| Adventhealth Primary Care Network Inc | |
|
900 Hope Way Altamonte Springs FL 32714-1502 | |
| (407) 357-1000 | |
| Not Available |
| Full Name | Adventhealth Primary Care Network Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 900 Hope Way, Altamonte Springs, Florida |
| Authorized Official Name and Position | Kelly J Pettijohn (SVP-CFO) |
| Authorized Official Contact | 4073571000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventhealth Primary Care Network Inc 900 Hope Way Altamonte Springs FL 32714-1502 Ph: (407) 357-1000 | Adventhealth Primary Care Network Inc 900 Hope Way Altamonte Springs FL 32714-1502 Ph: (407) 357-1000 |
| NPI Number | 1093493637 |
|---|---|
| Provider Enumeration Date | 07/05/2023 |
| Last Update Date | 09/15/2023 |
| Medicare PECOS PAC ID | 1557722410 |
|---|---|
| Medicare Enrollment ID | O20230725004134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093493637 | NPI | - | NPPES |
| Provider Name | Mark Lee Craft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689657926 PECOS PAC ID: 5496669178 Enrollment ID: I20031117000781 |
| Provider Name | April Dawn Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538129705 PECOS PAC ID: 5991604654 Enrollment ID: I20040102000223 |
| Provider Name | Edward Scanlan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861475196 PECOS PAC ID: 4981591989 Enrollment ID: I20040303001014 |
| Provider Name | Adina M Ion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144330119 PECOS PAC ID: 3577451657 Enrollment ID: I20040309001295 |
| Provider Name | Andrew D Tagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831161140 PECOS PAC ID: 2062304835 Enrollment ID: I20040326000463 |
| Provider Name | Michele Hornstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972542256 PECOS PAC ID: 1759374184 Enrollment ID: I20040403000023 |
| Provider Name | Randi Ann Rodrigues |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023003100 PECOS PAC ID: 5890789853 Enrollment ID: I20040413000137 |
| Provider Name | Jose O Delgado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801889688 PECOS PAC ID: 6507850138 Enrollment ID: I20040414001150 |
| Provider Name | William C Douglass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396713087 PECOS PAC ID: 8426039553 Enrollment ID: I20040525001788 |
| Provider Name | Sergey Turchin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033177878 PECOS PAC ID: 2961480728 Enrollment ID: I20040709000226 |
| Provider Name | Ramaswami Krishnan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093762288 PECOS PAC ID: 4587653217 Enrollment ID: I20040712001401 |
| Provider Name | Gregory A Berland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265427405 PECOS PAC ID: 5597744797 Enrollment ID: I20040720000091 |
| Provider Name | Jeffrey A Bennett |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1851362396 PECOS PAC ID: 9234103110 Enrollment ID: I20040825000984 |
| Provider Name | Jessy Casimiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639157902 PECOS PAC ID: 5092779355 Enrollment ID: I20041116000834 |
| Provider Name | Luther St James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013105477 PECOS PAC ID: 3779547062 Enrollment ID: I20041116001070 |
| Provider Name | Carol Tanner St James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740478197 PECOS PAC ID: 5395709968 Enrollment ID: I20041116001134 |
| Provider Name | Kuchakulla N Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255325171 PECOS PAC ID: 1850382326 Enrollment ID: I20041123000890 |
| Provider Name | Michael P Desouza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649292020 PECOS PAC ID: 4587614318 Enrollment ID: I20050128000427 |
| Provider Name | Jerry W Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982607875 PECOS PAC ID: 2961390760 Enrollment ID: I20050818000271 |
| Provider Name | Elizabeth A John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467557207 PECOS PAC ID: 9830120062 Enrollment ID: I20050829000060 |
| Provider Name | Lee Yang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619965514 PECOS PAC ID: 0941233936 Enrollment ID: I20050912000076 |
| Provider Name | Naveed Ahmad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225007321 PECOS PAC ID: 0749232965 Enrollment ID: I20050915000100 |
| Provider Name | Aleem U Dean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992793608 PECOS PAC ID: 9032022249 Enrollment ID: I20050922000264 |
| Provider Name | Debra Hastings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366441230 PECOS PAC ID: 0941225122 Enrollment ID: I20051006000604 |
| Provider Name | Jin Y Soh Urbano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942240767 PECOS PAC ID: 6901823475 Enrollment ID: I20051025000445 |
| Provider Name | Michael E Townsend |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427024504 PECOS PAC ID: 5193742567 Enrollment ID: I20051026000274 |
| Provider Name | Mark W Lastarza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831165448 PECOS PAC ID: 8426075706 Enrollment ID: I20051026000449 |
| Provider Name | Rosemarie A Latham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407925910 PECOS PAC ID: 1557381746 Enrollment ID: I20051202000284 |
| Provider Name | Herma L Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770568339 PECOS PAC ID: 2466473392 Enrollment ID: I20051207000719 |
| Provider Name | Mohammed Asif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811928674 PECOS PAC ID: 4082629209 Enrollment ID: I20060209000233 |
| Provider Name | Eric A Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194774596 PECOS PAC ID: 6406868728 Enrollment ID: I20060630000286 |
| Provider Name | Danielle Lee Albritton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114969151 PECOS PAC ID: 8325051071 Enrollment ID: I20060724000238 |
| Provider Name | Joan D Coupland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366422933 PECOS PAC ID: 0244238251 Enrollment ID: I20061129000050 |
| Provider Name | Deborah I Greaves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174560163 PECOS PAC ID: 9931201878 Enrollment ID: I20070224000004 |
| Provider Name | Ivonne Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407899412 PECOS PAC ID: 3678676251 Enrollment ID: I20070320000410 |
| Provider Name | Samuel P Shay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659326692 PECOS PAC ID: 9032000393 Enrollment ID: I20070405000005 |
| Provider Name | Jecebu Ceballos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740394352 PECOS PAC ID: 6608973342 Enrollment ID: I20070515000245 |
| Provider Name | Svetlana Y Rogozina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568576437 PECOS PAC ID: 3971555640 Enrollment ID: I20070530000484 |
| Provider Name | Daniel L Cochran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770510372 PECOS PAC ID: 3173598034 Enrollment ID: I20070828000515 |
