|
| |
|
1901 Campus Pl, Louisville, KY 40299-2308 | |
| (502) 253-4911 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Urgent Care |
| Location | 1901 Campus Pl, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508269200 | NPI | - | NPPES |
| Provider Name | Leah Dionne Phillips Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609879162 PECOS PAC ID: 8820901002 Enrollment ID: I20031118000615 |
| Provider Name | Jason M Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144319443 PECOS PAC ID: 0345145652 Enrollment ID: I20031201000312 |
| Provider Name | Janet M Buhse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821079674 PECOS PAC ID: 5092600981 Enrollment ID: I20040219000184 |
| Provider Name | Amy Hallal Henderson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1437159886 PECOS PAC ID: 0547258691 Enrollment ID: I20040505001426 |
| Provider Name | Andrew Michael Morton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699703108 PECOS PAC ID: 9234129453 Enrollment ID: I20040518000425 |
| Provider Name | Mark R Jones |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851386767 PECOS PAC ID: 3577543750 Enrollment ID: I20040720001526 |
| Provider Name | Marvin Roger Mcbride |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730189499 PECOS PAC ID: 4981684685 Enrollment ID: I20040722001293 |
| Provider Name | Donna M Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609816453 PECOS PAC ID: 6901702034 Enrollment ID: I20040817001332 |
| Provider Name | Angela J Crone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063483402 PECOS PAC ID: 9830164276 Enrollment ID: I20040909000176 |
| Provider Name | Kelly Louis Grossman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558359893 PECOS PAC ID: 1658349485 Enrollment ID: I20040924000423 |
| Provider Name | Jeanne Therese Grossman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720076078 PECOS PAC ID: 9436127628 Enrollment ID: I20040924000560 |
| Provider Name | Rebecca M Mcfarland |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265420996 PECOS PAC ID: 1254304314 Enrollment ID: I20041008000892 |
| Provider Name | Yasoda Devi Devabhaktuni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861442840 PECOS PAC ID: 4587624432 Enrollment ID: I20041014000708 |
| Provider Name | Yelena G Vanina |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1942250139 PECOS PAC ID: 3577526615 Enrollment ID: I20041109000890 |
| Provider Name | Susan M Pierson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700976214 PECOS PAC ID: 2961468244 Enrollment ID: I20041208000622 |
| Provider Name | Janet Kaye Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902874886 PECOS PAC ID: 1355390097 Enrollment ID: I20050119001018 |
| Provider Name | Thokur Acharya Vyas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982691499 PECOS PAC ID: 9739154188 Enrollment ID: I20050202000609 |
| Provider Name | Kayur Vithalbhai Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366481947 PECOS PAC ID: 6305817313 Enrollment ID: I20050318000495 |
| Provider Name | Theresa A Stroot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841241320 PECOS PAC ID: 9830136761 Enrollment ID: I20050412001505 |
| Provider Name | Lindiwee-yaa Randall-hayes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770582777 PECOS PAC ID: 0446290175 Enrollment ID: I20050511000951 |
| Provider Name | Carrie Ellen Hollkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518016179 PECOS PAC ID: 9032154463 Enrollment ID: I20050624001086 |
| Provider Name | John M Reisert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417054974 PECOS PAC ID: 1658325972 Enrollment ID: I20050629001067 |
| Provider Name | James Bryan Grumley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619961299 PECOS PAC ID: 0547292237 Enrollment ID: I20050901000764 |
| Provider Name | Sarah Elizabeth Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447298872 PECOS PAC ID: 9335171925 Enrollment ID: I20050902000637 |
| Provider Name | Anthony G Steele |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457469892 PECOS PAC ID: 3072545342 Enrollment ID: I20050907000982 |
| Provider Name | Kristie L Hankins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194714998 PECOS PAC ID: 7113944109 Enrollment ID: I20051028000575 |
| Provider Name | Sebastian Pagni |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255384004 PECOS PAC ID: 6709805641 Enrollment ID: I20051121000257 |
| Provider Name | Federico Nicolas Salcedo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598781056 PECOS PAC ID: 6901809854 Enrollment ID: I20060814000382 |
| Provider Name | Syed Raza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104847862 PECOS PAC ID: 3678570587 Enrollment ID: I20061229000246 |
| Provider Name | Carter L Starr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720046972 PECOS PAC ID: 7214998699 Enrollment ID: I20070118000491 |
| Provider Name | Lanny R Gore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194886689 PECOS PAC ID: 7911909775 Enrollment ID: I20070207000239 |
| Provider Name | Satya V Garimella |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1164452850 PECOS PAC ID: 9830146927 Enrollment ID: I20070328000350 |
| Provider Name | Joseph Seipel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043213408 PECOS PAC ID: 4688587868 Enrollment ID: I20070409000097 |
| Provider Name | Bradley G Thomas |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104933720 PECOS PAC ID: 5890890396 Enrollment ID: I20070411000346 |
| Provider Name | Ann K Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821172271 PECOS PAC ID: 6103921010 Enrollment ID: I20070423000266 |
| Provider Name | John Reinoehl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487676813 PECOS PAC ID: 0345344321 Enrollment ID: I20070612000727 |
| Provider Name | Nicole E Mourillon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669456018 PECOS PAC ID: 5496642621 Enrollment ID: I20070727000406 |
| Provider Name | Antoinette Caldwell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871547042 PECOS PAC ID: 0648363770 Enrollment ID: I20070906000353 |
| Provider Name | Melissa R Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255531711 PECOS PAC ID: 0042303612 Enrollment ID: I20070912000719 |
| Provider Name | Jaivanti Lohano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003000902 PECOS PAC ID: 1153415187 Enrollment ID: I20070920000606 |
| Provider Name | Diana L Lackey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942341615 PECOS PAC ID: 6103911441 Enrollment ID: I20071002000688 |
| Provider Name | Vasdev Lohano |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316906738 PECOS PAC ID: 1658451802 Enrollment ID: I20071231000343 |
| Provider Name | Stacey Lynne Yeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245313832 PECOS PAC ID: 8729169248 Enrollment ID: I20080122000566 |
| Provider Name | Shefali A Kapadia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235321738 PECOS PAC ID: 9133202096 Enrollment ID: I20080215000177 |
| Provider Name | Willette Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205901410 PECOS PAC ID: 4688628183 Enrollment ID: I20080703000542 |
| Provider Name | Heather M Tluczek |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1568504637 PECOS PAC ID: 4880760420 Enrollment ID: I20080905000444 |
| Provider Name | Amartyadeb Goswami |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851314728 PECOS PAC ID: 2163456872 Enrollment ID: I20080919000515 |
| Provider Name | Michael W Bittenbender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730171083 PECOS PAC ID: 5698873164 Enrollment ID: I20090206000279 |
| Provider Name | Cassandra M Bittenbender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407848757 PECOS PAC ID: 8325146897 Enrollment ID: I20090206000319 |
| Provider Name | Clifton M Hocker Jr. |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851443444 PECOS PAC ID: 1456417245 Enrollment ID: I20090303000322 |
| Provider Name | Charles O Olisa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265582837 PECOS PAC ID: 9436215019 Enrollment ID: I20090305000647 |
| Provider Name | Imran Nasir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912980483 PECOS PAC ID: 2365509775 Enrollment ID: I20090330000068 |
| Provider Name | Len Timberlake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407091457 PECOS PAC ID: 5193873669 Enrollment ID: I20090512000013 |
| Provider Name | Dana L Nickell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871794990 PECOS PAC ID: 4981766441 Enrollment ID: I20090518000151 |
