| Yukon-kuskokwim Health Corporation | |
|
700 Chief Eddie Hoffman Hwy Bethel AK 99559 | |
| (907) 543-6300 | |
| (907) 543-6117 |
| Full Name | Yukon-kuskokwim Health Corporation |
|---|---|
| Speciality | Physician Assistant |
| Location | 700 Chief Eddie Hoffman Hwy, Bethel, Alaska |
| Authorized Official Name and Position | Eugene R Peltola (PRESIDENT & CEO) |
| Authorized Official Contact | 9075436020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yukon-kuskokwim Health Corporation Po Box 3427 Bethel AK 99559 Ph: (907) 543-6398 | Yukon-kuskokwim Health Corporation 700 Chief Eddie Hoffman Hwy Bethel AK 99559 Ph: (907) 543-6300 |
| NPI Number | 1447477815 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 02/16/2021 |
| Certification Date | 02/16/2021 |
| Medicare PECOS PAC ID | 5193718765 |
|---|---|
| Medicare Enrollment ID | O20040407001515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447477815 | NPI | - | NPPES |
| PSG944 | Medicaid | AK | |
| MDG944 | Medicaid | AK | |
| HS05IP | Medicaid | AK | |
| HS05OP | Medicaid | AK |
| Provider Name | Matthew Olnes |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396760021 PECOS PAC ID: 1658285531 Enrollment ID: I20031114000513 |
| Provider Name | William L Lubke |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578501466 PECOS PAC ID: 4688572142 Enrollment ID: I20031222000757 |
| Provider Name | John F Kokesh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427090430 PECOS PAC ID: 2668364977 Enrollment ID: I20040329001750 |
| Provider Name | Jeffrey E Short |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851317754 PECOS PAC ID: 8426041906 Enrollment ID: I20040408000606 |
| Provider Name | Arnold Loera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225012628 PECOS PAC ID: 3870497902 Enrollment ID: I20040414000580 |
| Provider Name | Elizabeth D. Ferucci |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1598705121 PECOS PAC ID: 2163418567 Enrollment ID: I20040421001677 |
| Provider Name | Haskell R Derryberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093755704 PECOS PAC ID: 2860475431 Enrollment ID: I20040612000640 |
| Provider Name | Bryan G Wachter |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801827027 PECOS PAC ID: 2961481718 Enrollment ID: I20040715001184 |
| Provider Name | Daniel J Quenneville |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740276500 PECOS PAC ID: 0648259234 Enrollment ID: I20040716000841 |
| Provider Name | Lois A Rockcastle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013037068 PECOS PAC ID: 4284614074 Enrollment ID: I20040722000548 |
| Provider Name | Frances R Wilson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679598007 PECOS PAC ID: 5991785271 Enrollment ID: I20040726000942 |
| Provider Name | Patrick S Kelley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508853128 PECOS PAC ID: 6709850894 Enrollment ID: I20040824000917 |
| Provider Name | Marc B Connelly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922049253 PECOS PAC ID: 8325000425 Enrollment ID: I20041101000823 |
| Provider Name | Brian J Mcmahon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427093574 PECOS PAC ID: 7517925738 Enrollment ID: I20041220000998 |
| Provider Name | Martin H Tieva |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841223468 PECOS PAC ID: 4183682263 Enrollment ID: I20041221000362 |
| Provider Name | Charles C Edwards |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447291067 PECOS PAC ID: 3476448796 Enrollment ID: I20050302000119 |
| Provider Name | Patti A Paris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336100494 PECOS PAC ID: 2769373430 Enrollment ID: I20050527000555 |
| Provider Name | Randall L Plant |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225063993 PECOS PAC ID: 0042254088 Enrollment ID: I20050610000658 |
| Provider Name | Robert A Reeg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912010059 PECOS PAC ID: 8628976313 Enrollment ID: I20050614001338 |
| Provider Name | Frank D Sacco |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174548580 PECOS PAC ID: 4880620194 Enrollment ID: I20050708000549 |
| Provider Name | Ella R Derbyshire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285678938 PECOS PAC ID: 3476579640 Enrollment ID: I20051017000984 |
| Provider Name | Wednesday M Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467434233 PECOS PAC ID: 1759308125 Enrollment ID: I20051026000260 |
| Provider Name | Matthew J Greenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477765964 PECOS PAC ID: 1658391412 Enrollment ID: I20051123000259 |
| Provider Name | Lisa Marie Rotelli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215953229 PECOS PAC ID: 9234159922 Enrollment ID: I20051123000540 |
| Provider Name | Tara Lathrop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578660528 PECOS PAC ID: 2668494659 Enrollment ID: I20051219000548 |
| Provider Name | Kathleen Pelkan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841401221 PECOS PAC ID: 2567484850 Enrollment ID: I20051230000110 |
| Provider Name | Sidney M Gospe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093726945 PECOS PAC ID: 3870545544 Enrollment ID: I20060919000576 |
| Provider Name | Benjamin A Garnett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164435327 PECOS PAC ID: 3375540164 Enrollment ID: I20061109000312 |
| Provider Name | Peter M Sapin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346265659 PECOS PAC ID: 2365549490 Enrollment ID: I20070523000672 |
