| University Pediatric Associates, Inc. | |
|
705 Riley Hospital Dr Rr 127 Indianapolis IN 46202-5109 | |
| (317) 777-6435 | |
| (317) 777-6644 |
| Full Name | University Pediatric Associates, Inc. |
|---|---|
| Speciality | Pediatrics |
| Location | 705 Riley Hospital Dr, Indianapolis, Indiana |
| Authorized Official Name and Position | Laura S Haneline (SECRETARY - TREASURER) |
| Authorized Official Contact | 3177776435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Pediatric Associates, Inc. Po Box 778912 Chicago IL 60677-8912 Ph: (317) 777-6435 | University Pediatric Associates, Inc. 705 Riley Hospital Dr Rr 127 Indianapolis IN 46202-5109 Ph: (317) 777-6435 |
| NPI Number | 1457396541 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Medicare PECOS PAC ID | 2163326794 |
|---|---|
| Medicare Enrollment ID | O20031125000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457396541 | NPI | - | NPPES |
| 1510084 | Medicaid | TN | |
| 200026880 | Medicaid | IN | |
| 1011388 | Medicaid | VT | |
| 3810016815 | Medicaid | WV | |
| 100382090 | Medicaid | IN | |
| 200026890 | Medicaid | IN | |
| 097150200 | Medicaid | FL | |
| 144666 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Tiffanie R Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932142809 PECOS PAC ID: 3678477205 Enrollment ID: I20031125000045 |
| Provider Name | Mitchell Alan Harris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285741942 PECOS PAC ID: 6305738949 Enrollment ID: I20040327000211 |
| Provider Name | Michele S Saysana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275537946 PECOS PAC ID: 3072506161 Enrollment ID: I20040405001623 |
| Provider Name | Joseph Marino Buadoo-croffie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164538690 PECOS PAC ID: 7719961085 Enrollment ID: I20040615000617 |
| Provider Name | Juan C Sanchez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528097136 PECOS PAC ID: 5698759918 Enrollment ID: I20040615000973 |
| Provider Name | Mary F Hickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770683781 PECOS PAC ID: 0547247363 Enrollment ID: I20040630000545 |
| Provider Name | Jayne E Vonbergen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699935601 PECOS PAC ID: 5193702454 Enrollment ID: I20040703000007 |
| Provider Name | Charlene M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932209939 PECOS PAC ID: 8729066154 Enrollment ID: I20040712000587 |
| Provider Name | Annette S Foti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699968354 PECOS PAC ID: 5597743997 Enrollment ID: I20040712001095 |
| Provider Name | Kent A Robertson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235222126 PECOS PAC ID: 9335114685 Enrollment ID: I20040830000916 |
| Provider Name | Jeffrey D Macke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174632129 PECOS PAC ID: 9335114255 Enrollment ID: I20040901001290 |
| Provider Name | Corina Nailescu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043328057 PECOS PAC ID: 8123096526 Enrollment ID: I20040923000277 |
| Provider Name | Hasnaa Eskandar Jalou |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568447514 PECOS PAC ID: 1951370196 Enrollment ID: I20040925000048 |
| Provider Name | Steven J. Steiner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760413991 PECOS PAC ID: 7214906114 Enrollment ID: I20040928000606 |
| Provider Name | Deborah K Hamby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780782698 PECOS PAC ID: 0345209516 Enrollment ID: I20041005000473 |
| Provider Name | Tamara S. Hannon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750354510 PECOS PAC ID: 8123092665 Enrollment ID: I20041006001353 |
| Provider Name | Erin J Phipps |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063460319 PECOS PAC ID: 6709846801 Enrollment ID: I20041013000770 |
| Provider Name | Marilyn J Bull |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1801871975 PECOS PAC ID: 5193781342 Enrollment ID: I20041208001119 |
| Provider Name | Thomas L. Klausmeier |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1932151800 PECOS PAC ID: 7214987965 Enrollment ID: I20050131000259 |
| Provider Name | John C Stevens |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053404947 PECOS PAC ID: 7618915588 Enrollment ID: I20050420001381 |
| Provider Name | Robert K Darragh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265541262 PECOS PAC ID: 9638117450 Enrollment ID: I20050421001366 |
| Provider Name | Ann E.s. Haddix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619137338 PECOS PAC ID: 1052351285 Enrollment ID: I20050506000650 |
| Provider Name | Cortney Demetris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821072737 PECOS PAC ID: 5193769818 Enrollment ID: I20050614000735 |
| Provider Name | Kimberly S Schneider |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649266677 PECOS PAC ID: 1052357449 Enrollment ID: I20050707000660 |
| Provider Name | Linda A Di Meglio |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669587176 PECOS PAC ID: 6103853171 Enrollment ID: I20050721000093 |
| Provider Name | Gregory S Montgomery |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902915960 PECOS PAC ID: 1951381813 Enrollment ID: I20050809000447 |
| Provider Name | Peter B Ronco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821192337 PECOS PAC ID: 6709815418 Enrollment ID: I20050811000847 |
| Provider Name | Shannon L Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851375760 PECOS PAC ID: 1557391737 Enrollment ID: I20050817000516 |
| Provider Name | Erica A Eugster |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629183140 PECOS PAC ID: 4284650672 Enrollment ID: I20051014000445 |
| Provider Name | Laura A Pacholski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811079288 PECOS PAC ID: 5698795508 Enrollment ID: I20051206000709 |
| Provider Name | John Stephen Fuqua |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669587184 PECOS PAC ID: 7719997881 Enrollment ID: I20060503000736 |
| Provider Name | Ronald M. Payne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083646723 PECOS PAC ID: 9830129576 Enrollment ID: I20061003000419 |
| Provider Name | Alvaro J Tori |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841239241 PECOS PAC ID: 0042219990 Enrollment ID: I20061204000386 |
| Provider Name | Todd D Nebesio |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487621769 PECOS PAC ID: 7012916992 Enrollment ID: I20061205000026 |
| Provider Name | Marcia L Shew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386692598 PECOS PAC ID: 8820190655 Enrollment ID: I20070226000665 |
| Provider Name | Bethanne Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457438467 PECOS PAC ID: 1658478383 Enrollment ID: I20070515000152 |
| Provider Name | James M Croop |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437269859 PECOS PAC ID: 4880791979 Enrollment ID: I20070524000508 |