| Provider Name | Jacquelyn H Nystrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083818553 PECOS PAC ID: 8325132913 Enrollment ID: I20070913000035 |
| Provider Name | Tapan P Bhatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164625281 PECOS PAC ID: 0749379451 Enrollment ID: I20071204000144 |
| Provider Name | Jennifer J Schwertner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356538193 PECOS PAC ID: 4385729193 Enrollment ID: I20080304000445 |
| Provider Name | Shrish Calla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497976526 PECOS PAC ID: 6204907710 Enrollment ID: I20080611000184 |
| Provider Name | Kimberly Anne Keller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366481483 PECOS PAC ID: 7315995909 Enrollment ID: I20080618000253 |
| Provider Name | Pamela Lynn Menzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477675718 PECOS PAC ID: 9436221918 Enrollment ID: I20080627000104 |
| Provider Name | Vivian M Theriault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740494962 PECOS PAC ID: 5890867857 Enrollment ID: I20080708000400 |
| Provider Name | Gregory Logsdon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922005966 PECOS PAC ID: 1456426204 Enrollment ID: I20080813000891 |
| Provider Name | Adela Marie Oliva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164535670 PECOS PAC ID: 2163597527 Enrollment ID: I20080819000696 |
| Provider Name | Antonio Gonzalez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497752240 PECOS PAC ID: 0042387078 Enrollment ID: I20080917000472 |
| Provider Name | Perri L Dumbacher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497705131 PECOS PAC ID: 2466485495 Enrollment ID: I20081009000460 |
| Provider Name | Jeffrey J Ward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093779175 PECOS PAC ID: 8224196738 Enrollment ID: I20081027000630 |
| Provider Name | Timothy Farley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972501310 PECOS PAC ID: 9133109986 Enrollment ID: I20081208000217 |
| Provider Name | Dwight Hoarau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194841122 PECOS PAC ID: 0941286751 Enrollment ID: I20090110000170 |
| Provider Name | Robert B Rosequist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699771071 PECOS PAC ID: 7618058892 Enrollment ID: I20090127000574 |
| Provider Name | Francis Fernandez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952308702 PECOS PAC ID: 6901960079 Enrollment ID: I20090204000473 |
| Provider Name | Marcus J Merriweather |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538343215 PECOS PAC ID: 7113083692 Enrollment ID: I20090309000133 |
| Provider Name | Regina J Asihene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598736886 PECOS PAC ID: 5193878189 Enrollment ID: I20090810000359 |
| Provider Name | Ananth Krishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073521902 PECOS PAC ID: 7416003629 Enrollment ID: I20090914000055 |
| Provider Name | Christine A Aziz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437354958 PECOS PAC ID: 5890835185 Enrollment ID: I20091217000292 |
| Provider Name | Joel M Weinberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568411577 PECOS PAC ID: 6709937865 Enrollment ID: I20091222000441 |
| Provider Name | Hezi Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265427587 PECOS PAC ID: 3678663341 Enrollment ID: I20091228000379 |
| Provider Name | Glenn I Lura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790747897 PECOS PAC ID: 1153463799 Enrollment ID: I20100120000820 |
| Provider Name | Karen Echeverria Beltran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376526194 PECOS PAC ID: 7416090329 Enrollment ID: I20100201000356 |
| Provider Name | Rae E Ringenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477500494 PECOS PAC ID: 7315080686 Enrollment ID: I20100209000330 |
| Provider Name | James W Badman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265470405 PECOS PAC ID: 8325181621 Enrollment ID: I20100209000514 |
| Provider Name | Rachel Solomon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902849458 PECOS PAC ID: 2668516683 Enrollment ID: I20100215000312 |
| Provider Name | Victor A Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316994395 PECOS PAC ID: 3779627799 Enrollment ID: I20100215000387 |
| Provider Name | Chuong H Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366484446 PECOS PAC ID: 0941344980 Enrollment ID: I20100215000512 |
| Provider Name | Lisa M Gonsalves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114997616 PECOS PAC ID: 4385789577 Enrollment ID: I20100226000146 |
| Provider Name | Johnna G Mantineo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952371312 PECOS PAC ID: 1951446194 Enrollment ID: I20100226000702 |
| Provider Name | James Mcdonnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396849915 PECOS PAC ID: 3870628720 Enrollment ID: I20100317000130 |
| Provider Name | Arthur R Polin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134224561 PECOS PAC ID: 5890820765 Enrollment ID: I20100317000460 |
| Provider Name | James P Fischer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023113321 PECOS PAC ID: 9436284304 Enrollment ID: I20100317000502 |
| Provider Name | Hugh A Rutledge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437254885 PECOS PAC ID: 8527193499 Enrollment ID: I20100317000589 |
| Provider Name | Ruben E Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932178308 PECOS PAC ID: 4789719592 Enrollment ID: I20100318000626 |
| Provider Name | Jaima Peyton Woodiwiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902822323 PECOS PAC ID: 7911036512 Enrollment ID: I20100519000781 |
| Provider Name | Diego T Torres Ii |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821093105 PECOS PAC ID: 7911991963 Enrollment ID: I20100607000631 |
| Provider Name | Jon W Beasley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386671774 PECOS PAC ID: 3375673379 Enrollment ID: I20100618000311 |
| Provider Name | Reginald Schutt-aine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083672380 PECOS PAC ID: 4789684283 Enrollment ID: I20100629000196 |
| Provider Name | Thomas Jude Montaldo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003864992 PECOS PAC ID: 0244230746 Enrollment ID: I20100713000518 |
| Provider Name | Mary V Desario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720313539 PECOS PAC ID: 1557493152 Enrollment ID: I20100716000816 |
| Provider Name | Sharon M Sibley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700806502 PECOS PAC ID: 1355474248 Enrollment ID: I20100728001233 |
| Provider Name | Ram M Amilineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457457541 PECOS PAC ID: 3971636515 Enrollment ID: I20100803000135 |