| Provider Name | Mark J Thorndike |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124051743 PECOS PAC ID: 7618077579 Enrollment ID: I20070709000148 |
| Provider Name | Patricia A Shands |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912056516 PECOS PAC ID: 5698761666 Enrollment ID: I20070710001016 |
| Provider Name | Stephanie L Eklund |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982617130 PECOS PAC ID: 4183724792 Enrollment ID: I20070711001015 |
| Provider Name | Brian A Trimble |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972529220 PECOS PAC ID: 6305937673 Enrollment ID: I20070801000579 |
| Provider Name | Robin L Molsberry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922111434 PECOS PAC ID: 8921189440 Enrollment ID: I20080122000616 |
| Provider Name | Youssef K Barbour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588846042 PECOS PAC ID: 5991888067 Enrollment ID: I20080212000715 |
| Provider Name | Edward B Rosenzweig |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497780324 PECOS PAC ID: 4486738739 Enrollment ID: I20080225000651 |
| Provider Name | Steven O Greer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851497184 PECOS PAC ID: 0446250419 Enrollment ID: I20080225000725 |
| Provider Name | Kevin E Gaskin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053517664 PECOS PAC ID: 2769568559 Enrollment ID: I20080319000661 |
| Provider Name | Matthew J Schnellbaecher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942233481 PECOS PAC ID: 1557440211 Enrollment ID: I20080506000563 |
| Provider Name | Paul W Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467462887 PECOS PAC ID: 6709952880 Enrollment ID: I20080915000366 |
| Provider Name | Amie C Wu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205947629 PECOS PAC ID: 0042378010 Enrollment ID: I20081020000347 |
| Provider Name | John G Rosenfeld |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891726659 PECOS PAC ID: 9830258045 Enrollment ID: I20081103000495 |
| Provider Name | Marcia L Haggerty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962505941 PECOS PAC ID: 2961561923 Enrollment ID: I20081105000352 |
| Provider Name | James D Andrews |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558528745 PECOS PAC ID: 1153482617 Enrollment ID: I20081203000301 |
| Provider Name | Ronald Bowerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841402336 PECOS PAC ID: 3375606411 Enrollment ID: I20090115000152 |
| Provider Name | William Eggimann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760698203 PECOS PAC ID: 8921161902 Enrollment ID: I20090117000031 |
| Provider Name | Ellen K Hodges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972722304 PECOS PAC ID: 7416942214 Enrollment ID: I20090117000036 |
| Provider Name | Claire Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598885782 PECOS PAC ID: 2365505344 Enrollment ID: I20090117000049 |
| Provider Name | Calvin Vermeire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558548826 PECOS PAC ID: 6800959883 Enrollment ID: I20090117000054 |
| Provider Name | Douglas R Migden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275686438 PECOS PAC ID: 6800950494 Enrollment ID: I20090127000028 |
| Provider Name | John A Kulits |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659391837 PECOS PAC ID: 0941387229 Enrollment ID: I20090324000081 |
| Provider Name | David G Chamberlain |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407895949 PECOS PAC ID: 2062562929 Enrollment ID: I20090615000605 |
| Provider Name | Daniel J Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114130903 PECOS PAC ID: 2860534922 Enrollment ID: I20100127000860 |
| Provider Name | Patrick F Martinez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518901321 PECOS PAC ID: 3971407420 Enrollment ID: I20100128000099 |
| Provider Name | Margaret E Kepler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184721136 PECOS PAC ID: 4284776378 Enrollment ID: I20100128000116 |
| Provider Name | Elizabeth J Roll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629299623 PECOS PAC ID: 1951443050 Enrollment ID: I20100128000189 |
| Provider Name | David M Compton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598792467 PECOS PAC ID: 5294784328 Enrollment ID: I20100203000667 |
| Provider Name | Andrew W Swartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336158401 PECOS PAC ID: 1658323845 Enrollment ID: I20100203000762 |
| Provider Name | Tara Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326375452 PECOS PAC ID: 0648313833 Enrollment ID: I20100422001019 |
| Provider Name | Joseph A Klejka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790906634 PECOS PAC ID: 2466493556 Enrollment ID: I20100428000671 |
| Provider Name | Susan Jane Kring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235123860 PECOS PAC ID: 2466441688 Enrollment ID: I20100428000733 |
| Provider Name | Chloe Wurr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598846933 PECOS PAC ID: 9830227156 Enrollment ID: I20100506001023 |
| Provider Name | Pamela G Conrad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225259203 PECOS PAC ID: 7214065317 Enrollment ID: I20100511000708 |
| Provider Name | Sarah A Vanston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235358177 PECOS PAC ID: 3072686088 Enrollment ID: I20100511000886 |
| Provider Name | Matthew J Logalbo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295950962 PECOS PAC ID: 7012055783 Enrollment ID: I20100927000084 |
