: I20050418000283 |
| Provider Name | William A Suarez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063410496 PECOS PAC ID: 7810938149 Enrollment ID: I20050517001048 |
| Provider Name | Valarie Nichole Stricklen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952309593 PECOS PAC ID: 9133161623 Enrollment ID: I20050525000290 |
| Provider Name | Elisabeth B James |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184698417 PECOS PAC ID: 2365486024 Enrollment ID: I20050614000307 |
| Provider Name | Sean D Machanda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538125760 PECOS PAC ID: 4981649522 Enrollment ID: I20050623000405 |
| Provider Name | Thomas C Sodeman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932182433 PECOS PAC ID: 9638106842 Enrollment ID: I20050720000001 |
| Provider Name | Robert J Coombs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619967403 PECOS PAC ID: 9830126606 Enrollment ID: I20050722000753 |
| Provider Name | Thomas T Win |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700961133 PECOS PAC ID: 3375572035 Enrollment ID: I20050812000006 |
| Provider Name | Beverly L Karabin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306835772 PECOS PAC ID: 7810920261 Enrollment ID: I20050915000575 |
| Provider Name | Boyd M Koffman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609862762 PECOS PAC ID: 9830116466 Enrollment ID: I20051101001245 |
| Provider Name | Noor Pirzada |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205822368 PECOS PAC ID: 5193742724 Enrollment ID: I20051101001250 |
| Provider Name | Imran I Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922094960 PECOS PAC ID: 7911924543 Enrollment ID: I20051101001254 |
| Provider Name | Kimberly Ann Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467448407 PECOS PAC ID: 8820015456 Enrollment ID: I20051101001256 |
| Provider Name | Lawrence William Elmer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043206196 PECOS PAC ID: 5294753869 Enrollment ID: I20051102001208 |
| Provider Name | Munier M Nazzal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386648251 PECOS PAC ID: 1658340450 Enrollment ID: I20051208000011 |
| Provider Name | Kimberly E Hunter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528044047 PECOS PAC ID: 5193746311 Enrollment ID: I20051215000001 |
| Provider Name | Charu Trivedi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386641397 PECOS PAC ID: 3971526914 Enrollment ID: I20060105000436 |
| Provider Name | Rex B Mowat |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346247251 PECOS PAC ID: 1456374404 Enrollment ID: I20060105000500 |
| Provider Name | David W Brown |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710985361 PECOS PAC ID: 1951324789 Enrollment ID: I20060109000031 |
| Provider Name | Joel Aaron Kammeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841230950 PECOS PAC ID: 6406860477 Enrollment ID: I20060130000008 |
| Provider Name | Gary L Parenteau |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1508841172 PECOS PAC ID: 3274548243 Enrollment ID: I20060213000204 |
| Provider Name | Asish K Basu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538153184 PECOS PAC ID: 9830107903 Enrollment ID: I20060330000713 |
| Provider Name | Nael Osama Bahhur |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275599763 PECOS PAC ID: 9234148644 Enrollment ID: I20060412000783 |
| Provider Name | Aimee L Gentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023016854 PECOS PAC ID: 6406866029 Enrollment ID: I20060426000952 |
| Provider Name | Timothy C Kasunic |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013975903 PECOS PAC ID: 2769494095 Enrollment ID: I20060703000014 |
| Provider Name | Bryan Hinch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326027152 PECOS PAC ID: 7911981535 Enrollment ID: I20060710000197 |
| Provider Name | Paul Leland Schaefer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386684504 PECOS PAC ID: 9032122627 Enrollment ID: I20060727000120 |
| Provider Name | Cori L Jacobson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093713992 PECOS PAC ID: 4789687880 Enrollment ID: I20060810000115 |
| Provider Name | Amy Levine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457394884 PECOS PAC ID: 9931148418 Enrollment ID: I20060828000422 |
| Provider Name | Stephen F Stoll |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194768689 PECOS PAC ID: 0749219210 Enrollment ID: I20060828000481 |
| Provider Name | Tanvir Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851322168 PECOS PAC ID: 3870597156 Enrollment ID: I20060828000489 |
| Provider Name | Cathi Ann Badik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104861145 PECOS PAC ID: 6901800291 Enrollment ID: I20060828000546 |
| Provider Name | John Michael Wryobeck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346272952 PECOS PAC ID: 7911921523 Enrollment ID: I20060828000550 |
| Provider Name | Karen Lynn Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568471332 PECOS PAC ID: 5294739355 Enrollment ID: I20060831000468 |
| Provider Name | Geoffrey C Mitchell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073615043 PECOS PAC ID: 2961407440 Enrollment ID: I20060918000111 |
| Provider Name | Rhonda L Hercher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720011968 PECOS PAC ID: 3971508201 Enrollment ID: I20060920000349 |
| Provider Name | Victoria Calvina Kelly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972513299 PECOS PAC ID: 7012912298 Enrollment ID: I20060921000328 |
| Provider Name | Jennifer A Hanrahan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528002656 PECOS PAC ID: 9638175136 Enrollment ID: I20061005000419 |
| Provider Name | Hossein K Elgafy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629087168 PECOS PAC ID: 6406896703 Enrollment ID: I20061012000582 |
| Provider Name | Roberta S Lay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154488955 PECOS PAC ID: 2466452636 Enrollment ID: I20070111000555 |
| Provider Name | Mary E Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124177514 PECOS PAC ID: 9436150083 Enrollment ID: I20070124000513 |
| Provider Name | Paul Chacko |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932253200 PECOS PAC ID: 1759382930 Enrollment ID: I20070131000300 |
| Provider Name | Linda Marie Speer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003823873 PECOS PAC ID: 8022016609 Enrollment ID: I20070215000045 |
| Provider Name | Robert S Gotfried |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700871084 PECOS PAC ID: 2365444684 Enrollment ID: I20070215000102 |
| Provider Name | Farhad S Ebrahim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528148418 PECOS PAC ID: 3971400656 Enrollment ID: I20070301000016 |
| Provider Name | David Charles Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851424535 PECOS PAC ID: 7416051719 Enrollment ID: I20070327000009 |
| Provider Name | Julie Ann Brennan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649327396 PECOS PAC ID: 5395841506 Enrollment ID: I20070504000316 |
| Provider Name | Thomas James Tafelski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417931932 PECOS PAC ID: 4385740265 Enrollment ID: I20070509000738 |
| Provider Name | Kevin A Phelps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770567265 PECOS PAC ID: 7911003892 Enrollment ID: I20070509000754 |
| Provider Name | John Charles Rabets |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174749907 PECOS PAC ID: 7315046323 Enrollment ID: I20070615000267 |
| Provider Name | Bruce R Siders |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386684652 PECOS PAC ID: 6608879846 Enrollment ID: I20070824000334 |
| Provider Name | Jyothi Pappula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104827518 PECOS PAC ID: 6002874591 Enrollment ID: I20071226000291 |
| Provider Name | Kimberly Denise Jenkins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942498258 PECOS PAC ID: 0840371084 Enrollment ID: I20080114000833 |
| Provider Name | Kathryn A Pilliod Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174705057 PECOS PAC ID: 7810078821 Enrollment ID: I20080116000266 |
| Provider Name | Catherine Lynn Van Hook |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437180056 PECOS PAC ID: 0446248421 Enrollment ID: I20080123000427 |
| Provider Name | Rod W Callicott |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720043771 PECOS PAC ID: 5991730269 Enrollment ID: I20080208000143 |
| Provider Name | Annette K Collier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336123108 PECOS PAC ID: 8527142017 Enrollment ID: I20080221000557 |
| Provider Name | Pamela A Dymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598956864 PECOS PAC ID: 2466536867 Enrollment ID: I20080225000103 |
| Provider Name | Melissa C Lyions |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114102043 PECOS PAC ID: 6406930528 Enrollment ID: I20080228000297 |
| Provider Name | Nnamdi Azie |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1851366892 PECOS PAC ID: 2264483049 Enrollment ID: I20080307000108 |
| Provider Name | Marsha S Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366441511 PECOS PAC ID: 6305921339 Enrollment ID: I20080314000116 |
| Provider Name | Christopher Bates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720071053 PECOS PAC ID: 0941387708 Enrollment ID: I20080404000212 |
| Provider Name | Deepa Mukundan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023111200 PECOS PAC ID: 9234218272 Enrollment ID: I20080502000138 |
