| Warren Memorial Hospital, Inc. | |
|
1000 N Shenandoah Ave Front Royal VA 22630-3547 | |
| (540) 636-0327 | |
| (540) 636-0198 |
| Full Name | Warren Memorial Hospital, Inc. |
|---|---|
| Speciality | Emergency Medicine |
| Location | 1000 N Shenandoah Ave, Front Royal, Virginia |
| Authorized Official Name and Position | Jill Chambers (MGR INSURANCE CREDENTIALING) |
| Authorized Official Contact | 5405360231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren Memorial Hospital, Inc. 220 Campus Blvd Ste 100 Winchester VA 22601-2896 Ph: (540) 536-5100 | Warren Memorial Hospital, Inc. 1000 N Shenandoah Ave Front Royal VA 22630-3547 Ph: (540) 636-0327 |
| NPI Number | 1164442281 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 05/27/2021 |
| Certification Date | 05/27/2021 |
| Medicare PECOS PAC ID | 2365330347 |
|---|---|
| Medicare Enrollment ID | O20040310000516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164442281 | NPI | - | NPPES |
| 2123081 | Other | VA | ALLIANCE - EKG |
| 2121953 | Other | VA | ALLIANCE - ER |
| 464984 | Other | VA | ANTHEM |
| Provider Name | Annamalai Muthiah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063407997 PECOS PAC ID: 9638079866 Enrollment ID: I20040112000567 |
| Provider Name | Khaled Fathy Said |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902841539 PECOS PAC ID: 9537055538 Enrollment ID: I20040226000171 |
| Provider Name | Sara B Lombardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205804416 PECOS PAC ID: 2860380557 Enrollment ID: I20040305000032 |
| Provider Name | Robert D Buck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689602872 PECOS PAC ID: 5395634224 Enrollment ID: I20040311000176 |
| Provider Name | Trisha B Nashed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124084041 PECOS PAC ID: 5991695363 Enrollment ID: I20040318000878 |
| Provider Name | Jackie S Odonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306897194 PECOS PAC ID: 5698765220 Enrollment ID: I20040515000374 |
| Provider Name | Mark R Pierce |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255399002 PECOS PAC ID: 4981694247 Enrollment ID: I20040517001595 |
| Provider Name | Richard T Nanna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104883115 PECOS PAC ID: 1951392190 Enrollment ID: I20040518001281 |
| Provider Name | James William Freilich |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1023104866 PECOS PAC ID: 8921099912 Enrollment ID: I20040519000847 |
| Provider Name | Stella Ekaette Bassey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821070475 PECOS PAC ID: 8123000387 Enrollment ID: I20040602001226 |
| Provider Name | Faiz M Behsudi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316090178 PECOS PAC ID: 5991788150 Enrollment ID: I20040609000596 |
| Provider Name | David K Harry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114913811 PECOS PAC ID: 5890779359 Enrollment ID: I20040614001449 |
| Provider Name | David E Magarik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932196474 PECOS PAC ID: 1052395522 Enrollment ID: I20040614001485 |
| Provider Name | Joseph W Poe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467448183 PECOS PAC ID: 3971587320 Enrollment ID: I20040615000394 |
| Provider Name | Ronald George Repasky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154317873 PECOS PAC ID: 1951385319 Enrollment ID: I20040615000485 |
| Provider Name | David M Snow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477541977 PECOS PAC ID: 2668456922 Enrollment ID: I20040615000586 |
| Provider Name | Curtis Thwing |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134117799 PECOS PAC ID: 2567446834 Enrollment ID: I20040615000685 |
| Provider Name | Blake H Watts |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245228840 PECOS PAC ID: 2466436761 Enrollment ID: I20040615000810 |
| Provider Name | Kyle W Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326036922 PECOS PAC ID: 1153305206 Enrollment ID: I20040616000192 |
| Provider Name | John C Potter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437118007 PECOS PAC ID: 8527044767 Enrollment ID: I20040628000842 |
| Provider Name | Dorry Lynn Gascon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831167170 PECOS PAC ID: 9133108178 Enrollment ID: I20040714001505 |
| Provider Name | Joel T Grant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851360010 PECOS PAC ID: 6608855853 Enrollment ID: I20040720000516 |
| Provider Name | Audrea H Wynn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164409504 PECOS PAC ID: 1850365008 Enrollment ID: I20040823001510 |
| Provider Name | Manpreet K Arshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861552036 PECOS PAC ID: 9830165653 Enrollment ID: I20040903000859 |
| Provider Name | Ruben Villeda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659431831 PECOS PAC ID: 2769468925 Enrollment ID: I20040903000877 |
| Provider Name | Gregory K Hardigree |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821099375 PECOS PAC ID: 4284697152 Enrollment ID: I20041111000102 |