| Provider Name | Erik Allen Imel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326178971 PECOS PAC ID: 9830298249 Enrollment ID: I20070626000701 |
| Provider Name | Nadine George Haddad |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285749713 PECOS PAC ID: 5597864744 Enrollment ID: I20070628000449 |
| Provider Name | Mara E Nitu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770692741 PECOS PAC ID: 5193825719 Enrollment ID: I20070712000083 |
| Provider Name | Susan H Ballinger |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1780793869 PECOS PAC ID: 6406956663 Enrollment ID: I20070717000502 |
| Provider Name | Zeina M Nabhan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265650527 PECOS PAC ID: 2961582911 Enrollment ID: I20080103000626 |
| Provider Name | Jacqueline A Maiers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043423247 PECOS PAC ID: 6608957121 Enrollment ID: I20080122000588 |
| Provider Name | Dennis M Obrien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568673903 PECOS PAC ID: 8921183302 Enrollment ID: I20080310000275 |
| Provider Name | Devonne A Elkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619913001 PECOS PAC ID: 1759385180 Enrollment ID: I20080318000402 |
| Provider Name | Michael C Blakley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184607038 PECOS PAC ID: 7315010972 Enrollment ID: I20080716000128 |
| Provider Name | Timothy M Cordes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851409825 PECOS PAC ID: 0345309688 Enrollment ID: I20081031000504 |
| Provider Name | Andrea D Weist |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407965494 PECOS PAC ID: 1759445893 Enrollment ID: I20090204000255 |
| Provider Name | Blake A Froberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851444707 PECOS PAC ID: 9931266400 Enrollment ID: I20090327000178 |
| Provider Name | Joseph O Neil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902915085 PECOS PAC ID: 1850448929 Enrollment ID: I20090406000586 |
| Provider Name | Eugenia P Molleston |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881701654 PECOS PAC ID: 5890844872 Enrollment ID: I20090521000441 |
| Provider Name | Abigail F Klemsz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912014770 PECOS PAC ID: 3779635446 Enrollment ID: I20090710000525 |
| Provider Name | Rebekah L Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356537351 PECOS PAC ID: 0941353395 Enrollment ID: I20090801000028 |
| Provider Name | Mark L Edwards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972619575 PECOS PAC ID: 9739234352 Enrollment ID: I20090903000549 |
| Provider Name | Terry A Vik |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861585762 PECOS PAC ID: 8921144874 Enrollment ID: I20091006000534 |
| Provider Name | Bree A Weaver |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487811915 PECOS PAC ID: 9133266877 Enrollment ID: I20091028000612 |
| Provider Name | Lubna W Ahmed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144345075 PECOS PAC ID: 7113089566 Enrollment ID: I20091030000338 |
| Provider Name | Sandeep Batra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699855635 PECOS PAC ID: 8527044908 Enrollment ID: I20091103000442 |
| Provider Name | Girish V Vitalpur |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1770593352 PECOS PAC ID: 6709924277 Enrollment ID: I20091104000268 |
| Provider Name | Emily K Scott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265642037 PECOS PAC ID: 3870633498 Enrollment ID: I20091211000649 |
| Provider Name | Amy C. Wilson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578770608 PECOS PAC ID: 6901933324 Enrollment ID: I20100416000105 |
| Provider Name | Mary R Ciccarelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538126057 PECOS PAC ID: 8729116546 Enrollment ID: I20100514000171 |
| Provider Name | Rebecca S. Rose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861689663 PECOS PAC ID: 3072643683 Enrollment ID: I20100608000785 |
| Provider Name | Laurie A Goebel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417914441 PECOS PAC ID: 2062542004 Enrollment ID: I20100617000448 |
| Provider Name | Carolyn L Lytle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962519728 PECOS PAC ID: 3870624695 Enrollment ID: I20100623000287 |
| Provider Name | Patricia A Treadwell |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508892613 PECOS PAC ID: 3577696319 Enrollment ID: I20100730000856 |
| Provider Name | Melissa K Bear |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336200989 PECOS PAC ID: 3375676570 Enrollment ID: I20100809000110 |
| Provider Name | Allison M Yancey |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396949178 PECOS PAC ID: 7618000829 Enrollment ID: I20100809000158 |
| Provider Name | Emily C Webber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295947349 PECOS PAC ID: 1850416140 Enrollment ID: I20100909000845 |
| Provider Name | Michelle S. Howenstine |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568571693 PECOS PAC ID: 2365636891 Enrollment ID: I20101028001353 |
| Provider Name | Anne G Farrell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548378524 PECOS PAC ID: 0345436465 Enrollment ID: I20101130001445 |
| Provider Name | Eric S Ebenroth |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134237100 PECOS PAC ID: 6305033275 Enrollment ID: I20101206000420 |
| Provider Name | Mark H Hoyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013020353 PECOS PAC ID: 3577750207 Enrollment ID: I20101207001316 |
| Provider Name | Shamaila Waseem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457381519 PECOS PAC ID: 7911194162 Enrollment ID: I20101214000461 |
| Provider Name | Amanda M Gripe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104028836 PECOS PAC ID: 2567650179 Enrollment ID: I20101227000351 |
| Provider Name | Marcus S. Schamberger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316962640 PECOS PAC ID: 8628257466 Enrollment ID: I20110125000818 |
| Provider Name | Emily C. Walvoord |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023044419 PECOS PAC ID: 4880873629 Enrollment ID: I20110125000846 |
| Provider Name | John C Christenson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548364052 PECOS PAC ID: 0042499477 Enrollment ID: I20110131001055 |
| Provider Name | Roberta A Hibbard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649387473 PECOS PAC ID: 4688855299 Enrollment ID: I20110301000990 |
| Provider Name | Marian D Pfefferkorn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144335761 PECOS PAC ID: 7113109141 Enrollment ID: I20110311000084 |
| Provider Name | Kathryn H Kurth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497052336 PECOS PAC ID: 0446433775 Enrollment ID: I20110324000467 |