| Provider Name | Jason L Schroeder |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427265370 PECOS PAC ID: 5496842817 Enrollment ID: I20080617000778 |
| Provider Name | Jill Mclaughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679627228 PECOS PAC ID: 7618049073 Enrollment ID: I20080701000178 |
| Provider Name | Andrea Toflinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780845206 PECOS PAC ID: 5395817498 Enrollment ID: I20080707000566 |
| Provider Name | Claudiu A Georgescu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881890176 PECOS PAC ID: 4789758038 Enrollment ID: I20080804000620 |
| Provider Name | Allen L Markowicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043216104 PECOS PAC ID: 1254329600 Enrollment ID: I20080804000637 |
| Provider Name | Prabir K Chaudhuri |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1821092743 PECOS PAC ID: 9436223740 Enrollment ID: I20080805000536 |
| Provider Name | Kristi Skeel Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083609523 PECOS PAC ID: 6507930732 Enrollment ID: I20080805000808 |
| Provider Name | Alina R Rais |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972597698 PECOS PAC ID: 8022183797 Enrollment ID: I20080814000191 |
| Provider Name | Haitham Elsamaloty |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1861485740 PECOS PAC ID: 5294704094 Enrollment ID: I20080814000783 |
| Provider Name | Thomas Boggs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679734107 PECOS PAC ID: 3173698636 Enrollment ID: I20080818000471 |
| Provider Name | Tabinda Qamar Rehman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962496604 PECOS PAC ID: 8325113889 Enrollment ID: I20080818000514 |
| Provider Name | Daniel Rapport |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891789525 PECOS PAC ID: 9931274081 Enrollment ID: I20080825000180 |
| Provider Name | Jianlin Tang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497924492 PECOS PAC ID: 4981770856 Enrollment ID: I20080829000487 |
| Provider Name | Theresa M Garris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104089168 PECOS PAC ID: 6204902042 Enrollment ID: I20080903000050 |
| Provider Name | Tarek S Moustafa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811087844 PECOS PAC ID: 0648202622 Enrollment ID: I20080908000421 |
| Provider Name | Eileen Quinn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669465548 PECOS PAC ID: 1759458623 Enrollment ID: I20080918000002 |
| Provider Name | A John Mcsweeny |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376538264 PECOS PAC ID: 0749259547 Enrollment ID: I20081003000009 |
| Provider Name | Faheem Ahmad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1700882685 PECOS PAC ID: 4284702895 Enrollment ID: I20081014000008 |
| Provider Name | David H Sohn |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1093923617 PECOS PAC ID: 4587722137 Enrollment ID: I20081027000001 |
| Provider Name | Stephen Grider |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326073495 PECOS PAC ID: 6709799687 Enrollment ID: I20090210000770 |
| Provider Name | Rekha Talla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891950580 PECOS PAC ID: 5193880995 Enrollment ID: I20090211000221 |
| Provider Name | Ehab A Eltahawy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033365523 PECOS PAC ID: 9234294869 Enrollment ID: I20090216000328 |
| Provider Name | Marc Rozek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942486295 PECOS PAC ID: 4880768985 Enrollment ID: I20090320000104 |
| Provider Name | Katheryn M Smolen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811973688 PECOS PAC ID: 5597659078 Enrollment ID: I20090331000629 |
| Provider Name | Mohamed A Moussa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548471493 PECOS PAC ID: 4587755566 Enrollment ID: I20090409000037 |
| Provider Name | Allen J Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861427270 PECOS PAC ID: 5597678466 Enrollment ID: I20090603000676 |
| Provider Name | Wainwright A Jaggernauth |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689670580 PECOS PAC ID: 2062422470 Enrollment ID: I20090714000005 |
| Provider Name | Saebom Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104034792 PECOS PAC ID: 1759435720 Enrollment ID: I20090811000403 |
| Provider Name | Michael Allen Walsh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275658353 PECOS PAC ID: 5496822397 Enrollment ID: I20090813000001 |
| Provider Name | Mohammad Rashid |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1477545655 PECOS PAC ID: 0244263101 Enrollment ID: I20090817000079 |
| Provider Name | Christine Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225110711 PECOS PAC ID: 9739233081 Enrollment ID: I20090820000457 |
| Provider Name | Matthew Goodman Aagesen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396860391 PECOS PAC ID: 5890869028 Enrollment ID: I20090903000075 |
| Provider Name | Hongyan Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891766341 PECOS PAC ID: 9234163205 Enrollment ID: I20091012000082 |
| Provider Name | Richard C Phinney |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215192703 PECOS PAC ID: 5496892887 Enrollment ID: I20091015000708 |
| Provider Name | Sharleen Suico |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548410053 PECOS PAC ID: 7618014341 Enrollment ID: I20091028000489 |
| Provider Name | Anthony Deriso |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1861459265 PECOS PAC ID: 8123025467 Enrollment ID: I20100129000238 |
| Provider Name | Ali T Nawras |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619962974 PECOS PAC ID: 5991705394 Enrollment ID: I20100317000271 |
| Provider Name | James L North |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366435257 PECOS PAC ID: 9133254048 Enrollment ID: I20100317000697 |
| Provider Name | Daniel S Murtagh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548265721 PECOS PAC ID: 5597890210 Enrollment ID: I20100319000829 |
| Provider Name | Latina R Amick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285821017 PECOS PAC ID: 0345376927 Enrollment ID: I20100408000029 |
| Provider Name | Shirley M Bodi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760488720 PECOS PAC ID: 9931238847 Enrollment ID: I20100602000084 |
| Provider Name | Coral Delight Matus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700882594 PECOS PAC ID: 9739210550 Enrollment ID: I20100623000232 |
| Provider Name | Garett A Begeman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528272119 PECOS PAC ID: 2961534367 Enrollment ID: I20100721000194 |
| Provider Name | Zakaria I Assi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841283991 PECOS PAC ID: 7810922630 Enrollment ID: I20100909000438 |
| Provider Name | Robert S Disalle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144213513 PECOS PAC ID: 3870674153 Enrollment ID: I20100909000455 |
| Provider Name | Malcolm Doyle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679566053 PECOS PAC ID: 7810012283 Enrollment ID: I20100909000485 |
| Provider Name | Murray A Howe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811980212 PECOS PAC ID: 3476678723 Enrollment ID: I20100910000269 |
| Provider Name | Amy S Culler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861485229 PECOS PAC ID: 1052492337 Enrollment ID: I20100914000075 |
| Provider Name | Steve K Jindal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346233723 PECOS PAC ID: 7416072541 Enrollment ID: I20100914000132 |
| Provider Name | Sarah A Gerken |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801072780 PECOS PAC ID: 1153446166 Enrollment ID: I20100914001372 |
| Provider Name | Brent Michael Altenhof |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215148622 PECOS PAC ID: 5395861835 Enrollment ID: I20100922000236 |
| Provider Name | Vincent J Keiser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376536771 PECOS PAC ID: 0840316311 Enrollment ID: I20100922000613 |
| Provider Name | Jonathan A. Nadaud |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194710558 PECOS PAC ID: 4385606441 Enrollment ID: I20100922000639 |
| Provider Name | Parag U Parikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508851643 PECOS PAC ID: 1254236235 Enrollment ID: I20100922000664 |
| Provider Name | Robin B. Shermis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073508479 PECOS PAC ID: 5698856979 Enrollment ID: I20100922000730 |
| Provider Name | Jonathan Yobbagy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134114218 PECOS PAC ID: 8820993884 Enrollment ID: I20101011000096 |
| Provider Name | Richard J Iarussi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679571855 PECOS PAC ID: 2365335429 Enrollment ID: I20101018001078 |
| Provider Name | Michael L Guinness |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891766085 PECOS PAC ID: 6204021926 Enrollment ID: I20101108001027 |
| Provider Name | Janet L Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619016326 PECOS PAC ID: 4284820929 Enrollment ID: I20101122000002 |
| Provider Name | Kathryn Todd Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659576783 PECOS PAC ID: 3577751403 Enrollment ID: I20101220000636 |
| Provider Name | Sleiman K Smaili |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477718245 PECOS PAC ID: 2860671849 Enrollment ID: I20110124000068 |