| Provider Name | Guna R Subedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598757221 PECOS PAC ID: 6709842404 Enrollment ID: I20041204000074 |
| Provider Name | Gerald T Albrecht |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629010541 PECOS PAC ID: 2961469432 Enrollment ID: I20041216000146 |
| Provider Name | Preston S Fox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467446922 PECOS PAC ID: 0840258505 Enrollment ID: I20041228000484 |
| Provider Name | Richard J Rizzo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811984545 PECOS PAC ID: 1658316948 Enrollment ID: I20050627001297 |
| Provider Name | Todd P Bennett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396763009 PECOS PAC ID: 4082665807 Enrollment ID: I20050707000760 |
| Provider Name | Jason T Call |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528021862 PECOS PAC ID: 0244276558 Enrollment ID: I20050707000872 |
| Provider Name | Melissa Natale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679533947 PECOS PAC ID: 4981675006 Enrollment ID: I20051018000805 |
| Provider Name | Mark D Tripp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619910668 PECOS PAC ID: 5496772360 Enrollment ID: I20051031000116 |
| Provider Name | Ingrid C Iwanow |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689769416 PECOS PAC ID: 5092732735 Enrollment ID: I20051101000436 |
| Provider Name | Kimberly Davis Keith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619961836 PECOS PAC ID: 0547219008 Enrollment ID: I20060503000733 |
| Provider Name | Barbara J Walter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326066630 PECOS PAC ID: 0446263875 Enrollment ID: I20060801000117 |
| Provider Name | Jeffrey Scott Lessar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194726521 PECOS PAC ID: 7315974722 Enrollment ID: I20061020000093 |
| Provider Name | Diane Mccarthy Badua |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629037114 PECOS PAC ID: 9537168679 Enrollment ID: I20061219000045 |
| Provider Name | Lee A Selznick |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1104945997 PECOS PAC ID: 0446357362 Enrollment ID: I20070529000366 |
| Provider Name | Erik N. Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588647556 PECOS PAC ID: 9032189360 Enrollment ID: I20070619000642 |
| Provider Name | Edward Berman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326084518 PECOS PAC ID: 2961472196 Enrollment ID: I20070620000087 |
| Provider Name | John Yates Sealander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164464178 PECOS PAC ID: 3476637448 Enrollment ID: I20080228000732 |
| Provider Name | Hazem Ahmed Elariny |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649203118 PECOS PAC ID: 8729045042 Enrollment ID: I20080331000231 |
| Provider Name | James P Earls |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679591689 PECOS PAC ID: 5698779064 Enrollment ID: I20080402000046 |
| Provider Name | Robert Meltvedt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043263148 PECOS PAC ID: 4688751720 Enrollment ID: I20080414000368 |
| Provider Name | John Pulizzi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144212820 PECOS PAC ID: 5890865406 Enrollment ID: I20080609000022 |
| Provider Name | James B Chadduck |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952381741 PECOS PAC ID: 4284704750 Enrollment ID: I20080610000583 |
| Provider Name | Daniel S Schneider |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376584466 PECOS PAC ID: 4385716075 Enrollment ID: I20080714000179 |
| Provider Name | Adam L Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467574459 PECOS PAC ID: 7719050921 Enrollment ID: I20080722000276 |
| Provider Name | Melanie D Mattson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609839091 PECOS PAC ID: 3779526264 Enrollment ID: I20080801000139 |
| Provider Name | James D Brown |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255394649 PECOS PAC ID: 7315035938 Enrollment ID: I20080801000207 |
| Provider Name | Allan Harold Fergus |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770563561 PECOS PAC ID: 8426122722 Enrollment ID: I20080805000456 |
| Provider Name | Patrick D Ireland |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164402368 PECOS PAC ID: 1153495452 Enrollment ID: I20080805000473 |
| Provider Name | Manish J Lakhani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043485964 PECOS PAC ID: 5597839811 Enrollment ID: I20080805000573 |
| Provider Name | Jonathan D Winter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316129976 PECOS PAC ID: 8921174756 Enrollment ID: I20080902000579 |
| Provider Name | Andrew Paul Meyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922021690 PECOS PAC ID: 6103986377 Enrollment ID: I20081118000225 |
| Provider Name | Theresa T Bell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1275788317 PECOS PAC ID: 3173688801 Enrollment ID: I20090212000700 |
| Provider Name | William J Zehner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295732584 PECOS PAC ID: 3375445737 Enrollment ID: I20090327000287 |
| Provider Name | James E Anderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528002698 PECOS PAC ID: 7517960313 Enrollment ID: I20090630000116 |
