Aspirus Elcho Clinic | |
W10618 Clinic St Elcho WI 54428-9619 | |
(715) 275-4011 | |
Not Available |
Full Name | Aspirus Elcho Clinic |
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Speciality | Clinic/Center |
Location | W10618 Clinic St, Elcho, Wisconsin |
Authorized Official Name and Position | Jerry M Yang (SVP & CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7158472526 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aspirus Elcho Clinic 29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | Aspirus Elcho Clinic W10618 Clinic St Elcho WI 54428-9619 Ph: (715) 275-4011 |
NPI Number | 1831251040 |
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Provider Enumeration Date | 12/14/2006 |
Last Update Date | 06/13/2024 |
Medicare PECOS PAC ID | 1557271202 |
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Medicare Enrollment ID | O20040212000310 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831251040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (Wisconsin) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Kshamata Shalini |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023099306 PECOS PAC ID: 0840196036 Enrollment ID: I20031209000630 |
Provider Name | Stephen W. Hubbard |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1366434961 PECOS PAC ID: 6002705811 Enrollment ID: I20040311000344 |
Provider Name | Joseph R. Lacy |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1598740599 PECOS PAC ID: 9335039130 Enrollment ID: I20040316001356 |
Provider Name | Richard J Mayrer |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1023047859 PECOS PAC ID: 7810977717 Enrollment ID: I20040721001565 |
Provider Name | Bonnie J Hessedal |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1023233822 PECOS PAC ID: 7416921929 Enrollment ID: I20040820001045 |
Provider Name | Cary G Tauchman |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1891800389 PECOS PAC ID: 7719954197 Enrollment ID: I20040915000028 |
Provider Name | Ellyn M Meshel |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1205875242 PECOS PAC ID: 9335114024 Enrollment ID: I20041008000009 |
Provider Name | David D Vanderkin |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1962407197 PECOS PAC ID: 3779486030 Enrollment ID: I20050106000937 |
Provider Name | Renee M Smith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750310900 PECOS PAC ID: 9537117296 Enrollment ID: I20050110000337 |
Provider Name | Rebecca Reim |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043211766 PECOS PAC ID: 2668416744 Enrollment ID: I20050620000605 |
Provider Name | Christopher Gary Peterson |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1700897535 PECOS PAC ID: 8820024474 Enrollment ID: I20050714000500 |
Provider Name | Bart R Kneeland |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265466296 PECOS PAC ID: 5395773048 Enrollment ID: I20050803000064 |
Provider Name | Kristine E Flowers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669405676 PECOS PAC ID: 9830127588 Enrollment ID: I20050803000077 |
Provider Name | Jessica M Engel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114037793 PECOS PAC ID: 6204868086 Enrollment ID: I20050831000858 |
Provider Name | Robert A Selden |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1427086875 PECOS PAC ID: 5890747356 Enrollment ID: I20050916000474 |
Provider Name | Kasra A Milani |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1124089750 PECOS PAC ID: 7911927306 Enrollment ID: I20051130000446 |
Provider Name | Kristen M Wells |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1780642397 PECOS PAC ID: 0840212585 Enrollment ID: I20051222000310 |
Provider Name | Noel N Deep |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467470864 PECOS PAC ID: 7810904240 Enrollment ID: I20060309000621 |
Provider Name | Carlos X Condado |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1205028768 PECOS PAC ID: 2860478690 Enrollment ID: I20060313000396 |
Provider Name | Robert R Kohl |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1689628901 PECOS PAC ID: 7214948561 Enrollment ID: I20060526000087 |
Provider Name | Christian Degregorio |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1184676827 PECOS PAC ID: 4486665544 Enrollment ID: I20060606000075 |
Provider Name | Nicole L Wade |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497714406 PECOS PAC ID: 3173536703 Enrollment ID: I20060726000057 |
Provider Name | Richard A Olson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1336145093 PECOS PAC ID: 9638192321 Enrollment ID: I20060829000046 |