| Provider Name | David Bingham |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1033345251 PECOS PAC ID: 0244412237 Enrollment ID: I20110311000814 |
| Provider Name | Sarah E Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932358694 PECOS PAC ID: 8921276676 Enrollment ID: I20110722000646 |
| Provider Name | Sooraj G Yermal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386951648 PECOS PAC ID: 6709055775 Enrollment ID: I20110808000729 |
| Provider Name | William P Saunders |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821223447 PECOS PAC ID: 6608046289 Enrollment ID: I20110909002624 |
| Provider Name | Christian A Wuescher |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689854606 PECOS PAC ID: 4981876232 Enrollment ID: I20111007000614 |
| Provider Name | Anu Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336316306 PECOS PAC ID: 5991871691 Enrollment ID: I20111010000300 |
| Provider Name | Dhaval Parikh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588660476 PECOS PAC ID: 6507945276 Enrollment ID: I20111121000174 |
| Provider Name | George V Moukarbel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790811438 PECOS PAC ID: 4486828845 Enrollment ID: I20111122000466 |
| Provider Name | Jonathan D Cox |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1255608691 PECOS PAC ID: 3779740105 Enrollment ID: I20120213000613 |
| Provider Name | Andre Aguillon |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1760647507 PECOS PAC ID: 6002075827 Enrollment ID: I20120313000928 |
| Provider Name | Nicole Payne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477712453 PECOS PAC ID: 2567622939 Enrollment ID: I20120321000642 |
| Provider Name | Mohammad Taleb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891928990 PECOS PAC ID: 6204091713 Enrollment ID: I20120709000399 |
| Provider Name | Joshua Lynn Jay |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1134485394 PECOS PAC ID: 7315103892 Enrollment ID: I20120727000391 |
| Provider Name | John J Leskovan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184888208 PECOS PAC ID: 9739337825 Enrollment ID: I20120914000226 |
| Provider Name | Amir Vaez |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1497003834 PECOS PAC ID: 3476703646 Enrollment ID: I20121024000289 |
| Provider Name | Chayanika Pal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659500379 PECOS PAC ID: 3375793433 Enrollment ID: I20121025000534 |
| Provider Name | Victoria L Shiple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932455334 PECOS PAC ID: 2860643087 Enrollment ID: I20121117000044 |
| Provider Name | Christine A Warner Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316299761 PECOS PAC ID: 4688826829 Enrollment ID: I20121214000201 |
| Provider Name | Arunkumar Baskara |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922259217 PECOS PAC ID: 4587819776 Enrollment ID: I20130218000529 |
| Provider Name | Daniel J Gehling |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497920938 PECOS PAC ID: 6204995673 Enrollment ID: I20130219000371 |
| Provider Name | Amy Riese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649447533 PECOS PAC ID: 8022176312 Enrollment ID: I20130301000468 |
| Provider Name | Jaclynn E Belville |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154673747 PECOS PAC ID: 1557516945 Enrollment ID: I20130311000391 |
| Provider Name | Michelle M Lovett |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174780779 PECOS PAC ID: 9537304563 Enrollment ID: I20130322000385 |
| Provider Name | Brittany Balusik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437491495 PECOS PAC ID: 5092950451 Enrollment ID: I20130408000149 |
| Provider Name | Shaili J Desai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285845578 PECOS PAC ID: 8921245432 Enrollment ID: I20130430000478 |
| Provider Name | Nathan Egbert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740446814 PECOS PAC ID: 5698914943 Enrollment ID: I20130617000405 |
| Provider Name | Muhammad Hefzy |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1346496304 PECOS PAC ID: 0446499545 Enrollment ID: I20130621000282 |
| Provider Name | Anne E Mullins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548553472 PECOS PAC ID: 5991944803 Enrollment ID: I20130625000155 |
| Provider Name | Nezam I Altorok |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1154585115 PECOS PAC ID: 2466693270 Enrollment ID: I20130719000752 |
| Provider Name | Jacob E Bieszczad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417185240 PECOS PAC ID: 3476709122 Enrollment ID: I20130720000273 |
| Provider Name | Chandani Marie Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851534390 PECOS PAC ID: 2769623891 Enrollment ID: I20130801000041 |
| Provider Name | Kraig Kristof |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063682425 PECOS PAC ID: 1759560501 Enrollment ID: I20130808000418 |
| Provider Name | Joyce M Bevington |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891923611 PECOS PAC ID: 9638311350 Enrollment ID: I20130808000944 |
| Provider Name | Ryan P Majcher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760752802 PECOS PAC ID: 1557504412 Enrollment ID: I20130826000713 |
| Provider Name | Mariam M Mina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376860791 PECOS PAC ID: 4385882810 Enrollment ID: I20130826001111 |
| Provider Name | Shalini S Niranjan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477864262 PECOS PAC ID: 6406095504 Enrollment ID: I20130918000134 |
| Provider Name | Allison M Ovitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790118727 PECOS PAC ID: 4385888007 Enrollment ID: I20130919000634 |
| Provider Name | Cheryl Mccullumsmith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801977954 PECOS PAC ID: 0042312522 Enrollment ID: I20130925000791 |
| Provider Name | Megan R Swanson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1740615459 PECOS PAC ID: 4082848247 Enrollment ID: I20131002000334 |
| Provider Name | Kimberly Abbas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285055277 PECOS PAC ID: 0446489892 Enrollment ID: I20140204001393 |
| Provider Name | Kimberly M Burkhart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437430774 PECOS PAC ID: 4789815820 Enrollment ID: I20140402001986 |
| Provider Name | Mersiha Hadziahmetovic |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932369279 PECOS PAC ID: 9830355502 Enrollment ID: I20140501002232 |
| Provider Name | Robert E Mccullumsmith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467484907 PECOS PAC ID: 1355345240 Enrollment ID: I20140520001661 |
| Provider Name | Shaza Aouthmany |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952691065 PECOS PAC ID: 2668696063 Enrollment ID: I20140604001706 |
| Provider Name | Mark Buehler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225294242 PECOS PAC ID: 2769606094 Enrollment ID: I20140606001009 |
| Provider Name | Svitlana Zhukivska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033400866 PECOS PAC ID: 7113165903 Enrollment ID: I20140619000582 |
| Provider Name | Fadi A Safi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649436429 PECOS PAC ID: 8224253794 Enrollment ID: I20140626000684 |
| Provider Name | Janice R Maxey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275949851 PECOS PAC ID: 4688892672 Enrollment ID: I20140904002450 |
| Provider Name | Lisa M Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831505825 PECOS PAC ID: 8426277138 Enrollment ID: I20140911000912 |
| Provider Name | Mehmood Rashid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275833980 PECOS PAC ID: 1951520170 Enrollment ID: I20140919000654 |
| Provider Name | Carol A Budzenski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013194786 PECOS PAC ID: 5991925711 Enrollment ID: I20140930000714 |
| Provider Name | Toseef Javaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558630715 PECOS PAC ID: 8820210396 Enrollment ID: I20141118000857 |
| Provider Name | Rajesh Gupta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477741197 PECOS PAC ID: 9436338704 Enrollment ID: I20141201000901 |
| Provider Name | Rachel Kaser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578979613 PECOS PAC ID: 1951624279 Enrollment ID: I20141217002328 |
| Provider Name | Faiza Fakhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124441449 PECOS PAC ID: 8022331842 Enrollment ID: I20150102000530 |
| Provider Name | Jean-paul E Amegee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053674416 PECOS PAC ID: 4981928082 Enrollment ID: I20150120002455 |
| Provider Name | Ammar Kayyali |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1205137965 PECOS PAC ID: 8820229651 Enrollment ID: I20150203001338 |
| Provider Name | Juan C Jaume |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164498002 PECOS PAC ID: 4284615758 Enrollment ID: I20150225000875 |
| Provider Name | Jodi C Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467858431 PECOS PAC ID: 1456677830 Enrollment ID: I20150302001052 |
| Provider Name | Maria A Alfonso-jaume |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821065988 PECOS PAC ID: 4981685682 Enrollment ID: I20150317001820 |
| Provider Name | Babar Sanaullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376593806 PECOS PAC ID: 8820004104 Enrollment ID: I20150408002044 |
| Provider Name | Melissa Boes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780077271 PECOS PAC ID: 0244550788 Enrollment ID: I20150522001246 |
