| Asheville Hospitalist Group | |
|
509 Biltmore Avenue Asheville NC 28801-4601 | |
| (828) 213-4411 | |
| (828) 213-0275 |
| Full Name | Asheville Hospitalist Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 509 Biltmore Avenue, Asheville, North Carolina |
| Authorized Official Name and Position | Jill Hoggard-green (PRESIDENT) |
| Authorized Official Contact | 8282130193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Asheville Hospitalist Group Po Box 602373 Charlotte NC 28260-2373 Ph: (828) 213-1500 | Asheville Hospitalist Group 509 Biltmore Avenue Asheville NC 28801-4601 Ph: (828) 213-4411 |
| NPI Number | 1114150190 |
|---|---|
| Provider Enumeration Date | 08/25/2009 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0749326106 |
|---|---|
| Medicare Enrollment ID | O20100313000054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114150190 | NPI | - | NPPES |
| 5912803 | Medicaid | NC | |
| 1114150190 | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Michael H Young |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619939394 PECOS PAC ID: 6204749047 Enrollment ID: I20031119000361 |
| Provider Name | Charles M Lecroy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114992062 PECOS PAC ID: 7113821547 Enrollment ID: I20031126000237 |
| Provider Name | Christopher B Aiken |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427034768 PECOS PAC ID: 7719889443 Enrollment ID: I20040123000208 |
| Provider Name | Eugene Sangmuah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295703338 PECOS PAC ID: 4688568280 Enrollment ID: I20040213000091 |
| Provider Name | Joseph James Vannort |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831138965 PECOS PAC ID: 4284521030 Enrollment ID: I20040304000480 |
| Provider Name | Marc B Westle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912946641 PECOS PAC ID: 5496645996 Enrollment ID: I20040318000334 |
| Provider Name | Ronnie L Jacobs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205898483 PECOS PAC ID: 9032000336 Enrollment ID: I20040324001006 |
| Provider Name | William R Shillinglaw |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093780009 PECOS PAC ID: 5193716751 Enrollment ID: I20040521000487 |
| Provider Name | Samuel D Jarrett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356344105 PECOS PAC ID: 9234112962 Enrollment ID: I20040611001123 |
| Provider Name | James William Earnhardt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992756019 PECOS PAC ID: 3779569991 Enrollment ID: I20040628001383 |
| Provider Name | Patience Ekuatinne Reich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447246566 PECOS PAC ID: 9638155765 Enrollment ID: I20040628001516 |
| Provider Name | Reid D Taylor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861467987 PECOS PAC ID: 0648256784 Enrollment ID: I20040628001590 |
| Provider Name | Emily A Diznoff |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669430609 PECOS PAC ID: 2466430376 Enrollment ID: I20040708000566 |
| Provider Name | Rody Ben Singer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548255680 PECOS PAC ID: 0840279675 Enrollment ID: I20040715001030 |
| Provider Name | Jana C Watts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215934930 PECOS PAC ID: 6901870161 Enrollment ID: I20040823001538 |
| Provider Name | Christine E Posner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821191131 PECOS PAC ID: 5395719108 Enrollment ID: I20040825001324 |
| Provider Name | Rachel D Keever |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659383115 PECOS PAC ID: 7810963279 Enrollment ID: I20040907001141 |
| Provider Name | John P Critikos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609872647 PECOS PAC ID: 3577451160 Enrollment ID: I20040909000758 |
| Provider Name | Julie Timmons Ruch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538243415 PECOS PAC ID: 2769450089 Enrollment ID: I20040923000520 |
| Provider Name | Matthew Ramey Craig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205924172 PECOS PAC ID: 5193794030 Enrollment ID: I20040928000916 |
| Provider Name | Christopher L Elder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780687541 PECOS PAC ID: 7517928997 Enrollment ID: I20041022000399 |
| Provider Name | Joseph M Dement |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730182593 PECOS PAC ID: 0547158354 Enrollment ID: I20041022000501 |
| Provider Name | Jeffrey H Moreadith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780630046 PECOS PAC ID: 2567412851 Enrollment ID: I20050125000347 |
| Provider Name | Margaret T Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407884349 PECOS PAC ID: 6406806272 Enrollment ID: I20050128000788 |
| Provider Name | Darren S Boice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225008600 PECOS PAC ID: 5799737151 Enrollment ID: I20050214000482 |
| Provider Name | Rhoda B Brosnan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295737203 PECOS PAC ID: 0244274454 Enrollment ID: I20050617000256 |
| Provider Name | Rebecca M Carchman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417937095 PECOS PAC ID: 3072558014 Enrollment ID: I20050621000843 |
| Provider Name | Carter R Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366481004 PECOS PAC ID: 9032166483 Enrollment ID: I20050624000230 |
| Provider Name | Jennifer M Jones |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598727281 PECOS PAC ID: 2567493034 Enrollment ID: I20050907000913 |
| Provider Name | Joanne Prinzhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376623892 PECOS PAC ID: 3375578073 Enrollment ID: I20050930000707 |
| Provider Name | Daniel W Bradford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851350326 PECOS PAC ID: 3173543725 Enrollment ID: I20051129000327 |
| Provider Name | Arnaud P Felix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750352514 PECOS PAC ID: 0840191367 Enrollment ID: I20060130000772 |
| Provider Name | William R Hathaway |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053317032 PECOS PAC ID: 0941214621 Enrollment ID: I20060201000865 |
| Provider Name | Chang S Lim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124024112 PECOS PAC ID: 1456365139 Enrollment ID: I20060201000906 |
| Provider Name | Brian H Asbill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730185729 PECOS PAC ID: 3678587367 Enrollment ID: I20060202000020 |
| Provider Name | Oscar R Jenkins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598761603 PECOS PAC ID: 8729092416 Enrollment ID: I20060202000052 |
| Provider Name | William T Maddox |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457358178 PECOS PAC ID: 5092729780 Enrollment ID: I20060202000053 |
| Provider Name | Charles Gibbs Vasey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487651535 PECOS PAC ID: 5799799417 Enrollment ID: I20060202000274 |
| Provider Name | James J Mcgovern |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184620205 PECOS PAC ID: 9032123690 Enrollment ID: I20060202000733 |
| Provider Name | William D Kuehl |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427054527 PECOS PAC ID: 7113931783 Enrollment ID: I20060202000745 |
| Provider Name | David H Serfas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477550507 PECOS PAC ID: 5698789287 Enrollment ID: I20060202000892 |
| Provider Name | Joseph J Souza |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336145457 PECOS PAC ID: 4880608496 Enrollment ID: I20060203000065 |
| Provider Name | William Wyant Wharton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326044454 PECOS PAC ID: 8123032737 Enrollment ID: I20060203000088 |
| Provider Name | Eric D Vantassel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093711194 PECOS PAC ID: 4981618402 Enrollment ID: I20060203000173 |
| Provider Name | Ndofunsu Mabeka Badika |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114915758 PECOS PAC ID: 8426067687 Enrollment ID: I20060417000323 |