Provider Name | Kathleen A Freeland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710094123 PECOS PAC ID: 1850397118 Enrollment ID: I20061010000057 |
Provider Name | Debra A Safford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063512382 PECOS PAC ID: 6002813698 Enrollment ID: I20061024000278 |
Provider Name | Lakshmi Deep |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336172303 PECOS PAC ID: 1456361963 Enrollment ID: I20070209000318 |
Provider Name | Gregory C Tyler |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1871695452 PECOS PAC ID: 3971603176 Enrollment ID: I20070717000010 |
Provider Name | Peter M Mccool |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1306044847 PECOS PAC ID: 3274620133 Enrollment ID: I20071025000076 |
Provider Name | Diane L Reetz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942497185 PECOS PAC ID: 4688762511 Enrollment ID: I20071110000133 |
Provider Name | Jeffrey M Vanbendegom |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1477544427 PECOS PAC ID: 9436248002 Enrollment ID: I20071204000806 |
Provider Name | Michael A Umland |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518920578 PECOS PAC ID: 2062593023 Enrollment ID: I20080115000827 |
Provider Name | Mitchell L Lewis |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1912956137 PECOS PAC ID: 3870686462 Enrollment ID: I20080222000358 |
Provider Name | Corey L Slominski |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1841491875 PECOS PAC ID: 4587740444 Enrollment ID: I20080318000769 |
Provider Name | Gregory G Dodge |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1497857171 PECOS PAC ID: 2062583883 Enrollment ID: I20080620000451 |
Provider Name | Thomas W Tully |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1851369664 PECOS PAC ID: 6709847874 Enrollment ID: I20080919000462 |
Provider Name | Susanne J Schaars |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942381488 PECOS PAC ID: 5294802476 Enrollment ID: I20080930000648 |
Provider Name | Kelly B Jankowsky |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952550576 PECOS PAC ID: 3173691102 Enrollment ID: I20081003000731 |
Provider Name | Melissa L Ferg |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1982869434 PECOS PAC ID: 5193886471 Enrollment ID: I20081204000670 |
Provider Name | Robert K Lee |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1437119781 PECOS PAC ID: 8022192178 Enrollment ID: I20090306000344 |
Provider Name | Michael P Bellino |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1780670950 PECOS PAC ID: 1153224431 Enrollment ID: I20090602000566 |
Provider Name | Christian Zuver |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1194843367 PECOS PAC ID: 5890887830 Enrollment ID: I20090624000126 |
Provider Name | Barbara L Rothweiler |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1376544247 PECOS PAC ID: 8426100256 Enrollment ID: I20090709000049 |
Provider Name | Susan Frangiskakis |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1932172053 PECOS PAC ID: 9032123591 Enrollment ID: I20090722000611 |
Provider Name | Michael D Repplinger |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1154521425 PECOS PAC ID: 5294872693 Enrollment ID: I20091016000136 |
Provider Name | Michael D Polka |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1144242223 PECOS PAC ID: 3072654425 Enrollment ID: I20100106000782 |
Provider Name | James E Svenson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1700847183 PECOS PAC ID: 5698805455 Enrollment ID: I20100604001133 |
Provider Name | Lonna L Grosskopf |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1003856618 PECOS PAC ID: 4284765116 Enrollment ID: I20100621000934 |
Provider Name | Michael C Walters |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1063473973 PECOS PAC ID: 1456482017 Enrollment ID: I20100625000120 |
Provider Name | Diane M Mansfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023115219 PECOS PAC ID: 3072645027 Enrollment ID: I20100709000805 |
Provider Name | Adetunji A Adejumo |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1942532528 PECOS PAC ID: 9638294986 Enrollment ID: I20100910000295 |
Provider Name | Dennis Mcfadden |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1184758237 PECOS PAC ID: 2961580717 Enrollment ID: I20101004000991 |
Provider Name | Shefiu O Shittu |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1154646727 PECOS PAC ID: 5799977401 Enrollment ID: I20101012001243 |
Provider Name | Costa Hanna Sousou |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1225032857 PECOS PAC ID: 0244261592 Enrollment ID: I20101018000273 |
