| St John North Shores Hospital | |
|
26755 Ballard St, Harrison Township, MI 48045-2419 | |
| (584) 655-5501 | |
| Not Available |
| Full Name | St John North Shores Hospital |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 26755 Ballard St, Harrison Township, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043478910 | NPI | - | NPPES |
| 0E0110 | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
| Provider Name | Clifford L Weldon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528194545 PECOS PAC ID: 8729984836 Enrollment ID: I20031210000146 |
| Provider Name | Nanjappa C Sadasivan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386609444 PECOS PAC ID: 7416855119 Enrollment ID: I20031219000274 |
| Provider Name | Leigh A Solomon |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1508061813 PECOS PAC ID: 1254231954 Enrollment ID: I20040109000791 |
| Provider Name | Majid Mahdi Al Zagoum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053318170 PECOS PAC ID: 9830092568 Enrollment ID: I20040130000034 |
| Provider Name | Michael F Romanelli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528154911 PECOS PAC ID: 7012800378 Enrollment ID: I20040203000061 |
| Provider Name | Satish R Mehta |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114960309 PECOS PAC ID: 7214821149 Enrollment ID: I20040217000027 |
| Provider Name | Darwish O Darwish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194713875 PECOS PAC ID: 3476449075 Enrollment ID: I20040223000182 |
| Provider Name | Iqbal Allarakhia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831183524 PECOS PAC ID: 1052207982 Enrollment ID: I20040226000362 |
| Provider Name | Christopher W Hughes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194740936 PECOS PAC ID: 5698661429 Enrollment ID: I20040226001041 |
| Provider Name | Christine A Crader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366440463 PECOS PAC ID: 7719876671 Enrollment ID: I20040311000050 |
| Provider Name | Douglas J Wheaton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578519260 PECOS PAC ID: 0244129534 Enrollment ID: I20040315000030 |
| Provider Name | Marc L Cullen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659371326 PECOS PAC ID: 5395642201 Enrollment ID: I20040323000836 |
| Provider Name | Sarine D John-rosman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871590901 PECOS PAC ID: 3678465531 Enrollment ID: I20040325001555 |
| Provider Name | Marcus Eber Degraw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750375002 PECOS PAC ID: 5799771705 Enrollment ID: I20040423001195 |
| Provider Name | Thomas Giancarlo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780627018 PECOS PAC ID: 3971412719 Enrollment ID: I20040427000337 |
| Provider Name | Audrey Mullin Sim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881604577 PECOS PAC ID: 8022006402 Enrollment ID: I20040504001056 |
| Provider Name | Anthony Gerald Paniccia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891761821 PECOS PAC ID: 6103815840 Enrollment ID: I20040508000260 |
| Provider Name | Narsimha R Gottam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841398880 PECOS PAC ID: 7719977131 Enrollment ID: I20040517000574 |
| Provider Name | Brian Anthony Barbish |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568469666 PECOS PAC ID: 1456334440 Enrollment ID: I20040610000999 |
| Provider Name | Raphael Kiel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063482834 PECOS PAC ID: 4789668187 Enrollment ID: I20040615000091 |
| Provider Name | Beena Nagappala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366434318 PECOS PAC ID: 0042295669 Enrollment ID: I20040618001341 |
| Provider Name | Marivic C Balasote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053492462 PECOS PAC ID: 5294710745 Enrollment ID: I20040621000441 |
| Provider Name | Michael J Kraut |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114926805 PECOS PAC ID: 7315922648 Enrollment ID: I20040622000040 |
| Provider Name | William Bennett |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073519047 PECOS PAC ID: 7517943913 Enrollment ID: I20040626000174 |
| Provider Name | Susan J Van Dellen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1598767394 PECOS PAC ID: 9537148267 Enrollment ID: I20040716000341 |
| Provider Name | Abdelkader Hawasli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467502294 PECOS PAC ID: 7012800238 Enrollment ID: I20040726000545 |
| Provider Name | Josephine P Dhar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1740397546 PECOS PAC ID: 3577533231 Enrollment ID: I20040729000633 |
| Provider Name | Ahmed Abdel Meguid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487704227 PECOS PAC ID: 8527039700 Enrollment ID: I20040802001480 |
| Provider Name | Laurie J Rudnick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407822612 PECOS PAC ID: 9234100157 Enrollment ID: I20040804000681 |
| Provider Name | Wajahat A Khan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1144234782 PECOS PAC ID: 8921074030 Enrollment ID: I20040909000232 |
| Provider Name | Darla K Granger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700999083 PECOS PAC ID: 4284602343 Enrollment ID: I20040917000348 |
| Provider Name | Peter M Gerrits |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871553909 PECOS PAC ID: 4688633670 Enrollment ID: I20041006000187 |
| Provider Name | Nathan S White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134106024 PECOS PAC ID: 0941260970 Enrollment ID: I20041014000424 |
| Provider Name | Adam Daniel Rubin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568554087 PECOS PAC ID: 0941261200 Enrollment ID: I20041020001264 |
| Provider Name | Joann C Schefka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558805887 PECOS PAC ID: 6800859562 Enrollment ID: I20041104000679 |
| Provider Name | Konstantinos L Kapordelis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467482521 PECOS PAC ID: 0446212336 Enrollment ID: I20041108000714 |
| Provider Name | Douglas Moore |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1194729053 PECOS PAC ID: 0042285199 Enrollment ID: I20041109001126 |
| Provider Name | Henry G Bone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598760688 PECOS PAC ID: 9234191958 Enrollment ID: I20041112000821 |
| Provider Name | Mohamad K Ajjour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083611172 PECOS PAC ID: 4688643844 Enrollment ID: I20041129000458 |
| Provider Name | Alicia G Lumley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730283433 PECOS PAC ID: 0446216741 Enrollment ID: I20041208000789 |
| Provider Name | Suzanne Hall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689674897 PECOS PAC ID: 3173581576 Enrollment ID: I20050103000315 |
| Provider Name | Khalid Kamal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669448783 PECOS PAC ID: 8628036969 Enrollment ID: I20050103000654 |
| Provider Name | Peter David Kowynia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851301352 PECOS PAC ID: 6709779911 Enrollment ID: I20050119000955 |
| Provider Name | Pietro Cavataio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134195258 PECOS PAC ID: 8224089040 Enrollment ID: I20050209000102 |
| Provider Name | Adonis N Lorenzana |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902890411 PECOS PAC ID: 6406809292 Enrollment ID: I20050221000590 |
| Provider Name | Akash R Sheth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245239730 PECOS PAC ID: 7416840624 Enrollment ID: I20050223000765 |
| Provider Name | Rajendra K Manam |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134237050 PECOS PAC ID: 2365495678 Enrollment ID: I20050301000179 |
| Provider Name | Michael George Taylor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154363240 PECOS PAC ID: 5395638506 Enrollment ID: I20050307000133 |
| Provider Name | Sanjay Batra |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1114981917 PECOS PAC ID: 8426034406 Enrollment ID: I20050314000252 |
| Provider Name | Eric W Sargent |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427049600 PECOS PAC ID: 5193771681 Enrollment ID: I20050328001000 |
| Provider Name | Subhi Sbahi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306843412 PECOS PAC ID: 0244286615 Enrollment ID: I20050329000725 |
| Provider Name | Brilio Mojares |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952350126 PECOS PAC ID: 9234176330 Enrollment ID: I20050411000704 |