| Provider Name | James E Mckiernan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336126515 PECOS PAC ID: 2860398252 Enrollment ID: I20090527000464 |
| Provider Name | Maria Lee Glass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306034566 PECOS PAC ID: 6103977608 Enrollment ID: I20090623000529 |
| Provider Name | Diana L Richmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023153475 PECOS PAC ID: 6608929351 Enrollment ID: I20090729000182 |
| Provider Name | Adriana Spanova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548470131 PECOS PAC ID: 1557423829 Enrollment ID: I20090730000453 |
| Provider Name | Richard Watson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962472886 PECOS PAC ID: 7113095688 Enrollment ID: I20091013000081 |
| Provider Name | Yamuna Kasaraneni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528097607 PECOS PAC ID: 3870591795 Enrollment ID: I20091013000478 |
| Provider Name | Kimberly S Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093945222 PECOS PAC ID: 2264570621 Enrollment ID: I20091105000444 |
| Provider Name | Vasti L Broadstone |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760420137 PECOS PAC ID: 2163520792 Enrollment ID: I20091201000334 |
| Provider Name | Greg N Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649257866 PECOS PAC ID: 9133229396 Enrollment ID: I20091217000083 |
| Provider Name | Phillip M Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659356921 PECOS PAC ID: 7315075967 Enrollment ID: I20100503000421 |
| Provider Name | Briana N Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750532065 PECOS PAC ID: 6800924101 Enrollment ID: I20100506000791 |
| Provider Name | Srinivasarao Manchikalapudi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326073586 PECOS PAC ID: 7012803802 Enrollment ID: I20100604000386 |
| Provider Name | Dawn G Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538482658 PECOS PAC ID: 8426186933 Enrollment ID: I20100609000751 |
| Provider Name | Bapineedu Gondi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649295056 PECOS PAC ID: 7113813908 Enrollment ID: I20100803000962 |
| Provider Name | Candace Lee Embry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659311553 PECOS PAC ID: 0941334411 Enrollment ID: I20100819000264 |
| Provider Name | Fakhry Rafiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477607695 PECOS PAC ID: 5395769632 Enrollment ID: I20100823000379 |
| Provider Name | Huitzilin Mauricio Olmecah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821181553 PECOS PAC ID: 9638277239 Enrollment ID: I20100913000312 |
| Provider Name | Alfonso Alfonso Cervera |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730152117 PECOS PAC ID: 2860516788 Enrollment ID: I20101007001386 |
| Provider Name | George Flanagan Estill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962442871 PECOS PAC ID: 4385626399 Enrollment ID: I20101108000255 |
| Provider Name | Reggie Lyell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184660664 PECOS PAC ID: 2062529514 Enrollment ID: I20101108000369 |
| Provider Name | Melissa Gail Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669788642 PECOS PAC ID: 3375736457 Enrollment ID: I20101111000542 |
| Provider Name | Stacy Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427378512 PECOS PAC ID: 5496940389 Enrollment ID: I20101117001225 |
| Provider Name | Joel Lowell Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326211012 PECOS PAC ID: 9537295316 Enrollment ID: I20110301000639 |
| Provider Name | Salvatore A Migliore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609807783 PECOS PAC ID: 1355239229 Enrollment ID: I20110309000402 |
| Provider Name | James E Eversole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194949024 PECOS PAC ID: 3375516891 Enrollment ID: I20110311000659 |
| Provider Name | Janet L Streepey |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598960999 PECOS PAC ID: 0446433619 Enrollment ID: I20110324000973 |
| Provider Name | Michael Bousamra |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669411781 PECOS PAC ID: 8628975885 Enrollment ID: I20110531000286 |
| Provider Name | Jennifer S Kramp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841239464 PECOS PAC ID: 5294873014 Enrollment ID: I20110803000176 |
| Provider Name | Anand Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346361904 PECOS PAC ID: 7113116112 Enrollment ID: I20110810000406 |
| Provider Name | Todd Shanks |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154542181 PECOS PAC ID: 8426106808 Enrollment ID: I20110825000269 |
| Provider Name | Sharon L Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609155944 PECOS PAC ID: 7315117082 Enrollment ID: I20110907001248 |
| Provider Name | Surender Kumar Sandella |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689736324 PECOS PAC ID: 5597859918 Enrollment ID: I20110914000360 |
| Provider Name | Thomas Becherer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700987260 PECOS PAC ID: 9234127002 Enrollment ID: I20111004000774 |
| Provider Name | Ravi Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285633586 PECOS PAC ID: 0749229029 Enrollment ID: I20111006000467 |
| Provider Name | John Vernon Holeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588749204 PECOS PAC ID: 0042336497 Enrollment ID: I20111207000812 |
| Provider Name | Ajmal H Bangash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669409702 PECOS PAC ID: 9234140815 Enrollment ID: I20120103000425 |
| Provider Name | Radomir Piwko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033347166 PECOS PAC ID: 1052577335 Enrollment ID: I20120801000258 |
| Provider Name | Pamela J Jump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447501333 PECOS PAC ID: 0446400352 Enrollment ID: I20121030000020 |
| Provider Name | Christopher S Hofelich |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992805493 PECOS PAC ID: 1850390865 Enrollment ID: I20121203000148 |
| Provider Name | Michael Joseph Imburgia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649278938 PECOS PAC ID: 9739079815 Enrollment ID: I20121221000249 |
| Provider Name | Karen D Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639428550 PECOS PAC ID: 6507019031 Enrollment ID: I20130114000228 |
| Provider Name | Ifeoma Okeke |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1134168578 PECOS PAC ID: 3072572585 Enrollment ID: I20130220000299 |
| Provider Name | Stephen C Sample |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326161266 PECOS PAC ID: 3779648241 Enrollment ID: I20130314000261 |
| Provider Name | William C Dillon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053340141 PECOS PAC ID: 5890708242 Enrollment ID: I20130314000278 |
| Provider Name | Jennifer A Lash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831227784 PECOS PAC ID: 0941373229 Enrollment ID: I20130314000288 |
| Provider Name | Kristie C Upton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932493657 PECOS PAC ID: 6204013519 Enrollment ID: I20130322000254 |
| Provider Name | Tabitha Satterly-welborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508104258 PECOS PAC ID: 5395982458 Enrollment ID: I20130520000427 |
| Provider Name | Whitney A Pitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497095970 PECOS PAC ID: 4981841285 Enrollment ID: I20130524000602 |
| Provider Name | Madonna Renee Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780713842 PECOS PAC ID: 1153330238 Enrollment ID: I20130613000695 |
| Provider Name | Barbara Anne Carr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104801158 PECOS PAC ID: 3678600673 Enrollment ID: I20130808000233 |
| Provider Name | Shimoga R Prakash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356485833 PECOS PAC ID: 2860584992 Enrollment ID: I20130829000038 |
| Provider Name | Kris T Abeln |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851502199 PECOS PAC ID: 2264565068 Enrollment ID: I20130904000900 |
| Provider Name | John A Cox |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174796544 PECOS PAC ID: 1557504750 Enrollment ID: I20130906000303 |
| Provider Name | Frank J Kearse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699941757 PECOS PAC ID: 6103069380 Enrollment ID: I20130909000369 |
| Provider Name | Christian Peter Badillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770711434 PECOS PAC ID: 4880843903 Enrollment ID: I20131009002137 |