Provider Name | Okechukwu N Kanu |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1871817593 PECOS PAC ID: 1850584772 Enrollment ID: I20101022000966 |
Provider Name | William Y Ansa Otu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346564168 PECOS PAC ID: 2365635208 Enrollment ID: I20101022001131 |
Provider Name | Ruth Mahmood |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1659518199 PECOS PAC ID: 9234322900 Enrollment ID: I20101026000991 |
Provider Name | Anna Kathryn Olson |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1790992295 PECOS PAC ID: 7214122050 Enrollment ID: I20101105001271 |
Provider Name | Larry R Brunzlick |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1770646721 PECOS PAC ID: 4385832344 Enrollment ID: I20101217000680 |
Provider Name | Carl J Viviano |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1811925829 PECOS PAC ID: 0244142834 Enrollment ID: I20110114000960 |
Provider Name | Joseph W Babiarz |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1962446476 PECOS PAC ID: 4284823634 Enrollment ID: I20110114001090 |
Provider Name | Patrick A Mckenna |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831358142 PECOS PAC ID: 0941487359 Enrollment ID: I20110613000612 |
Provider Name | Daniel S Skeen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487942694 PECOS PAC ID: 6608046404 Enrollment ID: I20110906000343 |
Provider Name | Tanya B Lechtev |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245498005 PECOS PAC ID: 2264563832 Enrollment ID: I20110912000158 |
Provider Name | Steven P Phillipson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023034105 PECOS PAC ID: 0345141313 Enrollment ID: I20110923000055 |
Provider Name | Michael E Traktman |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1356325740 PECOS PAC ID: 6406820513 Enrollment ID: I20111004000296 |
Provider Name | Lance M Kelly |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1689959777 PECOS PAC ID: 0446426993 Enrollment ID: I20120104000476 |
Provider Name | Andrew D Snider |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659548584 PECOS PAC ID: 4284770439 Enrollment ID: I20120614000125 |
Provider Name | Trina Daniels |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1578706073 PECOS PAC ID: 7618132804 Enrollment ID: I20120713000579 |
Provider Name | Marc D Biedermann |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1912131699 PECOS PAC ID: 0547416547 Enrollment ID: I20120807000591 |
Provider Name | Cody A Nikolai |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1295952539 PECOS PAC ID: 6901052695 Enrollment ID: I20120813000402 |
Provider Name | Vimarsh Raina |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508177841 PECOS PAC ID: 9537315064 Enrollment ID: I20120815000587 |
Provider Name | Niaz M Haque |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871783407 PECOS PAC ID: 9234271107 Enrollment ID: I20120917000455 |
Provider Name | Timothy E Wasano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982959391 PECOS PAC ID: 1658356175 Enrollment ID: I20121012000317 |
Provider Name | Katie B Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568714723 PECOS PAC ID: 7315198603 Enrollment ID: I20121114000432 |
Provider Name | Kyle J Hunter |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154648020 PECOS PAC ID: 3274788583 Enrollment ID: I20130312000140 |
Provider Name | Joseph F Ponik |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1619214152 PECOS PAC ID: 5597900613 Enrollment ID: I20130320000618 |
Provider Name | Coy H Johnston |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720371321 PECOS PAC ID: 9537112545 Enrollment ID: I20130321000458 |
Provider Name | Ashley E St Clair |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598035768 PECOS PAC ID: 7911143110 Enrollment ID: I20130412000444 |
Provider Name | Christopher S Platta |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1811127301 PECOS PAC ID: 6305083312 Enrollment ID: I20130511000060 |
Provider Name | Olga Barchugova |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750562617 PECOS PAC ID: 2567658388 Enrollment ID: I20130709000716 |
Provider Name | Michael J Olson |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1891062592 PECOS PAC ID: 0941466585 Enrollment ID: I20130806000324 |
Provider Name | Nicole M Wolfgram |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447593454 PECOS PAC ID: 9931333119 Enrollment ID: I20131001000043 |
Provider Name | Douglas R Brown |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1992784904 PECOS PAC ID: 5597866863 Enrollment ID: I20131009000266 |