| Provider Name | Ayad M Al Katib |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013902691 PECOS PAC ID: 2365489176 Enrollment ID: I20050413000775 |
| Provider Name | Nancy A Mesiha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952320293 PECOS PAC ID: 9638106065 Enrollment ID: I20050718000773 |
| Provider Name | Farzin R Namei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700883345 PECOS PAC ID: 7618864893 Enrollment ID: I20050727001100 |
| Provider Name | Paul Fozo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073593174 PECOS PAC ID: 1355379504 Enrollment ID: I20050729000594 |
| Provider Name | Lauri B Conroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023010360 PECOS PAC ID: 3375571060 Enrollment ID: I20050803000406 |
| Provider Name | Deborah D Hamby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972503183 PECOS PAC ID: 2668401985 Enrollment ID: I20050808000389 |
| Provider Name | Elango Edhayan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770680381 PECOS PAC ID: 9830082049 Enrollment ID: I20050811000891 |
| Provider Name | Carrie L Dul |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003820648 PECOS PAC ID: 0446210801 Enrollment ID: I20050812000284 |
| Provider Name | Athina Pappas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609813187 PECOS PAC ID: 6800826330 Enrollment ID: I20050815000977 |
| Provider Name | Rachel E Obyrne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376503151 PECOS PAC ID: 7012985427 Enrollment ID: I20050912000562 |
| Provider Name | Anthony J Kawa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881643955 PECOS PAC ID: 5193758001 Enrollment ID: I20050912001127 |
| Provider Name | Stacey H Lemanski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114905858 PECOS PAC ID: 2567496615 Enrollment ID: I20050919001023 |
| Provider Name | Laura A Biernat |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1659385300 PECOS PAC ID: 1658346234 Enrollment ID: I20051020000479 |
| Provider Name | Annemarie Lach Stepanenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528084423 PECOS PAC ID: 1355360975 Enrollment ID: I20051114000330 |
| Provider Name | Shyla R Vengalil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295720001 PECOS PAC ID: 0941229819 Enrollment ID: I20051121000510 |
| Provider Name | Mitchell P Dombrowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396730255 PECOS PAC ID: 8224920061 Enrollment ID: I20051121000532 |
| Provider Name | Brian A Mason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952396780 PECOS PAC ID: 4688693567 Enrollment ID: I20051121000574 |
| Provider Name | Steven P Hadesman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922097542 PECOS PAC ID: 3476463399 Enrollment ID: I20051121000657 |
| Provider Name | Robert Eugene Aquino |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1780671461 PECOS PAC ID: 0941229835 Enrollment ID: I20051121000688 |
| Provider Name | Durga K Mulpuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891786216 PECOS PAC ID: 5294754180 Enrollment ID: I20051121000702 |
| Provider Name | Benjamin S Chen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245230457 PECOS PAC ID: 6709807308 Enrollment ID: I20051212000086 |
| Provider Name | John Thomas Adams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033103692 PECOS PAC ID: 5193747764 Enrollment ID: I20051222000613 |
| Provider Name | Jeanne G Lewandowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033162474 PECOS PAC ID: 2163445479 Enrollment ID: I20060112000119 |
| Provider Name | Paul Xavier Burgoyne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407823339 PECOS PAC ID: 2264447390 Enrollment ID: I20060210000545 |
| Provider Name | Samir R Yahia |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1780731075 PECOS PAC ID: 5698782035 Enrollment ID: I20060309000657 |
| Provider Name | Sean Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457465213 PECOS PAC ID: 8820036205 Enrollment ID: I20060315000143 |
| Provider Name | Behram F Irani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982643037 PECOS PAC ID: 3274541388 Enrollment ID: I20060331000333 |
| Provider Name | Debra J Wright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437296761 PECOS PAC ID: 1850309618 Enrollment ID: I20060405000310 |
| Provider Name | James Harvard Whitmyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538151584 PECOS PAC ID: 4688683048 Enrollment ID: I20060412000371 |
| Provider Name | Joseph R Buck |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528000502 PECOS PAC ID: 6800805193 Enrollment ID: I20060418000099 |
| Provider Name | Nathan V Wagstaff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669429825 PECOS PAC ID: 9739191594 Enrollment ID: I20060616000024 |
| Provider Name | Kristen F Panozzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649238817 PECOS PAC ID: 7911919725 Enrollment ID: I20060619000040 |
| Provider Name | Robert T Morris |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1659342756 PECOS PAC ID: 0244242659 Enrollment ID: I20060630000116 |
| Provider Name | John R Ebright |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447297932 PECOS PAC ID: 2466464722 Enrollment ID: I20060705000071 |
| Provider Name | Alina A Witkowski |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164416863 PECOS PAC ID: 1658384425 Enrollment ID: I20060720000360 |
| Provider Name | Daphne P Tumaneng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417901174 PECOS PAC ID: 4587667506 Enrollment ID: I20060811000471 |
| Provider Name | Saleem Raza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205874807 PECOS PAC ID: 4587668850 Enrollment ID: I20060830000115 |
| Provider Name | Donald A Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740281997 PECOS PAC ID: 4183629124 Enrollment ID: I20060925000521 |
| Provider Name | Lori Diane Spisak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275559163 PECOS PAC ID: 9638176878 Enrollment ID: I20061031000291 |
| Provider Name | Mira J Brooks |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326136060 PECOS PAC ID: 0749288322 Enrollment ID: I20061114000432 |
| Provider Name | Wahed Ishaqsei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063423176 PECOS PAC ID: 8527068360 Enrollment ID: I20070102000139 |
| Provider Name | Mark R Paschall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871543678 PECOS PAC ID: 6305949256 Enrollment ID: I20070313000573 |
| Provider Name | Barry J Scofield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699725481 PECOS PAC ID: 6901909860 Enrollment ID: I20070313000599 |
| Provider Name | Chandrika Iyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306895065 PECOS PAC ID: 9537262464 Enrollment ID: I20070314000568 |
| Provider Name | Nirmal Vellore Nandakumar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063469278 PECOS PAC ID: 4981607421 Enrollment ID: I20070529000439 |
| Provider Name | David J Rodriguez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306963335 PECOS PAC ID: 8224136288 Enrollment ID: I20070614000455 |
| Provider Name | Mouhammed A Joumaa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316068653 PECOS PAC ID: 0143329581 Enrollment ID: I20070626000083 |
| Provider Name | Deniese L Worthy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982730990 PECOS PAC ID: 4082715594 Enrollment ID: I20070727000804 |
| Provider Name | Veena Panthangi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467571463 PECOS PAC ID: 7113028523 Enrollment ID: I20070728000064 |
| Provider Name | Salem M Sayar |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1346326238 PECOS PAC ID: 7517059215 Enrollment ID: I20070827000310 |
| Provider Name | Navkiranjot Brar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235351263 PECOS PAC ID: 3173615796 Enrollment ID: I20070827000564 |
| Provider Name | Michael T Tucciarone |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427267525 PECOS PAC ID: 6103919626 Enrollment ID: I20070829000527 |
| Provider Name | Fadi H Daouk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497800767 PECOS PAC ID: 2264525385 Enrollment ID: I20070906000275 |
| Provider Name | Susan E Lyons |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104902063 PECOS PAC ID: 4385737279 Enrollment ID: I20070910000063 |
| Provider Name | Jeffrey S Falk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700859055 PECOS PAC ID: 6608961156 Enrollment ID: I20070928000528 |
| Provider Name | Wasim A Rathur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679553838 PECOS PAC ID: 9234225657 Enrollment ID: I20071017000324 |