| Provider Name | Jeffrey David Wartman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295730414 PECOS PAC ID: 7517857683 Enrollment ID: I20100817001432 |
| Provider Name | Steven L Attermann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538173026 PECOS PAC ID: 9234110362 Enrollment ID: I20100908001079 |
| Provider Name | Sage P Naran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407971807 PECOS PAC ID: 9234254459 Enrollment ID: I20100913000022 |
| Provider Name | Eddie Waldheim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881797082 PECOS PAC ID: 3476678962 Enrollment ID: I20100921001127 |
| Provider Name | Glenda F Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760521132 PECOS PAC ID: 3779679311 Enrollment ID: I20101004001328 |
| Provider Name | Donald W Liebelt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710969076 PECOS PAC ID: 7214908540 Enrollment ID: I20101015000781 |
| Provider Name | Laurence Neufeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083694640 PECOS PAC ID: 7214827047 Enrollment ID: I20101026001076 |
| Provider Name | Tina L Fischer Carne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912995499 PECOS PAC ID: 2062508690 Enrollment ID: I20101101000196 |
| Provider Name | Margaret Ann Colleran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457356677 PECOS PAC ID: 9537293261 Enrollment ID: I20101124000711 |
| Provider Name | Cesar A Unyon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053396309 PECOS PAC ID: 9234326901 Enrollment ID: I20101207000608 |
| Provider Name | Alan J Iezzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952590028 PECOS PAC ID: 6002866902 Enrollment ID: I20110209000518 |
| Provider Name | Steven L Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124125505 PECOS PAC ID: 4587847934 Enrollment ID: I20110323000492 |
| Provider Name | John Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396936936 PECOS PAC ID: 7618093584 Enrollment ID: I20110630000193 |
| Provider Name | Justin N Menezes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194013169 PECOS PAC ID: 4183895733 Enrollment ID: I20110912000757 |
| Provider Name | Rajani P Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710936695 PECOS PAC ID: 8820269004 Enrollment ID: I20110920000144 |
| Provider Name | Malika George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467603183 PECOS PAC ID: 8224209960 Enrollment ID: I20110929000112 |
| Provider Name | Cynthia P Roever |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295976702 PECOS PAC ID: 3375715634 Enrollment ID: I20111010000178 |
| Provider Name | Tanam S Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043475155 PECOS PAC ID: 5890960157 Enrollment ID: I20111214001004 |
| Provider Name | Jennifer K Naruta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710250600 PECOS PAC ID: 5496915050 Enrollment ID: I20120320000332 |
| Provider Name | Robert J Oliva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740393255 PECOS PAC ID: 7113180233 Enrollment ID: I20120627000053 |
| Provider Name | Gigi Kwok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821358433 PECOS PAC ID: 9830354521 Enrollment ID: I20120702000348 |
| Provider Name | Gretchen L Winans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568770691 PECOS PAC ID: 7416104617 Enrollment ID: I20120823000050 |
| Provider Name | Elizabeth B Sasse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427310440 PECOS PAC ID: 9931358561 Enrollment ID: I20120925000689 |
| Provider Name | Robert H Swietarski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790763332 PECOS PAC ID: 3274503115 Enrollment ID: I20121010000042 |
| Provider Name | Craig W Burns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982605523 PECOS PAC ID: 0244480572 Enrollment ID: I20121023000530 |
| Provider Name | Mercedes D Wierman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003188236 PECOS PAC ID: 0244481885 Enrollment ID: I20121108000301 |
| Provider Name | Aya Dawn Olejeme |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144348434 PECOS PAC ID: 9234298423 Enrollment ID: I20121116000239 |
| Provider Name | Margarette Lespinasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609112408 PECOS PAC ID: 6901059468 Enrollment ID: I20130111000147 |
| Provider Name | Kashif I Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215290382 PECOS PAC ID: 2365695632 Enrollment ID: I20130117000237 |
| Provider Name | Nancy L. Dahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861743122 PECOS PAC ID: 4587818018 Enrollment ID: I20130208000053 |
| Provider Name | Karen L Steinbrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710241229 PECOS PAC ID: 2062657513 Enrollment ID: I20130404000079 |
| Provider Name | Erdem M Aydur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881985026 PECOS PAC ID: 0547409013 Enrollment ID: I20130612000591 |
| Provider Name | Kathryn M Malan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740575497 PECOS PAC ID: 5496992778 Enrollment ID: I20130812000482 |
| Provider Name | Jill M Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437582392 PECOS PAC ID: 3779718770 Enrollment ID: I20131029001185 |
| Provider Name | Sarah D Mehuron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255620084 PECOS PAC ID: 1355576182 Enrollment ID: I20131031001661 |
| Provider Name | Veronica L Chastain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730400060 PECOS PAC ID: 9638304272 Enrollment ID: I20131106001465 |
| Provider Name | Kelly A Doggett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669818175 PECOS PAC ID: 0749415347 Enrollment ID: I20131107001305 |
| Provider Name | Romeena Tejiram Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679810212 PECOS PAC ID: 9830325596 Enrollment ID: I20131202001263 |
| Provider Name | Zofia Kletter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477978674 PECOS PAC ID: 3577795913 Enrollment ID: I20140417000146 |
| Provider Name | Jennifer Ann Meeks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720347651 PECOS PAC ID: 8022246917 Enrollment ID: I20140821001218 |
| Provider Name | Amit D Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447545850 PECOS PAC ID: 2264669142 Enrollment ID: I20140917001427 |
| Provider Name | Jonathan Screnock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285677294 PECOS PAC ID: 9537155239 Enrollment ID: I20140917002269 |
| Provider Name | Lana Ann Doxtater Massaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548374663 PECOS PAC ID: 8426155318 Enrollment ID: I20141014002441 |
| Provider Name | Jodi L Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164826731 PECOS PAC ID: 4880916949 Enrollment ID: I20141201001791 |
| Provider Name | Roxann Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710327622 PECOS PAC ID: 0941524573 Enrollment ID: I20150130000615 |