| Provider Name | Daniel Roy Bauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992764591 PECOS PAC ID: 6002828233 Enrollment ID: I20060706000361 |
| Provider Name | Sonia L Granera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174579346 PECOS PAC ID: 4981609211 Enrollment ID: I20060920000340 |
| Provider Name | Sonia L Humphrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063464170 PECOS PAC ID: 9739185109 Enrollment ID: I20061006000294 |
| Provider Name | Amsalu Moges Bizuneh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780698753 PECOS PAC ID: 7911904073 Enrollment ID: I20061102000185 |
| Provider Name | Eric Weiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780626937 PECOS PAC ID: 0143288985 Enrollment ID: I20061213000480 |
| Provider Name | Duff A Rardin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114989324 PECOS PAC ID: 2860591666 Enrollment ID: I20070620000026 |
| Provider Name | Ansley C Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174740963 PECOS PAC ID: 7911008388 Enrollment ID: I20070730000301 |
| Provider Name | Larry D Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235261827 PECOS PAC ID: 7810088945 Enrollment ID: I20070803000428 |
| Provider Name | Anne M Conquest |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154358083 PECOS PAC ID: 3870506660 Enrollment ID: I20070810000330 |
| Provider Name | Viral P Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922207877 PECOS PAC ID: 0042301616 Enrollment ID: I20070810000591 |
| Provider Name | Michael Joseph Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841369840 PECOS PAC ID: 3971564170 Enrollment ID: I20070910000534 |
| Provider Name | Claudia Viola Claiborne |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407825466 PECOS PAC ID: 1153418082 Enrollment ID: I20071024000604 |
| Provider Name | John C Mclelland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396739181 PECOS PAC ID: 1254421886 Enrollment ID: I20071219000348 |
| Provider Name | Shannon Brown Dowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093852444 PECOS PAC ID: 9234210691 Enrollment ID: I20080111000378 |
| Provider Name | Mark Wysokinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659331478 PECOS PAC ID: 3375625114 Enrollment ID: I20080131000538 |
| Provider Name | Cecelia R Caldwell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053391532 PECOS PAC ID: 7113002346 Enrollment ID: I20080311000669 |
| Provider Name | Jeanette P Larson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801865514 PECOS PAC ID: 1951392570 Enrollment ID: I20080318000413 |
| Provider Name | Brady J Schroer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104854686 PECOS PAC ID: 8123913134 Enrollment ID: I20080326000773 |
| Provider Name | Kimberly F Stalford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659540227 PECOS PAC ID: 6103876776 Enrollment ID: I20080408000667 |
| Provider Name | Amy E Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962670554 PECOS PAC ID: 1355420720 Enrollment ID: I20080509000535 |
| Provider Name | Stephen Carter Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043263478 PECOS PAC ID: 1850391749 Enrollment ID: I20080624000597 |
| Provider Name | Brian Cohen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336340579 PECOS PAC ID: 3678645090 Enrollment ID: I20080630000564 |
| Provider Name | Stacia D Moore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215019617 PECOS PAC ID: 1052484854 Enrollment ID: I20080725000533 |
| Provider Name | Jennifer Daly Dukowicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841230455 PECOS PAC ID: 0446142988 Enrollment ID: I20080902000220 |
| Provider Name | Sheetal Haresh Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124132642 PECOS PAC ID: 7911969076 Enrollment ID: I20080904000708 |
| Provider Name | Mary Nel N Saarloos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902018591 PECOS PAC ID: 6406922525 Enrollment ID: I20080913000035 |
| Provider Name | Lisa Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477581213 PECOS PAC ID: 2860478351 Enrollment ID: I20081001000214 |
| Provider Name | Stephen E Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194753939 PECOS PAC ID: 1850377367 Enrollment ID: I20081006000385 |
| Provider Name | Vanessa Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336305440 PECOS PAC ID: 1153489976 Enrollment ID: I20081023000379 |
| Provider Name | Fernando Crotte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619968864 PECOS PAC ID: 5092610030 Enrollment ID: I20081104000481 |
| Provider Name | Colby Colasacco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346496734 PECOS PAC ID: 3072674647 Enrollment ID: I20081202000409 |
| Provider Name | Richard Scott Arwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376598391 PECOS PAC ID: 6709881550 Enrollment ID: I20081224000218 |
| Provider Name | Christopher Nils Spongberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982762662 PECOS PAC ID: 4880758606 Enrollment ID: I20090122000647 |
| Provider Name | Kevin R Torrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861589210 PECOS PAC ID: 2466519137 Enrollment ID: I20090324000587 |
| Provider Name | Kim E Koo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477659373 PECOS PAC ID: 4880751353 Enrollment ID: I20090327000235 |
| Provider Name | Adrianne S Melton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255341954 PECOS PAC ID: 8224186242 Enrollment ID: I20090501000086 |
| Provider Name | Frederick D Weigel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992968069 PECOS PAC ID: 3678624913 Enrollment ID: I20090627000027 |
| Provider Name | Ted M Barnett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316140932 PECOS PAC ID: 0749332260 Enrollment ID: I20090714000802 |
| Provider Name | Micah Hooper Krempasky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326131053 PECOS PAC ID: 7911059068 Enrollment ID: I20090721000158 |
| Provider Name | Mandy L Hrobak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316116643 PECOS PAC ID: 0143378281 Enrollment ID: I20090803000759 |
| Provider Name | Leon M Dejournett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043290539 PECOS PAC ID: 6406909449 Enrollment ID: I20090808000017 |
| Provider Name | Charles Davis Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801015607 PECOS PAC ID: 6406900778 Enrollment ID: I20090820000709 |
| Provider Name | Jan Matti Pattanayak |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699860338 PECOS PAC ID: 3375523921 Enrollment ID: I20090822000148 |
| Provider Name | Matthew Peyton Smelley |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1083856611 PECOS PAC ID: 2466506647 Enrollment ID: I20090822000152 |
| Provider Name | Rory A Bowers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942411459 PECOS PAC ID: 2769537505 Enrollment ID: I20090901000089 |
| Provider Name | Michael B Weiler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124084447 PECOS PAC ID: 6406825165 Enrollment ID: I20090902000586 |
| Provider Name | Kenneth C Galloway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053525584 PECOS PAC ID: 6204981814 Enrollment ID: I20090903000418 |
| Provider Name | Grace Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659460814 PECOS PAC ID: 4183760945 Enrollment ID: I20091007000779 |
| Provider Name | Dawson A Mims |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659327047 PECOS PAC ID: 4981609732 Enrollment ID: I20091110000303 |
| Provider Name | Dan Nicolae Cotoman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992986210 PECOS PAC ID: 8921149543 Enrollment ID: I20100105000315 |
| Provider Name | Gordon Groh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902853203 PECOS PAC ID: 2264522986 Enrollment ID: I20100111000670 |
| Provider Name | Basil O Yost |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700882743 PECOS PAC ID: 5496843245 Enrollment ID: I20100115000896 |