| Provider Name | Danielle M Belz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134316789 PECOS PAC ID: 7618063777 Enrollment ID: I20071019000601 |
| Provider Name | Despina Zefiras Walsworth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265554216 PECOS PAC ID: 2567558406 Enrollment ID: I20071023000559 |
| Provider Name | Steven A Portney |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609944396 PECOS PAC ID: 8426145111 Enrollment ID: I20071026000645 |
| Provider Name | Joyce C Purakal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346360229 PECOS PAC ID: 4789772716 Enrollment ID: I20071108000550 |
| Provider Name | Thomas Knuth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922023837 PECOS PAC ID: 1850325739 Enrollment ID: I20071109000218 |
| Provider Name | Zyad Kafri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083747976 PECOS PAC ID: 0941390603 Enrollment ID: I20071218000378 |
| Provider Name | Mary A Mandziara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669568341 PECOS PAC ID: 6800978313 Enrollment ID: I20080123000381 |
| Provider Name | Anne Meredith Schneider |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083609887 PECOS PAC ID: 5092898379 Enrollment ID: I20080208000506 |
| Provider Name | Nabil K Rizk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861493124 PECOS PAC ID: 3476636291 Enrollment ID: I20080215000618 |
| Provider Name | Margaret E Fadanelli |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992790588 PECOS PAC ID: 0143305912 Enrollment ID: I20080304000877 |
| Provider Name | Jeffrey H Parcells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982605275 PECOS PAC ID: 5799860789 Enrollment ID: I20080314000571 |
| Provider Name | Bernard M Degnan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144214990 PECOS PAC ID: 4789760364 Enrollment ID: I20080324000190 |
| Provider Name | David A Scapini |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255322129 PECOS PAC ID: 3779562020 Enrollment ID: I20080331000199 |
| Provider Name | John W Becker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164413035 PECOS PAC ID: 5496734741 Enrollment ID: I20080331000221 |
| Provider Name | Margot G Abundis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396746194 PECOS PAC ID: 3173614369 Enrollment ID: I20080331000408 |
| Provider Name | Richard L Arden |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902883218 PECOS PAC ID: 8224017579 Enrollment ID: I20080401000837 |
| Provider Name | Vamshidhar D Guduguntla |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174525729 PECOS PAC ID: 2567549660 Enrollment ID: I20080414000078 |
| Provider Name | Srihari Ravi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184626731 PECOS PAC ID: 0345329421 Enrollment ID: I20080430000394 |
| Provider Name | Hiroshi Yamasaki |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538161187 PECOS PAC ID: 1658450143 Enrollment ID: I20080508000753 |
| Provider Name | Chad R White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639269962 PECOS PAC ID: 2668560699 Enrollment ID: I20080516000748 |
| Provider Name | Douglas C Kubek |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003903832 PECOS PAC ID: 9931278579 Enrollment ID: I20080521000862 |
| Provider Name | Anita M Vanderstelt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629046503 PECOS PAC ID: 9638248248 Enrollment ID: I20080522000501 |
| Provider Name | Ammar Y Ali |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558572677 PECOS PAC ID: 5890864243 Enrollment ID: I20080527000483 |
| Provider Name | Regina R Frost |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215148689 PECOS PAC ID: 1456422476 Enrollment ID: I20080619000240 |
| Provider Name | Anna Norris Rabbani |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1801955976 PECOS PAC ID: 2365516564 Enrollment ID: I20080806000543 |
| Provider Name | David E Dacosta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770542771 PECOS PAC ID: 9335215284 Enrollment ID: I20080829000387 |
| Provider Name | Thomas P Davis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184673303 PECOS PAC ID: 5991693491 Enrollment ID: I20080908000461 |
| Provider Name | Aaron T Gale |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689762395 PECOS PAC ID: 1355417882 Enrollment ID: I20080908000468 |
| Provider Name | Thomas A Lalonde |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497704191 PECOS PAC ID: 6002704509 Enrollment ID: I20080909000513 |
| Provider Name | Mary M Yenchick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649263047 PECOS PAC ID: 2062588197 Enrollment ID: I20080913000124 |
| Provider Name | Paul J Chuba |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255359766 PECOS PAC ID: 9638246192 Enrollment ID: I20080924000743 |
| Provider Name | Jacquelyn N Rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427264902 PECOS PAC ID: 2769541101 Enrollment ID: I20081030000283 |
| Provider Name | Ronald D Hertz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053304816 PECOS PAC ID: 9638239288 Enrollment ID: I20081128000104 |
| Provider Name | Lori R Shapiro |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1376750901 PECOS PAC ID: 6608938329 Enrollment ID: I20081215000249 |
| Provider Name | Robert J Leonard |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710991443 PECOS PAC ID: 6204731094 Enrollment ID: I20090123000527 |
| Provider Name | Susan W Potter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730344581 PECOS PAC ID: 3375600315 Enrollment ID: I20090319000130 |
| Provider Name | Roopal A Chitnis |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1467617365 PECOS PAC ID: 7214085554 Enrollment ID: I20090427000027 |
| Provider Name | Malgorzata Sobilo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326013293 PECOS PAC ID: 3870642598 Enrollment ID: I20090528000360 |
| Provider Name | Jerome E Seid |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407860364 PECOS PAC ID: 9931174513 Enrollment ID: I20090625000300 |
| Provider Name | Tania B Little |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154363851 PECOS PAC ID: 2163574419 Enrollment ID: I20090716000526 |
| Provider Name | Daniel Lebovic |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1740302850 PECOS PAC ID: 8820141567 Enrollment ID: I20090729000103 |
| Provider Name | Shaun B Gray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306056106 PECOS PAC ID: 9638222888 Enrollment ID: I20090805000366 |
| Provider Name | Majeed A Paduvana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649272261 PECOS PAC ID: 5698814069 Enrollment ID: I20091124000122 |
| Provider Name | John Woo Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053336057 PECOS PAC ID: 2062552961 Enrollment ID: I20091229000053 |
| Provider Name | Elizabeth A Christina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841528320 PECOS PAC ID: 1153463179 Enrollment ID: I20100128000490 |
| Provider Name | Louis D Saravolatz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891788865 PECOS PAC ID: 4688717507 Enrollment ID: I20100201000467 |
| Provider Name | Mary E Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306838834 PECOS PAC ID: 0446393029 Enrollment ID: I20100204000287 |
| Provider Name | Eileen M Reickert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174515779 PECOS PAC ID: 1951445444 Enrollment ID: I20100222000645 |
| Provider Name | Michael F Yacoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396739769 PECOS PAC ID: 8820133515 Enrollment ID: I20100305000354 |
| Provider Name | Virginia Zacharias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841284221 PECOS PAC ID: 1557315363 Enrollment ID: I20100305000373 |
| Provider Name | Raymond Hilu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689667453 PECOS PAC ID: 8527103217 Enrollment ID: I20100305000391 |
| Provider Name | Amer G Aboukasm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194754085 PECOS PAC ID: 7911042304 Enrollment ID: I20100310000464 |
| Provider Name | Frederick P Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255324802 PECOS PAC ID: 9638206337 Enrollment ID: I20100429000479 |
| Provider Name | Leonard B Johnson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982697645 PECOS PAC ID: 0143357749 Enrollment ID: I20100429000550 |
| Provider Name | Donald M Rozzell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760475313 PECOS PAC ID: 8820126212 Enrollment ID: I20100505000496 |