| Provider Name | Anne K Kassira |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174780951 PECOS PAC ID: 6204982028 Enrollment ID: I20090921000346 |
| Provider Name | Mark E Levinson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689775611 PECOS PAC ID: 5496801920 Enrollment ID: I20090924000094 |
| Provider Name | Todd H Hillman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750361515 PECOS PAC ID: 4284625294 Enrollment ID: I20091229000339 |
| Provider Name | Stephen Lawrence Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336119460 PECOS PAC ID: 5193716165 Enrollment ID: I20100107000079 |
| Provider Name | James R Koepke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801876313 PECOS PAC ID: 0941291934 Enrollment ID: I20100107000661 |
| Provider Name | David R Weber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588629190 PECOS PAC ID: 9133110125 Enrollment ID: I20100113000271 |
| Provider Name | Michael B Robins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033180377 PECOS PAC ID: 1951444835 Enrollment ID: I20100201000109 |
| Provider Name | Randolph H Renzi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275512550 PECOS PAC ID: 9931002458 Enrollment ID: I20100303001111 |
| Provider Name | Neal Streater Gaither |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003811563 PECOS PAC ID: 4981507407 Enrollment ID: I20100315000807 |
| Provider Name | Jeffrey A Skiles |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114906542 PECOS PAC ID: 9537239827 Enrollment ID: I20100330000532 |
| Provider Name | Daniel Burton Reese |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770562050 PECOS PAC ID: 7719057009 Enrollment ID: I20100330000783 |
| Provider Name | John C Hardy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619956158 PECOS PAC ID: 9133267933 Enrollment ID: I20100330000978 |
| Provider Name | Michael N Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306825708 PECOS PAC ID: 2062541238 Enrollment ID: I20100526000552 |
| Provider Name | William C Leskovec |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477512341 PECOS PAC ID: 6103955331 Enrollment ID: I20100527000140 |
| Provider Name | Maria J Laplante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811145253 PECOS PAC ID: 2264579549 Enrollment ID: I20100610000672 |
| Provider Name | Michael B Voorhees |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124083183 PECOS PAC ID: 4981737905 Enrollment ID: I20100728000335 |
| Provider Name | Robert J Foust |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801880489 PECOS PAC ID: 8628052701 Enrollment ID: I20101019001472 |
| Provider Name | Patricia A Daly |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144387770 PECOS PAC ID: 8921104282 Enrollment ID: I20101206001221 |
| Provider Name | Michael T Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679521025 PECOS PAC ID: 3375732191 Enrollment ID: I20110110000911 |
| Provider Name | Francis Xavier Dennehy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417925637 PECOS PAC ID: 3779767231 Enrollment ID: I20110406000924 |
| Provider Name | Julie C Costin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497058531 PECOS PAC ID: 1557545894 Enrollment ID: I20110411000379 |
| Provider Name | Thomas Alan Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942261409 PECOS PAC ID: 6608050596 Enrollment ID: I20110419000148 |
| Provider Name | Roger Kyle Westfall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992774749 PECOS PAC ID: 8224212113 Enrollment ID: I20110419000166 |
| Provider Name | John William Kerns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366410664 PECOS PAC ID: 5597653493 Enrollment ID: I20110419000776 |
| Provider Name | Jennifer Barron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548239122 PECOS PAC ID: 9335237627 Enrollment ID: I20110504000767 |
| Provider Name | Brandon J Barrett |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629283692 PECOS PAC ID: 7517142615 Enrollment ID: I20110505000515 |
| Provider Name | Bartholomew W Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679740617 PECOS PAC ID: 9537337191 Enrollment ID: I20110726000435 |
| Provider Name | Katherine Marie Winter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780831651 PECOS PAC ID: 6305015892 Enrollment ID: I20110818000434 |
| Provider Name | David Watts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407822760 PECOS PAC ID: 4789671611 Enrollment ID: I20110913000395 |
| Provider Name | Tamara D Spriggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265637953 PECOS PAC ID: 8820283666 Enrollment ID: I20111027000997 |
| Provider Name | Mary Cathleen Mccoy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144233412 PECOS PAC ID: 8729247622 Enrollment ID: I20120313000566 |
| Provider Name | Trudi K Holt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962496455 PECOS PAC ID: 6103867270 Enrollment ID: I20120404000961 |
| Provider Name | Jason Shou |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245479054 PECOS PAC ID: 9638361272 Enrollment ID: I20120904000004 |
