| Washington Health System Physicians Group | |
|
95 Leonard Ave Bldg 2 4th Floor Washington PA 15301-3368 | |
| (724) 229-1756 | |
| (724) 229-2429 |
| Full Name | Washington Health System Physicians Group |
|---|---|
| Speciality | Family Medicine |
| Location | 95 Leonard Ave, Washington, Pennsylvania |
| Authorized Official Name and Position | Maureen Scanlon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7242291756 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Health System Physicians Group 95 Leonard Ave Bldg 2 4th Floor Washington PA 15301-3368 Ph: (724) 229-1756 | Washington Health System Physicians Group 95 Leonard Ave Bldg 2 4th Floor Washington PA 15301-3368 Ph: (724) 229-1756 |
| NPI Number | 1316917669 |
|---|---|
| Provider Enumeration Date | 01/26/2006 |
| Last Update Date | 04/24/2018 |
| Medicare PECOS PAC ID | 6103719562 |
|---|---|
| Medicare Enrollment ID | O20040209000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316917669 | NPI | - | NPPES |
| 1591849 | Medicaid | PA |
| Provider Name | Jeffrey M Matheny |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518039742 PECOS PAC ID: 4082512249 Enrollment ID: I20031224000021 |
| Provider Name | John M Costello |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881658185 PECOS PAC ID: 5799678934 Enrollment ID: I20040203000600 |
| Provider Name | Mary M Relich-dudas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912943358 PECOS PAC ID: 3476446402 Enrollment ID: I20040204000543 |
| Provider Name | Deborah L Beech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730123761 PECOS PAC ID: 8325931363 Enrollment ID: I20040204000574 |
| Provider Name | William J Mitsos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578533774 PECOS PAC ID: 1153214531 Enrollment ID: I20040209000116 |
| Provider Name | Michael J Pecora |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295790889 PECOS PAC ID: 3870487069 Enrollment ID: I20040210000094 |
| Provider Name | Christa M Malinak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609848233 PECOS PAC ID: 1759277858 Enrollment ID: I20040225000811 |
| Provider Name | Koushik Mukherjee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679563563 PECOS PAC ID: 4880682467 Enrollment ID: I20040503001346 |
| Provider Name | Allison F Verenna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770574352 PECOS PAC ID: 6305828146 Enrollment ID: I20040604000220 |
| Provider Name | Shareen Mcninch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750361317 PECOS PAC ID: 7214913797 Enrollment ID: I20040625000459 |
| Provider Name | Atif Saeed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316059041 PECOS PAC ID: 5890772958 Enrollment ID: I20040707000052 |
| Provider Name | Michael S Pollock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689692170 PECOS PAC ID: 7810967890 Enrollment ID: I20040728000038 |
| Provider Name | Ravindranath Kolli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093709040 PECOS PAC ID: 3274585781 Enrollment ID: I20050214000039 |
| Provider Name | Mary Ellen Rhoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316924335 PECOS PAC ID: 3476593054 Enrollment ID: I20050504000138 |
| Provider Name | Douglas S Schulman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346241486 PECOS PAC ID: 1254372709 Enrollment ID: I20050516000538 |
| Provider Name | Janis Lin Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578541066 PECOS PAC ID: 5991749806 Enrollment ID: I20050613000262 |
| Provider Name | Kathryn M Simons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205806239 PECOS PAC ID: 9234166679 Enrollment ID: I20050718000893 |
| Provider Name | Rekhi P Varghese |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659347243 PECOS PAC ID: 1557395563 Enrollment ID: I20050920000467 |
| Provider Name | Delia Christ Meltontate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114907334 PECOS PAC ID: 5496789323 Enrollment ID: I20050921000067 |
| Provider Name | Sun Scolieri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104853746 PECOS PAC ID: 1052345386 Enrollment ID: I20050926000418 |
| Provider Name | Dennis Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558341826 PECOS PAC ID: 4880615392 Enrollment ID: I20051213000258 |
| Provider Name | Lucille B Aiken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316377245 PECOS PAC ID: 5799707394 Enrollment ID: I20051223000146 |
| Provider Name | Kevin M Marren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417926049 PECOS PAC ID: 9234151838 Enrollment ID: I20051228000666 |
| Provider Name | Claudio A Lima |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1285737858 PECOS PAC ID: 0143230581 Enrollment ID: I20060428000304 |
| Provider Name | Tiffany Vogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447215405 PECOS PAC ID: 8426051715 Enrollment ID: I20060804000137 |
| Provider Name | Rachel Leigh Schroer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326061110 PECOS PAC ID: 5597769836 Enrollment ID: I20060829000358 |