| Provider Name | Toni Lee Shelow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700053063 PECOS PAC ID: 7517009723 Enrollment ID: I20100127000244 |
| Provider Name | Ellen M Kaczmarek |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1619914231 PECOS PAC ID: 3476696139 Enrollment ID: I20100203000138 |
| Provider Name | Amos E Haddock |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952307993 PECOS PAC ID: 1355428848 Enrollment ID: I20100206000115 |
| Provider Name | Kenny Simpkins |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770577918 PECOS PAC ID: 7315018892 Enrollment ID: I20100225000451 |
| Provider Name | Scott M Sech |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215921465 PECOS PAC ID: 9133290612 Enrollment ID: I20100226000245 |
| Provider Name | Kevin B Treakle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538126578 PECOS PAC ID: 9436136579 Enrollment ID: I20100318000856 |
| Provider Name | David M Foy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831156454 PECOS PAC ID: 0547395261 Enrollment ID: I20100320000033 |
| Provider Name | Mark R Hill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194703066 PECOS PAC ID: 0143357491 Enrollment ID: I20100419000801 |
| Provider Name | Joseph Saggio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811157076 PECOS PAC ID: 7911034954 Enrollment ID: I20100422000438 |
| Provider Name | John C Nicholls |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174741920 PECOS PAC ID: 1355479585 Enrollment ID: I20100510000554 |
| Provider Name | Robert Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629075445 PECOS PAC ID: 7113977968 Enrollment ID: I20100616000544 |
| Provider Name | Nathan Hruska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952394066 PECOS PAC ID: 3577513324 Enrollment ID: I20100616000624 |
| Provider Name | Anna Elisa Lopez Stratton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548354699 PECOS PAC ID: 4789716036 Enrollment ID: I20100721000996 |
| Provider Name | Molly Mcglamery-pickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902968779 PECOS PAC ID: 9234262718 Enrollment ID: I20100804000702 |
| Provider Name | Mary W Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568774636 PECOS PAC ID: 1456484716 Enrollment ID: I20100806000434 |
| Provider Name | Patricia J Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528064698 PECOS PAC ID: 7416996236 Enrollment ID: I20100810000286 |
| Provider Name | Laura W Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649475310 PECOS PAC ID: 0244364396 Enrollment ID: I20100811001089 |
| Provider Name | Paul Andreas Elssner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578760666 PECOS PAC ID: 6507957438 Enrollment ID: I20100817001207 |
| Provider Name | Joan A Queng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215932298 PECOS PAC ID: 0941324933 Enrollment ID: I20100827000221 |
| Provider Name | Darren Patrick Bryant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003873993 PECOS PAC ID: 0345226353 Enrollment ID: I20100902000783 |
| Provider Name | William R Mckenna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386694289 PECOS PAC ID: 5597899864 Enrollment ID: I20100907000940 |
| Provider Name | Robert William Fields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568554202 PECOS PAC ID: 1557361086 Enrollment ID: I20100910000318 |
| Provider Name | William Huffstutter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831114131 PECOS PAC ID: 7517082373 Enrollment ID: I20100916000699 |
| Provider Name | Billy Jack Pence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588647390 PECOS PAC ID: 1850340696 Enrollment ID: I20100920000932 |
| Provider Name | Andrew W Runkle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134211881 PECOS PAC ID: 2769468271 Enrollment ID: I20100921000705 |
| Provider Name | Sarah E Monahan-estes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922262245 PECOS PAC ID: 3870785793 Enrollment ID: I20101011001058 |
| Provider Name | Pramod Pilania |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699817353 PECOS PAC ID: 2466460969 Enrollment ID: I20101025000982 |
| Provider Name | Joanne M Latta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144426123 PECOS PAC ID: 3375736069 Enrollment ID: I20101026001343 |
| Provider Name | Julia N Killen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073823589 PECOS PAC ID: 2769478890 Enrollment ID: I20101118001169 |
| Provider Name | Obinna Ogbonnaya Ikwechegh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952582967 PECOS PAC ID: 0749476372 Enrollment ID: I20101122001184 |
| Provider Name | Krysten J Shepherd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912121658 PECOS PAC ID: 8426246992 Enrollment ID: I20101228000368 |
| Provider Name | Christopher David Seiders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730164419 PECOS PAC ID: 3375509755 Enrollment ID: I20110128000881 |
| Provider Name | William K Halstenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699770685 PECOS PAC ID: 4385554674 Enrollment ID: I20110201000630 |
| Provider Name | Valerie Garrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326003013 PECOS PAC ID: 9133243116 Enrollment ID: I20110224000143 |
| Provider Name | Lara Anne Christy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174828693 PECOS PAC ID: 4587846373 Enrollment ID: I20110316000101 |
| Provider Name | Stephanie E Murphy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285898833 PECOS PAC ID: 6204992183 Enrollment ID: I20110401000594 |
| Provider Name | Karen Lehew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790759132 PECOS PAC ID: 0143110999 Enrollment ID: I20110414000670 |
| Provider Name | Sara Elizabeth Holmes |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104079433 PECOS PAC ID: 4385821016 Enrollment ID: I20110607000371 |
| Provider Name | Jack C Spies |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326067471 PECOS PAC ID: 7810165784 Enrollment ID: I20110722000140 |
| Provider Name | Samantha Timmons Read-smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154333532 PECOS PAC ID: 3971570730 Enrollment ID: I20110729000556 |
| Provider Name | Sally Suzanne Benton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902093479 PECOS PAC ID: 5092984401 Enrollment ID: I20110801000506 |
| Provider Name | Andrea N Branton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033401401 PECOS PAC ID: 7214106665 Enrollment ID: I20110802000008 |
| Provider Name | Sonal Shah Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902084106 PECOS PAC ID: 4183701428 Enrollment ID: I20110803000249 |
| Provider Name | Justin C Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689837023 PECOS PAC ID: 2163691858 Enrollment ID: I20110815000657 |
| Provider Name | Heather O Thurston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417249087 PECOS PAC ID: 0648449223 Enrollment ID: I20110816000867 |
| Provider Name | Bonnie A Nece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396962510 PECOS PAC ID: 6709945694 Enrollment ID: I20110817000517 |
| Provider Name | Brad A Friedman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710004817 PECOS PAC ID: 8426189481 Enrollment ID: I20110817000588 |
| Provider Name | Chrysanthi Lea Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750689410 PECOS PAC ID: 4183893662 Enrollment ID: I20110818000340 |
| Provider Name | Yvonne C Dalton Etheridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194834069 PECOS PAC ID: 8426062365 Enrollment ID: I20110906000752 |
| Provider Name | Joseph Daniel Gottfried |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801829262 PECOS PAC ID: 4486799483 Enrollment ID: I20110915000514 |
| Provider Name | Gretchen C Banks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790946317 PECOS PAC ID: 2062683345 Enrollment ID: I20110916000213 |