| Provider Name | Myda Khalid |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629146568 PECOS PAC ID: 1153504071 Enrollment ID: I20110330000186 |
| Provider Name | Charles Gakea Njinimbam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114021615 PECOS PAC ID: 8224211081 Enrollment ID: I20110331000791 |
| Provider Name | Jayme D Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407962087 PECOS PAC ID: 9537343512 Enrollment ID: I20110415000627 |
| Provider Name | Nadia Lynn Krupp |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902016967 PECOS PAC ID: 8628246089 Enrollment ID: I20110729000578 |
| Provider Name | William E Bennett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851566210 PECOS PAC ID: 9335318161 Enrollment ID: I20110811000239 |
| Provider Name | Laura Jane Ruhl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982897294 PECOS PAC ID: 0042489577 Enrollment ID: I20110817000755 |
| Provider Name | Stacey Elaine Tarvin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1639380769 PECOS PAC ID: 0446420103 Enrollment ID: I20110907001193 |
| Provider Name | Meagan B Oneill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841452216 PECOS PAC ID: 9133390529 Enrollment ID: I20110915000028 |
| Provider Name | Thomas A Coffelt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760683262 PECOS PAC ID: 1658543673 Enrollment ID: I20111017000162 |
| Provider Name | Michael N Tsangaris |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841307626 PECOS PAC ID: 1850328881 Enrollment ID: I20120109000104 |
| Provider Name | W. Scott Goebel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518077957 PECOS PAC ID: 5991962680 Enrollment ID: I20120208000456 |
| Provider Name | Melissa D Klitzman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083710990 PECOS PAC ID: 0547366437 Enrollment ID: I20120514000562 |
| Provider Name | Courtney M. Rowan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801005020 PECOS PAC ID: 4981867975 Enrollment ID: I20120601000174 |
| Provider Name | Michael J. Hobson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437332541 PECOS PAC ID: 6406980259 Enrollment ID: I20120605000222 |
| Provider Name | Seethal A. Jacob |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447486907 PECOS PAC ID: 9931363835 Enrollment ID: I20120605000469 |
| Provider Name | Samer M.a. Abu Sultaneh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730393869 PECOS PAC ID: 3678757317 Enrollment ID: I20120608000379 |
| Provider Name | Aura I. Cristea |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477724862 PECOS PAC ID: 7315101854 Enrollment ID: I20120612000582 |
| Provider Name | Andrew R. Shriner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154563567 PECOS PAC ID: 4486818861 Enrollment ID: I20120614000719 |
| Provider Name | Molly A. Bozic |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801086269 PECOS PAC ID: 0042475014 Enrollment ID: I20120626000521 |
| Provider Name | Riad Lutfi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558504506 PECOS PAC ID: 6406012590 Enrollment ID: I20120717000587 |
| Provider Name | Charles P.b. Vanderpool |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033266820 PECOS PAC ID: 4880850767 Enrollment ID: I20120720000322 |
| Provider Name | Michael W Johansen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578772158 PECOS PAC ID: 0648436204 Enrollment ID: I20120725000928 |
| Provider Name | Jodi L. Skiles |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700094679 PECOS PAC ID: 6204083108 Enrollment ID: I20120829000010 |
| Provider Name | Rebecca A. Kroner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730251349 PECOS PAC ID: 4688823602 Enrollment ID: I20121009000044 |
| Provider Name | Angela M Dietrich Kusch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174709182 PECOS PAC ID: 4284886045 Enrollment ID: I20121201000051 |
| Provider Name | Brian A. Mcferron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598960775 PECOS PAC ID: 8123265220 Enrollment ID: I20130509000148 |
| Provider Name | Kirsten M Kloepfer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730394206 PECOS PAC ID: 8527245927 Enrollment ID: I20130528000486 |
| Provider Name | Sarah J. Muir |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326380452 PECOS PAC ID: 6901044163 Enrollment ID: I20130529000489 |
| Provider Name | Jo Ann E. Matory |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093821670 PECOS PAC ID: 1759529878 Enrollment ID: I20130531000537 |
| Provider Name | Michael J Ferguson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376701102 PECOS PAC ID: 4587801444 Enrollment ID: I20130626000853 |
| Provider Name | Emily K Sims |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861650707 PECOS PAC ID: 2365689916 Enrollment ID: I20130708000724 |
| Provider Name | Amanda D Benaderet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619138989 PECOS PAC ID: 9133385008 Enrollment ID: I20130805000111 |
| Provider Name | Tanya M. Abraham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629210315 PECOS PAC ID: 7416104948 Enrollment ID: I20130805000188 |
| Provider Name | Nayan T Srivastava |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801113444 PECOS PAC ID: 0840437547 Enrollment ID: I20130805000685 |
| Provider Name | Julie A Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780946913 PECOS PAC ID: 4486896602 Enrollment ID: I20130816000555 |
| Provider Name | Patrick William Clements |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477872463 PECOS PAC ID: 2567602295 Enrollment ID: I20130821000545 |
| Provider Name | Christopher W Mastropietro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871520338 PECOS PAC ID: 7012912330 Enrollment ID: I20130925000686 |
| Provider Name | Nancy B Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962517490 PECOS PAC ID: 0547494981 Enrollment ID: I20131017001817 |
| Provider Name | Izlin Z. Lien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164681219 PECOS PAC ID: 8325277577 Enrollment ID: I20140210001179 |
| Provider Name | Sarah M Honaker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912152976 PECOS PAC ID: 9830256452 Enrollment ID: I20140421000934 |
| Provider Name | Kerry M. Hege |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316109598 PECOS PAC ID: 1052544665 Enrollment ID: I20140506002166 |
| Provider Name | Henry Robert Knouse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275824500 PECOS PAC ID: 8123265139 Enrollment ID: I20140508001262 |
| Provider Name | Evans M. Machogu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871755884 PECOS PAC ID: 0941423693 Enrollment ID: I20140527000984 |
| Provider Name | Adam C. Kean |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689708208 PECOS PAC ID: 4183873680 Enrollment ID: I20140609000972 |
| Provider Name | Jordan C Huskins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902048325 PECOS PAC ID: 1658595897 Enrollment ID: I20140610001052 |
