| Private Diagnostic Clinic, Pllc | |
|
40 Duke Medicine Cir, Durham, NC 27710-4000 | |
| (919) 684-8111 | |
| Not Available |
| Full Name | Private Diagnostic Clinic, Pllc |
|---|---|
| Type | Facility |
| Speciality | General Practice |
| Location | 40 Duke Medicine Cir, Durham, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457389033 | NPI | - | NPPES |
| Provider Name | Carly P Schontz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164506044 PECOS PAC ID: 1850203258 Enrollment ID: I20031104000358 |
| Provider Name | Dwayne D Callwood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023194479 PECOS PAC ID: 4789597709 Enrollment ID: I20031106000495 |
| Provider Name | Thomas S Devetski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679594758 PECOS PAC ID: 3476466780 Enrollment ID: I20031111000769 |
| Provider Name | Allan H Friedman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881777043 PECOS PAC ID: 5991618100 Enrollment ID: I20031112000335 |
| Provider Name | Thomas E Buchheit |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336250158 PECOS PAC ID: 1254235013 Enrollment ID: I20031122000121 |
| Provider Name | Burke E Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457336778 PECOS PAC ID: 5395649826 Enrollment ID: I20031125000632 |
| Provider Name | Beth Hays Lindsay |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316033616 PECOS PAC ID: 9234034570 Enrollment ID: I20031201000486 |
| Provider Name | Daniel J George |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124101381 PECOS PAC ID: 0143125336 Enrollment ID: I20031201000726 |
| Provider Name | Susanne D Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649249210 PECOS PAC ID: 1355248956 Enrollment ID: I20031212000558 |
| Provider Name | Vinod K Prasad |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013070895 PECOS PAC ID: 6002714771 Enrollment ID: I20031219000659 |
| Provider Name | Cynthia J Camille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891878047 PECOS PAC ID: 9234037813 Enrollment ID: I20031219000776 |
| Provider Name | Scott A Strine |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1346299351 PECOS PAC ID: 3678472255 Enrollment ID: I20040102000378 |
| Provider Name | Gwendolen T Buhr |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1891878039 PECOS PAC ID: 7719887918 Enrollment ID: I20040113000325 |
| Provider Name | Christopher R Watters |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518945583 PECOS PAC ID: 8820999501 Enrollment ID: I20040115000970 |
| Provider Name | Ranee Chatterjee Montgomery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467566133 PECOS PAC ID: 6002719630 Enrollment ID: I20040130000100 |
| Provider Name | Mihai V Podgoreanu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669433827 PECOS PAC ID: 1153215777 Enrollment ID: I20040212000654 |
| Provider Name | Denise M Lally-goss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770667826 PECOS PAC ID: 3173418332 Enrollment ID: I20040217000438 |
| Provider Name | Estena P Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225009996 PECOS PAC ID: 7810882909 Enrollment ID: I20040218000143 |
| Provider Name | Eleanor H Rhee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518041417 PECOS PAC ID: 2062307879 Enrollment ID: I20040219000949 |
| Provider Name | Karen C Nielsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902980816 PECOS PAC ID: 0941197644 Enrollment ID: I20040227000898 |
| Provider Name | Salim F Idriss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447313218 PECOS PAC ID: 1759278344 Enrollment ID: I20040228000437 |
| Provider Name | Suzanne L Kirby |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245305598 PECOS PAC ID: 6800783119 Enrollment ID: I20040302000551 |
| Provider Name | Bruce J Kowalski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467479808 PECOS PAC ID: 5092602292 Enrollment ID: I20040302001138 |
| Provider Name | Gloria G Liu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659462059 PECOS PAC ID: 7618865825 Enrollment ID: I20040309000861 |
| Provider Name | Scott L Sailer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336196203 PECOS PAC ID: 3779472139 Enrollment ID: I20040312001154 |
| Provider Name | Shashi K Nagaraj |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861476848 PECOS PAC ID: 8527957562 Enrollment ID: I20040315001135 |
| Provider Name | Daniel J Sexton |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093878878 PECOS PAC ID: 2961392824 Enrollment ID: I20040316001058 |
| Provider Name | Beth T Wrenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306920285 PECOS PAC ID: 1254221039 Enrollment ID: I20040316001239 |
| Provider Name | Caron W Jones |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629166046 PECOS PAC ID: 2062303142 Enrollment ID: I20040320000550 |
| Provider Name | Thomas Eldridge Stinchcombe |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1265510416 PECOS PAC ID: 4587555487 Enrollment ID: I20040322000742 |
| Provider Name | Richard D Duncan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073697728 PECOS PAC ID: 8527050111 Enrollment ID: I20040401001798 |
| Provider Name | Nancy A Maclaurin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831273986 PECOS PAC ID: 7416949946 Enrollment ID: I20040402000282 |
| Provider Name | Paul Stephen Andrews |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285718908 PECOS PAC ID: 1759373236 Enrollment ID: I20040402000613 |
| Provider Name | Margeva M Cole |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831273549 PECOS PAC ID: 1557353950 Enrollment ID: I20040402000817 |
| Provider Name | Louis C Almekinders |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184723959 PECOS PAC ID: 8921092065 Enrollment ID: I20040412001692 |
| Provider Name | John A Bartlett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871656645 PECOS PAC ID: 8426043845 Enrollment ID: I20040415001349 |
| Provider Name | Manesh R Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487696365 PECOS PAC ID: 6709871460 Enrollment ID: I20040420000995 |
| Provider Name | Kevin M Rathke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750313110 PECOS PAC ID: 2163418898 Enrollment ID: I20040420001579 |
| Provider Name | Judith W Gentile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497838650 PECOS PAC ID: 9537156211 Enrollment ID: I20040426001509 |
| Provider Name | Karen Ann Haith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730263880 PECOS PAC ID: 4183611874 Enrollment ID: I20040426001568 |
| Provider Name | Michael A Blazing |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1306878673 PECOS PAC ID: 9931196219 Enrollment ID: I20040428001023 |
| Provider Name | John L Beyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518036508 PECOS PAC ID: 0648269084 Enrollment ID: I20040510001572 |
| Provider Name | Charles O Harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376627422 PECOS PAC ID: 7012907017 Enrollment ID: I20040513000088 |
| Provider Name | Gordana Vlahovic |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1518041433 PECOS PAC ID: 9133119449 Enrollment ID: I20040517001257 |
| Provider Name | Jon N Meliones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710067715 PECOS PAC ID: 8820089659 Enrollment ID: I20040520001094 |
| Provider Name | Beverly G Gardner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760552947 PECOS PAC ID: 1951392455 Enrollment ID: I20040522000273 |
| Provider Name | Paul C Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902805518 PECOS PAC ID: 2668453564 Enrollment ID: I20040526001367 |
| Provider Name | Richard F Riedel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235227844 PECOS PAC ID: 3779564547 Enrollment ID: I20040527000246 |
| Provider Name | Carlos M De Castro |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912080169 PECOS PAC ID: 4183605629 Enrollment ID: I20040528000995 |
| Provider Name | Adrian Felipe Hernandez |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1902980063 PECOS PAC ID: 2668454943 Enrollment ID: I20040601001473 |
| Provider Name | Neeraj R Agrawal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336189174 PECOS PAC ID: 5294717021 Enrollment ID: I20040604000101 |
| Provider Name | Jennifer L Garst |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134202393 PECOS PAC ID: 9032191630 Enrollment ID: I20040607000730 |
| Provider Name | Michael G Camitta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306909171 PECOS PAC ID: 1759365240 Enrollment ID: I20040614000948 |
| Provider Name | John Johnston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649241894 PECOS PAC ID: 9436133865 Enrollment ID: I20040615000305 |
| Provider Name | Heather E Whitson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1245299627 PECOS PAC ID: 7214911494 Enrollment ID: I20040615001501 |
| Provider Name | Tedric D Boyse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225090772 PECOS PAC ID: 2668362724 Enrollment ID: I20040616000649 |
| Provider Name | Alison P Toth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982644720 PECOS PAC ID: 0941284913 Enrollment ID: I20040616001161 |
| Provider Name | Sara Beth Page |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881778785 PECOS PAC ID: 0446234462 Enrollment ID: I20040616001559 |
| Provider Name | Devdutta G Sangvai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174607097 PECOS PAC ID: 4587649355 Enrollment ID: I20040624000257 |
| Provider Name | Lawrence Liao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124102272 PECOS PAC ID: 3678559143 Enrollment ID: I20040625000365 |
| Provider Name | Jon J Wilson |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1548298334 PECOS PAC ID: 6507842911 Enrollment ID: I20040626000270 |
| Provider Name | Nancy J Weigle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992805634 PECOS PAC ID: 0840276283 Enrollment ID: I20040626000429 |
| Provider Name | Christopher D Lascola |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508952896 PECOS PAC ID: 7315923430 Enrollment ID: I20040628001468 |
| Provider Name | Thomas J Povsic |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1437233327 PECOS PAC ID: 7618954462 Enrollment ID: I20040630000738 |
| Provider Name | Louis F Diehl |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275616427 PECOS PAC ID: 3971580531 Enrollment ID: I20040701000569 |
| Provider Name | Karen P Alexander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265490494 PECOS PAC ID: 2860479292 Enrollment ID: I20040702001047 |
| Provider Name | Kevin P Jackson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1952413189 PECOS PAC ID: 0244217586 Enrollment ID: I20040702001189 |
| Provider Name | Sydney G Short |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053411165 PECOS PAC ID: 5395722573 Enrollment ID: I20040706000840 |
| Provider Name | Christopher G Willett |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770679144 PECOS PAC ID: 2264410075 Enrollment ID: I20040708001407 |
| Provider Name | Donald D Hegland |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1376627869 PECOS PAC ID: 3476531294 Enrollment ID: I20040708001477 |
| Provider Name | Ambrose A Chiang |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1447329172 PECOS PAC ID: 8325026180 Enrollment ID: I20040709000222 |
| Provider Name | Caroline L. H. Rao |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1033191143 PECOS PAC ID: 2769461839 Enrollment ID: I20040714000679 |
| Provider Name | John G Bentley |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780628198 PECOS PAC ID: 2466431291 Enrollment ID: I20040715001043 |
| Provider Name | Deanna W Adkins |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942359955 PECOS PAC ID: 9234118969 Enrollment ID: I20040716000295 |
| Provider Name | Blake R Boggess |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1558444794 PECOS PAC ID: 9638158371 Enrollment ID: I20040716000387 |
| Provider Name | Steven L Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235227547 PECOS PAC ID: 8527047125 Enrollment ID: I20040716000956 |
| Provider Name | Amy M Fowler |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063437580 PECOS PAC ID: 4284613746 Enrollment ID: I20040717000237 |
| Provider Name | Hope E Uronis |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1982729331 PECOS PAC ID: 2860471158 Enrollment ID: I20040719001603 |
| Provider Name | Daniel A Ostrovsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114080991 PECOS PAC ID: 1456331669 Enrollment ID: I20040720000992 |
| Provider Name | William J Parsons |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437158508 PECOS PAC ID: 0042290298 Enrollment ID: I20040720001289 |
| Provider Name | Debra L Best |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902980618 PECOS PAC ID: 4183604333 Enrollment ID: I20040720001318 |
| Provider Name | Calhoun D Cunningham |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699774000 PECOS PAC ID: 9133109994 Enrollment ID: I20040722000364 |
| Provider Name | Kimberly G Lykins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437244985 PECOS PAC ID: 7810977550 Enrollment ID: I20040722000942 |
| Provider Name | Michael R Komada |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093775009 PECOS PAC ID: 0941280622 Enrollment ID: I20040722001180 |
| Provider Name | Shu S Lin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1003990912 PECOS PAC ID: 2860472206 Enrollment ID: I20040724000428 |
| Provider Name | O Josh Bloom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588618573 PECOS PAC ID: 3971583212 Enrollment ID: I20040726000697 |
| Provider Name | Brett H Foreman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497700264 PECOS PAC ID: 3476523614 Enrollment ID: I20040727000683 |
| Provider Name | John Reilly |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689614133 PECOS PAC ID: 2860462660 Enrollment ID: I20040729000082 |
| Provider Name | Christopher Pugh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972535698 PECOS PAC ID: 7911977269 Enrollment ID: I20040729000164 |
| Provider Name | Michael Justin Feiler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528141785 PECOS PAC ID: 9335119155 Enrollment ID: I20040729000220 |
| Provider Name | Chad M Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427144500 PECOS PAC ID: 9638149008 Enrollment ID: I20040731000198 |
| Provider Name | Abigail H Melnick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225112113 PECOS PAC ID: 1951373471 Enrollment ID: I20040806000258 |
| Provider Name | Teresa L Tullo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568416758 PECOS PAC ID: 6901878271 Enrollment ID: I20040807000162 |
| Provider Name | Lori A Orlando |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528168572 PECOS PAC ID: 8527030378 Enrollment ID: I20040811000840 |
| Provider Name | Emily N Vinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467547182 PECOS PAC ID: 5799757563 Enrollment ID: I20040811000985 |
| Provider Name | Hercilia Mayumi Homi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942384854 PECOS PAC ID: 5597737205 Enrollment ID: I20040811001256 |
| Provider Name | Michael B Datto |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386727535 PECOS PAC ID: 2769454412 Enrollment ID: I20040812000116 |
| Provider Name | Donna H Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780772616 PECOS PAC ID: 0749253219 Enrollment ID: I20040813000963 |
| Provider Name | Marshall W Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194766378 PECOS PAC ID: 8325012917 Enrollment ID: I20040820000136 |
| Provider Name | Frank J Moya |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023192911 PECOS PAC ID: 3173597093 Enrollment ID: I20040825000481 |
| Provider Name | Anna Mae E Diehl |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871512004 PECOS PAC ID: 4981678703 Enrollment ID: I20040825001376 |
| Provider Name | Jonathan A Stiber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295819167 PECOS PAC ID: 2062487747 Enrollment ID: I20040826001013 |
| Provider Name | Anthony J Viera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962563866 PECOS PAC ID: 4486629037 Enrollment ID: I20040827000888 |
| Provider Name | Nicole A Larrier |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730275819 PECOS PAC ID: 4981679453 Enrollment ID: I20040827001093 |
| Provider Name | John P Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932295227 PECOS PAC ID: 5496720393 Enrollment ID: I20040901001140 |
| Provider Name | Fidel A Valea |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1386678597 PECOS PAC ID: 4486634623 Enrollment ID: I20040907001072 |
| Provider Name | Kathy K Yu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568414217 PECOS PAC ID: 2668449679 Enrollment ID: I20040910000335 |
| Provider Name | Archie A Tyson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629039862 PECOS PAC ID: 7618944562 Enrollment ID: I20040911000054 |
| Provider Name | John H Stewart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851374383 PECOS PAC ID: 7719955699 Enrollment ID: I20040918000167 |
| Provider Name | Shelly Burgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689737454 PECOS PAC ID: 4284602145 Enrollment ID: I20040920000547 |
| Provider Name | Robert D Zura |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548357064 PECOS PAC ID: 0547238339 Enrollment ID: I20040920000801 |
| Provider Name | Gretchen Genevieve Kimmick |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1679657738 PECOS PAC ID: 1658349949 Enrollment ID: I20040923001065 |
| Provider Name | Caroline W Carrico |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528141777 PECOS PAC ID: 6103895461 Enrollment ID: I20041002000042 |
| Provider Name | Michael P Bolognesi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649367384 PECOS PAC ID: 4385548056 Enrollment ID: I20041002000124 |
| Provider Name | James W Peterson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639253529 PECOS PAC ID: 3870552433 Enrollment ID: I20041008000223 |
| Provider Name | Judd W Moul |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114001005 PECOS PAC ID: 6406815950 Enrollment ID: I20041008000982 |
| Provider Name | Kathleen W Bartlett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740363985 PECOS PAC ID: 3678532132 Enrollment ID: I20041008000997 |
| Provider Name | Michael P Carboni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215090089 PECOS PAC ID: 3678476884 Enrollment ID: I20041012000448 |
| Provider Name | Mark Branch |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922182633 PECOS PAC ID: 8022078385 Enrollment ID: I20041012001139 |
| Provider Name | Anna C Vandis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336257526 PECOS PAC ID: 4284694324 Enrollment ID: I20041013001105 |
| Provider Name | Douglas W Schreyack |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861589418 PECOS PAC ID: 0840250684 Enrollment ID: I20041015000184 |
| Provider Name | Jill C Barbour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619082575 PECOS PAC ID: 8820058506 Enrollment ID: I20041018000070 |
| Provider Name | David A Tendler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811957731 PECOS PAC ID: 2567423692 Enrollment ID: I20041022000186 |
| Provider Name | Mark A Powers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346324233 PECOS PAC ID: 2365403094 Enrollment ID: I20041025001158 |
| Provider Name | Paul L Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326101106 PECOS PAC ID: 4789645433 Enrollment ID: I20041026000064 |
| Provider Name | Suhag H Parikh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669535449 PECOS PAC ID: 8224099973 Enrollment ID: I20041026000081 |
| Provider Name | Sarah Holste Hodges |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255371720 PECOS PAC ID: 9436110137 Enrollment ID: I20041026000373 |
| Provider Name | Kenneth A Fath |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639199334 PECOS PAC ID: 5799747309 Enrollment ID: I20041027000200 |
| Provider Name | Brenda W Poirier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619207032 PECOS PAC ID: 1254393598 Enrollment ID: I20041029000558 |
| Provider Name | Sheila E Ryan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316924384 PECOS PAC ID: 2860454071 Enrollment ID: I20041030000222 |
| Provider Name | Deborah J Semmel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285797068 PECOS PAC ID: 3971565912 Enrollment ID: I20041101001141 |
| Provider Name | Joseph G Rogers |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1962586867 PECOS PAC ID: 9739142043 Enrollment ID: I20041108000996 |
| Provider Name | Robin L Hardie-hood |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972542900 PECOS PAC ID: 3274596481 Enrollment ID: I20041109000563 |
| Provider Name | Ashwin A Patkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376627265 PECOS PAC ID: 1951364066 Enrollment ID: I20041110000065 |
| Provider Name | Warwick A Ames |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063596971 PECOS PAC ID: 9739142530 Enrollment ID: I20041111000443 |
| Provider Name | Thomas J Schermerhorn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457371403 PECOS PAC ID: 7012971484 Enrollment ID: I20041116000221 |
| Provider Name | Vern C Juel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053495119 PECOS PAC ID: 5698739860 Enrollment ID: I20041117000424 |
| Provider Name | Piers C Barker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144383910 PECOS PAC ID: 2668437401 Enrollment ID: I20041122000420 |
| Provider Name | Arati V Rao |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1174614143 PECOS PAC ID: 1951366558 Enrollment ID: I20041123000515 |
| Provider Name | Aimee K Zaas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619030491 PECOS PAC ID: 9133184476 Enrollment ID: I20041129000127 |
| Provider Name | Ara D Metjian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679635502 PECOS PAC ID: 8921064528 Enrollment ID: I20041206000635 |
| Provider Name | Timothy A Driscoll |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841353612 PECOS PAC ID: 3971569112 Enrollment ID: I20041208001054 |
| Provider Name | Eugene A Lewis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598856098 PECOS PAC ID: 7012973266 Enrollment ID: I20041208001111 |
| Provider Name | Mark Z Rosenthal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598849499 PECOS PAC ID: 1951368877 Enrollment ID: I20041215000609 |
| Provider Name | Leslie L Bronner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184707325 PECOS PAC ID: 5496713349 Enrollment ID: I20041227000119 |
| Provider Name | Richard Alioto |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780771220 PECOS PAC ID: 8022076876 Enrollment ID: I20041227000236 |
| Provider Name | Brian Halstater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821101965 PECOS PAC ID: 5698733384 Enrollment ID: I20041228000708 |
| Provider Name | Dawn L Piercy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265516157 PECOS PAC ID: 4082672332 Enrollment ID: I20050103000755 |
| Provider Name | Scot Eric Reeg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760423594 PECOS PAC ID: 6002700200 Enrollment ID: I20050106000190 |
| Provider Name | John W Foreman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922161793 PECOS PAC ID: 3577511286 Enrollment ID: I20050110000725 |
| Provider Name | Consuelo D Rabinovich |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1922161702 PECOS PAC ID: 9133178510 Enrollment ID: I20050113000194 |
| Provider Name | Lisa A Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578626354 PECOS PAC ID: 8426007709 Enrollment ID: I20050113000266 |
| Provider Name | Thomas J Weber |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659364750 PECOS PAC ID: 5294784765 Enrollment ID: I20050121000714 |
| Provider Name | Anita Maria Hudson-fraley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730124173 PECOS PAC ID: 2466402946 Enrollment ID: I20050124000632 |
| Provider Name | Lanita K Breeze |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053447920 PECOS PAC ID: 7618927898 Enrollment ID: I20050125001054 |
| Provider Name | Pamela S Douglas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801979059 PECOS PAC ID: 3476522194 Enrollment ID: I20050202000683 |
| Provider Name | Joanne Kurtzberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437212206 PECOS PAC ID: 5092766311 Enrollment ID: I20050203000735 |
| Provider Name | Yeshesvini Raman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841259249 PECOS PAC ID: 0749231694 Enrollment ID: I20050208000584 |
| Provider Name | Melanie E Trost |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275669707 PECOS PAC ID: 9133170004 Enrollment ID: I20050208000811 |
| Provider Name | Nirmish R Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033113899 PECOS PAC ID: 3779535372 Enrollment ID: I20050211000227 |
| Provider Name | William J Richardson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831286475 PECOS PAC ID: 4587616131 Enrollment ID: I20050211000510 |
| Provider Name | Terry Lee Noah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295815751 PECOS PAC ID: 0941252381 Enrollment ID: I20050215000062 |
| Provider Name | Liana Puscas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568545820 PECOS PAC ID: 7416909585 Enrollment ID: I20050216000954 |
| Provider Name | Dennis A Turner |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1659331817 PECOS PAC ID: 0547212334 Enrollment ID: I20050221000549 |
| Provider Name | Sarah K Gauger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225085988 PECOS PAC ID: 7810940640 Enrollment ID: I20050222000181 |
| Provider Name | Mark F Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689694606 PECOS PAC ID: 1052364528 Enrollment ID: I20050224000238 |
| Provider Name | Robert Eric Isaacs |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518041672 PECOS PAC ID: 5991758443 Enrollment ID: I20050224000927 |
| Provider Name | Linda M Sutton |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1366409575 PECOS PAC ID: 0446203533 Enrollment ID: I20050301000667 |
| Provider Name | Jeffrey D Sparks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811958168 PECOS PAC ID: 8224082185 Enrollment ID: I20050303000809 |
| Provider Name | Bryan Batch |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780759365 PECOS PAC ID: 1951393594 Enrollment ID: I20050309000378 |
| Provider Name | Robert G Everhart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215026638 PECOS PAC ID: 4486608601 Enrollment ID: I20050309001001 |
| Provider Name | Scott J Denardo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255371605 PECOS PAC ID: 8325086994 Enrollment ID: I20050422001198 |
| Provider Name | Lisa M Barkley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639341274 PECOS PAC ID: 1557300456 Enrollment ID: I20050429000594 |
| Provider Name | Paolo Mannelli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730263641 PECOS PAC ID: 4981644739 Enrollment ID: I20050511000242 |
| Provider Name | Amy G Macdonald |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104900257 PECOS PAC ID: 3870533623 Enrollment ID: I20050511000258 |
| Provider Name | Kelly Anne Swain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083740260 PECOS PAC ID: 7719928407 Enrollment ID: I20050512000392 |
| Provider Name | Anne M Fras |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245313402 PECOS PAC ID: 9931149770 Enrollment ID: I20050516000691 |
| Provider Name | Sora Christina Yoon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437174109 PECOS PAC ID: 9830130830 Enrollment ID: I20050519000967 |
| Provider Name | Benson M Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174607238 PECOS PAC ID: 7012959661 Enrollment ID: I20050524001322 |
| Provider Name | William R Berry |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1043250590 PECOS PAC ID: 3779525654 Enrollment ID: I20050601000906 |
| Provider Name | Eric C Westman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598849465 PECOS PAC ID: 7214970599 Enrollment ID: I20050607001244 |
| Provider Name | Matthew K Tsuei |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942275276 PECOS PAC ID: 8022051176 Enrollment ID: I20050609000086 |
| Provider Name | Harmony P Garges |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821151697 PECOS PAC ID: 4981648730 Enrollment ID: I20050614000142 |
| Provider Name | Steven C Gross |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467460097 PECOS PAC ID: 6507805629 Enrollment ID: I20050616000460 |
| Provider Name | Scott Leigh Shofer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538156070 PECOS PAC ID: 4981591005 Enrollment ID: I20050617000920 |
| Provider Name | Teodoro K Toledo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417973983 PECOS PAC ID: 0547205452 Enrollment ID: I20050622000136 |
| Provider Name | Debra L Kohlman-trigoboff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588717037 PECOS PAC ID: 5395780027 Enrollment ID: I20050623000256 |
| Provider Name | Rodney A Radtke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730271479 PECOS PAC ID: 2769427194 Enrollment ID: I20050624001094 |
| Provider Name | John J Villani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164506036 PECOS PAC ID: 5294771051 Enrollment ID: I20050701000095 |
| Provider Name | Elana M Scheiner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871542159 PECOS PAC ID: 0648216937 Enrollment ID: I20050708000350 |
| Provider Name | Brian P Quaranta |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083600357 PECOS PAC ID: 3173506912 Enrollment ID: I20050712000193 |
| Provider Name | Carol A Filomena |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811064355 PECOS PAC ID: 5193751071 Enrollment ID: I20050712000762 |
| Provider Name | David S Ruch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356438998 PECOS PAC ID: 6800822669 Enrollment ID: I20050713000073 |
| Provider Name | Wei Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710921424 PECOS PAC ID: 9739115452 Enrollment ID: I20050714000250 |
| Provider Name | Angel Nieves |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205999083 PECOS PAC ID: 3577590439 Enrollment ID: I20050721000882 |
| Provider Name | Garry H Schwartz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588636294 PECOS PAC ID: 5294762803 Enrollment ID: I20050725001050 |
| Provider Name | David W Zaas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588748461 PECOS PAC ID: 3779511027 Enrollment ID: I20050728000939 |
| Provider Name | Ami L Goldstein |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093811556 PECOS PAC ID: 9032147913 Enrollment ID: I20050801001285 |
| Provider Name | Lillian Frances Lien |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033293188 PECOS PAC ID: 8820026701 Enrollment ID: I20050801001319 |
| Provider Name | Joe T Minchew |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003915885 PECOS PAC ID: 9335178151 Enrollment ID: I20050811000368 |
| Provider Name | Scott W Cousins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023065612 PECOS PAC ID: 3476584269 Enrollment ID: I20050822000758 |
| Provider Name | Kelly Walton Muir |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952409252 PECOS PAC ID: 3577594324 Enrollment ID: I20050822001230 |
| Provider Name | Ruediger W Lehrich |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386728293 PECOS PAC ID: 7113958968 Enrollment ID: I20050822001236 |
| Provider Name | Teresa Kathleen Tarrant |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1649331653 PECOS PAC ID: 8628009396 Enrollment ID: I20050823000814 |
| Provider Name | Mikelle Lynette Key Solle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245257021 PECOS PAC ID: 8022049261 Enrollment ID: I20050826000555 |
| Provider Name | Alison S Clay |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790868941 PECOS PAC ID: 6002847167 Enrollment ID: I20050829000313 |
| Provider Name | Mahfuzul Haque |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063404911 PECOS PAC ID: 4587695671 Enrollment ID: I20050829000574 |
| Provider Name | William S Jones |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366456063 PECOS PAC ID: 7113959727 Enrollment ID: I20050902000738 |
| Provider Name | Christopher E Cox |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235212481 PECOS PAC ID: 0840222451 Enrollment ID: I20050902000742 |
| Provider Name | Vance G Fowler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831252600 PECOS PAC ID: 6709818222 Enrollment ID: I20050906000930 |
| Provider Name | Tally E Lassiter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124129119 PECOS PAC ID: 8921992124 Enrollment ID: I20050909000696 |
| Provider Name | Scott G Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780662742 PECOS PAC ID: 2466438478 Enrollment ID: I20050914000424 |
| Provider Name | Stuart J Mckinnon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356440069 PECOS PAC ID: 6204869860 Enrollment ID: I20050914000523 |
| Provider Name | Prateek Mendiratta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104960525 PECOS PAC ID: 7517991557 Enrollment ID: I20050920000746 |
| Provider Name | Nathan Maclyn Thielman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710040597 PECOS PAC ID: 7517991276 Enrollment ID: I20050921001134 |
| Provider Name | George C Hughes |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255363990 PECOS PAC ID: 7214962224 Enrollment ID: I20050928001111 |
| Provider Name | Henry N Pleasant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275561433 PECOS PAC ID: 8224063029 Enrollment ID: I20050929001255 |
| Provider Name | Adeyemi J Olufolabi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831287200 PECOS PAC ID: 1153356969 Enrollment ID: I20050929001335 |
| Provider Name | Timothy B Hart |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952355257 PECOS PAC ID: 9638194830 Enrollment ID: I20051006000785 |
| Provider Name | Ada M Conway |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598700692 PECOS PAC ID: 9830114982 Enrollment ID: I20051007000858 |
| Provider Name | Megan Elizabeth Clowse |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1063595213 PECOS PAC ID: 8123043676 Enrollment ID: I20051013000383 |
| Provider Name | Nelson J Chao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215951587 PECOS PAC ID: 5698791028 Enrollment ID: I20051014000807 |
| Provider Name | Svati H Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134203094 PECOS PAC ID: 5294751236 Enrollment ID: I20051019000931 |
| Provider Name | Terry Stephen Lowry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1932283082 PECOS PAC ID: 7810914363 Enrollment ID: I20051025000248 |
| Provider Name | Stephen G Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316000193 PECOS PAC ID: 4284651753 Enrollment ID: I20051025000436 |
| Provider Name | Susanna Naggie |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831248855 PECOS PAC ID: 8123045473 Enrollment ID: I20051026001071 |
| Provider Name | Radha G Kachhy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962586024 PECOS PAC ID: 7416975032 Enrollment ID: I20051102000828 |
| Provider Name | Uptal D Patel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841372067 PECOS PAC ID: 9537187166 Enrollment ID: I20051102000885 |
| Provider Name | Geeta Chowdhary |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306828025 PECOS PAC ID: 3375513450 Enrollment ID: I20051103000540 |
| Provider Name | James S Mills |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568512622 PECOS PAC ID: 7214955632 Enrollment ID: I20051103001156 |
| Provider Name | David C Gordon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669555827 PECOS PAC ID: 1254305758 Enrollment ID: I20051104000205 |
| Provider Name | Larry Moss |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205910197 PECOS PAC ID: 1052350295 Enrollment ID: I20051107001136 |
| Provider Name | Nicole Calakos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073696217 PECOS PAC ID: 8921026014 Enrollment ID: I20051107001159 |
| Provider Name | Kathryn J Trotter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386658391 PECOS PAC ID: 4183642275 Enrollment ID: I20051107001179 |
| Provider Name | Cynthia J Simonson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689758542 PECOS PAC ID: 2163440173 Enrollment ID: I20051108001072 |
| Provider Name | Nina J Verdino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619937760 PECOS PAC ID: 6800815432 Enrollment ID: I20051114000414 |
| Provider Name | David M Murdoch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952474371 PECOS PAC ID: 2860411055 Enrollment ID: I20051116001033 |
| Provider Name | Dana D Portenier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619051505 PECOS PAC ID: 7618936402 Enrollment ID: I20051122000178 |
| Provider Name | Sheela J Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871695486 PECOS PAC ID: 9335169911 Enrollment ID: I20051128000606 |
| Provider Name | Miriam H Feliu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871677781 PECOS PAC ID: 2769402213 Enrollment ID: I20051130000040 |
| Provider Name | Cynthia E K Shortell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1114012341 PECOS PAC ID: 7012950942 Enrollment ID: I20051202000493 |
| Provider Name | Shannon J Mccall |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417031303 PECOS PAC ID: 1759301666 Enrollment ID: I20051206000751 |
| Provider Name | Annick Desjardins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326122235 PECOS PAC ID: 6507886470 Enrollment ID: I20051207000131 |
| Provider Name | Carmelo Graffagnino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043394950 PECOS PAC ID: 5092736926 Enrollment ID: I20051207000722 |
| Provider Name | Stephen E Robinson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144304049 PECOS PAC ID: 3072534478 Enrollment ID: I20051213000736 |
| Provider Name | Stacey N Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497839369 PECOS PAC ID: 2769403054 Enrollment ID: I20051214000649 |
| Provider Name | Michelle M Canfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417947334 PECOS PAC ID: 4385665678 Enrollment ID: I20051214000659 |
| Provider Name | Burton O Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184685687 PECOS PAC ID: 5294756599 Enrollment ID: I20051214000740 |
| Provider Name | John S Jones |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295795201 PECOS PAC ID: 0143200618 Enrollment ID: I20051214000763 |
| Provider Name | Bimal Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255327300 PECOS PAC ID: 9234175241 Enrollment ID: I20051221000469 |
| Provider Name | Joshua S Broder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275616419 PECOS PAC ID: 7911929450 Enrollment ID: I20051227000247 |
| Provider Name | Douglas A Blackman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447349691 PECOS PAC ID: 5991728743 Enrollment ID: I20060109000272 |
| Provider Name | Aatif M Husain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497837595 PECOS PAC ID: 4789607474 Enrollment ID: I20060109000698 |
| Provider Name | Elise A Olsen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598708042 PECOS PAC ID: 2365465069 Enrollment ID: I20060114000028 |
| Provider Name | Maitreya B Thakkar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225022056 PECOS PAC ID: 0345264578 Enrollment ID: I20060114000078 |
| Provider Name | Joshua L Hardison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790738318 PECOS PAC ID: 8820012933 Enrollment ID: I20060117000240 |
| Provider Name | Kulbir Sidhu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1912946070 PECOS PAC ID: 2961468558 Enrollment ID: I20060123000986 |
| Provider Name | Jorge V Obando |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811071723 PECOS PAC ID: 3971550799 Enrollment ID: I20060125000040 |
| Provider Name | Jenny C Favret |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104078211 PECOS PAC ID: 5496779761 Enrollment ID: I20060125000731 |
| Provider Name | Anna Lisa Chamis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750464905 PECOS PAC ID: 2860406980 Enrollment ID: I20060127000572 |
| Provider Name | Donald M Rabil |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144214917 PECOS PAC ID: 9032123948 Enrollment ID: I20060131000263 |
| Provider Name | Sarah E Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154470177 PECOS PAC ID: 4385601988 Enrollment ID: I20060202000160 |
| Provider Name | Matthew D Paulakonis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992725931 PECOS PAC ID: 4183639438 Enrollment ID: I20060208000434 |
| Provider Name | Gary M Cox |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396808168 PECOS PAC ID: 6204841430 Enrollment ID: I20060209000313 |
| Provider Name | Michael A Morse |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1588748479 PECOS PAC ID: 4385659366 Enrollment ID: I20060213000266 |
| Provider Name | David W Butterly |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518011832 PECOS PAC ID: 8527073477 Enrollment ID: I20060214000076 |
| Provider Name | Carla W Brady |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811070055 PECOS PAC ID: 3173539566 Enrollment ID: I20060222000264 |
| Provider Name | Janice A Martinez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811968597 PECOS PAC ID: 1850307588 Enrollment ID: I20060303000499 |
| Provider Name | Stuart Alan Grant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306920210 PECOS PAC ID: 2163439548 Enrollment ID: I20060309000211 |
| Provider Name | Julia C Gamble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538108907 PECOS PAC ID: 4688680259 Enrollment ID: I20060310000377 |
| Provider Name | Leigh Anselmi Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437233590 PECOS PAC ID: 9537176326 Enrollment ID: I20060320000709 |
| Provider Name | Gavin Martin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063575843 PECOS PAC ID: 4981612611 Enrollment ID: I20060322000475 |
| Provider Name | Herbert I Hurwitz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1538222302 PECOS PAC ID: 0547278970 Enrollment ID: I20060328000034 |
| Provider Name | Jane E Onken |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376613109 PECOS PAC ID: 6709894017 Enrollment ID: I20060329000020 |
| Provider Name | Kara L Threatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528194701 PECOS PAC ID: 8921016833 Enrollment ID: I20060403000710 |
| Provider Name | Henry S Friedman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568525335 PECOS PAC ID: 4284642190 Enrollment ID: I20060403000715 |
| Provider Name | Deborah H Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578748182 PECOS PAC ID: 4789692559 Enrollment ID: I20060405000351 |
| Provider Name | Jeffrey Crawford |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023191277 PECOS PAC ID: 9234148776 Enrollment ID: I20060412000080 |
| Provider Name | Luna C Ragsdale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598866865 PECOS PAC ID: 6608885686 Enrollment ID: I20060419000720 |
| Provider Name | Ramon M Esclamado |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578626347 PECOS PAC ID: 5991714982 Enrollment ID: I20060419000787 |
| Provider Name | James G Blount |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649224635 PECOS PAC ID: 6103836044 Enrollment ID: I20060421000473 |
| Provider Name | Sandeep Sharad Gavankar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740234749 PECOS PAC ID: 8325058266 Enrollment ID: I20060421000531 |
| Provider Name | Anne C Ford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013070887 PECOS PAC ID: 9638189400 Enrollment ID: I20060425000535 |
| Provider Name | Richard A Clendaniel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568546166 PECOS PAC ID: 5193735637 Enrollment ID: I20060428000249 |
| Provider Name | Harold B Kernodle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912927633 PECOS PAC ID: 5193735538 Enrollment ID: I20060428000334 |
| Provider Name | Bradley F Mann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831119858 PECOS PAC ID: 2860402179 Enrollment ID: I20060502000262 |
| Provider Name | Gregory F Hulka |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457315954 PECOS PAC ID: 4789695842 Enrollment ID: I20060606000138 |
| Provider Name | Njira L Lugogo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649219734 PECOS PAC ID: 2062423148 Enrollment ID: I20060606000229 |
| Provider Name | Shelly L Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427098060 PECOS PAC ID: 0345252276 Enrollment ID: I20060615000065 |
| Provider Name | Maria A Selim |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114962313 PECOS PAC ID: 4789696493 Enrollment ID: I20060621000232 |
| Provider Name | Benjamin Charles Chasnis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1760436422 PECOS PAC ID: 2365455250 Enrollment ID: I20060718000360 |
| Provider Name | Jon S Placide |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801831342 PECOS PAC ID: 6204849110 Enrollment ID: I20060719000062 |
| Provider Name | Thomas A Cornett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811920648 PECOS PAC ID: 1951314467 Enrollment ID: I20060731000380 |
| Provider Name | Michael A Moody |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437180783 PECOS PAC ID: 3779586086 Enrollment ID: I20060804000342 |
| Provider Name | Neal Edward Ready |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1932156197 PECOS PAC ID: 4587648118 Enrollment ID: I20060804000357 |
| Provider Name | Seth Morris Cohen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366474082 PECOS PAC ID: 8628019767 Enrollment ID: I20060809000459 |
| Provider Name | Christopher R Longo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1780630749 PECOS PAC ID: 7113920224 Enrollment ID: I20060810000159 |
| Provider Name | James W Hampton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508845801 PECOS PAC ID: 4284643487 Enrollment ID: I20060815000159 |
| Provider Name | William Brian Gallentine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578595211 PECOS PAC ID: 6507869377 Enrollment ID: I20060816000455 |
| Provider Name | Dean C Taylor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104841717 PECOS PAC ID: 9830114636 Enrollment ID: I20060822000616 |
| Provider Name | Edward F Hendershot |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215971742 PECOS PAC ID: 9234147166 Enrollment ID: I20060828000233 |
| Provider Name | Lisa S Parnell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770522708 PECOS PAC ID: 1951305978 Enrollment ID: I20060906000325 |
| Provider Name | Chad Aaron Grotegut |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760470959 PECOS PAC ID: 4789657180 Enrollment ID: I20060915000164 |
| Provider Name | Mays A El-dairi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417987215 PECOS PAC ID: 9133124647 Enrollment ID: I20060915000244 |
| Provider Name | Anthony N Kuo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295752145 PECOS PAC ID: 8022013531 Enrollment ID: I20060915000268 |
| Provider Name | Kitza P Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699762724 PECOS PAC ID: 3173528353 Enrollment ID: I20060921000278 |
| Provider Name | Angeles A Secord |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1073531083 PECOS PAC ID: 5698770808 Enrollment ID: I20060921000538 |
| Provider Name | May K Slowik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023047230 PECOS PAC ID: 9537164603 Enrollment ID: I20060922000475 |
| Provider Name | Laura J Havrilesky |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1316971526 PECOS PAC ID: 7113922204 Enrollment ID: I20060923000047 |
| Provider Name | Robert W Benjamin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881612976 PECOS PAC ID: 7416952528 Enrollment ID: I20060925000179 |
| Provider Name | Stefanie G Schuman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275547465 PECOS PAC ID: 8426053547 Enrollment ID: I20060925000258 |
| Provider Name | Michael L James |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598779795 PECOS PAC ID: 7416952544 Enrollment ID: I20060925000272 |
| Provider Name | Jill B Koury |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154335263 PECOS PAC ID: 6305879321 Enrollment ID: I20060927000249 |
| Provider Name | Sarah M Bean |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255345187 PECOS PAC ID: 0244235125 Enrollment ID: I20060927000529 |
| Provider Name | Kelli R Brooks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861406936 PECOS PAC ID: 6305841297 Enrollment ID: I20060927000563 |
| Provider Name | Jessica M Sun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366471575 PECOS PAC ID: 9133124977 Enrollment ID: I20060928000551 |
| Provider Name | Vivian Hou Chu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083628176 PECOS PAC ID: 9436155058 Enrollment ID: I20061004000504 |
| Provider Name | David B Macleod |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689684169 PECOS PAC ID: 1254337538 Enrollment ID: I20061010000196 |
| Provider Name | Stephen J Tremont |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255370839 PECOS PAC ID: 5092711317 Enrollment ID: I20061010000754 |
| Provider Name | Melissa G Teitelman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073547071 PECOS PAC ID: 2961408133 Enrollment ID: I20061011000244 |
| Provider Name | Michael L Reynolds |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073579066 PECOS PAC ID: 9234135468 Enrollment ID: I20061011000673 |
| Provider Name | Han W Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730292855 PECOS PAC ID: 2062418148 Enrollment ID: I20061012000426 |
| Provider Name | Charles M Maxfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104930262 PECOS PAC ID: 3173529203 Enrollment ID: I20061013000173 |
| Provider Name | Daniel J Simon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205891512 PECOS PAC ID: 3678583465 Enrollment ID: I20061017000531 |
| Provider Name | Karen S Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952405193 PECOS PAC ID: 9335146745 Enrollment ID: I20061027000226 |
| Provider Name | Yuri A Fesko |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003824889 PECOS PAC ID: 9335146620 Enrollment ID: I20061030000364 |
| Provider Name | William R Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982688370 PECOS PAC ID: 6204833445 Enrollment ID: I20061031000263 |
| Provider Name | Henry Hsien-chun Tseng |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043224058 PECOS PAC ID: 7315944527 Enrollment ID: I20061101000216 |
| Provider Name | Kathleen A Mcgann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750337903 PECOS PAC ID: 0446221089 Enrollment ID: I20061101000333 |
| Provider Name | Charles William Hargett |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447367727 PECOS PAC ID: 3577560622 Enrollment ID: I20061102000162 |
| Provider Name | Christopher R Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467567735 PECOS PAC ID: 7517901218 Enrollment ID: I20061102000191 |
| Provider Name | Yuh Chin T Huang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184737090 PECOS PAC ID: 1153328224 Enrollment ID: I20061102000304 |
| Provider Name | Tracy Lynn Setji |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821105107 PECOS PAC ID: 7315944410 Enrollment ID: I20061102000529 |
| Provider Name | Terry Ann Fortin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790793578 PECOS PAC ID: 9436156254 Enrollment ID: I20061108000389 |
| Provider Name | Viviana Sandra Martinez Bianchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194733980 PECOS PAC ID: 7810910213 Enrollment ID: I20061113000421 |
| Provider Name | Ali R Zomorodi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053428326 PECOS PAC ID: 5496753980 Enrollment ID: I20061116000396 |
| Provider Name | Kyle J Rehder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760405120 PECOS PAC ID: 8426056797 Enrollment ID: I20061121000078 |
| Provider Name | Harry Cozene Stafford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285648352 PECOS PAC ID: 1355349630 Enrollment ID: I20061121000160 |
| Provider Name | Alisha Beth Benner |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1295759538 PECOS PAC ID: 8729018932 Enrollment ID: I20061121000286 |
| Provider Name | Katherine R Birchard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134133655 PECOS PAC ID: 0446258560 Enrollment ID: I20061127000239 |
| Provider Name | Andrew J Armstrong |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1528160199 PECOS PAC ID: 2264431980 Enrollment ID: I20061206000601 |
| Provider Name | Matthew J Ellis |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316048424 PECOS PAC ID: 0244239804 Enrollment ID: I20061207000401 |
| Provider Name | Sarah C Armstrong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720195092 PECOS PAC ID: 4183641459 Enrollment ID: I20061211000412 |
| Provider Name | Lacey E Washington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275585796 PECOS PAC ID: 5698774115 Enrollment ID: I20061211000615 |
| Provider Name | Julia T Woodward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821040635 PECOS PAC ID: 5597764928 Enrollment ID: I20061213000331 |
| Provider Name | Connie E Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184638983 PECOS PAC ID: 9931108362 Enrollment ID: I20061213000353 |
| Provider Name | Laurie Dee Snyder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053493924 PECOS PAC ID: 0244230993 Enrollment ID: I20070103000523 |
| Provider Name | Randall M Best |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750369831 PECOS PAC ID: 1456346881 Enrollment ID: I20070109000522 |
| Provider Name | Sarah Kerry Rivelli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649352428 PECOS PAC ID: 3678574589 Enrollment ID: I20070119000340 |
| Provider Name | Tracy L Partin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588600381 PECOS PAC ID: 8224039029 Enrollment ID: I20070122000523 |
| Provider Name | Candace L Boyette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144388216 PECOS PAC ID: 8022019835 Enrollment ID: I20070122000551 |
| Provider Name | Martin U Skulskie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184739484 PECOS PAC ID: 8527069285 Enrollment ID: I20070123000361 |
| Provider Name | Kristina L Breedlove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366533838 PECOS PAC ID: 9638170277 Enrollment ID: I20070124000461 |
| Provider Name | Cleoanne B Estrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417034505 PECOS PAC ID: 3779584321 Enrollment ID: I20070124000518 |
| Provider Name | Shelley A Holmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548279292 PECOS PAC ID: 9739180381 Enrollment ID: I20070124000558 |
| Provider Name | Parag Gandhi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689611691 PECOS PAC ID: 1052396587 Enrollment ID: I20070124000561 |
| Provider Name | Melissa D Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821007592 PECOS PAC ID: 2961403423 Enrollment ID: I20070125000391 |
| Provider Name | Alexander Tan Limkakeng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700801669 PECOS PAC ID: 3678502887 Enrollment ID: I20070126000335 |
| Provider Name | David M Marks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760499933 PECOS PAC ID: 1951302249 Enrollment ID: I20070130000231 |
| Provider Name | Janet K Horton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003845603 PECOS PAC ID: 9739180027 Enrollment ID: I20070130000259 |
| Provider Name | Susanne S Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427150242 PECOS PAC ID: 8123029428 Enrollment ID: I20070130000311 |
| Provider Name | Lori E Jee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265514061 PECOS PAC ID: 3779585914 Enrollment ID: I20070201000156 |
| Provider Name | Terrence K Allen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760553424 PECOS PAC ID: 9032111059 Enrollment ID: I20070205000265 |
| Provider Name | Tereza Martinu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295847416 PECOS PAC ID: 2264434950 Enrollment ID: I20070208000662 |
| Provider Name | Hongtao M Guo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225134679 PECOS PAC ID: 6204938533 Enrollment ID: I20070216000375 |
| Provider Name | Mark Shapiro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164405270 PECOS PAC ID: 5395701395 Enrollment ID: I20070220000785 |
| Provider Name | Daniel S Wechsler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164432795 PECOS PAC ID: 7113830167 Enrollment ID: I20070220000820 |
| Provider Name | Amelia B Beatty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710040555 PECOS PAC ID: 9739281569 Enrollment ID: I20070226000666 |
| Provider Name | James E Tcheng |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023104502 PECOS PAC ID: 1355443961 Enrollment ID: I20070228000744 |
| Provider Name | Susan G Kreissman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215096177 PECOS PAC ID: 0941304455 Enrollment ID: I20070322000296 |
| Provider Name | John W Ragsdale Iii |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972599603 PECOS PAC ID: 7315945359 Enrollment ID: I20070329000596 |
| Provider Name | Richard Boortz-marx |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033113881 PECOS PAC ID: 9234030644 Enrollment ID: I20070406000133 |
| Provider Name | Melanie H Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700937760 PECOS PAC ID: 7618071317 Enrollment ID: I20070406000376 |
| Provider Name | Deverick J Anderson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396802534 PECOS PAC ID: 0143325597 Enrollment ID: I20070413000425 |
| Provider Name | Jennifer Tenhover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659422608 PECOS PAC ID: 0042206401 Enrollment ID: I20070414000025 |
| Provider Name | Rowena Blas Mariano |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1144254442 PECOS PAC ID: 9931097334 Enrollment ID: I20070414000128 |
| Provider Name | Herbon E Fleming |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447355185 PECOS PAC ID: 8628005113 Enrollment ID: I20070418000611 |
| Provider Name | Diane B Whitaker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417981093 PECOS PAC ID: 2668578394 Enrollment ID: I20070426000166 |
| Provider Name | Muhammad Tariq Bhatti |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285674242 PECOS PAC ID: 4981673464 Enrollment ID: I20070523000366 |
| Provider Name | Anthony G Visco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144318445 PECOS PAC ID: 9830296813 Enrollment ID: I20070529000040 |
| Provider Name | Lake Daniel Morrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992739619 PECOS PAC ID: 5991766172 Enrollment ID: I20070607000615 |
| Provider Name | Patricia H Eberhard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700991122 PECOS PAC ID: 2062510308 Enrollment ID: I20070609000039 |
| Provider Name | Heather Denise Adkins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255351805 PECOS PAC ID: 5193823433 Enrollment ID: I20070609000102 |
| Provider Name | James Keith Deorio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235129081 PECOS PAC ID: 4688772742 Enrollment ID: I20070613000455 |
| Provider Name | Melissa M Burkett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629106687 PECOS PAC ID: 2062511504 Enrollment ID: I20070623000025 |
| Provider Name | Charles E Murphy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770546772 PECOS PAC ID: 3971552654 Enrollment ID: I20070627000438 |
| Provider Name | Marci M Loiselle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831290337 PECOS PAC ID: 3173623154 Enrollment ID: I20070705000315 |
| Provider Name | George Thomas Clark |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215977889 PECOS PAC ID: 8426946674 Enrollment ID: I20070710000093 |
| Provider Name | Richard David Edrington |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1588602304 PECOS PAC ID: 2062300387 Enrollment ID: I20070710000105 |
| Provider Name | Alexander Perez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558588442 PECOS PAC ID: 4587765607 Enrollment ID: I20070719000472 |
| Provider Name | Payton G Fennell |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1306906086 PECOS PAC ID: 1153422175 Enrollment ID: I20070720000562 |
| Provider Name | Steve Sok Choi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679608111 PECOS PAC ID: 9638270168 Enrollment ID: I20070726000835 |
| Provider Name | Lisa D Hobson-webb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871715391 PECOS PAC ID: 4688775174 Enrollment ID: I20070727000551 |
| Provider Name | Sarah Piecuch Germana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851516710 PECOS PAC ID: 0749381242 Enrollment ID: I20070727000677 |
| Provider Name | Randall P Scheri |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1871531624 PECOS PAC ID: 1658369988 Enrollment ID: I20070728000264 |
| Provider Name | Rahul Shimpi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104034230 PECOS PAC ID: 1759482185 Enrollment ID: I20070728000277 |
| Provider Name | Joseph Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386845402 PECOS PAC ID: 4587765961 Enrollment ID: I20070730000391 |
| Provider Name | Lorraine Stone Sease |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982731550 PECOS PAC ID: 3678674991 Enrollment ID: I20070730000902 |
| Provider Name | Thomas G Hunter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871702530 PECOS PAC ID: 3678664976 Enrollment ID: I20070731000696 |
| Provider Name | Patrick H Pun |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326243247 PECOS PAC ID: 2466543582 Enrollment ID: I20070803000347 |
| Provider Name | Sascha A Tuchman |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1326267170 PECOS PAC ID: 4688765704 Enrollment ID: I20070803000381 |
| Provider Name | Michael S Waugh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629101720 PECOS PAC ID: 2264523240 Enrollment ID: I20070806000230 |
| Provider Name | Maureen S Bauer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831285063 PECOS PAC ID: 1153412036 Enrollment ID: I20070807000360 |
| Provider Name | Nazema Yusuf Siddiqui |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144311291 PECOS PAC ID: 8123029964 Enrollment ID: I20070807000522 |
| Provider Name | Igor Klem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104042936 PECOS PAC ID: 9335230093 Enrollment ID: I20070809000364 |
| Provider Name | Lada Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902016033 PECOS PAC ID: 6507957123 Enrollment ID: I20070810000103 |
| Provider Name | Matthew S Cummings |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497953848 PECOS PAC ID: 3274624804 Enrollment ID: I20070810000168 |
| Provider Name | Clare A Pipkin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1801843537 PECOS PAC ID: 6709815608 Enrollment ID: I20070810000426 |
| Provider Name | Anne Wood Beaven |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558486431 PECOS PAC ID: 4789775362 Enrollment ID: I20070810000682 |
| Provider Name | Nance L Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013123678 PECOS PAC ID: 7719078229 Enrollment ID: I20070811000113 |
| Provider Name | Rasheed A Gbadegesin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205951720 PECOS PAC ID: 4789775297 Enrollment ID: I20070811000140 |
| Provider Name | Sandeep S Dave |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1356548176 PECOS PAC ID: 8325139835 Enrollment ID: I20070811000149 |
| Provider Name | Kelli E Friedman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053494211 PECOS PAC ID: 5597856179 Enrollment ID: I20070813000381 |
| Provider Name | Sagir Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245235506 PECOS PAC ID: 3971606823 Enrollment ID: I20070814000746 |
| Provider Name | Deepak Vikraman-sushama |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629275805 PECOS PAC ID: 1759473135 Enrollment ID: I20070815000894 |
| Provider Name | Marc Richard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720286578 PECOS PAC ID: 1153413471 Enrollment ID: I20070816000379 |
| Provider Name | Daniella Zipkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679592802 PECOS PAC ID: 1153423660 Enrollment ID: I20070816000780 |
| Provider Name | Bradley J Kolls |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356474274 PECOS PAC ID: 4385736594 Enrollment ID: I20070817000230 |
| Provider Name | Cary Ward |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720283641 PECOS PAC ID: 4880786946 Enrollment ID: I20070817000712 |
| Provider Name | Christopher Stephen Boehlke |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417074139 PECOS PAC ID: 3375635469 Enrollment ID: I20070821000236 |
| Provider Name | Lena A Kruth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942404306 PECOS PAC ID: 2567554553 Enrollment ID: I20070823000699 |
| Provider Name | Christopher R Kelsey |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164552865 PECOS PAC ID: 1759473507 Enrollment ID: I20070823000968 |
| Provider Name | Loretta J Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790985224 PECOS PAC ID: 0749372597 Enrollment ID: I20070823000973 |
| Provider Name | William J Powers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437180940 PECOS PAC ID: 2769437201 Enrollment ID: I20070824000121 |
| Provider Name | Maria J Small |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013991090 PECOS PAC ID: 6406949734 Enrollment ID: I20070831000667 |
| Provider Name | Matthew Ellison |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598865438 PECOS PAC ID: 9537198460 Enrollment ID: I20070904000320 |
| Provider Name | Scott L Sanoff |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700098068 PECOS PAC ID: 9537252747 Enrollment ID: I20070904000702 |
| Provider Name | Natalie S Clarke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992905210 PECOS PAC ID: 0547353682 Enrollment ID: I20070906000462 |
| Provider Name | Matthew J Crowley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962542241 PECOS PAC ID: 5496849937 Enrollment ID: I20070914000430 |