| Provider Name | Michael W Ellis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871564617 PECOS PAC ID: 4981876570 Enrollment ID: I20150715002061 |
| Provider Name | Jaber Alanzi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073748257 PECOS PAC ID: 5496068652 Enrollment ID: I20150716001490 |
| Provider Name | Andrew J Kochevar |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1871781765 PECOS PAC ID: 0648409995 Enrollment ID: I20150811005374 |
| Provider Name | Emilee J Onysyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215310602 PECOS PAC ID: 5991010100 Enrollment ID: I20150818003982 |
| Provider Name | Jamie Leigh Migliori |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962729368 PECOS PAC ID: 8820304678 Enrollment ID: I20150825004024 |
| Provider Name | Alicia Wohlfarth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770950867 PECOS PAC ID: 5890002158 Enrollment ID: I20150918000513 |
| Provider Name | Chiamaka N Mbaso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588926331 PECOS PAC ID: 6406164722 Enrollment ID: I20151006000587 |
| Provider Name | Victoria O Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295126530 PECOS PAC ID: 2264758838 Enrollment ID: I20151006000860 |
| Provider Name | Ganesh P Merugu |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1992092282 PECOS PAC ID: 2769782739 Enrollment ID: I20151123002080 |
| Provider Name | Alicia K Pearce |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922392273 PECOS PAC ID: 8022318823 Enrollment ID: I20151201000847 |
| Provider Name | Stephanie Murray |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1457722290 PECOS PAC ID: 9638470883 Enrollment ID: I20151214001271 |
| Provider Name | Rabia Zubair |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922364736 PECOS PAC ID: 9133420235 Enrollment ID: I20151215000836 |
| Provider Name | Michael S Abrahams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487098463 PECOS PAC ID: 6002118908 Enrollment ID: I20160108002614 |
| Provider Name | Zahra Aftab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023250073 PECOS PAC ID: 0042435489 Enrollment ID: I20160125002188 |
| Provider Name | Ahmad Zarzour |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992149041 PECOS PAC ID: 0244534824 Enrollment ID: I20160303002541 |
| Provider Name | Jill A Steenhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861878183 PECOS PAC ID: 0446557490 Enrollment ID: I20160318001215 |
| Provider Name | Angela T Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104299163 PECOS PAC ID: 7113224734 Enrollment ID: I20160328000444 |
| Provider Name | Colleen E |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588000723 PECOS PAC ID: 3274830526 Enrollment ID: I20160331000662 |
| Provider Name | Nicole L Lehmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104285956 PECOS PAC ID: 9032416391 Enrollment ID: I20160331001244 |
| Provider Name | Puneet Sindhwani |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114995362 PECOS PAC ID: 9739105883 Enrollment ID: I20160513001196 |
| Provider Name | John Y Jun |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487878559 PECOS PAC ID: 9830264837 Enrollment ID: I20160527001811 |
| Provider Name | Jason C Levine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073892972 PECOS PAC ID: 0042501843 Enrollment ID: I20160627000822 |
| Provider Name | Stephanie M Pannell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164733507 PECOS PAC ID: 5698904571 Enrollment ID: I20160701000020 |
| Provider Name | Nicholas G Horen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659717031 PECOS PAC ID: 7214233725 Enrollment ID: I20160729000050 |
| Provider Name | Andrew Kriegel |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1245446574 PECOS PAC ID: 4981875465 Enrollment ID: I20160809001578 |
| Provider Name | Angela K Beil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497107452 PECOS PAC ID: 4587959028 Enrollment ID: I20160823003192 |
| Provider Name | Nichole A Monahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659733368 PECOS PAC ID: 1153616586 Enrollment ID: I20160824002948 |
| Provider Name | Vithal Bhimrao Shendge |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649502121 PECOS PAC ID: 6406025006 Enrollment ID: I20160824003079 |
| Provider Name | Obi Ekwenna |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245480169 PECOS PAC ID: 2769608157 Enrollment ID: I20160829000896 |
| Provider Name | Christopher Grant Sanford |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780995209 PECOS PAC ID: 8123313194 Enrollment ID: I20160830001338 |
| Provider Name | Chandramohan Meenakshisundaram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558709550 PECOS PAC ID: 2668768482 Enrollment ID: I20160902001683 |
| Provider Name | Svetlana Igorevna Kriegel |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1356554976 PECOS PAC ID: 8426375262 Enrollment ID: I20160906000014 |
| Provider Name | Lance Douglas Dworkin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053358770 PECOS PAC ID: 2163314006 Enrollment ID: I20160913000731 |
| Provider Name | Ajaz Sheikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932401221 PECOS PAC ID: 0941596217 Enrollment ID: I20160913001008 |
| Provider Name | Unknown Shahab Ud Din |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922430255 PECOS PAC ID: 5799072807 Enrollment ID: I20160916001616 |
| Provider Name | Christy J Weiker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033662762 PECOS PAC ID: 3476841180 Enrollment ID: I20161012002994 |
| Provider Name | John Gower |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1962514406 PECOS PAC ID: 5092774505 Enrollment ID: I20161017002293 |
| Provider Name | Parul Chaudhri Prabhakar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326335332 PECOS PAC ID: 3779808191 Enrollment ID: I20161019002847 |
| Provider Name | Brittany J Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376092908 PECOS PAC ID: 0244519627 Enrollment ID: I20161108002074 |
| Provider Name | Sophia Mccullough |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790788966 PECOS PAC ID: 6305125873 Enrollment ID: I20161128001987 |
| Provider Name | Danielle Marie Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871046268 PECOS PAC ID: 1456631845 Enrollment ID: I20161130001376 |
| Provider Name | Stefanie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437607124 PECOS PAC ID: 7012297427 Enrollment ID: I20161130002076 |
| Provider Name | Brooke R Bellman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790237576 PECOS PAC ID: 8123308368 Enrollment ID: I20161206001034 |
| Provider Name | Holly J Vaculik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740635077 PECOS PAC ID: 5698056182 Enrollment ID: I20161220002511 |
| Provider Name | Benjamin Mantei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831641679 PECOS PAC ID: 1456631696 Enrollment ID: I20170127001370 |
| Provider Name | Connie J Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902181274 PECOS PAC ID: 6901122787 Enrollment ID: I20170214001639 |
| Provider Name | Amanda Enix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821440538 PECOS PAC ID: 8224311170 Enrollment ID: I20170220001642 |
| Provider Name | Jacob Daniel Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619105871 PECOS PAC ID: 1254653306 Enrollment ID: I20170228000471 |
| Provider Name | Sarah Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083153399 PECOS PAC ID: 6103101035 Enrollment ID: I20170316000239 |
| Provider Name | Regis C Whiteside |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992141741 PECOS PAC ID: 4981908209 Enrollment ID: I20170317001946 |
| Provider Name | Katrina L Bressler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306385182 PECOS PAC ID: 3375829013 Enrollment ID: I20170413000390 |
| Provider Name | Timothy Cameron Steenhoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740676030 PECOS PAC ID: 4284910795 Enrollment ID: I20170418002069 |
| Provider Name | Tamer S Said Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770998320 PECOS PAC ID: 2163729476 Enrollment ID: I20170512001996 |
| Provider Name | Alexander Escobar |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1790049229 PECOS PAC ID: 7416253851 Enrollment ID: I20170515001673 |
| Provider Name | Jill M Huntzinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336686534 PECOS PAC ID: 8729357108 Enrollment ID: I20170628000314 |
| Provider Name | Renella Alacaraz Gauamis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134641129 PECOS PAC ID: 6608147749 Enrollment ID: I20170808000218 |
| Provider Name | Nicole R Dominiak |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417210261 PECOS PAC ID: 5092014555 Enrollment ID: I20170808002943 |
| Provider Name | Nancy A Parquet |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326487208 PECOS PAC ID: 5395048581 Enrollment ID: I20170809003981 |
| Provider Name | Anas Renno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356751697 PECOS PAC ID: 4688978695 Enrollment ID: I20170817003256 |
| Provider Name | Barbara Reszko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407128861 PECOS PAC ID: 3678846383 Enrollment ID: I20170831001326 |
| Provider Name | Asif Mahmood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205908324 PECOS PAC ID: 4688778400 Enrollment ID: I20170908003087 |
| Provider Name | Idrees Mohiuddin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518372713 PECOS PAC ID: 3274752464 Enrollment ID: I20170912003134 |