| Provider Name | Dana M Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518118033 PECOS PAC ID: 0547408767 Enrollment ID: I20140623002114 |
| Provider Name | Richelle M Baker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528359858 PECOS PAC ID: 3173761830 Enrollment ID: I20140701000982 |
| Provider Name | Kamal M. M. Abulebda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336395565 PECOS PAC ID: 4587889605 Enrollment ID: I20140703001832 |
| Provider Name | Jonathan D Salisbury |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124319389 PECOS PAC ID: 8921247503 Enrollment ID: I20140708000580 |
| Provider Name | Ryan D. Alexy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114118452 PECOS PAC ID: 4183776156 Enrollment ID: I20140710001207 |
| Provider Name | Emily L Mueller |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376835975 PECOS PAC ID: 8820213622 Enrollment ID: I20140711001082 |
| Provider Name | Amy C. Haskamp |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1790101954 PECOS PAC ID: 7911122577 Enrollment ID: I20140715002523 |
| Provider Name | John J Parent |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528226784 PECOS PAC ID: 1557501293 Enrollment ID: I20140718000717 |
| Provider Name | Stephanie M. Ware |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1174555999 PECOS PAC ID: 3577511831 Enrollment ID: I20140804000440 |
| Provider Name | Kevin M Valentine |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710135868 PECOS PAC ID: 9335206127 Enrollment ID: I20140911000829 |
| Provider Name | Cecilia Mary Beehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548592751 PECOS PAC ID: 6103065784 Enrollment ID: I20150220000689 |
| Provider Name | Mark D Ayers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093981342 PECOS PAC ID: 1153569066 Enrollment ID: I20150605000313 |
| Provider Name | Mouhammad Yabrodi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356505101 PECOS PAC ID: 1557672193 Enrollment ID: I20150623001474 |
| Provider Name | Benjamin J Landis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699928739 PECOS PAC ID: 1153632682 Enrollment ID: I20150624001489 |
| Provider Name | Allison C Burke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710277298 PECOS PAC ID: 0446490460 Enrollment ID: I20150626001286 |
| Provider Name | Matthew L Friedman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073779963 PECOS PAC ID: 0143533851 Enrollment ID: I20150723007314 |
| Provider Name | Chandy C John |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649362567 PECOS PAC ID: 7113816786 Enrollment ID: I20150727002389 |
| Provider Name | Barbara A. Mulvaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790161800 PECOS PAC ID: 6002120094 Enrollment ID: I20150804006014 |
| Provider Name | Jyoti K Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073779641 PECOS PAC ID: 8820307283 Enrollment ID: I20151027002853 |
| Provider Name | Staci L. Nekic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942560149 PECOS PAC ID: 9032419882 Enrollment ID: I20151130001051 |
| Provider Name | Nichole M Gralia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619384617 PECOS PAC ID: 3375866866 Enrollment ID: I20151214000187 |
| Provider Name | Karen A Stancombe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104025691 PECOS PAC ID: 1254632144 Enrollment ID: I20151218000308 |
| Provider Name | Tina M Pottorff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437357043 PECOS PAC ID: 7618279878 Enrollment ID: I20160105000748 |
| Provider Name | Don B. Sanders |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598874364 PECOS PAC ID: 0648329029 Enrollment ID: I20160407000883 |
| Provider Name | Lauren Y Utt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235583808 PECOS PAC ID: 8123327418 Enrollment ID: I20160509002187 |
| Provider Name | Courtney T Frye |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326276916 PECOS PAC ID: 1951557610 Enrollment ID: I20160512001153 |
| Provider Name | Brian D. Leland |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972821726 PECOS PAC ID: 7517108921 Enrollment ID: I20160525000288 |
| Provider Name | Callyn B. Riggs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255673000 PECOS PAC ID: 5395036040 Enrollment ID: I20160628000157 |
| Provider Name | Monica Broo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609262294 PECOS PAC ID: 0941593586 Enrollment ID: I20160720000877 |
| Provider Name | Leslie A Enane |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013151513 PECOS PAC ID: 5991959124 Enrollment ID: I20160720000970 |
| Provider Name | Andrea L. Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205287836 PECOS PAC ID: 5698068864 Enrollment ID: I20160726000928 |
| Provider Name | Ashley D Mcginn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225459191 PECOS PAC ID: 0446544522 Enrollment ID: I20160812000207 |
| Provider Name | Francisco J Angulo Parker |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1336452960 PECOS PAC ID: 9638463599 Enrollment ID: I20160816000989 |
| Provider Name | Stephanie E Hullmann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518314160 PECOS PAC ID: 9638464423 Enrollment ID: I20160817002958 |
| Provider Name | Jessica L Camilleri |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679890925 PECOS PAC ID: 5294974663 Enrollment ID: I20160829002485 |
| Provider Name | Grace A Godfrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881044014 PECOS PAC ID: 1052608940 Enrollment ID: I20160920002553 |
| Provider Name | Amy S Hatton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053692665 PECOS PAC ID: 3375831373 Enrollment ID: I20161006001320 |
| Provider Name | Lee Doyle Murphy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134482193 PECOS PAC ID: 2466751631 Enrollment ID: I20161027001442 |
| Provider Name | Kate Lyn Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588077887 PECOS PAC ID: 8729367511 Enrollment ID: I20161118000952 |
| Provider Name | Nancy J Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376735159 PECOS PAC ID: 6507005188 Enrollment ID: I20161208000795 |
| Provider Name | Jonathan G. Merrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376981233 PECOS PAC ID: 5890076210 Enrollment ID: I20161227000158 |
| Provider Name | Anila N Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881053445 PECOS PAC ID: 2769764299 Enrollment ID: I20170118001648 |
| Provider Name | Maura L. Altman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871975771 PECOS PAC ID: 7214211333 Enrollment ID: I20170308001817 |
| Provider Name | David S Hains |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912168675 PECOS PAC ID: 5890826937 Enrollment ID: I20170420001804 |