| Provider Name | Gayle A Dilalla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194702910 PECOS PAC ID: 8426142886 Enrollment ID: I20070917000502 |
| Provider Name | Seema Desai |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619033487 PECOS PAC ID: 5799879615 Enrollment ID: I20070921000474 |
| Provider Name | Shiaowen David Hsu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225229974 PECOS PAC ID: 9931291531 Enrollment ID: I20070925000652 |
| Provider Name | Kaylyn W Morrissey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558555847 PECOS PAC ID: 6901990670 Enrollment ID: I20070926000263 |
| Provider Name | Susan E Spratt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942384813 PECOS PAC ID: 4385739010 Enrollment ID: I20070926000843 |
| Provider Name | Gerald Bloomfield |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225094907 PECOS PAC ID: 2163454943 Enrollment ID: I20070926001086 |
| Provider Name | Melissa Marie Garrett |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063610756 PECOS PAC ID: 5294820783 Enrollment ID: I20070928000104 |
| Provider Name | Leila Mureebe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538230883 PECOS PAC ID: 8820064991 Enrollment ID: I20071003000480 |
| Provider Name | Erika S Goeckerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801095567 PECOS PAC ID: 1557456647 Enrollment ID: I20071004000348 |
| Provider Name | Ivy P Altomare |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609063254 PECOS PAC ID: 9537254636 Enrollment ID: I20071004000464 |
| Provider Name | Susan E Totten |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265559660 PECOS PAC ID: 6507952249 Enrollment ID: I20071011000251 |
| Provider Name | Harbax T Singh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215098686 PECOS PAC ID: 3678669504 Enrollment ID: I20071023000523 |
| Provider Name | M Stephen Melton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134315575 PECOS PAC ID: 3375630841 Enrollment ID: I20071030000605 |
| Provider Name | Haresh Md Tharwani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790869618 PECOS PAC ID: 5496843088 Enrollment ID: I20071115000214 |
| Provider Name | Heather S Mclean |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578507125 PECOS PAC ID: 7911095385 Enrollment ID: I20071119000262 |
| Provider Name | Richard Edward Moon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760566657 PECOS PAC ID: 6709974108 Enrollment ID: I20071119000518 |
| Provider Name | Timothy E Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356520837 PECOS PAC ID: 7517055924 Enrollment ID: I20071119000536 |
| Provider Name | Kenneth E Schmader |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1972685204 PECOS PAC ID: 2668560079 Enrollment ID: I20071119000571 |
| Provider Name | Neil Stuart Prose |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427132315 PECOS PAC ID: 6901994318 Enrollment ID: I20071119000595 |
| Provider Name | Donna Crutchfield Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568491918 PECOS PAC ID: 5597853747 Enrollment ID: I20071121000471 |
| Provider Name | Marion Mull Mccrary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285631622 PECOS PAC ID: 7315035482 Enrollment ID: I20071127000203 |
| Provider Name | Ellen T Chrysogelos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073793048 PECOS PAC ID: 6608825278 Enrollment ID: I20071129000343 |
| Provider Name | Virginia Ann Lightner |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1770557878 PECOS PAC ID: 9032208616 Enrollment ID: I20071204000879 |
| Provider Name | Kevin L Thomas |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1255475364 PECOS PAC ID: 7012006620 Enrollment ID: I20071205000172 |
| Provider Name | Michael V Woodbridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154417095 PECOS PAC ID: 7416046032 Enrollment ID: I20071205000231 |
| Provider Name | Victor Roggli |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497841878 PECOS PAC ID: 9638268105 Enrollment ID: I20071205000709 |
| Provider Name | Jenny Hoang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861618688 PECOS PAC ID: 5294836797 Enrollment ID: I20071205000744 |
| Provider Name | Michael David Spiritos |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093744880 PECOS PAC ID: 5395834782 Enrollment ID: I20071207000871 |
| Provider Name | Michael Kerzner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609838010 PECOS PAC ID: 5193610301 Enrollment ID: I20071213000603 |
| Provider Name | Shannon K Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962681619 PECOS PAC ID: 3971693789 Enrollment ID: I20071217000841 |
| Provider Name | Patricia L Lugar |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1376741967 PECOS PAC ID: 7214027812 Enrollment ID: I20071219000776 |
| Provider Name | Mina N Choi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093899718 PECOS PAC ID: 8022108349 Enrollment ID: I20071226000195 |
| Provider Name | Stacey M Heath |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649354705 PECOS PAC ID: 0648360974 Enrollment ID: I20071226000211 |
| Provider Name | Elizabeth G Livingston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588748636 PECOS PAC ID: 9234219437 Enrollment ID: I20071228000497 |
| Provider Name | Sarah C Ellestad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801979067 PECOS PAC ID: 7315027513 Enrollment ID: I20071228000500 |
| Provider Name | Katrina H Avery |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770667487 PECOS PAC ID: 1254411390 Enrollment ID: I20080102000512 |
| Provider Name | Madhav Swaminathan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558445429 PECOS PAC ID: 7113007808 Enrollment ID: I20080108000212 |
| Provider Name | Andre R Stokhuyzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023291879 PECOS PAC ID: 2961582523 Enrollment ID: I20080108000842 |
| Provider Name | Yu-ping Wang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275717761 PECOS PAC ID: 1658451158 Enrollment ID: I20080109000896 |
| Provider Name | Rachel A Adcock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669661922 PECOS PAC ID: 6406936855 Enrollment ID: I20080110000381 |
| Provider Name | Maria M Fakadej |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053488502 PECOS PAC ID: 3375624711 Enrollment ID: I20080111000252 |
| Provider Name | Jason Katz |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1417081654 PECOS PAC ID: 8022199256 Enrollment ID: I20080114000734 |
| Provider Name | Russell D Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801963376 PECOS PAC ID: 0143301028 Enrollment ID: I20080116000792 |
| Provider Name | Endi Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689616823 PECOS PAC ID: 7315028222 Enrollment ID: I20080117000075 |
| Provider Name | Richard M Draffin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164506812 PECOS PAC ID: 5092897595 Enrollment ID: I20080123000289 |
| Provider Name | Nicholas Bandarenko |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285729913 PECOS PAC ID: 5496837569 Enrollment ID: I20080128000806 |
| Provider Name | Jennifer O Howell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982695425 PECOS PAC ID: 4880776855 Enrollment ID: I20080129000810 |
| Provider Name | Kelvin B Raybon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750395364 PECOS PAC ID: 4789582628 Enrollment ID: I20080130000534 |
| Provider Name | Peter Kent Smith |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1639249469 PECOS PAC ID: 5395827232 Enrollment ID: I20080130000600 |
| Provider Name | Carolyn S Menendez |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1447220827 PECOS PAC ID: 2062484777 Enrollment ID: I20080204000756 |
| Provider Name | Allison W Dimsdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861686800 PECOS PAC ID: 7214010610 Enrollment ID: I20080208000042 |
| Provider Name | Laura L Wrenn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609915461 PECOS PAC ID: 2567545734 Enrollment ID: I20080211000735 |
| Provider Name | Christina K Cone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518141472 PECOS PAC ID: 4385727130 Enrollment ID: I20080216000055 |
| Provider Name | Ranitha H Dep |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174701197 PECOS PAC ID: 9234212960 Enrollment ID: I20080218000735 |
| Provider Name | Angela A. Johns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093993024 PECOS PAC ID: 0143303875 Enrollment ID: I20080218000736 |
| Provider Name | Charles J Gerardo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033292297 PECOS PAC ID: 5193809176 Enrollment ID: I20080229000063 |
| Provider Name | Ian J Welsby |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245314160 PECOS PAC ID: 2860577699 Enrollment ID: I20080304000632 |
| Provider Name | Cynthia A Toth |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275617144 PECOS PAC ID: 9032294640 Enrollment ID: I20080306000559 |
| Provider Name | Richard K Serra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780768648 PECOS PAC ID: 0042214751 Enrollment ID: I20080311000338 |
| Provider Name | David M Kaylie |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972690097 PECOS PAC ID: 6204812472 Enrollment ID: I20080311000349 |
| Provider Name | Eugene W St Clair |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1851475727 PECOS PAC ID: 7214013994 Enrollment ID: I20080320000272 |
| Provider Name | Lynne M Koweek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508915521 PECOS PAC ID: 8729164116 Enrollment ID: I20080326000175 |
| Provider Name | Tracy Jaffe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295821668 PECOS PAC ID: 5395821706 Enrollment ID: I20080326000327 |
| Provider Name | Ashraf S Habib |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033293949 PECOS PAC ID: 4688752710 Enrollment ID: I20080415000481 |
| Provider Name | Edana E Christy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154405066 PECOS PAC ID: 6800974700 Enrollment ID: I20080417000278 |
| Provider Name | Karen R Mccain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033268057 PECOS PAC ID: 8426136326 Enrollment ID: I20080417000300 |
| Provider Name | Suzanne M Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124102090 PECOS PAC ID: 5890873103 Enrollment ID: I20080425000473 |
| Provider Name | Elizabeth L Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730238759 PECOS PAC ID: 0244318558 Enrollment ID: I20080425000482 |
| Provider Name | Harriett Purves Burns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801016811 PECOS PAC ID: 0547348781 Enrollment ID: I20080429000142 |
| Provider Name | Emily A Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194808345 PECOS PAC ID: 8123107984 Enrollment ID: I20080505000536 |
| Provider Name | Diane A Catalano |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114123858 PECOS PAC ID: 6406925601 Enrollment ID: I20080514000212 |
| Provider Name | Asra S Firozvi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609931617 PECOS PAC ID: 8224130984 Enrollment ID: I20080514000411 |
| Provider Name | Hilary W Crittenden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841373099 PECOS PAC ID: 8729157722 Enrollment ID: I20080516000332 |
| Provider Name | Kristi Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982893491 PECOS PAC ID: 7618046533 Enrollment ID: I20080519000615 |
| Provider Name | Donald D Glower |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528148657 PECOS PAC ID: 8820167752 Enrollment ID: I20080519000668 |
| Provider Name | Andrew J Lodge |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1922198142 PECOS PAC ID: 6800965666 Enrollment ID: I20080520000154 |
| Provider Name | Carmelo A Milano |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1508946633 PECOS PAC ID: 2668541426 Enrollment ID: I20080520000205 |
| Provider Name | David Patrick Fitzgerald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639381627 PECOS PAC ID: 4789577735 Enrollment ID: I20080521000271 |
| Provider Name | Douglas D Schocken |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568407781 PECOS PAC ID: 6709806268 Enrollment ID: I20080529000761 |
| Provider Name | Bhakti B Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255545190 PECOS PAC ID: 7113097809 Enrollment ID: I20080606000637 |
| Provider Name | William B Rafferty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194888974 PECOS PAC ID: 6709956493 Enrollment ID: I20080606000699 |
| Provider Name | Anne Buckley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538332903 PECOS PAC ID: 2365512944 Enrollment ID: I20080609000650 |
| Provider Name | Jeffrey G Gaca |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1821260431 PECOS PAC ID: 9335219914 Enrollment ID: I20080609000671 |
| Provider Name | Walter Tsong Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821052994 PECOS PAC ID: 0840233771 Enrollment ID: I20080609000695 |
| Provider Name | Joshua R Dooley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568637437 PECOS PAC ID: 8022188580 Enrollment ID: I20080610000464 |
| Provider Name | John W Nelson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891964615 PECOS PAC ID: 8729159140 Enrollment ID: I20080612000389 |
| Provider Name | Mohamad A Mikati |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164698437 PECOS PAC ID: 2062583438 Enrollment ID: I20080612000781 |
| Provider Name | Michael Campbell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376690198 PECOS PAC ID: 8921194630 Enrollment ID: I20080612000797 |
| Provider Name | Alex H Cho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841415601 PECOS PAC ID: 6901977081 Enrollment ID: I20080617000500 |
| Provider Name | Amanda Lynn Obriant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275751026 PECOS PAC ID: 3173694999 Enrollment ID: I20080620000419 |
| Provider Name | Anne F Phelps |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134204464 PECOS PAC ID: 2365513900 Enrollment ID: I20080625000320 |
| Provider Name | Robert William Lenfestey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619179843 PECOS PAC ID: 2062584675 Enrollment ID: I20080626000233 |
| Provider Name | Jared D Christensen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992711196 PECOS PAC ID: 4789756263 Enrollment ID: I20080627000113 |
| Provider Name | Meredith F Barbour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093858979 PECOS PAC ID: 6406928811 Enrollment ID: I20080630000540 |
| Provider Name | Thomas Polascik |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083798979 PECOS PAC ID: 7911079991 Enrollment ID: I20080708000558 |
| Provider Name | Carey K Anders |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1073786893 PECOS PAC ID: 3971675885 Enrollment ID: I20080710000103 |
| Provider Name | Sonny Tucker |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1144487562 PECOS PAC ID: 7810069572 Enrollment ID: I20080712000067 |
| Provider Name | Kim-marie Hall Huck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992962492 PECOS PAC ID: 6002989738 Enrollment ID: I20080714000504 |
| Provider Name | Kathleen A Waite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245314111 PECOS PAC ID: 6103998968 Enrollment ID: I20080723000174 |
| Provider Name | Dan G Blazer |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1578583779 PECOS PAC ID: 2769481910 Enrollment ID: I20080725000222 |
| Provider Name | Kenyon M Railey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659591618 PECOS PAC ID: 6103999008 Enrollment ID: I20080725000502 |
| Provider Name | Jonathan P Piccini |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1003884693 PECOS PAC ID: 6800969643 Enrollment ID: I20080726000075 |
| Provider Name | Kelly C Nelson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427270966 PECOS PAC ID: 1557435179 Enrollment ID: I20080730000827 |
| Provider Name | Scott Snider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730203514 PECOS PAC ID: 3173697794 Enrollment ID: I20080730000841 |
| Provider Name | David Luther Sappenfield |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639161862 PECOS PAC ID: 1456306257 Enrollment ID: I20080804000099 |
| Provider Name | Elena Perea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407074255 PECOS PAC ID: 9032283445 Enrollment ID: I20080804000130 |
| Provider Name | Christina E Barkauskas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942473756 PECOS PAC ID: 2062586290 Enrollment ID: I20080805000764 |
| Provider Name | Franklin Tak Hung Li |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457499089 PECOS PAC ID: 5890860712 Enrollment ID: I20080812000462 |
| Provider Name | Bridget L Archambault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578646717 PECOS PAC ID: 2062587843 Enrollment ID: I20080813000240 |
| Provider Name | Deette C Reel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700049384 PECOS PAC ID: 6406921287 Enrollment ID: I20080813000262 |
| Provider Name | Peter Michael Grossi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881863744 PECOS PAC ID: 4880769629 Enrollment ID: I20080813000809 |
| Provider Name | Erin L Blackburn |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1043485204 PECOS PAC ID: 7810062536 Enrollment ID: I20080814000641 |
| Provider Name | Kelly Hill Blessing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730126160 PECOS PAC ID: 7012082621 Enrollment ID: I20080818000433 |
| Provider Name | Vandana Shashi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144204868 PECOS PAC ID: 0941375307 Enrollment ID: I20080819000745 |
| Provider Name | David A Turner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417904889 PECOS PAC ID: 1951372234 Enrollment ID: I20080820000559 |
| Provider Name | Erin B Lesesky |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548428923 PECOS PAC ID: 2466527437 Enrollment ID: I20080826000772 |
| Provider Name | Julie K Thacker |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1255304341 PECOS PAC ID: 4880651975 Enrollment ID: I20080827000229 |
| Provider Name | Samuel S Wellman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992836837 PECOS PAC ID: 2769573211 Enrollment ID: I20080829000204 |
| Provider Name | Cameron R Wolfe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396910543 PECOS PAC ID: 4880760511 Enrollment ID: I20080904000208 |
| Provider Name | Katherine C Pereira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861500217 PECOS PAC ID: 9537235742 Enrollment ID: I20080911000207 |
| Provider Name | Kelly E Westbrook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053536508 PECOS PAC ID: 7416023627 Enrollment ID: I20080911000232 |
| Provider Name | Faera Byerly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568681161 PECOS PAC ID: 0648347732 Enrollment ID: I20080915000552 |
| Provider Name | Mary Ann B Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538223292 PECOS PAC ID: 0648347757 Enrollment ID: I20080915000624 |
| Provider Name | Kenneth Owen Price |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861459802 PECOS PAC ID: 3274589379 Enrollment ID: I20080917000107 |
| Provider Name | Peter R Bronec |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497711634 PECOS PAC ID: 5395727770 Enrollment ID: I20080917000116 |
| Provider Name | Gail Leget |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497839542 PECOS PAC ID: 5890862866 Enrollment ID: I20080917000734 |
| Provider Name | Michael S Freemark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659434421 PECOS PAC ID: 1052488822 Enrollment ID: I20080919000228 |
| Provider Name | Eric S Moore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013065200 PECOS PAC ID: 8527029933 Enrollment ID: I20080920000088 |
| Provider Name | Jeffrey J Sapyta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750557583 PECOS PAC ID: 8022185750 Enrollment ID: I20080923000308 |
| Provider Name | Paul M Lantos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720279102 PECOS PAC ID: 1557438108 Enrollment ID: I20080923000614 |
| Provider Name | Debra L Sudan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902856651 PECOS PAC ID: 2466419908 Enrollment ID: I20080923000774 |
| Provider Name | Robert W Wiese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457432569 PECOS PAC ID: 1153498761 Enrollment ID: I20080924000295 |
| Provider Name | Monica B Jones |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1083693188 PECOS PAC ID: 0446327977 Enrollment ID: I20080924000467 |
| Provider Name | Rajan T Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366618704 PECOS PAC ID: 3779650189 Enrollment ID: I20080927000037 |
| Provider Name | Kim M Huffman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1023079746 PECOS PAC ID: 6103993415 Enrollment ID: I20080927000169 |
| Provider Name | Nicole P Kerner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205996998 PECOS PAC ID: 9537153846 Enrollment ID: I20081006000300 |
| Provider Name | Remy Rene Coeytaux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326143645 PECOS PAC ID: 5597833426 Enrollment ID: I20081006000390 |
| Provider Name | Patricia A Wild |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528231297 PECOS PAC ID: 2860560703 Enrollment ID: I20081006000504 |
| Provider Name | Kathleen M Zacherl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720288517 PECOS PAC ID: 4587722590 Enrollment ID: I20081020000660 |
| Provider Name | Yong-hui Jiang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144498429 PECOS PAC ID: 2860565744 Enrollment ID: I20081022000583 |
| Provider Name | Daphne R Friedman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356515043 PECOS PAC ID: 2062570559 Enrollment ID: I20081028000472 |
| Provider Name | Mehri S Mckellar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548335573 PECOS PAC ID: 5799843132 Enrollment ID: I20081029000181 |
| Provider Name | David A Mack |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396966818 PECOS PAC ID: 5395844815 Enrollment ID: I20081115000026 |
| Provider Name | Virgil F Mosu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720080310 PECOS PAC ID: 4486678232 Enrollment ID: I20081115000111 |
| Provider Name | Ashley Smith Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548410863 PECOS PAC ID: 4385705839 Enrollment ID: I20081203000246 |
| Provider Name | John Migaly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568459477 PECOS PAC ID: 2062437932 Enrollment ID: I20081206000096 |
| Provider Name | William C Bordley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376626515 PECOS PAC ID: 7012078249 Enrollment ID: I20081206000118 |
| Provider Name | Kara Beth Willette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992717292 PECOS PAC ID: 0446311385 Enrollment ID: I20081210000304 |
| Provider Name | James R Snapper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669501961 PECOS PAC ID: 3577624220 Enrollment ID: I20081212000482 |
| Provider Name | Beatrice D Hong |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982876892 PECOS PAC ID: 2860553542 Enrollment ID: I20081213000062 |
| Provider Name | Christopher R Walters |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053461319 PECOS PAC ID: 8022179704 Enrollment ID: I20081213000073 |
| Provider Name | Margaret A Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982868485 PECOS PAC ID: 4486716552 Enrollment ID: I20081224000146 |
| Provider Name | Ranjan Sudan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174638712 PECOS PAC ID: 9335201391 Enrollment ID: I20081229000552 |
| Provider Name | Sangeeta P Joshi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285842138 PECOS PAC ID: 9436211406 Enrollment ID: I20081229000653 |
| Provider Name | Kristin M Page-chartrand |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689857336 PECOS PAC ID: 3173686912 Enrollment ID: I20090106000266 |
| Provider Name | Vivianne Marinos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356593925 PECOS PAC ID: 5395808174 Enrollment ID: I20090106000614 |
| Provider Name | Thomas Lynch Oconnell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710047311 PECOS PAC ID: 1355368572 Enrollment ID: I20090107000226 |
| Provider Name | Soheir S Adam |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1366690711 PECOS PAC ID: 4880757327 Enrollment ID: I20090109000600 |
| Provider Name | Jyothi P Rao |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699734533 PECOS PAC ID: 2264435890 Enrollment ID: I20090110000043 |
| Provider Name | Donald F O Malley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750453916 PECOS PAC ID: 2567525678 Enrollment ID: I20090115000794 |
| Provider Name | Jane S Bellet |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447452990 PECOS PAC ID: 7416011168 Enrollment ID: I20090126000331 |
| Provider Name | James W Fox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912061474 PECOS PAC ID: 1052498532 Enrollment ID: I20090210000603 |
| Provider Name | Purnima Valdez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265454136 PECOS PAC ID: 3971507658 Enrollment ID: I20090210000800 |
| Provider Name | George M Charron |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770587594 PECOS PAC ID: 3375535206 Enrollment ID: I20090210000805 |
| Provider Name | Anna M Solum |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073585618 PECOS PAC ID: 2264597012 Enrollment ID: I20090211000743 |
| Provider Name | Kathryn E Kreider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467691659 PECOS PAC ID: 6507922556 Enrollment ID: I20090227000169 |
| Provider Name | Steven D Prakken |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578586624 PECOS PAC ID: 6901822006 Enrollment ID: I20090303000305 |
| Provider Name | Sanjay Narayanaswamy Adi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326042284 PECOS PAC ID: 1052342813 Enrollment ID: I20090303000696 |
| Provider Name | Donna M Tuccero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669528352 PECOS PAC ID: 4981662335 Enrollment ID: I20090314000003 |
| Provider Name | Moria J Smoski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194965822 PECOS PAC ID: 7618034695 Enrollment ID: I20090318000288 |
| Provider Name | Marla F Wald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568650554 PECOS PAC ID: 1456418466 Enrollment ID: I20090318000584 |
| Provider Name | Julia B Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679657720 PECOS PAC ID: 5991862674 Enrollment ID: I20090324000696 |
| Provider Name | Richard S Bedlack |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851489363 PECOS PAC ID: 3274690599 Enrollment ID: I20090331000360 |
| Provider Name | Ravi Karra |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1952457178 PECOS PAC ID: 9032266341 Enrollment ID: I20090402000219 |
| Provider Name | Sandeep Vaishnavi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629116801 PECOS PAC ID: 6305936980 Enrollment ID: I20090428000578 |
| Provider Name | Geraldine E Kanne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558476929 PECOS PAC ID: 0941358956 Enrollment ID: I20090430000603 |
| Provider Name | Dianna L Seldomridge |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487654216 PECOS PAC ID: 0042286361 Enrollment ID: I20090504000510 |
| Provider Name | Camille Genise Frazier Mills |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1346383593 PECOS PAC ID: 0840348652 Enrollment ID: I20090506000406 |
| Provider Name | Dawn M Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740408780 PECOS PAC ID: 1850449323 Enrollment ID: I20090511000584 |
| Provider Name | Joseph L Roberts |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1821151606 PECOS PAC ID: 3375692601 Enrollment ID: I20090515000572 |
| Provider Name | Kathleen L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093822231 PECOS PAC ID: 6901805548 Enrollment ID: I20090522000469 |
| Provider Name | Michael C Comstock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891758330 PECOS PAC ID: 2668521584 Enrollment ID: I20090526000531 |
| Provider Name | Detlev Erdmann |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508886516 PECOS PAC ID: 7113076712 Enrollment ID: I20090529000480 |
| Provider Name | Jeffrey R Marcus |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1063596948 PECOS PAC ID: 7012066616 Enrollment ID: I20090529000485 |
| Provider Name | Matthew S Mckinney |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982899837 PECOS PAC ID: 3779633128 Enrollment ID: I20090605000589 |
| Provider Name | Maleka Z Ahmed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841286721 PECOS PAC ID: 4486704764 Enrollment ID: I20090608000398 |
| Provider Name | James P Daubert |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104865278 PECOS PAC ID: 3476603754 Enrollment ID: I20090608000411 |
| Provider Name | Donna B Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376780619 PECOS PAC ID: 8224188511 Enrollment ID: I20090608000485 |
| Provider Name | Jamie L Todd |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881869758 PECOS PAC ID: 5294885596 Enrollment ID: I20090608000517 |
| Provider Name | Jin S Yoo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811162142 PECOS PAC ID: 9436209772 Enrollment ID: I20090609000213 |
| Provider Name | Matthew Charles Wakefield |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770537805 PECOS PAC ID: 9234289315 Enrollment ID: I20090611000184 |
| Provider Name | Kevin D Hill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881741676 PECOS PAC ID: 4587711106 Enrollment ID: I20090617000690 |
| Provider Name | Mark F Berry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1356508048 PECOS PAC ID: 6103976824 Enrollment ID: I20090617000788 |
| Provider Name | Junzo P Chino |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316138548 PECOS PAC ID: 5092865733 Enrollment ID: I20090618000120 |
| Provider Name | Morgan D Camp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083703359 PECOS PAC ID: 1951451624 Enrollment ID: I20090618000389 |
| Provider Name | Marc A Finkel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710959960 PECOS PAC ID: 5395895064 Enrollment ID: I20090618000406 |
| Provider Name | Vernon W Pugh |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1083683726 PECOS PAC ID: 3375693047 Enrollment ID: I20090618000424 |
| Provider Name | Alan L Rosen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770556763 PECOS PAC ID: 1557265063 Enrollment ID: I20090618000448 |
| Provider Name | Robert C Vogler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245202878 PECOS PAC ID: 1153471834 Enrollment ID: I20090618000481 |
| Provider Name | Maria V Sealey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689819351 PECOS PAC ID: 6002967635 Enrollment ID: I20090622000520 |
| Provider Name | David Yoo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598939019 PECOS PAC ID: 4981755436 Enrollment ID: I20090624000299 |
| Provider Name | Robert Thomas Keenan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1710056007 PECOS PAC ID: 4981755352 Enrollment ID: I20090624000499 |
| Provider Name | Mustafa S R Bashir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336350883 PECOS PAC ID: 3072664374 Enrollment ID: I20090626000276 |
| Provider Name | Amie Kawasaki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669659595 PECOS PAC ID: 1759432941 Enrollment ID: I20090629000477 |
| Provider Name | Katherine Barnett Peters |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689728214 PECOS PAC ID: 7911058102 Enrollment ID: I20090629000491 |
| Provider Name | Lakshmi Iswarya Katakam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124210810 PECOS PAC ID: 9234280421 Enrollment ID: I20090629000534 |
| Provider Name | Leonor Corsino |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831247527 PECOS PAC ID: 1951452143 Enrollment ID: I20090629000540 |
| Provider Name | Timothy P Donahue |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467410597 PECOS PAC ID: 4587715669 Enrollment ID: I20090701000103 |
| Provider Name | Charles Yoon Kim |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1528234804 PECOS PAC ID: 9234280298 Enrollment ID: I20090702000296 |
| Provider Name | Brian H Eichner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134395114 PECOS PAC ID: 2466503438 Enrollment ID: I20090702000336 |
| Provider Name | Priyatham S Mettu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508023284 PECOS PAC ID: 4082765995 Enrollment ID: I20090706000073 |
| Provider Name | Jennifer Pells |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881607141 PECOS PAC ID: 0042301889 Enrollment ID: I20090707000675 |
| Provider Name | Aimee B Chung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821261025 PECOS PAC ID: 2365593100 Enrollment ID: I20090707000748 |
| Provider Name | Diana M Cardona |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841386752 PECOS PAC ID: 2365505682 Enrollment ID: I20090711000043 |
| Provider Name | Heather A Van Mater |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043224082 PECOS PAC ID: 3476605825 Enrollment ID: I20090715000383 |
| Provider Name | Megan W Butler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225230196 PECOS PAC ID: 4880746023 Enrollment ID: I20090717000610 |
| Provider Name | Daniel M Wild |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669495644 PECOS PAC ID: 2062564206 Enrollment ID: I20090717000620 |
| Provider Name | Renee H Raynor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881778777 PECOS PAC ID: 0042362261 Enrollment ID: I20090720000432 |
| Provider Name | Andrew Wolf |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649447012 PECOS PAC ID: 5698827608 Enrollment ID: I20090721000814 |
| Provider Name | Deborah Ann Bradley |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1366564247 PECOS PAC ID: 5193890648 Enrollment ID: I20090721000824 |
| Provider Name | Ziad F Gellad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447421664 PECOS PAC ID: 0648323584 Enrollment ID: I20090724000580 |
| Provider Name | Richard K Wood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487602561 PECOS PAC ID: 9032137070 Enrollment ID: I20090724000591 |
| Provider Name | Peter G Kranz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124293550 PECOS PAC ID: 0345393286 Enrollment ID: I20090724000608 |
| Provider Name | Fraser J Leversedge |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508805912 PECOS PAC ID: 7315905973 Enrollment ID: I20090725000063 |
| Provider Name | Jennifer Perkins |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245387067 PECOS PAC ID: 0547313405 Enrollment ID: I20090725000101 |
| Provider Name | Gary R Maslow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568680973 PECOS PAC ID: 2961560123 Enrollment ID: I20090725000123 |
| Provider Name | Jean Koo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699916015 PECOS PAC ID: 3072666791 Enrollment ID: I20090728000826 |
| Provider Name | John A Skowron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447486469 PECOS PAC ID: 5193878825 Enrollment ID: I20090728000914 |
| Provider Name | Cynthia A Moylan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407022213 PECOS PAC ID: 2567515331 Enrollment ID: I20090729000795 |
| Provider Name | Leon J Reinstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114913670 PECOS PAC ID: 1355381427 Enrollment ID: I20090729000863 |
| Provider Name | Stefanie Sarantopoulos |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801986781 PECOS PAC ID: 8628012846 Enrollment ID: I20090730000094 |
| Provider Name | Ingrid Harm-ernandes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073749701 PECOS PAC ID: 6204989643 Enrollment ID: I20090731000549 |
| Provider Name | Michael Eric Lipkin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710173869 PECOS PAC ID: 2163575416 Enrollment ID: I20090804000180 |
| Provider Name | John H Strickler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265523377 PECOS PAC ID: 1355494451 Enrollment ID: I20090807000273 |
| Provider Name | Andre C Grant |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881740405 PECOS PAC ID: 8628121605 Enrollment ID: I20090810000248 |
| Provider Name | Jennifer A Rothman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063605285 PECOS PAC ID: 6204980253 Enrollment ID: I20090811000223 |
| Provider Name | Shalini Ramasunder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821262882 PECOS PAC ID: 9739233586 Enrollment ID: I20090813000643 |
| Provider Name | Catherine M Kuhn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912081829 PECOS PAC ID: 9436203163 Enrollment ID: I20090814000566 |
| Provider Name | Cathleen S Colon-emeric |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1760545537 PECOS PAC ID: 2769536390 Enrollment ID: I20090817000801 |
| Provider Name | Heidi K White |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1316021280 PECOS PAC ID: 5395899926 Enrollment ID: I20090817000804 |
| Provider Name | Mitchell T Heflin |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1558445619 PECOS PAC ID: 7113071747 Enrollment ID: I20090817000806 |
| Provider Name | Eric William Ossmann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245244193 PECOS PAC ID: 1850445305 Enrollment ID: I20090818000303 |
| Provider Name | Kenneth Wayne Jordan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184628505 PECOS PAC ID: 4183778640 Enrollment ID: I20090818000340 |
| Provider Name | James S Smith |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1639137102 PECOS PAC ID: 2668455379 Enrollment ID: I20090819000791 |
| Provider Name | Richard Frothingham |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912088493 PECOS PAC ID: 1850445198 Enrollment ID: I20090820000427 |
| Provider Name | Gabriela M Maradiaga Panayotti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669633467 PECOS PAC ID: 9537213889 Enrollment ID: I20090820000480 |
| Provider Name | Dale E Feldpausch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316956931 PECOS PAC ID: 4587606736 Enrollment ID: I20090822000093 |
| Provider Name | Kerri Margret Wahl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538243456 PECOS PAC ID: 7517011646 Enrollment ID: I20090824000571 |
| Provider Name | Melanie E Mabrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295819340 PECOS PAC ID: 9234284191 Enrollment ID: I20090831000012 |
| Provider Name | Michael J Menz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598879991 PECOS PAC ID: 3577598804 Enrollment ID: I20090831000680 |
| Provider Name | Nancy M Mcgreal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457578023 PECOS PAC ID: 6002976883 Enrollment ID: I20090903000062 |
| Provider Name | Susan Rohn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568693679 PECOS PAC ID: 0143375733 Enrollment ID: I20090903000293 |
| Provider Name | Bernadette C Labriola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689805442 PECOS PAC ID: 2365597978 Enrollment ID: I20090903000461 |
| Provider Name | Juneko Elaine Grilley Olson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417074204 PECOS PAC ID: 6608921028 Enrollment ID: I20090908000275 |
| Provider Name | Hilda M Metjian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952513236 PECOS PAC ID: 5890840003 Enrollment ID: I20090910000619 |
| Provider Name | Amy Nicole Broach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760692313 PECOS PAC ID: 7416056403 Enrollment ID: I20090916000780 |
| Provider Name | Lisa C Pickett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356425243 PECOS PAC ID: 5294881157 Enrollment ID: I20090917000228 |
| Provider Name | Jason A Liss |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245352400 PECOS PAC ID: 6305931585 Enrollment ID: I20090918000035 |
| Provider Name | Caroline P Ozment |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184882078 PECOS PAC ID: 7416003918 Enrollment ID: I20090924000736 |
| Provider Name | Rita M Kawatu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093802696 PECOS PAC ID: 1254345721 Enrollment ID: I20090929000336 |
| Provider Name | Jennifer L Rogers |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1972729432 PECOS PAC ID: 4688720972 Enrollment ID: I20090929000418 |
| Provider Name | Sara Venkatasubramanian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619170016 PECOS PAC ID: 2567508864 Enrollment ID: I20090929000669 |
| Provider Name | Tereon N Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164672382 PECOS PAC ID: 8527104884 Enrollment ID: I20090930000499 |
| Provider Name | Elizabeth Hill Joran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619200557 PECOS PAC ID: 5496891418 Enrollment ID: I20091006000137 |
| Provider Name | Anupama B Horne |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013098946 PECOS PAC ID: 3577609072 Enrollment ID: I20091014000603 |
| Provider Name | Michele M Cerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962616268 PECOS PAC ID: 4082751060 Enrollment ID: I20091023000199 |
| Provider Name | Herbert E Fuchs |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871676031 PECOS PAC ID: 6305983339 Enrollment ID: I20091023000671 |
| Provider Name | Douglas S Tyler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851491484 PECOS PAC ID: 8729125638 Enrollment ID: I20091027000085 |
| Provider Name | Theodore N Pappas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366401390 PECOS PAC ID: 2062559974 Enrollment ID: I20091027000125 |
| Provider Name | Christopher R Mantyh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841370079 PECOS PAC ID: 3678610599 Enrollment ID: I20091027000149 |
| Provider Name | Kellie Annette Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861725491 PECOS PAC ID: 5991843153 Enrollment ID: I20091109000046 |
| Provider Name | Tony P Smith |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679668354 PECOS PAC ID: 7012056484 Enrollment ID: I20091124000165 |
| Provider Name | Henry E Rice |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518093038 PECOS PAC ID: 7810036290 Enrollment ID: I20091124000192 |
| Provider Name | Erik Karl Paulson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609962919 PECOS PAC ID: 9537208913 Enrollment ID: I20091124000205 |
| Provider Name | Rendon C Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245326586 PECOS PAC ID: 3870632250 Enrollment ID: I20091124000236 |
| Provider Name | David M Brizel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1720173560 PECOS PAC ID: 1658410030 Enrollment ID: I20091124000296 |
| Provider Name | John C Murray |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1043256258 PECOS PAC ID: 8729127113 Enrollment ID: I20091124000312 |
| Provider Name | Priya S Kishnani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114001021 PECOS PAC ID: 0446399836 Enrollment ID: I20091124000330 |
| Provider Name | Terence Z Wong |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1720174196 PECOS PAC ID: 5890834287 Enrollment ID: I20091124000333 |
| Provider Name | Paul V Suhocki |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1215023239 PECOS PAC ID: 2567501802 Enrollment ID: I20091130000485 |
| Provider Name | Lisa M Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801982251 PECOS PAC ID: 3274672514 Enrollment ID: I20091130000498 |
| Provider Name | James M Provenzale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750476578 PECOS PAC ID: 8527107861 Enrollment ID: I20091130000527 |
| Provider Name | Janice H Baucom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568545705 PECOS PAC ID: 5395884373 Enrollment ID: I20091204000066 |
| Provider Name | Eugene W Moretti |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467522292 PECOS PAC ID: 1456490432 Enrollment ID: I20091204000100 |
| Provider Name | Christopher C Young |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851475735 PECOS PAC ID: 4880733864 Enrollment ID: I20091204000122 |
| Provider Name | David E Attarian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518054246 PECOS PAC ID: 0042359028 Enrollment ID: I20091204000145 |
| Provider Name | James A Nunley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700973310 PECOS PAC ID: 8022157015 Enrollment ID: I20091204000171 |
| Provider Name | Glenn M Preminger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255415147 PECOS PAC ID: 2365581352 Enrollment ID: I20091204000202 |
| Provider Name | John J Freiberger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972686137 PECOS PAC ID: 7618016601 Enrollment ID: I20091204000218 |
| Provider Name | Luke F Chen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083887830 PECOS PAC ID: 3577602317 Enrollment ID: I20091208000200 |
| Provider Name | Sujata V Ghate |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063508232 PECOS PAC ID: 4880734433 Enrollment ID: I20091214000092 |
| Provider Name | Mary S Soo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104911890 PECOS PAC ID: 6507906161 Enrollment ID: I20091214000124 |
| Provider Name | Bradley H Collins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881777035 PECOS PAC ID: 6002956661 Enrollment ID: I20091214000174 |
| Provider Name | Jonathan L Cook |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1417030669 PECOS PAC ID: 7416097084 Enrollment ID: I20091214000237 |
| Provider Name | Michael Joseph Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568558658 PECOS PAC ID: 9739229303 Enrollment ID: I20091214000282 |
| Provider Name | Charles E Spritzer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063507770 PECOS PAC ID: 2961542436 Enrollment ID: I20091214000351 |
| Provider Name | Brian G Czito |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336234012 PECOS PAC ID: 2466448469 Enrollment ID: I20091214000383 |
| Provider Name | Jay A Baker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265521728 PECOS PAC ID: 3274673751 Enrollment ID: I20091214000399 |
| Provider Name | Ana Maria Gaca |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780767947 PECOS PAC ID: 4981744463 Enrollment ID: I20091214000420 |
| Provider Name | Joanna R Kipnes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558570408 PECOS PAC ID: 0941372254 Enrollment ID: I20091215000443 |
| Provider Name | Jeffrey R Petrella |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841386158 PECOS PAC ID: 8527108844 Enrollment ID: I20091217000584 |
| Provider Name | Sarah A Myers |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1578647467 PECOS PAC ID: 8921148255 Enrollment ID: I20091217000625 |
| Provider Name | Angelo S Milazzo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407919285 PECOS PAC ID: 1557401882 Enrollment ID: I20091217000637 |
| Provider Name | Marie T Mcdonald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558445460 PECOS PAC ID: 9234279472 Enrollment ID: I20091218000066 |
| Provider Name | Thomas A D Amico |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1023171899 PECOS PAC ID: 5193865335 Enrollment ID: I20091218000106 |
| Provider Name | Harold G Koenig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487738548 PECOS PAC ID: 5092855239 Enrollment ID: I20091218000113 |
| Provider Name | Salvador Borges Neto |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1295821361 PECOS PAC ID: 8729128970 Enrollment ID: I20091218000124 |
| Provider Name | Donald Paul Frush |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962585125 PECOS PAC ID: 5991845141 Enrollment ID: I20091218000132 |
| Provider Name | Gregory S Georgiade |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649333410 PECOS PAC ID: 7618017864 Enrollment ID: I20091218000141 |
| Provider Name | Laura E Schanberg |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558424333 PECOS PAC ID: 6901946045 Enrollment ID: I20091221000350 |
| Provider Name | William T Cline |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265419931 PECOS PAC ID: 9234146119 Enrollment ID: I20091221000353 |
| Provider Name | Mandisa Jones-haywood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437239498 PECOS PAC ID: 9032116025 Enrollment ID: I20091229000086 |
| Provider Name | Deborah D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205163045 PECOS PAC ID: 7315088978 Enrollment ID: I20100105000637 |
| Provider Name | John Wiener |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407892748 PECOS PAC ID: 1850386822 Enrollment ID: I20100107000545 |
| Provider Name | Craig F Donatucci |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801986062 PECOS PAC ID: 2466593884 Enrollment ID: I20100107000580 |
| Provider Name | Richard L Scher |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346324225 PECOS PAC ID: 9335280767 Enrollment ID: I20100107000629 |
| Provider Name | Debara L Tucci |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912087099 PECOS PAC ID: 1951442383 Enrollment ID: I20100107000648 |
| Provider Name | Edward F Patz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720114234 PECOS PAC ID: 9830230267 Enrollment ID: I20100107000677 |
| Provider Name | Bennett B Chin |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1568557213 PECOS PAC ID: 4082755343 Enrollment ID: I20100108000203 |
| Provider Name | Carol Anne Hahn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982799698 PECOS PAC ID: 4789725045 Enrollment ID: I20100108000238 |
| Provider Name | Richard A Leder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679669972 PECOS PAC ID: 2769523034 Enrollment ID: I20100108000334 |
| Provider Name | David L Witsell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316021298 PECOS PAC ID: 4981745262 Enrollment ID: I20100108000398 |
| Provider Name | Roger Lee Cothran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013002781 PECOS PAC ID: 5395793533 Enrollment ID: I20100108000421 |
| Provider Name | Penny Lynette Stout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376692384 PECOS PAC ID: 2163563495 Enrollment ID: I20100108000791 |
| Provider Name | Kadiyala V Ravindra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922087402 PECOS PAC ID: 9638103435 Enrollment ID: I20100111000673 |
| Provider Name | Niraj Chandrakant Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407940596 PECOS PAC ID: 7618979337 Enrollment ID: I20100112000856 |
| Provider Name | Timothy Mcmahon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477635597 PECOS PAC ID: 5395887798 Enrollment ID: I20100122000762 |
| Provider Name | Jung Young Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447401385 PECOS PAC ID: 3072655471 Enrollment ID: I20100123000001 |
| Provider Name | Christine E Hiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558588640 PECOS PAC ID: 5395887707 Enrollment ID: I20100123000062 |
| Provider Name | Joseph R Zanga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841465366 PECOS PAC ID: 9335281740 Enrollment ID: I20100123000132 |
| Provider Name | Neil R Macintyre |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336202118 PECOS PAC ID: 5294877551 Enrollment ID: I20100125000406 |
| Provider Name | Loretta Que |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245314137 PECOS PAC ID: 3476695750 Enrollment ID: I20100125000613 |
| Provider Name | Momen Wahidi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336223205 PECOS PAC ID: 6002958394 Enrollment ID: I20100125000735 |
| Provider Name | Joseph A Govert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487737649 PECOS PAC ID: 7416099700 Enrollment ID: I20100125000781 |
| Provider Name | Alice P Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265502090 PECOS PAC ID: 8022150242 Enrollment ID: I20100126000290 |
| Provider Name | Craig J Sobolewski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588748446 PECOS PAC ID: 2567504707 Enrollment ID: I20100126000504 |
| Provider Name | Jennifer S Li |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790848570 PECOS PAC ID: 3173665320 Enrollment ID: I20100126000548 |
| Provider Name | Geeta K Swamy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467536334 PECOS PAC ID: 9739221938 Enrollment ID: I20100127000197 |
| Provider Name | Jeffrey A Kuller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528156957 PECOS PAC ID: 9436291648 Enrollment ID: I20100127000236 |
| Provider Name | Robert P Heine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568545713 PECOS PAC ID: 4880736099 Enrollment ID: I20100127000242 |
| Provider Name | Haywood L Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710060959 PECOS PAC ID: 0244307932 Enrollment ID: I20100127000251 |
| Provider Name | Brita K Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902989148 PECOS PAC ID: 6507908712 Enrollment ID: I20100127000261 |
| Provider Name | Cindy L Amundsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750464996 PECOS PAC ID: 7315089521 Enrollment ID: I20100127000271 |
| Provider Name | Claude S Burton |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295761021 PECOS PAC ID: 4880736925 Enrollment ID: I20100127000624 |
| Provider Name | Brian E Brigman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710074455 PECOS PAC ID: 4587706627 Enrollment ID: I20100127000653 |
| Provider Name | James R Burke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528141769 PECOS PAC ID: 1355483405 Enrollment ID: I20100127000718 |
| Provider Name | Guy D Dear |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417031329 PECOS PAC ID: 6204978307 Enrollment ID: I20100128000205 |
| Provider Name | Guy Glenn Potter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588727366 PECOS PAC ID: 8729121520 Enrollment ID: I20100202000428 |
| Provider Name | Michael M Haglund |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568546612 PECOS PAC ID: 1355484742 Enrollment ID: I20100208000331 |
| Provider Name | Linda G Leithe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356437651 PECOS PAC ID: 3476696881 Enrollment ID: I20100208000477 |
| Provider Name | Stephen M Klein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205910361 PECOS PAC ID: 8022151349 Enrollment ID: I20100208000654 |
| Provider Name | Joseph P Mathew |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649354556 PECOS PAC ID: 5698818920 Enrollment ID: I20100208000723 |
| Provider Name | Joel C Morgenlander |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679657563 PECOS PAC ID: 2769525013 Enrollment ID: I20100209000115 |
| Provider Name | Alison C Weidner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235213109 PECOS PAC ID: 0840333100 Enrollment ID: I20100209000141 |
| Provider Name | Jane P Gagliardi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407939663 PECOS PAC ID: 6901949270 Enrollment ID: I20100209000265 |
| Provider Name | Jeffrey M Taekman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285718155 PECOS PAC ID: 9133262405 Enrollment ID: I20100209000331 |
| Provider Name | Stephen J Parrillo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558445445 PECOS PAC ID: 1759424039 Enrollment ID: I20100209000353 |
| Provider Name | Mark Stafford-smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346324266 PECOS PAC ID: 8921141201 Enrollment ID: I20100209000358 |
| Provider Name | Samuel D Stanley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457448961 PECOS PAC ID: 9638212913 Enrollment ID: I20100209000381 |
| Provider Name | David F Kong |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295819357 PECOS PAC ID: 3072593615 Enrollment ID: I20100211000755 |
| Provider Name | Tristram D Bahnson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1790713600 PECOS PAC ID: 5799829719 Enrollment ID: I20100215000371 |
| Provider Name | Raymond Jin Suk Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396829206 PECOS PAC ID: 3476697400 Enrollment ID: I20100215000420 |
| Provider Name | John K Harrison |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285718338 PECOS PAC ID: 6305980178 Enrollment ID: I20100217000185 |
| Provider Name | Connie H Ostrowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932262714 PECOS PAC ID: 3971647637 Enrollment ID: I20100218000242 |
| Provider Name | Neil J Freedman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154404317 PECOS PAC ID: 8426192188 Enrollment ID: I20100218000249 |
| Provider Name | Michael H Sketch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306920269 PECOS PAC ID: 4587644125 Enrollment ID: I20100218000327 |
| Provider Name | Andrew Wang |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063596930 PECOS PAC ID: 1254475957 Enrollment ID: I20100218000669 |
| Provider Name | Laura K Newby |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295819183 PECOS PAC ID: 0042354748 Enrollment ID: I20100218000695 |
| Provider Name | Sanjay G Asrani |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003960121 PECOS PAC ID: 5395889976 Enrollment ID: I20100219000636 |
| Provider Name | Bryan M Clary |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982787131 PECOS PAC ID: 5193869774 Enrollment ID: I20100219000659 |
| Provider Name | Edward G Buckley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770646549 PECOS PAC ID: 4183768765 Enrollment ID: I20100219000667 |
| Provider Name | Steven N Vaslef |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528142494 PECOS PAC ID: 5991849572 Enrollment ID: I20100219000674 |
| Provider Name | Mugdha E Thakur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982788808 PECOS PAC ID: 1355485939 Enrollment ID: I20100219000682 |
| Provider Name | Eric Velazquez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255415121 PECOS PAC ID: 8325182934 Enrollment ID: I20100220000171 |
| Provider Name | Robin R Vann |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679660054 PECOS PAC ID: 8628112208 Enrollment ID: I20100222000422 |
| Provider Name | Milton James |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912909227 PECOS PAC ID: 6002807948 Enrollment ID: I20100222000636 |
| Provider Name | Ann J Brown |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801979042 PECOS PAC ID: 0749324176 Enrollment ID: I20100223000259 |
| Provider Name | Michael Dee Gunn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730262999 PECOS PAC ID: 7315081767 Enrollment ID: I20100223000411 |
| Provider Name | Daniel P Barboriak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891726790 PECOS PAC ID: 5597800631 Enrollment ID: I20100301000754 |
| Provider Name | James D Eastwood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477649796 PECOS PAC ID: 6002951142 Enrollment ID: I20100301000802 |
| Provider Name | Steven A Olson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417044025 PECOS PAC ID: 3274678313 Enrollment ID: I20100301000811 |
| Provider Name | Holman P Mcadams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215086236 PECOS PAC ID: 5991840035 Enrollment ID: I20100301000823 |
| Provider Name | David Scott Enterline |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194810887 PECOS PAC ID: 3072658111 Enrollment ID: I20100301000830 |
| Provider Name | Ellen Marie Flanagan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639267115 PECOS PAC ID: 4880739929 Enrollment ID: I20100301000844 |
| Provider Name | Howard A Rockman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447334362 PECOS PAC ID: 3375688427 Enrollment ID: I20100301000895 |
| Provider Name | Anand S Lagoo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750465662 PECOS PAC ID: 3577608447 Enrollment ID: I20100303000272 |
| Provider Name | Roger E Mclendon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598849481 PECOS PAC ID: 7012052988 Enrollment ID: I20100303000293 |
| Provider Name | Joanne T Piscitelli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104989987 PECOS PAC ID: 8820133796 Enrollment ID: I20100303000307 |
| Provider Name | Eric A Postel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528142411 PECOS PAC ID: 0547305427 Enrollment ID: I20100303000331 |
| Provider Name | Glenn Jay Jaffe |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255415311 PECOS PAC ID: 9537204433 Enrollment ID: I20100303000565 |
| Provider Name | Claudia Kay Jones |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326122482 PECOS PAC ID: 2163567066 Enrollment ID: I20100303000581 |
| Provider Name | Nancy W Knudsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649340472 PECOS PAC ID: 1153466057 Enrollment ID: I20100303000591 |
| Provider Name | Cary N Robertson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730242512 PECOS PAC ID: 6103961016 Enrollment ID: I20100303000633 |
| Provider Name | John H Sampson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720158553 PECOS PAC ID: 9638214547 Enrollment ID: I20100303000651 |
| Provider Name | Mark B Skeen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497839351 PECOS PAC ID: 4789729625 Enrollment ID: I20100303000908 |
| Provider Name | Julie A Woodward |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134203011 PECOS PAC ID: 5496890345 Enrollment ID: I20100303001028 |
| Provider Name | Sharon Fekrat |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235191115 PECOS PAC ID: 7618012469 Enrollment ID: I20100303001080 |
| Provider Name | David H Harpole |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1386734564 PECOS PAC ID: 0143365999 Enrollment ID: I20100303001105 |
| Provider Name | Leon Walker Herndon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992889059 PECOS PAC ID: 1951446707 Enrollment ID: I20100303001121 |
| Provider Name | Claude Thurman Moorman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205923810 PECOS PAC ID: 2769527514 Enrollment ID: I20100303001129 |
| Provider Name | Susan J Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790834711 PECOS PAC ID: 8022153899 Enrollment ID: I20100304000219 |
| Provider Name | John H Alexander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831282094 PECOS PAC ID: 9931244480 Enrollment ID: I20100308000944 |
| Provider Name | Andrew J Muir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093899908 PECOS PAC ID: 8527103811 Enrollment ID: I20100311000440 |
| Provider Name | Margaret T Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609817865 PECOS PAC ID: 4587799895 Enrollment ID: I20100311000777 |
| Provider Name | Dorine Henrietta Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093811705 PECOS PAC ID: 1153456389 Enrollment ID: I20100312000908 |
| Provider Name | Ronald N Goldberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467515239 PECOS PAC ID: 8628103892 Enrollment ID: I20100315000235 |
| Provider Name | Eric David Peterson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720162613 PECOS PAC ID: 7810022951 Enrollment ID: I20100315000990 |
| Provider Name | Albert S Chang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619991353 PECOS PAC ID: 8820092646 Enrollment ID: I20100318000302 |
| Provider Name | Kevin B Waters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295817575 PECOS PAC ID: 6002941630 Enrollment ID: I20100320000252 |
| Provider Name | Kenneth S Ellington |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609950344 PECOS PAC ID: 6507991197 Enrollment ID: I20100322000427 |
| Provider Name | John F Madden |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043369069 PECOS PAC ID: 4284769878 Enrollment ID: I20100322000465 |
| Provider Name | Kevin Alan Schulman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073697959 PECOS PAC ID: 4183759772 Enrollment ID: I20100322000477 |
| Provider Name | Rex C Bentley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700975265 PECOS PAC ID: 0345375937 Enrollment ID: I20100322000508 |
| Provider Name | Thomas J Cummings |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740363993 PECOS PAC ID: 8426183021 Enrollment ID: I20100322000521 |
| Provider Name | Rajesh C Dash |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508940412 PECOS PAC ID: 0143355743 Enrollment ID: I20100322000540 |
| Provider Name | Louis R Di Bernardo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285717439 PECOS PAC ID: 2860527462 Enrollment ID: I20100322000554 |
| Provider Name | Cynthia D Guy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477636637 PECOS PAC ID: 2668507260 Enrollment ID: I20100322000576 |
| Provider Name | David N Howell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699876102 PECOS PAC ID: 7911032511 Enrollment ID: I20100322000597 |
| Provider Name | Alan D Proia |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609950591 PECOS PAC ID: 1355476953 Enrollment ID: I20100322000618 |
| Provider Name | Joanne A P Wilson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598849473 PECOS PAC ID: 3870629207 Enrollment ID: I20100324001201 |
| Provider Name | Jennifer B Green |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770674517 PECOS PAC ID: 6901932755 Enrollment ID: I20100331000253 |
| Provider Name | Jamie Line Hollowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205159753 PECOS PAC ID: 6305972126 Enrollment ID: I20100331000940 |
| Provider Name | Eugene Z Oddone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386745701 PECOS PAC ID: 0941336663 Enrollment ID: I20100331001048 |
| Provider Name | Abimbola Ogunleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023294261 PECOS PAC ID: 7214010495 Enrollment ID: I20100331001288 |
| Provider Name | Amy M Goetzinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467776369 PECOS PAC ID: 8022144765 Enrollment ID: I20100331001294 |
| Provider Name | Sharon F Freedman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740343516 PECOS PAC ID: 3678609112 Enrollment ID: I20100412000069 |
| Provider Name | Stephen R Smith |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851475719 PECOS PAC ID: 5991831448 Enrollment ID: I20100413000036 |
| Provider Name | Andrea R Bailey |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861603078 PECOS PAC ID: 4587790050 Enrollment ID: I20100414000083 |
| Provider Name | Herbert K Lyerly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427111202 PECOS PAC ID: 0840326310 Enrollment ID: I20100414000091 |
| Provider Name | Carol J Ziel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891875902 PECOS PAC ID: 8325174808 Enrollment ID: I20100414000191 |
| Provider Name | Murat O Arcasoy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760420145 PECOS PAC ID: 9335276765 Enrollment ID: I20100416000257 |