| Provider Name | Hossam S Naguib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235188087 PECOS PAC ID: 5698675403 Enrollment ID: I20150505001666 |
| Provider Name | Chiamaka C Iheme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326479460 PECOS PAC ID: 8820227085 Enrollment ID: I20150708001583 |
| Provider Name | Belinda Joy Gavino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750711636 PECOS PAC ID: 4981918968 Enrollment ID: I20150804005720 |
| Provider Name | Jennifer Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902993918 PECOS PAC ID: 6709073190 Enrollment ID: I20151006002909 |
| Provider Name | Marie M Collazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346640356 PECOS PAC ID: 3476863994 Enrollment ID: I20151112000504 |
| Provider Name | Kennie R Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275919789 PECOS PAC ID: 2668772666 Enrollment ID: I20151124000021 |
| Provider Name | Mary Jane Venzon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821489204 PECOS PAC ID: 4789901992 Enrollment ID: I20151130001078 |
| Provider Name | Rola Atiyah Altoos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003043985 PECOS PAC ID: 4385865211 Enrollment ID: I20151202002006 |
| Provider Name | Bernice A Pritchett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700847449 PECOS PAC ID: 4183675150 Enrollment ID: I20160217002543 |
| Provider Name | Candice J Rosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871958207 PECOS PAC ID: 2567768286 Enrollment ID: I20160307001525 |
| Provider Name | Asif Bhimani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427361773 PECOS PAC ID: 9931419991 Enrollment ID: I20160728000189 |
| Provider Name | Alexandra Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184050767 PECOS PAC ID: 3577790864 Enrollment ID: I20160823002225 |
| Provider Name | Jennifer Toro Galarza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720411598 PECOS PAC ID: 9335435023 Enrollment ID: I20160906002468 |
| Provider Name | Christopher R Buelvas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144659384 PECOS PAC ID: 3971899097 Enrollment ID: I20160915000959 |
| Provider Name | Haroldo Melo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457516254 PECOS PAC ID: 4880865088 Enrollment ID: I20160930001774 |
| Provider Name | Samantha Bonilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174978175 PECOS PAC ID: 1355639543 Enrollment ID: I20161003002541 |
| Provider Name | Farhan Rehman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750722708 PECOS PAC ID: 8426350034 Enrollment ID: I20161011001281 |
| Provider Name | Jorge M Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952444648 PECOS PAC ID: 8022306596 Enrollment ID: I20161017000713 |
| Provider Name | Mehmet Albayram |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437605037 PECOS PAC ID: 4880972843 Enrollment ID: I20161025002709 |
| Provider Name | Jennifer Lyn Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073974192 PECOS PAC ID: 2668766288 Enrollment ID: I20161028000889 |
| Provider Name | Mini Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740631639 PECOS PAC ID: 0042598716 Enrollment ID: I20161101000004 |
| Provider Name | Jeneaurey Melendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881022895 PECOS PAC ID: 0749569135 Enrollment ID: I20161107001810 |
| Provider Name | Lauren M Bedney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528497526 PECOS PAC ID: 2062640469 Enrollment ID: I20161109001657 |
| Provider Name | Mathew Swerdlow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477715597 PECOS PAC ID: 0244473403 Enrollment ID: I20161129001047 |
| Provider Name | Naeem Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023453297 PECOS PAC ID: 7618107020 Enrollment ID: I20161212000840 |
| Provider Name | Stephanie M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578006839 PECOS PAC ID: 7719269570 Enrollment ID: I20170131002123 |
| Provider Name | Nargiza Ayupova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356796858 PECOS PAC ID: 5092098806 Enrollment ID: I20170201001377 |
| Provider Name | Yekatherine Rasmussen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235345687 PECOS PAC ID: 1951493261 Enrollment ID: I20170306000526 |
| Provider Name | Mark Christopher Roque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467802892 PECOS PAC ID: 8729363361 Enrollment ID: I20170323000489 |
| Provider Name | Sunita Roque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255884409 PECOS PAC ID: 2668759820 Enrollment ID: I20170426001340 |
| Provider Name | Amy Campbell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306067608 PECOS PAC ID: 7315030640 Enrollment ID: I20170610000160 |
| Provider Name | Ashkan Ghaneie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134446255 PECOS PAC ID: 3971822560 Enrollment ID: I20170612002537 |
| Provider Name | Alexander L Kushnir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477970705 PECOS PAC ID: 5496025728 Enrollment ID: I20170719003436 |
| Provider Name | Jason Michael Florimonte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538161518 PECOS PAC ID: 9739184011 Enrollment ID: I20170821003257 |
| Provider Name | Gregory E Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083654206 PECOS PAC ID: 1759318793 Enrollment ID: I20170831002888 |
| Provider Name | Paula Jean Knapp-baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528167145 PECOS PAC ID: 8224059464 Enrollment ID: I20170901001277 |
| Provider Name | Hyrum Anthony Brodniak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619319563 PECOS PAC ID: 6709014681 Enrollment ID: I20171002001966 |
| Provider Name | Pamela A Couture |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679953327 PECOS PAC ID: 5799097739 Enrollment ID: I20171010001144 |
| Provider Name | Ledy Clemencia Rojas Roldan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184722936 PECOS PAC ID: 5294837571 Enrollment ID: I20171018000345 |
| Provider Name | Sue-wei Luu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669819512 PECOS PAC ID: 8022251370 Enrollment ID: I20171104000071 |
| Provider Name | Kate L Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467970228 PECOS PAC ID: 0941566806 Enrollment ID: I20171108002940 |
| Provider Name | Gurpawan Dhaliwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871889816 PECOS PAC ID: 4789807108 Enrollment ID: I20171127001802 |
| Provider Name | Tashrique Alam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821473299 PECOS PAC ID: 1658630637 Enrollment ID: I20180119001637 |
| Provider Name | Devlin H O'connor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053759035 PECOS PAC ID: 2365741105 Enrollment ID: I20180427001127 |
| Provider Name | Subha Jose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588192082 PECOS PAC ID: 1850655861 Enrollment ID: I20180427001139 |