| Provider Name | Sreedevi Gondi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811186760 PECOS PAC ID: 9830332238 Enrollment ID: I20131015000932 |
| Provider Name | Tracey A Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306148671 PECOS PAC ID: 2365625605 Enrollment ID: I20131023002013 |
| Provider Name | Samuel Baker Pollock |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1164593471 PECOS PAC ID: 8224104815 Enrollment ID: I20131105000885 |
| Provider Name | William B King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295898807 PECOS PAC ID: 0840207882 Enrollment ID: I20131107001539 |
| Provider Name | Shahaab Uddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669784872 PECOS PAC ID: 1850526336 Enrollment ID: I20131109000440 |
| Provider Name | Lori Shea Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740225820 PECOS PAC ID: 0345420584 Enrollment ID: I20131109000559 |
| Provider Name | Shannon M Nale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881028553 PECOS PAC ID: 1557599099 Enrollment ID: I20140108001551 |
| Provider Name | Melissa A Winchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992132369 PECOS PAC ID: 8628204336 Enrollment ID: I20140116000732 |
| Provider Name | John Nicholas Moustoukas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124317847 PECOS PAC ID: 3779712914 Enrollment ID: I20140210000869 |
| Provider Name | Dawn Gillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710236989 PECOS PAC ID: 9638308737 Enrollment ID: I20140213001017 |
| Provider Name | Beth A Milliner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598928699 PECOS PAC ID: 2163604018 Enrollment ID: I20140304001323 |
| Provider Name | Lachelle N Achterberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427396290 PECOS PAC ID: 5193960615 Enrollment ID: I20140414001627 |
| Provider Name | Syed Mustafa Hasan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891080883 PECOS PAC ID: 0042460644 Enrollment ID: I20140418000076 |
| Provider Name | Salgram Jaisinghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265544878 PECOS PAC ID: 1759311806 Enrollment ID: I20140429001659 |
| Provider Name | George Gad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811144678 PECOS PAC ID: 1658530357 Enrollment ID: I20140508002163 |
| Provider Name | Uchenna L Ozor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003123084 PECOS PAC ID: 8527294560 Enrollment ID: I20140613000685 |
| Provider Name | Branden Allen Bledsoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184907099 PECOS PAC ID: 0244402485 Enrollment ID: I20140701001166 |
| Provider Name | Mehyar Mehrizi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477875938 PECOS PAC ID: 9830335462 Enrollment ID: I20140708002065 |
| Provider Name | Christian D Clasby |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841433380 PECOS PAC ID: 6800012568 Enrollment ID: I20140801001350 |
| Provider Name | Marcia A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770897514 PECOS PAC ID: 2668598566 Enrollment ID: I20140806002544 |
| Provider Name | Lakshmana K Pendyala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144217746 PECOS PAC ID: 5092794479 Enrollment ID: I20140909000592 |
| Provider Name | Bertina F Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760708267 PECOS PAC ID: 2163745746 Enrollment ID: I20150107000901 |
| Provider Name | Jeanine Henigin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518207711 PECOS PAC ID: 8628217916 Enrollment ID: I20150128001812 |
| Provider Name | Julia Ellen Danzl Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073918934 PECOS PAC ID: 5092031781 Enrollment ID: I20150223001220 |
| Provider Name | Paul Passafiume |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861768921 PECOS PAC ID: 2668634080 Enrollment ID: I20150429000666 |
| Provider Name | Teresa A Renfrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891925004 PECOS PAC ID: 2062731888 Enrollment ID: I20150429001270 |
| Provider Name | Emily Jean Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366834863 PECOS PAC ID: 6709106495 Enrollment ID: I20150520001779 |
| Provider Name | Theodore J Spires |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326303603 PECOS PAC ID: 2264753078 Enrollment ID: I20150605000094 |
| Provider Name | Kimberly Nicole Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720461924 PECOS PAC ID: 1153634571 Enrollment ID: I20150714002397 |
| Provider Name | Catherine F Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437433273 PECOS PAC ID: 1759549835 Enrollment ID: I20150807014975 |
| Provider Name | Megan S Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780060236 PECOS PAC ID: 7315252673 Enrollment ID: I20150814013846 |
| Provider Name | Gail Mcknight Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508240169 PECOS PAC ID: 2062728439 Enrollment ID: I20150831001401 |
| Provider Name | Jessica L Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164802682 PECOS PAC ID: 6507177615 Enrollment ID: I20150923001883 |
| Provider Name | Chelsea L. Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619342185 PECOS PAC ID: 8325349699 Enrollment ID: I20151211000437 |
| Provider Name | Claire E Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740677558 PECOS PAC ID: 1557671815 Enrollment ID: I20160509000178 |
| Provider Name | Kevin Lannan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568826774 PECOS PAC ID: 2264721117 Enrollment ID: I20160516001292 |
| Provider Name | Douglas Satcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821126673 PECOS PAC ID: 2264591619 Enrollment ID: I20160602002643 |
| Provider Name | Patricia M Habimana |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1386848455 PECOS PAC ID: 5698875573 Enrollment ID: I20160606000935 |
| Provider Name | William Anthony Davis |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1497195697 PECOS PAC ID: 5597089490 Enrollment ID: I20160627000337 |
| Provider Name | Rebecca Ann Souza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528202132 PECOS PAC ID: 4486680048 Enrollment ID: I20160701000271 |
| Provider Name | Oscar Dean Norton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285606590 PECOS PAC ID: 5395705297 Enrollment ID: I20160803000412 |
| Provider Name | Susan J Essing-spiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548612344 PECOS PAC ID: 0446544027 Enrollment ID: I20160804000263 |
| Provider Name | Chad Eurton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588041529 PECOS PAC ID: 9436445749 Enrollment ID: I20160913002384 |
| Provider Name | Javed Syed Iqbal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649614462 PECOS PAC ID: 2769609957 Enrollment ID: I20160915000090 |
| Provider Name | Carmen S Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538612882 PECOS PAC ID: 4789971680 Enrollment ID: I20160920002962 |
| Provider Name | Rinit H Pancholi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205048212 PECOS PAC ID: 9335291756 Enrollment ID: I20160927002498 |
| Provider Name | Suraj K. Gathani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902172067 PECOS PAC ID: 1153564240 Enrollment ID: I20161019000929 |
| Provider Name | Candace M Shireman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104374966 PECOS PAC ID: 5991083206 Enrollment ID: I20161020001009 |
| Provider Name | Tiffany D Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124442603 PECOS PAC ID: 9234418542 Enrollment ID: I20161109000879 |
| Provider Name | Amy L. Leezer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487190641 PECOS PAC ID: 2264714732 Enrollment ID: I20170117001944 |
| Provider Name | Crystal H Mcmahan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396969200 PECOS PAC ID: 7416016548 Enrollment ID: I20170220002142 |
| Provider Name | Gregory J Pettaway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851701841 PECOS PAC ID: 0345562682 Enrollment ID: I20170227000625 |
| Provider Name | Jordan R Kirchgessner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942679063 PECOS PAC ID: 2567770977 Enrollment ID: I20170308001413 |
| Provider Name | Michael W Newkirk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871650101 PECOS PAC ID: 8426113564 Enrollment ID: I20170418000193 |
| Provider Name | Aman Gebre-egziabher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568754091 PECOS PAC ID: 1850535527 Enrollment ID: I20170425000192 |
| Provider Name | Lee M. Riddle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295149532 PECOS PAC ID: 0749580975 Enrollment ID: I20170505000745 |