| Provider Name | Kenneth G Mason |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336174705 PECOS PAC ID: 1355499781 Enrollment ID: I20121009000402 |
| Provider Name | Thomas J Lecuyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295773315 PECOS PAC ID: 8123143138 Enrollment ID: I20121214000056 |
| Provider Name | Zoe B Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366644999 PECOS PAC ID: 2567607385 Enrollment ID: I20130327000631 |
| Provider Name | Ayorinde Akinrinlola |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1346421856 PECOS PAC ID: 1557507407 Enrollment ID: I20130419000004 |
| Provider Name | Ambi G Zeller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932457033 PECOS PAC ID: 7113163999 Enrollment ID: I20130424000139 |
| Provider Name | Jeffrey E Vergales |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073702122 PECOS PAC ID: 9739321688 Enrollment ID: I20130806000640 |
| Provider Name | Virginia A Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083843494 PECOS PAC ID: 1456594407 Enrollment ID: I20130823000796 |
| Provider Name | Steven J Bauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154473304 PECOS PAC ID: 1759337991 Enrollment ID: I20130827000684 |
| Provider Name | Santiago Miro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689859829 PECOS PAC ID: 0143388926 Enrollment ID: I20130913000788 |
| Provider Name | Brendan J Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225276793 PECOS PAC ID: 5193959377 Enrollment ID: I20131001000075 |
| Provider Name | Kristen A Pettrone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760490916 PECOS PAC ID: 5890608228 Enrollment ID: I20131001000167 |
| Provider Name | Jeffery P Groesbeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063642155 PECOS PAC ID: 9335373091 Enrollment ID: I20131011000616 |
| Provider Name | Ruth Wenzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043632664 PECOS PAC ID: 0840423380 Enrollment ID: I20140507001280 |
| Provider Name | Craig H Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043229412 PECOS PAC ID: 1355598657 Enrollment ID: I20140616001934 |
| Provider Name | Shelby C White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750605374 PECOS PAC ID: 5597994236 Enrollment ID: I20140623000639 |
| Provider Name | Virginia Lee Herbert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720047558 PECOS PAC ID: 6002800984 Enrollment ID: I20140702002334 |
| Provider Name | Julian E Martinez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134344716 PECOS PAC ID: 5395836274 Enrollment ID: I20140703002080 |
| Provider Name | Mesfin R Shibeshi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275706269 PECOS PAC ID: 3375786783 Enrollment ID: I20140828001078 |
| Provider Name | Ronak Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841275575 PECOS PAC ID: 4082649512 Enrollment ID: I20141010000968 |
| Provider Name | Peter N Dean |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134396252 PECOS PAC ID: 1254589500 Enrollment ID: I20141013001348 |
| Provider Name | Ellis Boisvert Johns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942592548 PECOS PAC ID: 0840411179 Enrollment ID: I20141029002200 |
| Provider Name | Jack Hsu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114956430 PECOS PAC ID: 6901993450 Enrollment ID: I20150311000604 |
| Provider Name | Roberta R Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285614685 PECOS PAC ID: 8022100817 Enrollment ID: I20150707000361 |
| Provider Name | Michael Rolen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730316118 PECOS PAC ID: 8022330893 Enrollment ID: I20150713002602 |
| Provider Name | Micah S Crouse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992903306 PECOS PAC ID: 2466506662 Enrollment ID: I20150807014442 |
| Provider Name | Harvinder S Jagait |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1700029188 PECOS PAC ID: 4082920038 Enrollment ID: I20150904001938 |
| Provider Name | Michael Yuzefovich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003014986 PECOS PAC ID: 1254483290 Enrollment ID: I20150923000561 |
| Provider Name | Phillip Lee Van |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639330533 PECOS PAC ID: 9335380161 Enrollment ID: I20151012000341 |
| Provider Name | John D Grimme |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093751224 PECOS PAC ID: 3678518149 Enrollment ID: I20151013000342 |
| Provider Name | Candace C Wise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245678242 PECOS PAC ID: 5698085777 Enrollment ID: I20151102000368 |
| Provider Name | Omar Ali |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972527059 PECOS PAC ID: 5799750626 Enrollment ID: I20151118002099 |
| Provider Name | Daniel V Alexander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184841470 PECOS PAC ID: 2365610003 Enrollment ID: I20160210002310 |
| Provider Name | Janice D Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407212541 PECOS PAC ID: 8224332200 Enrollment ID: I20160211001873 |