| Provider Name | Mitchell W Krucoff |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740364801 PECOS PAC ID: 7113054560 Enrollment ID: I20100416000420 |
| Provider Name | David S Caldwell |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1982787123 PECOS PAC ID: 1850428129 Enrollment ID: I20100416000789 |
| Provider Name | John P Middleton |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033293923 PECOS PAC ID: 9335276658 Enrollment ID: I20100419000500 |
| Provider Name | Malcolm S Branch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639252877 PECOS PAC ID: 5193852424 Enrollment ID: I20100419000598 |
| Provider Name | Thomas Lee Ortel |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1003990995 PECOS PAC ID: 6103953443 Enrollment ID: I20100419000717 |
| Provider Name | Scott M Palmer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649354531 PECOS PAC ID: 3173650413 Enrollment ID: I20100419000742 |
| Provider Name | Gerard C Blobe |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1184694754 PECOS PAC ID: 1153458492 Enrollment ID: I20100419000767 |
| Provider Name | Pratap Challa |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982794137 PECOS PAC ID: 7416084769 Enrollment ID: I20100419000787 |
| Provider Name | Peter S Kussin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790848562 PECOS PAC ID: 4385771567 Enrollment ID: I20100420000448 |
| Provider Name | Christopher W Woods |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013004811 PECOS PAC ID: 8820125032 Enrollment ID: I20100420000700 |
| Provider Name | Kimberly S Johnson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1972687036 PECOS PAC ID: 1658408877 Enrollment ID: I20100420000835 |
| Provider Name | William J Fulkerson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194888966 PECOS PAC ID: 6709785686 Enrollment ID: I20100423000206 |
| Provider Name | Arthur Greenberg |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013090273 PECOS PAC ID: 0648307595 Enrollment ID: I20100423000590 |
| Provider Name | Harvey E Marshall |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699859579 PECOS PAC ID: 0244367100 Enrollment ID: I20100423000759 |
| Provider Name | Philip A Davenport |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659342806 PECOS PAC ID: 2365534765 Enrollment ID: I20100426000274 |
| Provider Name | Laura M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154498616 PECOS PAC ID: 8527195437 Enrollment ID: I20100426000348 |
| Provider Name | Eric A Reyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235461419 PECOS PAC ID: 5395872022 Enrollment ID: I20100428000656 |
| Provider Name | Barbara D Alexander |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982747796 PECOS PAC ID: 8325175060 Enrollment ID: I20100428000739 |
| Provider Name | David F Lobach |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396829446 PECOS PAC ID: 7012044761 Enrollment ID: I20100428000789 |
| Provider Name | Michael Scott Berkoben |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821171067 PECOS PAC ID: 3072640762 Enrollment ID: I20100429000376 |
| Provider Name | Mark A Stacy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205910171 PECOS PAC ID: 9931188711 Enrollment ID: I20100429000414 |
| Provider Name | Taras T.m. Semchyshyn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194804047 PECOS PAC ID: 6507993169 Enrollment ID: I20100430000097 |
| Provider Name | Gordon R Corey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679636443 PECOS PAC ID: 3971631573 Enrollment ID: I20100430000650 |
| Provider Name | Jeffrey R Bytomski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255414496 PECOS PAC ID: 1759419112 Enrollment ID: I20100506000217 |
| Provider Name | Jonathan E Fischer |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1184729105 PECOS PAC ID: 4688702988 Enrollment ID: I20100506000840 |
| Provider Name | Lawrence R Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215011192 PECOS PAC ID: 3476681636 Enrollment ID: I20100507000630 |
| Provider Name | Frank Russell Dunphy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629151873 PECOS PAC ID: 5092843268 Enrollment ID: I20100507000669 |
| Provider Name | Shelby L Barthel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518284009 PECOS PAC ID: 6204964190 Enrollment ID: I20100513000911 |
| Provider Name | James Alspaugh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851440861 PECOS PAC ID: 7911035704 Enrollment ID: I20100515000101 |
| Provider Name | Eugene C Kovalik |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013975937 PECOS PAC ID: 7719015502 Enrollment ID: I20100515000127 |
| Provider Name | Alan N Carlson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124181995 PECOS PAC ID: 1658409339 Enrollment ID: I20100518000169 |
| Provider Name | Mark E Easley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790872430 PECOS PAC ID: 4981732666 Enrollment ID: I20100518000223 |
| Provider Name | Laura B Enyedi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710060975 PECOS PAC ID: 4981732674 Enrollment ID: I20100518000232 |
| Provider Name | Todd Michael Gerkin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013991744 PECOS PAC ID: 4688703317 Enrollment ID: I20100518000882 |
| Provider Name | Dianne L Scott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235213190 PECOS PAC ID: 3274662861 Enrollment ID: I20100519000670 |
| Provider Name | Russell P Hall |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1205923042 PECOS PAC ID: 8022147610 Enrollment ID: I20100519000750 |
| Provider Name | Kimberly J Camp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538499843 PECOS PAC ID: 8325177892 Enrollment ID: I20100520000763 |
| Provider Name | Paul S Toth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700860392 PECOS PAC ID: 6901935402 Enrollment ID: I20100521000056 |
| Provider Name | Nichol D Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184787954 PECOS PAC ID: 1153450663 Enrollment ID: I20100521000212 |
| Provider Name | Susan Marie Chioffi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659420669 PECOS PAC ID: 6204965726 Enrollment ID: I20100521000281 |
| Provider Name | John T Geneczko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902875727 PECOS PAC ID: 3577692854 Enrollment ID: I20100525000573 |
| Provider Name | Marisa R D Silva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013017540 PECOS PAC ID: 0547399859 Enrollment ID: I20100525000857 |
| Provider Name | Michael Cohen-wolkowiez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528233665 PECOS PAC ID: 4183753387 Enrollment ID: I20100526000910 |
| Provider Name | Maureen C Butts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366760415 PECOS PAC ID: 6204965437 Enrollment ID: I20100527000128 |
| Provider Name | Brian E Wolf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538147244 PECOS PAC ID: 2567436710 Enrollment ID: I20100601000213 |
| Provider Name | Thomas M Bashore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659454890 PECOS PAC ID: 1052440062 Enrollment ID: I20100601000777 |
| Provider Name | David C Adamson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154413011 PECOS PAC ID: 1355470105 Enrollment ID: I20100603000713 |
| Provider Name | Linmarie Sikich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902994676 PECOS PAC ID: 3971632720 Enrollment ID: I20100603000742 |
| Provider Name | Aaron C Lentz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134341761 PECOS PAC ID: 9133259898 Enrollment ID: I20100608000087 |
| Provider Name | Oren N Gottfried |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1578764213 PECOS PAC ID: 9830281187 Enrollment ID: I20100608000133 |
| Provider Name | Rachel C Blitzblau |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659554897 PECOS PAC ID: 5395875066 Enrollment ID: I20100608000217 |
| Provider Name | Jane V Trinh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952323925 PECOS PAC ID: 8325048663 Enrollment ID: I20100608000306 |
| Provider Name | Christopher J Roth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497929178 PECOS PAC ID: 0143350736 Enrollment ID: I20100608000555 |
| Provider Name | Matthew B Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396729018 PECOS PAC ID: 0143350595 Enrollment ID: I20100610000622 |
| Provider Name | Sasapin G Prakalapakorn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871777953 PECOS PAC ID: 4688704927 Enrollment ID: I20100611000556 |
| Provider Name | Okoronkwo U Ogan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730230566 PECOS PAC ID: 1052481462 Enrollment ID: I20100618000196 |
| Provider Name | Jennifer Helene Crow |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770756363 PECOS PAC ID: 8527199413 Enrollment ID: I20100621000466 |
| Provider Name | Gregory A Fleming |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376690172 PECOS PAC ID: 8921134032 Enrollment ID: I20100621000506 |
| Provider Name | Kelan James Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033324611 PECOS PAC ID: 8729119615 Enrollment ID: I20100621000568 |
| Provider Name | Nwora L Okeke |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205003316 PECOS PAC ID: 5294866109 Enrollment ID: I20100621000792 |
| Provider Name | Kristen S Clarey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194847707 PECOS PAC ID: 5698806529 Enrollment ID: I20100622000052 |
| Provider Name | Jorge Antonio Tirado Gutierrez |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669630968 PECOS PAC ID: 5193856060 Enrollment ID: I20100622000508 |
| Provider Name | Brian C Allen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114126588 PECOS PAC ID: 0143351023 Enrollment ID: I20100622000572 |
| Provider Name | Thomas W Leblanc |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1790997989 PECOS PAC ID: 6305977281 Enrollment ID: I20100622000604 |
| Provider Name | Deepak Voora |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275709149 PECOS PAC ID: 3375570674 Enrollment ID: I20100623000148 |
| Provider Name | Sabino Zani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649469610 PECOS PAC ID: 7214068030 Enrollment ID: I20100623000299 |
| Provider Name | Jose Mauricio Del Rio |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760660344 PECOS PAC ID: 6709917552 Enrollment ID: I20100623000661 |
| Provider Name | Jodi J Hawes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992975528 PECOS PAC ID: 9931230513 Enrollment ID: I20100625000349 |
| Provider Name | Brett D Atwater |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1053376194 PECOS PAC ID: 6406987023 Enrollment ID: I20100625000751 |
| Provider Name | Carolyn E Keeler |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083804058 PECOS PAC ID: 1052442415 Enrollment ID: I20100629000124 |
| Provider Name | Bharathi Upadhya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730381989 PECOS PAC ID: 3476684887 Enrollment ID: I20100629000665 |
| Provider Name | Amber M Jarvis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346457512 PECOS PAC ID: 0143351411 Enrollment ID: I20100630000475 |
| Provider Name | Jullia A Rosdahl |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235337312 PECOS PAC ID: 7719018951 Enrollment ID: I20100701000447 |
| Provider Name | Charles Andrew Peery |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407029218 PECOS PAC ID: 0749311983 Enrollment ID: I20100701000530 |
| Provider Name | Jessica Y Chia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134339674 PECOS PAC ID: 0042341216 Enrollment ID: I20100702000115 |
| Provider Name | Robert Tighe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831126580 PECOS PAC ID: 5991724593 Enrollment ID: I20100702000134 |
| Provider Name | Philip A Omotosho |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306050877 PECOS PAC ID: 5799816724 Enrollment ID: I20100708000244 |
| Provider Name | Eric M Wilson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174604342 PECOS PAC ID: 0547392342 Enrollment ID: I20100714000424 |
| Provider Name | Malana K Moshesh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457466799 PECOS PAC ID: 5193714640 Enrollment ID: I20100715000492 |
| Provider Name | Joseph Salama |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891723391 PECOS PAC ID: 0840293007 Enrollment ID: I20100716000759 |
| Provider Name | Jennie S Petruney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457580094 PECOS PAC ID: 2860547197 Enrollment ID: I20100716000764 |
| Provider Name | Lynn M Scallion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619051596 PECOS PAC ID: 1052444973 Enrollment ID: I20100729000350 |
| Provider Name | Marvaretta M Stevenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891825964 PECOS PAC ID: 0042343840 Enrollment ID: I20100730000425 |
| Provider Name | Micah T Mcclain |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336316454 PECOS PAC ID: 4082747803 Enrollment ID: I20100730000653 |
| Provider Name | Rebecca Ann Burbridge |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184630972 PECOS PAC ID: 6800899402 Enrollment ID: I20100730000929 |
| Provider Name | Kristen G Shirey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033383013 PECOS PAC ID: 9739212580 Enrollment ID: I20100730000988 |
| Provider Name | Yiping Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063596989 PECOS PAC ID: 7012040488 Enrollment ID: I20100805000452 |
| Provider Name | Rabia Y Ali |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164671145 PECOS PAC ID: 5193858439 Enrollment ID: I20100806000174 |
| Provider Name | Amit R Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740460377 PECOS PAC ID: 1557494754 Enrollment ID: I20100809000109 |
| Provider Name | Robert K Lark |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235397472 PECOS PAC ID: 3971637067 Enrollment ID: I20100811000289 |
| Provider Name | Dana Fifield Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073696233 PECOS PAC ID: 7012041106 Enrollment ID: I20100811000356 |
| Provider Name | Waleska M Pabon-ramos |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1568580892 PECOS PAC ID: 4587798616 Enrollment ID: I20100811000738 |
| Provider Name | Mamata Yanamadala |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1164632642 PECOS PAC ID: 7113051251 Enrollment ID: I20100811000873 |
| Provider Name | Kamran Mahmood |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992783377 PECOS PAC ID: 3779534094 Enrollment ID: I20100811000971 |
| Provider Name | Jeffrey P Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235292004 PECOS PAC ID: 7911031067 Enrollment ID: I20100811001038 |
| Provider Name | Alice L Gray |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336315985 PECOS PAC ID: 6608900501 Enrollment ID: I20100813000798 |
| Provider Name | Gary E Macy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740364892 PECOS PAC ID: 3678607587 Enrollment ID: I20100813000846 |
| Provider Name | William E Kraus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922182088 PECOS PAC ID: 2668506452 Enrollment ID: I20100816000570 |
| Provider Name | Alina Nicoara |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306901970 PECOS PAC ID: 7113051921 Enrollment ID: I20100816000815 |
| Provider Name | Gary M Felker |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1346323508 PECOS PAC ID: 0042344640 Enrollment ID: I20100818000672 |
| Provider Name | Scott R Brazer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891755153 PECOS PAC ID: 2163482019 Enrollment ID: I20100819001246 |
| Provider Name | Glenn R Willett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063432912 PECOS PAC ID: 8123152576 Enrollment ID: I20100820000192 |
| Provider Name | David N Thies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366462210 PECOS PAC ID: 7517041635 Enrollment ID: I20100823000298 |
| Provider Name | Margaret A Hassett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902866916 PECOS PAC ID: 6608990924 Enrollment ID: I20100824000222 |
| Provider Name | David M Bronstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215978358 PECOS PAC ID: 0547384711 Enrollment ID: I20100825000980 |
| Provider Name | Jeffrey W Byrnett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467455295 PECOS PAC ID: 8224152293 Enrollment ID: I20100826001228 |
| Provider Name | Sana M Al-khatib |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336223247 PECOS PAC ID: 1759405764 Enrollment ID: I20100827000384 |
| Provider Name | Mitchell E Horwitz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710040589 PECOS PAC ID: 5092839043 Enrollment ID: I20100828000054 |
| Provider Name | Ruth A Greenfield |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831272095 PECOS PAC ID: 9537283585 Enrollment ID: I20100828000057 |
| Provider Name | Jeffrey Arthur Dvergsten |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871521443 PECOS PAC ID: 3173554136 Enrollment ID: I20100830000673 |
| Provider Name | Sarah A Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447415351 PECOS PAC ID: 9234203522 Enrollment ID: I20100830001072 |
| Provider Name | Peter B Bressler |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1972583656 PECOS PAC ID: 6608825807 Enrollment ID: I20100901000765 |
| Provider Name | Daniel B Mark |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881778769 PECOS PAC ID: 9335263730 Enrollment ID: I20100907000600 |
| Provider Name | Kimberly L Blackwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720161946 PECOS PAC ID: 8820112220 Enrollment ID: I20100907000669 |
| Provider Name | Cheryl A Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356430813 PECOS PAC ID: 4183748593 Enrollment ID: I20100907000708 |
| Provider Name | Radhika Kalisetti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376711713 PECOS PAC ID: 6800910217 Enrollment ID: I20100907000725 |
| Provider Name | David A Michaels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982638342 PECOS PAC ID: 4688779283 Enrollment ID: I20100908000074 |
| Provider Name | Elizabeth Henke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275594772 PECOS PAC ID: 5496870883 Enrollment ID: I20100908000660 |
| Provider Name | Justin A Fowler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982645586 PECOS PAC ID: 9739252842 Enrollment ID: I20100913000497 |
| Provider Name | Gordon Worley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497839377 PECOS PAC ID: 4486779592 Enrollment ID: I20100913001117 |
| Provider Name | Crystal M King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417262023 PECOS PAC ID: 6002931037 Enrollment ID: I20100915000204 |
| Provider Name | Navjeet K Sidhu-malik |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306947148 PECOS PAC ID: 6204951171 Enrollment ID: I20100915000812 |
| Provider Name | Susann L Clifford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811064389 PECOS PAC ID: 7315062296 Enrollment ID: I20100915000921 |
| Provider Name | Andrew Berchuck |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1154349181 PECOS PAC ID: 2769507656 Enrollment ID: I20100915000953 |
| Provider Name | Suzanne K Woods |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225112105 PECOS PAC ID: 7618092503 Enrollment ID: I20100915001006 |
| Provider Name | Bert J Klein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417977513 PECOS PAC ID: 4183749096 Enrollment ID: I20100915001250 |
| Provider Name | James F Hedrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598785297 PECOS PAC ID: 3971687096 Enrollment ID: I20100916000118 |
| Provider Name | Andrew C Peterson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104871367 PECOS PAC ID: 7911022652 Enrollment ID: I20100917000376 |
| Provider Name | Alexander Paraschos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184641169 PECOS PAC ID: 6507940624 Enrollment ID: I20100917000640 |
| Provider Name | Robert A Buchanan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811957822 PECOS PAC ID: 0446375125 Enrollment ID: I20100917000968 |
| Provider Name | James L Michener |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952485849 PECOS PAC ID: 2466351358 Enrollment ID: I20100918000158 |
| Provider Name | David Alan Rizzieri |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1043346877 PECOS PAC ID: 0941325500 Enrollment ID: I20100920000468 |
| Provider Name | Edward A Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386708006 PECOS PAC ID: 2264557859 Enrollment ID: I20100920000971 |
| Provider Name | Kenneth W Lyles |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1184706418 PECOS PAC ID: 0941326151 Enrollment ID: I20100924000964 |
| Provider Name | Martin H Poleski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992889810 PECOS PAC ID: 8820114036 Enrollment ID: I20100924000997 |
| Provider Name | Vishwanath Hande |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528068004 PECOS PAC ID: 6406972611 Enrollment ID: I20100924001073 |
| Provider Name | Todd W Cline |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386662435 PECOS PAC ID: 9638295850 Enrollment ID: I20100924001142 |
| Provider Name | Janice M Massey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871677757 PECOS PAC ID: 8123144367 Enrollment ID: I20100925000010 |
| Provider Name | Deborah Catherine Koltai |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093899700 PECOS PAC ID: 5496871634 Enrollment ID: I20100925000013 |
| Provider Name | Delbert R Wigfall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891858676 PECOS PAC ID: 2567588700 Enrollment ID: I20100925000034 |
| Provider Name | Allison K Ross |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407930308 PECOS PAC ID: 3375669518 Enrollment ID: I20100925000047 |
| Provider Name | Terry Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760566822 PECOS PAC ID: 3274659412 Enrollment ID: I20100925000057 |
| Provider Name | Scott D Moore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902988207 PECOS PAC ID: 2163548306 Enrollment ID: I20100925000073 |
| Provider Name | Daniel T Laskowitz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689758732 PECOS PAC ID: 9335265586 Enrollment ID: I20100925000096 |
| Provider Name | Keith E Dombrowski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548477490 PECOS PAC ID: 6406972652 Enrollment ID: I20100925000125 |
| Provider Name | Jodi A Gehring |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023125515 PECOS PAC ID: 9931225893 Enrollment ID: I20100928001361 |
| Provider Name | Jarvis W Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760402713 PECOS PAC ID: 9335265123 Enrollment ID: I20100929001250 |
| Provider Name | Jason E Stout |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548323322 PECOS PAC ID: 9830381300 Enrollment ID: I20101004000429 |
| Provider Name | Claude A Piantadosi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376644807 PECOS PAC ID: 3375735731 Enrollment ID: I20101005000171 |
| Provider Name | Paul B Rosenberg |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1780768689 PECOS PAC ID: 4284826645 Enrollment ID: I20101005000173 |
| Provider Name | Caroline L Haynes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821172982 PECOS PAC ID: 4385836493 Enrollment ID: I20101007000955 |
| Provider Name | Timothy Alan Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699858845 PECOS PAC ID: 1355533464 Enrollment ID: I20101007000986 |
| Provider Name | Richard D Weiner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235198813 PECOS PAC ID: 7315139433 Enrollment ID: I20101007001048 |
| Provider Name | Sandhya A Lagoo-deenadayalan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831289040 PECOS PAC ID: 5496947517 Enrollment ID: I20101007001070 |
| Provider Name | Gary B Pohl |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124114160 PECOS PAC ID: 8820280944 Enrollment ID: I20101007001100 |
| Provider Name | Burton L Scott |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477654374 PECOS PAC ID: 1254523376 Enrollment ID: I20101007001131 |
| Provider Name | Grace Coddington Thrall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548344419 PECOS PAC ID: 8022200153 Enrollment ID: I20101007001203 |
| Provider Name | Vani R Chilukuri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346323599 PECOS PAC ID: 2567654692 Enrollment ID: I20101007001225 |
| Provider Name | Janet L Mccauley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619042801 PECOS PAC ID: 9537123831 Enrollment ID: I20101008000424 |
| Provider Name | Diana B Mcneill |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316021207 PECOS PAC ID: 5193917185 Enrollment ID: I20101008000640 |
| Provider Name | Robin Mathews |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225269921 PECOS PAC ID: 4486662087 Enrollment ID: I20101011000994 |
| Provider Name | Geoffrey D Rubin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285783472 PECOS PAC ID: 1951328053 Enrollment ID: I20101012001027 |
| Provider Name | Virginia Carroll O'brien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184897886 PECOS PAC ID: 0143399667 Enrollment ID: I20101012001072 |
| Provider Name | April K.s. Salama |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871744490 PECOS PAC ID: 2961694500 Enrollment ID: I20101014000340 |
| Provider Name | Benjamin J Conway |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801926183 PECOS PAC ID: 6305876798 Enrollment ID: I20101014000407 |
| Provider Name | Darren S Sessler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073829511 PECOS PAC ID: 8628261294 Enrollment ID: I20101015000598 |
| Provider Name | Mary C Edmondson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902920754 PECOS PAC ID: 0648463125 Enrollment ID: I20101015000851 |
| Provider Name | Ernest Little Helms |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1437117744 PECOS PAC ID: 5193765071 Enrollment ID: I20101018000578 |
| Provider Name | John Robert Perfect |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487717260 PECOS PAC ID: 6002009479 Enrollment ID: I20101018000810 |
| Provider Name | Lori M Haskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679885107 PECOS PAC ID: 4880887058 Enrollment ID: I20101020000444 |
| Provider Name | Kathryn Douglass Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275754111 PECOS PAC ID: 4486847472 Enrollment ID: I20101022000470 |
| Provider Name | Brooke L Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770893430 PECOS PAC ID: 6406049188 Enrollment ID: I20101026001166 |
| Provider Name | Lawrence H Greenblatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629019971 PECOS PAC ID: 2961696349 Enrollment ID: I20101029000574 |
| Provider Name | Robert Elliott |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235159922 PECOS PAC ID: 9830206051 Enrollment ID: I20101102001527 |
| Provider Name | Aileen H Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508886581 PECOS PAC ID: 7416141502 Enrollment ID: I20101103000026 |
| Provider Name | Jill Ann Sablar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134429269 PECOS PAC ID: 9830383934 Enrollment ID: I20101103000092 |
| Provider Name | Kimberly A Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134298243 PECOS PAC ID: 9133313158 Enrollment ID: I20101103000439 |
| Provider Name | Steven D Crowley |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639261472 PECOS PAC ID: 4486848488 Enrollment ID: I20101103001254 |
| Provider Name | Robert F Spurney |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1548351869 PECOS PAC ID: 9638363591 Enrollment ID: I20101104000622 |
| Provider Name | Cristina Gasparetto |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730242504 PECOS PAC ID: 3779778519 Enrollment ID: I20101106000029 |
| Provider Name | David S Pisetsky |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1912089020 PECOS PAC ID: 8921293796 Enrollment ID: I20101108000293 |
| Provider Name | Miklos D Kertai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518124106 PECOS PAC ID: 6103998703 Enrollment ID: I20101108000710 |
| Provider Name | John B Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700806650 PECOS PAC ID: 5193839439 Enrollment ID: I20101108001243 |
| Provider Name | John R Guyton |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861574063 PECOS PAC ID: 4385839877 Enrollment ID: I20101110000270 |
| Provider Name | Ana Maria A Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033283643 PECOS PAC ID: 4486849767 Enrollment ID: I20101111001382 |
| Provider Name | Kevin P Speer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528014081 PECOS PAC ID: 3375521826 Enrollment ID: I20101113000113 |
| Provider Name | Gwynn D Long |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114001260 PECOS PAC ID: 8325233471 Enrollment ID: I20101115000611 |
| Provider Name | Marvin S Swartz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376627240 PECOS PAC ID: 7618003187 Enrollment ID: I20101122000530 |
| Provider Name | Andrew D Krystal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568546620 PECOS PAC ID: 4587850177 Enrollment ID: I20101122000726 |
| Provider Name | Mehul V Mankad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346349024 PECOS PAC ID: 4981890597 Enrollment ID: I20101122000957 |
| Provider Name | David K Walmer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154405025 PECOS PAC ID: 8123214749 Enrollment ID: I20101122001007 |
| Provider Name | Dwight D Koeberl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023192184 PECOS PAC ID: 4183810708 Enrollment ID: I20101122001062 |
| Provider Name | Lisa G Criscione Schreiber |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902988181 PECOS PAC ID: 3375739865 Enrollment ID: I20101123000554 |
| Provider Name | Anne B Harrington |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205980349 PECOS PAC ID: 3072709278 Enrollment ID: I20101130001199 |
| Provider Name | Wei Jiang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679657589 PECOS PAC ID: 9133315138 Enrollment ID: I20101201001085 |
| Provider Name | Katherine Lynn Applegate |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336223049 PECOS PAC ID: 3971790494 Enrollment ID: I20101209001129 |
| Provider Name | Paul Mosca |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114935749 PECOS PAC ID: 0648253427 Enrollment ID: I20101210000341 |
| Provider Name | Anand Joshi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316147846 PECOS PAC ID: 8022164326 Enrollment ID: I20101210000372 |
| Provider Name | Tanya E Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184925901 PECOS PAC ID: 7315134798 Enrollment ID: I20101210000672 |
| Provider Name | Carolyn E Pizoli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073769519 PECOS PAC ID: 5890862122 Enrollment ID: I20101210000753 |
| Provider Name | Scott C Elston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710942016 PECOS PAC ID: 3870781735 Enrollment ID: I20101220001029 |
| Provider Name | Denis A Clements |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851454623 PECOS PAC ID: 3476741034 Enrollment ID: I20101223000148 |
| Provider Name | Betty B Staples |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932283801 PECOS PAC ID: 0345438958 Enrollment ID: I20101227000400 |
| Provider Name | Martha Ashley Agee Snyder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760566624 PECOS PAC ID: 2466640958 Enrollment ID: I20101228000596 |
| Provider Name | Joanne F Band |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922181163 PECOS PAC ID: 9335337823 Enrollment ID: I20101228000633 |
| Provider Name | Jennifer V Rowell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093928376 PECOS PAC ID: 0042409989 Enrollment ID: I20110107000854 |
| Provider Name | Jennifer M Lawson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427111293 PECOS PAC ID: 0648469585 Enrollment ID: I20110107000902 |
| Provider Name | Elizabeth N Pavlisko |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275708463 PECOS PAC ID: 0648459891 Enrollment ID: I20110120000684 |
| Provider Name | Bryant W Stolp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104900075 PECOS PAC ID: 2860671427 Enrollment ID: I20110127001161 |
| Provider Name | John Bright Eck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265515415 PECOS PAC ID: 1850570425 Enrollment ID: I20110127001187 |
| Provider Name | Chetan B Patel |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1730256835 PECOS PAC ID: 2961682810 Enrollment ID: I20110209000551 |
| Provider Name | Paul S Jowell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235213398 PECOS PAC ID: 0941480446 Enrollment ID: I20110215000528 |
| Provider Name | Marilyn Jo Telen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346399367 PECOS PAC ID: 6305026840 Enrollment ID: I20110215001041 |
| Provider Name | Mary H Foster |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356442818 PECOS PAC ID: 3375723844 Enrollment ID: I20110216000108 |
| Provider Name | Christopher B Granger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295818458 PECOS PAC ID: 7315127800 Enrollment ID: I20110216000342 |
| Provider Name | Sara Colmer Syvinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669776977 PECOS PAC ID: 2062693427 Enrollment ID: I20110218000366 |
| Provider Name | Alison M Church |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528233947 PECOS PAC ID: 9234310608 Enrollment ID: I20110218000499 |
| Provider Name | Tamrah J Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750684296 PECOS PAC ID: 2466633706 Enrollment ID: I20110221000405 |
| Provider Name | Katherine Hansen Kalinowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588964233 PECOS PAC ID: 7719168939 Enrollment ID: I20110222000387 |
| Provider Name | Jennifer H Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215010475 PECOS PAC ID: 0840471892 Enrollment ID: I20110223000820 |
| Provider Name | Sarah E Cook |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730482290 PECOS PAC ID: 5597946442 Enrollment ID: I20110224000734 |
| Provider Name | Nicole E Jelesoff |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376515635 PECOS PAC ID: 6709067671 Enrollment ID: I20110224000939 |
| Provider Name | Beatriz B Morris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861555641 PECOS PAC ID: 7012198716 Enrollment ID: I20110301000751 |
| Provider Name | Carolyn L Lekavich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558431387 PECOS PAC ID: 1951582501 Enrollment ID: I20110302000323 |
| Provider Name | Tamara J Somers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245537083 PECOS PAC ID: 3072795269 Enrollment ID: I20110309000469 |
| Provider Name | April M Berndt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871895334 PECOS PAC ID: 4385826478 Enrollment ID: I20110310000614 |
| Provider Name | Nicole S.c. Heilbron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972809572 PECOS PAC ID: 4880876549 Enrollment ID: I20110316001060 |
| Provider Name | James Philmon Hooten |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194745893 PECOS PAC ID: 2567645252 Enrollment ID: I20110317000354 |
| Provider Name | Daniele Marin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407152283 PECOS PAC ID: 8628251220 Enrollment ID: I20110318000648 |
| Provider Name | Jill Kimesia Burleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346323581 PECOS PAC ID: 1759564016 Enrollment ID: I20110323000741 |
| Provider Name | Sean P Montgomery |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629234547 PECOS PAC ID: 9537342852 Enrollment ID: I20110324000337 |
| Provider Name | Hillary Dolan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407058498 PECOS PAC ID: 4981790193 Enrollment ID: I20110401000225 |
| Provider Name | Rebecca A Shelby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598062937 PECOS PAC ID: 5698959468 Enrollment ID: I20110404000325 |
| Provider Name | Estela D Field |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649292590 PECOS PAC ID: 8729979323 Enrollment ID: I20110408000030 |
| Provider Name | Cindy C Southerland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730481763 PECOS PAC ID: 8820272206 Enrollment ID: I20110408000347 |
| Provider Name | Stacey L Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356525109 PECOS PAC ID: 3971787359 Enrollment ID: I20110408000404 |
| Provider Name | Lisa J Dowd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437143526 PECOS PAC ID: 2769568450 Enrollment ID: I20110414000040 |
| Provider Name | Margaret L Eren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538242797 PECOS PAC ID: 3577747492 Enrollment ID: I20110418000380 |
| Provider Name | Douglas B Garrison |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801125091 PECOS PAC ID: 9830374701 Enrollment ID: I20110420000155 |
| Provider Name | Laura P Svetkey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003990979 PECOS PAC ID: 0941485734 Enrollment ID: I20110420000535 |
| Provider Name | Gowthami M Arepally |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1447349907 PECOS PAC ID: 3577748375 Enrollment ID: I20110420000675 |
| Provider Name | Susan D Izatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356404123 PECOS PAC ID: 9234314345 Enrollment ID: I20110504000384 |
| Provider Name | Nancy J Lelle-michel |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1083904361 PECOS PAC ID: 7517143555 Enrollment ID: I20110509000816 |
| Provider Name | Mary L Affronti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437318300 PECOS PAC ID: 3577749043 Enrollment ID: I20110517000920 |
| Provider Name | Shivanand Lad |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346408507 PECOS PAC ID: 9032396734 Enrollment ID: I20110607000002 |
| Provider Name | Michael R Harrison |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1760674535 PECOS PAC ID: 8921159294 Enrollment ID: I20110628000707 |
| Provider Name | Beverly A Gray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912199126 PECOS PAC ID: 2466630181 Enrollment ID: I20110629000176 |
| Provider Name | David B Goldston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750464913 PECOS PAC ID: 6305024035 Enrollment ID: I20110629000270 |
| Provider Name | John F Curry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659454809 PECOS PAC ID: 2365620903 Enrollment ID: I20110629000457 |
| Provider Name | Laura Blue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538239363 PECOS PAC ID: 2961680384 Enrollment ID: I20110706000413 |
| Provider Name | Rachel E Dew |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619131372 PECOS PAC ID: 2860670221 Enrollment ID: I20110707000361 |
| Provider Name | Jason I Koontz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1386817104 PECOS PAC ID: 3577741867 Enrollment ID: I20110712000009 |
| Provider Name | Julius M Wilder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598924995 PECOS PAC ID: 2062680309 Enrollment ID: I20110712000783 |
| Provider Name | Eileen K Maziarz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801063904 PECOS PAC ID: 7315115656 Enrollment ID: I20110713000013 |
| Provider Name | Grace C Mccarthy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629249511 PECOS PAC ID: 3678741782 Enrollment ID: I20110715000379 |
| Provider Name | Kanecia O Zimmerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477729663 PECOS PAC ID: 7416125539 Enrollment ID: I20110715000487 |
| Provider Name | Richard J Chung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386819795 PECOS PAC ID: 3173664257 Enrollment ID: I20110715000636 |
| Provider Name | Sallie Permar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356531487 PECOS PAC ID: 8921282526 Enrollment ID: I20110716000003 |
| Provider Name | Hung-lun J Hsia |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1992997514 PECOS PAC ID: 3476721515 Enrollment ID: I20110716000007 |
| Provider Name | Christian F Mauro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699859587 PECOS PAC ID: 9931377967 Enrollment ID: I20110719000348 |
| Provider Name | John Thomas Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669670923 PECOS PAC ID: 7113195736 Enrollment ID: I20110726000004 |
| Provider Name | Karen C Wells |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073662094 PECOS PAC ID: 8022286608 Enrollment ID: I20110726000659 |
| Provider Name | Jonathan C Routh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184601536 PECOS PAC ID: 8426226960 Enrollment ID: I20110727000512 |
| Provider Name | Allison Haberstroh Hall |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447424619 PECOS PAC ID: 7214105782 Enrollment ID: I20110728000029 |
| Provider Name | Hemang Kalpeshkumar Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932229879 PECOS PAC ID: 2769650175 Enrollment ID: I20110729000016 |
| Provider Name | Brandi A Bottiger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114131612 PECOS PAC ID: 9739358136 Enrollment ID: I20110801000476 |
| Provider Name | Xiang S Wang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952523037 PECOS PAC ID: 1254492051 Enrollment ID: I20110802000055 |
| Provider Name | Justin T Mhoon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972727659 PECOS PAC ID: 0749459022 Enrollment ID: I20110802000536 |
| Provider Name | Alzora L Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760795728 PECOS PAC ID: 9234308529 Enrollment ID: I20110802000606 |
| Provider Name | Laura J Weisberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053495929 PECOS PAC ID: 1759550049 Enrollment ID: I20110802000637 |
| Provider Name | Matthew Hartwig |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1912174780 PECOS PAC ID: 3678742970 Enrollment ID: I20110802000719 |
| Provider Name | Ashley Mcbride Mortenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033403456 PECOS PAC ID: 9133398373 Enrollment ID: I20110804000578 |
| Provider Name | Ann Marie Buchanan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568637072 PECOS PAC ID: 7113958265 Enrollment ID: I20110808000245 |
| Provider Name | Juliessa M Pavon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275709354 PECOS PAC ID: 0840469722 Enrollment ID: I20110810000253 |
| Provider Name | Zebulon Z Spector |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326208950 PECOS PAC ID: 5092984906 Enrollment ID: I20110810000685 |
| Provider Name | Kanhka Linthavong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205097748 PECOS PAC ID: 8628247541 Enrollment ID: I20110811000092 |
| Provider Name | Anna H Bordelon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831356716 PECOS PAC ID: 6608929203 Enrollment ID: I20110819000017 |
| Provider Name | Catherine A Staton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962660720 PECOS PAC ID: 7214081801 Enrollment ID: I20110823000049 |
| Provider Name | Tyeasha D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073800967 PECOS PAC ID: 5294905444 Enrollment ID: I20110826000389 |
| Provider Name | Aparna S Rege |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558683433 PECOS PAC ID: 5698801298 Enrollment ID: I20110830000000 |
| Provider Name | Jill Z Stuart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114215670 PECOS PAC ID: 6305016296 Enrollment ID: I20110901000364 |
| Provider Name | Preeya Kshettry Gupta |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023285988 PECOS PAC ID: 3971635285 Enrollment ID: I20110902000266 |
| Provider Name | Steven J Shaw |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922269737 PECOS PAC ID: 8820268550 Enrollment ID: I20110907000805 |
| Provider Name | Lejla Nml Vajzovic |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548434921 PECOS PAC ID: 6002086766 Enrollment ID: I20110907001180 |
| Provider Name | Michelle Richardson Brownstein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346549722 PECOS PAC ID: 6103096896 Enrollment ID: I20110907001562 |
| Provider Name | Islam M Othman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700905411 PECOS PAC ID: 6901076694 Enrollment ID: I20110907001583 |
| Provider Name | Erin L Manning |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003139049 PECOS PAC ID: 0648396184 Enrollment ID: I20110908001956 |
| Provider Name | James Brennan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164689105 PECOS PAC ID: 3971773524 Enrollment ID: I20110908002359 |
| Provider Name | Edmund H Jooste |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053365874 PECOS PAC ID: 4385673722 Enrollment ID: I20110909002640 |
| Provider Name | Kathryn E Gustafson |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1326192642 PECOS PAC ID: 7012188642 Enrollment ID: I20110912000438 |
| Provider Name | Rhonda M Merwin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073778197 PECOS PAC ID: 8123299526 Enrollment ID: I20110915000165 |
| Provider Name | Yos M Priestley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518271279 PECOS PAC ID: 2466623780 Enrollment ID: I20110919000221 |
| Provider Name | Marcus Elijah Babaoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861650590 PECOS PAC ID: 5294906533 Enrollment ID: I20110919000442 |
| Provider Name | Carrie R Muh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558548719 PECOS PAC ID: 1658542816 Enrollment ID: I20110920000007 |
| Provider Name | Richard C Mather |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598923609 PECOS PAC ID: 8123213030 Enrollment ID: I20110920000010 |
| Provider Name | Monique Anderson Starks |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053468918 PECOS PAC ID: 3870764046 Enrollment ID: I20110920000085 |
| Provider Name | Justin R Scruggs |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063615821 PECOS PAC ID: 3274704416 Enrollment ID: I20110920000925 |
| Provider Name | Brad Matthew Taicher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346445400 PECOS PAC ID: 5991976037 Enrollment ID: I20110920000945 |
| Provider Name | Kavita V Kantak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972709269 PECOS PAC ID: 0941471015 Enrollment ID: I20110921000389 |
| Provider Name | Aaron J Sandler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013180496 PECOS PAC ID: 0547431652 Enrollment ID: I20110921000835 |
| Provider Name | Eun Sil S Hwang |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1154385177 PECOS PAC ID: 5496839573 Enrollment ID: I20110921000847 |
| Provider Name | Thomas Norton Bernard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366601684 PECOS PAC ID: 7911178819 Enrollment ID: I20110926000920 |
| Provider Name | Thomas J Vandeven |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821265380 PECOS PAC ID: 4082885835 Enrollment ID: I20110927000681 |
| Provider Name | Charles R Woodard |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871708636 PECOS PAC ID: 4688707409 Enrollment ID: I20110929000316 |
| Provider Name | Matthew A Sparks |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487754024 PECOS PAC ID: 7719987858 Enrollment ID: I20110929000514 |
| Provider Name | Corinne M Linardic |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609939487 PECOS PAC ID: 7416129044 Enrollment ID: I20111004000424 |
| Provider Name | Allison Lynne Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629363122 PECOS PAC ID: 0345412904 Enrollment ID: I20111004000773 |
| Provider Name | Grant Edward Garrigues |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609040575 PECOS PAC ID: 1557533098 Enrollment ID: I20111005000912 |
| Provider Name | Tara E Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851539597 PECOS PAC ID: 4385816842 Enrollment ID: I20111006000206 |
| Provider Name | Jennifer Turi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356404131 PECOS PAC ID: 2062684426 Enrollment ID: I20111006000271 |
| Provider Name | Amy R Alger |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780735886 PECOS PAC ID: 5698840619 Enrollment ID: I20111010000524 |
| Provider Name | Melissa A Daubert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558553834 PECOS PAC ID: 3476725664 Enrollment ID: I20111012000399 |
| Provider Name | Samuel B Adams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639358617 PECOS PAC ID: 1254504939 Enrollment ID: I20111024000813 |
| Provider Name | Jasmine Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932276326 PECOS PAC ID: 5193615581 Enrollment ID: I20111024000814 |
| Provider Name | Patrick J Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871877035 PECOS PAC ID: 7315110020 Enrollment ID: I20111025000434 |
| Provider Name | Mary Guhwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033404256 PECOS PAC ID: 3678746385 Enrollment ID: I20111025000453 |
| Provider Name | Ronald B Laney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396900288 PECOS PAC ID: 5890968549 Enrollment ID: I20111026000050 |
| Provider Name | Barbara A Mclurkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871656652 PECOS PAC ID: 2264605864 Enrollment ID: I20111026000703 |
| Provider Name | Susanne Meghdadpour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780747568 PECOS PAC ID: 7012180573 Enrollment ID: I20111027000648 |
| Provider Name | John Joseph Paat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518944909 PECOS PAC ID: 5799846101 Enrollment ID: I20111027000678 |
| Provider Name | Naomi Ornstein Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588943252 PECOS PAC ID: 2769655240 Enrollment ID: I20111027000899 |
| Provider Name | Natasha S Akhter |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992967863 PECOS PAC ID: 7517026149 Enrollment ID: I20111028000474 |
| Provider Name | Sarah Wolfe |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952592149 PECOS PAC ID: 2365615804 Enrollment ID: I20111028000648 |
| Provider Name | Megan M Maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730473570 PECOS PAC ID: 9133392319 Enrollment ID: I20111103000524 |
| Provider Name | Arleen H Song |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114014990 PECOS PAC ID: 5799810487 Enrollment ID: I20111111000719 |
| Provider Name | Krista K Ingle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356576441 PECOS PAC ID: 6305010646 Enrollment ID: I20111122000579 |
| Provider Name | Mary Thorp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063548915 PECOS PAC ID: 2365617248 Enrollment ID: I20111205000073 |
| Provider Name | Augustus Oliver Grant |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1497839302 PECOS PAC ID: 1759556541 Enrollment ID: I20111206000450 |
| Provider Name | John W Moses |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770646556 PECOS PAC ID: 2668647454 Enrollment ID: I20111206000452 |
| Provider Name | Josephine H Macmang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861785610 PECOS PAC ID: 0446425136 Enrollment ID: I20111207000785 |
| Provider Name | Eleonora G Lad |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811150576 PECOS PAC ID: 2466627104 Enrollment ID: I20111208000508 |
| Provider Name | Margaret A Mchenry |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346493095 PECOS PAC ID: 6204001837 Enrollment ID: I20111209000714 |
| Provider Name | Maryelle H Kiely |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881971224 PECOS PAC ID: 3072788462 Enrollment ID: I20111214000121 |
| Provider Name | Fletcher L Hartsell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720282544 PECOS PAC ID: 2961678735 Enrollment ID: I20111228000286 |
| Provider Name | Heather Paradis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265515407 PECOS PAC ID: 8426224007 Enrollment ID: I20120103000450 |
| Provider Name | Dwight Perry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497756688 PECOS PAC ID: 0941368484 Enrollment ID: I20120120000197 |
| Provider Name | Christopher Kontos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104900265 PECOS PAC ID: 0941477640 Enrollment ID: I20120120000493 |
| Provider Name | Kimberly S Hawblitzel Yarnall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003929803 PECOS PAC ID: 6103093810 Enrollment ID: I20120120000645 |
| Provider Name | Virginia Kraus |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1013091172 PECOS PAC ID: 6608043336 Enrollment ID: I20120120000831 |
| Provider Name | Kathleen A Welsh-bohmer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780768655 PECOS PAC ID: 5799942090 Enrollment ID: I20120127000758 |
| Provider Name | Brent J Theiling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891901708 PECOS PAC ID: 7113063371 Enrollment ID: I20120130000167 |
| Provider Name | John W Schmitt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972672517 PECOS PAC ID: 8628086642 Enrollment ID: I20120130000191 |
| Provider Name | Eric J Benner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073730958 PECOS PAC ID: 4284891524 Enrollment ID: I20120130000215 |
| Provider Name | Lawrence Edward Crawford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932282183 PECOS PAC ID: 9931244936 Enrollment ID: I20120202000462 |
| Provider Name | Kristal M Riska |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245516798 PECOS PAC ID: 4688831530 Enrollment ID: I20120203000221 |
| Provider Name | Elizabeth Wayne Landolfo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669556577 PECOS PAC ID: 5294992996 Enrollment ID: I20120208000543 |
| Provider Name | Nicole Greyshock |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063689826 PECOS PAC ID: 7517125222 Enrollment ID: I20120228000013 |
| Provider Name | Obinna O Adibe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942476692 PECOS PAC ID: 9335213636 Enrollment ID: I20120302000149 |
| Provider Name | Lyndsey N Prange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568734895 PECOS PAC ID: 6305005372 Enrollment ID: I20120312000000 |
| Provider Name | Valerie Sabol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205914611 PECOS PAC ID: 3476567066 Enrollment ID: I20120312000079 |
| Provider Name | Megan Brissie Sager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609150879 PECOS PAC ID: 4981863883 Enrollment ID: I20120313000604 |
| Provider Name | Patrick Hickey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821203894 PECOS PAC ID: 1759540529 Enrollment ID: I20120314000380 |
| Provider Name | Scott Gallagher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932111390 PECOS PAC ID: 6002881075 Enrollment ID: I20120315000488 |
| Provider Name | Rachel M Reilly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962623777 PECOS PAC ID: 0941469563 Enrollment ID: I20120316000434 |
| Provider Name | Sarah Yttri Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609147255 PECOS PAC ID: 1951561497 Enrollment ID: I20120321000181 |
| Provider Name | Laura S Porter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366714313 PECOS PAC ID: 5496915936 Enrollment ID: I20120321000199 |
| Provider Name | Honey M Jetter-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972889475 PECOS PAC ID: 9436319977 Enrollment ID: I20120321000246 |
| Provider Name | Carl Lansing Berg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144399767 PECOS PAC ID: 7810905213 Enrollment ID: I20120330000336 |
| Provider Name | Lisa C Muasher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740263177 PECOS PAC ID: 1850427378 Enrollment ID: I20120404000921 |
| Provider Name | Barbara Keith Walter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760597132 PECOS PAC ID: 6709047426 Enrollment ID: I20120405000325 |
| Provider Name | Kevin D Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417232018 PECOS PAC ID: 7416118484 Enrollment ID: I20120418000674 |
| Provider Name | Kerry K Minor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245508696 PECOS PAC ID: 0648432492 Enrollment ID: I20120424000569 |
| Provider Name | Dalia Khalifa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669648044 PECOS PAC ID: 5890958771 Enrollment ID: I20120514000442 |
| Provider Name | Mashael S Al-hegelan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043492960 PECOS PAC ID: 5799948162 Enrollment ID: I20120522001074 |
| Provider Name | Rita A Deimler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538446356 PECOS PAC ID: 6608039896 Enrollment ID: I20120529000000 |
| Provider Name | Brian Joseph Colin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336306349 PECOS PAC ID: 6204090293 Enrollment ID: I20120601000348 |
| Provider Name | Nicole R. Guinn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598939688 PECOS PAC ID: 3870757842 Enrollment ID: I20120605000005 |
| Provider Name | Karthik Raghunathan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477657344 PECOS PAC ID: 6204937386 Enrollment ID: I20120605000006 |
| Provider Name | Daniel B Landi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558596510 PECOS PAC ID: 9436313293 Enrollment ID: I20120607000594 |
| Provider Name | Patricia L Mcgugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891015145 PECOS PAC ID: 5698939320 Enrollment ID: I20120611000015 |
| Provider Name | Arilus Dawan Gunter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679598254 PECOS PAC ID: 3476526948 Enrollment ID: I20120611000428 |
| Provider Name | Maire Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093967630 PECOS PAC ID: 7315090016 Enrollment ID: I20120611000596 |
| Provider Name | Robert Blessing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841349859 PECOS PAC ID: 3971767591 Enrollment ID: I20120612000340 |
| Provider Name | Christa B Swisher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295921450 PECOS PAC ID: 2062672454 Enrollment ID: I20120614000722 |
| Provider Name | Stephen P Bergin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801030507 PECOS PAC ID: 6103080429 Enrollment ID: I20120615000474 |
| Provider Name | Jennifer L Saullo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962613950 PECOS PAC ID: 7618069113 Enrollment ID: I20120618000046 |
| Provider Name | Cessaly C Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346426590 PECOS PAC ID: 0446415467 Enrollment ID: I20120625000735 |
| Provider Name | Rachel Greenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801039847 PECOS PAC ID: 0446415400 Enrollment ID: I20120626000467 |
| Provider Name | Charles T Wood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780828046 PECOS PAC ID: 7517122583 Enrollment ID: I20120626000493 |
| Provider Name | Richard H Y Lee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710157243 PECOS PAC ID: 5496910291 Enrollment ID: I20120628000655 |
| Provider Name | Ankoor Shah |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1306024161 PECOS PAC ID: 6204091010 Enrollment ID: I20120628000681 |
| Provider Name | Michel Georges Khouri |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1982812129 PECOS PAC ID: 2567627243 Enrollment ID: I20120702000225 |
| Provider Name | Rebekah W Moehring |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427210392 PECOS PAC ID: 5092970772 Enrollment ID: I20120702000249 |
| Provider Name | Todd Lee Kiefer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376710269 PECOS PAC ID: 2860657434 Enrollment ID: I20120705000140 |
| Provider Name | Melissa Daluvoy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760657860 PECOS PAC ID: 8325197536 Enrollment ID: I20120709000327 |
| Provider Name | Nada Kais El Husseini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912171398 PECOS PAC ID: 9931364163 Enrollment ID: I20120713000020 |
| Provider Name | Jillian L Crouchley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518184415 PECOS PAC ID: 8426214503 Enrollment ID: I20120717000457 |
| Provider Name | Lance A Roy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013932995 PECOS PAC ID: 6901062058 Enrollment ID: I20120718000493 |
| Provider Name | Micheal W Manning |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790949121 PECOS PAC ID: 8022132836 Enrollment ID: I20120719000605 |
| Provider Name | Melanie J Bonner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316000185 PECOS PAC ID: 8325204274 Enrollment ID: I20120723000397 |
| Provider Name | Brad P Novey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982702338 PECOS PAC ID: 2264439405 Enrollment ID: I20120724000455 |
| Provider Name | Heather Tripp Henderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356480966 PECOS PAC ID: 0143486621 Enrollment ID: I20120727000504 |
| Provider Name | Erica Renee Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528293883 PECOS PAC ID: 7911163332 Enrollment ID: I20120730000205 |
| Provider Name | Ijeoma Ifedili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336412378 PECOS PAC ID: 6406012871 Enrollment ID: I20120730000655 |
| Provider Name | Kevin Michael Watt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184899460 PECOS PAC ID: 4688830904 Enrollment ID: I20120731000527 |
| Provider Name | Loren D.m. Pena |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841486974 PECOS PAC ID: 0941397350 Enrollment ID: I20120731000584 |
| Provider Name | Rodney Duane Welling |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861669897 PECOS PAC ID: 2769648021 Enrollment ID: I20120801000035 |
| Provider Name | Grace Kim |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093917981 PECOS PAC ID: 9931365210 Enrollment ID: I20120801000296 |
| Provider Name | Sujay M Kansagra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679790505 PECOS PAC ID: 9830355114 Enrollment ID: I20120801000310 |
| Provider Name | Kunoor Jain Spangler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326257478 PECOS PAC ID: 2860648169 Enrollment ID: I20120801000685 |
| Provider Name | Kevin Shah |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1255508107 PECOS PAC ID: 9234385576 Enrollment ID: I20120802000129 |
| Provider Name | Jeffrey M Clarke |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1295909034 PECOS PAC ID: 3476709726 Enrollment ID: I20120802000190 |
| Provider Name | Arif H Kamal |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1417063694 PECOS PAC ID: 4082618012 Enrollment ID: I20120803000811 |
| Provider Name | Michael R Abern |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033377403 PECOS PAC ID: 2567618630 Enrollment ID: I20120806000035 |
| Provider Name | Riddhishkumar Shah |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1417184235 PECOS PAC ID: 3274789318 Enrollment ID: I20120806000815 |
| Provider Name | Sarah Guo Summerville |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265669907 PECOS PAC ID: 5698921575 Enrollment ID: I20120808000651 |
| Provider Name | Dennis M Abraham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972688414 PECOS PAC ID: 9032365630 Enrollment ID: I20120815000162 |
| Provider Name | John M Reynolds |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407858343 PECOS PAC ID: 0042300386 Enrollment ID: I20120815000187 |
| Provider Name | Tung Tran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992919567 PECOS PAC ID: 0446406045 Enrollment ID: I20120815000211 |
| Provider Name | Dana Pierson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811252828 PECOS PAC ID: 4183871528 Enrollment ID: I20120820001196 |
| Provider Name | Andreas M Staebler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568624021 PECOS PAC ID: 6406003847 Enrollment ID: I20120821000053 |
| Provider Name | Stephen D Jackson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548428964 PECOS PAC ID: 0941457303 Enrollment ID: I20120821000187 |
| Provider Name | Justin Allen Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285808741 PECOS PAC ID: 3274780630 Enrollment ID: I20120821000245 |
| Provider Name | Kara A Mcelligott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417115437 PECOS PAC ID: 2264689553 Enrollment ID: I20120821000648 |
| Provider Name | Christiane H London |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508111345 PECOS PAC ID: 3678720885 Enrollment ID: I20120823000193 |
| Provider Name | Tracy R Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609843481 PECOS PAC ID: 8820086960 Enrollment ID: I20120823000524 |
| Provider Name | Charles M Cotten |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588727358 PECOS PAC ID: 0042251936 Enrollment ID: I20120824000233 |
| Provider Name | Zachary Eric Potter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558527341 PECOS PAC ID: 9335396209 Enrollment ID: I20120828000630 |
| Provider Name | Suheil J Muasher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649357948 PECOS PAC ID: 7315194230 Enrollment ID: I20120829000204 |
| Provider Name | Joanne C Wen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063664993 PECOS PAC ID: 8022265792 Enrollment ID: I20120831000198 |
| Provider Name | Amy S Kumar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144518713 PECOS PAC ID: 0941457659 Enrollment ID: I20120831000658 |
| Provider Name | Rachel Greenup |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1780773747 PECOS PAC ID: 7113105495 Enrollment ID: I20120904000608 |
| Provider Name | Brittany B Travars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558648626 PECOS PAC ID: 4688821259 Enrollment ID: I20120904000659 |
| Provider Name | Denise Pescaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619080934 PECOS PAC ID: 3173625522 Enrollment ID: I20120904000827 |
| Provider Name | Manisha Palta |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487855664 PECOS PAC ID: 3476701988 Enrollment ID: I20120906000926 |
| Provider Name | Deirdre B Fraller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386908861 PECOS PAC ID: 3971751496 Enrollment ID: I20120907000046 |
| Provider Name | Narayanan Venkatasubramani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659469732 PECOS PAC ID: 3375617772 Enrollment ID: I20120907000566 |
| Provider Name | Olga G James |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1386819811 PECOS PAC ID: 0840448320 Enrollment ID: I20120907000709 |
| Provider Name | Rose J Eapen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861612772 PECOS PAC ID: 4284882762 Enrollment ID: I20120907000742 |
| Provider Name | Lewis A Rosenberg |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790974780 PECOS PAC ID: 3971751306 Enrollment ID: I20120910000697 |
| Provider Name | William Curtis Eward |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164689006 PECOS PAC ID: 1052569191 Enrollment ID: I20120914000760 |