| Provider Name | Mamta Sharma |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013900570 PECOS PAC ID: 6901934132 Enrollment ID: I20100510000542 |
| Provider Name | Robert E Bloom |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760413389 PECOS PAC ID: 8022147032 Enrollment ID: I20100601000799 |
| Provider Name | Lyle S Goldman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225072275 PECOS PAC ID: 8325177272 Enrollment ID: I20100602000522 |
| Provider Name | Howard H Terebelo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457395444 PECOS PAC ID: 4981624814 Enrollment ID: I20100602001036 |
| Provider Name | Vilma S Drelichman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013957893 PECOS PAC ID: 4880614718 Enrollment ID: I20100604001070 |
| Provider Name | Anibal Drelichman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1740222447 PECOS PAC ID: 9436179363 Enrollment ID: I20100609000124 |
| Provider Name | Heather E Nystrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649508854 PECOS PAC ID: 4789715509 Enrollment ID: I20100623000288 |
| Provider Name | Cynthia M Vakhariya |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114143062 PECOS PAC ID: 9335270537 Enrollment ID: I20100702000337 |
| Provider Name | Susan L Kessler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437170750 PECOS PAC ID: 9032241997 Enrollment ID: I20100713000578 |
| Provider Name | Dunstan Mascarenhas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710904735 PECOS PAC ID: 7810021730 Enrollment ID: I20100813001000 |
| Provider Name | Linda Plizga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235346578 PECOS PAC ID: 5890829469 Enrollment ID: I20100818000340 |
| Provider Name | Premchand Anne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881721165 PECOS PAC ID: 4587788559 Enrollment ID: I20100826001242 |
| Provider Name | Cassie Laasch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427043264 PECOS PAC ID: 2961526983 Enrollment ID: I20100827000652 |
| Provider Name | William A Ventimiglia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376568915 PECOS PAC ID: 4587789599 Enrollment ID: I20100914001301 |
| Provider Name | Julie M Surhigh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295869550 PECOS PAC ID: 0840482444 Enrollment ID: I20101013001137 |
| Provider Name | Anacleto B Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922241942 PECOS PAC ID: 4981896511 Enrollment ID: I20101014000180 |
| Provider Name | Kwame O Francis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841470481 PECOS PAC ID: 0941493258 Enrollment ID: I20101019001161 |
| Provider Name | Maysaa M Basha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073781571 PECOS PAC ID: 2062606486 Enrollment ID: I20101029001089 |
| Provider Name | Kevin J Grady |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821013723 PECOS PAC ID: 9335139401 Enrollment ID: I20101030000226 |
| Provider Name | Jenese N Reynolds Gibbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972760817 PECOS PAC ID: 2961696091 Enrollment ID: I20101102000797 |
| Provider Name | Thomas E Buekers |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1487664595 PECOS PAC ID: 9739167560 Enrollment ID: I20101104000410 |
| Provider Name | Richard N Berri |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1568649978 PECOS PAC ID: 0547338568 Enrollment ID: I20101129000778 |
| Provider Name | Parveen N Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689672024 PECOS PAC ID: 9931396629 Enrollment ID: I20101207000889 |
| Provider Name | Robert A Fishman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881786341 PECOS PAC ID: 3375524994 Enrollment ID: I20101213001096 |
| Provider Name | Daniel D Megler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1922190552 PECOS PAC ID: 2466433081 Enrollment ID: I20101214000876 |
| Provider Name | Michael S Fozo |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114019627 PECOS PAC ID: 4789871971 Enrollment ID: I20101214000912 |
| Provider Name | Joshua D Rhodenizer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720305501 PECOS PAC ID: 1658569397 Enrollment ID: I20101222000840 |
| Provider Name | Gerald I Cohen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396731527 PECOS PAC ID: 5890983159 Enrollment ID: I20101230000733 |
| Provider Name | Farah Kamran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568606150 PECOS PAC ID: 8022297969 Enrollment ID: I20110125000750 |
| Provider Name | Fouad Azoury |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1265735047 PECOS PAC ID: 8022299437 Enrollment ID: I20110217000864 |
| Provider Name | Hernando Lyons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245224906 PECOS PAC ID: 4688858988 Enrollment ID: I20110412000075 |
| Provider Name | Sandeep S Rao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336360197 PECOS PAC ID: 9436343621 Enrollment ID: I20110426000141 |
| Provider Name | Beata J Ruprecht |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821114612 PECOS PAC ID: 7810174851 Enrollment ID: I20110531000624 |
| Provider Name | Julia K Tesch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013170372 PECOS PAC ID: 1951588342 Enrollment ID: I20110613000370 |
| Provider Name | Alexander S Madgy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063653673 PECOS PAC ID: 0143407544 Enrollment ID: I20110613000495 |
| Provider Name | Dilnaz D Panjwani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689830424 PECOS PAC ID: 8921285321 Enrollment ID: I20110613000522 |
| Provider Name | Elizabeth A Bankstahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720228810 PECOS PAC ID: 8729256847 Enrollment ID: I20110715000438 |
| Provider Name | Kishan K Jasti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346248135 PECOS PAC ID: 2769412998 Enrollment ID: I20110801000842 |
| Provider Name | Leo Milton Parsons |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548382849 PECOS PAC ID: 5799956017 Enrollment ID: I20110919000264 |
| Provider Name | Rushdah S Malik |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194993089 PECOS PAC ID: 4688846942 Enrollment ID: I20111010000131 |
| Provider Name | Natalie R Kontos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053571885 PECOS PAC ID: 1355513193 Enrollment ID: I20111020000348 |
| Provider Name | Daniel K Agrusa |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1962790097 PECOS PAC ID: 8224201348 Enrollment ID: I20111104000141 |
| Provider Name | Patricia Strimpel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801021860 PECOS PAC ID: 8426215740 Enrollment ID: I20120128000023 |
| Provider Name | Alan M Afsari |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629045760 PECOS PAC ID: 2860490257 Enrollment ID: I20120530000035 |
| Provider Name | Adham Alsamsam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578711636 PECOS PAC ID: 4082879184 Enrollment ID: I20120622000018 |
| Provider Name | Benjamin J Best |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609997188 PECOS PAC ID: 6204006448 Enrollment ID: I20120718000805 |
| Provider Name | Trinh T.h. Le |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144503152 PECOS PAC ID: 8224294889 Enrollment ID: I20120725000989 |
| Provider Name | Hani Kador |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235360835 PECOS PAC ID: 4587820824 Enrollment ID: I20120731000782 |
| Provider Name | Derek J Handzo |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114122165 PECOS PAC ID: 8820246598 Enrollment ID: I20120921000419 |
| Provider Name | Wafa Barkho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033349626 PECOS PAC ID: 8022268325 Enrollment ID: I20121023000184 |
| Provider Name | Laura S Curtis |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437212750 PECOS PAC ID: 3971608209 Enrollment ID: I20121126000562 |
| Provider Name | Margaret Clare Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124306212 PECOS PAC ID: 0345495685 Enrollment ID: I20130312000502 |
| Provider Name | Molly R Hunter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1962722363 PECOS PAC ID: 4587858378 Enrollment ID: I20130322000157 |
| Provider Name | Jennifer C Rohrborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598091704 PECOS PAC ID: 9234374018 Enrollment ID: I20130327000231 |
| Provider Name | Antonious S Attallah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306081138 PECOS PAC ID: 9335384064 Enrollment ID: I20130328000154 |
| Provider Name | Eliot J Husarsky |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487678322 PECOS PAC ID: 6002912649 Enrollment ID: I20130403000481 |