| Provider Name | Sarah Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942744628 PECOS PAC ID: 3779866009 Enrollment ID: I20170919003648 |
| Provider Name | Jennifer Galliers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538695291 PECOS PAC ID: 0244504595 Enrollment ID: I20170925003352 |
| Provider Name | Maged Hanna |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972988954 PECOS PAC ID: 1658646385 Enrollment ID: I20171005003721 |
| Provider Name | Stephanie Staten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164977286 PECOS PAC ID: 5395024459 Enrollment ID: I20171017002412 |
| Provider Name | Melinda S Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164946612 PECOS PAC ID: 3274809165 Enrollment ID: I20171020000277 |
| Provider Name | Abdallah Kobeissy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417261199 PECOS PAC ID: 7012213366 Enrollment ID: I20171113003636 |
| Provider Name | Navya Parsa |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1104183011 PECOS PAC ID: 7618116070 Enrollment ID: I20171114000348 |
| Provider Name | Angela Pittman |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1780195172 PECOS PAC ID: 8628334166 Enrollment ID: I20171115003579 |
| Provider Name | Lora Spurling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609289818 PECOS PAC ID: 8729344122 Enrollment ID: I20171116002737 |
| Provider Name | Ryan Tighe |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1366952095 PECOS PAC ID: 1850657222 Enrollment ID: I20171117002403 |
| Provider Name | Dani Zoorob |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528257888 PECOS PAC ID: 3072738228 Enrollment ID: I20171117003062 |
| Provider Name | Adam Nachman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598288979 PECOS PAC ID: 1557628179 Enrollment ID: I20171206001475 |
| Provider Name | Mary Burchfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265947030 PECOS PAC ID: 1658639406 Enrollment ID: I20171227001838 |
| Provider Name | Naeem Mahfooz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619296712 PECOS PAC ID: 3870853484 Enrollment ID: I20180130001694 |
| Provider Name | Jacqueline Elyse Malenfant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881112431 PECOS PAC ID: 4284994310 Enrollment ID: I20180208003006 |
| Provider Name | Andrea Leslie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346615143 PECOS PAC ID: 6608137260 Enrollment ID: I20180223000770 |
| Provider Name | Shelmith Witherell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346749439 PECOS PAC ID: 5991066367 Enrollment ID: I20180227001332 |
| Provider Name | Brooke R Koltz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891968137 PECOS PAC ID: 6507093986 Enrollment ID: I20180301000960 |
| Provider Name | Marypat Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477061133 PECOS PAC ID: 6800157728 Enrollment ID: I20180309000562 |
| Provider Name | Zubia Alam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659631638 PECOS PAC ID: 6305065202 Enrollment ID: I20180413001895 |
| Provider Name | Juan Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003351495 PECOS PAC ID: 3476837212 Enrollment ID: I20180507002604 |
| Provider Name | Stephen Francis Markowiak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851710321 PECOS PAC ID: 5193029700 Enrollment ID: I20180515000989 |
| Provider Name | Michelle Jean Lajiness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285649004 PECOS PAC ID: 2668669334 Enrollment ID: I20180515001460 |
| Provider Name | Gurmail Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639529951 PECOS PAC ID: 6103145339 Enrollment ID: I20180611000826 |
| Provider Name | Shuhao Qiu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912385675 PECOS PAC ID: 6305141003 Enrollment ID: I20180622002083 |
| Provider Name | Vieh Kung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790121895 PECOS PAC ID: 7618271354 Enrollment ID: I20180626003444 |
| Provider Name | Katherine Ann Cotton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144513003 PECOS PAC ID: 6608122866 Enrollment ID: I20180702002417 |
| Provider Name | Luke C Bisoski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770927931 PECOS PAC ID: 2860786159 Enrollment ID: I20180713001642 |
| Provider Name | Nitin Goyal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538402334 PECOS PAC ID: 2961798905 Enrollment ID: I20180727000876 |
| Provider Name | Caytlin A Deering |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366785131 PECOS PAC ID: 2567768468 Enrollment ID: I20180731003371 |
| Provider Name | Amy Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265830392 PECOS PAC ID: 6709135486 Enrollment ID: I20180814003673 |
| Provider Name | Muhammad Mobeen Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134491483 PECOS PAC ID: 6103078076 Enrollment ID: I20180815000983 |
| Provider Name | Ashley Christine Schneider |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083034003 PECOS PAC ID: 0840594131 Enrollment ID: I20180815002712 |
| Provider Name | Kyle Smay |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1407345853 PECOS PAC ID: 3173872538 Enrollment ID: I20180817000308 |
| Provider Name | Mohamed F Osman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1689998551 PECOS PAC ID: 8820392509 Enrollment ID: I20180820003680 |
| Provider Name | Omar Nabil Horani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962897264 PECOS PAC ID: 5294038501 Enrollment ID: I20180821002425 |
| Provider Name | Talal M Derani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841635570 PECOS PAC ID: 6800165440 Enrollment ID: I20180823001245 |
| Provider Name | Brian Edward Tasma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184002099 PECOS PAC ID: 9537464243 Enrollment ID: I20180829004073 |
| Provider Name | Danae Marie Hamouda |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316382260 PECOS PAC ID: 4587968698 Enrollment ID: I20180904003457 |
| Provider Name | Zohaib Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518341544 PECOS PAC ID: 5890088181 Enrollment ID: I20180906001579 |
| Provider Name | Osama M Elattar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629483391 PECOS PAC ID: 3577871797 Enrollment ID: I20180918002334 |
| Provider Name | Christine Ann Thornsberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184102766 PECOS PAC ID: 1254682099 Enrollment ID: I20180918003401 |
| Provider Name | Hend Elsaghir |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891969127 PECOS PAC ID: 4082761093 Enrollment ID: I20180925001972 |
| Provider Name | Hani M Saad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457331969 PECOS PAC ID: 0244264596 Enrollment ID: I20181008000856 |
| Provider Name | Firas G Petros |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891096111 PECOS PAC ID: 8628219144 Enrollment ID: I20181009003134 |
| Provider Name | Meghan E Ramser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982903167 PECOS PAC ID: 2163724295 Enrollment ID: I20181011001159 |
| Provider Name | Rebecca Anne Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396225793 PECOS PAC ID: 5193078780 Enrollment ID: I20181029002368 |
| Provider Name | Deepa P Malaiyandi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720303027 PECOS PAC ID: 9133418254 Enrollment ID: I20181101002997 |
| Provider Name | Sarmed Mansur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104212760 PECOS PAC ID: 1153674411 Enrollment ID: I20181102001607 |
| Provider Name | Richard E Burgess |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649340530 PECOS PAC ID: 8325131964 Enrollment ID: I20181102001687 |
| Provider Name | Kunal Yadav |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346592458 PECOS PAC ID: 1658506993 Enrollment ID: I20181128002715 |
| Provider Name | Yara E Tovar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740488279 PECOS PAC ID: 7416130299 Enrollment ID: I20190108003613 |
| Provider Name | Karen Shafer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104262674 PECOS PAC ID: 7012205032 Enrollment ID: I20190109002131 |
| Provider Name | Ahmed M El-zawahry |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982792669 PECOS PAC ID: 7113198433 Enrollment ID: I20190111002789 |
| Provider Name | Isaac Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750623294 PECOS PAC ID: 2860793064 Enrollment ID: I20190123003706 |
| Provider Name | Moshrik L Abd-alamir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386879054 PECOS PAC ID: 6002070356 Enrollment ID: I20190131001313 |
| Provider Name | Falak M Youssef |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689155095 PECOS PAC ID: 0042558348 Enrollment ID: I20190212002076 |
| Provider Name | Paul A Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023000262 PECOS PAC ID: 4587790670 Enrollment ID: I20190215001878 |
| Provider Name | Mona Hassan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366720666 PECOS PAC ID: 5698907566 Enrollment ID: I20190301001123 |
| Provider Name | Kim D Trott-mckind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194236927 PECOS PAC ID: 5294074589 Enrollment ID: I20190304002592 |
| Provider Name | Jennifer Lockard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750865887 PECOS PAC ID: 6406196492 Enrollment ID: I20190329001669 |
| Provider Name | Melinda Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831655042 PECOS PAC ID: 3577805068 Enrollment ID: I20190502001986 |