| Provider Name | Donna Mooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912168444 PECOS PAC ID: 5395917751 Enrollment ID: I20111006000318 |
| Provider Name | Sarah E Volk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912125790 PECOS PAC ID: 4789856949 Enrollment ID: I20111012000074 |
| Provider Name | Rebecca Yvonne Mumpower |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861507881 PECOS PAC ID: 2466451125 Enrollment ID: I20111028000272 |
| Provider Name | Jillian Roxanna Foley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972750206 PECOS PAC ID: 0749453264 Enrollment ID: I20111028000330 |
| Provider Name | Timur C Akinli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710195391 PECOS PAC ID: 2567635709 Enrollment ID: I20111103000002 |
| Provider Name | Nicole K Groves |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295718708 PECOS PAC ID: 8325944770 Enrollment ID: I20111110000595 |
| Provider Name | Mark Thomas Mason |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386751493 PECOS PAC ID: 6103923131 Enrollment ID: I20120109000025 |
| Provider Name | Pamela Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588951644 PECOS PAC ID: 7315105269 Enrollment ID: I20120222001117 |
| Provider Name | Catherine E Tsai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922172691 PECOS PAC ID: 3971578154 Enrollment ID: I20120301000931 |
| Provider Name | Nathan Marcellous Carter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629207576 PECOS PAC ID: 3476717141 Enrollment ID: I20120608000103 |
| Provider Name | Thomas German |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952535452 PECOS PAC ID: 1456508670 Enrollment ID: I20120823000247 |
| Provider Name | Thomas M Large |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407825318 PECOS PAC ID: 7416005699 Enrollment ID: I20120827000502 |
| Provider Name | Anthony Garrett Hazelton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376803304 PECOS PAC ID: 0446408942 Enrollment ID: I20120906000726 |
| Provider Name | Stephanie R Exum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093782823 PECOS PAC ID: 7517993439 Enrollment ID: I20120907000771 |
| Provider Name | Dana M Cutzu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861698318 PECOS PAC ID: 3476649369 Enrollment ID: I20120913000810 |
| Provider Name | Joshua Patrick Leitner |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992729388 PECOS PAC ID: 2365446820 Enrollment ID: I20120918000012 |
| Provider Name | Nancy L Peneff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659635597 PECOS PAC ID: 0042468902 Enrollment ID: I20120918000637 |
| Provider Name | Ana Susana Barrero Arroyo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598995409 PECOS PAC ID: 2668621806 Enrollment ID: I20121004000144 |
| Provider Name | Richard W Hilliard |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1710116959 PECOS PAC ID: 4082863170 Enrollment ID: I20121004000741 |
| Provider Name | Christopher Sander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134359045 PECOS PAC ID: 0648429753 Enrollment ID: I20121005000063 |
| Provider Name | Joshua Dobstaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891923975 PECOS PAC ID: 8729237615 Enrollment ID: I20121010000058 |
| Provider Name | Amy H Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821344060 PECOS PAC ID: 6901041086 Enrollment ID: I20130320000140 |
| Provider Name | Sally Regina Inglesby-schaefer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366445884 PECOS PAC ID: 6406020189 Enrollment ID: I20130322000390 |
| Provider Name | Judith J Seago |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154476125 PECOS PAC ID: 4385889328 Enrollment ID: I20130322000442 |
| Provider Name | Rachel King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740526516 PECOS PAC ID: 1355586942 Enrollment ID: I20130403000040 |
| Provider Name | Jai Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790830636 PECOS PAC ID: 5597901884 Enrollment ID: I20130410000548 |
| Provider Name | Penelope H O Neill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891840856 PECOS PAC ID: 8820234115 Enrollment ID: I20130410000582 |
| Provider Name | John Ralph Montz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336157502 PECOS PAC ID: 7113936089 Enrollment ID: I20130611000247 |
| Provider Name | Amy Howard Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336137652 PECOS PAC ID: 5496758807 Enrollment ID: I20130614000435 |
| Provider Name | Jeffrey Allen Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750362828 PECOS PAC ID: 5092785386 Enrollment ID: I20130626000143 |
| Provider Name | Lauren Ross Teague |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801171699 PECOS PAC ID: 5991946469 Enrollment ID: I20130725000377 |
| Provider Name | Sameera Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831135805 PECOS PAC ID: 8426290297 Enrollment ID: I20130806000945 |
| Provider Name | Rajiv A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063434314 PECOS PAC ID: 9931154978 Enrollment ID: I20130826000689 |
| Provider Name | Mark E Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821351438 PECOS PAC ID: 4082858980 Enrollment ID: I20130916000271 |
| Provider Name | Aubrianne D Lasuzzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457682882 PECOS PAC ID: 7719014265 Enrollment ID: I20130916000433 |
| Provider Name | Alendia Hartshorn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275707978 PECOS PAC ID: 3779727680 Enrollment ID: I20130916000455 |
| Provider Name | Adam M Kaufman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821263674 PECOS PAC ID: 5395989032 Enrollment ID: I20130918000599 |
| Provider Name | Lindsay E Dowis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760703094 PECOS PAC ID: 9739328915 Enrollment ID: I20130924000081 |
| Provider Name | Nicole L Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609005057 PECOS PAC ID: 0547494494 Enrollment ID: I20131008000546 |
| Provider Name | Trace I Fender |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396979993 PECOS PAC ID: 9830323690 Enrollment ID: I20131009002068 |
| Provider Name | Erin C Compton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093155525 PECOS PAC ID: 6507090248 Enrollment ID: I20131011000099 |
| Provider Name | James R Varrell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689779043 PECOS PAC ID: 2567366073 Enrollment ID: I20131011001371 |
| Provider Name | Lani N Stover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881911485 PECOS PAC ID: 9133354509 Enrollment ID: I20131021001817 |
| Provider Name | Richard J Massen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356370894 PECOS PAC ID: 8628970183 Enrollment ID: I20131022001179 |
| Provider Name | Michele Lynn Morgan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144260803 PECOS PAC ID: 6103838636 Enrollment ID: I20131101000812 |
| Provider Name | Elizabeth J Averill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033545926 PECOS PAC ID: 8729213343 Enrollment ID: I20131106000881 |
| Provider Name | Jenys Allende |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013171362 PECOS PAC ID: 6002979168 Enrollment ID: I20131115001491 |
| Provider Name | Melissa Ann Mckay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396934618 PECOS PAC ID: 1951487990 Enrollment ID: I20131119000743 |
| Provider Name | Mary E Pylipow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215975073 PECOS PAC ID: 2062423122 Enrollment ID: I20131120001692 |
| Provider Name | Rhonda R Lampen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760412621 PECOS PAC ID: 2163477308 Enrollment ID: I20131125000194 |
| Provider Name | Amber Estelle Fort |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467673269 PECOS PAC ID: 6002086964 Enrollment ID: I20131203001605 |
| Provider Name | Tamera Lea Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265517338 PECOS PAC ID: 8123198330 Enrollment ID: I20131205000985 |