| Provider Name | Dasrine K Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295235943 PECOS PAC ID: 2860756699 Enrollment ID: I20180503000325 |
| Provider Name | Courtney M St. James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366853202 PECOS PAC ID: 1355643438 Enrollment ID: I20180723003337 |
| Provider Name | William Gottschalk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306231873 PECOS PAC ID: 7618225855 Enrollment ID: I20180806000479 |
| Provider Name | Melissa Sepe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396222824 PECOS PAC ID: 3577814110 Enrollment ID: I20180920003530 |
| Provider Name | Arianna E Becker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205215985 PECOS PAC ID: 5799048161 Enrollment ID: I20181005002152 |
| Provider Name | Patricia Jean Pamas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104313469 PECOS PAC ID: 7113278276 Enrollment ID: I20181109002289 |
| Provider Name | Lisa Marie Peto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720485170 PECOS PAC ID: 8628348364 Enrollment ID: I20181110000089 |
| Provider Name | Daihla Perard Bastien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396130597 PECOS PAC ID: 0941544142 Enrollment ID: I20181128002993 |
| Provider Name | Andrew Elliott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629046222 PECOS PAC ID: 2365542024 Enrollment ID: I20181207001147 |
| Provider Name | Susan Lynn Morse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467959700 PECOS PAC ID: 5092050187 Enrollment ID: I20181218001623 |
| Provider Name | Dominiqua Lint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053882290 PECOS PAC ID: 2264778349 Enrollment ID: I20190110000819 |
| Provider Name | Jaclyn Ann Gunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639548654 PECOS PAC ID: 9335431931 Enrollment ID: I20190115001419 |
| Provider Name | Jessica Lynn Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043502529 PECOS PAC ID: 2264755321 Enrollment ID: I20190304001518 |
| Provider Name | Erin G Hough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013437706 PECOS PAC ID: 5193084325 Enrollment ID: I20190524000742 |
| Provider Name | Sue-ellen Elizabeth Griffith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083066187 PECOS PAC ID: 9739474073 Enrollment ID: I20190610000680 |
| Provider Name | Jodi Wilder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336696327 PECOS PAC ID: 8426382615 Enrollment ID: I20190621000643 |
| Provider Name | Joey Darren Wilder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649644311 PECOS PAC ID: 7416204458 Enrollment ID: I20190621000884 |
| Provider Name | Robert Lee Solomon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073960357 PECOS PAC ID: 4486940582 Enrollment ID: I20190702002845 |
| Provider Name | Miguel Flores |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558792481 PECOS PAC ID: 6608124789 Enrollment ID: I20190710000752 |
| Provider Name | Tamika Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992254197 PECOS PAC ID: 2466788542 Enrollment ID: I20190726001752 |
| Provider Name | Lauren Marie Conroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548623549 PECOS PAC ID: 9234426289 Enrollment ID: I20190812001270 |
| Provider Name | Katie Michele Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336700434 PECOS PAC ID: 8628305760 Enrollment ID: I20190812002365 |
| Provider Name | Todd Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790130862 PECOS PAC ID: 9931487790 Enrollment ID: I20190815002088 |
| Provider Name | Amanda Nadeau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164881009 PECOS PAC ID: 9537420047 Enrollment ID: I20190827003496 |
| Provider Name | Charles E Neetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215489513 PECOS PAC ID: 9739460551 Enrollment ID: I20190905002771 |
| Provider Name | Melissa A Morello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700231719 PECOS PAC ID: 3173801958 Enrollment ID: I20190910000176 |
| Provider Name | Adam P Pasternak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295968311 PECOS PAC ID: 6103052717 Enrollment ID: I20190924002396 |
| Provider Name | Desirae Friend |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447512199 PECOS PAC ID: 1658524202 Enrollment ID: I20191007000541 |
| Provider Name | Katrina Emilia Noboa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316594112 PECOS PAC ID: 5395077457 Enrollment ID: I20191023001581 |
| Provider Name | Jess Graham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083604854 PECOS PAC ID: 9436160314 Enrollment ID: I20191029001153 |
| Provider Name | Angelic Alvarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275983587 PECOS PAC ID: 3173819158 Enrollment ID: I20191030003156 |
| Provider Name | Kiet T La |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083147862 PECOS PAC ID: 1052687837 Enrollment ID: I20200107002367 |
| Provider Name | Pamela Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962032607 PECOS PAC ID: 7719314178 Enrollment ID: I20200224002270 |
| Provider Name | Kathleen Paige Dixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720575632 PECOS PAC ID: 3173951993 Enrollment ID: I20200310000725 |
| Provider Name | Shana Lee Vongkhankeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073144994 PECOS PAC ID: 1355770868 Enrollment ID: I20200405000006 |
| Provider Name | Joseph Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760442834 PECOS PAC ID: 6002077633 Enrollment ID: I20200526000733 |
| Provider Name | Muhammad Sohel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992233837 PECOS PAC ID: 5496028979 Enrollment ID: I20200619000256 |
| Provider Name | Kimberly Michelle Beavers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871975474 PECOS PAC ID: 3971935412 Enrollment ID: I20200715001102 |
| Provider Name | Lei Gong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497934004 PECOS PAC ID: 5597818773 Enrollment ID: I20200715002302 |
| Provider Name | Jennifer E Kelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104359876 PECOS PAC ID: 4880954338 Enrollment ID: I20200716002562 |
| Provider Name | Christopher Lee Paik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548748957 PECOS PAC ID: 5193149557 Enrollment ID: I20200720001124 |
| Provider Name | Jubeth Carlene Burlison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376077719 PECOS PAC ID: 0941560767 Enrollment ID: I20200728001605 |
| Provider Name | Pooja Shankar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093249906 PECOS PAC ID: 8224398417 Enrollment ID: I20200805002820 |
| Provider Name | Matthew D Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285168195 PECOS PAC ID: 8224398664 Enrollment ID: I20200807002897 |
| Provider Name | Rocio D Zuniga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285080887 PECOS PAC ID: 3779865902 Enrollment ID: I20200810002338 |