| Provider Name | Beth Deyoung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104275031 PECOS PAC ID: 5294023958 Enrollment ID: I20170518000550 |
| Provider Name | Robert J Leonard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013337641 PECOS PAC ID: 2860769783 Enrollment ID: I20170525000479 |
| Provider Name | Birrilla Maddox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528471463 PECOS PAC ID: 8426368374 Enrollment ID: I20170609001586 |
| Provider Name | Jordan B. Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265708150 PECOS PAC ID: 2668741133 Enrollment ID: I20170627002614 |
| Provider Name | Lyndsay P Delaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063948677 PECOS PAC ID: 9830467943 Enrollment ID: I20170705000574 |
| Provider Name | Taylor Anne Frantsvog |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548780810 PECOS PAC ID: 0648549634 Enrollment ID: I20170706003280 |
| Provider Name | Aksana Waskosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205262052 PECOS PAC ID: 0749550309 Enrollment ID: I20170714001711 |
| Provider Name | Rebecca M Leite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922465764 PECOS PAC ID: 9335436161 Enrollment ID: I20170815001845 |
| Provider Name | Bradford Cottrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629116942 PECOS PAC ID: 7618057480 Enrollment ID: I20170829003356 |
| Provider Name | Rhonda L Stamey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487174165 PECOS PAC ID: 6103199518 Enrollment ID: I20170907000427 |
| Provider Name | Lunden A Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972027993 PECOS PAC ID: 0042582181 Enrollment ID: I20170920000576 |
| Provider Name | Ketevan Gvalia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255774527 PECOS PAC ID: 6103129598 Enrollment ID: I20171127003338 |
| Provider Name | James Watkins Lowry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982656690 PECOS PAC ID: 5092757690 Enrollment ID: I20171226000023 |
| Provider Name | Julie Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902255573 PECOS PAC ID: 6608169743 Enrollment ID: I20180115000754 |
| Provider Name | Gregory Ridenour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447708979 PECOS PAC ID: 4688935331 Enrollment ID: I20180221001148 |
| Provider Name | Erik W Achramowicz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598027245 PECOS PAC ID: 4284859778 Enrollment ID: I20180222000550 |
| Provider Name | Melinda Sue Dodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841710548 PECOS PAC ID: 4183995806 Enrollment ID: I20180313001251 |
| Provider Name | Kelsie O Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144728965 PECOS PAC ID: 4880957521 Enrollment ID: I20180411002126 |
| Provider Name | Amanda Jo Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588163943 PECOS PAC ID: 6103189535 Enrollment ID: I20180417000680 |
| Provider Name | Phillip E Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407379043 PECOS PAC ID: 2961765375 Enrollment ID: I20180418000581 |
| Provider Name | Viktor Miro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073856019 PECOS PAC ID: 9931482718 Enrollment ID: I20180420000762 |
| Provider Name | Leigha Christine Bowyer-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710483037 PECOS PAC ID: 6204190853 Enrollment ID: I20180507001048 |
| Provider Name | Angela W Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578083861 PECOS PAC ID: 5597020693 Enrollment ID: I20180518002509 |
| Provider Name | Rusty T Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952439499 PECOS PAC ID: 4688712094 Enrollment ID: I20180711002072 |
| Provider Name | Angela L Mahan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275670556 PECOS PAC ID: 5092957183 Enrollment ID: I20180718003929 |
| Provider Name | Kevin W Parrott |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699092973 PECOS PAC ID: 9739499757 Enrollment ID: I20180725003382 |
| Provider Name | Anitalynn Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588914394 PECOS PAC ID: 8426209966 Enrollment ID: I20180727002383 |
| Provider Name | Steven Joseph Reiss |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487647616 PECOS PAC ID: 5395843940 Enrollment ID: I20180816000766 |
| Provider Name | Wayne Garcia Villanueva |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861483265 PECOS PAC ID: 7719964469 Enrollment ID: I20180816000866 |
| Provider Name | Matthew Cody Lee Keith |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215179908 PECOS PAC ID: 0941455570 Enrollment ID: I20180822001168 |
| Provider Name | John Patrick Mccormick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427494046 PECOS PAC ID: 5294037602 Enrollment ID: I20180823001166 |
| Provider Name | Salem M George |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1003805953 PECOS PAC ID: 6103713045 Enrollment ID: I20180920000905 |
| Provider Name | Noah T Scherrer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1740423896 PECOS PAC ID: 0547576191 Enrollment ID: I20180920001010 |
| Provider Name | Matthew T Jung |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1316941263 PECOS PAC ID: 5597892778 Enrollment ID: I20180920001487 |
| Provider Name | Micole Alesia Brookins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427549773 PECOS PAC ID: 4183975410 Enrollment ID: I20180925002731 |
| Provider Name | Omer Subeir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750795167 PECOS PAC ID: 6901158930 Enrollment ID: I20181002003332 |
| Provider Name | Chelsea Z Kellams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063996254 PECOS PAC ID: 4385997923 Enrollment ID: I20181029000492 |
| Provider Name | Chad D Tarr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598717639 PECOS PAC ID: 3072541978 Enrollment ID: I20190111000816 |
| Provider Name | Amanda L Hackemack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942770235 PECOS PAC ID: 9739426354 Enrollment ID: I20190121000496 |
| Provider Name | Amanda B Bierman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285199422 PECOS PAC ID: 6103165790 Enrollment ID: I20190226001356 |
| Provider Name | Rajanna B Ramaswamy |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1386618221 PECOS PAC ID: 9335238609 Enrollment ID: I20190307002484 |
| Provider Name | Alisha M Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861952848 PECOS PAC ID: 8426399452 Enrollment ID: I20190401001199 |
| Provider Name | Kristina Robinson Hammer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639634199 PECOS PAC ID: 5597006361 Enrollment ID: I20190412001469 |
| Provider Name | Barrett M Teague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871935825 PECOS PAC ID: 8224388475 Enrollment ID: I20190501000382 |
| Provider Name | Katie Elizabeth Kraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124469481 PECOS PAC ID: 2163657594 Enrollment ID: I20190525000105 |
| Provider Name | Alexandra Kay Dilger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548823255 PECOS PAC ID: 1456694751 Enrollment ID: I20190529001948 |
| Provider Name | Jill Hentrup |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295398097 PECOS PAC ID: 4981947298 Enrollment ID: I20190529002125 |
| Provider Name | Paul B Lonnemann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639169311 PECOS PAC ID: 1951359256 Enrollment ID: I20190530000686 |
| Provider Name | Sabine E Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053974873 PECOS PAC ID: 4587907845 Enrollment ID: I20190530000784 |
| Provider Name | Nathan S Nevin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710540539 PECOS PAC ID: 8224371513 Enrollment ID: I20190530002103 |
| Provider Name | Tyler Elliott Helm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700077013 PECOS PAC ID: 4981937703 Enrollment ID: I20190611001945 |
| Provider Name | Erin Denise Jenkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134782931 PECOS PAC ID: 2163755992 Enrollment ID: I20190611001975 |
| Provider Name | Maria G Hornung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073881660 PECOS PAC ID: 8123286648 Enrollment ID: I20190611002063 |
| Provider Name | Cody Ray Mumaw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316500036 PECOS PAC ID: 8628301454 Enrollment ID: I20190611002328 |
| Provider Name | Jessica Anne Frederick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538722244 PECOS PAC ID: 0446583272 Enrollment ID: I20190611002333 |
| Provider Name | Alexis M Pittenger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104489822 PECOS PAC ID: 0244563872 Enrollment ID: I20190612003743 |