| Provider Name | Brittany Zenk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649735473 PECOS PAC ID: 6901148113 Enrollment ID: I20190508000695 |
| Provider Name | Kathleen Rocco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396266219 PECOS PAC ID: 5294068557 Enrollment ID: I20190531002001 |
| Provider Name | Saqib Masroor |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1932147634 PECOS PAC ID: 3375456551 Enrollment ID: I20190603002401 |
| Provider Name | Melissa A Waldman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215437009 PECOS PAC ID: 0840525440 Enrollment ID: I20190717003949 |
| Provider Name | Fenil Kholwadwala |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174058267 PECOS PAC ID: 6709112097 Enrollment ID: I20190724002153 |
| Provider Name | Anum H Riaz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962821413 PECOS PAC ID: 7315273497 Enrollment ID: I20190726001977 |
| Provider Name | Tanaya Sparkle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609218023 PECOS PAC ID: 4082940077 Enrollment ID: I20190729003715 |
| Provider Name | Mina B Tanios |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508108713 PECOS PAC ID: 5294039673 Enrollment ID: I20190806001019 |
| Provider Name | Jaclyn E Geronimo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497210819 PECOS PAC ID: 0244567550 Enrollment ID: I20190809000154 |
| Provider Name | Dionis Kononov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396132197 PECOS PAC ID: 8820395569 Enrollment ID: I20190812004064 |
| Provider Name | Andrew J Wikaryasz |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1972066546 PECOS PAC ID: 0547597627 Enrollment ID: I20190813000129 |
| Provider Name | Nasheed S Fakhouri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720437361 PECOS PAC ID: 3779810593 Enrollment ID: I20190815003261 |
| Provider Name | Daniel C Mccarthy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851773980 PECOS PAC ID: 3476858309 Enrollment ID: I20190816001909 |
| Provider Name | Elisha Tzvi Fredman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1740600022 PECOS PAC ID: 1153659750 Enrollment ID: I20190820004086 |
| Provider Name | Nicole Elizabeth Zmijewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699333419 PECOS PAC ID: 2961730007 Enrollment ID: I20190827002623 |
| Provider Name | Madeline S Fortune |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1689235707 PECOS PAC ID: 1850621491 Enrollment ID: I20190925001819 |
| Provider Name | Komal Masood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295141455 PECOS PAC ID: 2769609072 Enrollment ID: I20191003000817 |
| Provider Name | Ryan S Hamilton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154769479 PECOS PAC ID: 3678877172 Enrollment ID: I20191009002858 |
| Provider Name | Syed Sohaib Husaini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386098804 PECOS PAC ID: 8022302629 Enrollment ID: I20191010002642 |
| Provider Name | Gamal Mostafa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245261031 PECOS PAC ID: 9234115981 Enrollment ID: I20191209001794 |
| Provider Name | Nicole Amadio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598923286 PECOS PAC ID: 8325471089 Enrollment ID: I20191210003565 |
| Provider Name | Brienne N Seekford |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1245884170 PECOS PAC ID: 6103259775 Enrollment ID: I20191212001404 |
| Provider Name | Destiny N Wholf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588215685 PECOS PAC ID: 3870927544 Enrollment ID: I20200106001855 |
| Provider Name | Mani Khorsand Askari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003284076 PECOS PAC ID: 7416252846 Enrollment ID: I20200107002639 |
| Provider Name | Carrie Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740842921 PECOS PAC ID: 6406281864 Enrollment ID: I20200114001194 |
| Provider Name | Abed Kanzy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265729370 PECOS PAC ID: 9032332754 Enrollment ID: I20200114003093 |
| Provider Name | Mary Ellen Haines |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790792315 PECOS PAC ID: 9739515065 Enrollment ID: I20200205002225 |
| Provider Name | Whitney Beachum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801430863 PECOS PAC ID: 8022444264 Enrollment ID: I20200205003093 |
| Provider Name | Dawn M Rhoades |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952889883 PECOS PAC ID: 2860829694 Enrollment ID: I20200217003395 |
| Provider Name | Angela Marie Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790336865 PECOS PAC ID: 6507293941 Enrollment ID: I20200225002302 |
| Provider Name | Elysia James |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518120534 PECOS PAC ID: 0840444618 Enrollment ID: I20200227002731 |
| Provider Name | Natalie Wiegers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922648658 PECOS PAC ID: 3274961792 Enrollment ID: I20200317000725 |
| Provider Name | Siddharth Kunte |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639585870 PECOS PAC ID: 3577827369 Enrollment ID: I20200410001634 |
| Provider Name | Alex Lu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548765126 PECOS PAC ID: 6204266810 Enrollment ID: I20200422003250 |
| Provider Name | Yaseen S Alastal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497196992 PECOS PAC ID: 0143524249 Enrollment ID: I20200424001798 |
| Provider Name | Ahmed M Akl |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1245296904 PECOS PAC ID: 9931092038 Enrollment ID: I20200430002363 |
| Provider Name | Anne M Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568096410 PECOS PAC ID: 2163853698 Enrollment ID: I20200515001610 |
| Provider Name | Carilyn Elizabeth Stark |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851748255 PECOS PAC ID: 7618263690 Enrollment ID: I20200609000578 |
| Provider Name | Muthukumar Radhakrishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104104330 PECOS PAC ID: 1658590245 Enrollment ID: I20200610002125 |
| Provider Name | Abdullah Kadan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982833133 PECOS PAC ID: 7416106588 Enrollment ID: I20200611001833 |
| Provider Name | Michael L Conley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194105601 PECOS PAC ID: 0042511545 Enrollment ID: I20200622001678 |
| Provider Name | Robert J Dohar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811494388 PECOS PAC ID: 8325460868 Enrollment ID: I20200629003968 |
| Provider Name | Kevin Tiwari |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1285029769 PECOS PAC ID: 0446554620 Enrollment ID: I20200630003112 |
| Provider Name | Zachary S Rost |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174942494 PECOS PAC ID: 9032532809 Enrollment ID: I20200713003439 |
| Provider Name | Antwan Atia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487820353 PECOS PAC ID: 4587738844 Enrollment ID: I20200716002745 |
| Provider Name | Michael David Enzerra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508284993 PECOS PAC ID: 7012139504 Enrollment ID: I20200717001391 |
| Provider Name | Benjamin Randall Hart |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609294271 PECOS PAC ID: 4587880422 Enrollment ID: I20200722003598 |
| Provider Name | Jeannine R Hummell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063036085 PECOS PAC ID: 6507282274 Enrollment ID: I20200812003397 |
| Provider Name | Yue Ding |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1104213834 PECOS PAC ID: 6608131354 Enrollment ID: I20200813003278 |
| Provider Name | Kate L Szymanski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871954206 PECOS PAC ID: 0042506271 Enrollment ID: I20200814002265 |
| Provider Name | Haroon M Shah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770962136 PECOS PAC ID: 3971812629 Enrollment ID: I20200814002782 |
| Provider Name | Lauren M Stanoszek |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467834523 PECOS PAC ID: 2163722778 Enrollment ID: I20200817001203 |
| Provider Name | Felix Quinn Boucher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669852869 PECOS PAC ID: 7618394115 Enrollment ID: I20200901002291 |
| Provider Name | Kori M Pfeiffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528678190 PECOS PAC ID: 8628496445 Enrollment ID: I20200910002612 |
| Provider Name | Chandula P Seneviratne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417459660 PECOS PAC ID: 7012336324 Enrollment ID: I20201005002913 |
| Provider Name | Alexandra Lekson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528628997 PECOS PAC ID: 5799105110 Enrollment ID: I20201022003900 |
| Provider Name | Hannah Aiyewunmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699397448 PECOS PAC ID: 5991115297 Enrollment ID: I20201027001973 |
| Provider Name | Heather L Perne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902417926 PECOS PAC ID: 3375953862 Enrollment ID: I20201112001654 |
| Provider Name | Josephine U Adunse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497195069 PECOS PAC ID: 6800175266 Enrollment ID: I20201112002121 |
| Provider Name | Colleen Neal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629193727 PECOS PAC ID: 5193892354 Enrollment ID: I20201124002921 |
| Provider Name | Carol A Angel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326570755 PECOS PAC ID: 1850660762 Enrollment ID: I20210114001229 |
| Provider Name | Jared C Stilwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063015337 PECOS PAC ID: 9234542044 Enrollment ID: I20210114002296 |