| Provider Name | Khary S Carew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134355456 PECOS PAC ID: 8628226677 Enrollment ID: I20120917000187 |
| Provider Name | Beverly M Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992072029 PECOS PAC ID: 4082862016 Enrollment ID: I20120918000250 |
| Provider Name | Amy P Stallings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174726731 PECOS PAC ID: 9133279839 Enrollment ID: I20120918000871 |
| Provider Name | Maggie M Stoecker |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407029770 PECOS PAC ID: 3779731666 Enrollment ID: I20120918000904 |
| Provider Name | Jacob Schroder |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1699948455 PECOS PAC ID: 8921256637 Enrollment ID: I20120920000598 |
| Provider Name | Edward Rampersaud |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205003092 PECOS PAC ID: 8123151404 Enrollment ID: I20120924000823 |
| Provider Name | Beth C Herold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770519134 PECOS PAC ID: 5698924280 Enrollment ID: I20120925000274 |
| Provider Name | David Marc Steinberg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962585463 PECOS PAC ID: 8325952765 Enrollment ID: I20120926000007 |
| Provider Name | Brent Allen Hanks |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568639441 PECOS PAC ID: 7719136183 Enrollment ID: I20120927000780 |
| Provider Name | Joseph B Borawski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144367780 PECOS PAC ID: 1759530157 Enrollment ID: I20120928000344 |
| Provider Name | Suhail K Mithani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629093109 PECOS PAC ID: 7810990983 Enrollment ID: I20121003000511 |
| Provider Name | Jorge A Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629099122 PECOS PAC ID: 3375689110 Enrollment ID: I20121005000574 |
| Provider Name | Alexis Anne Dieter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346408994 PECOS PAC ID: 3375792336 Enrollment ID: I20121005000714 |
| Provider Name | Sarah Anne Stucke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417202490 PECOS PAC ID: 6204085285 Enrollment ID: I20121008000226 |
| Provider Name | Louise L Highley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952560120 PECOS PAC ID: 6800045899 Enrollment ID: I20121008000402 |
| Provider Name | Jennifer Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295085587 PECOS PAC ID: 7517116460 Enrollment ID: I20121009000489 |
| Provider Name | Gail A Spiridigliozzi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033293907 PECOS PAC ID: 2264682715 Enrollment ID: I20121018000837 |
| Provider Name | Jessica Frost Main |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679837363 PECOS PAC ID: 2567613961 Enrollment ID: I20121112000728 |
| Provider Name | Tara L Nixon |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053664458 PECOS PAC ID: 5991956013 Enrollment ID: I20121117000129 |
| Provider Name | Zaneta Yeungjoo Strouch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982874749 PECOS PAC ID: 5698842318 Enrollment ID: I20121128000157 |
| Provider Name | Ira Gaines |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881619476 PECOS PAC ID: 1850364324 Enrollment ID: I20121210000500 |
| Provider Name | Julie Ann Sosa |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1639150915 PECOS PAC ID: 7810025558 Enrollment ID: I20130117000125 |
| Provider Name | Isaretta L Riley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992972558 PECOS PAC ID: 1052564150 Enrollment ID: I20130123000000 |
| Provider Name | Jeffrey S. Loeb |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073791604 PECOS PAC ID: 1254585375 Enrollment ID: I20130125000094 |
| Provider Name | David Powers |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730169459 PECOS PAC ID: 2365527033 Enrollment ID: I20130129000149 |
| Provider Name | Bruce J Derrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861629925 PECOS PAC ID: 7517111412 Enrollment ID: I20130130000270 |
| Provider Name | Shannon Janelle Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386988392 PECOS PAC ID: 7012161920 Enrollment ID: I20130130000354 |
| Provider Name | Thomas L Dobrov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396800462 PECOS PAC ID: 9234122821 Enrollment ID: I20130225000105 |
| Provider Name | Emily L Scheuring |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1497034177 PECOS PAC ID: 4880849504 Enrollment ID: I20130304000324 |
| Provider Name | Tess S John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205171642 PECOS PAC ID: 7810132149 Enrollment ID: I20130314000285 |
| Provider Name | Ann M Forsthoefel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073684320 PECOS PAC ID: 2466697495 Enrollment ID: I20130322000367 |
| Provider Name | Guiling Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891033387 PECOS PAC ID: 2769627702 Enrollment ID: I20130322000418 |
| Provider Name | Jerrold H Levy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891863429 PECOS PAC ID: 6002098837 Enrollment ID: I20130323000094 |
| Provider Name | Anne D Cherry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649438094 PECOS PAC ID: 6002051828 Enrollment ID: I20130327000638 |
| Provider Name | Elizabeth L Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568713279 PECOS PAC ID: 8022253624 Enrollment ID: I20130403000087 |
| Provider Name | Amber D Stohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598001927 PECOS PAC ID: 0345486841 Enrollment ID: I20130428000002 |
| Provider Name | Justin W Markey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780989152 PECOS PAC ID: 0547427452 Enrollment ID: I20130516000517 |
| Provider Name | Drew Edward Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568624146 PECOS PAC ID: 4587801246 Enrollment ID: I20130516000526 |
| Provider Name | Thomas Joseph Hopkins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184881310 PECOS PAC ID: 1658519228 Enrollment ID: I20130522000059 |
| Provider Name | Benjamin A Alman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073732392 PECOS PAC ID: 8729226865 Enrollment ID: I20130530000547 |
| Provider Name | Karen Wierwille Corvin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639102494 PECOS PAC ID: 3577536044 Enrollment ID: I20130607000327 |
| Provider Name | Nathan Christopher Sheets |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477788263 PECOS PAC ID: 5193963882 Enrollment ID: I20130610000055 |
| Provider Name | Bonnie Jean Melville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740581008 PECOS PAC ID: 6002081841 Enrollment ID: I20130612000006 |
| Provider Name | Andrew R Spector |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851556096 PECOS PAC ID: 8224221205 Enrollment ID: I20130612000439 |
| Provider Name | John A Vaughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437106515 PECOS PAC ID: 8325065113 Enrollment ID: I20130612000471 |
| Provider Name | Karl Martin Schweitzer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730346446 PECOS PAC ID: 5890934384 Enrollment ID: I20130612000746 |
| Provider Name | Samantha D Schweitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063758175 PECOS PAC ID: 5991944399 Enrollment ID: I20130614000607 |
| Provider Name | Stephanie A Eucker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679897474 PECOS PAC ID: 0345489605 Enrollment ID: I20130617000503 |
| Provider Name | Matilda W Nicholas |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730323338 PECOS PAC ID: 7517106578 Enrollment ID: I20130624000288 |
| Provider Name | Jennifer Ann Jarosz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770743783 PECOS PAC ID: 5597904433 Enrollment ID: I20130625000547 |
| Provider Name | Wen-chi Foo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740449552 PECOS PAC ID: 9931348810 Enrollment ID: I20130626000061 |
| Provider Name | Jeff P Vista |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750339883 PECOS PAC ID: 3577456011 Enrollment ID: I20130626000328 |
| Provider Name | Carolyn Sears Avery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467695486 PECOS PAC ID: 9638318538 Enrollment ID: I20130626000347 |
| Provider Name | Craig R Rackley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750548400 PECOS PAC ID: 5092955898 Enrollment ID: I20130627000598 |
| Provider Name | Robert W Harrison |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457547853 PECOS PAC ID: 3971653270 Enrollment ID: I20130627000844 |
| Provider Name | Mani Ali Daneshmand |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1962676700 PECOS PAC ID: 5597905190 Enrollment ID: I20130702000463 |
| Provider Name | Patricia J Prentice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427361716 PECOS PAC ID: 5294975801 Enrollment ID: I20130702000502 |
| Provider Name | Brian J Ohlendorf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154565521 PECOS PAC ID: 0244470748 Enrollment ID: I20130705000123 |
| Provider Name | Nicholas Dean Mayes |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285895680 PECOS PAC ID: 5698915197 Enrollment ID: I20130705000142 |
| Provider Name | Philip A Fong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366657256 PECOS PAC ID: 4486894581 Enrollment ID: I20130715000222 |
| Provider Name | Syreeta Alston Tucker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427285691 PECOS PAC ID: 0749421154 Enrollment ID: I20130729000096 |
| Provider Name | William Ward Hurd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740261973 PECOS PAC ID: 4981624947 Enrollment ID: I20130729000261 |
| Provider Name | Daniel Lee Gilstrap |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811100373 PECOS PAC ID: 5799926051 Enrollment ID: I20130729000810 |
| Provider Name | Sreeja M Natesan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992934384 PECOS PAC ID: 6406097765 Enrollment ID: I20130729000829 |
| Provider Name | Liza I Genao |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1508086182 PECOS PAC ID: 4587723713 Enrollment ID: I20130801000047 |
| Provider Name | Danielle M Brander |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144497553 PECOS PAC ID: 0143461673 Enrollment ID: I20130802000041 |
| Provider Name | Sreekanth Vemulapalli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104022987 PECOS PAC ID: 8628149036 Enrollment ID: I20130802000098 |
| Provider Name | Hiba Abouassi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063617470 PECOS PAC ID: 6204975279 Enrollment ID: I20130805000613 |
| Provider Name | Christoph P Hornik |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528231974 PECOS PAC ID: 3870735749 Enrollment ID: I20130806000832 |
| Provider Name | Sudarshan Rajagopal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134391253 PECOS PAC ID: 0143461681 Enrollment ID: I20130807000264 |
| Provider Name | Sarah S Lewis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902072093 PECOS PAC ID: 9830330372 Enrollment ID: I20130807000306 |
| Provider Name | Gregory L Stonerock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124467725 PECOS PAC ID: 0941442743 Enrollment ID: I20130807000449 |
| Provider Name | David W Jang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295995355 PECOS PAC ID: 1052569225 Enrollment ID: I20130812000363 |
| Provider Name | Charles D Scales |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497921175 PECOS PAC ID: 3072791672 Enrollment ID: I20130812000551 |
| Provider Name | Oluwatoyosi A Onwuemene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770759854 PECOS PAC ID: 1951543412 Enrollment ID: I20130813000146 |
| Provider Name | Stephanie T Jenal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861404311 PECOS PAC ID: 4486896990 Enrollment ID: I20130813000686 |
| Provider Name | Ninita Helen Brown |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891937322 PECOS PAC ID: 1658513023 Enrollment ID: I20130814000518 |
| Provider Name | Crystal C Tyson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104002864 PECOS PAC ID: 1850462920 Enrollment ID: I20130820000229 |
| Provider Name | Gina R Vess |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619199700 PECOS PAC ID: 2769625847 Enrollment ID: I20130821001002 |
| Provider Name | Elizabeth N Erickson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538485065 PECOS PAC ID: 8527201508 Enrollment ID: I20130821001067 |
| Provider Name | Leda Scearce |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871715920 PECOS PAC ID: 1951544980 Enrollment ID: I20130823000601 |
| Provider Name | Ingrid Katarina Maple |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629414727 PECOS PAC ID: 4688817638 Enrollment ID: I20130823000746 |
| Provider Name | Neel Nikul Kapadia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871810358 PECOS PAC ID: 8820239619 Enrollment ID: I20130823000766 |
| Provider Name | Elliott Capers Mckee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457589970 PECOS PAC ID: 1355584319 Enrollment ID: I20130823000943 |
| Provider Name | Xuefeng Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992144935 PECOS PAC ID: 3779726740 Enrollment ID: I20130823001005 |
| Provider Name | Michael J Allingham |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285878124 PECOS PAC ID: 1658514625 Enrollment ID: I20130823001043 |
| Provider Name | Miles Berger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235366253 PECOS PAC ID: 1759524523 Enrollment ID: I20130826000948 |
| Provider Name | Erica D Taylor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720291370 PECOS PAC ID: 7214170984 Enrollment ID: I20130828000149 |
| Provider Name | David S Vanmater |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437374584 PECOS PAC ID: 2264675909 Enrollment ID: I20130828001014 |
| Provider Name | Judith Borger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093026007 PECOS PAC ID: 5294972790 Enrollment ID: I20130905000682 |
| Provider Name | Heather A Hurd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689992463 PECOS PAC ID: 9335383439 Enrollment ID: I20130911000229 |
| Provider Name | Brandon A Howard |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1912101841 PECOS PAC ID: 0244474351 Enrollment ID: I20130911000357 |
| Provider Name | Heather A Toth |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649603606 PECOS PAC ID: 1658515770 Enrollment ID: I20130911000430 |
| Provider Name | Armando Ramirez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184849382 PECOS PAC ID: 9537316575 Enrollment ID: I20130912000492 |
| Provider Name | Scott Lawrence Runyon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831356377 PECOS PAC ID: 9739323767 Enrollment ID: I20130913000094 |
| Provider Name | John T Lemm |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487820833 PECOS PAC ID: 9537303565 Enrollment ID: I20130913000118 |
| Provider Name | Daniel Oh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821258765 PECOS PAC ID: 1153565932 Enrollment ID: I20130917000586 |
| Provider Name | Hilary C Bartholomew |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1306081997 PECOS PAC ID: 0840434593 Enrollment ID: I20130918000718 |
| Provider Name | May Y Yen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194981340 PECOS PAC ID: 0648324541 Enrollment ID: I20130925000214 |
| Provider Name | Michelle B Pavlis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1104144625 PECOS PAC ID: 3375787641 Enrollment ID: I20130926000755 |
| Provider Name | Corey S Bolac |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730322975 PECOS PAC ID: 9234363516 Enrollment ID: I20130930000492 |
| Provider Name | Tara Chandrasekhar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962663484 PECOS PAC ID: 8325272453 Enrollment ID: I20131003000508 |
| Provider Name | Alicia Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528280898 PECOS PAC ID: 5395984918 Enrollment ID: I20131011000519 |
| Provider Name | Brian M Whitley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841495769 PECOS PAC ID: 0648404269 Enrollment ID: I20131014000967 |
| Provider Name | Martha S Aitken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295174498 PECOS PAC ID: 5698909232 Enrollment ID: I20131014001444 |
| Provider Name | Samuel Eaton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407026479 PECOS PAC ID: 2567610918 Enrollment ID: I20131015000547 |
| Provider Name | Suzanne Dvergsten |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629047089 PECOS PAC ID: 0840383246 Enrollment ID: I20131015000559 |
| Provider Name | Marisa C Flores |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720127566 PECOS PAC ID: 4385531144 Enrollment ID: I20131015000660 |
| Provider Name | Lucy M Schenkman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447494760 PECOS PAC ID: 4587898093 Enrollment ID: I20131015002008 |
| Provider Name | Jill E Sergison |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821249756 PECOS PAC ID: 1759516164 Enrollment ID: I20131021000079 |
| Provider Name | Jennifer L Eaton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821119074 PECOS PAC ID: 8820198518 Enrollment ID: I20131021000318 |
| Provider Name | Jennifer E Dominguez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487803490 PECOS PAC ID: 7517192958 Enrollment ID: I20131021001020 |
| Provider Name | Adam D Devore |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1558560987 PECOS PAC ID: 5698807923 Enrollment ID: I20131021001539 |
| Provider Name | Annabelle N Chua |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982626370 PECOS PAC ID: 8820018351 Enrollment ID: I20131106001882 |
| Provider Name | Vanessa T Schroder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396902466 PECOS PAC ID: 7618103102 Enrollment ID: I20131111000338 |
| Provider Name | Sharon T Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841631967 PECOS PAC ID: 8527294685 Enrollment ID: I20131119000980 |
| Provider Name | Charles W Lallier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669437828 PECOS PAC ID: 0446486393 Enrollment ID: I20131122001541 |
| Provider Name | Vivian O Makar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962450478 PECOS PAC ID: 7719113687 Enrollment ID: I20131125000041 |
| Provider Name | Maxine L Murray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194780346 PECOS PAC ID: 2264446053 Enrollment ID: I20131125000212 |
| Provider Name | Meghann Nadine Toilolo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700223450 PECOS PAC ID: 9436385242 Enrollment ID: I20131127001235 |
| Provider Name | Gargi Vora |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598993743 PECOS PAC ID: 8325206873 Enrollment ID: I20131202001641 |
| Provider Name | Crista Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649610429 PECOS PAC ID: 5597992016 Enrollment ID: I20131209000344 |
| Provider Name | Emily H Sellars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831527696 PECOS PAC ID: 8921235110 Enrollment ID: I20131213001190 |
| Provider Name | Hillary Y Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093951691 PECOS PAC ID: 9830236926 Enrollment ID: I20131213001414 |
| Provider Name | Julie Diana Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770793085 PECOS PAC ID: 5799912929 Enrollment ID: I20131216000472 |
| Provider Name | Stephanie J Rand |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437115136 PECOS PAC ID: 1254568173 Enrollment ID: I20131219001922 |
| Provider Name | Kyne M Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962468660 PECOS PAC ID: 7517194434 Enrollment ID: I20131219001944 |
| Provider Name | John W Sleasman |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1366453201 PECOS PAC ID: 9436204831 Enrollment ID: I20131220001712 |
| Provider Name | James L Abbruzzese |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1134233224 PECOS PAC ID: 0345238325 Enrollment ID: I20131226001530 |
| Provider Name | Leigh E Boulware |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801956149 PECOS PAC ID: 0941438436 Enrollment ID: I20140108000062 |
| Provider Name | Richard D Lopez |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1215961883 PECOS PAC ID: 4284806498 Enrollment ID: I20140108000118 |
| Provider Name | Michael T Durheim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912141797 PECOS PAC ID: 0244468569 Enrollment ID: I20140114000378 |
| Provider Name | Steven T Szabo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033352919 PECOS PAC ID: 5496983678 Enrollment ID: I20140115000904 |
| Provider Name | Karla W Leath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619217627 PECOS PAC ID: 0941438147 Enrollment ID: I20140115001212 |
| Provider Name | Diana M Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740538321 PECOS PAC ID: 4284862483 Enrollment ID: I20140115001310 |
| Provider Name | Jessica E Salyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194154328 PECOS PAC ID: 5991933194 Enrollment ID: I20140115001370 |
| Provider Name | Denise P Spector |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538599931 PECOS PAC ID: 0547498602 Enrollment ID: I20140116001681 |
| Provider Name | Kimberly S Hardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528309234 PECOS PAC ID: 2264660109 Enrollment ID: I20140122001272 |
| Provider Name | Geraldine Dawson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437456407 PECOS PAC ID: 8628207206 Enrollment ID: I20140130000684 |
| Provider Name | Marilu L Thordsen Velez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245275528 PECOS PAC ID: 8123194545 Enrollment ID: I20140221000536 |
| Provider Name | Joseph R Pringle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568489441 PECOS PAC ID: 7315058278 Enrollment ID: I20140221001537 |
| Provider Name | Talal I Mousallem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487812749 PECOS PAC ID: 7517197379 Enrollment ID: I20140224001149 |
| Provider Name | Timothy James Amrhein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295900249 PECOS PAC ID: 7719134915 Enrollment ID: I20140305001013 |
| Provider Name | Luis Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053591024 PECOS PAC ID: 0840361440 Enrollment ID: I20140317001809 |
| Provider Name | Elizabeth M Zechinati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093138802 PECOS PAC ID: 7113158841 Enrollment ID: I20140324000209 |
| Provider Name | Annemarie Thompson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487741591 PECOS PAC ID: 7416085550 Enrollment ID: I20140505000005 |
| Provider Name | James M Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326006974 PECOS PAC ID: 0042287369 Enrollment ID: I20140505000965 |
| Provider Name | Caitlin J Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437573656 PECOS PAC ID: 0749413375 Enrollment ID: I20140505002234 |
| Provider Name | Anderson H Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740605237 PECOS PAC ID: 3577796978 Enrollment ID: I20140509001967 |
| Provider Name | Joanna M Coger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760734396 PECOS PAC ID: 6709038458 Enrollment ID: I20140509002070 |
| Provider Name | Sarah E Chittenden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942625595 PECOS PAC ID: 9133342454 Enrollment ID: I20140514000275 |
| Provider Name | Karen Jooste |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700081346 PECOS PAC ID: 4082708185 Enrollment ID: I20140520001006 |
| Provider Name | Xiaoyin Jiang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457594517 PECOS PAC ID: 2264655604 Enrollment ID: I20140603001722 |
| Provider Name | Fay J Tripp |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437430493 PECOS PAC ID: 5092938464 Enrollment ID: I20140604000070 |
| Provider Name | Sonia Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740414531 PECOS PAC ID: 8123267424 Enrollment ID: I20140604001757 |
| Provider Name | Lars J Grimm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619110624 PECOS PAC ID: 5496979825 Enrollment ID: I20140605000147 |
| Provider Name | Parvish Pradip Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407084452 PECOS PAC ID: 8426272865 Enrollment ID: I20140605000393 |
| Provider Name | Eun Lee Langman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881821494 PECOS PAC ID: 0244454510 Enrollment ID: I20140609000307 |
| Provider Name | Robert J Mentz |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1669670790 PECOS PAC ID: 8628292166 Enrollment ID: I20140624000803 |
| Provider Name | Shelley R Mcdonald |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1922205517 PECOS PAC ID: 6103918545 Enrollment ID: I20140624001180 |
| Provider Name | Nicholas Said |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912169004 PECOS PAC ID: 3072753334 Enrollment ID: I20140626001214 |
| Provider Name | Grace M Lee |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609092154 PECOS PAC ID: 9537212816 Enrollment ID: I20140626001808 |
| Provider Name | Justin A Crocker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447410394 PECOS PAC ID: 9335376102 Enrollment ID: I20140626002395 |
| Provider Name | Lauren F Gratian |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609019090 PECOS PAC ID: 1456576891 Enrollment ID: I20140627000936 |
| Provider Name | Lindsay A Rein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457526659 PECOS PAC ID: 7416172853 Enrollment ID: I20140627001055 |
| Provider Name | Caroline E Reinke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518165182 PECOS PAC ID: 1153546353 Enrollment ID: I20140702000008 |
| Provider Name | Andrea G Udani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780828970 PECOS PAC ID: 6709001852 Enrollment ID: I20140702002180 |
| Provider Name | Laura C Page |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669762548 PECOS PAC ID: 4789809831 Enrollment ID: I20140702002250 |
| Provider Name | Michael James Belsante |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710118682 PECOS PAC ID: 4688899719 Enrollment ID: I20140703002137 |
| Provider Name | Gary Robert Schooler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760642946 PECOS PAC ID: 5092930032 Enrollment ID: I20140707000784 |
| Provider Name | Karissa Gable |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801028790 PECOS PAC ID: 7517101439 Enrollment ID: I20140707001919 |
| Provider Name | Omobonike O Oloruntoba |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548586977 PECOS PAC ID: 4981829975 Enrollment ID: I20140708000344 |
| Provider Name | David I Ortiz Melo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306046776 PECOS PAC ID: 3375693203 Enrollment ID: I20140708000556 |
| Provider Name | Saritha M Vermeer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699907519 PECOS PAC ID: 6204051212 Enrollment ID: I20140708001000 |
| Provider Name | Quintin Quinones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548402969 PECOS PAC ID: 1850516790 Enrollment ID: I20140708002383 |
| Provider Name | David Andrew D Alessio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871558817 PECOS PAC ID: 5193617140 Enrollment ID: I20140709001892 |
| Provider Name | Ankeet D Udani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689807331 PECOS PAC ID: 0143466953 Enrollment ID: I20140710002284 |
| Provider Name | Joseph G Mammarappallil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659514727 PECOS PAC ID: 2264657980 Enrollment ID: I20140711002041 |
| Provider Name | Jennifer I Morales |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487940300 PECOS PAC ID: 6002031739 Enrollment ID: I20140712000006 |
| Provider Name | Cory Daniel Maxwell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861635237 PECOS PAC ID: 5698990331 Enrollment ID: I20140714000328 |
| Provider Name | Mike Mcgrath |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811193519 PECOS PAC ID: 2769607407 Enrollment ID: I20140714000384 |
| Provider Name | Elisabeth T Tracy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174797963 PECOS PAC ID: 2466677117 Enrollment ID: I20140714000532 |
| Provider Name | Nathaniel Howard Greene |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477787018 PECOS PAC ID: 2264657915 Enrollment ID: I20140714000594 |
| Provider Name | Dilraj S Grewal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437460656 PECOS PAC ID: 6709001456 Enrollment ID: I20140714000675 |
| Provider Name | Joann J Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215995899 PECOS PAC ID: 7719872910 Enrollment ID: I20140714001121 |
| Provider Name | Keri A Seymour |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952565665 PECOS PAC ID: 6305061995 Enrollment ID: I20140716000992 |
| Provider Name | John Haney |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1801061510 PECOS PAC ID: 9537385158 Enrollment ID: I20140716002474 |
| Provider Name | Matthew G Rein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134393200 PECOS PAC ID: 4789800152 Enrollment ID: I20140721000333 |
| Provider Name | Timothy J Scialla |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205905569 PECOS PAC ID: 8527067107 Enrollment ID: I20140721000573 |
| Provider Name | Julia Scialla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780730036 PECOS PAC ID: 7214017300 Enrollment ID: I20140723000623 |
| Provider Name | Eve K Hammett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639455959 PECOS PAC ID: 4880819408 Enrollment ID: I20140723000735 |
| Provider Name | Richard J Noel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891747507 PECOS PAC ID: 3476502600 Enrollment ID: I20140729001345 |
| Provider Name | Krista L Lebron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922429000 PECOS PAC ID: 1951527811 Enrollment ID: I20140729002841 |
| Provider Name | Jessica Tripp Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427485960 PECOS PAC ID: 5597981407 Enrollment ID: I20140730001453 |
| Provider Name | Bryce Lauren Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932532462 PECOS PAC ID: 4981820685 Enrollment ID: I20140731002069 |
| Provider Name | Karen M Maclean |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841559432 PECOS PAC ID: 3375760762 Enrollment ID: I20140807002329 |
| Provider Name | Cara Lynn Cameron |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477579035 PECOS PAC ID: 0042437436 Enrollment ID: I20140807002532 |
| Provider Name | Rebecca L Donohoe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811287774 PECOS PAC ID: 9830316231 Enrollment ID: I20140807002668 |
| Provider Name | Courtney A Sommer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114146487 PECOS PAC ID: 7719104082 Enrollment ID: I20140809000029 |
| Provider Name | Eric M Thompson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679789119 PECOS PAC ID: 9133373368 Enrollment ID: I20140811002514 |
| Provider Name | Alexander C Allori |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1316948532 PECOS PAC ID: 9133362858 Enrollment ID: I20140812000319 |
| Provider Name | Sarah Dotters Katz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770808537 PECOS PAC ID: 6901023126 Enrollment ID: I20140812002588 |
| Provider Name | Pinar Gumus Balikcioglu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619269537 PECOS PAC ID: 7214154343 Enrollment ID: I20140813000390 |
| Provider Name | Samuel J Francis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891086781 PECOS PAC ID: 2466679592 Enrollment ID: I20140813000531 |
| Provider Name | Jennifer Elaine Oxley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730501792 PECOS PAC ID: 0648497669 Enrollment ID: I20140814000814 |
| Provider Name | Duncan B Hughes |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1871742775 PECOS PAC ID: 1850518796 Enrollment ID: I20140815002388 |
| Provider Name | Peter E Fecci |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1245435858 PECOS PAC ID: 8123285301 Enrollment ID: I20140818001002 |
| Provider Name | Coral Xantia Giovacchini |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598081986 PECOS PAC ID: 6103043930 Enrollment ID: I20140818002763 |
| Provider Name | Teah M Bayless |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346567468 PECOS PAC ID: 2668690173 Enrollment ID: I20140825002801 |
| Provider Name | Yubin Kang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205046927 PECOS PAC ID: 3072647650 Enrollment ID: I20140828000171 |
| Provider Name | Candace Parks Passaro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457763245 PECOS PAC ID: 3678791944 Enrollment ID: I20140828000306 |
| Provider Name | Niharika B Mettu |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1447427737 PECOS PAC ID: 2264650399 Enrollment ID: I20140902001132 |
| Provider Name | Naomi L Ferguson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467750711 PECOS PAC ID: 6002034154 Enrollment ID: I20140902001694 |
| Provider Name | Kensi M Cobb |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184031825 PECOS PAC ID: 3274751110 Enrollment ID: I20140905001670 |
| Provider Name | Melissa Maria Erickson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730356056 PECOS PAC ID: 2466622717 Enrollment ID: I20140910001058 |
| Provider Name | Elizabeth B Malinzak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194967497 PECOS PAC ID: 6608095187 Enrollment ID: I20140916000105 |
| Provider Name | Kamrooz Ghadimi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346510682 PECOS PAC ID: 5092982579 Enrollment ID: I20140917001304 |
| Provider Name | Allan Douglas Kirk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306925409 PECOS PAC ID: 2961594247 Enrollment ID: I20140919000889 |
| Provider Name | Dorothy Anna Sipkins |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225191737 PECOS PAC ID: 5890701627 Enrollment ID: I20140919002242 |
| Provider Name | Christy J Crockett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942444054 PECOS PAC ID: 5294954467 Enrollment ID: I20140920000078 |
| Provider Name | Richard Joseph Obrien |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346297306 PECOS PAC ID: 5991836579 Enrollment ID: I20140924000721 |
| Provider Name | Jeffrey Ward Cooney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235450396 PECOS PAC ID: 9931328127 Enrollment ID: I20140926000816 |
| Provider Name | Casey Bayliss Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285041053 PECOS PAC ID: 4688894561 Enrollment ID: I20140926000967 |
| Provider Name | Kristin Schroeder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376747105 PECOS PAC ID: 1254551153 Enrollment ID: I20140926001719 |
| Provider Name | Jeffrey C Gadsden |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376605063 PECOS PAC ID: 4587767579 Enrollment ID: I20141001000668 |
| Provider Name | Jennifer D Stromberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164748166 PECOS PAC ID: 0749414241 Enrollment ID: I20141014002088 |
| Provider Name | Christina Zapko Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306252242 PECOS PAC ID: 6103047238 Enrollment ID: I20141014002389 |
| Provider Name | Keisha-gaye N O'garo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639378672 PECOS PAC ID: 3870714827 Enrollment ID: I20141016001624 |
| Provider Name | Nora Mw Dennis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841515079 PECOS PAC ID: 8527289412 Enrollment ID: I20141017000625 |
| Provider Name | Hakim Azfar Ali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942412416 PECOS PAC ID: 8325107840 Enrollment ID: I20141017000761 |
| Provider Name | Elizabeth M Rooney |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1942619960 PECOS PAC ID: 3971724808 Enrollment ID: I20141017002325 |
| Provider Name | Stacey Marie Lindo-ukata |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952561839 PECOS PAC ID: 6608022371 Enrollment ID: I20141020000737 |
| Provider Name | Ann M Reed |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437129491 PECOS PAC ID: 9830143593 Enrollment ID: I20141103002176 |
| Provider Name | Sana Arif |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326201724 PECOS PAC ID: 0941443816 Enrollment ID: I20141105000719 |
| Provider Name | Nancy H Vogler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992114722 PECOS PAC ID: 9335361401 Enrollment ID: I20141105002610 |
| Provider Name | Jeremiah J Olivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477969616 PECOS PAC ID: 7618199035 Enrollment ID: I20141119000301 |
| Provider Name | Amanda M Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255747275 PECOS PAC ID: 2961624309 Enrollment ID: I20141119001207 |
| Provider Name | Margaret S Villers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700071859 PECOS PAC ID: 6406945088 Enrollment ID: I20141124002459 |
| Provider Name | James Merritt Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801112305 PECOS PAC ID: 5395067409 Enrollment ID: I20141126001923 |
| Provider Name | Ashley B Haller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083047906 PECOS PAC ID: 2365764339 Enrollment ID: I20141202000159 |
| Provider Name | Deba Sarma |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1053565804 PECOS PAC ID: 9436332491 Enrollment ID: I20141202001354 |
| Provider Name | Afreen I Shariff |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699061796 PECOS PAC ID: 8921320953 Enrollment ID: I20141202002479 |
| Provider Name | Wuwei Feng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497836076 PECOS PAC ID: 9739358433 Enrollment ID: I20141203001899 |
| Provider Name | Melody Anita Baldwin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043536907 PECOS PAC ID: 6204158942 Enrollment ID: I20141208000623 |
| Provider Name | Yeshu Conn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235547241 PECOS PAC ID: 4688996341 Enrollment ID: I20141208001438 |
| Provider Name | Linda Carime Cendales |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1396937561 PECOS PAC ID: 5092873588 Enrollment ID: I20141212002055 |
| Provider Name | Anthony D Sung |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1639345796 PECOS PAC ID: 0042533457 Enrollment ID: I20141216000405 |
| Provider Name | Rhiann V. M. Del Valle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548696784 PECOS PAC ID: 4284853755 Enrollment ID: I20141216001893 |
| Provider Name | Jenny Tong |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659482636 PECOS PAC ID: 1658450192 Enrollment ID: I20141218001644 |
| Provider Name | Vellore Gundurao Kasturi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588862478 PECOS PAC ID: 6406925445 Enrollment ID: I20141218002009 |
| Provider Name | Chad Michael Mccall |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326278532 PECOS PAC ID: 0446401178 Enrollment ID: I20141219001273 |
| Provider Name | Daniel J Friedman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316267883 PECOS PAC ID: 4183885510 Enrollment ID: I20141230000040 |
| Provider Name | Ashwani Sastry |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1073771309 PECOS PAC ID: 7113142324 Enrollment ID: I20141231000287 |
| Provider Name | Brandi N Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649685785 PECOS PAC ID: 1355664012 Enrollment ID: I20150105000530 |
| Provider Name | Johanna K Halfon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194045476 PECOS PAC ID: 6709109416 Enrollment ID: I20150105002201 |
| Provider Name | Kristen K Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518382332 PECOS PAC ID: 3476876020 Enrollment ID: I20150106001978 |
| Provider Name | Kathleen Marie Saas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619379708 PECOS PAC ID: 4688998784 Enrollment ID: I20150120002534 |
| Provider Name | Christine S Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053714006 PECOS PAC ID: 1153645106 Enrollment ID: I20150121001979 |
| Provider Name | Megan L Krajewski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699919613 PECOS PAC ID: 3274771159 Enrollment ID: I20150121002452 |
| Provider Name | Joan Jasien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881865566 PECOS PAC ID: 4688824634 Enrollment ID: I20150127001879 |
| Provider Name | Michael R Polin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942437181 PECOS PAC ID: 7911143722 Enrollment ID: I20150128000599 |
| Provider Name | Brittany A Davidson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245469162 PECOS PAC ID: 5294059903 Enrollment ID: I20150128000621 |
| Provider Name | Jessica L Poisson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518128511 PECOS PAC ID: 5294961033 Enrollment ID: I20150129002242 |
| Provider Name | Jennifer L Roark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447656780 PECOS PAC ID: 2769706340 Enrollment ID: I20150130002348 |
| Provider Name | Padma R Kamineni |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275575615 PECOS PAC ID: 4688691439 Enrollment ID: I20150210001950 |
| Provider Name | Audrey Eh Metz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316237118 PECOS PAC ID: 8224353008 Enrollment ID: I20150219001441 |
| Provider Name | Charles C Canver |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1477855450 PECOS PAC ID: 9537484779 Enrollment ID: I20150220000151 |
| Provider Name | Dawn M Barringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952704934 PECOS PAC ID: 5092031799 Enrollment ID: I20150223001249 |
| Provider Name | Thomas L Novick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518993674 PECOS PAC ID: 1052637428 Enrollment ID: I20150302000832 |
| Provider Name | Thorsten M Seyler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801022520 PECOS PAC ID: 5395061592 Enrollment ID: I20150305002244 |
| Provider Name | Regenia Hubbard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952654311 PECOS PAC ID: 4981920964 Enrollment ID: I20150310002192 |
| Provider Name | Kimberly Luisana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780081695 PECOS PAC ID: 6901123710 Enrollment ID: I20150316000671 |
| Provider Name | Danielle E Range |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962587980 PECOS PAC ID: 4082613880 Enrollment ID: I20150316002034 |
| Provider Name | Ehimemen O Iboaya |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083626402 PECOS PAC ID: 7810166105 Enrollment ID: I20150318002000 |
| Provider Name | Susan M Schreffler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245559178 PECOS PAC ID: 8921241548 Enrollment ID: I20150318002159 |
| Provider Name | Stuart J Knechtle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013971670 PECOS PAC ID: 2668548868 Enrollment ID: I20150324001043 |
| Provider Name | Tricia E Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093909418 PECOS PAC ID: 3678658887 Enrollment ID: I20150324001786 |
| Provider Name | Jennifer J Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760888770 PECOS PAC ID: 8224355482 Enrollment ID: I20150326002248 |
| Provider Name | Julie Elizabeth Rockefeller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184811663 PECOS PAC ID: 4587981774 Enrollment ID: I20150327000783 |
| Provider Name | Jennifer I Sherwin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053602805 PECOS PAC ID: 5597082685 Enrollment ID: I20150330001934 |
| Provider Name | Maria E Arias |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346347382 PECOS PAC ID: 5294866786 Enrollment ID: I20150413000731 |
| Provider Name | Kristen V Dicks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235372822 PECOS PAC ID: 7315265584 Enrollment ID: I20150420001100 |
| Provider Name | Lauren Franz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083880934 PECOS PAC ID: 6103144399 Enrollment ID: I20150420001574 |
| Provider Name | Mindi Holt Ramsey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962893164 PECOS PAC ID: 4981922192 Enrollment ID: I20150420002192 |
| Provider Name | Stephanie Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831599109 PECOS PAC ID: 3072832039 Enrollment ID: I20150425000193 |
| Provider Name | Dhanesh Kumar Gupta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245294479 PECOS PAC ID: 7214931260 Enrollment ID: I20150427002505 |
| Provider Name | Charlene Lillian James |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386873917 PECOS PAC ID: 9032393913 Enrollment ID: I20150508000487 |
| Provider Name | Kenneth Gregory Morris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770665804 PECOS PAC ID: 2769702570 Enrollment ID: I20150519001309 |
| Provider Name | Jennifer Mewshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376934208 PECOS PAC ID: 9931429404 Enrollment ID: I20150522002087 |
| Provider Name | David Richard Alejos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417129891 PECOS PAC ID: 2961569579 Enrollment ID: I20150528002881 |
| Provider Name | Valerie A Keck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952794505 PECOS PAC ID: 2365763554 Enrollment ID: I20150529002076 |
| Provider Name | Christopher Eckstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003023201 PECOS PAC ID: 4183818925 Enrollment ID: I20150601001851 |
| Provider Name | Lauren Stone Lindner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427453083 PECOS PAC ID: 5193046258 Enrollment ID: I20150602001464 |
| Provider Name | David A Margolis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073716221 PECOS PAC ID: 4880622018 Enrollment ID: I20150602001547 |
| Provider Name | Laura A Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649677931 PECOS PAC ID: 4587985494 Enrollment ID: I20150603003154 |
| Provider Name | Emma C Rossi |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1215198080 PECOS PAC ID: 3678744190 Enrollment ID: I20150605001117 |
| Provider Name | Mehul Kantilal Bhakta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548585482 PECOS PAC ID: 4284859489 Enrollment ID: I20150617002816 |
| Provider Name | Sarit Vaserman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154725604 PECOS PAC ID: 9234440165 Enrollment ID: I20150618003058 |
| Provider Name | Armando D Bedoya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285924563 PECOS PAC ID: 6406167246 Enrollment ID: I20150619000545 |
| Provider Name | Garjae Dayan Lavien |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659695310 PECOS PAC ID: 2860703394 Enrollment ID: I20150624001550 |
| Provider Name | Laura K Overton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366838047 PECOS PAC ID: 1850602319 Enrollment ID: I20150624002284 |
| Provider Name | Philip H Spotts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619932795 PECOS PAC ID: 0648329003 Enrollment ID: I20150630001615 |
| Provider Name | Joshua P Spaete |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730342239 PECOS PAC ID: 1951613140 Enrollment ID: I20150630002621 |
| Provider Name | Syed A Shah |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1922368372 PECOS PAC ID: 4082926217 Enrollment ID: I20150701000691 |
| Provider Name | Shaina Rose Eckhouse |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164683025 PECOS PAC ID: 3072734599 Enrollment ID: I20150701001223 |
| Provider Name | Michael Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497012751 PECOS PAC ID: 6002128170 Enrollment ID: I20150701002358 |
| Provider Name | Rebecca Lynne Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215330121 PECOS PAC ID: 8527370618 Enrollment ID: I20150701002822 |
| Provider Name | Matthew William Luedke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144541541 PECOS PAC ID: 6507178449 Enrollment ID: I20150706002277 |
| Provider Name | John Roberts |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912149931 PECOS PAC ID: 4587976485 Enrollment ID: I20150707001291 |
| Provider Name | Manisha Bahl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487971982 PECOS PAC ID: 5395057202 Enrollment ID: I20150707001654 |
| Provider Name | Philip Choi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548422298 PECOS PAC ID: 7113105602 Enrollment ID: I20150707001710 |
| Provider Name | Michael R Pietak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811209406 PECOS PAC ID: 0345552196 Enrollment ID: I20150707003193 |
| Provider Name | Christopher J Hostler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174812432 PECOS PAC ID: 7012229891 Enrollment ID: I20150708000599 |
| Provider Name | Lauren E Fiorillo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568774818 PECOS PAC ID: 0941512578 Enrollment ID: I20150709002483 |
| Provider Name | Necole A Tibolla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548604317 PECOS PAC ID: 0042435760 Enrollment ID: I20150713000536 |
| Provider Name | Stacey T Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740677277 PECOS PAC ID: 4385956853 Enrollment ID: I20150713000625 |
| Provider Name | Xueyuan S Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235454836 PECOS PAC ID: 0547573065 Enrollment ID: I20150713002158 |
| Provider Name | Sanaz Javadi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104146604 PECOS PAC ID: 1456664523 Enrollment ID: I20150717001900 |
| Provider Name | Fielding C Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376822080 PECOS PAC ID: 4183944093 Enrollment ID: I20150720000086 |
| Provider Name | Joseph Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457586851 PECOS PAC ID: 5597902874 Enrollment ID: I20150720002544 |
| Provider Name | Linda R Boyd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497712780 PECOS PAC ID: 9133283039 Enrollment ID: I20150721003052 |
| Provider Name | Mekdem Tesfaye |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235499708 PECOS PAC ID: 7618291485 Enrollment ID: I20150724010898 |
| Provider Name | Sean D Pokorney |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1124282413 PECOS PAC ID: 9739492380 Enrollment ID: I20150724012074 |
| Provider Name | Alfredo D Guerron Cruz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982927281 PECOS PAC ID: 2062725641 Enrollment ID: I20150727000188 |
| Provider Name | Ralitza T Martin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306011739 PECOS PAC ID: 9133361611 Enrollment ID: I20150727002153 |
| Provider Name | Talal Dahhan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730410234 PECOS PAC ID: 3678887122 Enrollment ID: I20150729006678 |
| Provider Name | Erin M Horsley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134405939 PECOS PAC ID: 2668786039 Enrollment ID: I20150729007846 |
| Provider Name | Carly Elizabeth Kelley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447494281 PECOS PAC ID: 2961716840 Enrollment ID: I20150805009331 |
| Provider Name | Rebecca Y Klinger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063738763 PECOS PAC ID: 7719292358 Enrollment ID: I20150812006474 |
| Provider Name | Tina D Tailor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225352982 PECOS PAC ID: 1850606427 Enrollment ID: I20150812007416 |
| Provider Name | Erin H Weant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740619584 PECOS PAC ID: 5193941565 Enrollment ID: I20150813009781 |
| Provider Name | Anna Terry |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700081395 PECOS PAC ID: 0941467385 Enrollment ID: I20150819008165 |
| Provider Name | Tian Zhang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1083858443 PECOS PAC ID: 4587979406 Enrollment ID: I20150820011060 |
| Provider Name | Alexandra Megan Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720472400 PECOS PAC ID: 1254646078 Enrollment ID: I20150821014114 |
| Provider Name | Patrick J Codd |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770742314 PECOS PAC ID: 8527226307 Enrollment ID: I20150821014163 |
| Provider Name | Michael Okeefe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366799256 PECOS PAC ID: 4688995517 Enrollment ID: I20150824000618 |
| Provider Name | Brian D Lewis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053507731 PECOS PAC ID: 9931364460 Enrollment ID: I20150824000747 |
| Provider Name | Chad Ryan Gonczy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487965356 PECOS PAC ID: 7911148200 Enrollment ID: I20150824002621 |
| Provider Name | Edgardo R Parrilla Castellar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245378223 PECOS PAC ID: 3779754221 Enrollment ID: I20150825003783 |
| Provider Name | Maryellen S Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609181254 PECOS PAC ID: 5294929964 Enrollment ID: I20150825005437 |
| Provider Name | Michael Barfield |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073770814 PECOS PAC ID: 4486960002 Enrollment ID: I20150827001577 |
| Provider Name | Daniel J Rocke |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851534317 PECOS PAC ID: 1456667096 Enrollment ID: I20150827002625 |
| Provider Name | Deborah Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619364411 PECOS PAC ID: 9830405208 Enrollment ID: I20150831001585 |
| Provider Name | Brian F Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396004156 PECOS PAC ID: 2860708252 Enrollment ID: I20150831002158 |
| Provider Name | Clinton Keilman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619031267 PECOS PAC ID: 9739268079 Enrollment ID: I20150831002598 |
| Provider Name | Kimberly Ann Bagley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194106989 PECOS PAC ID: 4880900141 Enrollment ID: I20150901001341 |
| Provider Name | Sandy J Li |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891817920 PECOS PAC ID: 2961697222 Enrollment ID: I20150901002391 |
| Provider Name | Mani Dana Kahn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407152325 PECOS PAC ID: 1850607177 Enrollment ID: I20150901003285 |
| Provider Name | Williams S Griffies |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407879356 PECOS PAC ID: 3375648462 Enrollment ID: I20150903000876 |
| Provider Name | Jennifer A Bickhaus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972899862 PECOS PAC ID: 5294961322 Enrollment ID: I20150904000380 |
| Provider Name | Rachel Feuer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861873747 PECOS PAC ID: 2961718911 Enrollment ID: I20150904002017 |
| Provider Name | Ashiyana Nariani |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982970265 PECOS PAC ID: 9739495656 Enrollment ID: I20150908001859 |
| Provider Name | J Todd Purves |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952508947 PECOS PAC ID: 8527135904 Enrollment ID: I20150909002939 |
| Provider Name | David A Leiman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558596403 PECOS PAC ID: 6103133046 Enrollment ID: I20150909003349 |
| Provider Name | Jonathan C Riboh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578707923 PECOS PAC ID: 7810113222 Enrollment ID: I20150910002339 |
| Provider Name | Michelle S Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497072813 PECOS PAC ID: 1254648942 Enrollment ID: I20150911002540 |
| Provider Name | Patrick Allen Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831325372 PECOS PAC ID: 7719125681 Enrollment ID: I20150912000168 |
| Provider Name | Arturo Suarez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619106036 PECOS PAC ID: 4385669878 Enrollment ID: I20150916002263 |
| Provider Name | Andrea S Senter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467778241 PECOS PAC ID: 5395052609 Enrollment ID: I20150918002531 |
| Provider Name | Benjamin Oshlag |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033471644 PECOS PAC ID: 6103133343 Enrollment ID: I20150921000856 |
| Provider Name | Rebecca S Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831581610 PECOS PAC ID: 3274840228 Enrollment ID: I20150923002297 |
| Provider Name | Michael A Fierro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578880175 PECOS PAC ID: 9133436108 Enrollment ID: I20150923002888 |
| Provider Name | Erin B Lally |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417244831 PECOS PAC ID: 6709018799 Enrollment ID: I20150924001482 |
| Provider Name | Xi Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144515834 PECOS PAC ID: 9638332265 Enrollment ID: I20150924002283 |
| Provider Name | Lindsay Y King |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013054477 PECOS PAC ID: 3971655523 Enrollment ID: I20150924002528 |
| Provider Name | Brian R Kincaid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912223488 PECOS PAC ID: 4183932130 Enrollment ID: I20150924002758 |
| Provider Name | Scott D Walter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205127818 PECOS PAC ID: 6103134028 Enrollment ID: I20150925002184 |
| Provider Name | Reid C Chamberlain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053677286 PECOS PAC ID: 0143538066 Enrollment ID: I20150925002416 |
| Provider Name | Amanda Roth Jimenez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710116082 PECOS PAC ID: 7911138680 Enrollment ID: I20150928000366 |
| Provider Name | Robert I Mccaslin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164472536 PECOS PAC ID: 0648203877 Enrollment ID: I20150928000535 |
| Provider Name | Maureen Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376920330 PECOS PAC ID: 0446568315 Enrollment ID: I20150928000988 |
| Provider Name | Andrea Diprincipe Coviello |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770590325 PECOS PAC ID: 2466493408 Enrollment ID: I20150928001218 |
| Provider Name | Jayanth R Doss |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1699936302 PECOS PAC ID: 3274701370 Enrollment ID: I20150928002036 |
| Provider Name | Divakar Gupta |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225353626 PECOS PAC ID: 1658595988 Enrollment ID: I20150928003003 |
| Provider Name | Ryan W Huey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104182609 PECOS PAC ID: 5395053110 Enrollment ID: I20150928003062 |
| Provider Name | Cerrone A Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619297579 PECOS PAC ID: 7315255163 Enrollment ID: I20150929001108 |
| Provider Name | Michelle M Schneider |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568762003 PECOS PAC ID: 7517275274 Enrollment ID: I20150929001777 |
| Provider Name | Andrada Delia Neacsiu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295857761 PECOS PAC ID: 8820306582 Enrollment ID: I20150929002044 |
| Provider Name | Mehreen Arshad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245498344 PECOS PAC ID: 1456669118 Enrollment ID: I20150929002080 |
| Provider Name | Derek P Bitner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134414709 PECOS PAC ID: 1850609538 Enrollment ID: I20150929002832 |
| Provider Name | Lawrence C Ku |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962631598 PECOS PAC ID: 8426366121 Enrollment ID: I20150930000032 |
| Provider Name | Milica Margeta |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225328321 PECOS PAC ID: 0749598332 Enrollment ID: I20150930003451 |
| Provider Name | Laura Lazarus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598792590 PECOS PAC ID: 3678469947 Enrollment ID: I20151001002453 |
| Provider Name | Maria E Lim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265722862 PECOS PAC ID: 1850609389 Enrollment ID: I20151002002232 |
| Provider Name | Matthew Ramseur Mcdaniel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043535651 PECOS PAC ID: 3971728031 Enrollment ID: I20151002002469 |
| Provider Name | Richard Andrew Krasuski |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1205921954 PECOS PAC ID: 8628009909 Enrollment ID: I20151006002195 |
| Provider Name | Nicola M Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194815688 PECOS PAC ID: 0840326385 Enrollment ID: I20151006002341 |
| Provider Name | Laura Nasrallah Doss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518193838 PECOS PAC ID: 9032427281 Enrollment ID: I20151007003010 |
| Provider Name | Julian P Yang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730362567 PECOS PAC ID: 3678716305 Enrollment ID: I20151008000851 |
| Provider Name | Amber M Wood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811282106 PECOS PAC ID: 7911215009 Enrollment ID: I20151009002363 |
| Provider Name | John Patrick Hemming |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649412016 PECOS PAC ID: 9931355021 Enrollment ID: I20151012000711 |
| Provider Name | Elizabeth L Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487886776 PECOS PAC ID: 0143344325 Enrollment ID: I20151013001461 |
| Provider Name | Deesha Mago-shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760772768 PECOS PAC ID: 7810206810 Enrollment ID: I20151013002272 |
| Provider Name | Margaret Kennedy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306842844 PECOS PAC ID: 7517862857 Enrollment ID: I20151018000014 |
| Provider Name | Yasmin Maisonave |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881902856 PECOS PAC ID: 7113236928 Enrollment ID: I20151019000602 |
| Provider Name | Robert K Lewis |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1164542221 PECOS PAC ID: 3173743887 Enrollment ID: I20151019000667 |
| Provider Name | Bethany E Beasley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679868020 PECOS PAC ID: 3072750637 Enrollment ID: I20151019000877 |
| Provider Name | Som Nath Chalise |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255580361 PECOS PAC ID: 7911176631 Enrollment ID: I20151019001353 |
| Provider Name | Erin R Leiman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154584159 PECOS PAC ID: 8820266810 Enrollment ID: I20151019002450 |
| Provider Name | Eleanor Anne Vega |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609010974 PECOS PAC ID: 1254586100 Enrollment ID: I20151020001064 |
| Provider Name | Melissa Burleson Micol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215011101 PECOS PAC ID: 6709195449 Enrollment ID: I20151021000627 |
| Provider Name | Karen A.s. Chachu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871727396 PECOS PAC ID: 6507175247 Enrollment ID: I20151021000689 |
| Provider Name | Harvey G Moore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154359354 PECOS PAC ID: 4385609841 Enrollment ID: I20151021002619 |
| Provider Name | Cory Vatsaas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538317565 PECOS PAC ID: 8729233093 Enrollment ID: I20151023000246 |
| Provider Name | Hannah E Heet |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1720403975 PECOS PAC ID: 7315256757 Enrollment ID: I20151026000733 |
| Provider Name | Annunziato Amendola |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043202419 PECOS PAC ID: 4880653047 Enrollment ID: I20151028003047 |
| Provider Name | Neil D Ray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932419116 PECOS PAC ID: 6406087642 Enrollment ID: I20151102001053 |
| Provider Name | Yuriy S Bronshteyn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477873842 PECOS PAC ID: 3072789973 Enrollment ID: I20151113000416 |
| Provider Name | Jaclyn M White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477920247 PECOS PAC ID: 3870803232 Enrollment ID: I20151116000349 |
| Provider Name | David Goodman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154610228 PECOS PAC ID: 2860702255 Enrollment ID: I20151116001164 |
| Provider Name | Monica E Lemmon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144463993 PECOS PAC ID: 9739338112 Enrollment ID: I20151116001682 |
| Provider Name | Michael T Stang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285830604 PECOS PAC ID: 7214002872 Enrollment ID: I20151118001687 |
| Provider Name | Sarah P Lucas |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952537326 PECOS PAC ID: 8921308263 Enrollment ID: I20151118001840 |
| Provider Name | Sindhura Citineni |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1023310810 PECOS PAC ID: 4789984048 Enrollment ID: I20151118002510 |
| Provider Name | Christopher L Holley |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1033246764 PECOS PAC ID: 8921107491 Enrollment ID: I20151123000270 |
| Provider Name | Catherine F Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790160745 PECOS PAC ID: 8527368448 Enrollment ID: I20151128000012 |
| Provider Name | Mcallister Windom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003172321 PECOS PAC ID: 8022318831 Enrollment ID: I20151201001192 |
| Provider Name | Sameer S Kamath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205040813 PECOS PAC ID: 4789754425 Enrollment ID: I20151204000557 |
| Provider Name | Huiwen B Xie |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760412662 PECOS PAC ID: 5698756294 Enrollment ID: I20151207002870 |
| Provider Name | Lashonda H Means |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821465998 PECOS PAC ID: 8224339650 Enrollment ID: I20151209000789 |
| Provider Name | William M Bullock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407172455 PECOS PAC ID: 5092016287 Enrollment ID: I20151211001652 |
| Provider Name | Regina E Balgowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871995563 PECOS PAC ID: 5496056699 Enrollment ID: I20151211002423 |
| Provider Name | Lynnetta M Shoop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255728200 PECOS PAC ID: 8820399033 Enrollment ID: I20151214000038 |
| Provider Name | John J Poggi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083692396 PECOS PAC ID: 2567556871 Enrollment ID: I20151214002714 |
| Provider Name | Maggie M Sweitzer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619348315 PECOS PAC ID: 1052612181 Enrollment ID: I20151215001713 |
| Provider Name | Lauren P Cobb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871818534 PECOS PAC ID: 7113179797 Enrollment ID: I20151221001070 |
| Provider Name | Sarah H Dawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124402508 PECOS PAC ID: 8628379369 Enrollment ID: I20151222000917 |
| Provider Name | Anne Marie Harbour-tonn |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588713044 PECOS PAC ID: 8325349921 Enrollment ID: I20151228001214 |
| Provider Name | Chelsea C Ward |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265753511 PECOS PAC ID: 8325297849 Enrollment ID: I20160105000259 |
| Provider Name | Elizabeth Innes Deans Thomason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205068723 PECOS PAC ID: 1456599356 Enrollment ID: I20160105001533 |
| Provider Name | Tonya Michelle Jolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073745444 PECOS PAC ID: 8729380829 Enrollment ID: I20160106002147 |