| Provider Name | Michelle Rudolph |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578725354 PECOS PAC ID: 8820321250 Enrollment ID: I20190617002785 |
| Provider Name | Thomas G Russell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477116143 PECOS PAC ID: 9739412164 Enrollment ID: I20190617002796 |
| Provider Name | Shadi Talebi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760045496 PECOS PAC ID: 9335472760 Enrollment ID: I20190617002948 |
| Provider Name | James R Snyder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376106773 PECOS PAC ID: 0143553578 Enrollment ID: I20190617003001 |
| Provider Name | Robin Ann Sprigler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881257293 PECOS PAC ID: 6305179730 Enrollment ID: I20190617003086 |
| Provider Name | Mary Christin Veith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033772454 PECOS PAC ID: 0840523288 Enrollment ID: I20190617003156 |
| Provider Name | Amitoj Singh Gill |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699022525 PECOS PAC ID: 3678700903 Enrollment ID: I20190711003528 |
| Provider Name | Jalaram Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366893539 PECOS PAC ID: 9032445697 Enrollment ID: I20190719002538 |
| Provider Name | Brian Walter Kaebnick |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407084593 PECOS PAC ID: 4688966815 Enrollment ID: I20190726001149 |
| Provider Name | David Anthony Lipski |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730111725 PECOS PAC ID: 5496819260 Enrollment ID: I20190812003062 |
| Provider Name | Timothy Michael Farley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710317979 PECOS PAC ID: 4183855869 Enrollment ID: I20190815000275 |
| Provider Name | Jessica May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881248037 PECOS PAC ID: 1254668064 Enrollment ID: I20190815002605 |
| Provider Name | Dilan Dilip Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699156232 PECOS PAC ID: 9638421977 Enrollment ID: I20190829001542 |
| Provider Name | Dana Smallwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669974721 PECOS PAC ID: 7113256249 Enrollment ID: I20190913002991 |
| Provider Name | Mark Everett Bickers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710364179 PECOS PAC ID: 0244541928 Enrollment ID: I20190916001221 |
| Provider Name | Michele Woodward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124687611 PECOS PAC ID: 3072843580 Enrollment ID: I20190926001300 |
| Provider Name | Alicia Ellen Baldwin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750938296 PECOS PAC ID: 1052642956 Enrollment ID: I20191008000217 |
| Provider Name | Michelle Justice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114497583 PECOS PAC ID: 2365773736 Enrollment ID: I20191016001438 |
| Provider Name | Andrew Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568776565 PECOS PAC ID: 2860638301 Enrollment ID: I20191016003274 |
| Provider Name | Divya R Nallapuram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730533373 PECOS PAC ID: 7113219122 Enrollment ID: I20191107000820 |
| Provider Name | Jay Woody |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235209669 PECOS PAC ID: 5395833495 Enrollment ID: I20191116000484 |
| Provider Name | Debra A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245792522 PECOS PAC ID: 8527391416 Enrollment ID: I20191126002372 |
| Provider Name | Sarah Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194154047 PECOS PAC ID: 6305072968 Enrollment ID: I20191226002242 |
| Provider Name | Zorre Zeno Kimura |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568707743 PECOS PAC ID: 5092609081 Enrollment ID: I20200108001231 |
| Provider Name | Amanda B Hellmueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821649849 PECOS PAC ID: 0042542524 Enrollment ID: I20200212002096 |
| Provider Name | Angela Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457996332 PECOS PAC ID: 7517394182 Enrollment ID: I20200219002664 |
| Provider Name | Christie L Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326523853 PECOS PAC ID: 6608203849 Enrollment ID: I20200227001130 |
| Provider Name | Terry Himes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700995438 PECOS PAC ID: 2567441181 Enrollment ID: I20200306000464 |
| Provider Name | Dawn Lechner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861032906 PECOS PAC ID: 4082042684 Enrollment ID: I20200313001001 |
| Provider Name | Alexander Palma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760635445 PECOS PAC ID: 5991989360 Enrollment ID: I20200316002347 |
| Provider Name | Hannah Christine Raake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447880430 PECOS PAC ID: 6507294808 Enrollment ID: I20200320000353 |
| Provider Name | Sandra Tarapasade |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326461021 PECOS PAC ID: 9931482452 Enrollment ID: I20200323001334 |
| Provider Name | Sylvester L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861038523 PECOS PAC ID: 9931538915 Enrollment ID: I20200329000540 |
| Provider Name | Amanda Foring |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972923340 PECOS PAC ID: 5597195420 Enrollment ID: I20200416003481 |
| Provider Name | Kalynn Jolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386276715 PECOS PAC ID: 1153752241 Enrollment ID: I20200505000683 |
| Provider Name | Saheed Ojo-oniyun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649333071 PECOS PAC ID: 1355433343 Enrollment ID: I20200514003173 |
| Provider Name | Tyler Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750910816 PECOS PAC ID: 8527489376 Enrollment ID: I20200602002563 |
| Provider Name | Valerie Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225657877 PECOS PAC ID: 5395166102 Enrollment ID: I20200603002137 |
| Provider Name | Brooke Bauer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386088508 PECOS PAC ID: 1951629997 Enrollment ID: I20200605002236 |
| Provider Name | Sara V Woodcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639641145 PECOS PAC ID: 4587099684 Enrollment ID: I20200608000667 |
| Provider Name | Brenton D Warren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457375347 PECOS PAC ID: 1658475488 Enrollment ID: I20200804003314 |
| Provider Name | Laura M Ruble |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013369040 PECOS PAC ID: 0042636680 Enrollment ID: I20200813001818 |
| Provider Name | Nirav M Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588042600 PECOS PAC ID: 0547562001 Enrollment ID: I20200817002934 |
| Provider Name | William Bickers |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1114311073 PECOS PAC ID: 8123300407 Enrollment ID: I20200817003666 |
| Provider Name | Nathaniel Todnem |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1144584004 PECOS PAC ID: 7315273521 Enrollment ID: I20200819002428 |
| Provider Name | Thomas Schlierf |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720407604 PECOS PAC ID: 2860700481 Enrollment ID: I20200908000325 |
| Provider Name | Marleen Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407857386 PECOS PAC ID: 4385775907 Enrollment ID: I20200914001872 |
| Provider Name | John Fyffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942811088 PECOS PAC ID: 2062831514 Enrollment ID: I20201001002426 |
| Provider Name | Kaimen L Frideres |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578161238 PECOS PAC ID: 0244650844 Enrollment ID: I20201021000611 |
| Provider Name | Cyle Douglas Rogotzke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093242281 PECOS PAC ID: 4789952508 Enrollment ID: I20201109002197 |
| Provider Name | Andrew Pennington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689176166 PECOS PAC ID: 4385074715 Enrollment ID: I20201118003060 |
| Provider Name | Imad Ayyar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073515268 PECOS PAC ID: 0042105173 Enrollment ID: I20201123001843 |
| Provider Name | Holly Woosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568087625 PECOS PAC ID: 8224441845 Enrollment ID: I20201228002118 |
| Provider Name | Sheryl Ann Stack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346418001 PECOS PAC ID: 8729163597 Enrollment ID: I20210104000642 |
| Provider Name | Christie Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417259730 PECOS PAC ID: 0749469997 Enrollment ID: I20210104000655 |
| Provider Name | Julie Buckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255659090 PECOS PAC ID: 1052598844 Enrollment ID: I20210104000672 |