| Provider Name | Adam D Evans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053748822 PECOS PAC ID: 0446573943 Enrollment ID: I20200818001393 |
| Provider Name | Maria Caratas Epstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457714818 PECOS PAC ID: 1355671173 Enrollment ID: I20200821001673 |
| Provider Name | Steven M Pouls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063513687 PECOS PAC ID: 2860483443 Enrollment ID: I20200902000128 |
| Provider Name | Timothy Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487175535 PECOS PAC ID: 1153748314 Enrollment ID: I20200902001441 |
| Provider Name | Elizabeth Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699156679 PECOS PAC ID: 5092028035 Enrollment ID: I20200909001355 |
| Provider Name | Stela Karkatselos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295342277 PECOS PAC ID: 7113347121 Enrollment ID: I20201119001154 |
| Provider Name | Marisha Sirdar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770016966 PECOS PAC ID: 5193097228 Enrollment ID: I20210205000118 |
| Provider Name | Erin Theresa Dorrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336788165 PECOS PAC ID: 4385052364 Enrollment ID: I20210412000855 |
| Provider Name | Ernest Wiggins |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1972759025 PECOS PAC ID: 7810063591 Enrollment ID: I20210504000375 |
| Provider Name | Saif Ahmed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356737993 PECOS PAC ID: 4587073846 Enrollment ID: I20210518000057 |
| Provider Name | Sarah Sakala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447892096 PECOS PAC ID: 9739589102 Enrollment ID: I20210608000248 |
| Provider Name | Wyniqua Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578021796 PECOS PAC ID: 7214279934 Enrollment ID: I20210628002167 |
| Provider Name | Yorlenis Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043743297 PECOS PAC ID: 9032546262 Enrollment ID: I20210707003764 |
| Provider Name | Eva M Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710590732 PECOS PAC ID: 6709288079 Enrollment ID: I20210708002214 |
| Provider Name | Mariam Javed Mayet-khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851897367 PECOS PAC ID: 5395177216 Enrollment ID: I20210721002282 |
| Provider Name | Alain Delgado Fuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770076283 PECOS PAC ID: 3678976826 Enrollment ID: I20210726001310 |
| Provider Name | Andrew Robert Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427558873 PECOS PAC ID: 7719380773 Enrollment ID: I20210728001808 |
| Provider Name | Trinh Duong Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174028047 PECOS PAC ID: 3476802331 Enrollment ID: I20210728002064 |
| Provider Name | Jennifer C Dasque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881183168 PECOS PAC ID: 6709289580 Enrollment ID: I20210730003140 |
| Provider Name | Giselle I Pineiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306323621 PECOS PAC ID: 0547664260 Enrollment ID: I20210803001576 |
| Provider Name | Vinay Pai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437308756 PECOS PAC ID: 2163773177 Enrollment ID: I20210809000661 |
| Provider Name | Carlos Romano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730679929 PECOS PAC ID: 7618217324 Enrollment ID: I20210816001602 |
| Provider Name | Alicia Abel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902432347 PECOS PAC ID: 5496150815 Enrollment ID: I20210824001510 |
| Provider Name | Samuel T. Fawaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295945996 PECOS PAC ID: 8729179353 Enrollment ID: I20210901000969 |
| Provider Name | Mary Elizabeth Hafele-kott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225603038 PECOS PAC ID: 2860899978 Enrollment ID: I20210916000158 |
| Provider Name | Jose Omar Burgos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053804997 PECOS PAC ID: 5092069435 Enrollment ID: I20210917001175 |
| Provider Name | Glenda Denisse Rosa Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447564828 PECOS PAC ID: 3476880352 Enrollment ID: I20211012000713 |
| Provider Name | Sirirat Poontreeratn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316518640 PECOS PAC ID: 2264820588 Enrollment ID: I20211019001562 |
| Provider Name | Ramzi Zureikat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851529119 PECOS PAC ID: 1153577358 Enrollment ID: I20211021003173 |
| Provider Name | Ainslee Juarbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932605276 PECOS PAC ID: 3971992017 Enrollment ID: I20211111001533 |
| Provider Name | Nina Theodora Camperlengo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609890128 PECOS PAC ID: 7113182387 Enrollment ID: I20211116002879 |
| Provider Name | Ryan Scott Tidwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336712033 PECOS PAC ID: 0042609703 Enrollment ID: I20211118000758 |
| Provider Name | Jacqueline Elizabeth Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619562147 PECOS PAC ID: 1355731985 Enrollment ID: I20211214000616 |
| Provider Name | Jewell Marie Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184227779 PECOS PAC ID: 6507257078 Enrollment ID: I20211217001303 |
| Provider Name | Dawn A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184393183 PECOS PAC ID: 4587057740 Enrollment ID: I20220210001794 |
| Provider Name | Cheryl Adley Gulenay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538665559 PECOS PAC ID: 2365781069 Enrollment ID: I20220321000900 |
| Provider Name | Vola Harivony Le Roux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710422399 PECOS PAC ID: 2668755984 Enrollment ID: I20220322000195 |
| Provider Name | Katrina N Mcneal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518510965 PECOS PAC ID: 5294147989 Enrollment ID: I20220428000669 |
| Provider Name | German Restrepo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023332848 PECOS PAC ID: 7810252103 Enrollment ID: I20220505002635 |
| Provider Name | Alissa Hogue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992181051 PECOS PAC ID: 8426367897 Enrollment ID: I20220507000206 |
| Provider Name | Christina Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922740802 PECOS PAC ID: 5698152411 Enrollment ID: I20220517002698 |
| Provider Name | Chloe Louise Kindred |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790348191 PECOS PAC ID: 6507108792 Enrollment ID: I20220607002210 |
| Provider Name | Morgan Macintyre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427517432 PECOS PAC ID: 2365879913 Enrollment ID: I20220613002604 |
| Provider Name | Oscar Radi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700438454 PECOS PAC ID: 5496134900 Enrollment ID: I20220614000061 |
| Provider Name | Hetalben Bhatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255089645 PECOS PAC ID: 2769861830 Enrollment ID: I20220620002074 |