| Provider Name | Shelly G Kutchma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790054468 PECOS PAC ID: 7315249430 Enrollment ID: I20160106002650 |
| Provider Name | Ravi K Jasti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144649146 PECOS PAC ID: 3476855412 Enrollment ID: I20160107000734 |
| Provider Name | Scott R Floyd |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699746974 PECOS PAC ID: 6608976626 Enrollment ID: I20160107001985 |
| Provider Name | Sarah E Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326374208 PECOS PAC ID: 3173748050 Enrollment ID: I20160112001938 |
| Provider Name | Kevin Shaun Ricker |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1386908242 PECOS PAC ID: 9032339445 Enrollment ID: I20160115001672 |
| Provider Name | Britney J Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841661626 PECOS PAC ID: 9830492354 Enrollment ID: I20160115001905 |
| Provider Name | Sachin Basiq Malik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972886240 PECOS PAC ID: 5799952677 Enrollment ID: I20160122000560 |
| Provider Name | Karol M Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336390046 PECOS PAC ID: 8527361476 Enrollment ID: I20160127000021 |
| Provider Name | Sharon Beth Larson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578768339 PECOS PAC ID: 6800199555 Enrollment ID: I20160129001338 |
| Provider Name | David H Savage |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1063449080 PECOS PAC ID: 9931172525 Enrollment ID: I20160203000904 |
| Provider Name | Jiaoti Huang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518987965 PECOS PAC ID: 9537263322 Enrollment ID: I20160204000908 |
| Provider Name | Christina Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508140179 PECOS PAC ID: 5698079812 Enrollment ID: I20160209001991 |
| Provider Name | Alicia L Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679945687 PECOS PAC ID: 2365746476 Enrollment ID: I20160210002363 |
| Provider Name | Michael N Corradetti |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093977621 PECOS PAC ID: 5496999302 Enrollment ID: I20160216002295 |
| Provider Name | Roman T Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407101868 PECOS PAC ID: 1355566068 Enrollment ID: I20160219001903 |
| Provider Name | Keira Marie Donaldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104281070 PECOS PAC ID: 7416252838 Enrollment ID: I20160223002094 |
| Provider Name | Paula Suzanne Kennedy-newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235500893 PECOS PAC ID: 9830494277 Enrollment ID: I20160224000156 |
| Provider Name | Sara Ahmadi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700082617 PECOS PAC ID: 5799948709 Enrollment ID: I20160229002096 |
| Provider Name | Ashley Darroch Neville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669847489 PECOS PAC ID: 0840595898 Enrollment ID: I20160229002097 |
| Provider Name | Victor James Test |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144282351 PECOS PAC ID: 3476575069 Enrollment ID: I20160301002542 |
| Provider Name | Allison L Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003271834 PECOS PAC ID: 8628374436 Enrollment ID: I20160303002435 |
| Provider Name | Benita Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780056390 PECOS PAC ID: 4880990696 Enrollment ID: I20160303002523 |
| Provider Name | Stacy Cowherd Telloni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922241165 PECOS PAC ID: 4082910831 Enrollment ID: I20160304001175 |
| Provider Name | Stacy Marie Head |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770598203 PECOS PAC ID: 6507162278 Enrollment ID: I20160307000115 |
| Provider Name | Rayleen Cassidy Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407276751 PECOS PAC ID: 3274839931 Enrollment ID: I20160308000174 |
| Provider Name | Christopher Brice Boelter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821463167 PECOS PAC ID: 8022314525 Enrollment ID: I20160309001744 |
| Provider Name | James E Knutson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1144485707 PECOS PAC ID: 9335381870 Enrollment ID: I20160311002022 |
| Provider Name | Cherese S Infinito |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780092601 PECOS PAC ID: 0941507909 Enrollment ID: I20160318001383 |
| Provider Name | Katherine Elizabeth Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871967919 PECOS PAC ID: 5294032108 Enrollment ID: I20160321000817 |
| Provider Name | Kristy Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437514486 PECOS PAC ID: 0749587673 Enrollment ID: I20160321001500 |
| Provider Name | Ann Renee Collier |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1891863411 PECOS PAC ID: 4587766506 Enrollment ID: I20160322000511 |
| Provider Name | Samantha Rae Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033574645 PECOS PAC ID: 6901103738 Enrollment ID: I20160322002665 |
| Provider Name | Irene Galang Abella |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1912371162 PECOS PAC ID: 0143527697 Enrollment ID: I20160328001652 |
| Provider Name | Heather H Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497072169 PECOS PAC ID: 8426355934 Enrollment ID: I20160329001496 |
| Provider Name | Jeffrey K Klotz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659361855 PECOS PAC ID: 8921188939 Enrollment ID: I20160331002568 |
| Provider Name | Donette Weltansieht Vicente |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700063062 PECOS PAC ID: 9436214491 Enrollment ID: I20160404001397 |
| Provider Name | Lauren N Heinz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881035269 PECOS PAC ID: 4789809583 Enrollment ID: I20160408001272 |
| Provider Name | Rebecca Knowlton Sawchak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073979290 PECOS PAC ID: 2860790623 Enrollment ID: I20160411001718 |
| Provider Name | Rachel Ann Miller |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720076250 PECOS PAC ID: 4284761156 Enrollment ID: I20160412002867 |
| Provider Name | Yuval Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609106210 PECOS PAC ID: 2163671116 Enrollment ID: I20160419002466 |
| Provider Name | Colette Swevia Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063796340 PECOS PAC ID: 0941442867 Enrollment ID: I20160426000134 |
| Provider Name | Jennifer L Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710304886 PECOS PAC ID: 5890910673 Enrollment ID: I20160502002064 |
| Provider Name | Adam Banks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992061758 PECOS PAC ID: 2961791843 Enrollment ID: I20160516002372 |
| Provider Name | Priyesh A Patel |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1083858047 PECOS PAC ID: 1254620149 Enrollment ID: I20160517000139 |
| Provider Name | Anjali S Shelke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467743807 PECOS PAC ID: 0244529170 Enrollment ID: I20160517001293 |
| Provider Name | James W Klena |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1285740662 PECOS PAC ID: 5597664037 Enrollment ID: I20160517001585 |
| Provider Name | Arthur Wakefield Baker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730347139 PECOS PAC ID: 6305023896 Enrollment ID: I20160519000087 |
| Provider Name | Caitlyn Mooneyham Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104271030 PECOS PAC ID: 7315236064 Enrollment ID: I20160519000107 |
| Provider Name | Aparna Chandra Swaminathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235496282 PECOS PAC ID: 8729377411 Enrollment ID: I20160519001307 |
| Provider Name | Jaclyn Horne Dobbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477914000 PECOS PAC ID: 6204125925 Enrollment ID: I20160519002104 |
| Provider Name | Matthew Robert Kappus |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235365297 PECOS PAC ID: 0648428953 Enrollment ID: I20160525002175 |
| Provider Name | Amit Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730400268 PECOS PAC ID: 1254560782 Enrollment ID: I20160602000020 |
| Provider Name | Amy L Newhouse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396039459 PECOS PAC ID: 2365732476 Enrollment ID: I20160602000046 |
| Provider Name | Timothy John Vece |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649455072 PECOS PAC ID: 8325217029 Enrollment ID: I20160602001520 |
| Provider Name | Genalynne Carwile Mooneyham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235422429 PECOS PAC ID: 3476790759 Enrollment ID: I20160602002101 |
| Provider Name | Elizabeth Granieri |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780975102 PECOS PAC ID: 3274823208 Enrollment ID: I20160603001357 |
| Provider Name | Eric Jason Marrotte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417272840 PECOS PAC ID: 6608009345 Enrollment ID: I20160603001618 |
| Provider Name | Alyson Mcghan Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962778118 PECOS PAC ID: 6800186511 Enrollment ID: I20160609000429 |
| Provider Name | Jennifer Rymer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134410566 PECOS PAC ID: 2961792510 Enrollment ID: I20160609001901 |
| Provider Name | Sarah L Tallent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528408929 PECOS PAC ID: 2567752025 Enrollment ID: I20160613000863 |
| Provider Name | Christian Blake Cameron |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245556877 PECOS PAC ID: 8022311166 Enrollment ID: I20160614002272 |
| Provider Name | Megan Ann Mcnamara |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164748794 PECOS PAC ID: 6800187162 Enrollment ID: I20160617000510 |
| Provider Name | Sidney M Gospe |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790048155 PECOS PAC ID: 3971894106 Enrollment ID: I20160620001195 |
| Provider Name | Ann Navar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609018639 PECOS PAC ID: 5991096083 Enrollment ID: I20160621000875 |
| Provider Name | Sarah A T Holsopple |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942542030 PECOS PAC ID: 9234420209 Enrollment ID: I20160622000901 |
| Provider Name | James Spencer Clayton Ronald |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1417262080 PECOS PAC ID: 6305137969 Enrollment ID: I20160629000821 |
| Provider Name | Lisa A Cowan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295091221 PECOS PAC ID: 5193969814 Enrollment ID: I20160705000340 |
| Provider Name | Jordan A Torok |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629369582 PECOS PAC ID: 1759673221 Enrollment ID: I20160705000508 |
| Provider Name | Reinaldo J Quevedo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760707970 PECOS PAC ID: 8123267549 Enrollment ID: I20160705000949 |
| Provider Name | Petar Duvnjak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922394436 PECOS PAC ID: 9436441821 Enrollment ID: I20160705001399 |
| Provider Name | Eileen T Chambers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952437501 PECOS PAC ID: 6103924402 Enrollment ID: I20160706001669 |
| Provider Name | Autumn Kirsten Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073931168 PECOS PAC ID: 2961794235 Enrollment ID: I20160706001899 |
| Provider Name | Patrick Magoon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225323355 PECOS PAC ID: 3870885155 Enrollment ID: I20160706002238 |
| Provider Name | Erik F Hauck |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952505521 PECOS PAC ID: 2163559592 Enrollment ID: I20160707000042 |
| Provider Name | Seth B Hayes |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366684110 PECOS PAC ID: 7719279868 Enrollment ID: I20160711000109 |
| Provider Name | Matthew M Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669761060 PECOS PAC ID: 1658663786 Enrollment ID: I20160712000135 |
| Provider Name | Wendy L Ehieli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588963946 PECOS PAC ID: 9335431360 Enrollment ID: I20160712000274 |
| Provider Name | Noah D Kauff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144205477 PECOS PAC ID: 9234113614 Enrollment ID: I20160712000589 |
| Provider Name | Akshay S Thomas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528324662 PECOS PAC ID: 4688808884 Enrollment ID: I20160712001938 |
| Provider Name | Stephanie Rodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508227851 PECOS PAC ID: 3072805084 Enrollment ID: I20160712003064 |
| Provider Name | Margareta Ann Montoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629424858 PECOS PAC ID: 9436441318 Enrollment ID: I20160713002167 |
| Provider Name | Gregory Daniel Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881984094 PECOS PAC ID: 0244522043 Enrollment ID: I20160715000253 |
| Provider Name | James William Wisler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922242882 PECOS PAC ID: 6800188525 Enrollment ID: I20160715001290 |
| Provider Name | Diana Miriam Leitner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043572613 PECOS PAC ID: 3678721727 Enrollment ID: I20160719001298 |
| Provider Name | Ian C Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740578483 PECOS PAC ID: 5496058026 Enrollment ID: I20160720001738 |
| Provider Name | Benjamin Scott Oberman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699069807 PECOS PAC ID: 2163715327 Enrollment ID: I20160726000524 |
| Provider Name | Larry Ronald Jackson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1023285582 PECOS PAC ID: 9830482991 Enrollment ID: I20160727000246 |
| Provider Name | Matthew A Frederick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144404526 PECOS PAC ID: 9335271428 Enrollment ID: I20160728000832 |
| Provider Name | Natalie G Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144678566 PECOS PAC ID: 1254624240 Enrollment ID: I20160728001500 |
| Provider Name | Sophie K Shaikh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598007866 PECOS PAC ID: 0345533121 Enrollment ID: I20160802000242 |
| Provider Name | Nazish K Hashmi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982938288 PECOS PAC ID: 7315231164 Enrollment ID: I20160802002423 |
| Provider Name | Edmund Hong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083945851 PECOS PAC ID: 0143514901 Enrollment ID: I20160802002709 |
| Provider Name | Megan Elizabeth Reller |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073614897 PECOS PAC ID: 7416923792 Enrollment ID: I20160802002832 |
| Provider Name | Sophie W Galson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649618000 PECOS PAC ID: 7315231008 Enrollment ID: I20160803000718 |
| Provider Name | Shannon Marie Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104297381 PECOS PAC ID: 4981914132 Enrollment ID: I20160803002599 |
| Provider Name | Darin Lyn Dufault |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972824787 PECOS PAC ID: 2466670245 Enrollment ID: I20160803002676 |
| Provider Name | Elias Joseph Jaffa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225370547 PECOS PAC ID: 3476847146 Enrollment ID: I20160803003215 |
| Provider Name | William Jonathan Dunkman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558595306 PECOS PAC ID: 4183855414 Enrollment ID: I20160808000114 |
| Provider Name | Jesse R Gutnick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992948707 PECOS PAC ID: 5991019127 Enrollment ID: I20160808001673 |
| Provider Name | Ammon Milton Fager |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1245557594 PECOS PAC ID: 3779877188 Enrollment ID: I20160808002548 |
| Provider Name | Wonchon Lin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417214313 PECOS PAC ID: 9133413420 Enrollment ID: I20160809002862 |
| Provider Name | Julian T Hertz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891138921 PECOS PAC ID: 9931419686 Enrollment ID: I20160810000216 |
| Provider Name | Nicholas T Rudnick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104119544 PECOS PAC ID: 8628370715 Enrollment ID: I20160810001363 |
| Provider Name | Walter F Denino |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1114238755 PECOS PAC ID: 5193947950 Enrollment ID: I20160811001531 |
| Provider Name | Zachary F Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407147275 PECOS PAC ID: 0345482949 Enrollment ID: I20160811001671 |
| Provider Name | Lauren N Fay |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225486517 PECOS PAC ID: 4587958533 Enrollment ID: I20160815000338 |
| Provider Name | Nia Schwann Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235276510 PECOS PAC ID: 3678761962 Enrollment ID: I20160815000500 |
| Provider Name | Amy Tammenga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194196477 PECOS PAC ID: 6406140466 Enrollment ID: I20160815000622 |
| Provider Name | Rebecca Victoria Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023300589 PECOS PAC ID: 3274758743 Enrollment ID: I20160815002503 |
| Provider Name | Majda Hadziahmetovic |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972853695 PECOS PAC ID: 1254626187 Enrollment ID: I20160817000743 |
| Provider Name | Tristen Park |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295062081 PECOS PAC ID: 1850421942 Enrollment ID: I20160817002755 |
| Provider Name | Luke A Kinsinger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407172836 PECOS PAC ID: 6709192594 Enrollment ID: I20160818000555 |
| Provider Name | Erica S Peethumnongsin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467712448 PECOS PAC ID: 6103041504 Enrollment ID: I20160819001436 |
| Provider Name | Sarah H Vantassel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982966974 PECOS PAC ID: 5193010742 Enrollment ID: I20160823000254 |
| Provider Name | Christopher L Weller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619268224 PECOS PAC ID: 1951614767 Enrollment ID: I20160824001520 |
| Provider Name | Nimisha Doshi Khanna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841587474 PECOS PAC ID: 1658666086 Enrollment ID: I20160824003119 |
| Provider Name | Sarah Rock O'rourke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699127662 PECOS PAC ID: 7517252877 Enrollment ID: I20160825000845 |
| Provider Name | Cher L Nicholas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346695665 PECOS PAC ID: 3870888175 Enrollment ID: I20160825001902 |
| Provider Name | Lauren Siewny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497198287 PECOS PAC ID: 9830484955 Enrollment ID: I20160829000056 |
| Provider Name | Edward R Kessler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427205699 PECOS PAC ID: 4981820784 Enrollment ID: I20160829001984 |
| Provider Name | Emily S Reiff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972860211 PECOS PAC ID: 1557515491 Enrollment ID: I20160830000969 |
| Provider Name | Eric I Ehieli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427357664 PECOS PAC ID: 0244526267 Enrollment ID: I20160831000155 |
| Provider Name | Sundhar Ramalingam |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1366768632 PECOS PAC ID: 9032405949 Enrollment ID: I20160901000385 |
| Provider Name | Tarannum Jaleel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821354648 PECOS PAC ID: 6204076946 Enrollment ID: I20160901000447 |
| Provider Name | Meredith Causey Sigmon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194278234 PECOS PAC ID: 0042506800 Enrollment ID: I20160906000956 |
| Provider Name | Tina Marie Gremore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740410034 PECOS PAC ID: 5193863629 Enrollment ID: I20160906001150 |
| Provider Name | Megan R Barrett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053635516 PECOS PAC ID: 3577792217 Enrollment ID: I20160906001581 |
| Provider Name | Shreyansh Dineshbhai Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164657383 PECOS PAC ID: 1951529916 Enrollment ID: I20160906001991 |
| Provider Name | Avani A Pendse |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801188511 PECOS PAC ID: 3779708300 Enrollment ID: I20160906002016 |
| Provider Name | Lisa Rae Carnago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871943100 PECOS PAC ID: 9537455225 Enrollment ID: I20160906002419 |
| Provider Name | Jill Elizabeth Lorenzi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487005476 PECOS PAC ID: 9931495629 Enrollment ID: I20160906002631 |
| Provider Name | Jill Caroline Moore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922294651 PECOS PAC ID: 1850443623 Enrollment ID: I20160907000466 |
| Provider Name | Victor Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336436724 PECOS PAC ID: 1153617899 Enrollment ID: I20160907001151 |
| Provider Name | Theresa B. Sevilis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407111461 PECOS PAC ID: 6608191911 Enrollment ID: I20160907001849 |
| Provider Name | Rajesh Viswanathan Swaminathan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386759066 PECOS PAC ID: 6800966763 Enrollment ID: I20160907002083 |
| Provider Name | George Zhi Cheng |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316174568 PECOS PAC ID: 1153569967 Enrollment ID: I20160908001188 |
| Provider Name | Lesli Ann Simers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629452990 PECOS PAC ID: 1850687369 Enrollment ID: I20160909001074 |
| Provider Name | Robert Walker Mcgarrah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336300342 PECOS PAC ID: 4981990371 Enrollment ID: I20160912001041 |
| Provider Name | Phillip Bryce Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033379078 PECOS PAC ID: 2062688393 Enrollment ID: I20160913000511 |
| Provider Name | Alexander J Craft |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194022236 PECOS PAC ID: 8325334634 Enrollment ID: I20160913002462 |
| Provider Name | Maria Cristina Segovia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194734947 PECOS PAC ID: 0941206098 Enrollment ID: I20160914001365 |
| Provider Name | Lynn Josette Mckinley-grant |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912952565 PECOS PAC ID: 2466431903 Enrollment ID: I20160915001600 |
| Provider Name | Michelle J White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598089567 PECOS PAC ID: 4486967551 Enrollment ID: I20160915002492 |
| Provider Name | John Maurice Brion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952707465 PECOS PAC ID: 3476879438 Enrollment ID: I20160916000617 |
| Provider Name | Matthew N Suberlak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497048722 PECOS PAC ID: 6305133497 Enrollment ID: I20160916000999 |
| Provider Name | Jonathan R Foote |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477781334 PECOS PAC ID: 6901048446 Enrollment ID: I20160916001963 |
| Provider Name | Kelly S Acharya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639436371 PECOS PAC ID: 3870880933 Enrollment ID: I20160919000245 |
| Provider Name | Nada F Kamel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467867184 PECOS PAC ID: 6406075142 Enrollment ID: I20160920002469 |
| Provider Name | Avni Patel Finn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184987315 PECOS PAC ID: 4082852835 Enrollment ID: I20160921000578 |
| Provider Name | Brian P Flemming |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093000747 PECOS PAC ID: 7214226422 Enrollment ID: I20160921001507 |
| Provider Name | John Joseph Strouse |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1538161245 PECOS PAC ID: 7719969385 Enrollment ID: I20160922002699 |
| Provider Name | Sara Elizabeth Abbott |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275809501 PECOS PAC ID: 9830486364 Enrollment ID: I20160927000470 |
| Provider Name | Mariusz Bockowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033577713 PECOS PAC ID: 5395032833 Enrollment ID: I20160927000790 |
| Provider Name | Nalatha H Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154703205 PECOS PAC ID: 5193012540 Enrollment ID: I20160928001568 |
| Provider Name | Monique Hiersoux Vaughan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720344591 PECOS PAC ID: 4385872241 Enrollment ID: I20160929001566 |
| Provider Name | Colleen M Naglee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821291832 PECOS PAC ID: 0446416903 Enrollment ID: I20160930001756 |
| Provider Name | Fabiana Ortiz-figueroa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871854745 PECOS PAC ID: 4082928049 Enrollment ID: I20160930001828 |
| Provider Name | Andrew Barbas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013174275 PECOS PAC ID: 4587951728 Enrollment ID: I20161003000693 |
| Provider Name | Whitney Lynanne Meeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023469848 PECOS PAC ID: 8729376918 Enrollment ID: I20161004000049 |
| Provider Name | Chandler A Long |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1568666055 PECOS PAC ID: 4385886803 Enrollment ID: I20161004001142 |
| Provider Name | Sharon L Mccartney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003131970 PECOS PAC ID: 0840588927 Enrollment ID: I20161005000211 |
| Provider Name | Abigail S Haberman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669826236 PECOS PAC ID: 5890083901 Enrollment ID: I20161005001229 |
| Provider Name | Jeffrey Cheng |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265690242 PECOS PAC ID: 2668614314 Enrollment ID: I20161006001352 |
| Provider Name | Laura H Rosenberger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558529958 PECOS PAC ID: 1557590395 Enrollment ID: I20161006001572 |
| Provider Name | Katayoon Baradaran Ebrahimi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104282359 PECOS PAC ID: 6103114145 Enrollment ID: I20161007000231 |
| Provider Name | Sara F Grace |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629369350 PECOS PAC ID: 6002123205 Enrollment ID: I20161007001306 |
| Provider Name | Juan M Garza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417244732 PECOS PAC ID: 8921226168 Enrollment ID: I20161010000364 |
| Provider Name | Noelle E Younge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205009248 PECOS PAC ID: 8628247566 Enrollment ID: I20161011000036 |
| Provider Name | Harajeshwar S Kohli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689917270 PECOS PAC ID: 4688970197 Enrollment ID: I20161011001540 |
| Provider Name | Padma Gulur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225017627 PECOS PAC ID: 2961414131 Enrollment ID: I20161011002571 |
| Provider Name | Ernestina Maria Belt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245551142 PECOS PAC ID: 1759517154 Enrollment ID: I20161012002368 |
| Provider Name | Brandon W Barrett |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477996155 PECOS PAC ID: 4486942182 Enrollment ID: I20161012002561 |
| Provider Name | Dane Michael Barrett |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033436423 PECOS PAC ID: 0042449738 Enrollment ID: I20161013001500 |
| Provider Name | Russel R Kahmke |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134445042 PECOS PAC ID: 7810209905 Enrollment ID: I20161017002034 |
| Provider Name | Stephen P Shaheen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437491628 PECOS PAC ID: 8224326608 Enrollment ID: I20161018001956 |
| Provider Name | Kathryn E Crampton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669454765 PECOS PAC ID: 1759286537 Enrollment ID: I20161018002903 |
| Provider Name | Moritz C Wyler Von Ballmoos |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487970463 PECOS PAC ID: 4587983077 Enrollment ID: I20161020001371 |
| Provider Name | Ryan Leonard Freedman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063856979 PECOS PAC ID: 5496033748 Enrollment ID: I20161020002356 |
| Provider Name | Christy Michelle Cassas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043600638 PECOS PAC ID: 7012237225 Enrollment ID: I20161024001640 |
| Provider Name | Lisa M Einhorn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134418221 PECOS PAC ID: 9436437589 Enrollment ID: I20161025002223 |
| Provider Name | Kimberly Rw Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225245996 PECOS PAC ID: 7719156793 Enrollment ID: I20161026002199 |
| Provider Name | Victoria M Parente |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972860443 PECOS PAC ID: 5193003960 Enrollment ID: I20161028001557 |
| Provider Name | Noran Barry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467763300 PECOS PAC ID: 3678851326 Enrollment ID: I20161031002031 |
| Provider Name | Benjamin Joseph White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396006896 PECOS PAC ID: 3274758727 Enrollment ID: I20161031002441 |
| Provider Name | Wenlan Zhang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982961405 PECOS PAC ID: 7214215904 Enrollment ID: I20161101000431 |
| Provider Name | Latoya C Patterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710253349 PECOS PAC ID: 4486932183 Enrollment ID: I20161101000902 |
| Provider Name | Matthew Kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306004577 PECOS PAC ID: 8820376460 Enrollment ID: I20161101002583 |
| Provider Name | Leigh-ann H Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619387784 PECOS PAC ID: 4789962325 Enrollment ID: I20161101002752 |
| Provider Name | Arun Ganesh |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1932490653 PECOS PAC ID: 6002037959 Enrollment ID: I20161102000729 |
| Provider Name | Jennifer K Plichta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134383292 PECOS PAC ID: 7315254125 Enrollment ID: I20161102001016 |
| Provider Name | Brenda J Lanan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194073767 PECOS PAC ID: 5991014292 Enrollment ID: I20161102002946 |
| Provider Name | Amy Turlington Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447601075 PECOS PAC ID: 8527346048 Enrollment ID: I20161103000015 |
| Provider Name | Patsy Warren Park |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801023494 PECOS PAC ID: 6901027978 Enrollment ID: I20161107001825 |
| Provider Name | Billy Yu-ang Lan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225233653 PECOS PAC ID: 5799086674 Enrollment ID: I20161115001432 |
| Provider Name | Amanda D Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033564844 PECOS PAC ID: 5991084840 Enrollment ID: I20161116001520 |
| Provider Name | Sireesha Datla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275819526 PECOS PAC ID: 4789859018 Enrollment ID: I20161116002799 |
| Provider Name | Akiko Chiba |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1861620809 PECOS PAC ID: 1850602400 Enrollment ID: I20161118001684 |
| Provider Name | Jason E Lang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962413492 PECOS PAC ID: 3274535265 Enrollment ID: I20161122000139 |
| Provider Name | Jonathan M Cohen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821545336 PECOS PAC ID: 0143509703 Enrollment ID: I20161122002375 |
| Provider Name | Daiva Nevidomskyte |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164712931 PECOS PAC ID: 1254644677 Enrollment ID: I20161123001138 |
| Provider Name | Miguel Angel Materin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528292679 PECOS PAC ID: 6709936834 Enrollment ID: I20161128001479 |
| Provider Name | Klaus G E Werner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871854141 PECOS PAC ID: 2769648922 Enrollment ID: I20161130001235 |
| Provider Name | Nathan L Cheung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396125183 PECOS PAC ID: 1658651096 Enrollment ID: I20161201000533 |
| Provider Name | Charles A Anene |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124108303 PECOS PAC ID: 2769453083 Enrollment ID: I20161205000398 |
| Provider Name | Gregory J Della Rocca |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053360016 PECOS PAC ID: 1658369681 Enrollment ID: I20161205002369 |
| Provider Name | Karen L Sherman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801043930 PECOS PAC ID: 1951681162 Enrollment ID: I20161206000155 |
| Provider Name | Danielle Laughlin Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083039507 PECOS PAC ID: 9133425135 Enrollment ID: I20161206001455 |
| Provider Name | Ankit Anil Patel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871850065 PECOS PAC ID: 1759689029 Enrollment ID: I20161207000292 |
| Provider Name | Ralph Abi Hachem |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285953430 PECOS PAC ID: 5395046684 Enrollment ID: I20161207001158 |
| Provider Name | Nicholas T Befera |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1457504268 PECOS PAC ID: 0244510279 Enrollment ID: I20161209000728 |
| Provider Name | Matthew V Buck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124289715 PECOS PAC ID: 1658509039 Enrollment ID: I20161209001662 |
| Provider Name | Myles S Wolf |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629069927 PECOS PAC ID: 0648331348 Enrollment ID: I20161212000764 |
| Provider Name | Jessica C Schwartz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609118793 PECOS PAC ID: 9436439262 Enrollment ID: I20161213000658 |
| Provider Name | Kelly Lynn Kavcsak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972949790 PECOS PAC ID: 5496984593 Enrollment ID: I20161213002238 |
| Provider Name | Jennifer B Gilner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912131194 PECOS PAC ID: 3173803889 Enrollment ID: I20161214001269 |
| Provider Name | Gita Suneja |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902068588 PECOS PAC ID: 5496995540 Enrollment ID: I20161215001152 |
| Provider Name | Brenna L Hughes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215908637 PECOS PAC ID: 6507877669 Enrollment ID: I20161219000178 |
| Provider Name | Karen Christine Baker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033183314 PECOS PAC ID: 3072783455 Enrollment ID: I20161219001398 |
| Provider Name | Jennifer N Hauck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023307550 PECOS PAC ID: 0941581557 Enrollment ID: I20161219002313 |
| Provider Name | Christinna Jean Haire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689920928 PECOS PAC ID: 1052569019 Enrollment ID: I20161220001227 |
| Provider Name | Sarahn M Wheeler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659514487 PECOS PAC ID: 1850672114 Enrollment ID: I20161227002075 |
| Provider Name | Jennifer Pothoven Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487083192 PECOS PAC ID: 5496036733 Enrollment ID: I20161229000453 |
| Provider Name | Blanca Iris Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245346170 PECOS PAC ID: 3274657705 Enrollment ID: I20170105000194 |
| Provider Name | Brennan Collins Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649722935 PECOS PAC ID: 3678854643 Enrollment ID: I20170105001625 |
| Provider Name | Itala Marcella Azzarelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851842322 PECOS PAC ID: 8729369558 Enrollment ID: I20170110000300 |
| Provider Name | Emily C Sterrett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992939029 PECOS PAC ID: 9133375850 Enrollment ID: I20170110003436 |
| Provider Name | Edward Scott Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841746773 PECOS PAC ID: 9436431749 Enrollment ID: I20170123000470 |
| Provider Name | Moira E Breslin |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1174841811 PECOS PAC ID: 7618259938 Enrollment ID: I20170123000908 |
| Provider Name | Stephen Michael Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558811190 PECOS PAC ID: 5991087165 Enrollment ID: I20170124000017 |
| Provider Name | Charlene Alexis Wong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316262660 PECOS PAC ID: 1557643699 Enrollment ID: I20170125000088 |
| Provider Name | Neema Kapadia Sharda |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1841559374 PECOS PAC ID: 1557582897 Enrollment ID: I20170125001240 |
| Provider Name | Sarah White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275082703 PECOS PAC ID: 4880976885 Enrollment ID: I20170127000928 |
| Provider Name | Elizabeth Anne Caudill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659829497 PECOS PAC ID: 0244512150 Enrollment ID: I20170127001867 |
| Provider Name | Ashley Ann Moskovich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871036517 PECOS PAC ID: 0244512127 Enrollment ID: I20170130001672 |
| Provider Name | Patricia Elizabeth Gammon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316020571 PECOS PAC ID: 1850673757 Enrollment ID: I20170130002294 |
| Provider Name | Megan J Huchko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811067655 PECOS PAC ID: 5294837316 Enrollment ID: I20170131000701 |
| Provider Name | Cristine Radojicic |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1245294206 PECOS PAC ID: 9537172721 Enrollment ID: I20170202002560 |
| Provider Name | Lisa Amaya-jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841373081 PECOS PAC ID: 9234412834 Enrollment ID: I20170206000963 |
| Provider Name | Jacob A Klapper |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1013196989 PECOS PAC ID: 6800973504 Enrollment ID: I20170208001444 |
| Provider Name | Nicole M Fesel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972053015 PECOS PAC ID: 8628351046 Enrollment ID: I20170209001800 |
| Provider Name | Devon Paul |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972829240 PECOS PAC ID: 1355624206 Enrollment ID: I20170220001508 |
| Provider Name | Howard Wayne Francis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548208481 PECOS PAC ID: 8325229982 Enrollment ID: I20170220002129 |
| Provider Name | Melissa Anne Sempowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659815447 PECOS PAC ID: 0840574406 Enrollment ID: I20170227000452 |
| Provider Name | Becky A Smith |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891952990 PECOS PAC ID: 6608044557 Enrollment ID: I20170302002085 |
| Provider Name | Christopher A Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306289707 PECOS PAC ID: 9638453780 Enrollment ID: I20170309000215 |
| Provider Name | Patricia Lynn Kohler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548260417 PECOS PAC ID: 1658342431 Enrollment ID: I20170315000109 |
| Provider Name | Paul E Wischmeyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558454900 PECOS PAC ID: 5193850501 Enrollment ID: I20170321000471 |
| Provider Name | Phyllis C Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861472458 PECOS PAC ID: 2961621586 Enrollment ID: I20170405001643 |
| Provider Name | Jana G Schuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871042580 PECOS PAC ID: 9638455520 Enrollment ID: I20170406002801 |
| Provider Name | David A Katz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184794166 PECOS PAC ID: 6204112097 Enrollment ID: I20170410001992 |
| Provider Name | Kevin G Hueman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336110931 PECOS PAC ID: 5698051159 Enrollment ID: I20170418000033 |
| Provider Name | Brandilynn A Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417324302 PECOS PAC ID: 8921384140 Enrollment ID: I20170424001133 |
| Provider Name | Mariah S Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467904359 PECOS PAC ID: 1759668320 Enrollment ID: I20170509000234 |
| Provider Name | Hector F Martinez-wilson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013234251 PECOS PAC ID: 3072730811 Enrollment ID: I20170509002445 |
| Provider Name | Stephanie R Chancy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124482906 PECOS PAC ID: 0244517738 Enrollment ID: I20170510003000 |
| Provider Name | Haley A Moss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710247242 PECOS PAC ID: 6204128168 Enrollment ID: I20170517000459 |
| Provider Name | William A Jiranek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184714941 PECOS PAC ID: 8820984719 Enrollment ID: I20170526001812 |
| Provider Name | Sandra J Napier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396129821 PECOS PAC ID: 3678876224 Enrollment ID: I20170526001882 |
| Provider Name | Amanda Litton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992169130 PECOS PAC ID: 9537436209 Enrollment ID: I20170531000538 |
| Provider Name | Vellore Parithivel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679674915 PECOS PAC ID: 0143370700 Enrollment ID: I20170605000999 |
| Provider Name | Kristina M Nazareth-pidgeon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114210366 PECOS PAC ID: 0840416046 Enrollment ID: I20170605001044 |
| Provider Name | Hui Chen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710237185 PECOS PAC ID: 6103193552 Enrollment ID: I20170606002282 |
| Provider Name | Lorie Marie Kabugo-musoke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376924605 PECOS PAC ID: 9032403340 Enrollment ID: I20170607002095 |
| Provider Name | Laura Rapp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932645298 PECOS PAC ID: 2163790064 Enrollment ID: I20170619000807 |
| Provider Name | Benjamin A Smallheer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629249750 PECOS PAC ID: 5193804375 Enrollment ID: I20170619002028 |
| Provider Name | Dimitri Putilin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811438179 PECOS PAC ID: 8022386671 Enrollment ID: I20170622001815 |
| Provider Name | Genevieve C Wroblewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578017521 PECOS PAC ID: 3375811920 Enrollment ID: I20170622001936 |
| Provider Name | Joy Elliott Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619204245 PECOS PAC ID: 4587932090 Enrollment ID: I20170623001719 |
| Provider Name | Pooja Sodha |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821380171 PECOS PAC ID: 8729356241 Enrollment ID: I20170623001912 |
| Provider Name | Adam R Williams |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1710125695 PECOS PAC ID: 9537437090 Enrollment ID: I20170626000814 |
| Provider Name | Sandra B Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245676808 PECOS PAC ID: 8820212558 Enrollment ID: I20170626000865 |
| Provider Name | Mariam Wasim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205125101 PECOS PAC ID: 1658649124 Enrollment ID: I20170626001158 |
| Provider Name | David Andrew Brown |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1316188238 PECOS PAC ID: 3971871443 Enrollment ID: I20170626001346 |
| Provider Name | Jessica L Anderson-riddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073768990 PECOS PAC ID: 3870650260 Enrollment ID: I20170626001741 |
| Provider Name | Courtney Jane Ware |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073056917 PECOS PAC ID: 5698043180 Enrollment ID: I20170626001923 |
| Provider Name | Ariel Schulman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912135724 PECOS PAC ID: 2466720958 Enrollment ID: I20170626002148 |
| Provider Name | Marina M Bova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992253173 PECOS PAC ID: 9335418839 Enrollment ID: I20170626002775 |
| Provider Name | Clayton A Alfonso |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790028843 PECOS PAC ID: 0143599357 Enrollment ID: I20170703000529 |
| Provider Name | Paul M Swaney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518302769 PECOS PAC ID: 7719121383 Enrollment ID: I20170703001965 |
| Provider Name | Mary L Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164810602 PECOS PAC ID: 4981973096 Enrollment ID: I20170705003290 |
| Provider Name | Ahmed Galal |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1902179906 PECOS PAC ID: 1951562842 Enrollment ID: I20170706001900 |
| Provider Name | Negmeldeen F Mamoun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942476270 PECOS PAC ID: 8426113200 Enrollment ID: I20170711001299 |
| Provider Name | Marat Fudim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013262419 PECOS PAC ID: 9739458522 Enrollment ID: I20170711001518 |
| Provider Name | Phillip James Fairbourn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801182357 PECOS PAC ID: 7810288669 Enrollment ID: I20170712000954 |
| Provider Name | Christian Antonio Robles |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336415306 PECOS PAC ID: 3678842358 Enrollment ID: I20170712001561 |
| Provider Name | Scott D Harring |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578829933 PECOS PAC ID: 5294004800 Enrollment ID: I20170712003437 |
| Provider Name | Benjamin M Wildman-tobriner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891053864 PECOS PAC ID: 1052680626 Enrollment ID: I20170713001240 |
| Provider Name | Jay D Tank |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962765172 PECOS PAC ID: 0648549220 Enrollment ID: I20170713001993 |
| Provider Name | Lindsay A Nadeau Duy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194087346 PECOS PAC ID: 8022387612 Enrollment ID: I20170713002324 |
| Provider Name | Michael Sean Enslow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295094530 PECOS PAC ID: 4880964485 Enrollment ID: I20170713003211 |
| Provider Name | Andrew J Vincent |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427317882 PECOS PAC ID: 9931343506 Enrollment ID: I20170714001868 |
| Provider Name | Michael Taylor-cho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992062319 PECOS PAC ID: 1850661430 Enrollment ID: I20170714002563 |
| Provider Name | Ariel Devon Locklear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760913974 PECOS PAC ID: 7012287592 Enrollment ID: I20170717000173 |
| Provider Name | Jonathan Glaab |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205192507 PECOS PAC ID: 7214237676 Enrollment ID: I20170717003423 |
| Provider Name | Zachary Healy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508090275 PECOS PAC ID: 9638449002 Enrollment ID: I20170718000237 |
| Provider Name | Thomas J Farrer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780118687 PECOS PAC ID: 6406126739 Enrollment ID: I20170719003387 |
| Provider Name | Joshua T Thaden |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134419252 PECOS PAC ID: 0042580979 Enrollment ID: I20170725002852 |
| Provider Name | Ashley M Whyte-rayson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841556388 PECOS PAC ID: 2062783780 Enrollment ID: I20170728003069 |
| Provider Name | Shruti M Raja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548569791 PECOS PAC ID: 9739450313 Enrollment ID: I20170731002402 |
| Provider Name | Emily S Mccormick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477712339 PECOS PAC ID: 4284905803 Enrollment ID: I20170801000081 |
| Provider Name | Sugong Chen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487972972 PECOS PAC ID: 9436388220 Enrollment ID: I20170801002120 |
| Provider Name | Lauren Elizabeth Mcgill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912327685 PECOS PAC ID: 4385915859 Enrollment ID: I20170801002903 |
| Provider Name | Jiang Zhu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1992047203 PECOS PAC ID: 9739450115 Enrollment ID: I20170802003766 |
| Provider Name | Luna Sanchez Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942584776 PECOS PAC ID: 4183995418 Enrollment ID: I20170804002667 |
| Provider Name | Kevin Jae Choi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134486681 PECOS PAC ID: 8527339720 Enrollment ID: I20170807001907 |
| Provider Name | Joshua Zeidenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710230982 PECOS PAC ID: 4688945801 Enrollment ID: I20170807002558 |
| Provider Name | Matthew Kirk Langman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932420171 PECOS PAC ID: 6507137668 Enrollment ID: I20170808001220 |
| Provider Name | Erin Kathleen Moran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710271986 PECOS PAC ID: 0547402273 Enrollment ID: I20170808002826 |
| Provider Name | Costas Stavrakis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578825196 PECOS PAC ID: 5597036608 Enrollment ID: I20170808003475 |
| Provider Name | John N Copeland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629362884 PECOS PAC ID: 8426342122 Enrollment ID: I20170809002063 |
| Provider Name | Andrew Buletko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316203813 PECOS PAC ID: 9537430525 Enrollment ID: I20170809003540 |
| Provider Name | Jason Ryan Tatreau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366702359 PECOS PAC ID: 3577788058 Enrollment ID: I20170809004194 |
| Provider Name | Muhammad Zafar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790018000 PECOS PAC ID: 3274847611 Enrollment ID: I20170810002279 |
| Provider Name | Alexa L Hornik |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386173631 PECOS PAC ID: 2466723325 Enrollment ID: I20170810002485 |
| Provider Name | Andrew Freeman Perin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912266404 PECOS PAC ID: 4082931373 Enrollment ID: I20170810003270 |
| Provider Name | Iris L Vance |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891061131 PECOS PAC ID: 2860763679 Enrollment ID: I20170811001439 |
| Provider Name | Matthew Evan Ehrlich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154687200 PECOS PAC ID: 7719116300 Enrollment ID: I20170811002348 |
| Provider Name | Chelsea Amanda Connor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104187327 PECOS PAC ID: 6709007214 Enrollment ID: I20170814000575 |
| Provider Name | Michael Deel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093030496 PECOS PAC ID: 3476824269 Enrollment ID: I20170814001267 |
| Provider Name | Leslie A Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891132833 PECOS PAC ID: 8921224486 Enrollment ID: I20170814002121 |
| Provider Name | Spencer W Hauser |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407122203 PECOS PAC ID: 8729350509 Enrollment ID: I20170815002307 |
| Provider Name | Ana Ep Buck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811130990 PECOS PAC ID: 5991934879 Enrollment ID: I20170815002613 |
| Provider Name | Samrat U Das |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508049388 PECOS PAC ID: 8628150935 Enrollment ID: I20170815003043 |
| Provider Name | Neha J Pagidipati |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699933234 PECOS PAC ID: 5698935708 Enrollment ID: I20170816000248 |
| Provider Name | Jacob Paul Feigal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003173618 PECOS PAC ID: 2860764503 Enrollment ID: I20170816000287 |
| Provider Name | Andrew Robert Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992140958 PECOS PAC ID: 8921370677 Enrollment ID: I20170816000873 |
| Provider Name | Gabriel Mansouraty |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689960155 PECOS PAC ID: 2062673106 Enrollment ID: I20170816001436 |
| Provider Name | Kimberly Dawn Slawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710376587 PECOS PAC ID: 0749552313 Enrollment ID: I20170816002283 |
| Provider Name | Michael D Malinzak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841516606 PECOS PAC ID: 1759653280 Enrollment ID: I20170818000260 |
| Provider Name | Courtney Ondeck |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609213719 PECOS PAC ID: 6709015530 Enrollment ID: I20170823004272 |
| Provider Name | Kevin M Gurysh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568880631 PECOS PAC ID: 7517239544 Enrollment ID: I20170824003772 |
| Provider Name | Stephanie G Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417363581 PECOS PAC ID: 3476875741 Enrollment ID: I20170825001414 |
| Provider Name | Huan Dong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588921019 PECOS PAC ID: 0446401731 Enrollment ID: I20170825002472 |
| Provider Name | Rabina Kochar Walsh |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437415072 PECOS PAC ID: 7214209147 Enrollment ID: I20170828000779 |
| Provider Name | Jeremy M Force |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275826737 PECOS PAC ID: 9436399763 Enrollment ID: I20170828001074 |
| Provider Name | Tany Thaniyavarn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447547880 PECOS PAC ID: 7517239452 Enrollment ID: I20170828001140 |
| Provider Name | J Richard L Evanson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003072604 PECOS PAC ID: 9032351978 Enrollment ID: I20170828001446 |
| Provider Name | Kim G Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831432665 PECOS PAC ID: 4880966753 Enrollment ID: I20170828002640 |
| Provider Name | Wajiha Jurdi Kheir |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518495548 PECOS PAC ID: 0547532426 Enrollment ID: I20170828002977 |
| Provider Name | Michelle C Martwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457712887 PECOS PAC ID: 2769759802 Enrollment ID: I20170828003146 |
| Provider Name | Asim A Raja |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699818484 PECOS PAC ID: 8426320318 Enrollment ID: I20170828003157 |
| Provider Name | Matthew C Peterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679782361 PECOS PAC ID: 3779775663 Enrollment ID: I20170828004128 |
| Provider Name | Michael J Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336340454 PECOS PAC ID: 1153417795 Enrollment ID: I20170829000000 |
| Provider Name | Scharles A Konadu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528358843 PECOS PAC ID: 4486927340 Enrollment ID: I20170829002391 |
| Provider Name | Jocelyn R Wittstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518182138 PECOS PAC ID: 5092901504 Enrollment ID: I20170829002663 |
| Provider Name | Dominick J Megna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811215445 PECOS PAC ID: 2264705136 Enrollment ID: I20170829003054 |
| Provider Name | Melinda B Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629421185 PECOS PAC ID: 4284907148 Enrollment ID: I20170830000736 |
| Provider Name | John V Duronville |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063779759 PECOS PAC ID: 7618240482 Enrollment ID: I20170830002813 |
| Provider Name | Mohamed F Algahim |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1235428855 PECOS PAC ID: 4880913367 Enrollment ID: I20170831002198 |
| Provider Name | Gail Pacharis Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245284884 PECOS PAC ID: 3678587268 Enrollment ID: I20170831003281 |
| Provider Name | Lucas Nikkel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023384997 PECOS PAC ID: 9537432299 Enrollment ID: I20170831003378 |
| Provider Name | Hamid Chalian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669736500 PECOS PAC ID: 6901179514 Enrollment ID: I20170901002118 |
| Provider Name | Lisa C Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922338540 PECOS PAC ID: 9638394356 Enrollment ID: I20170905001839 |
| Provider Name | Angela M Tunno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366795197 PECOS PAC ID: 8628341104 Enrollment ID: I20170905001976 |
| Provider Name | Mai K El Mallah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265548499 PECOS PAC ID: 9830119049 Enrollment ID: I20170905002260 |
| Provider Name | Jennifer M Ladd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588083430 PECOS PAC ID: 6305119801 Enrollment ID: I20170905002695 |
| Provider Name | Kathleen W Lagesse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316496862 PECOS PAC ID: 0648543082 Enrollment ID: I20170906001835 |
| Provider Name | Scott William Schimpke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104111400 PECOS PAC ID: 0244537843 Enrollment ID: I20170906001982 |
| Provider Name | Darshan Kothari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558681353 PECOS PAC ID: 4587880497 Enrollment ID: I20170906003020 |
| Provider Name | Keivan Abtahi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295000560 PECOS PAC ID: 1951674324 Enrollment ID: I20170906003056 |
| Provider Name | Courtney Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871954297 PECOS PAC ID: 4284919077 Enrollment ID: I20170906003188 |
| Provider Name | Richard L Raptopoulos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679836985 PECOS PAC ID: 9537318605 Enrollment ID: I20170906003846 |
| Provider Name | Jade N Clausen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497163539 PECOS PAC ID: 5395966782 Enrollment ID: I20170907000439 |
| Provider Name | Elizabeth A Ouma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730618455 PECOS PAC ID: 7618240953 Enrollment ID: I20170907001895 |
| Provider Name | Amber J Oberle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558653691 PECOS PAC ID: 6406096577 Enrollment ID: I20170907002058 |
| Provider Name | Yvonne Mowery |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164798336 PECOS PAC ID: 5890068118 Enrollment ID: I20170908001437 |
| Provider Name | Rex W.b. Sagalla |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174784516 PECOS PAC ID: 7517138407 Enrollment ID: I20170911001175 |
| Provider Name | Christpher Scott Klifto |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164713947 PECOS PAC ID: 4587937784 Enrollment ID: I20170911001753 |
| Provider Name | Dinushika Mohottige |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477896579 PECOS PAC ID: 4688947716 Enrollment ID: I20170912000369 |
| Provider Name | Chakib Ayoub |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013443324 PECOS PAC ID: 9830462837 Enrollment ID: I20170913000413 |
| Provider Name | Georgia M Beasley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861659567 PECOS PAC ID: 5193033744 Enrollment ID: I20170913002128 |
| Provider Name | Jessica Carter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295096352 PECOS PAC ID: 8022381011 Enrollment ID: I20170913004026 |
| Provider Name | Robert H Lutz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881659068 PECOS PAC ID: 4486928488 Enrollment ID: I20170914001050 |
| Provider Name | Scott R Macdonald |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891041489 PECOS PAC ID: 6901982511 Enrollment ID: I20170914001442 |
| Provider Name | Michelle H Hartzog |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073034278 PECOS PAC ID: 5799059531 Enrollment ID: I20170918003620 |
| Provider Name | Jennifer E Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003343757 PECOS PAC ID: 6901170760 Enrollment ID: I20170919000673 |
| Provider Name | Nastassia J Schenkel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316383243 PECOS PAC ID: 9234457276 Enrollment ID: I20170919001397 |
| Provider Name | Jordan W Whitson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205121803 PECOS PAC ID: 3577704303 Enrollment ID: I20170920001776 |
| Provider Name | Carrie A Johnson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851501605 PECOS PAC ID: 8325199367 Enrollment ID: I20170920004066 |
| Provider Name | Susan M Wakil |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962937003 PECOS PAC ID: 4789958224 Enrollment ID: I20170921001030 |
| Provider Name | Taewoong Choi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558598680 PECOS PAC ID: 6901022706 Enrollment ID: I20170921003379 |
| Provider Name | John C Barr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518178318 PECOS PAC ID: 3274790522 Enrollment ID: I20170922001095 |
| Provider Name | Brenton B Winship |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235495185 PECOS PAC ID: 9133424963 Enrollment ID: I20170922001983 |
| Provider Name | Jennifer E Mehdiratta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225391469 PECOS PAC ID: 8426276106 Enrollment ID: I20170922002765 |
| Provider Name | Jonas J Swartz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417213786 PECOS PAC ID: 0547404428 Enrollment ID: I20170925000006 |
| Provider Name | Nina P Tamirisa |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1265753024 PECOS PAC ID: 2961776380 Enrollment ID: I20170925001360 |
| Provider Name | Stuart D Russell |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1669407854 PECOS PAC ID: 3870572258 Enrollment ID: I20170928000196 |
| Provider Name | Benjamin Boswell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174958961 PECOS PAC ID: 2668747775 Enrollment ID: I20170928003720 |
| Provider Name | Rachel D Torok |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548587199 PECOS PAC ID: 9739454885 Enrollment ID: I20170929000900 |
| Provider Name | Michelle L Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245769389 PECOS PAC ID: 9234404385 Enrollment ID: I20170929001065 |
| Provider Name | Gabriel C Smith |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1740556653 PECOS PAC ID: 2163656919 Enrollment ID: I20170929001150 |
| Provider Name | Rebecca A Previs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396988945 PECOS PAC ID: 1355662206 Enrollment ID: I20171002003516 |
| Provider Name | Alexandra Stefanovic |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033310701 PECOS PAC ID: 3476628959 Enrollment ID: I20171002003658 |
| Provider Name | Kevin C Oeffinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417928987 PECOS PAC ID: 2062445117 Enrollment ID: I20171003004254 |
| Provider Name | Chester K Yarbrough |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457589939 PECOS PAC ID: 4981833092 Enrollment ID: I20171003004474 |
| Provider Name | Kai Sun |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568758001 PECOS PAC ID: 7517266992 Enrollment ID: I20171003007019 |
| Provider Name | David Ashley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164944377 PECOS PAC ID: 1658646591 Enrollment ID: I20171003007066 |
| Provider Name | Courtney R Goodwin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538303235 PECOS PAC ID: 2769631043 Enrollment ID: I20171003007558 |
| Provider Name | Mary G Frederick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326045972 PECOS PAC ID: 3173898020 Enrollment ID: I20171003007802 |
| Provider Name | Tamara Noel Fitzgerald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457534596 PECOS PAC ID: 4880828938 Enrollment ID: I20171005000652 |
| Provider Name | William E Bynum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134431810 PECOS PAC ID: 3971803719 Enrollment ID: I20171005002926 |
| Provider Name | Alina Dorina Hulsey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255673331 PECOS PAC ID: 7618242330 Enrollment ID: I20171005003418 |
| Provider Name | Steven H Cook |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194015370 PECOS PAC ID: 3678848256 Enrollment ID: I20171006002938 |
| Provider Name | Casey Marie Mozingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558885004 PECOS PAC ID: 0749555332 Enrollment ID: I20171006003063 |
| Provider Name | Matthew D Barber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548204928 PECOS PAC ID: 7517979099 Enrollment ID: I20171009001506 |
| Provider Name | John Eric Jelovsek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235192170 PECOS PAC ID: 0244235604 Enrollment ID: I20171009001871 |
| Provider Name | Stephanie L Riggins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356601066 PECOS PAC ID: 2769757293 Enrollment ID: I20171009001886 |
| Provider Name | Joanna R Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407235708 PECOS PAC ID: 0648589267 Enrollment ID: I20171009003515 |
| Provider Name | Jason W Crockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922543131 PECOS PAC ID: 6103191614 Enrollment ID: I20171010001760 |
| Provider Name | Megan A Varvoutis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831534734 PECOS PAC ID: 6204101637 Enrollment ID: I20171010003295 |
| Provider Name | Tayseer Gasim Haroun |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457618191 PECOS PAC ID: 5698040905 Enrollment ID: I20171011003152 |
| Provider Name | Michelle Latting |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073884375 PECOS PAC ID: 9133359755 Enrollment ID: I20171011003475 |
| Provider Name | Cristiana Costa Chase |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295029130 PECOS PAC ID: 1456659143 Enrollment ID: I20171012002094 |
| Provider Name | Jill Christie Rotruck |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154680932 PECOS PAC ID: 7416222708 Enrollment ID: I20171012002486 |
| Provider Name | Miranda K Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316274087 PECOS PAC ID: 8527283241 Enrollment ID: I20171013001057 |
| Provider Name | Mandy A Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639692544 PECOS PAC ID: 4587939715 Enrollment ID: I20171013001436 |
| Provider Name | Tabitha J Rutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881942233 PECOS PAC ID: 6002139169 Enrollment ID: I20171013001865 |
| Provider Name | Stephanie L Smeltzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891038972 PECOS PAC ID: 2860767019 Enrollment ID: I20171013002389 |
| Provider Name | Arnold Mclendon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871016618 PECOS PAC ID: 6002181278 Enrollment ID: I20171014000125 |
| Provider Name | Sujani G Surakanti |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568549137 PECOS PAC ID: 7416996160 Enrollment ID: I20171016000193 |
| Provider Name | Cristen Ann Paige |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1548785876 PECOS PAC ID: 4385910512 Enrollment ID: I20171016002532 |
| Provider Name | Tobias L Straube |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063832053 PECOS PAC ID: 3375819527 Enrollment ID: I20171017000011 |
| Provider Name | Jenna L Koenigshofer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295278711 PECOS PAC ID: 6406122688 Enrollment ID: I20171017001312 |
| Provider Name | Annapoorani Veerappan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356636880 PECOS PAC ID: 6608142567 Enrollment ID: I20171019002235 |
| Provider Name | Neel Subramanian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013216241 PECOS PAC ID: 6608091764 Enrollment ID: I20171019002887 |
| Provider Name | Muhammad M Abd-el-barr |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891922688 PECOS PAC ID: 0749503001 Enrollment ID: I20171023000007 |
| Provider Name | Shannon Hiatt Coward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265858047 PECOS PAC ID: 9133419781 Enrollment ID: I20171024001634 |
| Provider Name | Michelle J Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144664590 PECOS PAC ID: 0749556355 Enrollment ID: I20171026002279 |
| Provider Name | Carol A Traynor |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861868895 PECOS PAC ID: 1759657372 Enrollment ID: I20171026002925 |
| Provider Name | Erin Howard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588812754 PECOS PAC ID: 7214203678 Enrollment ID: I20171030002871 |