| Provider Name | Tamara Slater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700421914 PECOS PAC ID: 0042644312 Enrollment ID: I20210104000757 |
| Provider Name | Janay Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942786371 PECOS PAC ID: 5799023289 Enrollment ID: I20210104001367 |
| Provider Name | Brittney Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669840823 PECOS PAC ID: 9335458660 Enrollment ID: I20210104001368 |
| Provider Name | Terri Overbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467420034 PECOS PAC ID: 1850380957 Enrollment ID: I20210104002325 |
| Provider Name | Lori Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265730311 PECOS PAC ID: 9234312505 Enrollment ID: I20210105001694 |
| Provider Name | Sharon L Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669819470 PECOS PAC ID: 6204734213 Enrollment ID: I20210115002172 |
| Provider Name | Vanessa Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508462920 PECOS PAC ID: 1850706680 Enrollment ID: I20210209001048 |
| Provider Name | Stephanie Ollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932799509 PECOS PAC ID: 1052726460 Enrollment ID: I20210217001993 |
| Provider Name | Sarah Elizabeth Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023609252 PECOS PAC ID: 7012323876 Enrollment ID: I20210303001349 |
| Provider Name | Joseph Blandford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295240901 PECOS PAC ID: 5698181220 Enrollment ID: I20210305002103 |
| Provider Name | Catherine Marie Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356942056 PECOS PAC ID: 3779990601 Enrollment ID: I20210322000698 |
| Provider Name | Vanessa Gisela Tseng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336116128 PECOS PAC ID: 0941214142 Enrollment ID: I20210325000682 |
| Provider Name | Paula Kaye Mccarter-carlisle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942895958 PECOS PAC ID: 4789091273 Enrollment ID: I20210330000740 |
| Provider Name | Kevin Ziegler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275673113 PECOS PAC ID: 9739252826 Enrollment ID: I20210408002151 |
| Provider Name | Karyn Michele Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588274161 PECOS PAC ID: 9234547761 Enrollment ID: I20210421001041 |
| Provider Name | Misti Alsop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578152815 PECOS PAC ID: 5193134948 Enrollment ID: I20210506001672 |
| Provider Name | Hrak Chemchirian |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1215190988 PECOS PAC ID: 1153634266 Enrollment ID: I20210524002192 |
| Provider Name | Wendy Devore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649855081 PECOS PAC ID: 5890194849 Enrollment ID: I20210525002106 |
| Provider Name | Sarah Ashley Longaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033793286 PECOS PAC ID: 1052710860 Enrollment ID: I20210527002384 |
| Provider Name | John Serak |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053635656 PECOS PAC ID: 4183996515 Enrollment ID: I20210603001308 |
| Provider Name | Justin Thai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700325487 PECOS PAC ID: 1850662545 Enrollment ID: I20210609000692 |
| Provider Name | Timothy H Dawson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336502467 PECOS PAC ID: 6406127596 Enrollment ID: I20210611000441 |
| Provider Name | Justin Dubreus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104320613 PECOS PAC ID: 5799024477 Enrollment ID: I20210708002215 |
| Provider Name | Brian Snyder |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689081895 PECOS PAC ID: 0648588475 Enrollment ID: I20210712002675 |
| Provider Name | Ashlee A Vinyard |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528479193 PECOS PAC ID: 2365768751 Enrollment ID: I20210803002347 |
| Provider Name | Maria Nicole Bartanen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104599398 PECOS PAC ID: 3678977170 Enrollment ID: I20210805001560 |
| Provider Name | Ishmael Avery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255826491 PECOS PAC ID: 1355745746 Enrollment ID: I20210806001707 |
| Provider Name | Steve Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912917972 PECOS PAC ID: 0345340394 Enrollment ID: I20210901001997 |
| Provider Name | Mariano Camporrotondo |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1912572595 PECOS PAC ID: 4284037565 Enrollment ID: I20210907001722 |
| Provider Name | James Armstrong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922240308 PECOS PAC ID: 1153541941 Enrollment ID: I20210922000855 |
| Provider Name | Kelsey James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326716192 PECOS PAC ID: 6608274105 Enrollment ID: I20211014000590 |
| Provider Name | Juhee N Mian |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1780003772 PECOS PAC ID: 0749554459 Enrollment ID: I20211019000926 |
| Provider Name | Brittany Ann Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427720887 PECOS PAC ID: 1456749019 Enrollment ID: I20211101001507 |
| Provider Name | Asad Riaz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174715791 PECOS PAC ID: 4587797782 Enrollment ID: I20211112001398 |
| Provider Name | Natalie Schuminski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174926380 PECOS PAC ID: 9032509252 Enrollment ID: I20211202001172 |
| Provider Name | Jessica Hawley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821755604 PECOS PAC ID: 1355731571 Enrollment ID: I20211202001411 |
| Provider Name | William A Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598422065 PECOS PAC ID: 5193116093 Enrollment ID: I20220104001756 |
| Provider Name | Holly L Yahyawi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841957248 PECOS PAC ID: 3375935927 Enrollment ID: I20220112000459 |
| Provider Name | Chelsea Bentley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538723242 PECOS PAC ID: 4183967516 Enrollment ID: I20220125000995 |
| Provider Name | Karen Zabel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538455662 PECOS PAC ID: 6608044904 Enrollment ID: I20220127001719 |
| Provider Name | Victoria Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427409085 PECOS PAC ID: 2769817477 Enrollment ID: I20220128001509 |
| Provider Name | Daniel Cordiner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831552264 PECOS PAC ID: 2668753906 Enrollment ID: I20220218000835 |
| Provider Name | Nathalie Douge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891108692 PECOS PAC ID: 9537431986 Enrollment ID: I20220218001824 |
| Provider Name | Angel Y Ramos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912392986 PECOS PAC ID: 8820380413 Enrollment ID: I20220223001053 |
| Provider Name | Johanna Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285157255 PECOS PAC ID: 8820363138 Enrollment ID: I20220302000673 |
| Provider Name | Christopher Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821676701 PECOS PAC ID: 1759770993 Enrollment ID: I20220309001847 |
| Provider Name | Shiv Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417246877 PECOS PAC ID: 6103048954 Enrollment ID: I20220315001873 |
| Provider Name | Katherine Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346719804 PECOS PAC ID: 5395087035 Enrollment ID: I20220318001578 |
| Provider Name | Heather Burchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528375672 PECOS PAC ID: 8426246539 Enrollment ID: I20220420000567 |
| Provider Name | Bryan Maddox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215687058 PECOS PAC ID: 3971980046 Enrollment ID: I20220510002136 |
| Provider Name | Tracy Jo Dupaquier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891368981 PECOS PAC ID: 9234533860 Enrollment ID: I20220516000914 |
| Provider Name | Nabeel Habib Gul |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1568890416 PECOS PAC ID: 5496133019 Enrollment ID: I20220609001230 |
| Provider Name | Jay Bradley Lankford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831753540 PECOS PAC ID: 5193068773 Enrollment ID: I20220610001245 |
| Provider Name | Evelyn Hunter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154502003 PECOS PAC ID: 7618356148 Enrollment ID: I20220614000731 |
| Provider Name | Vikas Singh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457663817 PECOS PAC ID: 3678869989 Enrollment ID: I20220617000882 |
| Provider Name | Charles R Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811462146 PECOS PAC ID: 5092053587 Enrollment ID: I20220711002050 |