| Provider Name | Robert L Gottlieb |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386855922 PECOS PAC ID: 6800941311 Enrollment ID: I20131217000141 |
| Provider Name | Maasi Shamilov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528073491 PECOS PAC ID: 8123175775 Enrollment ID: I20131217000261 |
| Provider Name | Aaron Vaughan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205070703 PECOS PAC ID: 4880821552 Enrollment ID: I20131230001878 |
| Provider Name | Paul J Furigay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598746869 PECOS PAC ID: 4082842430 Enrollment ID: I20140111000104 |
| Provider Name | Hansel Arroyo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154649200 PECOS PAC ID: 0446488787 Enrollment ID: I20140114001045 |
| Provider Name | Jessica L Houck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013286061 PECOS PAC ID: 8527296375 Enrollment ID: I20140124000916 |
| Provider Name | Jackie H Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467725093 PECOS PAC ID: 8921236795 Enrollment ID: I20140124001523 |
| Provider Name | Charles D Yoder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558342600 PECOS PAC ID: 8123256906 Enrollment ID: I20140124001888 |
| Provider Name | Erik Stuart Thingvoll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720192636 PECOS PAC ID: 4981620473 Enrollment ID: I20140127000337 |
| Provider Name | Benjamin Patton Barbour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417298779 PECOS PAC ID: 5395982912 Enrollment ID: I20140128001557 |
| Provider Name | Gerald W Travis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487667150 PECOS PAC ID: 3375510464 Enrollment ID: I20140203001679 |
| Provider Name | Simms Rentz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467433508 PECOS PAC ID: 5395974828 Enrollment ID: I20140204000524 |
| Provider Name | Timothy Alexander Poulton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336469840 PECOS PAC ID: 1850541061 Enrollment ID: I20140213001579 |
| Provider Name | Brian J O'connell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730494741 PECOS PAC ID: 3173753902 Enrollment ID: I20140224000397 |
| Provider Name | Douglas M Ikelheimer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508979519 PECOS PAC ID: 1759347396 Enrollment ID: I20140224001017 |
| Provider Name | James Lowery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326159856 PECOS PAC ID: 3870499890 Enrollment ID: I20140226001312 |
| Provider Name | Lindsay Fairfax |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952512980 PECOS PAC ID: 7113157124 Enrollment ID: I20140312001692 |
| Provider Name | Sarah S Mohammed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548690308 PECOS PAC ID: 5395976369 Enrollment ID: I20140317001010 |
| Provider Name | Ashley C Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467693556 PECOS PAC ID: 8224266671 Enrollment ID: I20140324001562 |
| Provider Name | Arielle C Lankford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659702116 PECOS PAC ID: 0244461622 Enrollment ID: I20140327002235 |
| Provider Name | Robin F Bryson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710255468 PECOS PAC ID: 2365674785 Enrollment ID: I20140416002019 |
| Provider Name | Candace L Ireton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669456752 PECOS PAC ID: 2264415454 Enrollment ID: I20140527000614 |
| Provider Name | Rachel E Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447299730 PECOS PAC ID: 1153325279 Enrollment ID: I20140603000476 |
| Provider Name | Ju-hsien J. C. Nienaber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073780987 PECOS PAC ID: 9234326166 Enrollment ID: I20140605001770 |
| Provider Name | Cynthia W Lauer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578644969 PECOS PAC ID: 3375768526 Enrollment ID: I20140702001994 |
| Provider Name | Christopher M Derienzo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215104864 PECOS PAC ID: 2264658137 Enrollment ID: I20140730000054 |
| Provider Name | Ara J Messamer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851717565 PECOS PAC ID: 5294951034 Enrollment ID: I20140730002693 |
| Provider Name | Shannon Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760895858 PECOS PAC ID: 6305064999 Enrollment ID: I20140822001710 |
| Provider Name | Maria Grace Oldre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316368640 PECOS PAC ID: 9638397581 Enrollment ID: I20140905002007 |
| Provider Name | Sarah K Wolf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053636282 PECOS PAC ID: 1052539947 Enrollment ID: I20140908000753 |
| Provider Name | Derek Hayden Backer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457646085 PECOS PAC ID: 6901025360 Enrollment ID: I20140917000166 |
| Provider Name | James M Bates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093001760 PECOS PAC ID: 5890914196 Enrollment ID: I20140918002256 |
| Provider Name | Gayle D Valeros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891806378 PECOS PAC ID: 6002075173 Enrollment ID: I20140922002528 |
| Provider Name | Beth Youngblood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922446467 PECOS PAC ID: 3870713696 Enrollment ID: I20140930000837 |
| Provider Name | Desiree Cihelka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720364813 PECOS PAC ID: 8628235959 Enrollment ID: I20141007001637 |
| Provider Name | Donna Skigen Loftin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750797411 PECOS PAC ID: 1456572536 Enrollment ID: I20141015001749 |
| Provider Name | Elizabeth A England |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265745327 PECOS PAC ID: 1557510922 Enrollment ID: I20141028002711 |
| Provider Name | Charles A Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811312986 PECOS PAC ID: 9739301995 Enrollment ID: I20141104001430 |
| Provider Name | Julie Sargent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508949488 PECOS PAC ID: 2062634116 Enrollment ID: I20141105002182 |
| Provider Name | Christina P Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194045039 PECOS PAC ID: 4183874993 Enrollment ID: I20141105002463 |
| Provider Name | Scott Harrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578855011 PECOS PAC ID: 5395984330 Enrollment ID: I20141107001957 |
| Provider Name | Katherine E Shulman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770920019 PECOS PAC ID: 3971734559 Enrollment ID: I20141115000385 |
| Provider Name | Christina S Earley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770926842 PECOS PAC ID: 8820210271 Enrollment ID: I20141119001431 |
| Provider Name | Michael Scott Dowling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336107499 PECOS PAC ID: 2365429982 Enrollment ID: I20141124001668 |
| Provider Name | Karen W Nolder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518267491 PECOS PAC ID: 6608198676 Enrollment ID: I20141202000259 |
| Provider Name | Mary Embrescia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659556934 PECOS PAC ID: 8022261197 Enrollment ID: I20141205001648 |
| Provider Name | David G Booth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093788523 PECOS PAC ID: 1759419823 Enrollment ID: I20141218001230 |
| Provider Name | Robert Malcolm Hendry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710204953 PECOS PAC ID: 9335462878 Enrollment ID: I20150108000830 |
| Provider Name | Samantha H Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013314384 PECOS PAC ID: 6507180148 Enrollment ID: I20150130000917 |
| Provider Name | Natalie G Relph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205900412 PECOS PAC ID: 7214087931 Enrollment ID: I20150205000363 |
| Provider Name | Ralph Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598014193 PECOS PAC ID: 7911222096 Enrollment ID: I20150212000564 |
| Provider Name | Lauren Rebecca Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750789285 PECOS PAC ID: 7911223482 Enrollment ID: I20150226002069 |