Provider Name | Liova E Rivera-garcia |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1790712610 PECOS PAC ID: 2062420318 Enrollment ID: I20131009000994 |
Provider Name | Jiannan Zhang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366875338 PECOS PAC ID: 5294961330 Enrollment ID: I20131120001741 |
Provider Name | Helen Blanch Cueny |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720003999 PECOS PAC ID: 7618981838 Enrollment ID: I20131202001573 |
Provider Name | Adam G Clements |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033477997 PECOS PAC ID: 0749419778 Enrollment ID: I20140214000951 |
Provider Name | Michele Prevost |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1700877875 PECOS PAC ID: 9032262670 Enrollment ID: I20140310002024 |
Provider Name | Matthew J Koeberl |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1396975165 PECOS PAC ID: 1254555774 Enrollment ID: I20140624000090 |
Provider Name | Ridhwi Mukerji |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1366735755 PECOS PAC ID: 5698990364 Enrollment ID: I20140714001681 |
Provider Name | Andrea B Jolley |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1154301463 PECOS PAC ID: 2668377656 Enrollment ID: I20141110001776 |
Provider Name | Jennifer J Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831530583 PECOS PAC ID: 4688899552 Enrollment ID: I20150218000270 |
Provider Name | Kris Ferguson |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1376751271 PECOS PAC ID: 1658422480 Enrollment ID: I20150226001814 |
Provider Name | Jennifer Jean Delaney |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1992733166 PECOS PAC ID: 2365493061 Enrollment ID: I20150320001396 |
Provider Name | Jennifer I Jordan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255739470 PECOS PAC ID: 1850618901 Enrollment ID: I20150330000620 |
Provider Name | Nicole K Rice |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831582436 PECOS PAC ID: 3476872896 Enrollment ID: I20150507000572 |
Provider Name | Vicki L Maguire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215328794 PECOS PAC ID: 7315266467 Enrollment ID: I20150512001577 |
Provider Name | Giovanni Salerno |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1942242698 PECOS PAC ID: 8325947237 Enrollment ID: I20150520000704 |
Provider Name | Kyle Dembowiak |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235499815 PECOS PAC ID: 7517271539 Enrollment ID: I20150805006698 |
Provider Name | Jayanna Lynn Volm |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619358678 PECOS PAC ID: 8224344866 Enrollment ID: I20150827002457 |
Provider Name | Jeffrey E Ilsley |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1194703991 PECOS PAC ID: 8628037207 Enrollment ID: I20150914000152 |
Provider Name | Herbert C Hoover |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1386683613 PECOS PAC ID: 0648262790 Enrollment ID: I20160203002363 |
Provider Name | Daniel Eric Salinsky |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1649400227 PECOS PAC ID: 7911154745 Enrollment ID: I20160426000326 |
Provider Name | Aaron M Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568911097 PECOS PAC ID: 5799063343 Enrollment ID: I20161102000345 |
Provider Name | Kara Hall |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225403769 PECOS PAC ID: 3870877210 Enrollment ID: I20170301002669 |
Provider Name | David Bingham |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1831393628 PECOS PAC ID: 7911186549 Enrollment ID: I20170505000850 |
Provider Name | Michael A Ward |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1316279433 PECOS PAC ID: 5294901526 Enrollment ID: I20170706000889 |
Provider Name | Efe M Akpoigbe |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1023365152 PECOS PAC ID: 9032334891 Enrollment ID: I20170719003840 |
Provider Name | Todd M Andres |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588846497 PECOS PAC ID: 7012282247 Enrollment ID: I20171013001117 |
Provider Name | Jappan J Bhatt |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1669594115 PECOS PAC ID: 2567562952 Enrollment ID: I20171026001437 |
Provider Name | Sara Starr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518471838 PECOS PAC ID: 2264790203 Enrollment ID: I20171220000408 |
Provider Name | Daniel Eggeman |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1336568450 PECOS PAC ID: 5799085544 Enrollment ID: I20180411000255 |
Provider Name | Benjamin J Graboyes |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1720424807 PECOS PAC ID: 2264723519 Enrollment ID: I20180615000361 |