| Provider Name | Molly B Southworth |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194758631 PECOS PAC ID: 8325230089 Enrollment ID: I20101013000513 |
| Provider Name | Mehran Mosley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043423965 PECOS PAC ID: 1557429545 Enrollment ID: I20101013000669 |
| Provider Name | Ann M Garritano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558320598 PECOS PAC ID: 5698808020 Enrollment ID: I20101013000687 |
| Provider Name | Robert E Quick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225264625 PECOS PAC ID: 8921290602 Enrollment ID: I20101013000719 |
| Provider Name | Jennifer L Eisner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881928372 PECOS PAC ID: 9638362726 Enrollment ID: I20101021000536 |
| Provider Name | Katherine J Mcclure |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790806420 PECOS PAC ID: 1052506797 Enrollment ID: I20101108001365 |
| Provider Name | Mark A Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033349782 PECOS PAC ID: 4688860950 Enrollment ID: I20101129000642 |
| Provider Name | Dona R Brekke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477527992 PECOS PAC ID: 1254412877 Enrollment ID: I20110222000195 |
| Provider Name | Amalia R Steinberg |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316109895 PECOS PAC ID: 8527249572 Enrollment ID: I20110223000752 |
| Provider Name | Robin L Galloway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609879204 PECOS PAC ID: 5193797769 Enrollment ID: I20110325000511 |
| Provider Name | Heather Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346466489 PECOS PAC ID: 2365627643 Enrollment ID: I20110502000308 |
| Provider Name | Rita M Kalistook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063532265 PECOS PAC ID: 0244415529 Enrollment ID: I20110502000336 |
| Provider Name | Beverly J Lemaster |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1902826597 PECOS PAC ID: 5890971246 Enrollment ID: I20110519000093 |
| Provider Name | Krystle A Penaflor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053625681 PECOS PAC ID: 1456537539 Enrollment ID: I20110526000110 |
| Provider Name | Nicholas White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679794655 PECOS PAC ID: 6800072984 Enrollment ID: I20110526000134 |
| Provider Name | Jill H Seaman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063633030 PECOS PAC ID: 7618154998 Enrollment ID: I20110614000693 |
| Provider Name | Mien X Chyi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477687390 PECOS PAC ID: 7416135074 Enrollment ID: I20110629000764 |
| Provider Name | Jacqueline A Lesniak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376755868 PECOS PAC ID: 5698943496 Enrollment ID: I20110721000850 |
| Provider Name | Erin E Boklage |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1154575298 PECOS PAC ID: 7416018155 Enrollment ID: I20110721000859 |
| Provider Name | Amy E Carson Strnad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902013055 PECOS PAC ID: 9133399264 Enrollment ID: I20110829000641 |
| Provider Name | David L Dyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710199237 PECOS PAC ID: 0143368902 Enrollment ID: I20110829000654 |
| Provider Name | Christina Chiara King-talley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184929788 PECOS PAC ID: 3678744265 Enrollment ID: I20110910002939 |
| Provider Name | Karen Jackman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073633491 PECOS PAC ID: 7214820398 Enrollment ID: I20110910002947 |
| Provider Name | Rachel Kerford Lescher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043480643 PECOS PAC ID: 7517138480 Enrollment ID: I20110926000584 |
| Provider Name | Katie E Dawson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639212657 PECOS PAC ID: 0446421333 Enrollment ID: I20110926000830 |
| Provider Name | Clifford Schneider |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699932772 PECOS PAC ID: 3779754676 Enrollment ID: I20110926000887 |
| Provider Name | Kena K Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124285945 PECOS PAC ID: 3173794070 Enrollment ID: I20110927000022 |
| Provider Name | Marah Gotcsik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275723108 PECOS PAC ID: 7810170958 Enrollment ID: I20111114000550 |
| Provider Name | Jerilyn Latini |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710078076 PECOS PAC ID: 5890699599 Enrollment ID: I20120312000891 |
| Provider Name | Sarah L Sindell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649473208 PECOS PAC ID: 4486810330 Enrollment ID: I20120723000434 |
| Provider Name | Leanne K Komorowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700045648 PECOS PAC ID: 9234385030 Enrollment ID: I20120810000177 |
| Provider Name | Keira Gefroh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982979209 PECOS PAC ID: 1456508639 Enrollment ID: I20120822000590 |
| Provider Name | Marshall Reid Naquin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902135460 PECOS PAC ID: 0648427641 Enrollment ID: I20120827000582 |
| Provider Name | Matthew Todd Warren |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215928627 PECOS PAC ID: 8628004140 Enrollment ID: I20120913000255 |
| Provider Name | Jacob M Gray |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699821215 PECOS PAC ID: 9133390305 Enrollment ID: I20120917000267 |
| Provider Name | Leslie Ann Herrmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073755831 PECOS PAC ID: 0042468704 Enrollment ID: I20120921000366 |