| Provider Name | Khaled Nashar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124056122 PECOS PAC ID: 0941204531 Enrollment ID: I20060913000416 |
| Provider Name | Cornelia Savopoulou |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629095591 PECOS PAC ID: 7012911571 Enrollment ID: I20060914000375 |
| Provider Name | Timothy J Kross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528039476 PECOS PAC ID: 9537264049 Enrollment ID: I20070411000417 |
| Provider Name | Heather A Morphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912908294 PECOS PAC ID: 4385624030 Enrollment ID: I20070419000075 |
| Provider Name | Larry Gitelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568438539 PECOS PAC ID: 2365548708 Enrollment ID: I20070502000189 |
| Provider Name | Cynthia Gayle Stockdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548206899 PECOS PAC ID: 0143327999 Enrollment ID: I20070514000244 |
| Provider Name | Mathew A Van Deusen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1033232723 PECOS PAC ID: 7911008727 Enrollment ID: I20070724000363 |
| Provider Name | Jung Sook Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497774186 PECOS PAC ID: 9436250008 Enrollment ID: I20070726000314 |
| Provider Name | Donald A Ravasio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730299173 PECOS PAC ID: 4082712658 Enrollment ID: I20070809000309 |
| Provider Name | Charles Michael Brown |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336239664 PECOS PAC ID: 2567565922 Enrollment ID: I20071030000411 |
| Provider Name | Sherry Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164492625 PECOS PAC ID: 1951498476 Enrollment ID: I20071031000323 |
| Provider Name | Amy R Diamond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821092792 PECOS PAC ID: 2264513456 Enrollment ID: I20080114000456 |
| Provider Name | Dean Watzman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497738967 PECOS PAC ID: 9638119258 Enrollment ID: I20080123000345 |
| Provider Name | James A Marks |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134343726 PECOS PAC ID: 4385726421 Enrollment ID: I20080129000488 |
| Provider Name | Lisa A Goss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740202217 PECOS PAC ID: 4284718941 Enrollment ID: I20080220000257 |
| Provider Name | Beth E Theis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265613566 PECOS PAC ID: 9830277318 Enrollment ID: I20080424000053 |
| Provider Name | Shirley Dopson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407946510 PECOS PAC ID: 3678642642 Enrollment ID: I20080516000079 |
| Provider Name | David M Haybron |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1710963491 PECOS PAC ID: 4183795446 Enrollment ID: I20080616000099 |
| Provider Name | Arthur Fine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134192867 PECOS PAC ID: 9638242217 Enrollment ID: I20080715000389 |
| Provider Name | Kevin George Boehme |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1619933538 PECOS PAC ID: 8729096664 Enrollment ID: I20081110000437 |
| Provider Name | Henry A Folb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235119934 PECOS PAC ID: 8628135076 Enrollment ID: I20090330000385 |
| Provider Name | Marc Laufe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891780490 PECOS PAC ID: 1254487564 Enrollment ID: I20090928000470 |
| Provider Name | James R Richardson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508887944 PECOS PAC ID: 5890736318 Enrollment ID: I20091005000700 |
| Provider Name | Ming-hui Fan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063561694 PECOS PAC ID: 8022154558 Enrollment ID: I20091014000036 |
| Provider Name | Amy M Rygelski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760615934 PECOS PAC ID: 8820135213 Enrollment ID: I20091016000033 |
| Provider Name | Nicholas W Carosella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700997939 PECOS PAC ID: 9537208822 Enrollment ID: I20091130000017 |
| Provider Name | Malay C Sheth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760452361 PECOS PAC ID: 6709897374 Enrollment ID: I20100326000224 |
| Provider Name | Kurt King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194795377 PECOS PAC ID: 1759417645 Enrollment ID: I20100330000995 |
| Provider Name | Richard B. Hart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053391268 PECOS PAC ID: 2860528544 Enrollment ID: I20100405000485 |
| Provider Name | Marianne Wizda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679543615 PECOS PAC ID: 3779611371 Enrollment ID: I20100430000674 |
| Provider Name | Dennis Paul Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003858077 PECOS PAC ID: 7113996182 Enrollment ID: I20100820000688 |
| Provider Name | David J Stapor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013089259 PECOS PAC ID: 6507762119 Enrollment ID: I20100915000212 |
| Provider Name | Edward D Poon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558433722 PECOS PAC ID: 3072638956 Enrollment ID: I20100915000886 |