| Provider Name | Nickole Bazger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609031202 PECOS PAC ID: 3173796794 Enrollment ID: I20130509000272 |
| Provider Name | Katherine A Paquette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932250206 PECOS PAC ID: 6901047315 Enrollment ID: I20130729000124 |
| Provider Name | Deepti Zutshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568621696 PECOS PAC ID: 9739367251 Enrollment ID: I20130820000403 |
| Provider Name | Carlos A Ramirez Neyra |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1023230927 PECOS PAC ID: 3678738648 Enrollment ID: I20130910000331 |
| Provider Name | Maureen J Streeter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225470339 PECOS PAC ID: 1153555768 Enrollment ID: I20131015001551 |
| Provider Name | Scott A Barnes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972797058 PECOS PAC ID: 1850526278 Enrollment ID: I20131021000397 |
| Provider Name | Tara Yvette Lindsey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528297355 PECOS PAC ID: 6608001920 Enrollment ID: I20131022001897 |
| Provider Name | Stacey Elizabeth Braund |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1831526565 PECOS PAC ID: 0547497240 Enrollment ID: I20131227001467 |
| Provider Name | Deborah Talbot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205900594 PECOS PAC ID: 6901033653 Enrollment ID: I20131230000823 |
| Provider Name | Katherine M Greening |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710311048 PECOS PAC ID: 3375773690 Enrollment ID: I20140307000191 |
| Provider Name | Eric D Greenberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689812489 PECOS PAC ID: 4082838719 Enrollment ID: I20140618002149 |
| Provider Name | Jason M Donaghue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467749317 PECOS PAC ID: 7012131550 Enrollment ID: I20140624000706 |
| Provider Name | Devone T Mansour |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932549797 PECOS PAC ID: 5597999581 Enrollment ID: I20140625001532 |
| Provider Name | Randall R Colvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306133863 PECOS PAC ID: 8325263361 Enrollment ID: I20140707000591 |
| Provider Name | Angela F Mata |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366623704 PECOS PAC ID: 2163694860 Enrollment ID: I20140806000872 |
| Provider Name | Sage R Church |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902185598 PECOS PAC ID: 2567689904 Enrollment ID: I20140808001283 |
| Provider Name | Kimberly A Isola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720496185 PECOS PAC ID: 3678791175 Enrollment ID: I20140825002737 |
| Provider Name | Nicole Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205279239 PECOS PAC ID: 9234357542 Enrollment ID: I20140828001353 |
| Provider Name | Asma Taj |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851557888 PECOS PAC ID: 2860611688 Enrollment ID: I20140910000201 |
| Provider Name | Raghavendra A Kamath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134427867 PECOS PAC ID: 4284854084 Enrollment ID: I20140929002617 |
| Provider Name | Sandra Moreland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811919327 PECOS PAC ID: 9032339833 Enrollment ID: I20140930000058 |
| Provider Name | Adam C Rourke |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225284763 PECOS PAC ID: 1951540004 Enrollment ID: I20140930002970 |
| Provider Name | Suvnir K Dulai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770984015 PECOS PAC ID: 7214158294 Enrollment ID: I20141015001989 |
| Provider Name | Fauzia Khalid Butt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023124013 PECOS PAC ID: 8325134950 Enrollment ID: I20141107001690 |
| Provider Name | Allison M Jay |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497960397 PECOS PAC ID: 4183850837 Enrollment ID: I20141113001973 |
| Provider Name | Andrew P Jovanovski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437460714 PECOS PAC ID: 0345462891 Enrollment ID: I20141118000176 |
| Provider Name | Julie A Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326441833 PECOS PAC ID: 2062734783 Enrollment ID: I20141209001045 |
| Provider Name | Ashish Bhargava |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023246329 PECOS PAC ID: 4688813793 Enrollment ID: I20141231001634 |
| Provider Name | Zachary Todd Levine |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831401421 PECOS PAC ID: 4183855448 Enrollment ID: I20150615002110 |
| Provider Name | Nithin R Gottam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811150881 PECOS PAC ID: 1153634290 Enrollment ID: I20150720001073 |
| Provider Name | Anna M Farhat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710241856 PECOS PAC ID: 4981917937 Enrollment ID: I20150720001750 |
| Provider Name | Faesal E Elbakoush |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336545417 PECOS PAC ID: 1355655705 Enrollment ID: I20150730010790 |
| Provider Name | William David Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922096718 PECOS PAC ID: 7517272982 Enrollment ID: I20150813010705 |
| Provider Name | Andrey A Volkov |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023270477 PECOS PAC ID: 2062727043 Enrollment ID: I20150820009783 |
| Provider Name | Muhammad F Aslam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114115409 PECOS PAC ID: 2567586589 Enrollment ID: I20150831000855 |
| Provider Name | Monica M Nafsou |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144450313 PECOS PAC ID: 3577794841 Enrollment ID: I20151117002818 |
| Provider Name | Reshma M Marri - Gottam |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568775526 PECOS PAC ID: 5597066845 Enrollment ID: I20151210002526 |
| Provider Name | Amber L Crowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821462532 PECOS PAC ID: 1153623467 Enrollment ID: I20160104001759 |
| Provider Name | Hadeel Abaza |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619181559 PECOS PAC ID: 6608943642 Enrollment ID: I20160329000581 |
| Provider Name | Lydia J Rayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740625524 PECOS PAC ID: 5092011742 Enrollment ID: I20160425000926 |
| Provider Name | Michael S Kern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689014300 PECOS PAC ID: 8426348897 Enrollment ID: I20160526001713 |
| Provider Name | Ehssan Zare |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972826618 PECOS PAC ID: 5294057923 Enrollment ID: I20160617001717 |
| Provider Name | Sharif H Sakr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861756835 PECOS PAC ID: 4486951670 Enrollment ID: I20160705001805 |
| Provider Name | Elon Knoll |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275859704 PECOS PAC ID: 9032417704 Enrollment ID: I20160712001489 |
| Provider Name | Grant Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407296783 PECOS PAC ID: 8123318144 Enrollment ID: I20160713000738 |
| Provider Name | Heather Lynn Franke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861710154 PECOS PAC ID: 6002110707 Enrollment ID: I20160718001316 |
| Provider Name | Natalie N Rizk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841517182 PECOS PAC ID: 1557592045 Enrollment ID: I20160803000590 |
| Provider Name | Elizabeth K Cousineau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780947515 PECOS PAC ID: 5698904548 Enrollment ID: I20160809001040 |
| Provider Name | Jennifer K Caruso |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558596015 PECOS PAC ID: 0244478394 Enrollment ID: I20160810001517 |
| Provider Name | Natisha I Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871957985 PECOS PAC ID: 2668767542 Enrollment ID: I20160817002423 |
| Provider Name | Mona Elsayed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316118912 PECOS PAC ID: 4183845399 Enrollment ID: I20160907000895 |
| Provider Name | Lena Su Carr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699034215 PECOS PAC ID: 4284939265 Enrollment ID: I20160909002186 |
| Provider Name | Denise A Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104135482 PECOS PAC ID: 1850688979 Enrollment ID: I20160916002073 |
| Provider Name | Jonathan A Hesson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750645362 PECOS PAC ID: 4082904610 Enrollment ID: I20160923000438 |
| Provider Name | Lauren Marie Mellor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528322070 PECOS PAC ID: 7517288640 Enrollment ID: I20161011001864 |