Provider Name | Ahmed Mohammed |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1407231178 PECOS PAC ID: 1557619913 Enrollment ID: I20180801004049 |
Provider Name | Katie E Vangoethem |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760962393 PECOS PAC ID: 7012267958 Enrollment ID: I20180913002198 |
Provider Name | Christina L Leslie |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114328960 PECOS PAC ID: 3577817675 Enrollment ID: I20181108000071 |
Provider Name | Brittany K Santiago |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275000259 PECOS PAC ID: 3072859966 Enrollment ID: I20190115000057 |
Provider Name | Richard C Prokesch |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1427064583 PECOS PAC ID: 2668411570 Enrollment ID: I20190319000054 |
Provider Name | Jennifer J Schmidt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184180994 PECOS PAC ID: 7517208879 Enrollment ID: I20190415001148 |
Provider Name | Shirin Sultana |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1053610691 PECOS PAC ID: 7416266846 Enrollment ID: I20190423001599 |
Provider Name | Lance Matthew Orr |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1548230790 PECOS PAC ID: 7113919879 Enrollment ID: I20190502000904 |
Provider Name | Sara A Pavelski |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851738397 PECOS PAC ID: 6002159480 Enrollment ID: I20190529000633 |
Provider Name | Cassie S Jentges |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912564485 PECOS PAC ID: 3870827280 Enrollment ID: I20190618003219 |
Provider Name | Jamie Lynn Schneider |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1801240858 PECOS PAC ID: 3072877364 Enrollment ID: I20190711002059 |
Provider Name | Rachael E Miller |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487218400 PECOS PAC ID: 1355677436 Enrollment ID: I20190726001817 |
Provider Name | Roshini A Samuel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548612922 PECOS PAC ID: 8224365176 Enrollment ID: I20190815000037 |
Provider Name | Shane D Franklin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417301631 PECOS PAC ID: 2961730718 Enrollment ID: I20190819001394 |
Provider Name | Dorene Zerfas |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1427299973 PECOS PAC ID: 1759519549 Enrollment ID: I20190909002185 |
Provider Name | Kelly Jonathon Douck |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1447807086 PECOS PAC ID: 6305177429 Enrollment ID: I20191003002525 |
Provider Name | Melissa M Jensen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295381481 PECOS PAC ID: 4789915752 Enrollment ID: I20191007001981 |
Provider Name | Calla J Scheel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417599804 PECOS PAC ID: 5698107613 Enrollment ID: I20191113002019 |
Provider Name | Nathan D Mcparlan |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1073656955 PECOS PAC ID: 3173680089 Enrollment ID: I20200207000002 |
Provider Name | Andrew Huang |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1679957526 PECOS PAC ID: 7113256025 Enrollment ID: I20200610000620 |
Provider Name | Thomas C Howard |
---|---|
Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1932369584 PECOS PAC ID: 0749583706 Enrollment ID: I20200610001054 |
Provider Name | Justin Teresinski |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1134615131 PECOS PAC ID: 1153679048 Enrollment ID: I20200618000908 |
Provider Name | Amy Jeanne Defranco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962045393 PECOS PAC ID: 2466697842 Enrollment ID: I20200713000588 |
Provider Name | Johonna Asquith |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1730447400 PECOS PAC ID: 5395986848 Enrollment ID: I20200720000195 |
Provider Name | Colleen E Lane |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1659717312 PECOS PAC ID: 3779722251 Enrollment ID: I20200814002130 |
Provider Name | Syed M Imam |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699202408 PECOS PAC ID: 8527339514 Enrollment ID: I20200917001379 |
Provider Name | Susan Acuna |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1720030893 PECOS PAC ID: 8527056340 Enrollment ID: I20200922002401 |
Provider Name | Justin Asquith |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699031138 PECOS PAC ID: 1052603636 Enrollment ID: I20200925001250 |
Provider Name | Nicholas Robert Rydzewski |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1568855161 PECOS PAC ID: 5193075240 Enrollment ID: I20201009000156 |