| Provider Name | John P Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043265721 PECOS PAC ID: 6608991138 Enrollment ID: I20100921000347 |
| Provider Name | Craig Douglas Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194701821 PECOS PAC ID: 0648396085 Enrollment ID: I20100923000294 |
| Provider Name | Patricio Sanchez-cueva |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306016852 PECOS PAC ID: 4981898210 Enrollment ID: I20101101000958 |
| Provider Name | Richard Olutoyin Ajayi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902875743 PECOS PAC ID: 0042351124 Enrollment ID: I20110207000005 |
| Provider Name | Maryann B. Weinstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457310385 PECOS PAC ID: 3870774862 Enrollment ID: I20110224000022 |
| Provider Name | Nicholas J Lowery |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285881854 PECOS PAC ID: 5395920623 Enrollment ID: I20110429000440 |
| Provider Name | Timothy P Weyrich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689632291 PECOS PAC ID: 2062697063 Enrollment ID: I20110505000626 |
| Provider Name | Jose Venero |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023002037 PECOS PAC ID: 9739272642 Enrollment ID: I20110517000591 |
| Provider Name | Cheryl A Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356541452 PECOS PAC ID: 6406024975 Enrollment ID: I20110728000028 |
| Provider Name | Jason Alan Smith |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861604241 PECOS PAC ID: 8123296613 Enrollment ID: I20110728000287 |
| Provider Name | Jennifer Mungari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538212436 PECOS PAC ID: 9830358449 Enrollment ID: I20120316000337 |
| Provider Name | Christopher A Gisler |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588845796 PECOS PAC ID: 8123184421 Enrollment ID: I20120523000212 |
| Provider Name | Sonia Kaur Panesar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578756383 PECOS PAC ID: 2769645084 Enrollment ID: I20120524000501 |
| Provider Name | Rebecca D Edmonds |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1811153976 PECOS PAC ID: 5294991154 Enrollment ID: I20120720000145 |
| Provider Name | Hiram A Gonzalez Ortiz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760716872 PECOS PAC ID: 9436329794 Enrollment ID: I20120828000733 |
| Provider Name | Kavita K Fischer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528228012 PECOS PAC ID: 8628227048 Enrollment ID: I20120928000528 |
| Provider Name | Nadine G Dandachi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386832343 PECOS PAC ID: 2860641834 Enrollment ID: I20121008000192 |
| Provider Name | Navdeep S Purewal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881663094 PECOS PAC ID: 6305879792 Enrollment ID: I20121023000363 |
| Provider Name | Melissa Shapiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336425081 PECOS PAC ID: 8527210491 Enrollment ID: I20121129000305 |
| Provider Name | Melissa Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154675452 PECOS PAC ID: 6305082843 Enrollment ID: I20130429000412 |
| Provider Name | Brian A Staub |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033358734 PECOS PAC ID: 5890936280 Enrollment ID: I20130727000151 |
| Provider Name | Damon L Hoffmann |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255592663 PECOS PAC ID: 6103068267 Enrollment ID: I20130820000576 |
| Provider Name | Orestis Pappas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831499342 PECOS PAC ID: 3476796434 Enrollment ID: I20130823000909 |
| Provider Name | Robert W Koschik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447571666 PECOS PAC ID: 8123253275 Enrollment ID: I20131028001214 |
| Provider Name | Charlotte A Budzik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811975303 PECOS PAC ID: 5698900140 Enrollment ID: I20131108001490 |
| Provider Name | Ereny R Eskarous |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013237759 PECOS PAC ID: 9739316761 Enrollment ID: I20131218000620 |
| Provider Name | Jill E Brekosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619212404 PECOS PAC ID: 9739302001 Enrollment ID: I20140514001932 |
| Provider Name | Benjamin M Susco |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336329671 PECOS PAC ID: 7113058751 Enrollment ID: I20140710001328 |
| Provider Name | Lindsey Beabout |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174814149 PECOS PAC ID: 3476770272 Enrollment ID: I20140818001834 |
| Provider Name | Monica A Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467770883 PECOS PAC ID: 0749408029 Enrollment ID: I20140828000418 |
| Provider Name | Sara J Casile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487949111 PECOS PAC ID: 5395067680 Enrollment ID: I20141121001639 |
| Provider Name | Richelle R Batson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265462550 PECOS PAC ID: 6608053368 Enrollment ID: I20150109000644 |
| Provider Name | Jessica R Tennant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962802520 PECOS PAC ID: 2365767829 Enrollment ID: I20150205000220 |