| Provider Name | Faith Shelby Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477730620 PECOS PAC ID: 7315183100 Enrollment ID: I20171103000625 |
| Provider Name | Kimberly Michelle Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104340157 PECOS PAC ID: 7113283359 Enrollment ID: I20171103002631 |
| Provider Name | Amanda H Kumar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922374693 PECOS PAC ID: 6305102476 Enrollment ID: I20171106001031 |
| Provider Name | Zak A Loring |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467795609 PECOS PAC ID: 2365708484 Enrollment ID: I20171106002847 |
| Provider Name | Ivy L Settlemires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699184762 PECOS PAC ID: 6901162981 Enrollment ID: I20171107002465 |
| Provider Name | Kyle C Strickland |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861816308 PECOS PAC ID: 5597986083 Enrollment ID: I20171107002692 |
| Provider Name | Margaret M Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518362730 PECOS PAC ID: 2961726500 Enrollment ID: I20171108003436 |
| Provider Name | David Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346681392 PECOS PAC ID: 1759647571 Enrollment ID: I20171113000062 |
| Provider Name | Srikala Addepalli |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457630915 PECOS PAC ID: 1153629407 Enrollment ID: I20171113000369 |
| Provider Name | Dmitry Fridman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730344417 PECOS PAC ID: 3971752999 Enrollment ID: I20171115000343 |
| Provider Name | Debra J Lugo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1568779114 PECOS PAC ID: 3476819954 Enrollment ID: I20171116001258 |
| Provider Name | Sophia Weinmann |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1790050029 PECOS PAC ID: 9032475470 Enrollment ID: I20171117001241 |
| Provider Name | Yasmin Ali O'keefe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194001271 PECOS PAC ID: 3072834720 Enrollment ID: I20171120001014 |
| Provider Name | Sushrusha Arjyal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871858316 PECOS PAC ID: 8426292699 Enrollment ID: I20171120002806 |
| Provider Name | Arya Mohammad Iranmanesh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790043206 PECOS PAC ID: 9638482169 Enrollment ID: I20171120003355 |
| Provider Name | Liyan Xu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962757997 PECOS PAC ID: 5395036123 Enrollment ID: I20171121002139 |
| Provider Name | Lani Kai Clinton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396007878 PECOS PAC ID: 7911264205 Enrollment ID: I20171121002202 |
| Provider Name | Jamie R Privratsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417223249 PECOS PAC ID: 4486911708 Enrollment ID: I20171121003117 |
| Provider Name | Michael L Kent |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407827645 PECOS PAC ID: 3779725890 Enrollment ID: I20171127001757 |
| Provider Name | Anna E Schaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063935377 PECOS PAC ID: 8820355076 Enrollment ID: I20171127002123 |
| Provider Name | Tyler A Higgs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407397359 PECOS PAC ID: 7719244888 Enrollment ID: I20171127003082 |
| Provider Name | John M Carney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659614675 PECOS PAC ID: 9830456664 Enrollment ID: I20171201002132 |
| Provider Name | Melissa A Raddatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184966988 PECOS PAC ID: 9739313313 Enrollment ID: I20171206000088 |
| Provider Name | Joseph William Turek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114193224 PECOS PAC ID: 2365620648 Enrollment ID: I20171207002904 |
| Provider Name | Rebecca Anne Mcvey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598017154 PECOS PAC ID: 7618235151 Enrollment ID: I20171211001904 |
| Provider Name | Margaret O Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114219367 PECOS PAC ID: 6002114816 Enrollment ID: I20171213000226 |
| Provider Name | Lindsay G Terrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790079283 PECOS PAC ID: 7618235045 Enrollment ID: I20171213000287 |
| Provider Name | Nitin L Mehdiratta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285999482 PECOS PAC ID: 6204051600 Enrollment ID: I20171213002197 |
| Provider Name | Victor Lucas Perez Quinones |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790714327 PECOS PAC ID: 1658383856 Enrollment ID: I20171214001848 |
| Provider Name | Stephen John Greene |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1003170861 PECOS PAC ID: 7911265186 Enrollment ID: I20171215001465 |
| Provider Name | Margaret Ellen Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518415173 PECOS PAC ID: 5092073106 Enrollment ID: I20171219002235 |
| Provider Name | Rajitha Devadoss Venkatesh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073833729 PECOS PAC ID: 9032353560 Enrollment ID: I20171219002661 |
| Provider Name | Valerie B Boyle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841328788 PECOS PAC ID: 3577821222 Enrollment ID: I20171229001194 |
| Provider Name | Nathan H Waldron |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578839817 PECOS PAC ID: 2264790963 Enrollment ID: I20180102001419 |
| Provider Name | Preethi S Ganapathy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104266097 PECOS PAC ID: 0345483434 Enrollment ID: I20180102002622 |
| Provider Name | Tiffany L Covas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528487279 PECOS PAC ID: 7618235235 Enrollment ID: I20180102002795 |
| Provider Name | Landon Charles Meekins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679816409 PECOS PAC ID: 2466710041 Enrollment ID: I20180103003137 |
| Provider Name | Julie Joo Yeon Kim Chang |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1750606653 PECOS PAC ID: 8022377605 Enrollment ID: I20180108001117 |
| Provider Name | Anne M Siegel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831532126 PECOS PAC ID: 1052551835 Enrollment ID: I20180109003568 |
| Provider Name | Melissa A Rafidi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306365630 PECOS PAC ID: 4880953124 Enrollment ID: I20180112002224 |
| Provider Name | Meenal K Kheterpal |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1700013174 PECOS PAC ID: 0143454801 Enrollment ID: I20180116000730 |
| Provider Name | Samantha L Schmidtke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578081501 PECOS PAC ID: 4486913555 Enrollment ID: I20180117002694 |
| Provider Name | David Joseph Garcia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356684120 PECOS PAC ID: 8921300112 Enrollment ID: I20180119001534 |
| Provider Name | Kristin N Holbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558889907 PECOS PAC ID: 8022377027 Enrollment ID: I20180120000028 |
| Provider Name | Suresh K Agarwal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629038906 PECOS PAC ID: 6002710407 Enrollment ID: I20180122002547 |
| Provider Name | Mary Yurashevich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659715019 PECOS PAC ID: 6002103132 Enrollment ID: I20180122003237 |
| Provider Name | Chamia N Maker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255885612 PECOS PAC ID: 4082994942 Enrollment ID: I20180123000790 |
| Provider Name | Isami Sakai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184940918 PECOS PAC ID: 0749580173 Enrollment ID: I20180124002260 |
| Provider Name | Sirisha Perumandla |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700891454 PECOS PAC ID: 1759386121 Enrollment ID: I20180124003125 |
| Provider Name | Maria Cecilia P Domingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174913685 PECOS PAC ID: 9335408079 Enrollment ID: I20180125001938 |
| Provider Name | Felipe Medeiros |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912922311 PECOS PAC ID: 5193747780 Enrollment ID: I20180125002592 |
| Provider Name | Dayana Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801258405 PECOS PAC ID: 6305106014 Enrollment ID: I20180126002555 |
| Provider Name | Magali Blervaque Calfee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942646971 PECOS PAC ID: 4284912510 Enrollment ID: I20180131001548 |
| Provider Name | Nicole M Fuerst |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871835355 PECOS PAC ID: 7719247204 Enrollment ID: I20180131002842 |
| Provider Name | Dinesh John Kurian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740546118 PECOS PAC ID: 3072873504 Enrollment ID: I20180201001449 |
| Provider Name | Allison M Puechl |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1245572528 PECOS PAC ID: 8729348966 Enrollment ID: I20180207001688 |
| Provider Name | Ashley L Barba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518260900 PECOS PAC ID: 5698990307 Enrollment ID: I20180208002946 |
| Provider Name | Adrienne R Barnosky |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215149414 PECOS PAC ID: 2466644414 Enrollment ID: I20180213002017 |
| Provider Name | Mohammed O Mohiuddin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063925352 PECOS PAC ID: 0244590131 Enrollment ID: I20180214002775 |
| Provider Name | Lori Jean Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386664613 PECOS PAC ID: 2264435312 Enrollment ID: I20180220002090 |
| Provider Name | Teresa S Avery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396258703 PECOS PAC ID: 1052672441 Enrollment ID: I20180227002603 |
| Provider Name | Roshni U Ranjit Reeves |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063855120 PECOS PAC ID: 2365703501 Enrollment ID: I20180302000709 |
| Provider Name | Katharine L Jackson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1780840579 PECOS PAC ID: 3375760812 Enrollment ID: I20180305001955 |
| Provider Name | Michelle M Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366573743 PECOS PAC ID: 6103140744 Enrollment ID: I20180305002157 |
| Provider Name | Anusha Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538577242 PECOS PAC ID: 8325269798 Enrollment ID: I20180306001995 |
| Provider Name | Rachel Merton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730571530 PECOS PAC ID: 6608193925 Enrollment ID: I20180307000765 |
| Provider Name | Kellye Christine Carder |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285955682 PECOS PAC ID: 6406970250 Enrollment ID: I20180312001318 |
| Provider Name | Sara Young |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1912314485 PECOS PAC ID: 1658633524 Enrollment ID: I20180313002282 |
| Provider Name | Elisabeth Kakmou Touko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427566983 PECOS PAC ID: 4385906031 Enrollment ID: I20180319000311 |
| Provider Name | Claire G Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972054211 PECOS PAC ID: 6709148380 Enrollment ID: I20180319001997 |
| Provider Name | Jadee L Neff |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730444118 PECOS PAC ID: 3173775913 Enrollment ID: I20180320001446 |
| Provider Name | Katharine Alexis Donlon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790290674 PECOS PAC ID: 3173885712 Enrollment ID: I20180320002035 |
| Provider Name | Kenai Hattori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366995490 PECOS PAC ID: 5597044412 Enrollment ID: I20180320003032 |
| Provider Name | Catherine M Majestic |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861825465 PECOS PAC ID: 0143582619 Enrollment ID: I20180321000368 |
| Provider Name | Lindsay J Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871941955 PECOS PAC ID: 1759643265 Enrollment ID: I20180321002107 |
| Provider Name | Linda Harpole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578077780 PECOS PAC ID: 9931461456 Enrollment ID: I20180321002499 |
| Provider Name | Stephanie H Spaulding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013434257 PECOS PAC ID: 0941562292 Enrollment ID: I20180326001434 |
| Provider Name | Michelle M Pietrocola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588172381 PECOS PAC ID: 0648532879 Enrollment ID: I20180327002646 |
| Provider Name | Jay Berdia |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114260163 PECOS PAC ID: 4385906387 Enrollment ID: I20180402000649 |
| Provider Name | Federico G Velez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831128362 PECOS PAC ID: 6204854417 Enrollment ID: I20180403002192 |
| Provider Name | Christina Wyatt |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356360390 PECOS PAC ID: 5890685705 Enrollment ID: I20180409000354 |
| Provider Name | Loreta Grecu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831163039 PECOS PAC ID: 8527138155 Enrollment ID: I20180409002493 |
| Provider Name | Mayur Khandu Patel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1386802205 PECOS PAC ID: 1153560743 Enrollment ID: I20180410000228 |
| Provider Name | Rebekah M Doiron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003222399 PECOS PAC ID: 1850511171 Enrollment ID: I20180412002694 |
| Provider Name | Stephanie L Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891085544 PECOS PAC ID: 6709001415 Enrollment ID: I20180416000426 |
| Provider Name | Shih-hsiu J Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689930604 PECOS PAC ID: 7810272630 Enrollment ID: I20180416002243 |
| Provider Name | Vijay Krishnamoorthy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477750149 PECOS PAC ID: 0749356830 Enrollment ID: I20180419001740 |
| Provider Name | Latorya D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720593908 PECOS PAC ID: 2163785387 Enrollment ID: I20180420000823 |
| Provider Name | Michelle M Leroux Martinez |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841716065 PECOS PAC ID: 7618231549 Enrollment ID: I20180501001674 |
| Provider Name | Krista Lynn Haines |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699099218 PECOS PAC ID: 5597981571 Enrollment ID: I20180514001367 |
| Provider Name | Nina D Block |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568870277 PECOS PAC ID: 9234350638 Enrollment ID: I20180515002148 |
| Provider Name | Katelyn Marie Hausfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477055218 PECOS PAC ID: 6709140973 Enrollment ID: I20180516001686 |
| Provider Name | Jeffrey R Gingrich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518930528 PECOS PAC ID: 3274664297 Enrollment ID: I20180516002090 |
| Provider Name | Amy E Barto |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710934443 PECOS PAC ID: 1355354937 Enrollment ID: I20180521002805 |
| Provider Name | Tiffany Dieso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124490008 PECOS PAC ID: 4082979844 Enrollment ID: I20180525000935 |
| Provider Name | Chrystal Ann Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699195537 PECOS PAC ID: 6901029412 Enrollment ID: I20180529002340 |
| Provider Name | Gladwell Gacuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043501307 PECOS PAC ID: 0941452148 Enrollment ID: I20180530001958 |
| Provider Name | Joshua C Briscoe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154697662 PECOS PAC ID: 0648535286 Enrollment ID: I20180531000993 |
| Provider Name | Katherine Geyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255833810 PECOS PAC ID: 0547525149 Enrollment ID: I20180601000797 |
| Provider Name | Robert James Searles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609214899 PECOS PAC ID: 6901161520 Enrollment ID: I20180601002091 |
| Provider Name | Maria Schmitt Mantenuto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538603766 PECOS PAC ID: 6103181631 Enrollment ID: I20180604000376 |
| Provider Name | Danielle E Sturkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285017863 PECOS PAC ID: 8921318544 Enrollment ID: I20180606002457 |
| Provider Name | Timothy E Snow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972921765 PECOS PAC ID: 8123383452 Enrollment ID: I20180607000959 |
| Provider Name | Thuy Le |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043262371 PECOS PAC ID: 2365454212 Enrollment ID: I20180609000210 |
| Provider Name | Anne Maria Federico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427043694 PECOS PAC ID: 1850516055 Enrollment ID: I20180611001861 |
| Provider Name | Sara E Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629479043 PECOS PAC ID: 7618199407 Enrollment ID: I20180612000416 |
| Provider Name | Brittany A Zwischenberger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710205901 PECOS PAC ID: 4284989401 Enrollment ID: I20180612001267 |
| Provider Name | Kristin P Dierks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578726378 PECOS PAC ID: 4789742982 Enrollment ID: I20180612002566 |
| Provider Name | Kevin W Southerland |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1154564813 PECOS PAC ID: 0547515660 Enrollment ID: I20180613002533 |
| Provider Name | Mohammad Reza Rasouli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548675259 PECOS PAC ID: 2769604081 Enrollment ID: I20180614000199 |
| Provider Name | Andrew W Godfrey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407109614 PECOS PAC ID: 2961770532 Enrollment ID: I20180614000512 |
| Provider Name | Brett T Phillips |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1407013279 PECOS PAC ID: 8022379866 Enrollment ID: I20180614001973 |
| Provider Name | Jagger C Koerner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356761183 PECOS PAC ID: 0840545786 Enrollment ID: I20180619000223 |
| Provider Name | Melissa J Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023517745 PECOS PAC ID: 5890040653 Enrollment ID: I20180619001473 |
| Provider Name | Michelle Sy Go |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245641851 PECOS PAC ID: 3870487903 Enrollment ID: I20180619003248 |
| Provider Name | Suma Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053654699 PECOS PAC ID: 8123373727 Enrollment ID: I20180622001647 |
| Provider Name | Deanna A Griffie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396249256 PECOS PAC ID: 9638424161 Enrollment ID: I20180625000128 |
| Provider Name | Elizabeth A Briere |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144415340 PECOS PAC ID: 7719232263 Enrollment ID: I20180625001081 |
| Provider Name | Atalie C Thompson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366852303 PECOS PAC ID: 9537414032 Enrollment ID: I20180625003490 |
| Provider Name | Michael R Canos |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114138401 PECOS PAC ID: 3072687268 Enrollment ID: I20180626000167 |
| Provider Name | Michelle Howard Bae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427181502 PECOS PAC ID: 2264787696 Enrollment ID: I20180626001185 |
| Provider Name | Julie Bullock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770734477 PECOS PAC ID: 8426304841 Enrollment ID: I20180627001694 |
| Provider Name | Ann Shue |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184967796 PECOS PAC ID: 3274802517 Enrollment ID: I20180627003263 |
| Provider Name | Angelika Gabrielski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447591516 PECOS PAC ID: 4880949387 Enrollment ID: I20180627003951 |
| Provider Name | Jennifer S Ngo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528326097 PECOS PAC ID: 7517213903 Enrollment ID: I20180628000678 |
| Provider Name | Mohsin Hasan Ali |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063855534 PECOS PAC ID: 5395055479 Enrollment ID: I20180628003053 |
| Provider Name | Brenton David Finklea |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043553332 PECOS PAC ID: 2365667847 Enrollment ID: I20180628003185 |
| Provider Name | Osa Emohare |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568872182 PECOS PAC ID: 0941427223 Enrollment ID: I20180628003285 |
| Provider Name | Yvonne E Baker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811331135 PECOS PAC ID: 8527314871 Enrollment ID: I20180629000337 |
| Provider Name | Eugene Friedman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205196920 PECOS PAC ID: 8022364389 Enrollment ID: I20180629000606 |
| Provider Name | Leon Rafailov |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396156121 PECOS PAC ID: 5294081568 Enrollment ID: I20180629001170 |
| Provider Name | Hongvan Le |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699194902 PECOS PAC ID: 9133415391 Enrollment ID: I20180629001701 |
| Provider Name | Ayan Chatterjee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265845804 PECOS PAC ID: 3476866492 Enrollment ID: I20180702000733 |
| Provider Name | Anthony William Castleberry |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1427285931 PECOS PAC ID: 6608122858 Enrollment ID: I20180702001749 |
| Provider Name | Swarup Swaminathan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316357825 PECOS PAC ID: 7911253174 Enrollment ID: I20180702002646 |
| Provider Name | Veerajalandhar Allareddy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326259433 PECOS PAC ID: 2860664406 Enrollment ID: I20180703000201 |
| Provider Name | Cindy Cai |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215348420 PECOS PAC ID: 0345552410 Enrollment ID: I20180703002875 |
| Provider Name | Kristen S Camplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700074606 PECOS PAC ID: 5597011502 Enrollment ID: I20180705001784 |
| Provider Name | Haramol Gill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255726428 PECOS PAC ID: 6103172135 Enrollment ID: I20180705002881 |
| Provider Name | Amanda L Faulkner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750795860 PECOS PAC ID: 1052626439 Enrollment ID: I20180706001347 |
| Provider Name | Samuel J Kuzminski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235366899 PECOS PAC ID: 8527354364 Enrollment ID: I20180709001729 |
| Provider Name | Kristen M Peterson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932510369 PECOS PAC ID: 2264728930 Enrollment ID: I20180710000160 |
| Provider Name | Frances A Reda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164898870 PECOS PAC ID: 5092006445 Enrollment ID: I20180710000892 |
| Provider Name | Cameron R Taylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871911354 PECOS PAC ID: 8527384015 Enrollment ID: I20180710001240 |
| Provider Name | Ananth Sastry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740693936 PECOS PAC ID: 9638425358 Enrollment ID: I20180710002582 |
| Provider Name | Xin Liu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487996112 PECOS PAC ID: 3173879806 Enrollment ID: I20180710002705 |
| Provider Name | Emily A Hannon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619024254 PECOS PAC ID: 3173682838 Enrollment ID: I20180710003147 |
| Provider Name | Emily Siu Clausen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255623146 PECOS PAC ID: 1153540075 Enrollment ID: I20180711002905 |
| Provider Name | Brian C Stagg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306104237 PECOS PAC ID: 8628291986 Enrollment ID: I20180712000633 |
| Provider Name | Dirk Hamp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104885979 PECOS PAC ID: 4880940345 Enrollment ID: I20180713001013 |
| Provider Name | Anastasia M Herbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740469691 PECOS PAC ID: 5799031258 Enrollment ID: I20180713001014 |
| Provider Name | Daniel M Buckland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851719587 PECOS PAC ID: 8921307133 Enrollment ID: I20180713001832 |
| Provider Name | Lingye Chen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356604128 PECOS PAC ID: 0547517062 Enrollment ID: I20180716000600 |
| Provider Name | Ashley Renee Stepp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881198281 PECOS PAC ID: 4880941335 Enrollment ID: I20180716002095 |
| Provider Name | Jeffrey B Perrin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053371070 PECOS PAC ID: 3678820149 Enrollment ID: I20180716002679 |
| Provider Name | Kathleen M Flynn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801895149 PECOS PAC ID: 3779539739 Enrollment ID: I20180717001838 |
| Provider Name | Kevin F Mcenaney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093716482 PECOS PAC ID: 0749537009 Enrollment ID: I20180718002741 |
| Provider Name | Alison Manning |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376980425 PECOS PAC ID: 6305066002 Enrollment ID: I20180718003503 |
| Provider Name | Benjamin R Lloyd |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194083527 PECOS PAC ID: 3476800673 Enrollment ID: I20180719000042 |
| Provider Name | Carolee B Rule |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356332910 PECOS PAC ID: 3678820875 Enrollment ID: I20180719000377 |
| Provider Name | Leslie Clapp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366687378 PECOS PAC ID: 3274880422 Enrollment ID: I20180719002313 |
| Provider Name | David Yutaka Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821350836 PECOS PAC ID: 1951658038 Enrollment ID: I20180719003990 |
| Provider Name | Cortney L Mouillesseaux |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356532691 PECOS PAC ID: 7416096615 Enrollment ID: I20180720002180 |
| Provider Name | Jonathan G Martin |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1609197425 PECOS PAC ID: 3577857911 Enrollment ID: I20180724000763 |
| Provider Name | Sharmell O Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972563013 PECOS PAC ID: 6709133523 Enrollment ID: I20180724003089 |
| Provider Name | Alan K Sutak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679915847 PECOS PAC ID: 3173766268 Enrollment ID: I20180726002219 |
| Provider Name | Urszula Kowalik |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790028579 PECOS PAC ID: 3173825064 Enrollment ID: I20180726002655 |
| Provider Name | Joanne E Wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134189251 PECOS PAC ID: 9133476732 Enrollment ID: I20180726002705 |
| Provider Name | Timothy S Snow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730449810 PECOS PAC ID: 6204184898 Enrollment ID: I20180730000789 |
| Provider Name | Norman Winn Gayle Seay |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871911057 PECOS PAC ID: 1153679790 Enrollment ID: I20180730002820 |
| Provider Name | Tanya Glaser |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164840211 PECOS PAC ID: 0648528141 Enrollment ID: I20180731001386 |
| Provider Name | Anne Dunbar Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558706770 PECOS PAC ID: 5294038774 Enrollment ID: I20180801003456 |
| Provider Name | Andrew Luhrs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902243231 PECOS PAC ID: 1254689342 Enrollment ID: I20180806003422 |
| Provider Name | Megan M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932353059 PECOS PAC ID: 6406104520 Enrollment ID: I20180807001215 |
| Provider Name | Kyle Todd Mitchell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659634608 PECOS PAC ID: 8820227333 Enrollment ID: I20180807002878 |
| Provider Name | Larissa Saldana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013178243 PECOS PAC ID: 0749452266 Enrollment ID: I20180808000825 |
| Provider Name | Harpreet K Singh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104111574 PECOS PAC ID: 8729207618 Enrollment ID: I20180809004869 |
| Provider Name | Neil Naik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699111252 PECOS PAC ID: 0749406551 Enrollment ID: I20180810001554 |
| Provider Name | Jaime Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912255431 PECOS PAC ID: 2062642176 Enrollment ID: I20180815001388 |
| Provider Name | Ashley Gentile Traversa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760987259 PECOS PAC ID: 3476802018 Enrollment ID: I20180815002348 |
| Provider Name | Courtney Mcmickens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598083560 PECOS PAC ID: 6608095393 Enrollment ID: I20180815002425 |
| Provider Name | Adriana Ida Cline |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003294059 PECOS PAC ID: 7416268164 Enrollment ID: I20180820001027 |
| Provider Name | Andrea Blaire Dotson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205222080 PECOS PAC ID: 3375857295 Enrollment ID: I20180821002365 |
| Provider Name | Christian Horazeck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629496369 PECOS PAC ID: 7911256888 Enrollment ID: I20180827001009 |
| Provider Name | Kishan S Parikh |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1780813782 PECOS PAC ID: 4789835216 Enrollment ID: I20180828000169 |
| Provider Name | Matthew R Pipeling |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174677462 PECOS PAC ID: 8426126095 Enrollment ID: I20180829001658 |
| Provider Name | Rebecca G Theophanous |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831584085 PECOS PAC ID: 5991055741 Enrollment ID: I20180829001745 |
| Provider Name | Tyler Steven Pidgeon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265725329 PECOS PAC ID: 7315163193 Enrollment ID: I20180829002857 |
| Provider Name | Leah Danielle Fryml |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609236736 PECOS PAC ID: 8426347287 Enrollment ID: I20180830000195 |
| Provider Name | Austin X Dixon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164869327 PECOS PAC ID: 8224267000 Enrollment ID: I20180831002353 |
| Provider Name | Noreen Bukhari-parlakturk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700229614 PECOS PAC ID: 5698025229 Enrollment ID: I20180831002462 |
| Provider Name | Christopher Michael White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770840043 PECOS PAC ID: 8123378684 Enrollment ID: I20180904000906 |
| Provider Name | Nicholas Devito |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962758060 PECOS PAC ID: 8921358482 Enrollment ID: I20180904000995 |
| Provider Name | Lutsiya K Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912360397 PECOS PAC ID: 2163713595 Enrollment ID: I20180905000141 |
| Provider Name | Luke A Chambless |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982048948 PECOS PAC ID: 1850672841 Enrollment ID: I20180905000896 |
| Provider Name | Michael A Schmidt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568979987 PECOS PAC ID: 6002166451 Enrollment ID: I20180905001696 |
| Provider Name | Amrita P Devalapalli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275972309 PECOS PAC ID: 1557611936 Enrollment ID: I20180905002712 |
| Provider Name | Adva T Eisenberg |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760724983 PECOS PAC ID: 9638429947 Enrollment ID: I20180907001197 |
| Provider Name | Jason Y Cho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861759482 PECOS PAC ID: 9638429954 Enrollment ID: I20180907001710 |
| Provider Name | Matthew J Bruehl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407119266 PECOS PAC ID: 1850510827 Enrollment ID: I20180910000052 |
| Provider Name | Coleen M Cowperthwait |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649769894 PECOS PAC ID: 5799035960 Enrollment ID: I20180910001040 |
| Provider Name | Ananda M Chowdhury |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689932030 PECOS PAC ID: 5890096093 Enrollment ID: I20180910002246 |
| Provider Name | Megan Pike Alford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114314135 PECOS PAC ID: 7315297520 Enrollment ID: I20180910002494 |
| Provider Name | Jennifer L Mcnally |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1699054718 PECOS PAC ID: 5395964902 Enrollment ID: I20180910002939 |
| Provider Name | Dmitry Tchapyjnikov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740547496 PECOS PAC ID: 7214287333 Enrollment ID: I20180911000211 |
| Provider Name | Luke Arden Seaburg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366738841 PECOS PAC ID: 8325294960 Enrollment ID: I20180911000261 |
| Provider Name | Courtney Mitchell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861812596 PECOS PAC ID: 7719101617 Enrollment ID: I20180911001062 |
| Provider Name | Rami Al-rohil |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558671511 PECOS PAC ID: 8426341272 Enrollment ID: I20180911001633 |
| Provider Name | Jordan Schaumberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194144063 PECOS PAC ID: 7113277203 Enrollment ID: I20180911003100 |
| Provider Name | Caroline E Sloan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508251844 PECOS PAC ID: 2668722760 Enrollment ID: I20180911003483 |
| Provider Name | Amber Fresco |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1588077499 PECOS PAC ID: 1355691452 Enrollment ID: I20180911003698 |
| Provider Name | Jana Chtchetinin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164711131 PECOS PAC ID: 3173873288 Enrollment ID: I20180912000221 |
| Provider Name | James T Herbert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053653410 PECOS PAC ID: 9436409471 Enrollment ID: I20180912001628 |
| Provider Name | Ryan Leonard Spotts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417342528 PECOS PAC ID: 5193075141 Enrollment ID: I20180912001990 |
| Provider Name | Anne Elizabeth West Honart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053725051 PECOS PAC ID: 3779833744 Enrollment ID: I20180912002710 |
| Provider Name | Carolyn H Glass |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164541264 PECOS PAC ID: 6305196387 Enrollment ID: I20180912003202 |
| Provider Name | Tyson P Maugle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598106155 PECOS PAC ID: 9931331584 Enrollment ID: I20180913002320 |
| Provider Name | Tina Thuy-vy O'shea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306284716 PECOS PAC ID: 9638307218 Enrollment ID: I20180913002478 |
| Provider Name | Brendan J Flanagan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184011249 PECOS PAC ID: 3971853854 Enrollment ID: I20180914000423 |
| Provider Name | Harry Paul Erba |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1508942566 PECOS PAC ID: 6002951845 Enrollment ID: I20180914002687 |
| Provider Name | Esther Jeong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831576362 PECOS PAC ID: 8224389143 Enrollment ID: I20180914002775 |
| Provider Name | Ibukunoluwa C Kalu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245597178 PECOS PAC ID: 2365691441 Enrollment ID: I20180915000017 |
| Provider Name | Yulin A Lee |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1457694143 PECOS PAC ID: 2769733682 Enrollment ID: I20180915000046 |
| Provider Name | Atul Kapila |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1952744294 PECOS PAC ID: 2365744257 Enrollment ID: I20180917001514 |
| Provider Name | Evan David Kharasch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780602219 PECOS PAC ID: 0648298653 Enrollment ID: I20180917001892 |
| Provider Name | Jonathan P Stidham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215372073 PECOS PAC ID: 9931499662 Enrollment ID: I20180918000446 |
| Provider Name | Kevin E Vorenkamp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053364141 PECOS PAC ID: 6002827466 Enrollment ID: I20180918002527 |
| Provider Name | Raymond R Groller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326486374 PECOS PAC ID: 2668723495 Enrollment ID: I20180918002749 |
| Provider Name | Kevin Ryan Kalisz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528406543 PECOS PAC ID: 1052682317 Enrollment ID: I20180918003803 |
| Provider Name | Sachica C Cheris |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013351154 PECOS PAC ID: 4486905130 Enrollment ID: I20180919003890 |
| Provider Name | Shibu Edward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619469806 PECOS PAC ID: 6800147562 Enrollment ID: I20180920000194 |
| Provider Name | Julia A Messina |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760702880 PECOS PAC ID: 7517107337 Enrollment ID: I20180920000235 |
| Provider Name | Palen P Mallory |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245596535 PECOS PAC ID: 3274884887 Enrollment ID: I20180920002345 |
| Provider Name | Kelly J Valencia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649764846 PECOS PAC ID: 0941551568 Enrollment ID: I20180920002639 |
| Provider Name | Sneha Mantri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265798631 PECOS PAC ID: 9436388741 Enrollment ID: I20180920003032 |
| Provider Name | John Wesley Latting |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114363827 PECOS PAC ID: 9537410097 Enrollment ID: I20180921000976 |
| Provider Name | Alicia B Chitanand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841602729 PECOS PAC ID: 9335368307 Enrollment ID: I20180921001527 |
| Provider Name | Andrew P Landstrom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952669046 PECOS PAC ID: 6800147380 Enrollment ID: I20180921001994 |
| Provider Name | Kathleen Claus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669819611 PECOS PAC ID: 3072802727 Enrollment ID: I20180921002737 |
| Provider Name | Emily E Swartwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083114201 PECOS PAC ID: 1456602978 Enrollment ID: I20180924000246 |
| Provider Name | Dane R Whicker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508350125 PECOS PAC ID: 1153672670 Enrollment ID: I20180924000400 |
| Provider Name | Stephen J Balevic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154641892 PECOS PAC ID: 0446501894 Enrollment ID: I20180924001784 |
| Provider Name | Alejandro J Landa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841618477 PECOS PAC ID: 6002167467 Enrollment ID: I20180924002259 |
| Provider Name | Travis J Rump |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699181339 PECOS PAC ID: 3072864438 Enrollment ID: I20180924002359 |
| Provider Name | Steven S Harris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194168831 PECOS PAC ID: 2264672146 Enrollment ID: I20180924002671 |
| Provider Name | Christina E Saikus |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164780813 PECOS PAC ID: 9335490705 Enrollment ID: I20180924003006 |
| Provider Name | Tara Lenk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053738997 PECOS PAC ID: 2466679410 Enrollment ID: I20180925001369 |
| Provider Name | Susan S Lukan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316251853 PECOS PAC ID: 9335324573 Enrollment ID: I20180925002952 |
| Provider Name | Ryan B Short |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811239312 PECOS PAC ID: 6608001862 Enrollment ID: I20180925003067 |
| Provider Name | Katy C Liu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801216221 PECOS PAC ID: 3476804725 Enrollment ID: I20180925003621 |
| Provider Name | Sunny H Patel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821354812 PECOS PAC ID: 5496006751 Enrollment ID: I20180925003969 |
| Provider Name | Brittany A Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457838880 PECOS PAC ID: 5193076412 Enrollment ID: I20180926002114 |
| Provider Name | Russell Terry |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700225380 PECOS PAC ID: 2961645536 Enrollment ID: I20180926003087 |
| Provider Name | Stacey Maskarinec |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639469745 PECOS PAC ID: 9931450186 Enrollment ID: I20180926004094 |
| Provider Name | Ashley A Schaublin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558852541 PECOS PAC ID: 8527319649 Enrollment ID: I20180927003076 |
| Provider Name | Neeraj K Surana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053578054 PECOS PAC ID: 0941466205 Enrollment ID: I20181001002475 |
| Provider Name | Alan Sag |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326202268 PECOS PAC ID: 3072885326 Enrollment ID: I20181002002793 |
| Provider Name | Rebecca Sadun |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437475100 PECOS PAC ID: 6002168044 Enrollment ID: I20181002003701 |
| Provider Name | Megan Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134479454 PECOS PAC ID: 9133370349 Enrollment ID: I20181003001525 |
| Provider Name | Lars M Wagner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730244344 PECOS PAC ID: 4981651866 Enrollment ID: I20181003001912 |
| Provider Name | Anjni Patel Joiner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861758401 PECOS PAC ID: 8820393275 Enrollment ID: I20181007000001 |
| Provider Name | Andrew J Kubinski |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1902223266 PECOS PAC ID: 8729330576 Enrollment ID: I20181007000032 |
| Provider Name | Yuliya Kaplinska |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942795257 PECOS PAC ID: 2062764996 Enrollment ID: I20181008001288 |
| Provider Name | Kristen M Rezak |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1801086905 PECOS PAC ID: 9830353663 Enrollment ID: I20181009002763 |
| Provider Name | Edgardo J Cintron Diaz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740569839 PECOS PAC ID: 1254683857 Enrollment ID: I20181010000020 |
| Provider Name | David L Leverenz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619311305 PECOS PAC ID: 5395048995 Enrollment ID: I20181011001093 |
| Provider Name | Tammy H Kreuzer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194750794 PECOS PAC ID: 2860456027 Enrollment ID: I20181015000882 |
| Provider Name | Anne Lousie Marano |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730507088 PECOS PAC ID: 6305062555 Enrollment ID: I20181016002446 |
| Provider Name | Kenzie Jane Bowen Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518387992 PECOS PAC ID: 9638393507 Enrollment ID: I20181017003429 |
| Provider Name | Amy Lynn Riggleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881170819 PECOS PAC ID: 4789937772 Enrollment ID: I20181020000666 |
| Provider Name | Varnita Tahiliani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598022733 PECOS PAC ID: 3173876141 Enrollment ID: I20181022003347 |
| Provider Name | Stephanie Bryant |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053818971 PECOS PAC ID: 3870846777 Enrollment ID: I20181023001426 |
| Provider Name | Julia D Visgauss |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699031401 PECOS PAC ID: 3072866821 Enrollment ID: I20181025000978 |
| Provider Name | Jie Wang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1215257183 PECOS PAC ID: 0749424232 Enrollment ID: I20181029000002 |
| Provider Name | Erika Schwengel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780037309 PECOS PAC ID: 5799038360 Enrollment ID: I20181029001481 |
| Provider Name | Dustin Woyski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255777660 PECOS PAC ID: 1951532266 Enrollment ID: I20181102001432 |
| Provider Name | Lamercie Marie Wynee Saint Hilaire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649617549 PECOS PAC ID: 8820387061 Enrollment ID: I20181106002526 |
| Provider Name | Benjamin H Brockbank |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275951071 PECOS PAC ID: 3173877222 Enrollment ID: I20181108002294 |
| Provider Name | Rajiv Seth Swamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396923793 PECOS PAC ID: 2769566439 Enrollment ID: I20181113000978 |
| Provider Name | Reida G Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679599807 PECOS PAC ID: 5395648802 Enrollment ID: I20181114001881 |
| Provider Name | Lisa Ellen Rasbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770697559 PECOS PAC ID: 9537164173 Enrollment ID: I20181116002256 |
| Provider Name | Anjuli M Gupta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538502778 PECOS PAC ID: 8123372547 Enrollment ID: I20181121000008 |
| Provider Name | Pedro Vargas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649615774 PECOS PAC ID: 3577854652 Enrollment ID: I20181126001308 |
| Provider Name | Chad A Kloefkorn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366861148 PECOS PAC ID: 9133494099 Enrollment ID: I20181126003322 |
| Provider Name | Angela L Pollak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861810814 PECOS PAC ID: 2860736162 Enrollment ID: I20181127001830 |
| Provider Name | Kimberly J Holzmacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821576539 PECOS PAC ID: 8426392705 Enrollment ID: I20181128001440 |
| Provider Name | James Hanley Morgan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649213950 PECOS PAC ID: 6709783285 Enrollment ID: I20181128003262 |
| Provider Name | Michael David Weiland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003172248 PECOS PAC ID: 1759625965 Enrollment ID: I20181128003542 |
| Provider Name | John-paul King |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275010381 PECOS PAC ID: 4587908678 Enrollment ID: I20181129003428 |
| Provider Name | Pavel Morozov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629414420 PECOS PAC ID: 6406098797 Enrollment ID: I20181130001403 |
| Provider Name | Peter J Allen |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1144211905 PECOS PAC ID: 7416980719 Enrollment ID: I20181203000001 |
| Provider Name | Ashraf A Sabe |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1093942815 PECOS PAC ID: 9032453063 Enrollment ID: I20181203001639 |
| Provider Name | Richa Agarwal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932381829 PECOS PAC ID: 7719135722 Enrollment ID: I20181203002106 |
| Provider Name | Leslie Ellis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568889418 PECOS PAC ID: 3577807304 Enrollment ID: I20181205003490 |
| Provider Name | Elizabeth Marriott |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407078231 PECOS PAC ID: 5799884136 Enrollment ID: I20181207000843 |
| Provider Name | Cathleen M Bury |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497173033 PECOS PAC ID: 3678844313 Enrollment ID: I20181210002290 |
| Provider Name | Hillary Houghton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033667621 PECOS PAC ID: 7517201049 Enrollment ID: I20181210002381 |
| Provider Name | Michael Lidsky |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1922254259 PECOS PAC ID: 0042554586 Enrollment ID: I20181210002972 |
| Provider Name | Angela Dvorak De Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013427483 PECOS PAC ID: 1052670973 Enrollment ID: I20181211001668 |
| Provider Name | Martha Obeng Kenney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245502988 PECOS PAC ID: 0749430791 Enrollment ID: I20181211002094 |
| Provider Name | Robert J Stillwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770068397 PECOS PAC ID: 9335483775 Enrollment ID: I20181211003810 |
| Provider Name | Robert James. French |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942490065 PECOS PAC ID: 9032351465 Enrollment ID: I20181212001322 |
| Provider Name | Rebekah F Matta |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316476989 PECOS PAC ID: 8325383706 Enrollment ID: I20181213002104 |
| Provider Name | Leonard Welsh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346583499 PECOS PAC ID: 7214272558 Enrollment ID: I20181214001438 |
| Provider Name | Alissa M. Collins |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326314717 PECOS PAC ID: 9537436845 Enrollment ID: I20181219002805 |
| Provider Name | Samantha R Eaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346726874 PECOS PAC ID: 6800131699 Enrollment ID: I20181226000909 |
| Provider Name | Laura Talamo |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1437416096 PECOS PAC ID: 7810125812 Enrollment ID: I20181227001966 |
| Provider Name | Giselle Lopez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821415290 PECOS PAC ID: 0840547253 Enrollment ID: I20181231000319 |
| Provider Name | Ashley Marie Massengale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194293241 PECOS PAC ID: 3678819166 Enrollment ID: I20190103001628 |
| Provider Name | Sarah P Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588148761 PECOS PAC ID: 8123364643 Enrollment ID: I20190103003115 |
| Provider Name | Kenneth Weinlander |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003233255 PECOS PAC ID: 1456668789 Enrollment ID: I20190107000863 |
| Provider Name | Rachel Leigh Randell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376930818 PECOS PAC ID: 9830435270 Enrollment ID: I20190107001637 |
| Provider Name | Xunrong Luo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730245945 PECOS PAC ID: 6002831195 Enrollment ID: I20190108000397 |
| Provider Name | Hope F Mooney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619167434 PECOS PAC ID: 9436495785 Enrollment ID: I20190108002818 |
| Provider Name | Rio M Landa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205301108 PECOS PAC ID: 2163768417 Enrollment ID: I20190108002824 |
| Provider Name | Meghan K Esper |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598251985 PECOS PAC ID: 9133465396 Enrollment ID: I20190108003516 |
| Provider Name | Gary J Faerber |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366533804 PECOS PAC ID: 2466591698 Enrollment ID: I20190109003042 |
| Provider Name | Vanisha R Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073925525 PECOS PAC ID: 3678875705 Enrollment ID: I20190110001461 |
| Provider Name | Sonia Elizabeth Xavier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043454523 PECOS PAC ID: 5698944940 Enrollment ID: I20190111000712 |
| Provider Name | Valerie Adams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316425648 PECOS PAC ID: 5597001438 Enrollment ID: I20190114001391 |
| Provider Name | Elizabeth K Proffitt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639512999 PECOS PAC ID: 7416261243 Enrollment ID: I20190115003113 |
| Provider Name | Amanda Brinson Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124235114 PECOS PAC ID: 4880930676 Enrollment ID: I20190116000814 |
| Provider Name | Anna C Peek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487007365 PECOS PAC ID: 2567746654 Enrollment ID: I20190116002431 |
| Provider Name | Christopher I Shaffrey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235208877 PECOS PAC ID: 7618965062 Enrollment ID: I20190116003105 |
| Provider Name | Derek G Southwell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316236912 PECOS PAC ID: 6103057260 Enrollment ID: I20190117000995 |
| Provider Name | Debra L Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457577355 PECOS PAC ID: 8921344573 Enrollment ID: I20190118000142 |
| Provider Name | Meryl Severson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427265248 PECOS PAC ID: 9830283977 Enrollment ID: I20190118002472 |
| Provider Name | Kathleen Cooney |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1073699039 PECOS PAC ID: 3173652666 Enrollment ID: I20190123000189 |
| Provider Name | Janet C Sheaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275009938 PECOS PAC ID: 8820335375 Enrollment ID: I20190123000337 |
| Provider Name | Camille M Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689149825 PECOS PAC ID: 8628315934 Enrollment ID: I20190124002003 |
| Provider Name | Sharon Lindsay Clancy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1174717649 PECOS PAC ID: 8123167681 Enrollment ID: I20190124003180 |
| Provider Name | Courtney Heard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285102053 PECOS PAC ID: 1658618905 Enrollment ID: I20190124003657 |
| Provider Name | Ruth Galle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689141731 PECOS PAC ID: 2062759236 Enrollment ID: I20190125000736 |
| Provider Name | Taylor T Addis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982179800 PECOS PAC ID: 3678810769 Enrollment ID: I20190128002207 |
| Provider Name | Jennifer Michelle Decoste |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518354604 PECOS PAC ID: 7517204381 Enrollment ID: I20190201000525 |
| Provider Name | Sarah K Baxt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649725458 PECOS PAC ID: 4486934429 Enrollment ID: I20190201002381 |
| Provider Name | Cassandra G Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780152827 PECOS PAC ID: 0941547681 Enrollment ID: I20190204000667 |
| Provider Name | Heather Braddock Acevedo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104146190 PECOS PAC ID: 6406193192 Enrollment ID: I20190204002509 |
| Provider Name | Jaskiran Kaur Vidwan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851547756 PECOS PAC ID: 9739345349 Enrollment ID: I20190204002535 |
| Provider Name | Tristin R Valdivia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295221851 PECOS PAC ID: 8628316387 Enrollment ID: I20190205002981 |
| Provider Name | Melanie B Thomas |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1225134075 PECOS PAC ID: 3476620857 Enrollment ID: I20190211000193 |
| Provider Name | Molly M Markiewicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962859546 PECOS PAC ID: 6901144351 Enrollment ID: I20190211002953 |
| Provider Name | Angelica Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659840015 PECOS PAC ID: 8729326996 Enrollment ID: I20190213001637 |
| Provider Name | Joshua T Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154804722 PECOS PAC ID: 0648518845 Enrollment ID: I20190213002937 |
| Provider Name | Mariah J Moger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194226514 PECOS PAC ID: 8325386535 Enrollment ID: I20190213003168 |
| Provider Name | Kari A Overstreet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134610108 PECOS PAC ID: 5597003715 Enrollment ID: I20190214000245 |
| Provider Name | Laura Barisoni Thomas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063405793 PECOS PAC ID: 8628968831 Enrollment ID: I20190218000141 |
| Provider Name | Khyati H Baxi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710203385 PECOS PAC ID: 3779862313 Enrollment ID: I20190218001150 |
| Provider Name | Elizabeth B Gilbert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568704740 PECOS PAC ID: 7719225713 Enrollment ID: I20190218002007 |
| Provider Name | Laura Beth Mann Dosier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235454240 PECOS PAC ID: 6204078520 Enrollment ID: I20190219001223 |
| Provider Name | Fatima Z Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053754325 PECOS PAC ID: 6901185867 Enrollment ID: I20190219001753 |
| Provider Name | Kathleen M Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801370655 PECOS PAC ID: 0749528511 Enrollment ID: I20190221000410 |
| Provider Name | Christina M Cromwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710453873 PECOS PAC ID: 3779822580 Enrollment ID: I20190221002676 |
| Provider Name | Alexandre T Rotta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023079316 PECOS PAC ID: 7618951757 Enrollment ID: I20190222002270 |
| Provider Name | John Wesley Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265901425 PECOS PAC ID: 5496094278 Enrollment ID: I20190222002364 |
| Provider Name | Cesar Luque Fontanez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386929149 PECOS PAC ID: 6204124639 Enrollment ID: I20190225000224 |
| Provider Name | Michele C Siciliano |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457612251 PECOS PAC ID: 6709125206 Enrollment ID: I20190227002969 |
| Provider Name | Kiersten A Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346646874 PECOS PAC ID: 4284958794 Enrollment ID: I20190301001772 |
| Provider Name | Ellen Leidig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124566195 PECOS PAC ID: 9739428087 Enrollment ID: I20190304001383 |
| Provider Name | Naomi N Duke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366539496 PECOS PAC ID: 3577552538 Enrollment ID: I20190305001933 |
| Provider Name | Kathryn R Hord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568930196 PECOS PAC ID: 9638418817 Enrollment ID: I20190306000440 |
| Provider Name | Christian Hernandez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881958460 PECOS PAC ID: 6204131733 Enrollment ID: I20190312002639 |
| Provider Name | Deanna Lynne Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942773783 PECOS PAC ID: 7517207202 Enrollment ID: I20190315000691 |
| Provider Name | Jatin Roper |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124273461 PECOS PAC ID: 3678743515 Enrollment ID: I20190315001409 |
| Provider Name | Ellen Catherine Byars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255838561 PECOS PAC ID: 0840530283 Enrollment ID: I20190320003078 |
| Provider Name | Ali Raza Qamar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316248727 PECOS PAC ID: 6800036732 Enrollment ID: I20190320003137 |
| Provider Name | Rachel F Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912482696 PECOS PAC ID: 2264773050 Enrollment ID: I20190403003122 |
| Provider Name | Brian Michael Starr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104086859 PECOS PAC ID: 1557495421 Enrollment ID: I20190405001681 |
| Provider Name | Christine E Zdeb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790259984 PECOS PAC ID: 8123369642 Enrollment ID: I20190410002636 |
| Provider Name | Scott Joseph Antonia |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1669404091 PECOS PAC ID: 9032293105 Enrollment ID: I20190411003089 |
| Provider Name | Okechukwu A Anakwenze |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043418759 PECOS PAC ID: 7012133523 Enrollment ID: I20190417001953 |
| Provider Name | Erica Lovelady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629546502 PECOS PAC ID: 4385985423 Enrollment ID: I20190417002955 |
| Provider Name | Milta O Little |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740409754 PECOS PAC ID: 7214061837 Enrollment ID: I20190418002321 |
| Provider Name | Sherry Roberts |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669998456 PECOS PAC ID: 3375885403 Enrollment ID: I20190422000264 |
| Provider Name | Amber B Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336603869 PECOS PAC ID: 7315289303 Enrollment ID: I20190423000639 |
| Provider Name | Hazida S Kazaure |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1548526312 PECOS PAC ID: 5294077202 Enrollment ID: I20190423001202 |
| Provider Name | Serena P Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710306204 PECOS PAC ID: 3971823295 Enrollment ID: I20190423002246 |
| Provider Name | Lindsey Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720552862 PECOS PAC ID: 1557603529 Enrollment ID: I20190424000772 |
| Provider Name | Natalie N Krohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538672852 PECOS PAC ID: 2860734225 Enrollment ID: I20190504000080 |
| Provider Name | Ashley Kay Lawson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639458599 PECOS PAC ID: 5799956587 Enrollment ID: I20190506002720 |
| Provider Name | Sherry S Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770532004 PECOS PAC ID: 1759445737 Enrollment ID: I20190508000020 |
| Provider Name | Shannon M Beeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154827046 PECOS PAC ID: 2961744115 Enrollment ID: I20190508002541 |
| Provider Name | Scott D Sexton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568857829 PECOS PAC ID: 0244573343 Enrollment ID: I20190513000892 |
| Provider Name | Kishan Govind |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740542893 PECOS PAC ID: 1658683057 Enrollment ID: I20190515003397 |
| Provider Name | April Scott |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598246910 PECOS PAC ID: 0244573962 Enrollment ID: I20190521002770 |
| Provider Name | Melissa A Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346706371 PECOS PAC ID: 7416290069 Enrollment ID: I20190522001190 |
| Provider Name | Melissa Rightor |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689703761 PECOS PAC ID: 9537402813 Enrollment ID: I20190530001879 |
| Provider Name | Piper P Kilpatrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760610547 PECOS PAC ID: 6002057007 Enrollment ID: I20190604001416 |
| Provider Name | Holly Nichols |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689089013 PECOS PAC ID: 6406075019 Enrollment ID: I20190606000331 |
| Provider Name | Steven Spires |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043453632 PECOS PAC ID: 2062677693 Enrollment ID: I20190610002846 |
| Provider Name | Kaleigh Lindeman Burke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669883492 PECOS PAC ID: 1658596002 Enrollment ID: I20190611002944 |
| Provider Name | Christina M Bull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073920393 PECOS PAC ID: 6800018037 Enrollment ID: I20190612000018 |
| Provider Name | Brandon Taylor Ruderman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780047928 PECOS PAC ID: 4486947165 Enrollment ID: I20190617000184 |
| Provider Name | Bryan M Osullivan Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891115820 PECOS PAC ID: 3375841232 Enrollment ID: I20190618002145 |
| Provider Name | Marlena Parson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548682826 PECOS PAC ID: 8224362629 Enrollment ID: I20190618002777 |
| Provider Name | William R Jeck |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972984482 PECOS PAC ID: 1951618370 Enrollment ID: I20190620000829 |
| Provider Name | Roy J Colglazier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588077440 PECOS PAC ID: 4789918012 Enrollment ID: I20190620001446 |
| Provider Name | Christopher Robert Stamey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1669882098 PECOS PAC ID: 9830491513 Enrollment ID: I20190620002652 |
| Provider Name | Hui M Tseng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922445212 PECOS PAC ID: 8325274186 Enrollment ID: I20190625000721 |
| Provider Name | Mounika Gunduru |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851732903 PECOS PAC ID: 7113158825 Enrollment ID: I20190626000326 |
| Provider Name | Isidore Dinga Madou |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1720340862 PECOS PAC ID: 8426379918 Enrollment ID: I20190627000514 |
| Provider Name | Rebecca Mcgowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184187387 PECOS PAC ID: 8628304904 Enrollment ID: I20190724001620 |
| Provider Name | Leeana Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902366826 PECOS PAC ID: 8628304714 Enrollment ID: I20190726002242 |
| Provider Name | Allison Retzer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154738961 PECOS PAC ID: 1759507676 Enrollment ID: I20190727000186 |
| Provider Name | Kunjan Shakya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689802787 PECOS PAC ID: 0547410656 Enrollment ID: I20190729003469 |
| Provider Name | Chad Michael Gridley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396180717 PECOS PAC ID: 1153558051 Enrollment ID: I20190730004589 |
| Provider Name | Stuart Downie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326466418 PECOS PAC ID: 1052686227 Enrollment ID: I20190801001245 |
| Provider Name | William Perry |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1033557418 PECOS PAC ID: 0749516458 Enrollment ID: I20190801001387 |
| Provider Name | Julie A Fried |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841532744 PECOS PAC ID: 6507192242 Enrollment ID: I20190801002621 |
| Provider Name | Mara L Becker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538179700 PECOS PAC ID: 0345249975 Enrollment ID: I20190801002918 |
| Provider Name | Sweta Sengupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063830578 PECOS PAC ID: 6406182195 Enrollment ID: I20190802000716 |
| Provider Name | Norleena Rene Poynter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750549119 PECOS PAC ID: 1254570260 Enrollment ID: I20190802002192 |
| Provider Name | Ken He Young |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891756318 PECOS PAC ID: 8224018411 Enrollment ID: I20190802002868 |
| Provider Name | Zachary J Reitman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1134547201 PECOS PAC ID: 6800100496 Enrollment ID: I20190805000240 |
| Provider Name | Bryce Alan Harbertson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073956637 PECOS PAC ID: 1658513031 Enrollment ID: I20190806001395 |
| Provider Name | John D Purakal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407275258 PECOS PAC ID: 5496055469 Enrollment ID: I20190808000448 |
| Provider Name | John C Eppensteiner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912393638 PECOS PAC ID: 9234466491 Enrollment ID: I20190809002135 |
| Provider Name | Anna Aliza Jaffe Ruderman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013371079 PECOS PAC ID: 2860785458 Enrollment ID: I20190810000063 |
| Provider Name | Nicholas G Plundo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952728511 PECOS PAC ID: 2860787264 Enrollment ID: I20190812003004 |
| Provider Name | Xiaoyang Hua |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780942946 PECOS PAC ID: 9032359955 Enrollment ID: I20190812003179 |
| Provider Name | Peter Stuart Downey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417272683 PECOS PAC ID: 2860729977 Enrollment ID: I20190813001244 |
| Provider Name | Anthony Paul Trace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548502628 PECOS PAC ID: 3072813575 Enrollment ID: I20190813001475 |
| Provider Name | Nicholas A Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619243037 PECOS PAC ID: 4082917794 Enrollment ID: I20190813002422 |
| Provider Name | Karissa L Heck |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447645189 PECOS PAC ID: 7719214568 Enrollment ID: I20190816000560 |
| Provider Name | Sara Lynn Fawson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235680364 PECOS PAC ID: 3971887357 Enrollment ID: I20190816002645 |
| Provider Name | Kimberly Owens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184038069 PECOS PAC ID: 9931326881 Enrollment ID: I20190819001180 |
| Provider Name | Anne C Weaver |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598184509 PECOS PAC ID: 0244568905 Enrollment ID: I20190820002082 |
| Provider Name | Andrea Sitlinger |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1518209865 PECOS PAC ID: 6103154737 Enrollment ID: I20190821000906 |
| Provider Name | Christopher D Lunsford |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992933147 PECOS PAC ID: 1658681358 Enrollment ID: I20190821003584 |
| Provider Name | Areeg H El-gharbawy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629231451 PECOS PAC ID: 8022271154 Enrollment ID: I20190823003159 |
| Provider Name | Ami Yogesh Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588927826 PECOS PAC ID: 8325276215 Enrollment ID: I20190824000187 |