| Provider Name | Tolvert E Fowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881805307 PECOS PAC ID: 7113197815 Enrollment ID: I20160517002252 |
| Provider Name | Rabia Arshad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710927702 PECOS PAC ID: 1658372933 Enrollment ID: I20160613001852 |
| Provider Name | Joy J Kindle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811945512 PECOS PAC ID: 8426130915 Enrollment ID: I20160712002451 |
| Provider Name | Natalie Raney |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114384237 PECOS PAC ID: 6608161880 Enrollment ID: I20160826001753 |
| Provider Name | Duncan Ben Davidson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285045534 PECOS PAC ID: 0840586525 Enrollment ID: I20160906002238 |
| Provider Name | Nicholas A Perry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982845350 PECOS PAC ID: 4880835636 Enrollment ID: I20160907002810 |
| Provider Name | Elizabeth R Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346698537 PECOS PAC ID: 4284920463 Enrollment ID: I20160914002490 |
| Provider Name | Stephen Edward Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013122464 PECOS PAC ID: 5496800161 Enrollment ID: I20161019003195 |
| Provider Name | Hannah Kim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730317900 PECOS PAC ID: 5294013025 Enrollment ID: I20161031000880 |
| Provider Name | Matthew Borkon |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972650778 PECOS PAC ID: 8426297524 Enrollment ID: I20161121001726 |
| Provider Name | Grace B Huffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457461014 PECOS PAC ID: 2961493796 Enrollment ID: I20170113000797 |
| Provider Name | David Mclario |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467548677 PECOS PAC ID: 5294824579 Enrollment ID: I20170126001844 |
| Provider Name | Meredith R Cary-morrissette |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558493791 PECOS PAC ID: 1557644598 Enrollment ID: I20170216002051 |
| Provider Name | Eilene M Oneill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689128324 PECOS PAC ID: 5698051530 Enrollment ID: I20170407001589 |
| Provider Name | Michael A Mcculloch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033324488 PECOS PAC ID: 3274837638 Enrollment ID: I20170622001644 |
| Provider Name | Guido Santacana-laffitte |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326330143 PECOS PAC ID: 3375838071 Enrollment ID: I20170703000026 |
| Provider Name | Joseph Couvillon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053517516 PECOS PAC ID: 0547438160 Enrollment ID: I20170712000257 |
| Provider Name | Kiarash Jahed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063736858 PECOS PAC ID: 4385800945 Enrollment ID: I20170727001664 |
| Provider Name | John T English |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639439789 PECOS PAC ID: 0840561502 Enrollment ID: I20170731000923 |
| Provider Name | April Michele Bowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376952002 PECOS PAC ID: 4789805615 Enrollment ID: I20170803002407 |
| Provider Name | Emmanuel Ekanem |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1407274327 PECOS PAC ID: 5991078784 Enrollment ID: I20170912003218 |
| Provider Name | Saif Al-najafi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932330230 PECOS PAC ID: 0143515882 Enrollment ID: I20171005002796 |
| Provider Name | Deborah E Dunn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447271960 PECOS PAC ID: 6204109846 Enrollment ID: I20171024003182 |
| Provider Name | Erik Mitchell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447689088 PECOS PAC ID: 2062707912 Enrollment ID: I20171206003210 |
| Provider Name | Prashanta Koirala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437368180 PECOS PAC ID: 0749473858 Enrollment ID: I20180110000388 |
| Provider Name | Emmie Strassberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508177353 PECOS PAC ID: 7012218894 Enrollment ID: I20180125001402 |
| Provider Name | Kimberly Leslie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942563044 PECOS PAC ID: 5890055594 Enrollment ID: I20180126001703 |
| Provider Name | Eric Langdon Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063926988 PECOS PAC ID: 6002177565 Enrollment ID: I20180223001647 |
| Provider Name | Ethan Silver |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497199335 PECOS PAC ID: 9638424351 Enrollment ID: I20180621001339 |
| Provider Name | Matthew D Nitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548527229 PECOS PAC ID: 1850694787 Enrollment ID: I20180803000509 |
| Provider Name | Vanessa A Banks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982016663 PECOS PAC ID: 6800014119 Enrollment ID: I20180814002787 |
| Provider Name | Abiodun Oyebanjo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023351988 PECOS PAC ID: 6507160546 Enrollment ID: I20180828000761 |
| Provider Name | Zachary T Hollis |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104142744 PECOS PAC ID: 1951535848 Enrollment ID: I20181001000904 |
| Provider Name | William Conrad Dressler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912946955 PECOS PAC ID: 3173597663 Enrollment ID: I20181017002954 |