| Provider Name | Rohit A Marawar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447415526 PECOS PAC ID: 5496918484 Enrollment ID: I20161013001830 |
| Provider Name | Arianne J Lemon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194108308 PECOS PAC ID: 6406134865 Enrollment ID: I20161107000172 |
| Provider Name | Marson Ma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619317393 PECOS PAC ID: 5395034722 Enrollment ID: I20161202000287 |
| Provider Name | Lauren Sarah Sauve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386186740 PECOS PAC ID: 9335429224 Enrollment ID: I20161212001372 |
| Provider Name | Carmen A Lafia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902165731 PECOS PAC ID: 2668605304 Enrollment ID: I20170104001783 |
| Provider Name | Miriam Levine |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457639189 PECOS PAC ID: 2062793797 Enrollment ID: I20170111001658 |
| Provider Name | Michaelene Farrell Schirmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467991257 PECOS PAC ID: 0345523452 Enrollment ID: I20170216000326 |
| Provider Name | Katja N Tandarich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801331210 PECOS PAC ID: 0042597916 Enrollment ID: I20170502000370 |
| Provider Name | Christopher Carl Cooper |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659668895 PECOS PAC ID: 6204070618 Enrollment ID: I20170512000654 |
| Provider Name | Kenneth Dandrea |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780951582 PECOS PAC ID: 7719254820 Enrollment ID: I20170522000038 |
| Provider Name | Mohamed A El-haddad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356573091 PECOS PAC ID: 9931418282 Enrollment ID: I20170613001740 |
| Provider Name | Humaira Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225447766 PECOS PAC ID: 8426342031 Enrollment ID: I20170615002682 |
| Provider Name | Stuart H Covi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831485382 PECOS PAC ID: 1658667332 Enrollment ID: I20170628000090 |
| Provider Name | Moutamn Sadoun |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528321809 PECOS PAC ID: 0648549592 Enrollment ID: I20170707002379 |
| Provider Name | Grace E Greene |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710407044 PECOS PAC ID: 8921378324 Enrollment ID: I20170718001127 |
| Provider Name | Carmela Wilder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740723659 PECOS PAC ID: 5294005336 Enrollment ID: I20170721001132 |
| Provider Name | Marianne D Garascia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760915698 PECOS PAC ID: 2860763505 Enrollment ID: I20170731000397 |
| Provider Name | Grace Q Zhao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952837403 PECOS PAC ID: 0244501674 Enrollment ID: I20170803002350 |
| Provider Name | Sean Anthony Cassleman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720404775 PECOS PAC ID: 8325322928 Enrollment ID: I20170810003033 |
| Provider Name | Jessica L Wentworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336591973 PECOS PAC ID: 9931471877 Enrollment ID: I20170828000871 |
| Provider Name | Dawn M Massad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336588755 PECOS PAC ID: 2264705987 Enrollment ID: I20170831001564 |
| Provider Name | Krista M Mesi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578862835 PECOS PAC ID: 6305119520 Enrollment ID: I20170908002102 |
| Provider Name | Hosam Hakim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619228483 PECOS PAC ID: 9830330141 Enrollment ID: I20170914002212 |
| Provider Name | Michael Stephen Somero |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083690796 PECOS PAC ID: 0941369417 Enrollment ID: I20171010001819 |
| Provider Name | Joel Skaistis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932462637 PECOS PAC ID: 5698906964 Enrollment ID: I20171018000608 |
| Provider Name | Aaron J Overly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861758880 PECOS PAC ID: 9133350549 Enrollment ID: I20171023001354 |
| Provider Name | Lisa Renee Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174920326 PECOS PAC ID: 9335405653 Enrollment ID: I20171102000382 |
| Provider Name | Rene A Franco-elizondo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225297559 PECOS PAC ID: 2961628565 Enrollment ID: I20171114000668 |
| Provider Name | Kate Brune |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710327747 PECOS PAC ID: 0749549673 Enrollment ID: I20180122001864 |
| Provider Name | Erin J Bouhana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588003966 PECOS PAC ID: 2769626449 Enrollment ID: I20180123003237 |
| Provider Name | Holly C Ouillette |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013262138 PECOS PAC ID: 9234425414 Enrollment ID: I20180205002926 |
| Provider Name | Leo Edward Reap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568844082 PECOS PAC ID: 0345501144 Enrollment ID: I20180219000037 |
| Provider Name | Cassandra Bunker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487153367 PECOS PAC ID: 9335400811 Enrollment ID: I20180223002417 |
| Provider Name | Christopher Lai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972827871 PECOS PAC ID: 5890003529 Enrollment ID: I20180305001760 |
| Provider Name | Attasit Chokechanachaisakul |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659517605 PECOS PAC ID: 1254639644 Enrollment ID: I20180321001637 |
| Provider Name | Adam M Forman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992094296 PECOS PAC ID: 5193015725 Enrollment ID: I20180413001316 |
| Provider Name | Cibar M Benitez Farina |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538325733 PECOS PAC ID: 3476868878 Enrollment ID: I20180510001744 |
| Provider Name | Ahmad Ahmad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780995001 PECOS PAC ID: 7618222951 Enrollment ID: I20180611000283 |
| Provider Name | Adam Mohamed Fahs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063822377 PECOS PAC ID: 6305061425 Enrollment ID: I20180615000687 |
| Provider Name | Basel Hamzeh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790779080 PECOS PAC ID: 1052666799 Enrollment ID: I20180620001496 |
| Provider Name | Meredith M Coyle |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831458645 PECOS PAC ID: 3870891401 Enrollment ID: I20180626003707 |
| Provider Name | Farah Tanveer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811277957 PECOS PAC ID: 5395035901 Enrollment ID: I20180710001481 |
| Provider Name | Jeanette E Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376926865 PECOS PAC ID: 3375833965 Enrollment ID: I20180710002712 |
| Provider Name | Mazen Al Mushref |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356781256 PECOS PAC ID: 2567605199 Enrollment ID: I20180710003279 |
| Provider Name | Matthew C Wilkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992184824 PECOS PAC ID: 4385936491 Enrollment ID: I20180718002676 |
| Provider Name | Jessica A Scholey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639586910 PECOS PAC ID: 0244520864 Enrollment ID: I20180723002558 |
| Provider Name | Nicolette M Beazley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669968582 PECOS PAC ID: 9739437872 Enrollment ID: I20180806001293 |
| Provider Name | Katherine M Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619393899 PECOS PAC ID: 0042437774 Enrollment ID: I20180809005097 |
| Provider Name | Karen A Alton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649264037 PECOS PAC ID: 8820347479 Enrollment ID: I20180815002883 |
| Provider Name | Karen Summe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336342278 PECOS PAC ID: 8325211055 Enrollment ID: I20180821003363 |
| Provider Name | Tondee Sloan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497234793 PECOS PAC ID: 0840541728 Enrollment ID: I20180918000410 |
| Provider Name | Kristina Gojcaj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992285324 PECOS PAC ID: 9931450475 Enrollment ID: I20180924001098 |
| Provider Name | Laurie A Cyrowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689719684 PECOS PAC ID: 4284985615 Enrollment ID: I20180925002156 |
| Provider Name | Daniela Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245727189 PECOS PAC ID: 6103177118 Enrollment ID: I20181001001551 |
| Provider Name | Christy A Petroff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467433516 PECOS PAC ID: 4082965033 Enrollment ID: I20181001003223 |
| Provider Name | Sahar Tibah Mason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811363492 PECOS PAC ID: 6103179528 Enrollment ID: I20181031002246 |