| Provider Name | Italia Cegla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861139990 PECOS PAC ID: 8224418850 Enrollment ID: I20220629001374 |
| Provider Name | Omari Hodge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538470646 PECOS PAC ID: 2062690340 Enrollment ID: I20220708003512 |
| Provider Name | Tracey Ray Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376882225 PECOS PAC ID: 2567609472 Enrollment ID: I20220712002939 |
| Provider Name | Jacob W Albert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265929319 PECOS PAC ID: 4183974561 Enrollment ID: I20220713004275 |
| Provider Name | Tania Mowatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124580451 PECOS PAC ID: 1052792553 Enrollment ID: I20220714002857 |
| Provider Name | Ahmad Emara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477013613 PECOS PAC ID: 2860726452 Enrollment ID: I20220718000722 |
| Provider Name | Laraey King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538622691 PECOS PAC ID: 6305171919 Enrollment ID: I20220720002372 |
| Provider Name | Nancy Si |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265992705 PECOS PAC ID: 1658608625 Enrollment ID: I20220802000192 |
| Provider Name | Nora Helen Quattrocelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275039083 PECOS PAC ID: 3577828730 Enrollment ID: I20220802002530 |
| Provider Name | Amber Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548721384 PECOS PAC ID: 6305172933 Enrollment ID: I20220803000241 |
| Provider Name | Andrea Claire Miser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528562584 PECOS PAC ID: 3870975030 Enrollment ID: I20220804000600 |
| Provider Name | Tamara Sealy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225477094 PECOS PAC ID: 6103138862 Enrollment ID: I20220809000077 |
| Provider Name | Samuel Glaubiger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528422417 PECOS PAC ID: 1557652039 Enrollment ID: I20220809002245 |
| Provider Name | Vamsi Nukala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669737706 PECOS PAC ID: 6204149800 Enrollment ID: I20220817000444 |
| Provider Name | James Pense |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962898775 PECOS PAC ID: 4082922463 Enrollment ID: I20220817002182 |
| Provider Name | Varna Davalath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538723499 PECOS PAC ID: 6103168380 Enrollment ID: I20220824001096 |
| Provider Name | Paras Bajaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972066736 PECOS PAC ID: 6103209192 Enrollment ID: I20220824002576 |
| Provider Name | Shabnam Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144883398 PECOS PAC ID: 5597007328 Enrollment ID: I20220829000820 |
| Provider Name | Amanda A Hussein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518528124 PECOS PAC ID: 1355670530 Enrollment ID: I20220829003607 |
| Provider Name | Nicholas Pantelis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992265110 PECOS PAC ID: 2466783071 Enrollment ID: I20220830000144 |
| Provider Name | Dmitry Aleks Drapach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669487542 PECOS PAC ID: 9032205331 Enrollment ID: I20220830000398 |
| Provider Name | Zaynab Rasheed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437688538 PECOS PAC ID: 2769755032 Enrollment ID: I20220901002230 |
| Provider Name | Stephanie Mathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295499572 PECOS PAC ID: 0749664092 Enrollment ID: I20220906000430 |
| Provider Name | Kassie Falcon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972064780 PECOS PAC ID: 9931439692 Enrollment ID: I20220908000784 |
| Provider Name | Rachel White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538892567 PECOS PAC ID: 0345625406 Enrollment ID: I20220911000020 |
| Provider Name | Magdeley Mordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932757101 PECOS PAC ID: 4284019118 Enrollment ID: I20220913004076 |
| Provider Name | Candice Galnares Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982335808 PECOS PAC ID: 3274918446 Enrollment ID: I20220923003031 |
| Provider Name | Loira Enid Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366903189 PECOS PAC ID: 6103292164 Enrollment ID: I20221014003052 |
| Provider Name | Alicia Benjamin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134697592 PECOS PAC ID: 0941537831 Enrollment ID: I20221018001658 |
| Provider Name | Allison Michelle Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578292637 PECOS PAC ID: 2365811437 Enrollment ID: I20221212002208 |
| Provider Name | Darshan Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336466200 PECOS PAC ID: 1052532496 Enrollment ID: I20221214002015 |
| Provider Name | Sunil Bharwani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699967877 PECOS PAC ID: 9537242250 Enrollment ID: I20221228001719 |
| Provider Name | Gabrielle Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861101495 PECOS PAC ID: 8820460488 Enrollment ID: I20230207003009 |
| Provider Name | Prasanthi Marella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548407810 PECOS PAC ID: 6406908268 Enrollment ID: I20230211000219 |
| Provider Name | Sarah Mcandrew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679921548 PECOS PAC ID: 3971899956 Enrollment ID: I20230223002816 |
| Provider Name | Zachary Strickland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487048021 PECOS PAC ID: 5395032551 Enrollment ID: I20230309001697 |
| Provider Name | Isabella Caterina Katz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235845512 PECOS PAC ID: 0941675326 Enrollment ID: I20230418000030 |
| Provider Name | Anjali Hardeo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568025088 PECOS PAC ID: 0941623128 Enrollment ID: I20230418002736 |
| Provider Name | Manju Kanikunnel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942615851 PECOS PAC ID: 1658599493 Enrollment ID: I20230531002456 |
| Provider Name | Sylvia Ann Bozeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467976928 PECOS PAC ID: 0648638437 Enrollment ID: I20230627001642 |
| Provider Name | Asheema Bacchus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699209296 PECOS PAC ID: 3476824707 Enrollment ID: I20230711002756 |
| Provider Name | Trevor A Owens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942839386 PECOS PAC ID: 8527485879 Enrollment ID: I20230720003587 |
| Provider Name | Alejandro Pelaez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942821343 PECOS PAC ID: 4486075686 Enrollment ID: I20230725000626 |
| Provider Name | Monica Mansour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427679513 PECOS PAC ID: 3971924937 Enrollment ID: I20230728002674 |
| Provider Name | Andrew Brendan Dill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215922182 PECOS PAC ID: 8921012139 Enrollment ID: I20230804000268 |