| Provider Name | Patsy A Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447560248 PECOS PAC ID: 6406005818 Enrollment ID: I20120928000460 |
| Provider Name | Jeremy D Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013144963 PECOS PAC ID: 2860642774 Enrollment ID: I20121030000060 |
| Provider Name | Ginger A Vaughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558592360 PECOS PAC ID: 3173657848 Enrollment ID: I20130218000275 |
| Provider Name | Jennifer Hampton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972764082 PECOS PAC ID: 8325284417 Enrollment ID: I20130416000216 |
| Provider Name | Christi M Angelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902955891 PECOS PAC ID: 3072602705 Enrollment ID: I20130503000492 |
| Provider Name | Ryan D Horazdovsky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417196148 PECOS PAC ID: 4082853585 Enrollment ID: I20130625000267 |
| Provider Name | Jennifer K Lent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518987015 PECOS PAC ID: 3678554748 Enrollment ID: I20130729000841 |
| Provider Name | Jesse R Gefroh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376811612 PECOS PAC ID: 9931340155 Enrollment ID: I20130730000564 |
| Provider Name | Joseph H Park |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962552729 PECOS PAC ID: 3375635279 Enrollment ID: I20130826000860 |
| Provider Name | Donna Gayle Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154389393 PECOS PAC ID: 5698719086 Enrollment ID: I20130911000609 |
| Provider Name | Deborah Marie Bieging |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215047741 PECOS PAC ID: 6709972847 Enrollment ID: I20131015001055 |
| Provider Name | Aravind R Sanjeevaiah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093913196 PECOS PAC ID: 5799910899 Enrollment ID: I20131025001490 |
| Provider Name | Angela D St John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558428458 PECOS PAC ID: 1850365495 Enrollment ID: I20131108001717 |
| Provider Name | Laura L Shively |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174797088 PECOS PAC ID: 1254568231 Enrollment ID: I20131219000400 |
| Provider Name | Richard J Gluckman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154360915 PECOS PAC ID: 3577792332 Enrollment ID: I20140128000599 |
| Provider Name | Faith M Pinkerton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245275437 PECOS PAC ID: 1850333048 Enrollment ID: I20140128000777 |
| Provider Name | Stacey Enlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306072152 PECOS PAC ID: 1759428303 Enrollment ID: I20140129001297 |
| Provider Name | Ryan Jon Gaalswyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467772707 PECOS PAC ID: 5890939235 Enrollment ID: I20140129001402 |
| Provider Name | Patti Purpura |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619950805 PECOS PAC ID: 4981669876 Enrollment ID: I20140212000496 |
| Provider Name | Anne Narog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609298827 PECOS PAC ID: 0244460038 Enrollment ID: I20140221001264 |
| Provider Name | Paul Pennington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528074622 PECOS PAC ID: 0840321634 Enrollment ID: I20140314000545 |
| Provider Name | Nicholas W Napoli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275844201 PECOS PAC ID: 6800020702 Enrollment ID: I20140401000449 |
| Provider Name | Toni M Biskup |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992964191 PECOS PAC ID: 5991955734 Enrollment ID: I20140522001525 |
| Provider Name | Kelly N St John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780912550 PECOS PAC ID: 0345376752 Enrollment ID: I20140523000361 |
| Provider Name | Melissa Hammes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588975072 PECOS PAC ID: 0143445544 Enrollment ID: I20140626002207 |
| Provider Name | David G Ondich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407928690 PECOS PAC ID: 5496921330 Enrollment ID: I20140710000225 |
| Provider Name | Dustin J Mclemore |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427218601 PECOS PAC ID: 8224255799 Enrollment ID: I20140806001258 |
| Provider Name | Prabhat Bhama |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962415430 PECOS PAC ID: 6901024694 Enrollment ID: I20140821000393 |
| Provider Name | Brian Blum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225446131 PECOS PAC ID: 5799903779 Enrollment ID: I20140904002325 |
| Provider Name | Colette Reahl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184875692 PECOS PAC ID: 4789854969 Enrollment ID: I20140908000595 |
| Provider Name | Daniel Tieva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639464050 PECOS PAC ID: 5890932792 Enrollment ID: I20140917001663 |
| Provider Name | Phillip B Storm |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588742993 PECOS PAC ID: 9234119553 Enrollment ID: I20140930002523 |
| Provider Name | Eric Lim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396952560 PECOS PAC ID: 8527257302 Enrollment ID: I20141001002072 |
| Provider Name | Thomas Boyle |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063518066 PECOS PAC ID: 4082672563 Enrollment ID: I20141003001156 |
| Provider Name | Whitney E Elliott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891006656 PECOS PAC ID: 8224272562 Enrollment ID: I20141013001176 |
| Provider Name | Selanie A Sanone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932380839 PECOS PAC ID: 4981502358 Enrollment ID: I20141029001559 |