| Provider Name | Wei Tan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083057384 PECOS PAC ID: 8820220049 Enrollment ID: I20190826001065 |
| Provider Name | Tristin Alix Allen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982041778 PECOS PAC ID: 6507008190 Enrollment ID: I20190826002410 |
| Provider Name | Cecelia Zhang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861735474 PECOS PAC ID: 7012245293 Enrollment ID: I20190826003403 |
| Provider Name | Scott Le |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831509389 PECOS PAC ID: 4981983400 Enrollment ID: I20190828001694 |
| Provider Name | Josef Pleticha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124400593 PECOS PAC ID: 6103118278 Enrollment ID: I20190828003376 |
| Provider Name | Jingquan Jia |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1851739239 PECOS PAC ID: 1153629688 Enrollment ID: I20190829001689 |
| Provider Name | Daniel Christopher Parker |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1174866198 PECOS PAC ID: 1658681093 Enrollment ID: I20190903001143 |
| Provider Name | Brian William Stephenson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376805366 PECOS PAC ID: 8729300736 Enrollment ID: I20190903001418 |
| Provider Name | Kimberly G Ramsdell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407815921 PECOS PAC ID: 2365771151 Enrollment ID: I20190903003049 |
| Provider Name | Jordan I Teitelbaum |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518374784 PECOS PAC ID: 9931475209 Enrollment ID: I20190906002869 |
| Provider Name | Shelby Addison Neal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679868640 PECOS PAC ID: 7416264304 Enrollment ID: I20190909001228 |
| Provider Name | Anrew Villion |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932594009 PECOS PAC ID: 3274862701 Enrollment ID: I20190910000276 |
| Provider Name | Jonathan Puthenveetil Mathew |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760896484 PECOS PAC ID: 6204057367 Enrollment ID: I20190910000595 |
| Provider Name | Kristen M. Glisinski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790128940 PECOS PAC ID: 4789913179 Enrollment ID: I20190910003374 |
| Provider Name | Joshua T Grant Hockett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003217621 PECOS PAC ID: 6709115124 Enrollment ID: I20190911000560 |
| Provider Name | Andrew W Mccrary |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487920906 PECOS PAC ID: 0143559575 Enrollment ID: I20190911000653 |
| Provider Name | Jennifer L Clarke |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386908150 PECOS PAC ID: 5799919064 Enrollment ID: I20190911000917 |
| Provider Name | Kathleen R Richard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881951325 PECOS PAC ID: 9830349679 Enrollment ID: I20190911001483 |
| Provider Name | Daniel L Edmonston |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932436938 PECOS PAC ID: 0648509901 Enrollment ID: I20190911002273 |
| Provider Name | Calvin Motika |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043604093 PECOS PAC ID: 3678877214 Enrollment ID: I20190911002446 |
| Provider Name | Pedro E Santiago |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1447276779 PECOS PAC ID: 6204165459 Enrollment ID: I20190912002761 |
| Provider Name | Susan Evelyn Rowell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285615781 PECOS PAC ID: 9133226251 Enrollment ID: I20190913000471 |
| Provider Name | Manisha Bhattacharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477948461 PECOS PAC ID: 8628307832 Enrollment ID: I20190913001679 |
| Provider Name | Michael Talarico |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720491509 PECOS PAC ID: 3577861152 Enrollment ID: I20190916000118 |
| Provider Name | Phillip J Glivar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144630617 PECOS PAC ID: 7810226966 Enrollment ID: I20190916000388 |
| Provider Name | Sejal Narendra Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073855318 PECOS PAC ID: 2961731021 Enrollment ID: I20190916000994 |
| Provider Name | Alixandra S Purakal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578902706 PECOS PAC ID: 5092017871 Enrollment ID: I20190916001502 |
| Provider Name | Cory Stingl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194067439 PECOS PAC ID: 6901135086 Enrollment ID: I20190916001700 |
| Provider Name | Megan Law |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366823429 PECOS PAC ID: 8426387515 Enrollment ID: I20190916001800 |
| Provider Name | Andrew J Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215279989 PECOS PAC ID: 3375775687 Enrollment ID: I20190916002449 |
| Provider Name | Pat W Whitworth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578982419 PECOS PAC ID: 1850608217 Enrollment ID: I20190916002466 |
| Provider Name | Hannah M Madson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437713955 PECOS PAC ID: 1355670357 Enrollment ID: I20190916002646 |
| Provider Name | Ang Li |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881080703 PECOS PAC ID: 3971803453 Enrollment ID: I20190916003227 |
| Provider Name | William Boysen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912346503 PECOS PAC ID: 8527361328 Enrollment ID: I20190916003520 |
| Provider Name | Sharla M Rent |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891038048 PECOS PAC ID: 0749582203 Enrollment ID: I20190916003571 |
| Provider Name | Max L Schiff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851679641 PECOS PAC ID: 6002128840 Enrollment ID: I20190916003643 |
| Provider Name | Janet Waimin Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245573120 PECOS PAC ID: 5597010306 Enrollment ID: I20190917000400 |
| Provider Name | Jordan Steven Pung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407219025 PECOS PAC ID: 6608169057 Enrollment ID: I20190917000834 |
| Provider Name | Jennifer Marie Bartlett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396305496 PECOS PAC ID: 8325378326 Enrollment ID: I20190917003798 |
| Provider Name | Nandini Venkateswaran |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265813992 PECOS PAC ID: 2466782461 Enrollment ID: I20190917004027 |
| Provider Name | Garth S Herbert |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1073583548 PECOS PAC ID: 7214179126 Enrollment ID: I20190918001155 |
| Provider Name | Anne L Castro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942695747 PECOS PAC ID: 2769712710 Enrollment ID: I20190918001262 |
| Provider Name | Anna Ginter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710321740 PECOS PAC ID: 0446580419 Enrollment ID: I20190918002269 |
| Provider Name | Jaehong Han |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821484759 PECOS PAC ID: 5991019341 Enrollment ID: I20190918002578 |
| Provider Name | Marilyn Marquez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578021267 PECOS PAC ID: 3971833856 Enrollment ID: I20190918002880 |
| Provider Name | Joon-bom Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932527413 PECOS PAC ID: 8224392576 Enrollment ID: I20190918003350 |
| Provider Name | Asghar Haider |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801271457 PECOS PAC ID: 5092097279 Enrollment ID: I20190918003609 |
| Provider Name | Joseph S Fernandez-moure |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073741484 PECOS PAC ID: 8123274446 Enrollment ID: I20190919001521 |
| Provider Name | Jessica Minjy Kang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891184669 PECOS PAC ID: 7416287370 Enrollment ID: I20190919002473 |
| Provider Name | Matthew James Duggan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780063842 PECOS PAC ID: 8820302094 Enrollment ID: I20190919002477 |
| Provider Name | Lindsay Dawson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194110478 PECOS PAC ID: 5799015665 Enrollment ID: I20190919002896 |
| Provider Name | Deng B Madut |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679839898 PECOS PAC ID: 5890025613 Enrollment ID: I20190920003027 |
| Provider Name | Jessica L Seidelman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699018747 PECOS PAC ID: 5597095349 Enrollment ID: I20190923000638 |
| Provider Name | Adam Brekke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366862666 PECOS PAC ID: 5698077220 Enrollment ID: I20190923001542 |
| Provider Name | Nicole C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568822864 PECOS PAC ID: 5496045338 Enrollment ID: I20190923003426 |
| Provider Name | Sarah Wallace Cater |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619247194 PECOS PAC ID: 0840411245 Enrollment ID: I20190924002164 |
| Provider Name | Taylor Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275191959 PECOS PAC ID: 9537499199 Enrollment ID: I20190924002403 |
| Provider Name | Bradley Barnett |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154765139 PECOS PAC ID: 4587888029 Enrollment ID: I20190924002783 |
| Provider Name | Bradley J Goldstein |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053353136 PECOS PAC ID: 7214909282 Enrollment ID: I20190924003906 |
| Provider Name | Lindsey T Hanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871159202 PECOS PAC ID: 4981934577 Enrollment ID: I20190924003928 |
| Provider Name | Andrew Davis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700273539 PECOS PAC ID: 9931439551 Enrollment ID: I20190925000940 |
| Provider Name | Matthew N Jaykel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104236488 PECOS PAC ID: 9739305871 Enrollment ID: I20190925001151 |
| Provider Name | Kristin Ed Weimer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720320815 PECOS PAC ID: 0547590085 Enrollment ID: I20190925002473 |
| Provider Name | Susan Gr Mcduff |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861810756 PECOS PAC ID: 9234445107 Enrollment ID: I20190925003826 |
| Provider Name | Melissa Anne Loyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245799733 PECOS PAC ID: 1355671835 Enrollment ID: I20190925003962 |
| Provider Name | Qiuping Ma |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306265855 PECOS PAC ID: 5294065793 Enrollment ID: I20190926000615 |
| Provider Name | Lucas Bonafede |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871975383 PECOS PAC ID: 2961793484 Enrollment ID: I20190930000970 |
| Provider Name | Anita M Kelsey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083617161 PECOS PAC ID: 3971798810 Enrollment ID: I20191001001139 |
| Provider Name | Rushina Cholera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841646486 PECOS PAC ID: 5395038160 Enrollment ID: I20191001001623 |
| Provider Name | Andrew Hanselman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699038208 PECOS PAC ID: 0345542056 Enrollment ID: I20191001001681 |
| Provider Name | Lara Massie |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912264185 PECOS PAC ID: 8527290113 Enrollment ID: I20191001003473 |
| Provider Name | Sharon Beckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184028599 PECOS PAC ID: 9830429018 Enrollment ID: I20191001003523 |
| Provider Name | Kyla M Blalock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598245292 PECOS PAC ID: 4183954381 Enrollment ID: I20191002001018 |
| Provider Name | Lloyd Berthold Williams |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730333741 PECOS PAC ID: 6507012341 Enrollment ID: I20191002003774 |
| Provider Name | Justin D Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487034245 PECOS PAC ID: 6608185541 Enrollment ID: I20191003000212 |
| Provider Name | Durga Swetha Borkar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063851160 PECOS PAC ID: 8123242898 Enrollment ID: I20191004003140 |
| Provider Name | Jordan Kimmet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770036550 PECOS PAC ID: 4587942487 Enrollment ID: I20191007001325 |
| Provider Name | Johanna A Contreras |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639731078 PECOS PAC ID: 2466783428 Enrollment ID: I20191007001745 |
| Provider Name | Khoi Duc Than |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326269671 PECOS PAC ID: 7810216454 Enrollment ID: I20191007001944 |
| Provider Name | Gillian O Noel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487979845 PECOS PAC ID: 8628389715 Enrollment ID: I20191007002885 |
| Provider Name | Lisa Marie Mcelroy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174766851 PECOS PAC ID: 9931499829 Enrollment ID: I20191008000583 |
| Provider Name | Hadja Thiam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114586948 PECOS PAC ID: 7911238845 Enrollment ID: I20191008001570 |
| Provider Name | Archana Khandelwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700236395 PECOS PAC ID: 3971834805 Enrollment ID: I20191008001816 |
| Provider Name | Nathan Stewart Mcmurray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619331253 PECOS PAC ID: 1850683863 Enrollment ID: I20191008002024 |
| Provider Name | Fuad Y Aleskerov |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730565490 PECOS PAC ID: 2668781113 Enrollment ID: I20191008002987 |
| Provider Name | Dorothy Anne Lowell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770894735 PECOS PAC ID: 9830420694 Enrollment ID: I20191008003733 |
| Provider Name | Kaveh Ardalan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588942676 PECOS PAC ID: 9335425479 Enrollment ID: I20191009001815 |
| Provider Name | Stephen P Ellison |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811383458 PECOS PAC ID: 8820329659 Enrollment ID: I20191009002398 |
| Provider Name | Marus Rafael Luciano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396157996 PECOS PAC ID: 5496079295 Enrollment ID: I20191009002951 |
| Provider Name | Andrew Tyler Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083022198 PECOS PAC ID: 3870824527 Enrollment ID: I20191009003510 |
| Provider Name | Elena Tenenbaum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770073041 PECOS PAC ID: 8921339680 Enrollment ID: I20191010000449 |
| Provider Name | Linda Marie Youngwirth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679830400 PECOS PAC ID: 7618208331 Enrollment ID: I20191010003127 |
| Provider Name | Katherine H Hatter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487049078 PECOS PAC ID: 4284965849 Enrollment ID: I20191011001533 |
| Provider Name | Mackenzie D Landin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740695337 PECOS PAC ID: 8628375581 Enrollment ID: I20191011002596 |
| Provider Name | Sabrina M Shearer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1124413497 PECOS PAC ID: 3173833035 Enrollment ID: I20191014001168 |
| Provider Name | Hilary Joan Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871148387 PECOS PAC ID: 0648501270 Enrollment ID: I20191014001809 |
| Provider Name | Sarah N. Zaheer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407177892 PECOS PAC ID: 7214171123 Enrollment ID: I20191014003112 |
| Provider Name | Julio Martinez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104289107 PECOS PAC ID: 7012248578 Enrollment ID: I20191014003276 |
| Provider Name | Martin P Sayers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205220324 PECOS PAC ID: 4183955651 Enrollment ID: I20191015000178 |
| Provider Name | Natisha Mandadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235514936 PECOS PAC ID: 7113223520 Enrollment ID: I20191016001284 |
| Provider Name | Aubree Lee Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962865576 PECOS PAC ID: 0648562546 Enrollment ID: I20191017000357 |
| Provider Name | Reeti Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992140867 PECOS PAC ID: 8123329570 Enrollment ID: I20191022000307 |
| Provider Name | Sona Sharma |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336326131 PECOS PAC ID: 5193892198 Enrollment ID: I20191022002220 |
| Provider Name | Helene Bengtsson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922540939 PECOS PAC ID: 3274817143 Enrollment ID: I20191023001673 |
| Provider Name | Heather K Vestal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447571781 PECOS PAC ID: 6002074598 Enrollment ID: I20191023003363 |
| Provider Name | Tiffany Y Mcewen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275099186 PECOS PAC ID: 5496087397 Enrollment ID: I20191025001817 |
| Provider Name | Sarah P Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114588670 PECOS PAC ID: 6709118623 Enrollment ID: I20191025002612 |
| Provider Name | Rachel E Brodie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396166997 PECOS PAC ID: 5496043416 Enrollment ID: I20191026000104 |
| Provider Name | Monique C Agustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053971226 PECOS PAC ID: 3779815436 Enrollment ID: I20191029003364 |
| Provider Name | Katrina N Compton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821656596 PECOS PAC ID: 6103158860 Enrollment ID: I20191029003459 |
| Provider Name | Andrew J Rivara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760878219 PECOS PAC ID: 6800128414 Enrollment ID: I20191031002638 |
| Provider Name | Jeanna Dianne Blitz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518076603 PECOS PAC ID: 4082619408 Enrollment ID: I20191102000344 |
| Provider Name | Isabel C Jean |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184282634 PECOS PAC ID: 8123350543 Enrollment ID: I20191104001807 |
| Provider Name | Stephen P Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629127915 PECOS PAC ID: 2264485598 Enrollment ID: I20191104001814 |
| Provider Name | Si Sandy An |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609295591 PECOS PAC ID: 4981907516 Enrollment ID: I20191105002698 |
| Provider Name | John S Guthrie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457906877 PECOS PAC ID: 5193157493 Enrollment ID: I20191106003423 |
| Provider Name | Nicholas Stephens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588083513 PECOS PAC ID: 1658661418 Enrollment ID: I20191106003442 |
| Provider Name | Tammara L Watts |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417079369 PECOS PAC ID: 2466504030 Enrollment ID: I20191106003504 |
| Provider Name | Nishant Prashant Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457601106 PECOS PAC ID: 1850510504 Enrollment ID: I20191108000311 |
| Provider Name | Joshua James Siglin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275768731 PECOS PAC ID: 5496978652 Enrollment ID: I20191111002707 |
| Provider Name | Benjamin S Harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679992184 PECOS PAC ID: 0244662252 Enrollment ID: I20191113001473 |
| Provider Name | Mina Boazak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104209329 PECOS PAC ID: 5698039949 Enrollment ID: I20191113002840 |
| Provider Name | Vijay K Ramaiah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982920377 PECOS PAC ID: 6608046024 Enrollment ID: I20191119000712 |
| Provider Name | Amanda Lee Pratt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326486150 PECOS PAC ID: 8820213770 Enrollment ID: I20191119000903 |
| Provider Name | Sarada Eleswarpu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104205350 PECOS PAC ID: 6002119641 Enrollment ID: I20191119002105 |
| Provider Name | Duane Richard Hennion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417948597 PECOS PAC ID: 6608020359 Enrollment ID: I20191119002223 |
| Provider Name | Matthew L Vestal |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619289428 PECOS PAC ID: 2567734460 Enrollment ID: I20191120000932 |
| Provider Name | Deborah R Kaye |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225353295 PECOS PAC ID: 3173772191 Enrollment ID: I20191120001196 |
| Provider Name | Jerome Jeffrey Federspiel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033503131 PECOS PAC ID: 4789995234 Enrollment ID: I20191120002157 |
| Provider Name | Yun-hua Chiang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053868356 PECOS PAC ID: 6002198918 Enrollment ID: I20191121001509 |
| Provider Name | Carrie Anne Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174918791 PECOS PAC ID: 4385076736 Enrollment ID: I20191122002479 |
| Provider Name | Kateena Addae-konadu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497142772 PECOS PAC ID: 1658665948 Enrollment ID: I20191126002718 |
| Provider Name | Fine Song |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093000556 PECOS PAC ID: 8628201548 Enrollment ID: I20191126002981 |
| Provider Name | Trevor D Burt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417190455 PECOS PAC ID: 7315093473 Enrollment ID: I20191127001847 |
| Provider Name | David Painter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194188219 PECOS PAC ID: 3072806660 Enrollment ID: I20191127002570 |
| Provider Name | Meredith Whitacre |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598057317 PECOS PAC ID: 1850517004 Enrollment ID: I20191202002832 |
| Provider Name | Anthony S Ceraulo |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1437539764 PECOS PAC ID: 1850600776 Enrollment ID: I20191203000730 |
| Provider Name | Andrea Rebecca Yapejian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922439223 PECOS PAC ID: 3476986563 Enrollment ID: I20191203002378 |
| Provider Name | Jennifer I Johntony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982939088 PECOS PAC ID: 9335469923 Enrollment ID: I20191203002569 |
| Provider Name | Mustafa Khasraw |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235361353 PECOS PAC ID: 9931532900 Enrollment ID: I20191204003239 |
| Provider Name | Chelsea Anne Scriven |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972158962 PECOS PAC ID: 2264865104 Enrollment ID: I20191205002980 |
| Provider Name | Jennifer K Rollinson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073008793 PECOS PAC ID: 2769815687 Enrollment ID: I20191209000031 |
| Provider Name | Andrew S Griffin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831431725 PECOS PAC ID: 0547693285 Enrollment ID: I20191210002400 |
| Provider Name | Sonali Advani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174880280 PECOS PAC ID: 6709172208 Enrollment ID: I20191211002851 |
| Provider Name | Ioana Antonescu |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952768343 PECOS PAC ID: 4688925076 Enrollment ID: I20191211002922 |
| Provider Name | Melissa A Barbor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477589042 PECOS PAC ID: 8527031319 Enrollment ID: I20191213000004 |
| Provider Name | Guiyun Zhou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952412421 PECOS PAC ID: 3971538539 Enrollment ID: I20191216003058 |
| Provider Name | Chanjuan Shi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356493944 PECOS PAC ID: 8325180698 Enrollment ID: I20191217000056 |
| Provider Name | Stephanie Elizabeth Cooper |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649546847 PECOS PAC ID: 2466771555 Enrollment ID: I20191217000422 |
| Provider Name | Madeera Kathpal |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114150612 PECOS PAC ID: 7719274240 Enrollment ID: I20191226002287 |
| Provider Name | Galen A Royce-nagel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841566858 PECOS PAC ID: 5496046237 Enrollment ID: I20191227002061 |
| Provider Name | Audrey Elizabeth Walstrom |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1013443076 PECOS PAC ID: 9032473020 Enrollment ID: I20191230000505 |
| Provider Name | Justin Vaughan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083025886 PECOS PAC ID: 5496075681 Enrollment ID: I20200110002150 |
| Provider Name | Margaret Howard |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1417275090 PECOS PAC ID: 1254630700 Enrollment ID: I20200115002379 |
| Provider Name | Rebecca J Varley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154540375 PECOS PAC ID: 4284069253 Enrollment ID: I20200121002560 |
| Provider Name | Ann V Augustine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750556452 PECOS PAC ID: 5092869842 Enrollment ID: I20200125000292 |
| Provider Name | Nancy C Ballantyne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366857930 PECOS PAC ID: 5991924516 Enrollment ID: I20200125000383 |
| Provider Name | Nicholas Durocher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902032477 PECOS PAC ID: 0143512061 Enrollment ID: I20200129002721 |
| Provider Name | Marie Louise Meng |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699094599 PECOS PAC ID: 7214228998 Enrollment ID: I20200203000721 |
| Provider Name | Ryan Frederick Herde |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427476704 PECOS PAC ID: 0941636203 Enrollment ID: I20200204002350 |
| Provider Name | Jayne Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861037319 PECOS PAC ID: 8820424161 Enrollment ID: I20200205002644 |
| Provider Name | Dana R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891346987 PECOS PAC ID: 1052747292 Enrollment ID: I20200205003009 |
| Provider Name | Erin Shropshire |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154749182 PECOS PAC ID: 8527494608 Enrollment ID: I20200210000414 |
| Provider Name | Nathan Kolderman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508279290 PECOS PAC ID: 1355567918 Enrollment ID: I20200210001932 |
| Provider Name | Benjamin Mullenbach |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194135442 PECOS PAC ID: 6406168772 Enrollment ID: I20200211000342 |
| Provider Name | Linnan Tang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417385402 PECOS PAC ID: 6002242054 Enrollment ID: I20200211000657 |
| Provider Name | Brian Chei-fai Lau |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154610327 PECOS PAC ID: 2264725423 Enrollment ID: I20200212000434 |
| Provider Name | Trinitia Y Cannon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376763276 PECOS PAC ID: 6305979865 Enrollment ID: I20200212002055 |
| Provider Name | Gregory E Sawin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699844225 PECOS PAC ID: 5193753051 Enrollment ID: I20200219002336 |
| Provider Name | Aaron Kyle Cecil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982082079 PECOS PAC ID: 3072820638 Enrollment ID: I20200221000364 |
| Provider Name | Kim Marion Carollo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972072114 PECOS PAC ID: 5496095697 Enrollment ID: I20200221002630 |
| Provider Name | Kathryn L Gloyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033317581 PECOS PAC ID: 8820268584 Enrollment ID: I20200224002321 |
| Provider Name | Scott M Frieary |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962563502 PECOS PAC ID: 9133296973 Enrollment ID: I20200225002404 |
| Provider Name | Jennifer L Cohen |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1295115111 PECOS PAC ID: 0749617082 Enrollment ID: I20200225003031 |
| Provider Name | Anagha Medsinge |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578944831 PECOS PAC ID: 2062840838 Enrollment ID: I20200310002912 |
| Provider Name | John C O'neill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336781491 PECOS PAC ID: 6406284959 Enrollment ID: I20200316000690 |
| Provider Name | Hannah Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558907238 PECOS PAC ID: 0244668754 Enrollment ID: I20200317000434 |
| Provider Name | Opeyemi A Olabisi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104052612 PECOS PAC ID: 9931361631 Enrollment ID: I20200317002250 |
| Provider Name | Lora Ray |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891331609 PECOS PAC ID: 3971931080 Enrollment ID: I20200323002474 |
| Provider Name | Diandra N Ayala-peacock |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1558682336 PECOS PAC ID: 6608189261 Enrollment ID: I20200327000402 |
| Provider Name | Alex Cravanas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326337460 PECOS PAC ID: 9638482482 Enrollment ID: I20200330001542 |
| Provider Name | Amelia B Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134418726 PECOS PAC ID: 1153750989 Enrollment ID: I20200331000508 |
| Provider Name | Krystal Lynn Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265966592 PECOS PAC ID: 7416386271 Enrollment ID: I20200331001509 |
| Provider Name | Antonisha L Floyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538519418 PECOS PAC ID: 2668801341 Enrollment ID: I20200331003388 |
| Provider Name | Augustine Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114354503 PECOS PAC ID: 2264759661 Enrollment ID: I20200406000244 |
| Provider Name | Christopher Conrad Gianvecchio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801804844 PECOS PAC ID: 2264344779 Enrollment ID: I20200413003606 |
| Provider Name | Edwin P Alyea |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215974993 PECOS PAC ID: 8628016466 Enrollment ID: I20200416003055 |
| Provider Name | Jennifer E Ketterly |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174766943 PECOS PAC ID: 4082044904 Enrollment ID: I20200416003210 |
| Provider Name | Ganga S. Moorthy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952755779 PECOS PAC ID: 2961795554 Enrollment ID: I20200417001166 |
| Provider Name | Anna Rapoport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255978334 PECOS PAC ID: 2466882238 Enrollment ID: I20200417002478 |
| Provider Name | Susmitha Joshi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932683091 PECOS PAC ID: 4688004492 Enrollment ID: I20200420000290 |
| Provider Name | Karan Rajesh Vyas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023404746 PECOS PAC ID: 4486981412 Enrollment ID: I20200420000840 |
| Provider Name | Christina V Killette |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063056877 PECOS PAC ID: 1052741519 Enrollment ID: I20200423002383 |
| Provider Name | Kathleen R Vanhavere |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790759587 PECOS PAC ID: 2466347471 Enrollment ID: I20200428000048 |
| Provider Name | Jamie Marie Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427696434 PECOS PAC ID: 4082045224 Enrollment ID: I20200504001087 |
| Provider Name | Renee L Buchser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053975284 PECOS PAC ID: 1557792553 Enrollment ID: I20200506003226 |
| Provider Name | Coral Elyse Stevens Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982247292 PECOS PAC ID: 1153752191 Enrollment ID: I20200507002140 |
| Provider Name | David Michael Schlientz |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1124406004 PECOS PAC ID: 0042521692 Enrollment ID: I20200511003295 |
| Provider Name | Theresa Lo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598055337 PECOS PAC ID: 0648562892 Enrollment ID: I20200513002684 |
| Provider Name | Xiaoyan Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073909255 PECOS PAC ID: 7810216959 Enrollment ID: I20200514001632 |
| Provider Name | Allison Umfress |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902250863 PECOS PAC ID: 2961795455 Enrollment ID: I20200516000367 |
| Provider Name | Joanna Maria Robles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609294743 PECOS PAC ID: 3971934324 Enrollment ID: I20200519001263 |
| Provider Name | Jaclynn Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518501394 PECOS PAC ID: 7810318094 Enrollment ID: I20200526000401 |
| Provider Name | Christina Marie Fitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366805046 PECOS PAC ID: 0446671648 Enrollment ID: I20200526000972 |
| Provider Name | Andrew Mitchell Williams |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669826681 PECOS PAC ID: 1456772698 Enrollment ID: I20200526003027 |
| Provider Name | Sara B Weems |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710524830 PECOS PAC ID: 0345661492 Enrollment ID: I20200528002148 |
| Provider Name | Tarek Bassam Radwan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073975520 PECOS PAC ID: 3971924960 Enrollment ID: I20200529000833 |
| Provider Name | Sarah C Xu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356705644 PECOS PAC ID: 6204114739 Enrollment ID: I20200601002905 |
| Provider Name | Benjamin Scott Dunne |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831455310 PECOS PAC ID: 2860764305 Enrollment ID: I20200603002569 |
| Provider Name | Harpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235774118 PECOS PAC ID: 8325469794 Enrollment ID: I20200611000302 |
| Provider Name | Robert Lee Morris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932456381 PECOS PAC ID: 2769769298 Enrollment ID: I20200611001106 |
| Provider Name | Oleg Alekseev |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922457464 PECOS PAC ID: 6901174622 Enrollment ID: I20200617000010 |
| Provider Name | Ankeet Mukesh Shah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154779304 PECOS PAC ID: 7214222371 Enrollment ID: I20200617002244 |
| Provider Name | Roberta Capp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548451669 PECOS PAC ID: 2264601939 Enrollment ID: I20200618002369 |
| Provider Name | Olga I Diomede |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114380151 PECOS PAC ID: 2264727452 Enrollment ID: I20200618002628 |
| Provider Name | Natalia Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023436177 PECOS PAC ID: 8628490760 Enrollment ID: I20200618003173 |
| Provider Name | Nicole L Helmke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790170256 PECOS PAC ID: 4789006735 Enrollment ID: I20200619000583 |
| Provider Name | Karl A Kristiansen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881088193 PECOS PAC ID: 7113290396 Enrollment ID: I20200619001614 |
| Provider Name | Austin Ryan Meeker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437507548 PECOS PAC ID: 7113291618 Enrollment ID: I20200622000827 |
| Provider Name | Karan Ravindra Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245534528 PECOS PAC ID: 6406168830 Enrollment ID: I20200622002172 |
| Provider Name | Wayneho Kam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659767911 PECOS PAC ID: 1254634512 Enrollment ID: I20200623000114 |
| Provider Name | Emily Sara Herfel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063873669 PECOS PAC ID: 2961778972 Enrollment ID: I20200623001069 |
| Provider Name | Connie Storholt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538791454 PECOS PAC ID: 7719309640 Enrollment ID: I20200623003015 |
| Provider Name | Clayton Ellis Wisely |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669834875 PECOS PAC ID: 7012204605 Enrollment ID: I20200624002620 |
| Provider Name | Georgia Darby Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730726498 PECOS PAC ID: 4385066190 Enrollment ID: I20200624002756 |
| Provider Name | Tracy Augustin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841763463 PECOS PAC ID: 6709208457 Enrollment ID: I20200625000967 |
| Provider Name | Colm B Kelleher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235524927 PECOS PAC ID: 1052611084 Enrollment ID: I20200626001560 |
| Provider Name | Christos Theophanous |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134582356 PECOS PAC ID: 8022389014 Enrollment ID: I20200629003580 |
| Provider Name | Meghan Thompson Twisdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275154999 PECOS PAC ID: 5698197176 Enrollment ID: I20200630001112 |
| Provider Name | Erin Webb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477191500 PECOS PAC ID: 4385072735 Enrollment ID: I20200630002889 |
| Provider Name | Luiz Maracaja |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083993224 PECOS PAC ID: 6800014036 Enrollment ID: I20200630003670 |
| Provider Name | Michael Henry Schild |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700230968 PECOS PAC ID: 8123310299 Enrollment ID: I20200702002663 |
| Provider Name | Walter Wiggins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184034431 PECOS PAC ID: 5092025304 Enrollment ID: I20200706001195 |
| Provider Name | Jonathan Velez Rivera |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033524707 PECOS PAC ID: 1052734217 Enrollment ID: I20200706002795 |
| Provider Name | Hannah Dzimitrowicz Mcmanus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821451485 PECOS PAC ID: 9830481738 Enrollment ID: I20200706002832 |
| Provider Name | Jill Turner Browning |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619330180 PECOS PAC ID: 8224320171 Enrollment ID: I20200707000687 |
| Provider Name | Catherine Maxcey Luedke |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851619662 PECOS PAC ID: 2668895715 Enrollment ID: I20200708000058 |
| Provider Name | James Chang Liu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093101974 PECOS PAC ID: 5193037349 Enrollment ID: I20200708003094 |
| Provider Name | Vishal A Mandge |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427251826 PECOS PAC ID: 6800912163 Enrollment ID: I20200710001646 |
| Provider Name | Amber Hoang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184087322 PECOS PAC ID: 6305137100 Enrollment ID: I20200713001880 |
| Provider Name | Effy A Ojuok |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013361229 PECOS PAC ID: 9638592421 Enrollment ID: I20200713002170 |
| Provider Name | Lauren Kay Broderick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588046213 PECOS PAC ID: 5698081867 Enrollment ID: I20200717000844 |
| Provider Name | Michael Yarrington |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013334952 PECOS PAC ID: 5496053720 Enrollment ID: I20200717002516 |
| Provider Name | Deepshikha C Ashana |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174898357 PECOS PAC ID: 0648582478 Enrollment ID: I20200720002088 |
| Provider Name | Jordan L Mayberry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275928848 PECOS PAC ID: 4789008962 Enrollment ID: I20200721002335 |
| Provider Name | Cherylee Wj Chang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023170271 PECOS PAC ID: 3971532375 Enrollment ID: I20200722000159 |
| Provider Name | Alex Michaels |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942644240 PECOS PAC ID: 5597994301 Enrollment ID: I20200723001308 |
| Provider Name | Tommy Guanying Fu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508215195 PECOS PAC ID: 9032497193 Enrollment ID: I20200723001978 |
| Provider Name | Angela Joy Verkade |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750761045 PECOS PAC ID: 2860720521 Enrollment ID: I20200727000177 |
| Provider Name | Heatherlyn Faith Neu Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023661808 PECOS PAC ID: 3779814694 Enrollment ID: I20200727003088 |
| Provider Name | Samuel Pullen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689874968 PECOS PAC ID: 4183784986 Enrollment ID: I20200728002230 |
| Provider Name | Alison Shew |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689028250 PECOS PAC ID: 5193019511 Enrollment ID: I20200729003976 |
| Provider Name | Chelse Ann Stokhuyzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275053738 PECOS PAC ID: 1456626373 Enrollment ID: I20200729004097 |
| Provider Name | Jonathan Robert Young |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821442716 PECOS PAC ID: 3375968779 Enrollment ID: I20200801000079 |
| Provider Name | Philip Chapman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437175429 PECOS PAC ID: 3577553361 Enrollment ID: I20200806000399 |
| Provider Name | Anastasia-stefania Alexopoulos |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134560543 PECOS PAC ID: 2062715915 Enrollment ID: I20200807001594 |
| Provider Name | Samia Aleem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043623713 PECOS PAC ID: 1254756240 Enrollment ID: I20200807002091 |
| Provider Name | Matthew Kyle Labriola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841653425 PECOS PAC ID: 2365735727 Enrollment ID: I20200810003385 |
| Provider Name | Philip Chu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235543356 PECOS PAC ID: 4486872348 Enrollment ID: I20200813000114 |
| Provider Name | Anuj Shah |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1528454576 PECOS PAC ID: 7416248331 Enrollment ID: I20200813000885 |
| Provider Name | Michael Dorry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487073755 PECOS PAC ID: 6800212457 Enrollment ID: I20200813002368 |
| Provider Name | Benjamin Brown Albright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861856981 PECOS PAC ID: 6002180254 Enrollment ID: I20200814001155 |
| Provider Name | Anna A Benson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265050983 PECOS PAC ID: 3173949575 Enrollment ID: I20200817000965 |
| Provider Name | Ayesha N. Nicole Lovick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669886511 PECOS PAC ID: 6507084803 Enrollment ID: I20200818001652 |
| Provider Name | Peter Kang Yi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023224938 PECOS PAC ID: 4082787304 Enrollment ID: I20200818002132 |
| Provider Name | Osamudiamen O Obanor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033564000 PECOS PAC ID: 1557787785 Enrollment ID: I20200818002311 |
| Provider Name | Neelima Navuluri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881012789 PECOS PAC ID: 5294151437 Enrollment ID: I20200818002634 |
| Provider Name | Megan O'brien Jamison |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417390873 PECOS PAC ID: 6800154097 Enrollment ID: I20200819000762 |
| Provider Name | Selby Bernard Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871956888 PECOS PAC ID: 0840599023 Enrollment ID: I20200819001505 |
| Provider Name | Haley Hostetler |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1982022265 PECOS PAC ID: 5193141232 Enrollment ID: I20200819002205 |
| Provider Name | Richalle Victoria Smith Sullivan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427402080 PECOS PAC ID: 1951673284 Enrollment ID: I20200820001167 |
| Provider Name | Janny Mabel Sweetow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013368604 PECOS PAC ID: 6901178516 Enrollment ID: I20200820003438 |
| Provider Name | Brian C Mac Grory |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073875951 PECOS PAC ID: 4183935745 Enrollment ID: I20200824000607 |
| Provider Name | Sherri Lyn Smith |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518991181 PECOS PAC ID: 1658798327 Enrollment ID: I20200826000894 |
| Provider Name | Maria Echavarria |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366976565 PECOS PAC ID: 8527331289 Enrollment ID: I20200826003983 |
| Provider Name | Isaac David Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154778769 PECOS PAC ID: 1456647148 Enrollment ID: I20200831001969 |
| Provider Name | Brian Timothy Antono |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669834206 PECOS PAC ID: 8527352517 Enrollment ID: I20200901001904 |
| Provider Name | Christopher James Hoimes |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1780634188 PECOS PAC ID: 8426080458 Enrollment ID: I20200901003346 |
| Provider Name | Andrew M Baker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992167902 PECOS PAC ID: 9638466642 Enrollment ID: I20200902002782 |
| Provider Name | Jessica Lynn West |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104448034 PECOS PAC ID: 1456776699 Enrollment ID: I20200903000304 |
| Provider Name | Sarah Jo Stephens |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1548656036 PECOS PAC ID: 6204253354 Enrollment ID: I20200903001048 |
| Provider Name | Aaron Samual Feiger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942663588 PECOS PAC ID: 5496172587 Enrollment ID: I20200903002445 |
| Provider Name | Sarah K Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871989889 PECOS PAC ID: 6901223965 Enrollment ID: I20200905000020 |
| Provider Name | Katherine Lee Conrad |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780204123 PECOS PAC ID: 9537586599 Enrollment ID: I20200905000031 |
| Provider Name | Emmalie Elizabeth Stay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407233471 PECOS PAC ID: 4587977954 Enrollment ID: I20200909000585 |
| Provider Name | Amanda Kristine Suggs |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1609135599 PECOS PAC ID: 5092067074 Enrollment ID: I20200910000185 |
| Provider Name | Feras Yacoub Ackall |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881089845 PECOS PAC ID: 6709204514 Enrollment ID: I20200910002317 |
| Provider Name | Melissa Nicole Burnside |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821447871 PECOS PAC ID: 4587904222 Enrollment ID: I20200910002334 |
| Provider Name | Christopher Evan Winstead-derlega |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053765305 PECOS PAC ID: 1658799218 Enrollment ID: I20200914001522 |
| Provider Name | Rachel Ann O'brian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780004812 PECOS PAC ID: 6002241684 Enrollment ID: I20200914002681 |
| Provider Name | Brian James Andonian |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467872929 PECOS PAC ID: 9537587852 Enrollment ID: I20200917001413 |
| Provider Name | Vijay Gulabray Paryani |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1063856284 PECOS PAC ID: 9739494618 Enrollment ID: I20200917003138 |
| Provider Name | Chantal Jasmine Gil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487903167 PECOS PAC ID: 2961820188 Enrollment ID: I20200918002240 |
| Provider Name | Kenneth Wade Herring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679005003 PECOS PAC ID: 2961771316 Enrollment ID: I20200922000520 |
| Provider Name | Lauren Mozingo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093101446 PECOS PAC ID: 9234432527 Enrollment ID: I20200924000279 |
| Provider Name | Andrea Diaz Stransky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760893143 PECOS PAC ID: 9133401763 Enrollment ID: I20200924003011 |
| Provider Name | Heather W Waldrop |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275876393 PECOS PAC ID: 0749501039 Enrollment ID: I20200925001750 |
| Provider Name | John Lynch Lyles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497174627 PECOS PAC ID: 2668891565 Enrollment ID: I20200925002017 |
| Provider Name | Patty J Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437134236 PECOS PAC ID: 5294866471 Enrollment ID: I20200928001894 |
| Provider Name | Jessica Hadley Selter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245654680 PECOS PAC ID: 4981941432 Enrollment ID: I20200929001493 |
| Provider Name | Dustin J Donnelly |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063853901 PECOS PAC ID: 0244457984 Enrollment ID: I20200929002304 |
| Provider Name | Douglas H Luchristt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629468244 PECOS PAC ID: 0143512707 Enrollment ID: I20200930002012 |
| Provider Name | Fan Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316394620 PECOS PAC ID: 7416248356 Enrollment ID: I20201001000747 |
| Provider Name | Jordan Nicole Myers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780030148 PECOS PAC ID: 5799076816 Enrollment ID: I20201001002038 |
| Provider Name | Christine Elissa Eyler |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770859829 PECOS PAC ID: 9739496381 Enrollment ID: I20201005001511 |
| Provider Name | Nicole Andrea Sagalla |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154641769 PECOS PAC ID: 2365676772 Enrollment ID: I20201005002828 |
| Provider Name | Yoon Hie Kim |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1962857011 PECOS PAC ID: 2860783453 Enrollment ID: I20201006000648 |
| Provider Name | Sweta Mahesh Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275809451 PECOS PAC ID: 1951610930 Enrollment ID: I20201006000732 |
| Provider Name | Beth Huizenga Shaz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710924824 PECOS PAC ID: 1052315207 Enrollment ID: I20201006001911 |
| Provider Name | Michael Owens Boyd |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548615412 PECOS PAC ID: 2365733482 Enrollment ID: I20201006002607 |
| Provider Name | Kristin Jernigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417592189 PECOS PAC ID: 2668891862 Enrollment ID: I20201007000494 |
| Provider Name | Mary Leann Smith |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114118700 PECOS PAC ID: 1557530631 Enrollment ID: I20201007003266 |
| Provider Name | Clifford L Crutcher |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437491305 PECOS PAC ID: 7618267782 Enrollment ID: I20201013000093 |
| Provider Name | Jordan Michael Komisarow |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619210770 PECOS PAC ID: 4486074390 Enrollment ID: I20201014003517 |
| Provider Name | Isis Marlene Topete |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124648183 PECOS PAC ID: 3173943859 Enrollment ID: I20201019001843 |
| Provider Name | Melissa Bauer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922128222 PECOS PAC ID: 6002932845 Enrollment ID: I20201020003786 |
| Provider Name | Sundar Krishnan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578757167 PECOS PAC ID: 0749330132 Enrollment ID: I20201022001828 |
| Provider Name | Isabel De-quesada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316558299 PECOS PAC ID: 9830519107 Enrollment ID: I20201027000296 |
| Provider Name | Katherine Ann Young |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760800015 PECOS PAC ID: 8820392582 Enrollment ID: I20201027003549 |
| Provider Name | Neeta Sethi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114362746 PECOS PAC ID: 5799195046 Enrollment ID: I20201028000753 |
| Provider Name | Samuel Thomas Bauer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487779807 PECOS PAC ID: 6406040179 Enrollment ID: I20201028000783 |
| Provider Name | Amanda Michele Craig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215381645 PECOS PAC ID: 5597175703 Enrollment ID: I20201029000533 |
| Provider Name | Sheylan Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528487022 PECOS PAC ID: 2163649229 Enrollment ID: I20201030000921 |
| Provider Name | Zachary Ginsberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992024004 PECOS PAC ID: 0840517868 Enrollment ID: I20201102001911 |
| Provider Name | Jennifer Renee Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952917742 PECOS PAC ID: 4587074448 Enrollment ID: I20201104000229 |
| Provider Name | Sahar Ghassemi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962692202 PECOS PAC ID: 9537255187 Enrollment ID: I20201105000423 |
| Provider Name | Prachi T Parikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851703888 PECOS PAC ID: 5698185403 Enrollment ID: I20201106000492 |
| Provider Name | Dorlan J Kimbrough |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568661684 PECOS PAC ID: 2961651773 Enrollment ID: I20201106000808 |
| Provider Name | Karen Sorio Mcgowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063691657 PECOS PAC ID: 4284044850 Enrollment ID: I20201110002622 |
| Provider Name | Stephanie Christine Macpherson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043638273 PECOS PAC ID: 8527478056 Enrollment ID: I20201111002221 |
| Provider Name | Rachael Anna Mintz-cole |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245658582 PECOS PAC ID: 6406183276 Enrollment ID: I20201113001182 |
| Provider Name | Michael Joseph Devinney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922495183 PECOS PAC ID: 9931519329 Enrollment ID: I20201116000038 |
| Provider Name | Shelby Taylor Matthews |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235757659 PECOS PAC ID: 1557772621 Enrollment ID: I20201120000764 |
| Provider Name | David Joseph Shaz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568447977 PECOS PAC ID: 2860484300 Enrollment ID: I20201202001237 |
| Provider Name | Mithunan Maheswaranathan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255744876 PECOS PAC ID: 6709104862 Enrollment ID: I20201203001984 |
| Provider Name | Annika Marie Wilson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891306171 PECOS PAC ID: 9739590282 Enrollment ID: I20201204001395 |
| Provider Name | Hannah Chicowlas Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013522424 PECOS PAC ID: 9133531411 Enrollment ID: I20201210000315 |
| Provider Name | Deborah Anne Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861014524 PECOS PAC ID: 4385056431 Enrollment ID: I20201214001366 |
| Provider Name | Katharine N Ciarrocca |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1487846168 PECOS PAC ID: 4284938937 Enrollment ID: I20201216001348 |
| Provider Name | Goni Katz Greenberg |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568971810 PECOS PAC ID: 8628339272 Enrollment ID: I20201216001708 |
| Provider Name | Dorothy Alice Blake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326531393 PECOS PAC ID: 1355691239 Enrollment ID: I20201216002111 |
| Provider Name | Hayley Smith Marcoplos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437766029 PECOS PAC ID: 3476965401 Enrollment ID: I20201216002594 |
| Provider Name | Whitney Rains Taheri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245830215 PECOS PAC ID: 5890107742 Enrollment ID: I20201217000284 |
| Provider Name | Sarah E Stephens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003253543 PECOS PAC ID: 2860618329 Enrollment ID: I20201218000020 |
| Provider Name | Lauren Elizabeth Barkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508480823 PECOS PAC ID: 2860804549 Enrollment ID: I20201222002144 |
| Provider Name | Jonathan Pierce Huggins |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750709234 PECOS PAC ID: 7214261247 Enrollment ID: I20201229002496 |
| Provider Name | Katherine Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124640537 PECOS PAC ID: 1951714476 Enrollment ID: I20201230001133 |
| Provider Name | Derek Brady Covington |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649562091 PECOS PAC ID: 4284941519 Enrollment ID: I20210108000641 |
| Provider Name | Clarissa Nicole Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639777212 PECOS PAC ID: 0042623019 Enrollment ID: I20210112001740 |
| Provider Name | Trevor Scott Packer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093310799 PECOS PAC ID: 1254744238 Enrollment ID: I20210112002241 |
| Provider Name | Anna Michelle Mackie |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215542378 PECOS PAC ID: 5698188316 Enrollment ID: I20210119001024 |
| Provider Name | William Thomas Clarke |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477996650 PECOS PAC ID: 3779847272 Enrollment ID: I20210120002152 |
| Provider Name | Fawaz Abdulaziz M Alenezi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487268512 PECOS PAC ID: 0840604450 Enrollment ID: I20210122000016 |
| Provider Name | Mary Hooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497127856 PECOS PAC ID: 1456612225 Enrollment ID: I20210127002292 |
| Provider Name | Cain Edward Dimon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437196839 PECOS PAC ID: 8921074089 Enrollment ID: I20210202000616 |
| Provider Name | Brittany Napier Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528592045 PECOS PAC ID: 7618381633 Enrollment ID: I20210202001284 |
| Provider Name | Delicia Maria White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528667870 PECOS PAC ID: 5193130680 Enrollment ID: I20210216000027 |
| Provider Name | Justin J Uzl |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144584962 PECOS PAC ID: 3274857008 Enrollment ID: I20210216001753 |
| Provider Name | Shannon Marie Vannasane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801403795 PECOS PAC ID: 7113332313 Enrollment ID: I20210222001430 |
| Provider Name | Dennis Ignatius Narcisse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881126613 PECOS PAC ID: 0244646917 Enrollment ID: I20210303002008 |
| Provider Name | Brian Nevitt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750745758 PECOS PAC ID: 0941616510 Enrollment ID: I20210305000006 |
| Provider Name | Matthew Jacob Boyer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043586142 PECOS PAC ID: 7719259696 Enrollment ID: I20210305000660 |
| Provider Name | Lisa A Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093320525 PECOS PAC ID: 3072929611 Enrollment ID: I20210308000461 |
| Provider Name | Anna Michelle Bueton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962017111 PECOS PAC ID: 0244646719 Enrollment ID: I20210308001656 |
| Provider Name | Kandyce S Brennan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063024503 PECOS PAC ID: 8426464918 Enrollment ID: I20210308002439 |
| Provider Name | Jaclyn Frances Marcacci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770944753 PECOS PAC ID: 5193131191 Enrollment ID: I20210316002168 |
| Provider Name | Suephy C Chen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922113141 PECOS PAC ID: 6800972225 Enrollment ID: I20210318000413 |
| Provider Name | Danielle Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679123624 PECOS PAC ID: 4688081581 Enrollment ID: I20210319001757 |
| Provider Name | Linaleea Cunanan Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669087243 PECOS PAC ID: 7911314778 Enrollment ID: I20210324001115 |
| Provider Name | Crystal Goins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750971628 PECOS PAC ID: 4587071204 Enrollment ID: I20210325000540 |
| Provider Name | Madhu Chaudhry |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447201678 PECOS PAC ID: 5890836803 Enrollment ID: I20210330001899 |
| Provider Name | Cherith Godwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265049316 PECOS PAC ID: 5092122457 Enrollment ID: I20210331001059 |
| Provider Name | Taryn E Scibienski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669827382 PECOS PAC ID: 7517375322 Enrollment ID: I20210415002474 |
| Provider Name | Ryan R Plesher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447867700 PECOS PAC ID: 2769890433 Enrollment ID: I20210419000204 |
| Provider Name | Lindsey Mckissick White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669908281 PECOS PAC ID: 4183997505 Enrollment ID: I20210419002203 |
| Provider Name | Edward P Chen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801985882 PECOS PAC ID: 4981590494 Enrollment ID: I20210421000311 |
| Provider Name | Sarah Misrahi Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831781657 PECOS PAC ID: 4688082837 Enrollment ID: I20210428000842 |
| Provider Name | Autumn Hughes Kesler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851985915 PECOS PAC ID: 0446669659 Enrollment ID: I20210429000128 |
| Provider Name | Hanna Marie Buckle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740885961 PECOS PAC ID: 7810306818 Enrollment ID: I20210504000350 |
| Provider Name | Catherine Swandby Shuford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952908196 PECOS PAC ID: 5698184638 Enrollment ID: I20210504002043 |
| Provider Name | Laura Caroline Plesher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154916930 PECOS PAC ID: 5597174326 Enrollment ID: I20210507001581 |
| Provider Name | Subhratha Maredia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841633328 PECOS PAC ID: 4981975232 Enrollment ID: I20210510000214 |
| Provider Name | Lauren Michelle Conroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023610904 PECOS PAC ID: 1153720446 Enrollment ID: I20210518001657 |
| Provider Name | Mansi D Amin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427349554 PECOS PAC ID: 0042506073 Enrollment ID: I20210521000913 |
| Provider Name | Glenda Lynn Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740870187 PECOS PAC ID: 7517366503 Enrollment ID: I20210525000023 |
| Provider Name | Lisa Ann Norfleet |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972634509 PECOS PAC ID: 3779616669 Enrollment ID: I20210527000204 |
| Provider Name | John Edward Mcmanigle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518320720 PECOS PAC ID: 3173816774 Enrollment ID: I20210528001241 |
| Provider Name | Cassandra Kay Kisby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184064040 PECOS PAC ID: 6406098565 Enrollment ID: I20210603000297 |
| Provider Name | Eric Carlsen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144708017 PECOS PAC ID: 6204235765 Enrollment ID: I20210603000934 |
| Provider Name | Brendan Christopher Cline |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871971960 PECOS PAC ID: 5799096459 Enrollment ID: I20210603001345 |
| Provider Name | Mitchell Keegan Arbogast |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164955159 PECOS PAC ID: 7719386283 Enrollment ID: I20210603001578 |
| Provider Name | Wei Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013395193 PECOS PAC ID: 7911201496 Enrollment ID: I20210603002315 |
| Provider Name | Wesley Daniel Mallinger |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225411556 PECOS PAC ID: 0840507026 Enrollment ID: I20210603002881 |
| Provider Name | Hiba Batool Zaidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750813549 PECOS PAC ID: 0446659833 Enrollment ID: I20210607000205 |
| Provider Name | Mrugesh Kiran Thakkar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285029363 PECOS PAC ID: 8022389881 Enrollment ID: I20210610003163 |
| Provider Name | Jon Stephen Andrews |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770978546 PECOS PAC ID: 1254731375 Enrollment ID: I20210611000262 |
| Provider Name | Cameron Locklear |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891109872 PECOS PAC ID: 9335412618 Enrollment ID: I20210614000328 |
| Provider Name | Emily Elizabeth Greenwald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003158288 PECOS PAC ID: 9335433796 Enrollment ID: I20210615000456 |
| Provider Name | John August Hoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336645589 PECOS PAC ID: 5991105884 Enrollment ID: I20210615001046 |
| Provider Name | Sarah Patricia Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841652054 PECOS PAC ID: 3779983689 Enrollment ID: I20210615001564 |
| Provider Name | Melissa A Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902408412 PECOS PAC ID: 8426458282 Enrollment ID: I20210615003744 |
| Provider Name | Kourtney Henderson Houser |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700148053 PECOS PAC ID: 0547409286 Enrollment ID: I20210617003249 |
| Provider Name | Katherine O'brien Cashen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255538088 PECOS PAC ID: 9537393152 Enrollment ID: I20210621000556 |
| Provider Name | Kirti Magudia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992124226 PECOS PAC ID: 9234448325 Enrollment ID: I20210621001869 |
| Provider Name | Travis Scott Henry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922024983 PECOS PAC ID: 7810026861 Enrollment ID: I20210621002962 |
| Provider Name | Alyssa Soskis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205274859 PECOS PAC ID: 4688801939 Enrollment ID: I20210628000421 |
| Provider Name | Rachel Elizabeth Factor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831301241 PECOS PAC ID: 5799852018 Enrollment ID: I20210630001559 |
| Provider Name | Andrew Kipling Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518454073 PECOS PAC ID: 2264781756 Enrollment ID: I20210706003037 |
| Provider Name | Amanda Joe Eltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154915510 PECOS PAC ID: 6204238579 Enrollment ID: I20210708002390 |
| Provider Name | Trey Carlton Mullikin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598110298 PECOS PAC ID: 3476848862 Enrollment ID: I20210709001000 |
| Provider Name | Corina Adela Busuioc |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316029606 PECOS PAC ID: 6406881770 Enrollment ID: I20210714001689 |
| Provider Name | Catherine Anne Cheely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669057865 PECOS PAC ID: 5991108698 Enrollment ID: I20210719001739 |
| Provider Name | Roger Marcelo Vilardaga Viera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396092649 PECOS PAC ID: 1355744624 Enrollment ID: I20210723001418 |
| Provider Name | Jonathan Adam Greenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659804060 PECOS PAC ID: 7810390044 Enrollment ID: I20210727000396 |
| Provider Name | Wen Shuai |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710371786 PECOS PAC ID: 6800299959 Enrollment ID: I20210727001321 |
| Provider Name | Daniel Philip Nussbaum |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1942590047 PECOS PAC ID: 8426451592 Enrollment ID: I20210727002252 |
| Provider Name | Tara Nikonow Morgan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457779100 PECOS PAC ID: 2365866936 Enrollment ID: I20210727002721 |
| Provider Name | Jessica Poe Shumate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275148025 PECOS PAC ID: 7315340338 Enrollment ID: I20210728000421 |
| Provider Name | Kendrick V Kennedy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184120941 PECOS PAC ID: 3274936117 Enrollment ID: I20210729001125 |
| Provider Name | Jessica Wen-chia Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932562758 PECOS PAC ID: 9335542208 Enrollment ID: I20210729002545 |
| Provider Name | Joseph Yi-qiao Cao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144601352 PECOS PAC ID: 9234551284 Enrollment ID: I20210729003599 |
| Provider Name | Sathyan Gurumurthy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679890529 PECOS PAC ID: 8224279179 Enrollment ID: I20210730000013 |
| Provider Name | Jordan Elliott Pomeroy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750709382 PECOS PAC ID: 2769885540 Enrollment ID: I20210730002914 |
| Provider Name | Charity Ibilola Oyedeji |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902149149 PECOS PAC ID: 5890080402 Enrollment ID: I20210802002581 |
| Provider Name | Sarah Katherine Blanchard |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487073268 PECOS PAC ID: 6901200609 Enrollment ID: I20210803000724 |
| Provider Name | Jason Frerich |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346669827 PECOS PAC ID: 8820492416 Enrollment ID: I20210804000554 |
| Provider Name | Jennifer Marie White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356813653 PECOS PAC ID: 5698009660 Enrollment ID: I20210804003846 |
| Provider Name | Tarig Sharif Muzamil Ali-dinar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790987477 PECOS PAC ID: 1658407861 Enrollment ID: I20210806000214 |