| Provider Name | Christopher Polonio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972126530 PECOS PAC ID: 6103298484 Enrollment ID: I20230804001305 |
| Provider Name | Celeste Vickery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780211821 PECOS PAC ID: 8426470931 Enrollment ID: I20230804001426 |
| Provider Name | Maria Cecilia Lopez Craig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295354231 PECOS PAC ID: 1658792254 Enrollment ID: I20230807002290 |
| Provider Name | Syreeta Bogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962181263 PECOS PAC ID: 8628430618 Enrollment ID: I20230808000821 |
| Provider Name | Manuel Calcagno Casasnovas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023647344 PECOS PAC ID: 6406218429 Enrollment ID: I20230808002544 |
| Provider Name | Nilesh Prakash Dialani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972120582 PECOS PAC ID: 3274956420 Enrollment ID: I20230817003714 |
| Provider Name | Anne Marie Rhoton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952787251 PECOS PAC ID: 7416257753 Enrollment ID: I20230828000072 |
| Provider Name | Anna Millan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669549572 PECOS PAC ID: 7012977655 Enrollment ID: I20230831000247 |
| Provider Name | Nadeen Abu Ata |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598320079 PECOS PAC ID: 5698155273 Enrollment ID: I20230907002638 |
| Provider Name | Austin Rand Shoener |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346733011 PECOS PAC ID: 9739573684 Enrollment ID: I20230907002642 |
| Provider Name | Pamela Jean Bacom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275225898 PECOS PAC ID: 4284088477 Enrollment ID: I20230921001822 |
| Provider Name | Stamatis Damalos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407485071 PECOS PAC ID: 9436503679 Enrollment ID: I20230921003821 |
| Provider Name | Nicole Elizabeth Woodel Shoener |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386164473 PECOS PAC ID: 1850714650 Enrollment ID: I20230926001311 |
| Provider Name | Daniel O'bryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497315592 PECOS PAC ID: 3971926809 Enrollment ID: I20230929001883 |
| Provider Name | Farhan Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033537865 PECOS PAC ID: 3870892383 Enrollment ID: I20231006001877 |
| Provider Name | Cha Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285743971 PECOS PAC ID: 9234137563 Enrollment ID: I20231010000327 |
| Provider Name | Adam Cerissi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114488384 PECOS PAC ID: 3779932371 Enrollment ID: I20231207003107 |
| Provider Name | Sonia Kanacheril |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699303487 PECOS PAC ID: 3678998598 Enrollment ID: I20240103000098 |
| Provider Name | Nicholas A Landers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164206413 PECOS PAC ID: 5294186235 Enrollment ID: I20240104000182 |
| Provider Name | Sandra Fermina Rosario Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558134692 PECOS PAC ID: 6002268380 Enrollment ID: I20240123001581 |
| Provider Name | Hannah Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295398667 PECOS PAC ID: 4082099593 Enrollment ID: I20240124004932 |
| Provider Name | Melissa Ann Lovemore Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770369332 PECOS PAC ID: 8921451980 Enrollment ID: I20240126000960 |
| Provider Name | Christian Aguado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548897135 PECOS PAC ID: 3870911019 Enrollment ID: I20240216003316 |
| Provider Name | Deborah Conran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699775056 PECOS PAC ID: 1759461981 Enrollment ID: I20240311001852 |
| Provider Name | Neil G Thayil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144591801 PECOS PAC ID: 7012130305 Enrollment ID: I20240315003601 |
| Provider Name | Polina Kanj |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487035440 PECOS PAC ID: 0143640813 Enrollment ID: I20240319001067 |
| Provider Name | Alexandra Rae Weinstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154103489 PECOS PAC ID: 2961849351 Enrollment ID: I20240320004133 |
| Provider Name | Shanie Wray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114654373 PECOS PAC ID: 2264879501 Enrollment ID: I20240322002037 |
| Provider Name | Dennis Gilroy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932514379 PECOS PAC ID: 6406107119 Enrollment ID: I20240408000193 |
| Provider Name | Stanley J Nyarko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144234436 PECOS PAC ID: 5698841344 Enrollment ID: I20240418000048 |
| Provider Name | Vivekanand Pantangi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508123183 PECOS PAC ID: 9537474739 Enrollment ID: I20240426000717 |
| Provider Name | Alexander Merritt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184154296 PECOS PAC ID: 3476804048 Enrollment ID: I20240502003744 |
| Provider Name | Frank Hebroni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437509494 PECOS PAC ID: 0941609754 Enrollment ID: I20240507001586 |
| Provider Name | David Kephart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376906958 PECOS PAC ID: 0345532727 Enrollment ID: I20240507002648 |
| Provider Name | Danielle Toussie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730574096 PECOS PAC ID: 3173869294 Enrollment ID: I20240612000027 |
| Provider Name | Masoud Shiehmorteza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164724449 PECOS PAC ID: 3274821376 Enrollment ID: I20240612001207 |
| Provider Name | Hisham Bajwa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356738579 PECOS PAC ID: 3870895022 Enrollment ID: I20240613001631 |
Jcmedical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Marcia Dr, Altamonte Springs, FL 32714 Phone: 407-573-6627 Fax: 407-378-7755 | |
Adventist Health System/sunbelt, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1080 Arletta Street, Altamonte Springs, FL 32714 Phone: 407-691-8240 | |
Gregory P Samano Ii Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 499 E Central Pkwy Ste 100, Altamonte Springs, FL 32701 Phone: 407-543-3461 Fax: 407-678-0627 | |
Mark E. Weigley, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 685 Palm Springs Dr, Suite 1a, Altamonte Springs, FL 32701 Phone: 407-339-5959 Fax: 407-339-5951 | |
Beach Medical X4 Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Marcia Dr, Altamonte Springs, FL 32714 Phone: 407-502-0073 | |
Mueller Institute For Holistic Medicine Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 Maitland Ave, Ste. 104, Altamonte Springs, FL 32701 Phone: 407-332-5703 Fax: 407-332-5744 | |
Cogent Healthcare Of Pensacola Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E Altamonte Dr, Altamonte Springs, FL 32701 Phone: 407-303-2200 |