| Provider Name | Thomas K Hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669556858 PECOS PAC ID: 4981787470 Enrollment ID: I20141105001748 |
| Provider Name | Pamela E Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255397253 PECOS PAC ID: 7719921642 Enrollment ID: I20141105001807 |
| Provider Name | Devon G Huning |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1174851034 PECOS PAC ID: 9234267212 Enrollment ID: I20141105001884 |
| Provider Name | Rebecca Sjostrom |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760654651 PECOS PAC ID: 0840432134 Enrollment ID: I20141114001153 |
| Provider Name | Wendy Whitney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164441226 PECOS PAC ID: 9436218294 Enrollment ID: I20141210000704 |
| Provider Name | Kevin T Krenek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093995565 PECOS PAC ID: 7113002973 Enrollment ID: I20141217000371 |
| Provider Name | Lance Mcadams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497089205 PECOS PAC ID: 5991028730 Enrollment ID: I20141230002145 |
| Provider Name | David B Trowbridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356367007 PECOS PAC ID: 9335338706 Enrollment ID: I20150127000514 |
| Provider Name | Ann Glasheen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144340340 PECOS PAC ID: 2466776109 Enrollment ID: I20150128001494 |
| Provider Name | Shawn R Vainio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205930914 PECOS PAC ID: 0244239986 Enrollment ID: I20150209000501 |
| Provider Name | Barbara Bjeletich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669465027 PECOS PAC ID: 9739130790 Enrollment ID: I20150217001518 |
| Provider Name | Lisa M Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891790580 PECOS PAC ID: 4183649148 Enrollment ID: I20150423001255 |
| Provider Name | Carmelita T Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174503296 PECOS PAC ID: 8628092350 Enrollment ID: I20150508001013 |
| Provider Name | Cynthia A Foran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073883344 PECOS PAC ID: 0941459622 Enrollment ID: I20150602000298 |
| Provider Name | Chester J Witczak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982950978 PECOS PAC ID: 5496908998 Enrollment ID: I20150624000825 |
| Provider Name | Matthew Messerschmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962630152 PECOS PAC ID: 8426282179 Enrollment ID: I20150701001320 |
| Provider Name | Lesley M Chase |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982085643 PECOS PAC ID: 3072827146 Enrollment ID: I20150803001435 |
| Provider Name | Tonya Huston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295039303 PECOS PAC ID: 5193039105 Enrollment ID: I20150805006601 |
| Provider Name | Jennifer L Trieu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992026777 PECOS PAC ID: 3173764271 Enrollment ID: I20150805008720 |
| Provider Name | Mary Rae Owen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184010738 PECOS PAC ID: 4385959089 Enrollment ID: I20150810002004 |
| Provider Name | Nicholas Weida |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215298344 PECOS PAC ID: 7810214962 Enrollment ID: I20150818004843 |
| Provider Name | Susan Y Dunbar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154689347 PECOS PAC ID: 1658508783 Enrollment ID: I20150824001159 |
| Provider Name | Dalila Lucatero |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083099659 PECOS PAC ID: 1658686449 Enrollment ID: I20150824001422 |
| Provider Name | Allan Alberton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710992581 PECOS PAC ID: 0941202121 Enrollment ID: I20150827000163 |
| Provider Name | James P Ford |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144511304 PECOS PAC ID: 2264748367 Enrollment ID: I20150904000079 |
| Provider Name | Jon Michael Gerry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225353824 PECOS PAC ID: 5395052252 Enrollment ID: I20150910000595 |
| Provider Name | John Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225468259 PECOS PAC ID: 9638486384 Enrollment ID: I20150914002100 |
| Provider Name | Shoshana C Aleinikoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639439474 PECOS PAC ID: 4284945924 Enrollment ID: I20150921001046 |
| Provider Name | Nicholas Flickinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740544097 PECOS PAC ID: 5395999742 Enrollment ID: I20150922000108 |
| Provider Name | Robert Tyree |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225031768 PECOS PAC ID: 3173538139 Enrollment ID: I20150926000030 |
| Provider Name | Philip Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902197726 PECOS PAC ID: 7214245083 Enrollment ID: I20150928001278 |
| Provider Name | Eliza Nicolas Caguioa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013274620 PECOS PAC ID: 5991955429 Enrollment ID: I20151001002253 |
| Provider Name | Charles R Baldwin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831418490 PECOS PAC ID: 1951524255 Enrollment ID: I20151001002644 |
| Provider Name | John Hardin Hawes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205102407 PECOS PAC ID: 0840509303 Enrollment ID: I20151023000186 |
| Provider Name | Mariam Miller |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659533222 PECOS PAC ID: 3870713605 Enrollment ID: I20151024000191 |
| Provider Name | Shannon Fraser |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568783173 PECOS PAC ID: 7911216387 Enrollment ID: I20151026001761 |
| Provider Name | Ann Patricia Bollmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427154608 PECOS PAC ID: 1557329208 Enrollment ID: I20151111000295 |