| Provider Name | Alisa P Nammavong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912518788 PECOS PAC ID: 7214341627 Enrollment ID: I20210126002646 |
| Provider Name | Tiffany Lynn Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710290317 PECOS PAC ID: 9537573431 Enrollment ID: I20210204003088 |
| Provider Name | Jacquel Mccadney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861818791 PECOS PAC ID: 2769815927 Enrollment ID: I20210211002844 |
| Provider Name | Kacie L Truss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285221465 PECOS PAC ID: 8123433349 Enrollment ID: I20210222002471 |
| Provider Name | Brooke M Tullis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124618152 PECOS PAC ID: 0446665665 Enrollment ID: I20210222002695 |
| Provider Name | Mohamed Omballi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184867996 PECOS PAC ID: 3577791433 Enrollment ID: I20210223002617 |
| Provider Name | Sarah Mohr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841740016 PECOS PAC ID: 4284049214 Enrollment ID: I20210224001514 |
| Provider Name | Omar Ahmad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558481333 PECOS PAC ID: 5193850592 Enrollment ID: I20210316002325 |
| Provider Name | Meghan A Pirkl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154919843 PECOS PAC ID: 8325455546 Enrollment ID: I20210405001877 |
| Provider Name | Sally E Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710573043 PECOS PAC ID: 6800203092 Enrollment ID: I20210406002191 |
| Provider Name | James Daniel Morlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881292241 PECOS PAC ID: 5395153480 Enrollment ID: I20210408001681 |
| Provider Name | Adam Heilala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871987776 PECOS PAC ID: 7911296850 Enrollment ID: I20210412000866 |
| Provider Name | Katie Burlen-davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306485636 PECOS PAC ID: 7416366521 Enrollment ID: I20210503001495 |
| Provider Name | Julie N Smith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962093047 PECOS PAC ID: 6800205501 Enrollment ID: I20210510002703 |
| Provider Name | Eyad Jaara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578049110 PECOS PAC ID: 4981004322 Enrollment ID: I20210607002441 |
| Provider Name | Danielle Goodell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841755329 PECOS PAC ID: 0446667117 Enrollment ID: I20210608002909 |
| Provider Name | Meghan E Herman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841876232 PECOS PAC ID: 3779984802 Enrollment ID: I20210628001483 |
| Provider Name | Thomas Khamfoo Roach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003313768 PECOS PAC ID: 9335497155 Enrollment ID: I20210707003381 |
| Provider Name | Edward Sutherland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154770212 PECOS PAC ID: 7911291166 Enrollment ID: I20210716001871 |
| Provider Name | Alicia R Prestegaard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386737419 PECOS PAC ID: 9537354196 Enrollment ID: I20210720003808 |
| Provider Name | Matthew G. Hall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174936900 PECOS PAC ID: 9436552601 Enrollment ID: I20210726001853 |
| Provider Name | Whitney S Dillard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235510116 PECOS PAC ID: 3779986849 Enrollment ID: I20210727002404 |
| Provider Name | Bashar Bb Saour |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164872958 PECOS PAC ID: 4486932795 Enrollment ID: I20210802000522 |
| Provider Name | Marion Oliver |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497106439 PECOS PAC ID: 3577857416 Enrollment ID: I20210810004190 |
| Provider Name | Caitlyn M Hollingshead |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013371566 PECOS PAC ID: 2466856448 Enrollment ID: I20210812003405 |
| Provider Name | Andrew Mccray |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1184208399 PECOS PAC ID: 2365847340 Enrollment ID: I20210830002061 |
| Provider Name | Azra Niaz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992155105 PECOS PAC ID: 8527390079 Enrollment ID: I20210831003397 |
| Provider Name | Salik Nazir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194109249 PECOS PAC ID: 9032400999 Enrollment ID: I20210909003634 |
| Provider Name | Jenna Kay Tippie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790302156 PECOS PAC ID: 4183022320 Enrollment ID: I20211001002141 |
| Provider Name | Zena Abd-alahad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659878239 PECOS PAC ID: 8426313156 Enrollment ID: I20211004001684 |
| Provider Name | Dalun Tang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669834065 PECOS PAC ID: 0345536579 Enrollment ID: I20211012000411 |
| Provider Name | Manesh Kumar Gangwani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609362474 PECOS PAC ID: 1355690827 Enrollment ID: I20211012003228 |
| Provider Name | Jennifer Amsdell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396278586 PECOS PAC ID: 9638448608 Enrollment ID: I20211029000315 |
| Provider Name | Sara Shafqat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053807727 PECOS PAC ID: 0042608515 Enrollment ID: I20211102003085 |
| Provider Name | Dyan M Darang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265889414 PECOS PAC ID: 3577898915 Enrollment ID: I20211102003280 |
| Provider Name | Mohamad Alghothani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780020826 PECOS PAC ID: 7012291743 Enrollment ID: I20211103002815 |
| Provider Name | Samuel D Forshey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063006435 PECOS PAC ID: 9638568637 Enrollment ID: I20211112001461 |
| Provider Name | Abdelkader Hawasli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467502294 PECOS PAC ID: 7012800238 Enrollment ID: I20211116001939 |
| Provider Name | Tyler Lange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407526197 PECOS PAC ID: 2769871516 Enrollment ID: I20211116002420 |
| Provider Name | Maria Luisa Daradar Corpuz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558894071 PECOS PAC ID: 0042550618 Enrollment ID: I20211122001468 |
| Provider Name | Abed Ramadan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801467907 PECOS PAC ID: 7315336831 Enrollment ID: I20211122002089 |
| Provider Name | Farman Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437520301 PECOS PAC ID: 1951694165 Enrollment ID: I20211122002854 |
| Provider Name | Amna Al Tkrit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952891335 PECOS PAC ID: 5294070595 Enrollment ID: I20211123002055 |
| Provider Name | Stephanie C Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992470124 PECOS PAC ID: 9436549904 Enrollment ID: I20211124002049 |
| Provider Name | Carson Oostra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417311952 PECOS PAC ID: 6800286220 Enrollment ID: I20211129001708 |
| Provider Name | Dylan James Mcnicol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780359679 PECOS PAC ID: 6800286253 Enrollment ID: I20211130000208 |
| Provider Name | Danny Barazi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043883325 PECOS PAC ID: 0143610287 Enrollment ID: I20211206000490 |
| Provider Name | Stephanie Beeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245904481 PECOS PAC ID: 5698166213 Enrollment ID: I20211215001449 |
| Provider Name | Aela Vely |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720368145 PECOS PAC ID: 4688827546 Enrollment ID: I20211221002881 |
| Provider Name | Robin Barry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598362758 PECOS PAC ID: 0446670764 Enrollment ID: I20211230000939 |
| Provider Name | Kayla Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114684800 PECOS PAC ID: 1052703550 Enrollment ID: I20220112003007 |
| Provider Name | Kristin Leigh Zenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093470866 PECOS PAC ID: 9133512650 Enrollment ID: I20220204002148 |
| Provider Name | Sarah Kayleigh Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093210296 PECOS PAC ID: 4981950524 Enrollment ID: I20220210002797 |
| Provider Name | Kendall Jean Marie Kulakowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255002390 PECOS PAC ID: 8628461845 Enrollment ID: I20220211001183 |
| Provider Name | John David Talley |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1568919926 PECOS PAC ID: 1153693403 Enrollment ID: I20220214000598 |
| Provider Name | Alastair Tucker Hoyt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316027501 PECOS PAC ID: 7517117641 Enrollment ID: I20220222001712 |
| Provider Name | Jessica Lynn Asher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104435825 PECOS PAC ID: 7719371152 Enrollment ID: I20220228001908 |
| Provider Name | Aadil Maqsood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457760753 PECOS PAC ID: 6002180353 Enrollment ID: I20220301002090 |
| Provider Name | Chantal Suzanne Crane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245895028 PECOS PAC ID: 3476947771 Enrollment ID: I20220302002974 |
| Provider Name | Sherri Lee Mowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366110066 PECOS PAC ID: 7719371814 Enrollment ID: I20220307002648 |
| Provider Name | Hoda Shabpiray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003311812 PECOS PAC ID: 0547655201 Enrollment ID: I20220315002179 |
| Provider Name | Melanie A Wittkop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316602089 PECOS PAC ID: 0244625861 Enrollment ID: I20220317002700 |