| Provider Name | Erica Detrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194005777 PECOS PAC ID: 3173849676 Enrollment ID: I20150227000628 |
| Provider Name | Emily J Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639427016 PECOS PAC ID: 7012233570 Enrollment ID: I20150302000200 |
| Provider Name | Giuliana F Mazza Congrove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548507791 PECOS PAC ID: 7810128675 Enrollment ID: I20150513001361 |
| Provider Name | Allison E Serra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477831048 PECOS PAC ID: 8325368921 Enrollment ID: I20150521002613 |
| Provider Name | Matthew D Diiulio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619230885 PECOS PAC ID: 5799099354 Enrollment ID: I20150728003552 |
| Provider Name | Michael E Bonus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053343947 PECOS PAC ID: 0749377398 Enrollment ID: I20151012001253 |
| Provider Name | Jocelyn C Ehren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366503724 PECOS PAC ID: 5890751515 Enrollment ID: I20151203001302 |
| Provider Name | Scott D Leslie |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1689876625 PECOS PAC ID: 1355646043 Enrollment ID: I20160217001162 |
| Provider Name | Ihab H Hassan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326258682 PECOS PAC ID: 1456539865 Enrollment ID: I20160219001538 |
| Provider Name | John R Beabout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225429129 PECOS PAC ID: 4486951852 Enrollment ID: I20160330000602 |
| Provider Name | Ryan J Rauch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245613389 PECOS PAC ID: 9537479118 Enrollment ID: I20160512000640 |
| Provider Name | Roxanna M Twedt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326314055 PECOS PAC ID: 5496054694 Enrollment ID: I20160525001079 |
| Provider Name | Matthew N Magdic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922461052 PECOS PAC ID: 1052602562 Enrollment ID: I20160614000138 |
| Provider Name | Katherine M Tadolini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770922262 PECOS PAC ID: 9739405077 Enrollment ID: I20160805001742 |
| Provider Name | Ziad Ismael |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417096454 PECOS PAC ID: 5294886776 Enrollment ID: I20160829001063 |
| Provider Name | Wilson Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316493687 PECOS PAC ID: 8921396649 Enrollment ID: I20161013000373 |
| Provider Name | Alissa R Parker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215342225 PECOS PAC ID: 6406137678 Enrollment ID: I20161229001933 |
| Provider Name | Benjamin Sigmond |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225220320 PECOS PAC ID: 3971775461 Enrollment ID: I20170228001661 |
| Provider Name | Thomas M Tambouratzis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386604874 PECOS PAC ID: 5395727663 Enrollment ID: I20170405002136 |
| Provider Name | Erin E Shaffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457762122 PECOS PAC ID: 6709180540 Enrollment ID: I20170501002118 |
| Provider Name | Mohamad Al-abed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780848309 PECOS PAC ID: 8224256227 Enrollment ID: I20170524001001 |
| Provider Name | Hatem Desoky |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558636860 PECOS PAC ID: 2466720578 Enrollment ID: I20170614000828 |
| Provider Name | Mark Gregory Sperry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376773754 PECOS PAC ID: 6901057108 Enrollment ID: I20170712001607 |
| Provider Name | Mostafa Hussein Ramadan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508186628 PECOS PAC ID: 8325357098 Enrollment ID: I20170717001627 |
| Provider Name | Nicole M Garcher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588905079 PECOS PAC ID: 9234360611 Enrollment ID: I20170807000185 |
| Provider Name | Bryan W Lockmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952745713 PECOS PAC ID: 8325341712 Enrollment ID: I20170925000306 |
| Provider Name | Julie Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336662154 PECOS PAC ID: 5890060222 Enrollment ID: I20171010003027 |
| Provider Name | Jessica Elizabeth Murphy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801158282 PECOS PAC ID: 1254626823 Enrollment ID: I20171213003053 |
| Provider Name | Arindam Ghatak |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699047621 PECOS PAC ID: 3971896713 Enrollment ID: I20180124000568 |
| Provider Name | Stephanie A Chupinka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730697533 PECOS PAC ID: 6406117225 Enrollment ID: I20180219001109 |
| Provider Name | Katelyn M Materkoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174029318 PECOS PAC ID: 2860756780 Enrollment ID: I20180501001299 |
| Provider Name | Megan Costello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568954022 PECOS PAC ID: 1456606227 Enrollment ID: I20180619001775 |
| Provider Name | Alexander D Katich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336582907 PECOS PAC ID: 5294976957 Enrollment ID: I20180716001701 |