| Provider Name | Ann M Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063492007 PECOS PAC ID: 8628014594 Enrollment ID: I20150429001155 |
| Provider Name | Mimi Patricia Koontz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972884427 PECOS PAC ID: 2961723192 Enrollment ID: I20150601000160 |
| Provider Name | Joseph John Ginski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033346390 PECOS PAC ID: 1153632351 Enrollment ID: I20150615001141 |
| Provider Name | Jessica M Saricicek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104116334 PECOS PAC ID: 0648581819 Enrollment ID: I20150616000509 |
| Provider Name | Donald A Gajewski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851495535 PECOS PAC ID: 1052623162 Enrollment ID: I20150702000616 |
| Provider Name | Donna J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710921341 PECOS PAC ID: 6305850215 Enrollment ID: I20150706000646 |
| Provider Name | Meera Dagli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730479163 PECOS PAC ID: 1456674472 Enrollment ID: I20150720001107 |
| Provider Name | David M Freeman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730409285 PECOS PAC ID: 0345488235 Enrollment ID: I20150723008665 |
| Provider Name | Tracy M Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861524449 PECOS PAC ID: 4284950254 Enrollment ID: I20150804006223 |
| Provider Name | Johnathan B Davidson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609038843 PECOS PAC ID: 3375711963 Enrollment ID: I20150806010776 |
| Provider Name | Ruby Abraham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083620124 PECOS PAC ID: 9931167376 Enrollment ID: I20150818005106 |
| Provider Name | Samuel Hester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700145067 PECOS PAC ID: 6305152992 Enrollment ID: I20150827000719 |
| Provider Name | Stefanie K Erway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548498843 PECOS PAC ID: 9931364684 Enrollment ID: I20150902000432 |
| Provider Name | Brian Lacy Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902089725 PECOS PAC ID: 5092840371 Enrollment ID: I20150909000983 |
| Provider Name | John D Rhyner |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104089002 PECOS PAC ID: 9234446659 Enrollment ID: I20150917001818 |
| Provider Name | Jeffrey C Magnatta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417216854 PECOS PAC ID: 5799093357 Enrollment ID: I20151001001765 |
| Provider Name | Lillia Theresa Laplace |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447244876 PECOS PAC ID: 8729269519 Enrollment ID: I20151027002658 |
| Provider Name | Cynthia A Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215049424 PECOS PAC ID: 2062476286 Enrollment ID: I20151104002474 |
| Provider Name | Jennie Patterson Savage |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447495841 PECOS PAC ID: 8123263936 Enrollment ID: I20151110002494 |
| Provider Name | Kimberly Levi Vinzant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689044018 PECOS PAC ID: 5991005126 Enrollment ID: I20151119002459 |
| Provider Name | Suzette Maria Laroche |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134235138 PECOS PAC ID: 9739163304 Enrollment ID: I20151207003101 |
| Provider Name | Meredith Workman Larrabee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063665883 PECOS PAC ID: 1759682834 Enrollment ID: I20151215000028 |
| Provider Name | April Elaina Smithwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891187464 PECOS PAC ID: 7012237563 Enrollment ID: I20151229001802 |
| Provider Name | Sarah A Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164845764 PECOS PAC ID: 5092018143 Enrollment ID: I20160122001058 |
| Provider Name | Rachael Barton Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245695246 PECOS PAC ID: 6204131097 Enrollment ID: I20160216000960 |
| Provider Name | Jessica L Lovely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336395300 PECOS PAC ID: 0345306437 Enrollment ID: I20160307000050 |
| Provider Name | Richard Allan Callahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215378336 PECOS PAC ID: 4587886221 Enrollment ID: I20160330000620 |
| Provider Name | Suraya Kawadry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336431667 PECOS PAC ID: 4284938358 Enrollment ID: I20160503001968 |
| Provider Name | Jenna W Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174982391 PECOS PAC ID: 0749589091 Enrollment ID: I20160509000931 |
| Provider Name | Daniel Robert Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396994026 PECOS PAC ID: 6103018957 Enrollment ID: I20160520001853 |
| Provider Name | Brent Edward Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215256839 PECOS PAC ID: 6608027164 Enrollment ID: I20160608000741 |
| Provider Name | Jill L Raymer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053780767 PECOS PAC ID: 3577854066 Enrollment ID: I20160613002074 |
| Provider Name | Carl Mccord |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104836022 PECOS PAC ID: 1254420995 Enrollment ID: I20160616001891 |
| Provider Name | Sultan Jabari Simms |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851330310 PECOS PAC ID: 8022048578 Enrollment ID: I20160617001053 |
| Provider Name | David F Pope |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750304606 PECOS PAC ID: 3173556883 Enrollment ID: I20160621001604 |
| Provider Name | Malorie Sridhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164868485 PECOS PAC ID: 5890936298 Enrollment ID: I20160706002082 |
| Provider Name | Richard Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316208382 PECOS PAC ID: 0547552580 Enrollment ID: I20160712000596 |
| Provider Name | Geoffrey S Raine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073875035 PECOS PAC ID: 3971895749 Enrollment ID: I20160714002249 |
| Provider Name | Anne Russo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730346479 PECOS PAC ID: 8820239197 Enrollment ID: I20160720001921 |
| Provider Name | Julie Elizabeth Daniel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134568678 PECOS PAC ID: 6608000252 Enrollment ID: I20160805000001 |
| Provider Name | Nellie Esther Lovelace Fleming |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003835364 PECOS PAC ID: 2466559620 Enrollment ID: I20160818000005 |
| Provider Name | Marina Meghan Caitlin Macnamara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962848358 PECOS PAC ID: 1254572654 Enrollment ID: I20160818000039 |
| Provider Name | Michael Charles Romig |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982917233 PECOS PAC ID: 4688969181 Enrollment ID: I20160823002037 |
| Provider Name | Connie Dela'o |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760648703 PECOS PAC ID: 6901023241 Enrollment ID: I20160825001824 |
| Provider Name | Ashley Procopio-allen Helgeson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548496813 PECOS PAC ID: 7517195084 Enrollment ID: I20160826000583 |
| Provider Name | Brian Edwin Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376679571 PECOS PAC ID: 9931251634 Enrollment ID: I20160830001958 |
| Provider Name | Rachael Springer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457589186 PECOS PAC ID: 9133436900 Enrollment ID: I20160909000567 |
| Provider Name | Marissa Stridiron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154635811 PECOS PAC ID: 2668664251 Enrollment ID: I20160912001806 |
| Provider Name | Dmitry A Vilensky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548581481 PECOS PAC ID: 4082831672 Enrollment ID: I20160922000198 |
| Provider Name | Richard David Zenn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932279064 PECOS PAC ID: 2163417700 Enrollment ID: I20160927001081 |
| Provider Name | Kimberly Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598912784 PECOS PAC ID: 8224326442 Enrollment ID: I20161004000962 |