| Provider Name | Kali Tichenor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659852283 PECOS PAC ID: 8325391543 Enrollment ID: I20181105001778 |
| Provider Name | Matthew Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871072009 PECOS PAC ID: 5698029874 Enrollment ID: I20181107002364 |
| Provider Name | Lisa S Lull |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093880379 PECOS PAC ID: 7315010873 Enrollment ID: I20190129000489 |
| Provider Name | Aron K Mccloud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891073110 PECOS PAC ID: 3274839592 Enrollment ID: I20190226002836 |
| Provider Name | Vivek Kumar Gupta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003182734 PECOS PAC ID: 0840580957 Enrollment ID: I20190618002591 |
| Provider Name | Alexis Mccabe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124446349 PECOS PAC ID: 7618222357 Enrollment ID: I20190624002302 |
| Provider Name | Meghan Danielle Gilleland Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720303266 PECOS PAC ID: 4587805221 Enrollment ID: I20190722001119 |
| Provider Name | Hampton A Crimm |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548498736 PECOS PAC ID: 7416173505 Enrollment ID: I20190729000089 |
| Provider Name | Edward Lam |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184002669 PECOS PAC ID: 9830483353 Enrollment ID: I20190807003695 |
| Provider Name | Nabeel H Arastu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134562556 PECOS PAC ID: 9739319989 Enrollment ID: I20190812003074 |
| Provider Name | Vijay J Nayak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659628154 PECOS PAC ID: 6305114828 Enrollment ID: I20190812003301 |
| Provider Name | Hussein Habib Zughaib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902291297 PECOS PAC ID: 2769780675 Enrollment ID: I20190917001857 |
| Provider Name | Armando S Garza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811214455 PECOS PAC ID: 7810203551 Enrollment ID: I20191010003278 |
| Provider Name | Lauren Ashleigh Greenwood |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1083024384 PECOS PAC ID: 9830400340 Enrollment ID: I20200114001481 |
| Provider Name | Hashim Stanazai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619358264 PECOS PAC ID: 5698035251 Enrollment ID: I20200215000037 |
| Provider Name | Angela D Petry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023286010 PECOS PAC ID: 9436378650 Enrollment ID: I20200311001022 |
| Provider Name | David J Lecronier |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033536461 PECOS PAC ID: 0941519789 Enrollment ID: I20200421001940 |
| Provider Name | Idean Amirjazil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356756795 PECOS PAC ID: 8224398961 Enrollment ID: I20200617003389 |
| Provider Name | Christopher R Shaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649321506 PECOS PAC ID: 3678638236 Enrollment ID: I20200804000325 |
| Provider Name | Swetha Penmasta Alluri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679991095 PECOS PAC ID: 7012334188 Enrollment ID: I20200903001813 |
| Provider Name | Daniel C Hobbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922418185 PECOS PAC ID: 9335363233 Enrollment ID: I20200903001961 |
| Provider Name | Sharon Elizabeth Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124503263 PECOS PAC ID: 5890020838 Enrollment ID: I20200925000038 |
| Provider Name | Vineeta Vijay Kanbur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659787869 PECOS PAC ID: 5193941268 Enrollment ID: I20201019001510 |
| Provider Name | Marissa Stridiron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154635811 PECOS PAC ID: 2668664251 Enrollment ID: I20210107001064 |
| Provider Name | David M Hanrahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033347125 PECOS PAC ID: 2163835398 Enrollment ID: I20210108000173 |
| Provider Name | Mary Fahrmeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245252303 PECOS PAC ID: 4880657527 Enrollment ID: I20210108000257 |
| Provider Name | Jamie Lorraine Evans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962664789 PECOS PAC ID: 6901044379 Enrollment ID: I20210108001387 |
| Provider Name | Douglas M Ikelheimer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508979519 PECOS PAC ID: 1759347396 Enrollment ID: I20210119001213 |
| Provider Name | James Keck Vankirk |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1548375199 PECOS PAC ID: 1456341890 Enrollment ID: I20210122002396 |
| Provider Name | Mark Alter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730263617 PECOS PAC ID: 5991855330 Enrollment ID: I20210202000728 |
| Provider Name | Daniel W Bradford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851350326 PECOS PAC ID: 3173543725 Enrollment ID: I20210203001106 |
| Provider Name | Lawrence Hayes Rose |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700849395 PECOS PAC ID: 8628040227 Enrollment ID: I20210308000403 |
| Provider Name | Nicole C Jordan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801342423 PECOS PAC ID: 3971854944 Enrollment ID: I20210416000945 |