| Provider Name | Peter R Chambers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508856634 PECOS PAC ID: 9234108143 Enrollment ID: I20151117002434 |
| Provider Name | Amy Crowder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831164342 PECOS PAC ID: 3072590249 Enrollment ID: I20160108000090 |
| Provider Name | Patricia Clay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639444060 PECOS PAC ID: 6002125614 Enrollment ID: I20160128000789 |
| Provider Name | Olivia Britton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033576665 PECOS PAC ID: 1951605153 Enrollment ID: I20160209001274 |
| Provider Name | Mackenzie C Slater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730409418 PECOS PAC ID: 1254594815 Enrollment ID: I20160219000825 |
| Provider Name | Alvaro E Rosales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811192495 PECOS PAC ID: 6002984747 Enrollment ID: I20160526001890 |
| Provider Name | Jessica Judy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730163932 PECOS PAC ID: 9234177130 Enrollment ID: I20160617000320 |
| Provider Name | Alexander Judy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730189663 PECOS PAC ID: 5991878688 Enrollment ID: I20160620002286 |
| Provider Name | Ai-ling Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982947479 PECOS PAC ID: 1052605482 Enrollment ID: I20160809000148 |
| Provider Name | Sarah M Doaty |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215254818 PECOS PAC ID: 2668767211 Enrollment ID: I20160823000164 |
| Provider Name | Kristen M Stille |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801078100 PECOS PAC ID: 2769644467 Enrollment ID: I20160830000338 |
| Provider Name | Zachary Wayne Bear |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124313614 PECOS PAC ID: 0446552913 Enrollment ID: I20160917000262 |
| Provider Name | Joy Neyhart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255433942 PECOS PAC ID: 7618271552 Enrollment ID: I20160921002654 |
| Provider Name | Isaac Kalistook |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285180562 PECOS PAC ID: 3173810694 Enrollment ID: I20160928000434 |
| Provider Name | Robie Sterling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710282199 PECOS PAC ID: 9133352891 Enrollment ID: I20161003001735 |
| Provider Name | Adam Larkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841635406 PECOS PAC ID: 0143453936 Enrollment ID: I20161006000404 |
| Provider Name | Jessie Willow Janowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144545476 PECOS PAC ID: 9931406295 Enrollment ID: I20161014001085 |
| Provider Name | Elisha G Brownson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861620411 PECOS PAC ID: 5597997312 Enrollment ID: I20161110000287 |
| Provider Name | Jodie E Totten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487920211 PECOS PAC ID: 1052627999 Enrollment ID: I20161116000148 |
| Provider Name | Denise Diep Thi Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922443266 PECOS PAC ID: 0749411486 Enrollment ID: I20161116000886 |
| Provider Name | Jesse Atwood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700894664 PECOS PAC ID: 5294750915 Enrollment ID: I20161220000496 |
| Provider Name | Lindsey Morgan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821322348 PECOS PAC ID: 7618260159 Enrollment ID: I20170105000089 |
| Provider Name | James Marrone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699983114 PECOS PAC ID: 0941581870 Enrollment ID: I20170106001661 |
| Provider Name | Anne M Kosacheff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053530527 PECOS PAC ID: 0840464046 Enrollment ID: I20170426002688 |
| Provider Name | William Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124006200 PECOS PAC ID: 4587633409 Enrollment ID: I20170607003030 |
| Provider Name | Susan Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033270160 PECOS PAC ID: 5698733442 Enrollment ID: I20170615000340 |
| Provider Name | Joan Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699207126 PECOS PAC ID: 1557630258 Enrollment ID: I20170712002556 |
| Provider Name | Linnea Cp Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790129674 PECOS PAC ID: 9638482805 Enrollment ID: I20170724002899 |
| Provider Name | Joshua Tokita |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548581234 PECOS PAC ID: 1658511597 Enrollment ID: I20170725000242 |
| Provider Name | Rachael Youngblood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205166121 PECOS PAC ID: 7315082948 Enrollment ID: I20170802000173 |
| Provider Name | Thelben Annyse Mullett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063830438 PECOS PAC ID: 2567783871 Enrollment ID: I20170812000031 |
| Provider Name | Elizabeth V Sanseau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508284365 PECOS PAC ID: 4385963669 Enrollment ID: I20170816002407 |
| Provider Name | Bijiibaa' Md Garrison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033485743 PECOS PAC ID: 6204139728 Enrollment ID: I20170818000554 |
| Provider Name | Scott Owens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295179638 PECOS PAC ID: 1759653991 Enrollment ID: I20170822003830 |
| Provider Name | Megan M Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972923654 PECOS PAC ID: 2860617867 Enrollment ID: I20170824001106 |
| Provider Name | Stephen Edward Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043227564 PECOS PAC ID: 3072513068 Enrollment ID: I20170826000054 |