| Provider Name | Amy Calati |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942612577 PECOS PAC ID: 2860782885 Enrollment ID: I20181210000655 |
| Provider Name | Shada Al Anani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497998926 PECOS PAC ID: 6901022565 Enrollment ID: I20181212000831 |
| Provider Name | Ahmed Ibrahim Mohammed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558781609 PECOS PAC ID: 0244532752 Enrollment ID: I20181214002378 |
| Provider Name | Meline P Ponniah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700219979 PECOS PAC ID: 1759671373 Enrollment ID: I20181227001781 |
| Provider Name | Maria J Codino |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1578037966 PECOS PAC ID: 0042559841 Enrollment ID: I20190221002182 |
| Provider Name | Alisha Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184153801 PECOS PAC ID: 7911263082 Enrollment ID: I20190306001491 |
| Provider Name | William P Dillon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922456615 PECOS PAC ID: 8921341173 Enrollment ID: I20190510000742 |
| Provider Name | Firas Zahwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093941395 PECOS PAC ID: 2062676745 Enrollment ID: I20190513000736 |
| Provider Name | Paul Kudla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477904142 PECOS PAC ID: 4587958194 Enrollment ID: I20190603001442 |
| Provider Name | Youssef S. Derbala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619239456 PECOS PAC ID: 9931407590 Enrollment ID: I20190610001670 |
| Provider Name | Natalie Sadik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609262948 PECOS PAC ID: 5193027951 Enrollment ID: I20190713000042 |
| Provider Name | Jeremy J Niborski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821555707 PECOS PAC ID: 7911232731 Enrollment ID: I20190716000815 |
| Provider Name | Jennifer Sue Nimtz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578917381 PECOS PAC ID: 0042506388 Enrollment ID: I20190716001319 |
| Provider Name | Robert G Dekker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023350493 PECOS PAC ID: 7416252234 Enrollment ID: I20190813000334 |
| Provider Name | Sara Haidar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679956999 PECOS PAC ID: 3779810874 Enrollment ID: I20190813000799 |
| Provider Name | Alexandria Pawlusiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598324048 PECOS PAC ID: 1254660798 Enrollment ID: I20190910000423 |
| Provider Name | Natalie Blum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689024606 PECOS PAC ID: 6709115884 Enrollment ID: I20190916001747 |
| Provider Name | Gail M Grunkemeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336602671 PECOS PAC ID: 5890025225 Enrollment ID: I20190926002332 |
| Provider Name | Lance R Woody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699296772 PECOS PAC ID: 4183955511 Enrollment ID: I20191015003261 |
| Provider Name | Jessica M Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710540950 PECOS PAC ID: 1951733344 Enrollment ID: I20191125000931 |
| Provider Name | Brittany Lawler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770131989 PECOS PAC ID: 2264865542 Enrollment ID: I20191126002260 |
| Provider Name | Rachel M Murillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720559917 PECOS PAC ID: 7618300906 Enrollment ID: I20191126002775 |
| Provider Name | Rand S Abdulnour-farjo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477547297 PECOS PAC ID: 1850724782 Enrollment ID: I20191209000321 |
| Provider Name | Brittany N Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558920934 PECOS PAC ID: 3173958147 Enrollment ID: I20200121002592 |
| Provider Name | Sanjay Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457665671 PECOS PAC ID: 6002057445 Enrollment ID: I20200122000553 |
| Provider Name | Francesca Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437538568 PECOS PAC ID: 1254648975 Enrollment ID: I20200128001956 |
| Provider Name | Ryan M Benninger |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1053787549 PECOS PAC ID: 2668808734 Enrollment ID: I20200208000107 |
| Provider Name | Shanna Vanpelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790316834 PECOS PAC ID: 4880022243 Enrollment ID: I20200317002762 |
| Provider Name | Amit T Vahia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619243235 PECOS PAC ID: 5799917571 Enrollment ID: I20200320002512 |
| Provider Name | Alan H Klein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609877463 PECOS PAC ID: 3173663457 Enrollment ID: I20200413001398 |
| Provider Name | Dennis I Bojrab |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255774246 PECOS PAC ID: 9739481722 Enrollment ID: I20200424000128 |
| Provider Name | Adam Craig Biedny |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710398128 PECOS PAC ID: 2769785666 Enrollment ID: I20200518002397 |
| Provider Name | Nicholas Philip Garofalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447892070 PECOS PAC ID: 0244651412 Enrollment ID: I20200527000920 |
| Provider Name | Ralph K. Ariss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902224637 PECOS PAC ID: 0648574186 Enrollment ID: I20200610002699 |
| Provider Name | Chad Allen Lasceski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942628268 PECOS PAC ID: 4183922610 Enrollment ID: I20200629003258 |
| Provider Name | Erin Goldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548643562 PECOS PAC ID: 5597059642 Enrollment ID: I20200716001063 |
| Provider Name | Cameron M Heilbronn |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669868402 PECOS PAC ID: 7719259175 Enrollment ID: I20200717000784 |
| Provider Name | Ali Bazzi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386094464 PECOS PAC ID: 7517258544 Enrollment ID: I20200720002203 |
| Provider Name | Hassan Nasser |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902293129 PECOS PAC ID: 2466876586 Enrollment ID: I20200722002844 |
| Provider Name | Clarissa L Dass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598175259 PECOS PAC ID: 1254551997 Enrollment ID: I20200803003231 |
| Provider Name | Crystal Rae Marsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528472123 PECOS PAC ID: 5991008708 Enrollment ID: I20200813000386 |
| Provider Name | Francesco Iacobelli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750737706 PECOS PAC ID: 4082907944 Enrollment ID: I20200918002574 |
| Provider Name | Sandeep S Sethi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093244170 PECOS PAC ID: 7517236797 Enrollment ID: I20201211001901 |
| Provider Name | Rebecca Sue Steckroth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497247753 PECOS PAC ID: 7810231644 Enrollment ID: I20210223001754 |
| Provider Name | Saif Rafe Hanna Affas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477080752 PECOS PAC ID: 8820365224 Enrollment ID: I20210226001195 |
| Provider Name | Daniel David Martin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902250921 PECOS PAC ID: 5991092199 Enrollment ID: I20210410000043 |
| Provider Name | Holly B Mcdougall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558942508 PECOS PAC ID: 7618386566 Enrollment ID: I20210506000751 |
| Provider Name | Jessica V Misich-jabiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578053765 PECOS PAC ID: 4981969789 Enrollment ID: I20210511001001 |
| Provider Name | Erin Lindsey De Pree |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235667767 PECOS PAC ID: 5991079725 Enrollment ID: I20210514000978 |
| Provider Name | Meenal Malviya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457608200 PECOS PAC ID: 5092082024 Enrollment ID: I20210517002679 |
| Provider Name | Paul F Bermudez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1326427477 PECOS PAC ID: 5890075535 Enrollment ID: I20210524000293 |
| Provider Name | Justino M Zoma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427436674 PECOS PAC ID: 6709198310 Enrollment ID: I20210527000803 |
| Provider Name | Wael M Abukwaik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801345798 PECOS PAC ID: 4486936192 Enrollment ID: I20210528000652 |
| Provider Name | Meredith C Sharp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134613839 PECOS PAC ID: 2264831890 Enrollment ID: I20210601001769 |
| Provider Name | Mallory Nichole Humphrey |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881269074 PECOS PAC ID: 9931509627 Enrollment ID: I20210617001171 |