| Provider Name | Charles S Sawyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346207891 PECOS PAC ID: 1951313030 Enrollment ID: I20161005000560 |
| Provider Name | Christopher De Beer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801100524 PECOS PAC ID: 9436447505 Enrollment ID: I20161005003122 |
| Provider Name | Elizabeth Lane Lohse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730325671 PECOS PAC ID: 7012205735 Enrollment ID: I20161013000366 |
| Provider Name | Danielle Marie Todd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457568610 PECOS PAC ID: 4082886700 Enrollment ID: I20161107000578 |
| Provider Name | Isabella Kanellopoulou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245354083 PECOS PAC ID: 4981782810 Enrollment ID: I20161107001758 |
| Provider Name | Jlee Kimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831551852 PECOS PAC ID: 4981983251 Enrollment ID: I20161110000026 |
| Provider Name | Sonia Claire Ferrandiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457754566 PECOS PAC ID: 0840513982 Enrollment ID: I20161114000302 |
| Provider Name | Aubry Marie Donoghue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578948550 PECOS PAC ID: 2062729312 Enrollment ID: I20161115002258 |
| Provider Name | Megan Elizabeth Philyaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396294849 PECOS PAC ID: 6103105010 Enrollment ID: I20161117000711 |
| Provider Name | Philip Arlis Neiheisel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366709545 PECOS PAC ID: 2567751175 Enrollment ID: I20161118000765 |
| Provider Name | Kara Catrelle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003095191 PECOS PAC ID: 8022397652 Enrollment ID: I20161122001175 |
| Provider Name | Usama Sabzwari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811055684 PECOS PAC ID: 3072515584 Enrollment ID: I20161123001853 |
| Provider Name | Christopher R Richards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952631715 PECOS PAC ID: 0648401927 Enrollment ID: I20161201001004 |
| Provider Name | Kimberly Mcgrady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083911945 PECOS PAC ID: 3779897707 Enrollment ID: I20161205000655 |
| Provider Name | Sarah Emily Ciccotto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063737518 PECOS PAC ID: 3577706324 Enrollment ID: I20161205001721 |
| Provider Name | Mitchell Rober Kho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891836862 PECOS PAC ID: 1456253822 Enrollment ID: I20170110001183 |
| Provider Name | Elton J Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679526784 PECOS PAC ID: 1759487614 Enrollment ID: I20170209001787 |
| Provider Name | Rachel West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952847493 PECOS PAC ID: 1153605472 Enrollment ID: I20170306002388 |
| Provider Name | George Jesse Bender |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447233283 PECOS PAC ID: 4183643182 Enrollment ID: I20170313001461 |
| Provider Name | Brittany Henson Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821535295 PECOS PAC ID: 5597040360 Enrollment ID: I20170316002203 |
| Provider Name | Allison Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801205869 PECOS PAC ID: 7517242944 Enrollment ID: I20170327000029 |
| Provider Name | Jennifer Diane Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518406354 PECOS PAC ID: 4981989324 Enrollment ID: I20170327000495 |
| Provider Name | Audrey E Ulke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073764296 PECOS PAC ID: 7618271495 Enrollment ID: I20170330001683 |
| Provider Name | Lisa Correll Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417407230 PECOS PAC ID: 5496031296 Enrollment ID: I20170410002401 |
| Provider Name | Vicky Chodha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366884751 PECOS PAC ID: 3577853522 Enrollment ID: I20170418002139 |
| Provider Name | Edna Wong Mckinstry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295997211 PECOS PAC ID: 0547431447 Enrollment ID: I20170424000162 |
| Provider Name | Kimberly Nicole Sasdelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679980890 PECOS PAC ID: 2567749567 Enrollment ID: I20170428001763 |
| Provider Name | Brandon Patrick Corbett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639435142 PECOS PAC ID: 2668772567 Enrollment ID: I20170503001613 |
| Provider Name | Kristy Treadway Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477966638 PECOS PAC ID: 9335426162 Enrollment ID: I20170504001456 |
| Provider Name | Jamila Irene Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528353430 PECOS PAC ID: 3072740281 Enrollment ID: I20170508000035 |
| Provider Name | Rami Arrouk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003071242 PECOS PAC ID: 3577696087 Enrollment ID: I20170522000444 |
| Provider Name | Eric Ho Ki Yeung |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972684298 PECOS PAC ID: 9335417823 Enrollment ID: I20170626001869 |
| Provider Name | Chelsea Lindly Ragland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346668092 PECOS PAC ID: 6608145305 Enrollment ID: I20170712002248 |
| Provider Name | Michael Stephen Chenier |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902049794 PECOS PAC ID: 0547575243 Enrollment ID: I20170718002452 |
| Provider Name | Yaron Fridman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861621732 PECOS PAC ID: 9739335860 Enrollment ID: I20170724003658 |
| Provider Name | Lavone Smith |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1710256094 PECOS PAC ID: 1850556044 Enrollment ID: I20170726000533 |
| Provider Name | William Thomas Belt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033107354 PECOS PAC ID: 3971642414 Enrollment ID: I20170728000020 |
| Provider Name | Roy W King |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861447443 PECOS PAC ID: 1850390147 Enrollment ID: I20170803000044 |
| Provider Name | Suzanne Nicole Suprenant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023304235 PECOS PAC ID: 2961773031 Enrollment ID: I20170808001666 |
| Provider Name | Patricia Lynn Feeney Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629482047 PECOS PAC ID: 3779872015 Enrollment ID: I20170809000087 |
| Provider Name | Benjamin Mark Hulkower |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609213701 PECOS PAC ID: 0547400459 Enrollment ID: I20170823002463 |
| Provider Name | Dale A Vanderwaal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417243932 PECOS PAC ID: 5294958997 Enrollment ID: I20170828001735 |
| Provider Name | Marc Scott Haro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023277209 PECOS PAC ID: 8527209204 Enrollment ID: I20170908002976 |
| Provider Name | Jason Michael Lappe |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1457594301 PECOS PAC ID: 6901126242 Enrollment ID: I20170911000011 |
| Provider Name | Calvin Morton Bard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992730105 PECOS PAC ID: 5698674216 Enrollment ID: I20170911002397 |
| Provider Name | Elise A Hiza |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720377294 PECOS PAC ID: 1951697705 Enrollment ID: I20170920001221 |
| Provider Name | Leonard Anthony Dinardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649795410 PECOS PAC ID: 9931473402 Enrollment ID: I20170921002485 |
| Provider Name | Richard Woodson Rutherford |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104116227 PECOS PAC ID: 0244526879 Enrollment ID: I20170922003506 |
| Provider Name | Naomi Edin Chevalier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992912463 PECOS PAC ID: 6901170208 Enrollment ID: I20170926001986 |
| Provider Name | Elmira Basaly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841511441 PECOS PAC ID: 3870734320 Enrollment ID: I20171003006389 |
| Provider Name | Jered Robert Haynor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558676148 PECOS PAC ID: 9133360357 Enrollment ID: I20171003006475 |