| Provider Name | Sandeep Puranik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336556943 PECOS PAC ID: 0244517910 Enrollment ID: I20170505001034 |
| Provider Name | Martha M Rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376951012 PECOS PAC ID: 2769789254 Enrollment ID: I20170508000034 |
| Provider Name | Juliann K. Kiefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952650673 PECOS PAC ID: 0648415844 Enrollment ID: I20170512001922 |
| Provider Name | Ellen J. L. Go |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1699059188 PECOS PAC ID: 7113226283 Enrollment ID: I20170516001138 |
| Provider Name | Matthew Lawrence Yuknis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396036158 PECOS PAC ID: 2466699079 Enrollment ID: I20170614000950 |
| Provider Name | James B Wood |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053554733 PECOS PAC ID: 6305093535 Enrollment ID: I20170614001136 |
| Provider Name | Brock H Medsker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871819714 PECOS PAC ID: 4981903887 Enrollment ID: I20170615000349 |
| Provider Name | Nathanael D Swinger |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033405253 PECOS PAC ID: 3971759796 Enrollment ID: I20170615002176 |
| Provider Name | Kanika Puri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487934204 PECOS PAC ID: 2567685621 Enrollment ID: I20170619002135 |
| Provider Name | Ellen M Klink |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538507397 PECOS PAC ID: 5890937882 Enrollment ID: I20170621000792 |
| Provider Name | Sarah M Puffer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174933618 PECOS PAC ID: 6305060062 Enrollment ID: I20170621002699 |
| Provider Name | Melissa S Oliver |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326337304 PECOS PAC ID: 2860762275 Enrollment ID: I20170718002033 |
| Provider Name | Kathleen M Overholt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447545892 PECOS PAC ID: 1355642893 Enrollment ID: I20170726002015 |
| Provider Name | Brandi E Stevens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063704112 PECOS PAC ID: 6507136207 Enrollment ID: I20170727002072 |
| Provider Name | Kyle W. Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194967604 PECOS PAC ID: 6204107766 Enrollment ID: I20170802002667 |
| Provider Name | Celanie K Christensen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124319462 PECOS PAC ID: 2769629773 Enrollment ID: I20170815001433 |
| Provider Name | Andrew L Schwaderer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720073356 PECOS PAC ID: 6608802681 Enrollment ID: I20170818000362 |
| Provider Name | Kelly L Donahue |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194126789 PECOS PAC ID: 6507130366 Enrollment ID: I20170919000404 |
| Provider Name | Angela O Delecaris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295054542 PECOS PAC ID: 2062656879 Enrollment ID: I20170919001353 |
| Provider Name | Sara Daluga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902219736 PECOS PAC ID: 7416221973 Enrollment ID: I20170921001862 |
| Provider Name | Michael L Goodman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144481359 PECOS PAC ID: 8820269749 Enrollment ID: I20170929000730 |
| Provider Name | Jessica S Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578082418 PECOS PAC ID: 0446526776 Enrollment ID: I20171031003178 |
| Provider Name | Larry W Markham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912959743 PECOS PAC ID: 7012915887 Enrollment ID: I20180111001360 |
| Provider Name | Zeynep N Salih |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144313032 PECOS PAC ID: 0446280655 Enrollment ID: I20180126001310 |
| Provider Name | Kristine R Kauffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588987572 PECOS PAC ID: 9638310634 Enrollment ID: I20180308001075 |
| Provider Name | Jill A Meier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215088349 PECOS PAC ID: 4082856232 Enrollment ID: I20180309001071 |
| Provider Name | Paula J Towell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821256371 PECOS PAC ID: 7012158157 Enrollment ID: I20180309001566 |
| Provider Name | Stayce L Woodburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699933143 PECOS PAC ID: 7113168386 Enrollment ID: I20180313000699 |
| Provider Name | Debra L Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184872418 PECOS PAC ID: 7214178342 Enrollment ID: I20180313001398 |
| Provider Name | Sharon K Tormoehlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225298227 PECOS PAC ID: 4688813298 Enrollment ID: I20180313001611 |
| Provider Name | Cheri A Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992965917 PECOS PAC ID: 4880835958 Enrollment ID: I20180319001139 |
| Provider Name | Jennifer M Kaericher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093061509 PECOS PAC ID: 5698915338 Enrollment ID: I20180319001702 |
| Provider Name | Paulomi M Chaudhry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740572502 PECOS PAC ID: 1153685383 Enrollment ID: I20180515003114 |
| Provider Name | Alex H Lion |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316205891 PECOS PAC ID: 5991018517 Enrollment ID: I20180522001584 |
| Provider Name | Stefan William Malin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447639224 PECOS PAC ID: 7113239369 Enrollment ID: I20180703001312 |
| Provider Name | Neha Dhingra Pottanat |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760776207 PECOS PAC ID: 3779830179 Enrollment ID: I20180717000728 |
| Provider Name | Abdul Hamid Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134401896 PECOS PAC ID: 3870767734 Enrollment ID: I20180801002588 |
| Provider Name | Scott L Coven |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265728695 PECOS PAC ID: 6406159441 Enrollment ID: I20180808003819 |
| Provider Name | Meghan Drayton Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215251558 PECOS PAC ID: 4587805049 Enrollment ID: I20180823001090 |
| Provider Name | Tamika Rozema |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912265836 PECOS PAC ID: 3678823325 Enrollment ID: I20180830001660 |
| Provider Name | Tina Marie Schade Willis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801809934 PECOS PAC ID: 9537129366 Enrollment ID: I20180927001945 |
| Provider Name | Megan Ashley Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912488602 PECOS PAC ID: 2466703517 Enrollment ID: I20180928001061 |
| Provider Name | Amanda Saraf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902164817 PECOS PAC ID: 7113228669 Enrollment ID: I20181001001392 |
| Provider Name | Anuja Bandyopadhyay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134431489 PECOS PAC ID: 9830313337 Enrollment ID: I20181203001994 |
| Provider Name | Toshihiro Onishi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700186897 PECOS PAC ID: 6305060419 Enrollment ID: I20181210003417 |