| Provider Name | Erin Rachael Hanlin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881032027 PECOS PAC ID: 9638500572 Enrollment ID: I20210806001449 |
| Provider Name | Sean Patrick Ryan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235524968 PECOS PAC ID: 6406278183 Enrollment ID: I20210809003102 |
| Provider Name | Matthew Robert Sinclair |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528486198 PECOS PAC ID: 1153695192 Enrollment ID: I20210811003765 |
| Provider Name | Malcolm Debaun |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134509003 PECOS PAC ID: 6305277088 Enrollment ID: I20210812001685 |
| Provider Name | Kathryn Pax Lattimore Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215315569 PECOS PAC ID: 9133430721 Enrollment ID: I20210813000594 |
| Provider Name | Jay Paul Willhite |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275945297 PECOS PAC ID: 2567764053 Enrollment ID: I20210813001233 |
| Provider Name | Nita Valikodath |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972036069 PECOS PAC ID: 3173892882 Enrollment ID: I20210813002238 |
| Provider Name | Shelby Lynn Allen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013397405 PECOS PAC ID: 7810297926 Enrollment ID: I20210813002461 |
| Provider Name | John Larkin Musgrove |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215355524 PECOS PAC ID: 7214332147 Enrollment ID: I20210816002844 |
| Provider Name | Andrew K Chan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1962820589 PECOS PAC ID: 3476847633 Enrollment ID: I20210817000197 |
| Provider Name | Julie Marie Steinbrink |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437595386 PECOS PAC ID: 3173823952 Enrollment ID: I20210817002776 |
| Provider Name | Nancy Yimei Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780116350 PECOS PAC ID: 4789089541 Enrollment ID: I20210818000214 |
| Provider Name | Nitya Kalyani Kumar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669836094 PECOS PAC ID: 5395140081 Enrollment ID: I20210818002041 |
| Provider Name | Kisha Altovese Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730798612 PECOS PAC ID: 1254736952 Enrollment ID: I20210818002256 |
| Provider Name | Gabriel Rene Scott |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013445410 PECOS PAC ID: 9335544089 Enrollment ID: I20210819000052 |
| Provider Name | Francois Soto Palou |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598162182 PECOS PAC ID: 9638574205 Enrollment ID: I20210819001168 |
| Provider Name | Mary Katherine Kowal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710477757 PECOS PAC ID: 5597006726 Enrollment ID: I20210819001877 |
| Provider Name | Melissa Mercedes Campbell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841600616 PECOS PAC ID: 3577989839 Enrollment ID: I20210820000390 |
| Provider Name | Lee Kasim Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962859843 PECOS PAC ID: 7810289436 Enrollment ID: I20210823001541 |
| Provider Name | Omar S Alibrahim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053324913 PECOS PAC ID: 5193820561 Enrollment ID: I20210826000576 |
| Provider Name | Kendall Elizabeth Bradley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710373683 PECOS PAC ID: 3577968759 Enrollment ID: I20210826000743 |
| Provider Name | Sendhilnathan Ramalingam |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164818126 PECOS PAC ID: 2961807037 Enrollment ID: I20210827001262 |
| Provider Name | Geoffroy Courcelle Sisk |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508008657 PECOS PAC ID: 4183862931 Enrollment ID: I20210831000137 |
| Provider Name | Maggie Lee Dinome |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477589851 PECOS PAC ID: 4880664119 Enrollment ID: I20210831002903 |
| Provider Name | Alisan Fathalizadeh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649619990 PECOS PAC ID: 8921353574 Enrollment ID: I20210831003054 |
| Provider Name | Rex Monroe Mccallum |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326122219 PECOS PAC ID: 5991986598 Enrollment ID: I20210901004004 |
| Provider Name | Shital H Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386031177 PECOS PAC ID: 3476959255 Enrollment ID: I20210901004203 |
| Provider Name | Noam Eliashiv Bartuv |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245824812 PECOS PAC ID: 7113323924 Enrollment ID: I20210902000784 |
| Provider Name | Robert Hayes Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134742117 PECOS PAC ID: 6002212727 Enrollment ID: I20210903002546 |
| Provider Name | Leah Esther Waldman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629464458 PECOS PAC ID: 5294071627 Enrollment ID: I20210907001251 |
| Provider Name | Alejandro Gomez-viso |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245763820 PECOS PAC ID: 7113264912 Enrollment ID: I20210907002416 |
| Provider Name | Shatha Wajih Yousef |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902099658 PECOS PAC ID: 9931358454 Enrollment ID: I20210908000103 |
| Provider Name | Tristen Taeho Chun |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1780944777 PECOS PAC ID: 7113147935 Enrollment ID: I20210908002076 |
| Provider Name | Hannah Euphrates Woriax |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245650159 PECOS PAC ID: 1951521780 Enrollment ID: I20210908002134 |
| Provider Name | Marjorie S Soltis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396109427 PECOS PAC ID: 6901199504 Enrollment ID: I20210908002164 |
| Provider Name | Larissa Lester Truschel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699161786 PECOS PAC ID: 0446675888 Enrollment ID: I20210909000181 |
| Provider Name | Cina Sasannejad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316331622 PECOS PAC ID: 2668774761 Enrollment ID: I20210909000724 |
| Provider Name | Jeremy Lynn Grove |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790452241 PECOS PAC ID: 9234535550 Enrollment ID: I20210910001623 |
| Provider Name | Nathan Troy Tagg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477541480 PECOS PAC ID: 4486745411 Enrollment ID: I20210913002100 |
| Provider Name | Mary Mcgowan Buckley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043607542 PECOS PAC ID: 8426454620 Enrollment ID: I20210914002244 |
| Provider Name | Gedion Titus Kipkoech Ngeno |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477992857 PECOS PAC ID: 5496151557 Enrollment ID: I20210915001121 |
| Provider Name | Christopher Lloyd Mosher |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669884318 PECOS PAC ID: 3476778655 Enrollment ID: I20210916001195 |
| Provider Name | Kelsey Elizabeth Starnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942821285 PECOS PAC ID: 5193147197 Enrollment ID: I20210917002599 |
| Provider Name | Alexander Joseph Snyder |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942732391 PECOS PAC ID: 7113296880 Enrollment ID: I20210920001716 |
| Provider Name | Freylen Erna Lustria Nonato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457907115 PECOS PAC ID: 7012248552 Enrollment ID: I20210920002189 |
| Provider Name | Christopher John Shoff |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053739946 PECOS PAC ID: 4486872587 Enrollment ID: I20210923002082 |
| Provider Name | Yasmine Inaya |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629648365 PECOS PAC ID: 5193122646 Enrollment ID: I20210924003033 |
| Provider Name | Mia Lynn Mallory |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326075474 PECOS PAC ID: 5496774671 Enrollment ID: I20210928000293 |
| Provider Name | Andrea Lorenne Bauchat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184043176 PECOS PAC ID: 3577986009 Enrollment ID: I20210928001988 |
| Provider Name | Jeffrey Brian Russ |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821450602 PECOS PAC ID: 9638439920 Enrollment ID: I20210930003196 |
| Provider Name | Amber Michelle Graham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922495811 PECOS PAC ID: 9739587916 Enrollment ID: I20211004000955 |
| Provider Name | Lorrie Versola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720657976 PECOS PAC ID: 4587062641 Enrollment ID: I20211005000938 |
| Provider Name | Matthew James Doell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710578711 PECOS PAC ID: 8224436126 Enrollment ID: I20211007000397 |
| Provider Name | Julie Beth Penzner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144487398 PECOS PAC ID: 1658423207 Enrollment ID: I20211007002606 |
| Provider Name | Brandon Wayne Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225479520 PECOS PAC ID: 4385959402 Enrollment ID: I20211008001349 |
| Provider Name | Amol Ashwin Sura |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760839948 PECOS PAC ID: 6800212598 Enrollment ID: I20211008001602 |
| Provider Name | Louis Robert Jacobson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376625145 PECOS PAC ID: 5294133989 Enrollment ID: I20211011001803 |
| Provider Name | Florence Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184159006 PECOS PAC ID: 8729358098 Enrollment ID: I20211012000102 |
| Provider Name | Omar Hassan Al-qudsi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134546443 PECOS PAC ID: 7214238872 Enrollment ID: I20211012000671 |
| Provider Name | Paul Stechschulte |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457747057 PECOS PAC ID: 9436468956 Enrollment ID: I20211015002210 |
| Provider Name | Kimberly Patrice Hreha |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497426407 PECOS PAC ID: 9436557741 Enrollment ID: I20211015002720 |
| Provider Name | Whitney Messer Abel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134792211 PECOS PAC ID: 7517365885 Enrollment ID: I20211018002393 |
| Provider Name | Kerry Elizabeth Mulcahy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790453868 PECOS PAC ID: 7315335650 Enrollment ID: I20211019002753 |
| Provider Name | Astrid Marie Rose Botty Van Den Bruele |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1033539754 PECOS PAC ID: 3678871423 Enrollment ID: I20211020000468 |
| Provider Name | Amanda Annette Dorsey Kimberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891159216 PECOS PAC ID: 5496143695 Enrollment ID: I20211020001917 |
| Provider Name | Jonathan Reed Komisar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043673577 PECOS PAC ID: 3870886260 Enrollment ID: I20211021000512 |
| Provider Name | Jennifer Cate |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932636313 PECOS PAC ID: 1254600315 Enrollment ID: I20211026000743 |
| Provider Name | Megan Kathleen Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023688116 PECOS PAC ID: 2264820182 Enrollment ID: I20211026003383 |
| Provider Name | Katharine Rose Colton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982099651 PECOS PAC ID: 3678879574 Enrollment ID: I20211027002203 |
| Provider Name | Nauman S Chaudhry |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1710305495 PECOS PAC ID: 0648570598 Enrollment ID: I20211101000874 |
| Provider Name | Hazem M Ahmed |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528276557 PECOS PAC ID: 0941194567 Enrollment ID: I20211103001565 |
| Provider Name | Sarah Caril |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700991775 PECOS PAC ID: 9931144748 Enrollment ID: I20211103002610 |
| Provider Name | Anthony Catanzano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740677640 PECOS PAC ID: 4789001165 Enrollment ID: I20211105000484 |
| Provider Name | Matthew Scott Klepper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982373312 PECOS PAC ID: 7911396221 Enrollment ID: I20211108000898 |
| Provider Name | William Walker Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427563980 PECOS PAC ID: 9032478359 Enrollment ID: I20211108001823 |
| Provider Name | Anne Colleen Schmelzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376110262 PECOS PAC ID: 0244629319 Enrollment ID: I20211110002272 |
| Provider Name | Jodi Antonelli |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023283017 PECOS PAC ID: 3678729118 Enrollment ID: I20211112000744 |
| Provider Name | Katie Bright Colosimo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720754849 PECOS PAC ID: 9133518814 Enrollment ID: I20211118001219 |
| Provider Name | Vanessa Loiselle Mccullough |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1023375078 PECOS PAC ID: 9537558143 Enrollment ID: I20211118002898 |
| Provider Name | Kelsey Lynn Gilchrist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821669565 PECOS PAC ID: 8325437973 Enrollment ID: I20211119001501 |
| Provider Name | Shweta Punj |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427365501 PECOS PAC ID: 4587889175 Enrollment ID: I20211124000051 |
| Provider Name | Pamela Peters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043741531 PECOS PAC ID: 2466705694 Enrollment ID: I20211124000674 |
| Provider Name | Shilpi Agrawala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871025981 PECOS PAC ID: 5092117382 Enrollment ID: I20211202001775 |
| Provider Name | Cecilia Rice Kelly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497134464 PECOS PAC ID: 8921319112 Enrollment ID: I20211209002693 |
| Provider Name | Douglas Bruce Timmons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215468772 PECOS PAC ID: 0446669550 Enrollment ID: I20211209002731 |
| Provider Name | Allison Walker Cutler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770151219 PECOS PAC ID: 3870983570 Enrollment ID: I20211213001934 |
| Provider Name | Katelyn Suzanne Linker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831851005 PECOS PAC ID: 7911397575 Enrollment ID: I20211214001808 |
| Provider Name | Melia Johnson Kalsbeek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386210482 PECOS PAC ID: 1254721814 Enrollment ID: I20211214001954 |
| Provider Name | Leigh Anne Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336803857 PECOS PAC ID: 4385035625 Enrollment ID: I20211222000443 |
| Provider Name | Daniel Ryan Anderson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1710340955 PECOS PAC ID: 5698069458 Enrollment ID: I20211222001318 |
| Provider Name | Justin Thomas Low |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457770380 PECOS PAC ID: 7416250980 Enrollment ID: I20211229000047 |
| Provider Name | Carleen Mckenna |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861068389 PECOS PAC ID: 4284025172 Enrollment ID: I20220104001286 |
| Provider Name | Garrison Hunter Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306283122 PECOS PAC ID: 1951535624 Enrollment ID: I20220104001309 |
| Provider Name | Katherine E Marting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720657323 PECOS PAC ID: 9931590759 Enrollment ID: I20220104003055 |
| Provider Name | Henry Lazaro Delgado Avila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649840315 PECOS PAC ID: 2062803893 Enrollment ID: I20220105000227 |
| Provider Name | Schyler Nicole House |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568919199 PECOS PAC ID: 4082981378 Enrollment ID: I20220113002054 |
| Provider Name | Erin Brooke Gettler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346669777 PECOS PAC ID: 2567764632 Enrollment ID: I20220113002188 |
| Provider Name | An-kwok Ian Wong |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144615238 PECOS PAC ID: 1456743913 Enrollment ID: I20220113002601 |
| Provider Name | Teju Lakkundi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396285854 PECOS PAC ID: 4688959976 Enrollment ID: I20220114001066 |
| Provider Name | Julia Ann Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053815134 PECOS PAC ID: 6901150655 Enrollment ID: I20220114001557 |
| Provider Name | Allison Kate Bassil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548931074 PECOS PAC ID: 4789076027 Enrollment ID: I20220119001877 |
| Provider Name | Emad Hasan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891744389 PECOS PAC ID: 0648270751 Enrollment ID: I20220127002209 |
| Provider Name | Emily Joubert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396023990 PECOS PAC ID: 8325431133 Enrollment ID: I20220131000522 |
| Provider Name | Leah Christine Acker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184156887 PECOS PAC ID: 8123411949 Enrollment ID: I20220131001040 |
| Provider Name | Anna Downing Sholl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669134375 PECOS PAC ID: 4688067432 Enrollment ID: I20220131001858 |
| Provider Name | Tyson Lucian Sydney Pankey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194396804 PECOS PAC ID: 7618360348 Enrollment ID: I20220202000139 |
| Provider Name | Kathryn Lowe Sagester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760149421 PECOS PAC ID: 1254724842 Enrollment ID: I20220202002733 |
| Provider Name | Amy Leigh Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386620318 PECOS PAC ID: 6709830540 Enrollment ID: I20220208000056 |
| Provider Name | Yasmin Anjanette Mathlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902385784 PECOS PAC ID: 5698016707 Enrollment ID: I20220210000019 |
| Provider Name | Kimberly Sharay Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932798667 PECOS PAC ID: 3971996109 Enrollment ID: I20220210000231 |
| Provider Name | Lisa Jennings Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447836010 PECOS PAC ID: 6305239534 Enrollment ID: I20220210000356 |
| Provider Name | Cherish Toussaint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861158420 PECOS PAC ID: 8426441676 Enrollment ID: I20220210001099 |
| Provider Name | Alexis Nicole French |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831711423 PECOS PAC ID: 8527451715 Enrollment ID: I20220211000096 |
| Provider Name | Steven Jeffrey Eliades |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245405174 PECOS PAC ID: 7416106976 Enrollment ID: I20220216001848 |
| Provider Name | Patrick R Corrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548922503 PECOS PAC ID: 5395138200 Enrollment ID: I20220216002027 |
| Provider Name | Emma Lea Teman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891452868 PECOS PAC ID: 3678966504 Enrollment ID: I20220216002914 |
| Provider Name | Amy Elizabeth Heltemes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821541350 PECOS PAC ID: 2961798418 Enrollment ID: I20220218000271 |
| Provider Name | Sergio Pina Oviedo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578880142 PECOS PAC ID: 5294012605 Enrollment ID: I20220218001070 |
| Provider Name | Virginia Anne Goracke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639541071 PECOS PAC ID: 9234426297 Enrollment ID: I20220228000740 |
| Provider Name | Ashley Nicole Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679196869 PECOS PAC ID: 9638563901 Enrollment ID: I20220302001813 |
| Provider Name | Ronan Sugrue |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740705243 PECOS PAC ID: 8325440605 Enrollment ID: I20220304002214 |
| Provider Name | Erin Brett Denio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023562956 PECOS PAC ID: 1759775844 Enrollment ID: I20220307002069 |
| Provider Name | Sarah Kathleen Lyles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619643012 PECOS PAC ID: 8224423892 Enrollment ID: I20220317000538 |
| Provider Name | Lauren Anne Baughman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730740358 PECOS PAC ID: 0345577367 Enrollment ID: I20220323000321 |
| Provider Name | Katherine Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316521032 PECOS PAC ID: 1355736596 Enrollment ID: I20220324001964 |
| Provider Name | Karra Anne Jones |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598177446 PECOS PAC ID: 7618196551 Enrollment ID: I20220329002046 |
| Provider Name | Ashley Marie Czepiga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538587308 PECOS PAC ID: 2163736711 Enrollment ID: I20220401000316 |
| Provider Name | Natalie Claire Moreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962076802 PECOS PAC ID: 5193111979 Enrollment ID: I20220404000953 |
| Provider Name | Brian Michael Rue |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1831572403 PECOS PAC ID: 5395046445 Enrollment ID: I20220406002278 |
| Provider Name | Tywana Myava Donaldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285108209 PECOS PAC ID: 7618363284 Enrollment ID: I20220407000595 |
| Provider Name | Leigh Ann Spivey-rita |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629671839 PECOS PAC ID: 1355737883 Enrollment ID: I20220408000352 |
| Provider Name | Ramiro Sergio Maldonado |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215228036 PECOS PAC ID: 3173872454 Enrollment ID: I20220414001881 |
| Provider Name | Summer Langston Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285190157 PECOS PAC ID: 8729320643 Enrollment ID: I20220420000386 |
| Provider Name | Jonathan Dickens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578769022 PECOS PAC ID: 8820270788 Enrollment ID: I20220421000225 |
| Provider Name | Nicolena Collette Dewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932783966 PECOS PAC ID: 2163819129 Enrollment ID: I20220422000304 |
| Provider Name | Kasey Dale Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487309845 PECOS PAC ID: 2860889581 Enrollment ID: I20220428000267 |
| Provider Name | Hannah King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548837925 PECOS PAC ID: 6204223852 Enrollment ID: I20220428001876 |
| Provider Name | Ryan Meteer Antiel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679836803 PECOS PAC ID: 7719123710 Enrollment ID: I20220504002455 |
| Provider Name | Mallory Stavrinakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154881969 PECOS PAC ID: 3274910559 Enrollment ID: I20220509000772 |
| Provider Name | Miriam Treggiari |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689899668 PECOS PAC ID: 1153447388 Enrollment ID: I20220511001122 |
| Provider Name | Jeffrey David Kozlowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598740631 PECOS PAC ID: 2567561988 Enrollment ID: I20220512001362 |
| Provider Name | Derek Le Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588197560 PECOS PAC ID: 8426305418 Enrollment ID: I20220516001558 |
| Provider Name | Rebecca Wadlinger |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1124304282 PECOS PAC ID: 3779850482 Enrollment ID: I20220520001335 |
| Provider Name | Danielle Elizabeth Kruse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548701741 PECOS PAC ID: 4587935515 Enrollment ID: I20220524002404 |
| Provider Name | Vivian Marie Minkemeyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508391210 PECOS PAC ID: 3577835784 Enrollment ID: I20220526002747 |
| Provider Name | Diana Alame |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194919605 PECOS PAC ID: 6103005921 Enrollment ID: I20220527000262 |
| Provider Name | Kara Brightman Johnson Wegermann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447678966 PECOS PAC ID: 5395123541 Enrollment ID: I20220601000331 |
| Provider Name | Margaret Hannah Swerlick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750036273 PECOS PAC ID: 2062890122 Enrollment ID: I20220601001029 |
| Provider Name | Martha Frances Wright |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619409059 PECOS PAC ID: 4688946791 Enrollment ID: I20220601002020 |
| Provider Name | Robin Abraham Zachariah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992125025 PECOS PAC ID: 4688948649 Enrollment ID: I20220603001013 |
| Provider Name | Fengming Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407210388 PECOS PAC ID: 0042592081 Enrollment ID: I20220606001550 |
| Provider Name | Robert Joseph Rolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790172443 PECOS PAC ID: 7214258128 Enrollment ID: I20220608000896 |
| Provider Name | Joseph Liberal Giramata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831666197 PECOS PAC ID: 5890033864 Enrollment ID: I20220608002169 |
| Provider Name | Michael Robert Harowicz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225561640 PECOS PAC ID: 0244588580 Enrollment ID: I20220609002940 |
| Provider Name | Andrew Charles Bowman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699279133 PECOS PAC ID: 3072845320 Enrollment ID: I20220613001875 |
| Provider Name | Rolake Alabi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891290797 PECOS PAC ID: 4587077110 Enrollment ID: I20220613001908 |
| Provider Name | Warren Hammert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710940788 PECOS PAC ID: 5193739076 Enrollment ID: I20220613003152 |
| Provider Name | Qiaohui Wei White |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649910126 PECOS PAC ID: 0749669224 Enrollment ID: I20220614002859 |
| Provider Name | Basil Mathews |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952891087 PECOS PAC ID: 4486908159 Enrollment ID: I20220614003103 |
| Provider Name | Kubra Sarici |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093380867 PECOS PAC ID: 5193104537 Enrollment ID: I20220615002102 |
| Provider Name | Kristi Y Wu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700382827 PECOS PAC ID: 4385970870 Enrollment ID: I20220615003223 |
| Provider Name | Abhinav Golla |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649762501 PECOS PAC ID: 3678909728 Enrollment ID: I20220616001528 |
| Provider Name | Arpita Suketu Maniar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790433084 PECOS PAC ID: 1153700356 Enrollment ID: I20220617001973 |
| Provider Name | Eliot Robert Dow |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740711647 PECOS PAC ID: 0941635973 Enrollment ID: I20220621001172 |
| Provider Name | Cassidy Brooke Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407426026 PECOS PAC ID: 3476932328 Enrollment ID: I20220623000425 |
| Provider Name | Collin Kent |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477083301 PECOS PAC ID: 2769861590 Enrollment ID: I20220624000056 |
| Provider Name | Brandy Patterson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962693002 PECOS PAC ID: 2860582657 Enrollment ID: I20220628001749 |
| Provider Name | Felicia Lucy, Lorena Dickerson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417127549 PECOS PAC ID: 2860872397 Enrollment ID: I20220630001231 |
| Provider Name | Yasmeen Mondane Murray-hyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629652342 PECOS PAC ID: 8224418769 Enrollment ID: I20220630001266 |
| Provider Name | Ryan Matthew Orgel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013336015 PECOS PAC ID: 8224393566 Enrollment ID: I20220701000845 |
| Provider Name | Brogan Walters Fulks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821522038 PECOS PAC ID: 0042585275 Enrollment ID: I20220705002285 |
| Provider Name | Charles Mcgonegle Burns |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811315336 PECOS PAC ID: 9638435928 Enrollment ID: I20220706001118 |
| Provider Name | Anica Peros Land |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679216519 PECOS PAC ID: 9931589090 Enrollment ID: I20220707000105 |
| Provider Name | Aaron Vose |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851703086 PECOS PAC ID: 5294952248 Enrollment ID: I20220707000352 |
| Provider Name | Russell-john Krom |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124550074 PECOS PAC ID: 4688054380 Enrollment ID: I20220711003681 |
| Provider Name | Olga Theresa Gupta |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386673267 PECOS PAC ID: 1456355676 Enrollment ID: I20220712000327 |
| Provider Name | Ramyar Torabi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871099507 PECOS PAC ID: 7416337175 Enrollment ID: I20220712001966 |
| Provider Name | Sarah Madison Duff |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417480153 PECOS PAC ID: 4981969607 Enrollment ID: I20220712002047 |
| Provider Name | Jenna Gross Lawshe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144977216 PECOS PAC ID: 2264812940 Enrollment ID: I20220712002706 |
| Provider Name | Hailey Lynn Weeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073286613 PECOS PAC ID: 6901287622 Enrollment ID: I20220713000178 |
| Provider Name | Talisha Dalini Ramchal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063875748 PECOS PAC ID: 3173816857 Enrollment ID: I20220713004194 |
| Provider Name | Miguel Andres Yaport |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285052241 PECOS PAC ID: 3971801960 Enrollment ID: I20220714000412 |
| Provider Name | Kevin Jevon Jackson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538662374 PECOS PAC ID: 7810378346 Enrollment ID: I20220714004139 |
| Provider Name | Keyaria Denise Gray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922442219 PECOS PAC ID: 1850610460 Enrollment ID: I20220715002226 |
| Provider Name | Xiao Yi Zhou |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578057543 PECOS PAC ID: 1254680846 Enrollment ID: I20220716000385 |
| Provider Name | Zhuangjun Si |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932605672 PECOS PAC ID: 0345575577 Enrollment ID: I20220718000500 |
| Provider Name | Katherine Alexandria Cheng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740642883 PECOS PAC ID: 2163766288 Enrollment ID: I20220720001730 |
| Provider Name | Sanghee Hong |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679991756 PECOS PAC ID: 9032486717 Enrollment ID: I20220720003103 |
| Provider Name | Shannon Moffitt Bomstein |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881323764 PECOS PAC ID: 0547641581 Enrollment ID: I20220721001947 |
| Provider Name | Dail Ann Ciani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700219292 PECOS PAC ID: 4486886058 Enrollment ID: I20220721002682 |
| Provider Name | Stephanie Iwalani Dolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114361110 PECOS PAC ID: 2365724713 Enrollment ID: I20220722000530 |
| Provider Name | Daliya Dzhaber |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528685328 PECOS PAC ID: 4284034836 Enrollment ID: I20220722001972 |
| Provider Name | Aanal Jigishkumar Vyas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881348274 PECOS PAC ID: 4789065665 Enrollment ID: I20220725000072 |
| Provider Name | Rand Nicholas Wilcox Vanden Berg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568824217 PECOS PAC ID: 3375882939 Enrollment ID: I20220725000171 |
| Provider Name | Elizabeth Reiser Kerr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760941876 PECOS PAC ID: 5496097701 Enrollment ID: I20220725002194 |
| Provider Name | Erin Victoria Shea |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851753560 PECOS PAC ID: 6406237221 Enrollment ID: I20220725002446 |
| Provider Name | Christopher Francis Dibble |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518348655 PECOS PAC ID: 3779897681 Enrollment ID: I20220726000231 |
| Provider Name | Andrew Benjamin Cutler |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1982099743 PECOS PAC ID: 1052792819 Enrollment ID: I20220726000433 |
| Provider Name | James Franklin Wharam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740280288 PECOS PAC ID: 9234162975 Enrollment ID: I20220727002969 |
| Provider Name | Ziv Beckerman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346691458 PECOS PAC ID: 2961796743 Enrollment ID: I20220729000783 |
| Provider Name | Amber Michelle Mcginnis Whitmill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790244705 PECOS PAC ID: 4587998513 Enrollment ID: I20220802000458 |
| Provider Name | Evan Darcy Cozzens Calabrese |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043671977 PECOS PAC ID: 9133501463 Enrollment ID: I20220803002917 |
| Provider Name | Bo Wang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093211666 PECOS PAC ID: 0749528305 Enrollment ID: I20220803003595 |
| Provider Name | Laura N Metzger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033869797 PECOS PAC ID: 3577945716 Enrollment ID: I20220803003862 |
| Provider Name | Havan Leigh Harris |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194450999 PECOS PAC ID: 3274915442 Enrollment ID: I20220804000859 |
| Provider Name | Jordan Robert Foreman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982137584 PECOS PAC ID: 4981975620 Enrollment ID: I20220808001335 |
| Provider Name | Danny Joseph Schust |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619950821 PECOS PAC ID: 6800864307 Enrollment ID: I20220809000726 |
| Provider Name | Edina Cindy Wang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538698758 PECOS PAC ID: 4183997463 Enrollment ID: I20220811002617 |
| Provider Name | Laura Anne Bacigalupi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811644040 PECOS PAC ID: 0345623088 Enrollment ID: I20220813000314 |
| Provider Name | Abigail Irene Tepper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407511934 PECOS PAC ID: 1254714819 Enrollment ID: I20220815000220 |
| Provider Name | Elizabeth Bruenderman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821451196 PECOS PAC ID: 5799168399 Enrollment ID: I20220815002059 |
| Provider Name | Joseph Cline |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922453703 PECOS PAC ID: 3870883804 Enrollment ID: I20220815003174 |
| Provider Name | Courtney Caroline Schlachter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457086464 PECOS PAC ID: 3779966320 Enrollment ID: I20220816000395 |
| Provider Name | Rebecca Weber Knackstedt |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1679967715 PECOS PAC ID: 9335545912 Enrollment ID: I20220816001275 |
| Provider Name | Eric John Formeister |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760877542 PECOS PAC ID: 7517380678 Enrollment ID: I20220817003028 |
| Provider Name | Sachin Mehta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164876611 PECOS PAC ID: 5193017721 Enrollment ID: I20220818000757 |
| Provider Name | Muhammad Anwar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144682386 PECOS PAC ID: 2365733771 Enrollment ID: I20220819002902 |
| Provider Name | Viraj Mayur Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1083146450 PECOS PAC ID: 3173864097 Enrollment ID: I20220822001877 |
| Provider Name | Taylor Noel Mcmichael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750908778 PECOS PAC ID: 7214310325 Enrollment ID: I20220822002306 |
| Provider Name | Kelby Lomax Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881323384 PECOS PAC ID: 4284017344 Enrollment ID: I20220823000729 |
| Provider Name | John Woytanowski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467802835 PECOS PAC ID: 7012254923 Enrollment ID: I20220823001341 |
| Provider Name | Elizabeth Ann Greene |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558724815 PECOS PAC ID: 5991098568 Enrollment ID: I20220824002366 |
| Provider Name | Anoop Premswaroop Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255567756 PECOS PAC ID: 1759549942 Enrollment ID: I20220825000826 |
| Provider Name | Nathaniel Joseph Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174029797 PECOS PAC ID: 9335523117 Enrollment ID: I20220827000261 |
| Provider Name | Ryan Everett Fecteau |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215469333 PECOS PAC ID: 6709260516 Enrollment ID: I20220829000693 |
| Provider Name | Zachary J Carter |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275067407 PECOS PAC ID: 0547663643 Enrollment ID: I20220829000804 |
| Provider Name | Jeylan Suzan Close |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457701955 PECOS PAC ID: 7012209125 Enrollment ID: I20220829000883 |
| Provider Name | Alice Bryn Salter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972865509 PECOS PAC ID: 1658593876 Enrollment ID: I20220829002315 |
| Provider Name | Young Mee Choi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346660206 PECOS PAC ID: 5395010441 Enrollment ID: I20220830000156 |
| Provider Name | Ceshae Cemonique Alexia Harding |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063973147 PECOS PAC ID: 5395129092 Enrollment ID: I20220830000857 |
| Provider Name | Nandini Swati Abburi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730618349 PECOS PAC ID: 0345511416 Enrollment ID: I20220830003605 |
| Provider Name | Pablo Carlos Plasencia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346702453 PECOS PAC ID: 6800270455 Enrollment ID: I20220830003975 |
| Provider Name | Mallory Christine Tassone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255088241 PECOS PAC ID: 1557745106 Enrollment ID: I20220830004326 |
| Provider Name | Lindsey Victoria Weidmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669908661 PECOS PAC ID: 8426328204 Enrollment ID: I20220831000873 |
| Provider Name | Jennifer Lee Perri |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487065801 PECOS PAC ID: 0547520520 Enrollment ID: I20220907000740 |
| Provider Name | Madison Ivey Dunning |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689340994 PECOS PAC ID: 6103200324 Enrollment ID: I20220907000818 |
| Provider Name | Bahar Bahrani |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1568102556 PECOS PAC ID: 3779967971 Enrollment ID: I20220907003930 |
| Provider Name | Jessica Renee Albanese |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366973927 PECOS PAC ID: 5991077539 Enrollment ID: I20220912000526 |
| Provider Name | Mohit Bansal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679920094 PECOS PAC ID: 2264727411 Enrollment ID: I20220913001954 |
| Provider Name | Sophia Angelina Stenstedt Dunworth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720510068 PECOS PAC ID: 0042611683 Enrollment ID: I20220914000787 |
| Provider Name | Michelle Diane Kelsey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235519596 PECOS PAC ID: 6103133988 Enrollment ID: I20220914003349 |
| Provider Name | Juhnnel Omar Vera Santiago |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932655636 PECOS PAC ID: 9133478746 Enrollment ID: I20220915000236 |
| Provider Name | Mollie E Kotzen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053809350 PECOS PAC ID: 0042695728 Enrollment ID: I20220915003520 |
| Provider Name | Blair Noel Costin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891220125 PECOS PAC ID: 8325318710 Enrollment ID: I20220916002145 |
| Provider Name | Virginia Watkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679066187 PECOS PAC ID: 1254716897 Enrollment ID: I20220916002254 |
| Provider Name | Rachel Elizabeth Simpson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992185532 PECOS PAC ID: 2264743418 Enrollment ID: I20220916002766 |
| Provider Name | Hilary Friedlander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366939472 PECOS PAC ID: 4183962137 Enrollment ID: I20220916002788 |
| Provider Name | Sarah Mabrey Heston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982024220 PECOS PAC ID: 6901181049 Enrollment ID: I20220916002884 |
| Provider Name | Elizabeth Marie Brindise |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386007938 PECOS PAC ID: 8022305135 Enrollment ID: I20220917000148 |
| Provider Name | Anika Michelle Lucas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073909339 PECOS PAC ID: 3173830809 Enrollment ID: I20220917000193 |
| Provider Name | Christian Alexander Pean |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528416773 PECOS PAC ID: 9234527128 Enrollment ID: I20220919003064 |
| Provider Name | Senthil Selvaraj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417395823 PECOS PAC ID: 4789811365 Enrollment ID: I20220920000061 |
| Provider Name | Julia Michelle Deruyter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700494838 PECOS PAC ID: 3870978331 Enrollment ID: I20220920000311 |
| Provider Name | Jacob A. Greenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801973888 PECOS PAC ID: 9830222017 Enrollment ID: I20220920002772 |
| Provider Name | Amal Hamdan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174015929 PECOS PAC ID: 3173870227 Enrollment ID: I20220922003867 |
| Provider Name | Samantha Ashley Polly |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336676618 PECOS PAC ID: 1355744640 Enrollment ID: I20220923000994 |
| Provider Name | Amanda Lynn Obriant |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275751026 PECOS PAC ID: 3173694999 Enrollment ID: I20220926000228 |
| Provider Name | Rani Bansal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306208467 PECOS PAC ID: 9032404264 Enrollment ID: I20220926003566 |
| Provider Name | Abbigail Woll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366934366 PECOS PAC ID: 6709139447 Enrollment ID: I20220927000858 |
| Provider Name | Robert Anthony Medairos |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639601644 PECOS PAC ID: 3678801107 Enrollment ID: I20220927000971 |
| Provider Name | David Jeffrey Faro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467957753 PECOS PAC ID: 9032460241 Enrollment ID: I20220927003822 |
| Provider Name | Rebecca Suzanne Frazier |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457799595 PECOS PAC ID: 3476860123 Enrollment ID: I20220929003058 |
| Provider Name | Daniel Edward Hogan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437511748 PECOS PAC ID: 2860730926 Enrollment ID: I20220929003445 |
| Provider Name | Joshua Tray Lee Mcgalliard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689310187 PECOS PAC ID: 7113303033 Enrollment ID: I20220929003605 |
| Provider Name | Madeleine Rose Heldman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649669342 PECOS PAC ID: 3577855139 Enrollment ID: I20220930000385 |
| Provider Name | Shawn William Adams |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265827471 PECOS PAC ID: 7416263751 Enrollment ID: I20221003003230 |
| Provider Name | Jay Soong-jin Lee |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1225474588 PECOS PAC ID: 5799091765 Enrollment ID: I20221004001401 |
| Provider Name | Michael Douglas Morris |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518320761 PECOS PAC ID: 8426344052 Enrollment ID: I20221004001930 |
| Provider Name | Ravi Anand |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619325503 PECOS PAC ID: 8123306149 Enrollment ID: I20221006001803 |
| Provider Name | Nicole Gong Jawitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205299971 PECOS PAC ID: 9133411929 Enrollment ID: I20221007001529 |
| Provider Name | Candice Ray Sheldon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407147283 PECOS PAC ID: 4284954884 Enrollment ID: I20221007002830 |
| Provider Name | Joel Rivera Concepcion |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659758654 PECOS PAC ID: 0244633907 Enrollment ID: I20221010000476 |
| Provider Name | Deepa Upadhyaya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891906012 PECOS PAC ID: 3072639335 Enrollment ID: I20221010000613 |
| Provider Name | Kathryn Strople Ericson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174255095 PECOS PAC ID: 1557747896 Enrollment ID: I20221010002741 |
| Provider Name | Steven Parry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508210725 PECOS PAC ID: 8325333792 Enrollment ID: I20221011000309 |
| Provider Name | Katherine Marie Winegar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346729092 PECOS PAC ID: 2668713603 Enrollment ID: I20221011000310 |
| Provider Name | Shivon Latice Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922755875 PECOS PAC ID: 5890161145 Enrollment ID: I20221012001207 |
| Provider Name | Mara Alexandra Serbanescu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417334509 PECOS PAC ID: 0648528588 Enrollment ID: I20221012003942 |
| Provider Name | Kathryn Elizabeth Hutchins O'donnell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134653421 PECOS PAC ID: 4183090145 Enrollment ID: I20221015000105 |
| Provider Name | Angela Nolin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386148963 PECOS PAC ID: 8022356658 Enrollment ID: I20221018000219 |
| Provider Name | Luting Sun Eckensweiler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114418050 PECOS PAC ID: 0446651517 Enrollment ID: I20221018002056 |
| Provider Name | Tanya Jean Munger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154576221 PECOS PAC ID: 3971753328 Enrollment ID: I20221018002423 |
| Provider Name | Kiley Alyss Winstead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215315825 PECOS PAC ID: 9032585971 Enrollment ID: I20221018003457 |
| Provider Name | Nicholas Scarcella |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043744659 PECOS PAC ID: 1759659352 Enrollment ID: I20221019001661 |
| Provider Name | Girish Kalra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316124415 PECOS PAC ID: 6002009099 Enrollment ID: I20221019001830 |
| Provider Name | Neill Li |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194106716 PECOS PAC ID: 8224469218 Enrollment ID: I20221019002111 |
| Provider Name | Ashley Danielle Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265033625 PECOS PAC ID: 7911316088 Enrollment ID: I20221019002362 |
| Provider Name | Ashley Nicole Dischinger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831544469 PECOS PAC ID: 4284924366 Enrollment ID: I20221019003336 |
| Provider Name | Regan Christine Cronin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619604576 PECOS PAC ID: 6305212085 Enrollment ID: I20221020002266 |
| Provider Name | Sudip Dilip Thakar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811492432 PECOS PAC ID: 3870839178 Enrollment ID: I20221020003390 |
| Provider Name | Stephanie Lynn Nicholls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518695840 PECOS PAC ID: 7113393828 Enrollment ID: I20221021000191 |
| Provider Name | Megan Wegman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073247466 PECOS PAC ID: 9133595796 Enrollment ID: I20221022000134 |
| Provider Name | Steven Michael Russo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851754576 PECOS PAC ID: 8729386040 Enrollment ID: I20221024000603 |
| Provider Name | Brett Rocos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972226322 PECOS PAC ID: 8527434034 Enrollment ID: I20221024001956 |
| Provider Name | Ashit Patel |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1093987828 PECOS PAC ID: 9335310697 Enrollment ID: I20221026001051 |
| Provider Name | Danielle Sunae Chun |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932598885 PECOS PAC ID: 8628375060 Enrollment ID: I20221031000529 |
| Provider Name | Danielle Renee Wilson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003158312 PECOS PAC ID: 1355718552 Enrollment ID: I20221101000558 |
| Provider Name | Poorva Jayant Apte |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1104354356 PECOS PAC ID: 5395010698 Enrollment ID: I20221101001605 |
| Provider Name | Brandon Menachem |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841654621 PECOS PAC ID: 6305136946 Enrollment ID: I20221102000153 |
| Provider Name | Aline Lima Van Belois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619602810 PECOS PAC ID: 0446627574 Enrollment ID: I20221102003250 |
| Provider Name | Katherine Michelle Selby Washington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104548254 PECOS PAC ID: 8820465842 Enrollment ID: I20221104000471 |
| Provider Name | Brendan Mills Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336883164 PECOS PAC ID: 4385011311 Enrollment ID: I20221104000821 |
| Provider Name | Lonnie Thomas Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609372424 PECOS PAC ID: 9335516251 Enrollment ID: I20221107001774 |
| Provider Name | Stephanie Lumpkin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851702484 PECOS PAC ID: 9739304999 Enrollment ID: I20221107001954 |
| Provider Name | Megan Nicole Mittelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780260703 PECOS PAC ID: 0042687808 Enrollment ID: I20221108000619 |
| Provider Name | Young Kim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477996007 PECOS PAC ID: 7719120260 Enrollment ID: I20221108001182 |
| Provider Name | Annmarie Louise Kieber-emmons |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316205768 PECOS PAC ID: 9537301643 Enrollment ID: I20221109000466 |
| Provider Name | Mark Lachiewicz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740508423 PECOS PAC ID: 4981822046 Enrollment ID: I20221109003167 |
| Provider Name | Gina Maire Iannuzzelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104571652 PECOS PAC ID: 3072980697 Enrollment ID: I20221110000474 |
| Provider Name | Alexander Steven Barsam |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578914974 PECOS PAC ID: 7719262252 Enrollment ID: I20221110001384 |
| Provider Name | Miriam Laquer Estin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184120040 PECOS PAC ID: 6305213836 Enrollment ID: I20221112000146 |
| Provider Name | Olivia Wulf Detweiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063151371 PECOS PAC ID: 5294102737 Enrollment ID: I20221113000038 |
| Provider Name | Michael Frederick Fadell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740489350 PECOS PAC ID: 7113019605 Enrollment ID: I20221114001910 |
| Provider Name | Sara M Hassani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154775559 PECOS PAC ID: 0840560850 Enrollment ID: I20221114002269 |
| Provider Name | Melodi Javid Whitley |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447782263 PECOS PAC ID: 9436557048 Enrollment ID: I20221114002288 |
| Provider Name | Catherine Alexis Sims |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669906210 PECOS PAC ID: 7416228879 Enrollment ID: I20221117001727 |
| Provider Name | Jason Lucious Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568881647 PECOS PAC ID: 5890117113 Enrollment ID: I20221121000374 |
| Provider Name | Ilana Renee Brodzki |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164192563 PECOS PAC ID: 2264800325 Enrollment ID: I20221121001370 |
| Provider Name | Rachel D Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447792890 PECOS PAC ID: 6507234663 Enrollment ID: I20221121001523 |
| Provider Name | Rachel Frances Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265003305 PECOS PAC ID: 4789052853 Enrollment ID: I20221121001801 |
| Provider Name | Lynette Maria Spencer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295442374 PECOS PAC ID: 9436527538 Enrollment ID: I20221121003234 |
| Provider Name | Elizabeth Ann Gesse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952048027 PECOS PAC ID: 6608244710 Enrollment ID: I20221122000288 |
| Provider Name | Gabriel Marie Holtman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023789583 PECOS PAC ID: 6103216874 Enrollment ID: I20221123000025 |
| Provider Name | Erin Elizabeth Medeiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225532930 PECOS PAC ID: 9638579741 Enrollment ID: I20221123000327 |
| Provider Name | Karen Sporl Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508216961 PECOS PAC ID: 3971897406 Enrollment ID: I20221128000631 |
| Provider Name | Grace Peace Niyonkuru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023746484 PECOS PAC ID: 8527436336 Enrollment ID: I20221129002671 |
| Provider Name | Dhvani Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790075828 PECOS PAC ID: 1456623289 Enrollment ID: I20221201001296 |
| Provider Name | Jyotsna Mullur |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1861842023 PECOS PAC ID: 5597154153 Enrollment ID: I20221201003390 |
| Provider Name | Jacqueline Marie Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154649721 PECOS PAC ID: 7113167297 Enrollment ID: I20221205000615 |
| Provider Name | Joseph Harold Mcclellan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780070219 PECOS PAC ID: 1658689625 Enrollment ID: I20221205001575 |
| Provider Name | Varun Kapur |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780941914 PECOS PAC ID: 8426300393 Enrollment ID: I20221206002707 |
| Provider Name | Jeffrey Edward Keenan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1396035168 PECOS PAC ID: 1557786464 Enrollment ID: I20221208000445 |
| Provider Name | Rachel Christine Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053035824 PECOS PAC ID: 0941679237 Enrollment ID: I20221208000958 |
| Provider Name | Amber Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184359309 PECOS PAC ID: 4284003500 Enrollment ID: I20221208001945 |
| Provider Name | Brittany Ashlee Bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538626742 PECOS PAC ID: 5799154993 Enrollment ID: I20221209002700 |
| Provider Name | Briana Christen Cass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497462071 PECOS PAC ID: 4284003492 Enrollment ID: I20221210000236 |
| Provider Name | Nab Deep Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659089852 PECOS PAC ID: 1759750805 Enrollment ID: I20221212001558 |
| Provider Name | David Michael Chiesa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225768815 PECOS PAC ID: 9032588074 Enrollment ID: I20221213002604 |
| Provider Name | Robert Joseph Optican |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639272164 PECOS PAC ID: 7517905532 Enrollment ID: I20221213003399 |
| Provider Name | Virginia Stanley Parker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568859395 PECOS PAC ID: 0648649616 Enrollment ID: I20221214000182 |
| Provider Name | Camille Genevieve Corinne Apple |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174900336 PECOS PAC ID: 4486964335 Enrollment ID: I20221214001464 |
| Provider Name | Jeremy Romek Glissen Brown |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134577406 PECOS PAC ID: 3072808245 Enrollment ID: I20221219000651 |
| Provider Name | Catherine Lynch Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972220713 PECOS PAC ID: 8729457486 Enrollment ID: I20221220001062 |
| Provider Name | Cassandra Hartell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245966118 PECOS PAC ID: 5991174658 Enrollment ID: I20221220001122 |
| Provider Name | Jessica Marie Robertson |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1548558562 PECOS PAC ID: 1658741343 Enrollment ID: I20221220002858 |
| Provider Name | Matthew Palmer Rubach |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073768164 PECOS PAC ID: 7012387749 Enrollment ID: I20221221001373 |
| Provider Name | Emily Fahrig Cole |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1194105981 PECOS PAC ID: 4688986003 Enrollment ID: I20221221001601 |
| Provider Name | Raven Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386352698 PECOS PAC ID: 1759751423 Enrollment ID: I20221222000080 |
| Provider Name | Dawn Marie Coleman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891817185 PECOS PAC ID: 9133375355 Enrollment ID: I20221227002525 |
| Provider Name | Elizabeth Joy Scott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265889224 PECOS PAC ID: 0547553778 Enrollment ID: I20221229001553 |
| Provider Name | Paige Elizabeth Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922721844 PECOS PAC ID: 5294105615 Enrollment ID: I20221229002150 |
| Provider Name | Stephanie Diana Clune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063121960 PECOS PAC ID: 3779953047 Enrollment ID: I20221230002205 |
| Provider Name | Kaitlyn Wittwer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215551601 PECOS PAC ID: 0648673053 Enrollment ID: I20230103000969 |
| Provider Name | Stephanie Harriet Hargrove |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821661216 PECOS PAC ID: 2567832736 Enrollment ID: I20230104000861 |
| Provider Name | Lauren Marie Dilullo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063026003 PECOS PAC ID: 8820400468 Enrollment ID: I20230104001687 |
| Provider Name | Jonathan Eric Posner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841478732 PECOS PAC ID: 4587034616 Enrollment ID: I20230105001164 |
| Provider Name | Paul Norman Cassis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992191795 PECOS PAC ID: 2163724725 Enrollment ID: I20230109002202 |
| Provider Name | Jiodany Perez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417510298 PECOS PAC ID: 0547630477 Enrollment ID: I20230110001163 |
| Provider Name | Anna Garcia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457319493 PECOS PAC ID: 4183652977 Enrollment ID: I20230110002884 |
| Provider Name | Amreen Dinani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386808525 PECOS PAC ID: 9133355902 Enrollment ID: I20230111001558 |
| Provider Name | Alexandra Nicole Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245651728 PECOS PAC ID: 1254650385 Enrollment ID: I20230118001457 |
| Provider Name | Ragan Layne Spinks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285344432 PECOS PAC ID: 6406227883 Enrollment ID: I20230123000825 |
| Provider Name | Kevin Purcell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124556881 PECOS PAC ID: 4486928512 Enrollment ID: I20230123002960 |
| Provider Name | Timothy Scott Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740742725 PECOS PAC ID: 5193196434 Enrollment ID: I20230124001003 |
| Provider Name | Marika Coffman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912481730 PECOS PAC ID: 0648641944 Enrollment ID: I20230125000083 |
| Provider Name | Melissa Cordova Rosado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073255121 PECOS PAC ID: 5294106431 Enrollment ID: I20230125002679 |
| Provider Name | Adam Paul Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396005955 PECOS PAC ID: 8224260740 Enrollment ID: I20230126001215 |
| Provider Name | Marie Angelina Futrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467178004 PECOS PAC ID: 4880065978 Enrollment ID: I20230127002850 |
| Provider Name | Bridget Reid Dolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912615360 PECOS PAC ID: 2365813326 Enrollment ID: I20230130002331 |
| Provider Name | Brianna Renee Palmerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801569421 PECOS PAC ID: 8628467651 Enrollment ID: I20230130002583 |
| Provider Name | Kris Michael Mahadeo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922324672 PECOS PAC ID: 8123299047 Enrollment ID: I20230131000446 |
| Provider Name | Todd William Frieze |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710935838 PECOS PAC ID: 8426066390 Enrollment ID: I20230201000764 |
| Provider Name | Luis Felipe Carrillo Polanco |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952741621 PECOS PAC ID: 8628324431 Enrollment ID: I20230203000320 |
| Provider Name | Alice Yoosun Ho |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285784017 PECOS PAC ID: 3971604356 Enrollment ID: I20230207000353 |
| Provider Name | Priyanka Prakash Sista |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427412576 PECOS PAC ID: 9234411455 Enrollment ID: I20230207003667 |
| Provider Name | Jamie Marie Riedell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1083065940 PECOS PAC ID: 6103298781 Enrollment ID: I20230208000205 |
| Provider Name | Thomas Ryan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356425235 PECOS PAC ID: 6103806740 Enrollment ID: I20230209002650 |
| Provider Name | Giancarlo Martin Diaz Zamora |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215191457 PECOS PAC ID: 7810122397 Enrollment ID: I20230215003058 |
| Provider Name | Evangeline Kamalini Arulraja |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831686039 PECOS PAC ID: 3274903059 Enrollment ID: I20230216002803 |
| Provider Name | Cesar De Cesar Netto |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326494642 PECOS PAC ID: 2466747373 Enrollment ID: I20230221000847 |
| Provider Name | Sean P Mcgowan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487194114 PECOS PAC ID: 2163793878 Enrollment ID: I20230221002992 |
| Provider Name | Jennifer Michelle Crimmins |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578910006 PECOS PAC ID: 5092006098 Enrollment ID: I20230222000171 |
| Provider Name | Mary Claire Ellis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982268231 PECOS PAC ID: 8527431543 Enrollment ID: I20230222001207 |
| Provider Name | Alessandra Inez Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396402715 PECOS PAC ID: 2860865714 Enrollment ID: I20230224000368 |
| Provider Name | Vinaya Rao |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851341986 PECOS PAC ID: 2062401920 Enrollment ID: I20230224000966 |
| Provider Name | Daniel Albert Sherwood |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043646847 PECOS PAC ID: 9436551603 Enrollment ID: I20230226000008 |
| Provider Name | Sarah Frush Cotter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770978371 PECOS PAC ID: 7012243629 Enrollment ID: I20230226000027 |
| Provider Name | Tarshona Bernice Stevens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396108908 PECOS PAC ID: 0042683799 Enrollment ID: I20230301000142 |
| Provider Name | Kerry Elizabeth Drury |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164815734 PECOS PAC ID: 5092188516 Enrollment ID: I20230303001909 |
| Provider Name | Shamir Mccall Sykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619688975 PECOS PAC ID: 7214300631 Enrollment ID: I20230307000104 |
| Provider Name | Ayanna Michelle Baptiste |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1689924763 PECOS PAC ID: 1850541079 Enrollment ID: I20230308002064 |
| Provider Name | Alexandra Rae Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912620477 PECOS PAC ID: 9830562032 Enrollment ID: I20230309001858 |
| Provider Name | Bronwyn Marie Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811356249 PECOS PAC ID: 5294109187 Enrollment ID: I20230315002831 |
| Provider Name | Monica Shah Kulkarni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164928859 PECOS PAC ID: 4789931791 Enrollment ID: I20230327000504 |
| Provider Name | Catherine Elizabeth Tricase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487288031 PECOS PAC ID: 7810319597 Enrollment ID: I20230404000359 |
| Provider Name | Yaw Boachie Adjei |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770797938 PECOS PAC ID: 0244486108 Enrollment ID: I20230406001401 |
| Provider Name | Jessica Danielle Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740854082 PECOS PAC ID: 3476928110 Enrollment ID: I20230411000477 |
| Provider Name | Maral Alisse Banan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760943898 PECOS PAC ID: 1850620857 Enrollment ID: I20230412001319 |
| Provider Name | Schuyler Marie Barraclough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538430798 PECOS PAC ID: 3779810189 Enrollment ID: I20230414001946 |
| Provider Name | Alicia Evette Blue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245967728 PECOS PAC ID: 1153796487 Enrollment ID: I20230418002518 |
| Provider Name | Michael Todd Meske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730582214 PECOS PAC ID: 2163887498 Enrollment ID: I20230420001357 |
| Provider Name | Stashawna Glenita Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659081933 PECOS PAC ID: 1254796535 Enrollment ID: I20230421000249 |
| Provider Name | Johana Fajardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043578438 PECOS PAC ID: 5294991584 Enrollment ID: I20230421001082 |
| Provider Name | Catherine Marie Lewter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619618790 PECOS PAC ID: 1658736780 Enrollment ID: I20230425001741 |
| Provider Name | Kristen Nicole Fulcher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083374078 PECOS PAC ID: 7517322456 Enrollment ID: I20230428001884 |
| Provider Name | Jameel Muzaffar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497954564 PECOS PAC ID: 0648394908 Enrollment ID: I20230501002171 |
| Provider Name | Marcia Liliana Moran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003859943 PECOS PAC ID: 9133176027 Enrollment ID: I20230501002239 |
| Provider Name | Crystal Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174273445 PECOS PAC ID: 3678938123 Enrollment ID: I20230505000661 |
| Provider Name | Amanda Elaine Savarese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629776307 PECOS PAC ID: 8820453251 Enrollment ID: I20230508001276 |
| Provider Name | Shahla Bari |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487063525 PECOS PAC ID: 3870898836 Enrollment ID: I20230509000119 |
| Provider Name | Chelsea Jean Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811696750 PECOS PAC ID: 6002272523 Enrollment ID: I20230525000386 |
| Provider Name | Anthony Rivera |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487860524 PECOS PAC ID: 2961598420 Enrollment ID: I20230531003008 |
| Provider Name | Dmitriy M Niyazov |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1699950899 PECOS PAC ID: 0749363448 Enrollment ID: I20230601000918 |
| Provider Name | Daniela Kroshinsky |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346372331 PECOS PAC ID: 9032202429 Enrollment ID: I20230605003037 |
| Provider Name | Katelyn Keith Jacques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437853744 PECOS PAC ID: 5890152730 Enrollment ID: I20230607002483 |
| Provider Name | Amit Goldberg |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1265401343 PECOS PAC ID: 3971539297 Enrollment ID: I20230609000013 |
| Provider Name | Grace Alexandra Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063111789 PECOS PAC ID: 3971961053 Enrollment ID: I20230621003706 |
| Provider Name | Hunter Lee Bowlby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467153726 PECOS PAC ID: 4587022397 Enrollment ID: I20230626002329 |
| Provider Name | Elizabeth Kimley Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558063065 PECOS PAC ID: 7416316724 Enrollment ID: I20230705002459 |
| Provider Name | Cara Hoke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134659246 PECOS PAC ID: 7719250372 Enrollment ID: I20230714001764 |
| Provider Name | Ella Perry Jordan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760125462 PECOS PAC ID: 7618337080 Enrollment ID: I20230717002290 |
| Provider Name | Myosha Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467076299 PECOS PAC ID: 1355702812 Enrollment ID: I20230731002275 |
| Mailing Address | Practice Location Address |
|---|---|
| Private Diagnostic Clinic, Pllc Po Box 110566, Durham, NC 27709-5566 Ph: (919) 620-4855 | Private Diagnostic Clinic, Pllc 40 Duke Medicine Cir, Durham, NC 27710-4000 Ph: (919) 684-8111 |