| Provider Name | Jordyn Barrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962166215 PECOS PAC ID: 5698161263 Enrollment ID: I20220407000681 |
| Provider Name | Courtney Bledsoe |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1598429888 PECOS PAC ID: 3870980725 Enrollment ID: I20220425001571 |
| Provider Name | Ellen Hagopian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982628327 PECOS PAC ID: 0244207942 Enrollment ID: I20220531000305 |
| Provider Name | Guillaume Curaudeau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821450586 PECOS PAC ID: 9133416514 Enrollment ID: I20220531002077 |
| Provider Name | Dionne E Swor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144583675 PECOS PAC ID: 7315282852 Enrollment ID: I20220607003260 |
| Provider Name | Shamis Hasan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356793277 PECOS PAC ID: 1951689801 Enrollment ID: I20220711000589 |
| Provider Name | Ryan David Kelsch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235659467 PECOS PAC ID: 8628349131 Enrollment ID: I20220811003622 |
| Provider Name | Melinda Wolboldt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386176923 PECOS PAC ID: 6305229824 Enrollment ID: I20220816003782 |
| Provider Name | Tonya Hoyt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578292587 PECOS PAC ID: 9931584299 Enrollment ID: I20220922001761 |
| Provider Name | Sabeena I Malik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992191852 PECOS PAC ID: 5890097836 Enrollment ID: I20221004000884 |
| Provider Name | Kavita Shanker Warrier |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275630006 PECOS PAC ID: 9436253317 Enrollment ID: I20221031002368 |
| Provider Name | Apoorva Chawla |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710114145 PECOS PAC ID: 6406168194 Enrollment ID: I20221102003199 |
| Provider Name | Samer Akrawi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154852887 PECOS PAC ID: 5597038315 Enrollment ID: I20221111001453 |
| Provider Name | Mellisa Ann Boyle |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1619594181 PECOS PAC ID: 4183097942 Enrollment ID: I20230227002618 |
| Provider Name | Todd Getzen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417028267 PECOS PAC ID: 5698773554 Enrollment ID: I20230605002474 |
| Provider Name | Mirra Jean Ulmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386335156 PECOS PAC ID: 1254798135 Enrollment ID: I20230608000644 |
| Provider Name | Amir Pakray |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386164531 PECOS PAC ID: 5193096600 Enrollment ID: I20230803000853 |
| Provider Name | Kim Anh Tran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669835898 PECOS PAC ID: 7012209372 Enrollment ID: I20230911004078 |
| Provider Name | Rami Ahmad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316303332 PECOS PAC ID: 9739450255 Enrollment ID: I20231108003437 |
| Provider Name | Justin Hsu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508386186 PECOS PAC ID: 2466724786 Enrollment ID: I20231201001527 |
| Provider Name | Amanda Marie Grob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790481398 PECOS PAC ID: 4284085028 Enrollment ID: I20240105003152 |
| Provider Name | Sherie Hanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144781220 PECOS PAC ID: 2264769066 Enrollment ID: I20240215000169 |
| Provider Name | Sameer Gupta |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1699117101 PECOS PAC ID: 9436467602 Enrollment ID: I20240229001033 |
| Provider Name | Hannah G Gullikson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477041077 PECOS PAC ID: 5890130579 Enrollment ID: I20240304003864 |
| Provider Name | Virginia D York |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669874996 PECOS PAC ID: 6204272891 Enrollment ID: I20240305004392 |
| Provider Name | Sydney E Renner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548954944 PECOS PAC ID: 0143666776 Enrollment ID: I20240306001155 |
| Provider Name | Sandra L. Mccluskey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164645339 PECOS PAC ID: 8729424205 Enrollment ID: I20240306003304 |
| Provider Name | Thomas H Fine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417943051 PECOS PAC ID: 6305282815 Enrollment ID: I20240306004185 |
| Provider Name | Nooraldin A Merza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336672088 PECOS PAC ID: 7719257930 Enrollment ID: I20240307002837 |
| Provider Name | Aya E Abugharbyeh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497240667 PECOS PAC ID: 1456797802 Enrollment ID: I20240308000205 |
| Provider Name | Zaid A Noori |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114454709 PECOS PAC ID: 5193092591 Enrollment ID: I20240308002725 |
| Provider Name | Muhammad Usman Ali |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316399587 PECOS PAC ID: 8325484637 Enrollment ID: I20240308002854 |
| Provider Name | Dalia Ibrahim |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487996641 PECOS PAC ID: 3870902109 Enrollment ID: I20240309000241 |
| Provider Name | Thomas Daniel Oweis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083698799 PECOS PAC ID: 7416981030 Enrollment ID: I20240312002672 |
| Provider Name | Rameez H Bhatti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003379843 PECOS PAC ID: 1153659313 Enrollment ID: I20240312003016 |
| Provider Name | Angele V Mcgrady |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700871696 PECOS PAC ID: 6901242874 Enrollment ID: I20240313004091 |
| Provider Name | Basmah W Khalil |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366893380 PECOS PAC ID: 5597053975 Enrollment ID: I20240319000361 |
| Provider Name | Stephanie E Schwarz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417044314 PECOS PAC ID: 0042304859 Enrollment ID: I20240319002667 |
| Provider Name | Alexander Tyson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295354769 PECOS PAC ID: 4183048317 Enrollment ID: I20240319003603 |
| Provider Name | Aneeba Farooqi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780147165 PECOS PAC ID: 8820470305 Enrollment ID: I20240320000619 |
| Provider Name | Sherlyana Surja |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1972890028 PECOS PAC ID: 4486945136 Enrollment ID: I20240325003176 |
| Provider Name | Muhammad Omar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225438849 PECOS PAC ID: 4981926441 Enrollment ID: I20240326000690 |
| Provider Name | Isabella Swade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013692714 PECOS PAC ID: 4587001474 Enrollment ID: I20240327003063 |
| Provider Name | Leslie A Fern |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003399080 PECOS PAC ID: 7315384112 Enrollment ID: I20240327003814 |
| Provider Name | Reyghan S Rosendale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972231645 PECOS PAC ID: 4789022583 Enrollment ID: I20240328003741 |
| Provider Name | Adrienne Angela Justen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467133793 PECOS PAC ID: 5496193534 Enrollment ID: I20240409001080 |
| Provider Name | Jeffrey T Streeter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801344791 PECOS PAC ID: 1254779283 Enrollment ID: I20240409004254 |
| Provider Name | Michael J Lisieski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023637741 PECOS PAC ID: 0941624985 Enrollment ID: I20240411002363 |
| Provider Name | Shelby L Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871220707 PECOS PAC ID: 4981043486 Enrollment ID: I20240417000751 |
| Provider Name | Jill R Cherry Bukowiec |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972724847 PECOS PAC ID: 9234207465 Enrollment ID: I20240417003009 |
| Provider Name | Shahnaz U Rehman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578828752 PECOS PAC ID: 4981990850 Enrollment ID: I20240417003613 |
| Provider Name | Mohammed A Al Azzawi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790246817 PECOS PAC ID: 9931548195 Enrollment ID: I20240419002995 |
| Provider Name | Kristin M Huntsman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811397185 PECOS PAC ID: 3274973573 Enrollment ID: I20240503001577 |
| Provider Name | Alvise F Bernabei |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588679013 PECOS PAC ID: 0941218507 Enrollment ID: I20240517003148 |
| Provider Name | Caylie A Bell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982167664 PECOS PAC ID: 0345675013 Enrollment ID: I20240529003723 |
Larry E Hamme Ph.d Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4125 Monroe St, Toledo, OH 43606 Phone: 419-472-7330 Fax: 419-472-8675 | |
Thera Med Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6500 W Central Ave # D-2, Toledo, OH 43617 Phone: 419-841-2298 Fax: 419-841-7245 | |
Water Blue Therapy Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3443 146th St, Toledo, OH 43611 Phone: 419-217-2122 | |
Melanie S Haddox, Md, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2639 Upton Ave, Toledo, OH 43606 Phone: 419-471-1848 Fax: 419-471-0037 | |
Revitalized Behavioral Healthcare, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5577 Airport Hwy Ste 102, Toledo, OH 43615 Phone: 419-215-5831 | |
Reflections Coaching, Counseling, And Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2475 Collingwood Blvd Ste 110, Toledo, OH 43620 Phone: 419-944-5469 | |
Personal Growth Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1946 N 13th St Ste 427, Toledo, OH 43604 Phone: 888-746-0756 |