| Provider Name | Charles C Hoo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356568810 PECOS PAC ID: 6103913256 Enrollment ID: I20210426000330 |
| Provider Name | Paul A Hill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528321452 PECOS PAC ID: 9335410778 Enrollment ID: I20210505000117 |
| Provider Name | Sumeet K Lall |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619395282 PECOS PAC ID: 1557627155 Enrollment ID: I20210617001433 |
| Provider Name | Dylan J Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043749047 PECOS PAC ID: 9234539784 Enrollment ID: I20210621002118 |
| Provider Name | David Saenz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568824712 PECOS PAC ID: 8729371067 Enrollment ID: I20210622001302 |
| Provider Name | Jacob Daniel Mace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558867127 PECOS PAC ID: 4880095967 Enrollment ID: I20210628000109 |
| Provider Name | Hager Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013413434 PECOS PAC ID: 6901143361 Enrollment ID: I20210720002492 |
| Provider Name | Michael Khafi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023496353 PECOS PAC ID: 9032474192 Enrollment ID: I20210915003206 |
| Provider Name | Stephanie Wagstaff Lafave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871156679 PECOS PAC ID: 5496080632 Enrollment ID: I20210916003354 |
| Provider Name | Nancy Shaffer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639191299 PECOS PAC ID: 8820067176 Enrollment ID: I20211015000772 |
| Provider Name | Zachary J Loverde |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114337524 PECOS PAC ID: 3375850803 Enrollment ID: I20211129002780 |
| Provider Name | Neal S Topham |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1386667087 PECOS PAC ID: 2769512839 Enrollment ID: I20211129002800 |
| Provider Name | Bruno Perossa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346657889 PECOS PAC ID: 5092934513 Enrollment ID: I20211130001104 |
| Provider Name | David Goldberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255727954 PECOS PAC ID: 6901151893 Enrollment ID: I20211206000838 |
| Provider Name | Kodjovi Kodjo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780100958 PECOS PAC ID: 7517203177 Enrollment ID: I20211227000984 |
| Provider Name | Navid Behrooz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871889311 PECOS PAC ID: 8527332279 Enrollment ID: I20220113000505 |
| Provider Name | Raul Nelson Lugo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801866322 PECOS PAC ID: 7911995857 Enrollment ID: I20220225000116 |
| Provider Name | Qasim Stanazai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275949562 PECOS PAC ID: 5496086407 Enrollment ID: I20220309000580 |
| Provider Name | Yusuf Akpolat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043669070 PECOS PAC ID: 8921395468 Enrollment ID: I20220504001452 |
| Provider Name | Endra Sookoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386933158 PECOS PAC ID: 3577868934 Enrollment ID: I20220622003314 |
| Provider Name | Yaqeen Qudah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942685375 PECOS PAC ID: 6709173073 Enrollment ID: I20220624000091 |
| Provider Name | Karen Severson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689787426 PECOS PAC ID: 0840364030 Enrollment ID: I20220628003804 |
| Provider Name | Raveen Chawla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003235227 PECOS PAC ID: 4082838008 Enrollment ID: I20220714001016 |
| Provider Name | Stacey Beth Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750034831 PECOS PAC ID: 6709267818 Enrollment ID: I20220721000557 |
| Provider Name | Rebecca M Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225761414 PECOS PAC ID: 8123400215 Enrollment ID: I20220805002335 |
| Provider Name | Todd L Teigeler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982016614 PECOS PAC ID: 9032336755 Enrollment ID: I20220815001161 |
| Provider Name | Adebayo Atanda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376939280 PECOS PAC ID: 7719276823 Enrollment ID: I20220817000685 |
| Provider Name | Aref A Bin Abdulhak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700132727 PECOS PAC ID: 5890008908 Enrollment ID: I20220822000095 |
| Provider Name | Nandini Verma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457882300 PECOS PAC ID: 6507139896 Enrollment ID: I20220914003184 |
| Provider Name | Rohit R Koppula |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649614926 PECOS PAC ID: 5193052611 Enrollment ID: I20220921001283 |
| Provider Name | Alice Mckinzie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720025075 PECOS PAC ID: 7012261167 Enrollment ID: I20221102001453 |
| Provider Name | William Richard Fox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588075634 PECOS PAC ID: 9537437678 Enrollment ID: I20221123001608 |
| Provider Name | Michael Lin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295851285 PECOS PAC ID: 2769864784 Enrollment ID: I20230127001190 |