| Provider Name | Rami Zein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134531098 PECOS PAC ID: 0941593412 Enrollment ID: I20210618000345 |
| Provider Name | Holly A Huth |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1912434655 PECOS PAC ID: 5395016935 Enrollment ID: I20210715002534 |
| Provider Name | Alyssa Herrmann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639602477 PECOS PAC ID: 9931477692 Enrollment ID: I20210811002187 |
| Provider Name | Alex Vezina Corey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386172682 PECOS PAC ID: 2163796954 Enrollment ID: I20210812003192 |
| Provider Name | Anne C Maynard |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1306852090 PECOS PAC ID: 0941605216 Enrollment ID: I20210825000562 |
| Provider Name | Monika Piatek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497130314 PECOS PAC ID: 9931415403 Enrollment ID: I20210826001456 |
| Provider Name | Abdullah Iqbal Rathur |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881086163 PECOS PAC ID: 0042512931 Enrollment ID: I20210831003099 |
| Provider Name | Michelle M Truong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952891400 PECOS PAC ID: 6103181573 Enrollment ID: I20210921001397 |
| Provider Name | Shrey Patel |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1508205048 PECOS PAC ID: 1052615382 Enrollment ID: I20210921003937 |
| Provider Name | Emad Kishi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245503788 PECOS PAC ID: 2769618263 Enrollment ID: I20210922000703 |
| Provider Name | Michelle El-hosni |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1033596903 PECOS PAC ID: 5597067389 Enrollment ID: I20211006003353 |
| Provider Name | Michelle Manning |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841969748 PECOS PAC ID: 8224436936 Enrollment ID: I20211011002597 |
| Provider Name | Aariel Evon Gladney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679242275 PECOS PAC ID: 2466841283 Enrollment ID: I20211117002098 |
| Provider Name | Ryan Roland Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730848458 PECOS PAC ID: 8123419819 Enrollment ID: I20220107001080 |
| Provider Name | Katherine Mcchesney Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962166496 PECOS PAC ID: 5698167476 Enrollment ID: I20220128001129 |
| Provider Name | Leah S Vandenbussche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487143889 PECOS PAC ID: 3678837192 Enrollment ID: I20220323001606 |
| Provider Name | Berthann Mayree Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780343277 PECOS PAC ID: 1759778772 Enrollment ID: I20220421001596 |
| Provider Name | Elizabeth Anne Hall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336459221 PECOS PAC ID: 6305233057 Enrollment ID: I20220427000929 |
| Provider Name | Waleed Raheem Abood Abood |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083065148 PECOS PAC ID: 8921391624 Enrollment ID: I20220511001555 |
| Provider Name | Shashikala Basav Gowda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801311956 PECOS PAC ID: 1153742572 Enrollment ID: I20220607001777 |
| Provider Name | Madhav R Kapila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104389675 PECOS PAC ID: 8325371743 Enrollment ID: I20220616001129 |
| Provider Name | Brandon M Yanik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205395266 PECOS PAC ID: 9032444336 Enrollment ID: I20220616001576 |
| Provider Name | Chase Kriza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861923955 PECOS PAC ID: 7719256171 Enrollment ID: I20220617000740 |
| Provider Name | Kimberly R Coughlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356791636 PECOS PAC ID: 7810288834 Enrollment ID: I20220630002197 |
| Provider Name | Stephen Craig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356804645 PECOS PAC ID: 8921333170 Enrollment ID: I20220711000622 |
| Provider Name | Khamoshi Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912559972 PECOS PAC ID: 2860873361 Enrollment ID: I20220714002883 |
| Provider Name | Marisa N Ventura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790392603 PECOS PAC ID: 8224419684 Enrollment ID: I20220715001265 |
| Provider Name | Ken Hong Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306446547 PECOS PAC ID: 1153702543 Enrollment ID: I20220716000106 |
| Provider Name | Sanar Sabah Yokhana |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043673809 PECOS PAC ID: 4183913916 Enrollment ID: I20220718000913 |
| Provider Name | Taofik Nasrat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275962243 PECOS PAC ID: 9133472897 Enrollment ID: I20220822002675 |
| Provider Name | Dana M Cleland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588309074 PECOS PAC ID: 8426433046 Enrollment ID: I20220919001544 |
| Provider Name | Kaytlin S Mather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730806001 PECOS PAC ID: 9830569292 Enrollment ID: I20221228002715 |
| Provider Name | Gjergj George Juncaj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124635917 PECOS PAC ID: 2860864337 Enrollment ID: I20230209000944 |
| Provider Name | Carly Stempien Mouhajer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194346130 PECOS PAC ID: 9739553785 Enrollment ID: I20230315000717 |
| Provider Name | Kayla A Seedial |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083140818 PECOS PAC ID: 6608145222 Enrollment ID: I20230502002626 |
| Provider Name | Nicholas C Relich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144214651 PECOS PAC ID: 8123484490 Enrollment ID: I20230512000377 |
| Provider Name | Chioma Camille Okekpe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740685593 PECOS PAC ID: 3577834167 Enrollment ID: I20230512001154 |
| Provider Name | Joshua H Dean |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871150623 PECOS PAC ID: 0941533046 Enrollment ID: I20230516001359 |
| Provider Name | Rida Jamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578188918 PECOS PAC ID: 2769807569 Enrollment ID: I20230605001675 |
| Provider Name | Amreeta V Sharma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356862114 PECOS PAC ID: 1951704766 Enrollment ID: I20230605002377 |
| Provider Name | Freny Sebastian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629698535 PECOS PAC ID: 9032540224 Enrollment ID: I20230606002006 |
| Provider Name | Inderpal Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669097952 PECOS PAC ID: 0143643601 Enrollment ID: I20230606002557 |
| Provider Name | Jordan Nicole Woodman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457044562 PECOS PAC ID: 8527425164 Enrollment ID: I20230613001355 |
| Provider Name | Michael Dever |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891282935 PECOS PAC ID: 0941564983 Enrollment ID: I20230629000664 |
| Provider Name | Ashley Nicole Zeilenga |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104488212 PECOS PAC ID: 5597092031 Enrollment ID: I20230710003272 |
| Provider Name | Eyitemi Yvonne Fregene |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811551443 PECOS PAC ID: 3971838434 Enrollment ID: I20230901001615 |
| Provider Name | Louis Raymond Hartings |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700669488 PECOS PAC ID: 3173977139 Enrollment ID: I20230925001092 |
| Provider Name | Renee Elizabeth Barrett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063775484 PECOS PAC ID: 0941516827 Enrollment ID: I20231019003026 |
| Provider Name | Renato S Casabar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063406635 PECOS PAC ID: 9032566351 Enrollment ID: I20231108001826 |
| Provider Name | Bradley Russell Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508339987 PECOS PAC ID: 6305296864 Enrollment ID: I20231223000072 |
| Provider Name | Brandon E Bulmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659143907 PECOS PAC ID: 2264884097 Enrollment ID: I20240117003739 |
| Provider Name | Stephanie Marie Gjonaj |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366819492 PECOS PAC ID: 5991148678 Enrollment ID: I20240209001100 |
| Provider Name | Hannah J Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164297495 PECOS PAC ID: 8325486590 Enrollment ID: I20240406000339 |
| Provider Name | Maegan A Degler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063285203 PECOS PAC ID: 1951749126 Enrollment ID: I20240406000410 |
| Mailing Address | Practice Location Address |
|---|---|
| St John North Shores Hospital 28000 Dequindre Rd, Warren, MI 48092-2468 Ph: (586) 753-0275 | St John North Shores Hospital 26755 Ballard St, Harrison Township, MI 48045-2419 Ph: (584) 655-5501 |