| Provider Name | Stephanie J Dansker Lipschutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497006597 PECOS PAC ID: 1052657814 Enrollment ID: I20190115003289 |
| Provider Name | Natalie E Szczypiorski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629411459 PECOS PAC ID: 7517192099 Enrollment ID: I20190307001136 |
| Provider Name | Jay Jin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356605299 PECOS PAC ID: 0840436846 Enrollment ID: I20190319001690 |
| Provider Name | Elizabeth Anne Wetzel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336341635 PECOS PAC ID: 7416095831 Enrollment ID: I20190321002414 |
| Provider Name | Kathryn Harlow Adams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386900694 PECOS PAC ID: 2961642533 Enrollment ID: I20190323000124 |
| Provider Name | Kristin L Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497214779 PECOS PAC ID: 5496096364 Enrollment ID: I20190403001844 |
| Provider Name | Alka Khaitan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013142942 PECOS PAC ID: 2567768898 Enrollment ID: I20190606002034 |
| Provider Name | Jamie Lynn Felton |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205127255 PECOS PAC ID: 8729379425 Enrollment ID: I20190611000104 |
| Provider Name | Sara Kristen Naramore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669738241 PECOS PAC ID: 4789998592 Enrollment ID: I20190613000254 |
| Provider Name | Kari L Kendall |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1831503077 PECOS PAC ID: 8628295532 Enrollment ID: I20190613000258 |
| Provider Name | Heather Nicole Muston |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992142004 PECOS PAC ID: 1355575259 Enrollment ID: I20190614000161 |
| Provider Name | Matthew Aaron Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447696703 PECOS PAC ID: 1153563176 Enrollment ID: I20190726000971 |
| Provider Name | Michelle Casey Starr |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1083989172 PECOS PAC ID: 3971822685 Enrollment ID: I20190820000552 |
| Provider Name | Andrew Lyle Rodenbarger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114293024 PECOS PAC ID: 8022329069 Enrollment ID: I20190829001747 |
| Provider Name | Rachael Rae Schulte |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205192408 PECOS PAC ID: 5092044065 Enrollment ID: I20190917002264 |
| Provider Name | Kelli Ann Hession |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992198899 PECOS PAC ID: 5991037954 Enrollment ID: I20191024003096 |
| Provider Name | Sandra Jayne Hoesli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992979884 PECOS PAC ID: 0345300786 Enrollment ID: I20191111000804 |
| Provider Name | Sara Katherine Kane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255728903 PECOS PAC ID: 6406154897 Enrollment ID: I20191217003303 |
| Provider Name | Poonam M Puranik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184903106 PECOS PAC ID: 3476868837 Enrollment ID: I20191218001955 |
| Provider Name | Sara E. Cartwright |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1740629617 PECOS PAC ID: 0446489496 Enrollment ID: I20200107001305 |
| Provider Name | Sushil Gupta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982896759 PECOS PAC ID: 3678729951 Enrollment ID: I20200203000963 |
| Provider Name | Katlyn R Antior |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740811785 PECOS PAC ID: 2163859315 Enrollment ID: I20200227001516 |
| Provider Name | Brandon A Sparks |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457797060 PECOS PAC ID: 0345539458 Enrollment ID: I20200303002903 |
| Provider Name | Sandra K Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144548397 PECOS PAC ID: 6002054806 Enrollment ID: I20200320002484 |
| Provider Name | James F Chmiel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932126968 PECOS PAC ID: 7618918483 Enrollment ID: I20200325003694 |
| Provider Name | Colin Michael Rogerson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548673841 PECOS PAC ID: 2668696519 Enrollment ID: I20200330000114 |
| Provider Name | Victoria L Dewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548810930 PECOS PAC ID: 6608205901 Enrollment ID: I20200408001520 |
| Provider Name | Harish S.r. Rao |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356535017 PECOS PAC ID: 7517287014 Enrollment ID: I20200413001307 |
| Provider Name | Miriam Kim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891052171 PECOS PAC ID: 9638480882 Enrollment ID: I20200415002021 |
| Provider Name | Ryanne Nicole Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659908994 PECOS PAC ID: 4284064106 Enrollment ID: I20200416003093 |
| Provider Name | Elisabeth K. Parobechek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700146743 PECOS PAC ID: 2567883564 Enrollment ID: I20200529001172 |
| Provider Name | Mary Kaye Mitscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952960965 PECOS PAC ID: 9537581541 Enrollment ID: I20200622000360 |
| Provider Name | Hebatullah M Ismail |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578705547 PECOS PAC ID: 6002033073 Enrollment ID: I20200625000933 |
| Provider Name | Michael M Ross |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780868786 PECOS PAC ID: 6305083957 Enrollment ID: I20200709000241 |
| Provider Name | Ruth E Stanton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154785954 PECOS PAC ID: 9436421260 Enrollment ID: I20200716003413 |
| Provider Name | Allyson S Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619590015 PECOS PAC ID: 2961827522 Enrollment ID: I20200730001347 |
| Provider Name | Casey Lynn Culley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316437155 PECOS PAC ID: 8729332879 Enrollment ID: I20200803001085 |
| Provider Name | Jason Espinoza |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629310800 PECOS PAC ID: 3577883503 Enrollment ID: I20200811002286 |
| Provider Name | Billy E Beechler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942313002 PECOS PAC ID: 1153747894 Enrollment ID: I20200812002629 |
| Provider Name | Ryan T Pitman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093155632 PECOS PAC ID: 6204253107 Enrollment ID: I20200824001674 |
| Provider Name | Jennifer Belsky |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275950438 PECOS PAC ID: 9032410733 Enrollment ID: I20200827000838 |
| Provider Name | Lindsay Jo Blazin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275875643 PECOS PAC ID: 9436576980 Enrollment ID: I20200828000400 |
| Provider Name | Angela R Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699152975 PECOS PAC ID: 4880011121 Enrollment ID: I20200901000785 |
| Provider Name | Rosemary Bland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871105205 PECOS PAC ID: 3274952098 Enrollment ID: I20200929000682 |