| Provider Name | John Hurley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407317084 PECOS PAC ID: 3375885312 Enrollment ID: I20230315001727 |
| Provider Name | Gurpreet Sabar |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1780864306 PECOS PAC ID: 0143457549 Enrollment ID: I20230706000145 |
| Provider Name | Eamon Harrigan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629539960 PECOS PAC ID: 9133458557 Enrollment ID: I20230725000713 |
| Provider Name | Elizabeth Huycke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477113033 PECOS PAC ID: 3375878580 Enrollment ID: I20230731003886 |
| Provider Name | Masaru Negi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104185081 PECOS PAC ID: 4981923331 Enrollment ID: I20230801003576 |
| Provider Name | Jatinder Singh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649664228 PECOS PAC ID: 8527321496 Enrollment ID: I20230802003357 |
| Provider Name | Rebecca L Potterton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598446361 PECOS PAC ID: 5890149702 Enrollment ID: I20230927000069 |
| Provider Name | Rebekah E Funkhouser |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114602364 PECOS PAC ID: 1254793524 Enrollment ID: I20231008000029 |
| Provider Name | Saurabh Kashyap |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275068702 PECOS PAC ID: 3678975141 Enrollment ID: I20231017001906 |
| Provider Name | Clara Marina Ruiz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881829596 PECOS PAC ID: 6507011178 Enrollment ID: I20231102002778 |
| Provider Name | Ksenia S Pillai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336657725 PECOS PAC ID: 0244575470 Enrollment ID: I20231106000583 |
| Provider Name | Gregory Loeb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649732215 PECOS PAC ID: 2163804337 Enrollment ID: I20231109001723 |
| Provider Name | Shivam Dubey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073764577 PECOS PAC ID: 8325298755 Enrollment ID: I20231113000098 |
| Provider Name | Hani Nazha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952501249 PECOS PAC ID: 0244486470 Enrollment ID: I20231117002097 |
| Provider Name | Andres Barkil-oteo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144467788 PECOS PAC ID: 9739338013 Enrollment ID: I20231128002130 |
| Provider Name | Laura J Cordonnier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992266993 PECOS PAC ID: 1658727482 Enrollment ID: I20231128002764 |
| Provider Name | Maanasa Bandla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063972404 PECOS PAC ID: 7618203035 Enrollment ID: I20231205000111 |
| Provider Name | Simratdeep K Sandhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215498373 PECOS PAC ID: 6305175340 Enrollment ID: I20231220002551 |
| Provider Name | Ogugua Anene Maidoh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609212000 PECOS PAC ID: 3173881067 Enrollment ID: I20240122002198 |
| Provider Name | Matthew D Carpinello |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790059194 PECOS PAC ID: 2466888904 Enrollment ID: I20240130000097 |
| Provider Name | Rachel Nicole Lonas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376314351 PECOS PAC ID: 6204270655 Enrollment ID: I20240214000767 |
| Provider Name | John Young |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649244773 PECOS PAC ID: 8426080573 Enrollment ID: I20240303000033 |
| Provider Name | Madeline Renals |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487217550 PECOS PAC ID: 4880924737 Enrollment ID: I20240321000990 |
| Provider Name | Sahar Derakhshanian Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962065037 PECOS PAC ID: 7113257130 Enrollment ID: I20240329000656 |
| Provider Name | Samantha Noll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932543154 PECOS PAC ID: 8729210588 Enrollment ID: I20240422003296 |
| Provider Name | Amel A Badr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528262904 PECOS PAC ID: 8820156466 Enrollment ID: I20240430002631 |
| Provider Name | Dana B Harbison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659477891 PECOS PAC ID: 8325013394 Enrollment ID: I20240502002594 |
| Provider Name | Mistafa Hafid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760985121 PECOS PAC ID: 8921359365 Enrollment ID: I20240613003577 |
Michael Davis Psyd Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 316 Warren Ave, Front Royal, VA 22630 Phone: 571-358-9245 | |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 N Commerce Ave, Front Royal, VA 22630 Phone: 540-535-0043 Fax: 540-535-0011 | |
Crown Behavior Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 Chester St, Front Royal, VA 22630 Phone: 540-717-3591 Fax: 855-258-4022 | |
Quiet Mind Psychotherapeutic Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11 Water St, Front Royal, VA 22630 Phone: 540-252-4997 Fax: 540-551-3294 | |
Northwestern Community Services Board Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 209 W Criser Rd, Ste 100, Front Royal, VA 22630 Phone: 540-636-2931 Fax: 540-636-2933 | |
Abundant Light Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Harris Dr, Front Royal, VA 22630 Phone: 202-292-9191 |