| Provider Name | Harleen Chahil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629481270 PECOS PAC ID: 9537386248 Enrollment ID: I20220714003554 |
| Provider Name | Charles Amos Bush |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619361680 PECOS PAC ID: 4385924653 Enrollment ID: I20220720001864 |
| Provider Name | Brian Lauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144719469 PECOS PAC ID: 6800141250 Enrollment ID: I20220725000783 |
| Provider Name | Anthony Hammond |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821475948 PECOS PAC ID: 6305100728 Enrollment ID: I20220725002994 |
| Provider Name | Madison Ashley Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205399078 PECOS PAC ID: 2860726098 Enrollment ID: I20220727000397 |
| Provider Name | Lauren Childs Resch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477285294 PECOS PAC ID: 7618359100 Enrollment ID: I20220730000233 |
| Provider Name | Tessa Hines |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922697531 PECOS PAC ID: 3971919218 Enrollment ID: I20220802001896 |
| Provider Name | Christ Kyriakedes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992762736 PECOS PAC ID: 8426949322 Enrollment ID: I20220822002973 |
| Provider Name | Jonathan David Rice |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518256783 PECOS PAC ID: 5698170504 Enrollment ID: I20220824002132 |
| Provider Name | Christina Cotton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629715768 PECOS PAC ID: 4486038247 Enrollment ID: I20220829002910 |
| Provider Name | Robert O'bryan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790051118 PECOS PAC ID: 1557679214 Enrollment ID: I20220902001859 |
| Provider Name | Cooper Rapp |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1356876395 PECOS PAC ID: 6204108772 Enrollment ID: I20220929002773 |
| Provider Name | Makenzie Taylor Schembari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124742424 PECOS PAC ID: 6002283454 Enrollment ID: I20221027003121 |
| Provider Name | Kay Timbers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528334208 PECOS PAC ID: 8325358435 Enrollment ID: I20221031000355 |
| Provider Name | Eric Chen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841672276 PECOS PAC ID: 0941516892 Enrollment ID: I20221103002609 |
| Provider Name | Emily J Winn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689084030 PECOS PAC ID: 3971827247 Enrollment ID: I20221112000077 |
| Provider Name | Erika Cadle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598233959 PECOS PAC ID: 5193159408 Enrollment ID: I20221117000250 |
| Provider Name | Chanel O'brien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326532904 PECOS PAC ID: 3072861533 Enrollment ID: I20221117001576 |
| Provider Name | Dana Lee Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477132926 PECOS PAC ID: 3375941388 Enrollment ID: I20221117002745 |
| Provider Name | Donna Gatewood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174541510 PECOS PAC ID: 9830092964 Enrollment ID: I20221128001278 |
| Provider Name | Samuel Shoptaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245949239 PECOS PAC ID: 1759752561 Enrollment ID: I20230125001801 |
| Provider Name | Paul Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518157742 PECOS PAC ID: 3375638224 Enrollment ID: I20230221000147 |
| Provider Name | Kaitlin Mary Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710438379 PECOS PAC ID: 4587944616 Enrollment ID: I20230224002049 |
| Provider Name | Sanjay Nadesan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720512361 PECOS PAC ID: 3173892262 Enrollment ID: I20230228001277 |
| Provider Name | Jasdeep Sidhu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760935910 PECOS PAC ID: 3971857756 Enrollment ID: I20230302000455 |
| Provider Name | Ajay Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851777577 PECOS PAC ID: 6204181167 Enrollment ID: I20230302001639 |
| Provider Name | Madisson Veatch-smith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356984066 PECOS PAC ID: 4688047772 Enrollment ID: I20230311000211 |
| Provider Name | Sara Elizabeth Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487351771 PECOS PAC ID: 9537533690 Enrollment ID: I20230314000132 |
| Provider Name | Stephany May Gholston |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801596812 PECOS PAC ID: 9537533476 Enrollment ID: I20230316001306 |
| Provider Name | Murali Kolikonda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194111807 PECOS PAC ID: 6901186378 Enrollment ID: I20230319000074 |
| Provider Name | Patrick John Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851026611 PECOS PAC ID: 9537544150 Enrollment ID: I20230323001144 |
| Provider Name | Samuel Joseph Dolezal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326499187 PECOS PAC ID: 6800180746 Enrollment ID: I20230424001951 |
| Provider Name | Kanval Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497287858 PECOS PAC ID: 2769752435 Enrollment ID: I20230425002143 |
| Provider Name | Derwin Phillip |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871688341 PECOS PAC ID: 1557491073 Enrollment ID: I20230429000347 |
| Provider Name | Jon Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629415476 PECOS PAC ID: 2365759016 Enrollment ID: I20230510000888 |
| Provider Name | Naga Krishnakanth Madireddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932604279 PECOS PAC ID: 7214360395 Enrollment ID: I20230511002405 |
| Provider Name | Cedric Lawrenz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093273385 PECOS PAC ID: 1850627746 Enrollment ID: I20230511002528 |
| Provider Name | Justin Anderson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1700381548 PECOS PAC ID: 6507114659 Enrollment ID: I20230517001167 |
| Provider Name | Ali Masih Baher |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1972160885 PECOS PAC ID: 0244613750 Enrollment ID: I20230517002149 |
| Provider Name | Ryan Mughmaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962962092 PECOS PAC ID: 1658738778 Enrollment ID: I20230606000775 |
| Provider Name | Kevin Nance |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023702685 PECOS PAC ID: 6305204751 Enrollment ID: I20230616002940 |
| Provider Name | Yuriy Zeylikman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003255357 PECOS PAC ID: 8921233875 Enrollment ID: I20230622003088 |
| Provider Name | Donna Saylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881257384 PECOS PAC ID: 1254674062 Enrollment ID: I20230630001796 |
| Provider Name | Krista Robbins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447710181 PECOS PAC ID: 3870910086 Enrollment ID: I20230630002484 |
| Provider Name | William Bishop |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235633389 PECOS PAC ID: 2466780879 Enrollment ID: I20230705001172 |
| Provider Name | Lydia Sophia Crowder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235625963 PECOS PAC ID: 3577816818 Enrollment ID: I20230728003107 |
| Provider Name | Biruk Almaz |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1780116293 PECOS PAC ID: 1658732045 Enrollment ID: I20230801004341 |
| Provider Name | Heather Nicole Boivin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851626634 PECOS PAC ID: 1052765419 Enrollment ID: I20231004000589 |
| Provider Name | Stuart D Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841829124 PECOS PAC ID: 6406246123 Enrollment ID: I20231006001456 |
| Provider Name | Charlotte Hardesty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104504398 PECOS PAC ID: 4486016839 Enrollment ID: I20231019002630 |
| Provider Name | Prasanna Kumar Reddy Tadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689962441 PECOS PAC ID: 3678791241 Enrollment ID: I20231020000228 |
| Provider Name | Paras Pandya |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295706802 PECOS PAC ID: 7416982657 Enrollment ID: I20231030002791 |
| Provider Name | Jordan Harp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376921767 PECOS PAC ID: 5496005761 Enrollment ID: I20231113003574 |
| Provider Name | Asma Moussaoui |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720424898 PECOS PAC ID: 8426354432 Enrollment ID: I20231127000228 |
| Provider Name | Adam Rizvi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841551355 PECOS PAC ID: 1456657451 Enrollment ID: I20231127000515 |
| Provider Name | Lyle Dennis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598729220 PECOS PAC ID: 6406807395 Enrollment ID: I20231127001532 |