| Provider Name | Julia D Kemen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265062640 PECOS PAC ID: 0648690461 Enrollment ID: I20201016001646 |
| Provider Name | Gabriel Paris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417266818 PECOS PAC ID: 6901107887 Enrollment ID: I20201016001690 |
| Provider Name | Anna E Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104068543 PECOS PAC ID: 1355589409 Enrollment ID: I20201016002032 |
| Provider Name | Lindsey M Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932513447 PECOS PAC ID: 5294959797 Enrollment ID: I20201020001081 |
| Provider Name | Julia E Lamotte |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477162808 PECOS PAC ID: 9335569953 Enrollment ID: I20201021001041 |
| Provider Name | April Rahrig |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942542253 PECOS PAC ID: 6800192410 Enrollment ID: I20201109001424 |
| Provider Name | Jennifer Ann Grossi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669019717 PECOS PAC ID: 7214348614 Enrollment ID: I20201116000750 |
| Provider Name | Amy B Deheer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104394915 PECOS PAC ID: 8921419961 Enrollment ID: I20201124001897 |
| Provider Name | Christina M Geis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366700379 PECOS PAC ID: 4284872292 Enrollment ID: I20201125001511 |
| Provider Name | Jackson G Schneider |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689933020 PECOS PAC ID: 4486894565 Enrollment ID: I20201202001930 |
| Provider Name | Levi Funches |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407909955 PECOS PAC ID: 8921319682 Enrollment ID: I20201208000982 |
| Provider Name | Muayad Mamdooh Alali |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558736405 PECOS PAC ID: 8123321189 Enrollment ID: I20201229000093 |
| Provider Name | Jodie Meara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922412162 PECOS PAC ID: 5092932186 Enrollment ID: I20210111001483 |
| Provider Name | Samina Bhumbra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033539416 PECOS PAC ID: 8628292315 Enrollment ID: I20210111002093 |
| Provider Name | Melinda H Markham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992913560 PECOS PAC ID: 7911080924 Enrollment ID: I20210127002288 |
| Provider Name | Brett Alicia Enneking |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538654371 PECOS PAC ID: 5193139426 Enrollment ID: I20210128001264 |
| Provider Name | Jazmine D Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629667183 PECOS PAC ID: 8921413931 Enrollment ID: I20210224000944 |
| Provider Name | Jessica M Seaborn |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487094801 PECOS PAC ID: 6305268277 Enrollment ID: I20210324000834 |
| Provider Name | Shaina M Hecht |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033536222 PECOS PAC ID: 8325349079 Enrollment ID: I20210407000893 |
| Provider Name | Anthony J Ross |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376961730 PECOS PAC ID: 1052720059 Enrollment ID: I20210504000483 |
| Provider Name | Daniel T Cater |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548640808 PECOS PAC ID: 1456662287 Enrollment ID: I20210720001457 |
| Provider Name | Anisha Gohil |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265859292 PECOS PAC ID: 3678847738 Enrollment ID: I20210723001646 |
| Provider Name | Marissa A Just |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912325028 PECOS PAC ID: 0648674531 Enrollment ID: I20210816000733 |
| Provider Name | Steven D Rhodes |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407243330 PECOS PAC ID: 4183935901 Enrollment ID: I20210824003192 |
| Provider Name | James G Carlucci |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427282557 PECOS PAC ID: 7517103658 Enrollment ID: I20210830001273 |
| Provider Name | Heather J Bruckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578946463 PECOS PAC ID: 9436555067 Enrollment ID: I20210908001138 |
| Provider Name | Sarah E Bauer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215321682 PECOS PAC ID: 4284935073 Enrollment ID: I20210920001393 |
| Provider Name | Erika L. Zevin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811308208 PECOS PAC ID: 7618276882 Enrollment ID: I20210930000225 |
| Provider Name | Pi Chun Cheng |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134488471 PECOS PAC ID: 6002056181 Enrollment ID: I20211007001396 |
| Provider Name | Kari L Bjornard |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356630644 PECOS PAC ID: 5799936050 Enrollment ID: I20211015001813 |
| Provider Name | Megan M Wilde |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386080463 PECOS PAC ID: 3375843956 Enrollment ID: I20211102001770 |
| Provider Name | Kiam Mychelle Germani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275089559 PECOS PAC ID: 0749678241 Enrollment ID: I20211103001124 |
| Provider Name | Asuncion R. Dorotheo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720152382 PECOS PAC ID: 9133518160 Enrollment ID: I20211113000080 |
| Provider Name | Sarah K Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639536204 PECOS PAC ID: 1658763859 Enrollment ID: I20220120001807 |
| Provider Name | Laura Marie Shopp |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346628617 PECOS PAC ID: 5092026732 Enrollment ID: I20220224000384 |
| Provider Name | Rohan A Thompson |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1376501304 PECOS PAC ID: 2668418310 Enrollment ID: I20220407000404 |
| Provider Name | Danielle E Soranno |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982725289 PECOS PAC ID: 6204070295 Enrollment ID: I20220519001121 |
| Provider Name | Daniel C Peltier |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669732657 PECOS PAC ID: 1557670668 Enrollment ID: I20220603001435 |
| Provider Name | Kathryn J Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740925486 PECOS PAC ID: 3779962220 Enrollment ID: I20220614001301 |
| Provider Name | Roja Fallah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538589841 PECOS PAC ID: 3971859166 Enrollment ID: I20220627002732 |
| Provider Name | Derrick L Goubeaux |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770825382 PECOS PAC ID: 3678715539 Enrollment ID: I20220713000289 |
| Provider Name | Craig Douglas Sewell |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1346771839 PECOS PAC ID: 8426327008 Enrollment ID: I20220724000049 |
| Provider Name | Mahvish Rahim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568849511 PECOS PAC ID: 8325354483 Enrollment ID: I20220726001339 |
| Provider Name | Mira K Trivedi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750778643 PECOS PAC ID: 0840672077 Enrollment ID: I20220803003348 |
| Provider Name | Prarthana Bangalore Parthasarathy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760834527 PECOS PAC ID: 0446593669 Enrollment ID: I20220805002737 |