| Provider Name | Erin Stockwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467838599 PECOS PAC ID: 1759690472 Enrollment ID: I20170901003093 |
| Provider Name | Rebecca Barnes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710249602 PECOS PAC ID: 3375774797 Enrollment ID: I20170926001746 |
| Provider Name | Alan Reid Hay |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710048061 PECOS PAC ID: 9234324245 Enrollment ID: I20171011000387 |
| Provider Name | Amy Spatz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902159536 PECOS PAC ID: 0749432698 Enrollment ID: I20171024000864 |
| Provider Name | Lisa E Stout |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952502064 PECOS PAC ID: 6800987801 Enrollment ID: I20171028000018 |
| Provider Name | Jennifer Prince |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811296288 PECOS PAC ID: 9638399314 Enrollment ID: I20171114003373 |
| Provider Name | Barrie Ruth Levin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043373475 PECOS PAC ID: 9032384565 Enrollment ID: I20171129000507 |
| Provider Name | Joseph F Bachtold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437134582 PECOS PAC ID: 9537132816 Enrollment ID: I20171218002503 |
| Provider Name | Holly Lee Lybarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073769998 PECOS PAC ID: 3870651334 Enrollment ID: I20180116002111 |
| Provider Name | Brandon Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881018695 PECOS PAC ID: 5698061406 Enrollment ID: I20180117000623 |
| Provider Name | Barbara J Mickelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225292311 PECOS PAC ID: 7012084551 Enrollment ID: I20180117002051 |
| Provider Name | Linda Marie Hewett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952334989 PECOS PAC ID: 0143283895 Enrollment ID: I20180223001327 |
| Provider Name | Andrea M Huey-fahas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730469784 PECOS PAC ID: 6901078443 Enrollment ID: I20180418002807 |
| Provider Name | Alexis Dunlap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588051726 PECOS PAC ID: 8628381431 Enrollment ID: I20180501001737 |
| Provider Name | William T Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265716294 PECOS PAC ID: 2961677901 Enrollment ID: I20180502001616 |
| Provider Name | Mary Theresa Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467419671 PECOS PAC ID: 9537297593 Enrollment ID: I20180509002577 |
| Provider Name | Erin Mckee Knowles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437643350 PECOS PAC ID: 3173872058 Enrollment ID: I20180827001595 |
| Provider Name | Colleen Britt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497159669 PECOS PAC ID: 0840515011 Enrollment ID: I20180918003973 |
| Provider Name | Amy E B Zink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679981351 PECOS PAC ID: 0648499731 Enrollment ID: I20180920001097 |
| Provider Name | Ashley Fairbanks Glasheen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053806414 PECOS PAC ID: 2961753553 Enrollment ID: I20180920001663 |
| Provider Name | Luke Franz Mather |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912387440 PECOS PAC ID: 8628387560 Enrollment ID: I20180924002951 |
| Provider Name | Elizabeth Bates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659750735 PECOS PAC ID: 6709194632 Enrollment ID: I20181001001044 |
| Provider Name | Marsha Dunkley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265817845 PECOS PAC ID: 0244530699 Enrollment ID: I20181003002852 |
| Provider Name | Breanna Kinghorn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871735415 PECOS PAC ID: 0547403149 Enrollment ID: I20181010000142 |
| Provider Name | Erin Cooley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689061517 PECOS PAC ID: 9537473046 Enrollment ID: I20181114000503 |
| Provider Name | Erica Ann Delsman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750657177 PECOS PAC ID: 7618265133 Enrollment ID: I20181119000704 |
| Provider Name | Rose Miller Dockery |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316468911 PECOS PAC ID: 1254603442 Enrollment ID: I20181120001136 |
| Provider Name | Samuel S Wood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811098924 PECOS PAC ID: 7113902107 Enrollment ID: I20190606000785 |
| Provider Name | Phyllis Lynn Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922270958 PECOS PAC ID: 3678643228 Enrollment ID: I20190611001286 |
| Provider Name | Robert Brian Ellis |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689185936 PECOS PAC ID: 8921360892 Enrollment ID: I20190729000718 |
| Provider Name | Laura Ann Koskenmaki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891264727 PECOS PAC ID: 1759617665 Enrollment ID: I20190731000707 |
| Provider Name | Katherine Platts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053770313 PECOS PAC ID: 9032492103 Enrollment ID: I20190802000245 |
| Provider Name | Travis M Bellville |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699905331 PECOS PAC ID: 5890943229 Enrollment ID: I20190824000201 |
| Provider Name | Adam A Nishimura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699172163 PECOS PAC ID: 9638462757 Enrollment ID: I20190919002584 |
| Provider Name | Kaia E Pearson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528416559 PECOS PAC ID: 4284926981 Enrollment ID: I20191029000631 |
| Provider Name | Faith Murray-taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942693346 PECOS PAC ID: 4183934110 Enrollment ID: I20200313001290 |