| Provider Name | Jill Hafelein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497923221 PECOS PAC ID: 8224162904 Enrollment ID: I20231213003547 |
| Provider Name | Jannetta Barger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457043572 PECOS PAC ID: 4183828163 Enrollment ID: I20231214001057 |
| Provider Name | Abdul Hussein Mazin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477500056 PECOS PAC ID: 0749352268 Enrollment ID: I20231228003737 |
| Provider Name | Laxmi Dhakal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598997348 PECOS PAC ID: 0446490056 Enrollment ID: I20231229000277 |
| Provider Name | Ifeanyi Iwuchukwu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215169974 PECOS PAC ID: 6608056312 Enrollment ID: I20231229000699 |
| Provider Name | Brian Holowecky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811242738 PECOS PAC ID: 1456660463 Enrollment ID: I20240119001585 |
| Provider Name | Melissa Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942797006 PECOS PAC ID: 5799174843 Enrollment ID: I20240124003004 |
| Provider Name | Vivek Baluja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538205539 PECOS PAC ID: 0143408989 Enrollment ID: I20240207002764 |
| Provider Name | Diego Condes Diez Martinez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760802540 PECOS PAC ID: 7214267822 Enrollment ID: I20240215000242 |
| Provider Name | Paige Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568910024 PECOS PAC ID: 0547541989 Enrollment ID: I20240224000492 |
| Provider Name | James Capes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093731200 PECOS PAC ID: 7012979933 Enrollment ID: I20240226003040 |
| Provider Name | Mohammad Walid Kassem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538664073 PECOS PAC ID: 7214306190 Enrollment ID: I20240228004065 |
| Provider Name | Kalyan Sajja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346682861 PECOS PAC ID: 1052542347 Enrollment ID: I20240306001148 |
| Provider Name | Sarah Purlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174391486 PECOS PAC ID: 8729431937 Enrollment ID: I20240315001758 |
| Provider Name | Megan Marie Worthington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770369308 PECOS PAC ID: 2567809395 Enrollment ID: I20240328000629 |
| Provider Name | John Ventura |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881665966 PECOS PAC ID: 8729239488 Enrollment ID: I20240328002538 |
| Provider Name | Zachary Aaron Britstone-schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740850817 PECOS PAC ID: 0840691424 Enrollment ID: I20240406000443 |
| Provider Name | Jonathon Lindner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992167712 PECOS PAC ID: 3476828849 Enrollment ID: I20240409002525 |
| Provider Name | Franklin Fannin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013050368 PECOS PAC ID: 1658447107 Enrollment ID: I20240412001992 |
| Provider Name | Zackary Wages |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740869817 PECOS PAC ID: 6800296179 Enrollment ID: I20240416004008 |
| Provider Name | Lynsey Lea Carr |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720238306 PECOS PAC ID: 8325489461 Enrollment ID: I20240507003803 |
| Provider Name | Thomas A Noel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205369147 PECOS PAC ID: 5597011346 Enrollment ID: I20240517000630 |
| Provider Name | Christopher Newey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871751305 PECOS PAC ID: 0941513170 Enrollment ID: I20240522001538 |
| Provider Name | Deborah Tabachnick |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790074912 PECOS PAC ID: 2567689607 Enrollment ID: I20240528003617 |
| Provider Name | Gian Carlo Castor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649766841 PECOS PAC ID: 0446597769 Enrollment ID: I20240603001237 |
| Provider Name | Jonathon Lawrence Harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770297814 PECOS PAC ID: 4082158209 Enrollment ID: I20240703003195 |
| Provider Name | Eric Charles Kreps |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922462720 PECOS PAC ID: 4385931559 Enrollment ID: I20240724002715 |
| Provider Name | Aurora S Cruz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063874170 PECOS PAC ID: 4587923198 Enrollment ID: I20240726001357 |
| Provider Name | Dong Bo Yu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043624026 PECOS PAC ID: 6204051840 Enrollment ID: I20240802001129 |
| Provider Name | Jennifer Leigh Hatton |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386931434 PECOS PAC ID: 6608018932 Enrollment ID: I20240806003724 |
| Provider Name | Christina Hardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487492880 PECOS PAC ID: 1153868245 Enrollment ID: I20240807001980 |
| Provider Name | Troy Dennis Reid Rivera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508425455 PECOS PAC ID: 3577898618 Enrollment ID: I20240821003625 |
| Provider Name | Jessica Mccartin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356901938 PECOS PAC ID: 0244666857 Enrollment ID: I20240903000910 |
| Provider Name | Anthony Karam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245256007 PECOS PAC ID: 7315925138 Enrollment ID: I20240904001252 |
| Provider Name | Samual Paul Gracey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386028066 PECOS PAC ID: 5092070730 Enrollment ID: I20240911000404 |
| Provider Name | Crystal Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801629639 PECOS PAC ID: 0244771368 Enrollment ID: I20240917001714 |
| Provider Name | Mallory Lynne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609334630 PECOS PAC ID: 8224450077 Enrollment ID: I20240926000437 |
| Provider Name | Sarah Renee Wilkerson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194542530 PECOS PAC ID: 8729519350 Enrollment ID: I20241007000849 |
| Provider Name | Stephanie A Wolford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588733919 PECOS PAC ID: 6305848490 Enrollment ID: I20241008001036 |
| Provider Name | Jodi Marie Mabry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306678016 PECOS PAC ID: 7315488194 Enrollment ID: I20241014003412 |
| Provider Name | Mary Jeanne Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255707543 PECOS PAC ID: 8325358138 Enrollment ID: I20241021003961 |
| Provider Name | Lesly Giselle Aguilar Tabora |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467638601 PECOS PAC ID: 1759450984 Enrollment ID: I20241025000525 |
| Provider Name | Ather Taqui |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154637593 PECOS PAC ID: 0941520126 Enrollment ID: I20241025002085 |
| Provider Name | Xi Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760041826 PECOS PAC ID: 3173977485 Enrollment ID: I20241025002913 |
| Provider Name | Emily Ryan Colville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053079368 PECOS PAC ID: 8921531997 Enrollment ID: I20241029002987 |
| Provider Name | Aleksandr Shikhman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578988390 PECOS PAC ID: 1052530144 Enrollment ID: I20241030000593 |
| Provider Name | Jose Ernesto Betancourt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992748149 PECOS PAC ID: 8123043932 Enrollment ID: I20241031001690 |
| Provider Name | David Greengart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134172901 PECOS PAC ID: 8921021163 Enrollment ID: I20241114001937 |
| Provider Name | Berchaun Nicholls |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720308836 PECOS PAC ID: 5597899062 Enrollment ID: I20241114002110 |
| Provider Name | Raafat Barsoom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750525432 PECOS PAC ID: 3375739212 Enrollment ID: I20241114003070 |
| Provider Name | Christie Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912449760 PECOS PAC ID: 4284914912 Enrollment ID: I20241120000718 |
| Provider Name | Anil K Goli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629013008 PECOS PAC ID: 0941193635 Enrollment ID: I20241202000181 |
| Provider Name | Kristofer Edward Charles Nava |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154859643 PECOS PAC ID: 7012285778 Enrollment ID: I20241202000654 |
| Provider Name | Lindsay Boik Price |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144519141 PECOS PAC ID: 5395040570 Enrollment ID: I20241203002625 |
| Mailing Address | Practice Location Address |
|---|---|
1901 Campus Pl, Louisville, KY 40299-2308 Ph: (502) 253-4911 | 1901 Campus Pl, Louisville, KY 40299-2308 Ph: (502) 253-4911 |