| Provider Name | Carly Werner Zuwiala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184042590 PECOS PAC ID: 8527351667 Enrollment ID: I20180830002774 |
| Provider Name | Sara Oliverio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124570239 PECOS PAC ID: 6305180142 Enrollment ID: I20181204003656 |
| Provider Name | Mallory A Kairys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154831980 PECOS PAC ID: 0648515361 Enrollment ID: I20181227000150 |
| Provider Name | Christina Keith Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194762104 PECOS PAC ID: 5092744938 Enrollment ID: I20190107001516 |
| Provider Name | Justin Trunzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417424276 PECOS PAC ID: 7416294657 Enrollment ID: I20190128000146 |
| Provider Name | Christopher E Kincaid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255538765 PECOS PAC ID: 8628193182 Enrollment ID: I20190418000773 |
| Provider Name | Carlin R Gerba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033680772 PECOS PAC ID: 9133461437 Enrollment ID: I20190507003141 |
| Provider Name | Boon C Lor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881000370 PECOS PAC ID: 1456578210 Enrollment ID: I20190715001100 |
| Provider Name | Alayna K Butcher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669867578 PECOS PAC ID: 9436448750 Enrollment ID: I20190729000370 |
| Provider Name | Kerry A Hudson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194793687 PECOS PAC ID: 8628216678 Enrollment ID: I20200317000915 |
| Provider Name | Julie Ann E Corcoran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083737142 PECOS PAC ID: 2062667470 Enrollment ID: I20200624003011 |
| Provider Name | Damian E Garcher |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427435130 PECOS PAC ID: 8426351115 Enrollment ID: I20200804001667 |
| Provider Name | Ellen E Saridakis Phillippi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861921397 PECOS PAC ID: 2264701770 Enrollment ID: I20200821000226 |
| Provider Name | Dale Lacroix |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922034479 PECOS PAC ID: 8921185554 Enrollment ID: I20210318000867 |
| Provider Name | Michael D Faust |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1417937798 PECOS PAC ID: 1254342827 Enrollment ID: I20210707003012 |
| Provider Name | Benjamin W Kleifgen |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1346551181 PECOS PAC ID: 8820490204 Enrollment ID: I20210707003162 |
| Provider Name | Lacey Rae Alston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487225645 PECOS PAC ID: 9537563127 Enrollment ID: I20210804000617 |
| Provider Name | Donald L Ours |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255786653 PECOS PAC ID: 8628360567 Enrollment ID: I20210812002328 |
| Provider Name | Dewan S Majid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215390075 PECOS PAC ID: 8022305804 Enrollment ID: I20210813003205 |
| Provider Name | Anne M Roslonski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659729770 PECOS PAC ID: 1850640061 Enrollment ID: I20210817003220 |
| Provider Name | Jessica Lynn Dickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861090904 PECOS PAC ID: 1658781356 Enrollment ID: I20211014001290 |
| Provider Name | Ethan E Kobe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437679909 PECOS PAC ID: 9638599251 Enrollment ID: I20211109002666 |
| Provider Name | Amber M Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932371721 PECOS PAC ID: 8921488644 Enrollment ID: I20220712000457 |
| Provider Name | Colleen Harriger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861846586 PECOS PAC ID: 6709171978 Enrollment ID: I20220831002925 |
| Provider Name | Steffen Villarma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235692955 PECOS PAC ID: 0648656363 Enrollment ID: I20221004002519 |
| Provider Name | Ryan J Lerch |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558852905 PECOS PAC ID: 4486981149 Enrollment ID: I20230905002387 |
| Provider Name | Britteny T Zeher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609434455 PECOS PAC ID: 9335502582 Enrollment ID: I20230906000401 |
| Provider Name | Carrie D Schoonover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215550314 PECOS PAC ID: 5092169458 Enrollment ID: I20231004000430 |
| Provider Name | Saudat Iyabode Lawal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174224315 PECOS PAC ID: 5092161836 Enrollment ID: I20231031002592 |
| Provider Name | Corey M Stefan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578340303 PECOS PAC ID: 4183067531 Enrollment ID: I20240213001947 |
| Provider Name | Patricia A Chisholm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992706113 PECOS PAC ID: 2961426390 Enrollment ID: I20240429000348 |
| Provider Name | Philip G Georgevich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114980570 PECOS PAC ID: 2567441595 Enrollment ID: I20240501001706 |
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