| Provider Name | Timothy Aaron Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134211568 PECOS PAC ID: 9739197567 Enrollment ID: I20200317000393 |
| Provider Name | Thomas Michael Peterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639131014 PECOS PAC ID: 7911809843 Enrollment ID: I20200317000591 |
| Provider Name | Natasha Krebs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659889798 PECOS PAC ID: 0042573743 Enrollment ID: I20200402001923 |
| Provider Name | Marjorie Louise Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780854505 PECOS PAC ID: 5193895936 Enrollment ID: I20200505001040 |
| Provider Name | Jennifer L Essian |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699098756 PECOS PAC ID: 8820126873 Enrollment ID: I20200518000084 |
| Provider Name | Lisa Kathleen Robbins-spann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073966248 PECOS PAC ID: 6204117237 Enrollment ID: I20200518000542 |
| Provider Name | Saundra L Marion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902234529 PECOS PAC ID: 0749401347 Enrollment ID: I20200518001934 |
| Provider Name | Colette Whelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497933329 PECOS PAC ID: 7618308057 Enrollment ID: I20200519000731 |
| Provider Name | Angela Marie Waller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295171270 PECOS PAC ID: 1850533613 Enrollment ID: I20200526000701 |
| Provider Name | Farah Gee Sears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831730696 PECOS PAC ID: 2365863131 Enrollment ID: I20200603000260 |
| Provider Name | Matthew G Horgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134743370 PECOS PAC ID: 7113349697 Enrollment ID: I20200630001195 |
| Provider Name | Andrea Gay Goryl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083279202 PECOS PAC ID: 4981027489 Enrollment ID: I20200630002414 |
| Provider Name | Matthew J Pitera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225097702 PECOS PAC ID: 9436111077 Enrollment ID: I20200702000180 |
| Provider Name | Charles T Lent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972657278 PECOS PAC ID: 2466516240 Enrollment ID: I20200706000063 |
| Provider Name | Mallory Kristen Groff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255961959 PECOS PAC ID: 4688003551 Enrollment ID: I20200708000099 |
| Provider Name | Duane J Jeffers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265506901 PECOS PAC ID: 0648254961 Enrollment ID: I20200716002480 |
| Provider Name | Angela Victoria Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639263486 PECOS PAC ID: 2466498746 Enrollment ID: I20200723000159 |
| Provider Name | Annette M Ndagano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700978467 PECOS PAC ID: 9830372945 Enrollment ID: I20200803000596 |
| Provider Name | Courtney Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790347268 PECOS PAC ID: 2062741077 Enrollment ID: I20200831000996 |
| Provider Name | Justin Lawrence Willis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841723681 PECOS PAC ID: 9739457979 Enrollment ID: I20200903000828 |
| Provider Name | Kristen Aili Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629679782 PECOS PAC ID: 6608275284 Enrollment ID: I20210602001245 |
| Provider Name | Sarah N Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841863164 PECOS PAC ID: 5193120509 Enrollment ID: I20211207000251 |
| Provider Name | E Peek Ehlinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396193314 PECOS PAC ID: 7113211749 Enrollment ID: I20220131000786 |
| Provider Name | Audrey Conrad |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619593449 PECOS PAC ID: 4183017544 Enrollment ID: I20220207001481 |
| Provider Name | Kristina Emily Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982029674 PECOS PAC ID: 9133436256 Enrollment ID: I20220215000323 |
| Provider Name | Ryan Greene |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104231505 PECOS PAC ID: 2668691700 Enrollment ID: I20220321002468 |
| Provider Name | Stephan Max Becker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063678795 PECOS PAC ID: 2062660921 Enrollment ID: I20220516000871 |
| Provider Name | Jessica J Delorme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245612449 PECOS PAC ID: 4183938780 Enrollment ID: I20220728000671 |
| Provider Name | Dolores I Van Bourgondien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457788390 PECOS PAC ID: 9032332275 Enrollment ID: I20231003000399 |
| Provider Name | Nicole A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932122587 PECOS PAC ID: 8820902869 Enrollment ID: I20231130001556 |
| Provider Name | Lindsey Marie Johanning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649055195 PECOS PAC ID: 5395192314 Enrollment ID: I20240209000384 |
Yukon Kuskokwim Health Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559 Phone: 907-543-6100 | |
Yukon Kuskokwim Health Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5016 Noel Polty Drive, Bethel, AK 99559 Phone: 907-543-6452 | |
Yukon Kuskokwim Health Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 829 Chief Eddie Hoffman Hwy, Suite 340, Bethel, AK 99559 Phone: 907-543-6000 Fax: 907-543-6117 | |
Yukon-kuskokwim Health Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 528 Cheif Eddie Hoffmen, Yukon-kuskokwim Health Corporation, Bethel, AK 99559 Phone: 907-546-6106 Fax: 907-543-6159 | |
Yukon-kuskokwim Health Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5016 Noel Polty Blvd., Bethel, AK 99559 Phone: 907-543-6800 Fax: 907-543-7101 |