| Provider Name | Angela M Tomlin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427161512 PECOS PAC ID: 7012390875 Enrollment ID: I20220811003446 |
| Provider Name | Leah D Stalnaker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073010351 PECOS PAC ID: 0941558597 Enrollment ID: I20220825001657 |
| Provider Name | Amanda Brooke Lengerich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992335913 PECOS PAC ID: 3072929629 Enrollment ID: I20220831000119 |
| Provider Name | Jordan Collins Nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679243661 PECOS PAC ID: 6901281500 Enrollment ID: I20220919000877 |
| Provider Name | Nurcicek Padem |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1578978938 PECOS PAC ID: 2163722141 Enrollment ID: I20221021001842 |
| Provider Name | Laura Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477804508 PECOS PAC ID: 9234476540 Enrollment ID: I20221117002410 |
| Provider Name | Katherine Laycock |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902290307 PECOS PAC ID: 2769760701 Enrollment ID: I20221205000675 |
| Provider Name | Wail Ali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033340492 PECOS PAC ID: 2860709433 Enrollment ID: I20221214000351 |
| Provider Name | James Fortenberry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669439055 PECOS PAC ID: 5294753125 Enrollment ID: I20221219000081 |
| Provider Name | Brianna M Liberio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962866376 PECOS PAC ID: 5991039919 Enrollment ID: I20230119001774 |
| Provider Name | Kayla Zamora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306307442 PECOS PAC ID: 2365851649 Enrollment ID: I20230131002784 |
| Provider Name | Matthew C Lewis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548420425 PECOS PAC ID: 9436397585 Enrollment ID: I20230308000226 |
| Provider Name | Bobbi Joann Byrne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346257847 PECOS PAC ID: 9436522521 Enrollment ID: I20230311000063 |
| Provider Name | Lauren Castaneda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740676162 PECOS PAC ID: 0547515488 Enrollment ID: I20230322000773 |
| Provider Name | Adnan Bhutta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295825792 PECOS PAC ID: 0446356570 Enrollment ID: I20230414000225 |
| Provider Name | Osayame A Ekhaguere |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568729333 PECOS PAC ID: 8325288434 Enrollment ID: I20230613002040 |
| Provider Name | Philip J Flory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013689785 PECOS PAC ID: 4385003284 Enrollment ID: I20230711001055 |
| Provider Name | Evangeline Claire Kurtz-nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730600784 PECOS PAC ID: 1658731443 Enrollment ID: I20230712000384 |
| Provider Name | Kortni Marie Haupt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417601832 PECOS PAC ID: 2365803038 Enrollment ID: I20230727001265 |
| Provider Name | Marciana Laster |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700127792 PECOS PAC ID: 8426326877 Enrollment ID: I20230809002777 |
| Provider Name | Brian Weiss |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033274840 PECOS PAC ID: 5890687693 Enrollment ID: I20230911001431 |
| Provider Name | Chaowapong Jarasvaraparn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083090054 PECOS PAC ID: 4183901341 Enrollment ID: I20231006000861 |
| Provider Name | Sabena F Hussain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659725810 PECOS PAC ID: 8123313491 Enrollment ID: I20231103001422 |
| Provider Name | Jessica Ann Zavadil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356837066 PECOS PAC ID: 0941619308 Enrollment ID: I20231208000759 |
| Provider Name | Maria Frazier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336501873 PECOS PAC ID: 6103277876 Enrollment ID: I20240106000234 |
| Provider Name | Saba Jafri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033343850 PECOS PAC ID: 1658529433 Enrollment ID: I20240110002766 |
| Provider Name | David Wade Clapp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891888780 PECOS PAC ID: 5294862447 Enrollment ID: I20240116002068 |
| Provider Name | Michael D Lintner |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376864777 PECOS PAC ID: 1557589637 Enrollment ID: I20240201001728 |
| Provider Name | Rachel T Han |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962850420 PECOS PAC ID: 7113218082 Enrollment ID: I20240220001322 |
| Provider Name | Kristen R Suhrie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215221932 PECOS PAC ID: 4789862442 Enrollment ID: I20240305004394 |
| Provider Name | Katie Ann Huff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285074724 PECOS PAC ID: 3375835556 Enrollment ID: I20240308003329 |
| Provider Name | Bradford Turk Miller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144752288 PECOS PAC ID: 4688096217 Enrollment ID: I20240311002833 |
| Provider Name | Elizabeth Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326800434 PECOS PAC ID: 7719324904 Enrollment ID: I20240323000094 |
| Provider Name | Sarah C Studyvin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568880227 PECOS PAC ID: 0143577395 Enrollment ID: I20240325001024 |
| Provider Name | Erick Forno |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356461420 PECOS PAC ID: 6204988298 Enrollment ID: I20240511000258 |
| Provider Name | Dominic A Nardi |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1669025722 PECOS PAC ID: 7810383536 Enrollment ID: I20240511000308 |
| Provider Name | Kathryn Huggins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013363563 PECOS PAC ID: 4082905898 Enrollment ID: I20240521003386 |
| Provider Name | Fernando B Vargas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1093002503 PECOS PAC ID: 7911215702 Enrollment ID: I20240610001181 |
Indiana Behavior Analysis Academy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2417 Baur Dr, Indianapolis, IN 46220 Phone: 317-414-2147 | |
St. Vincent Stress Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8401 Harcourt Rd, Indianapolis, IN 46260 Phone: 317-338-4600 | |
Reach For Youth, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5401 Shelby St, Indianapolis, IN 46227 Phone: 317-788-4451 Fax: 317-788-4465 | |
Hns Consulting Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4954 E 56th St Ste 14, Indianapolis, IN 46220 Phone: 317-640-6997 | |
Brain Performance Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3003 E. 98th Street, Suite # 107, Indianapolis, IN 46280 Phone: 463-273-2093 Fax: 317-672-1971 | |
Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 931 E 86th St, Ste. 101, Indianapolis, IN 46240 Phone: 317-466-1516 | |
Mind Matters Counseling And Support Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7962 Oaklandon Rd Ste 106, Indianapolis, IN 46236 Phone: 317-721-6145 |