| Provider Name | Kaitlyn Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578081154 PECOS PAC ID: 3375818776 Enrollment ID: I20171011002469 |
| Provider Name | Katherine Hall Kruppenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518485333 PECOS PAC ID: 6709152929 Enrollment ID: I20171016002262 |
| Provider Name | Jason P Farrah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215116850 PECOS PAC ID: 1456415793 Enrollment ID: I20171106000133 |
| Provider Name | Brian J Hunt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164440319 PECOS PAC ID: 7113816471 Enrollment ID: I20171106001983 |
| Provider Name | Michael C Engel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669582565 PECOS PAC ID: 9931172681 Enrollment ID: I20171116003200 |
| Provider Name | Tania L Kriegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730356783 PECOS PAC ID: 3577820893 Enrollment ID: I20171121003113 |
| Provider Name | Thomas Alan Starnes |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1548607591 PECOS PAC ID: 4789827312 Enrollment ID: I20171204000433 |
| Provider Name | Anna-marieta Moise |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083972046 PECOS PAC ID: 4385933589 Enrollment ID: I20171204000872 |
| Provider Name | Crystal Lynn Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841556248 PECOS PAC ID: 3678713344 Enrollment ID: I20171211000826 |
| Provider Name | Richard Mores Basaly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497983084 PECOS PAC ID: 0547417743 Enrollment ID: I20171228001346 |
| Provider Name | Tneshia J. Sweat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023317971 PECOS PAC ID: 4587889373 Enrollment ID: I20180125002643 |
| Provider Name | Brienna L Oulette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902185762 PECOS PAC ID: 3375803158 Enrollment ID: I20180216001550 |
| Provider Name | Joanne Elizabeth Lapetina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598723983 PECOS PAC ID: 5294732442 Enrollment ID: I20180227000154 |
| Provider Name | Janean Ruth Haggins-dabney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033183637 PECOS PAC ID: 1557378940 Enrollment ID: I20180227002141 |
| Provider Name | Karin Sandra Nylund |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245301886 PECOS PAC ID: 1254229362 Enrollment ID: I20180305001609 |
| Provider Name | Melissa Red Hoffman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861718074 PECOS PAC ID: 1658662713 Enrollment ID: I20180306000936 |
| Provider Name | Bryan Jeffrey Pace |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023250396 PECOS PAC ID: 0042521312 Enrollment ID: I20180321002198 |
| Provider Name | Barrington R Owens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568401784 PECOS PAC ID: 8628045358 Enrollment ID: I20180322001730 |
| Provider Name | Prema Sanne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982686838 PECOS PAC ID: 1456344266 Enrollment ID: I20180403000079 |
| Provider Name | Valerie Robertson Lanier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518468784 PECOS PAC ID: 5092077073 Enrollment ID: I20180403002086 |
| Provider Name | Matthew Niedzwiecki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174859284 PECOS PAC ID: 4183866981 Enrollment ID: I20180416001137 |
| Provider Name | Nathan Michael Polite |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184898223 PECOS PAC ID: 9931347168 Enrollment ID: I20180424002284 |
| Provider Name | Laura Michele Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467847871 PECOS PAC ID: 3274897723 Enrollment ID: I20180509000072 |
| Provider Name | Karen Lea Doerfler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740231661 PECOS PAC ID: 1456377548 Enrollment ID: I20180618002430 |
| Provider Name | Adam Matthew Starr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215101373 PECOS PAC ID: 8921310509 Enrollment ID: I20180702002406 |
| Provider Name | Scott Michael John |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821382839 PECOS PAC ID: 7719123207 Enrollment ID: I20180710003739 |
| Provider Name | Ryan Keith Kohout |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1790128809 PECOS PAC ID: 6406083369 Enrollment ID: I20180730002954 |
| Provider Name | Myriah Zeien-tarantelli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568728467 PECOS PAC ID: 7113276676 Enrollment ID: I20180817000081 |
| Provider Name | Avinash Manickam Sridhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922492107 PECOS PAC ID: 0749570059 Enrollment ID: I20180822000857 |
| Provider Name | Brett Anthony Izzo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417210048 PECOS PAC ID: 1355635251 Enrollment ID: I20180823000122 |
| Provider Name | Brittany Causey Bigham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093291213 PECOS PAC ID: 5395094254 Enrollment ID: I20180827000406 |
| Provider Name | Leszek Michalewicz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487718136 PECOS PAC ID: 7315130283 Enrollment ID: I20180828001900 |
| Provider Name | Meghan L Summey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891146445 PECOS PAC ID: 8123378239 Enrollment ID: I20180911003946 |
| Provider Name | Dennis Patrick Grusenmeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871568113 PECOS PAC ID: 0648299644 Enrollment ID: I20180925000387 |
| Provider Name | Brittney Renae Kuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356625164 PECOS PAC ID: 8628211950 Enrollment ID: I20180926003000 |
| Provider Name | Amanda M Mumford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205882230 PECOS PAC ID: 4688685498 Enrollment ID: I20181114002793 |
| Provider Name | Zhihua He |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144668997 PECOS PAC ID: 4880981471 Enrollment ID: I20181115000203 |
| Provider Name | Marsha L Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184101032 PECOS PAC ID: 8123372679 Enrollment ID: I20181119003298 |
| Provider Name | Allyson Self Pickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497223952 PECOS PAC ID: 5991049223 Enrollment ID: I20181127003002 |
| Provider Name | James Woody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144705955 PECOS PAC ID: 5799029062 Enrollment ID: I20181128001074 |
| Provider Name | John David Hoover |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780932541 PECOS PAC ID: 5496090805 Enrollment ID: I20181212003335 |
| Provider Name | Joelle Wicker Falcon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134695729 PECOS PAC ID: 3577808054 Enrollment ID: I20190103000879 |
| Provider Name | Scott Lesle Willis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548306640 PECOS PAC ID: 5496063117 Enrollment ID: I20190130000411 |
| Provider Name | Bethany Brown Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255878963 PECOS PAC ID: 4183908874 Enrollment ID: I20190212001427 |
Olson Huff/mma Psychiatric Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Vanderbilt Park Dr, Asheville, NC 28803 Phone: 828-213-1700 | |
Centerwell Senior Primary Care Nc Jv Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1425 Patton Ave, Asheville, NC 28806 Phone: 828-235-6046 Fax: 877-270-9465 | |
Endoscopy Center Of North Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 191 Biltmore Ave, Asheville, NC 28801 Phone: 828-254-0881 Fax: 828-254-1614 | |
Mountain Sleep And Respiratory Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Resort Drive, Asheville, NC 28806 Phone: 828-350-1773 Fax: 828-350-1774 | |
Primehealth Asheville Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Vanderbilt Park Dr Ste 200, Asheville, NC 28803 Phone: 828-274-9920 | |
Western North Carolina Community Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 257 Biltmore Ave, Asheville, NC 28801 Phone: 828-285-0622 Fax: 828-285-9421 | |
Mission Medical Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Biltmore Ave, Asheville, NC 28801 Phone: 828-250-2981 Fax: 828-250-2985 |