Provider Name | Jordan Knopf |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588015465 PECOS PAC ID: 1759701402 Enrollment ID: I20201019000687 |
Provider Name | Waleed Mansour |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1043628589 PECOS PAC ID: 1557661980 Enrollment ID: I20201210002640 |
Provider Name | Patrick O Odia |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285041285 PECOS PAC ID: 0547530859 Enrollment ID: I20201216001494 |
Provider Name | Evon Louise Schexnaydre |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1386603561 PECOS PAC ID: 8325052061 Enrollment ID: I20201222000551 |
Provider Name | Nancy A Rihana |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1982835237 PECOS PAC ID: 5294954699 Enrollment ID: I20210201000594 |
Provider Name | John Pietila |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1841450772 PECOS PAC ID: 9133353014 Enrollment ID: I20210215000943 |
Provider Name | Alaina Below |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750931481 PECOS PAC ID: 6406263060 Enrollment ID: I20210325002754 |
Provider Name | Emily C. Merfeld |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1194222554 PECOS PAC ID: 4486901683 Enrollment ID: I20210407001145 |
Provider Name | Srikar Karanam |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1588034227 PECOS PAC ID: 5092074302 Enrollment ID: I20210615003299 |
Provider Name | Jalel Abera Hunde |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194220558 PECOS PAC ID: 5597167569 Enrollment ID: I20210713003344 |
Provider Name | Tom T Chen |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1922389048 PECOS PAC ID: 0941578736 Enrollment ID: I20210813001496 |
Provider Name | Emmanuel Trigenis |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1225011844 PECOS PAC ID: 7719074319 Enrollment ID: I20210831002964 |
Provider Name | Anna M Brown |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1972966125 PECOS PAC ID: 8628349222 Enrollment ID: I20210929002662 |
Provider Name | Nathan John Walters |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1730281312 PECOS PAC ID: 1254366933 Enrollment ID: I20211007003223 |
Provider Name | Maxwell Henricks |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1578927547 PECOS PAC ID: 0941547301 Enrollment ID: I20211109003207 |
Provider Name | Danielle Espe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750985453 PECOS PAC ID: 3577975176 Enrollment ID: I20211130003075 |
Provider Name | Angela Haroldson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467121681 PECOS PAC ID: 1052701240 Enrollment ID: I20211202000156 |
Provider Name | Fernando Escobar |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1548265994 PECOS PAC ID: 0648294884 Enrollment ID: I20220119001339 |
Provider Name | Sonny Park |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1720071277 PECOS PAC ID: 2264443233 Enrollment ID: I20220621001207 |
Provider Name | Ross Trecartin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205495694 PECOS PAC ID: 6507249125 Enrollment ID: I20220815003118 |
Provider Name | Gail Marion Marquardt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609503085 PECOS PAC ID: 0941684252 Enrollment ID: I20220906003137 |
Provider Name | Monica Cespedes Santana |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114204161 PECOS PAC ID: 7214212653 Enrollment ID: I20221008000304 |
Provider Name | Carole Vincent |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1497731038 PECOS PAC ID: 9830131994 Enrollment ID: I20221103000709 |
Provider Name | Omar M El-sheikh |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1760681225 PECOS PAC ID: 6901030097 Enrollment ID: I20221104002088 |
Provider Name | Jordan Abel |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1417273301 PECOS PAC ID: 4789806522 Enrollment ID: I20221111000425 |
Provider Name | Katie Seybold |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629793948 PECOS PAC ID: 5698143345 Enrollment ID: I20221130001676 |
Provider Name | Mitchell T Meagher |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932621307 PECOS PAC ID: 2668842014 Enrollment ID: I20221230000838 |
Provider Name | David Slobodkin |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1194795591 PECOS PAC ID: 3678545928 Enrollment ID: I20230104003063 |
Provider Name | Ravindran Arcot Padmanabhan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730114943 PECOS PAC ID: 5799727616 Enrollment ID: I20230302001458 |
Provider Name | Andrea Caballero |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003173824 PECOS PAC ID: 3274841770 Enrollment ID: I20230428001880 |
Provider Name | Molly Marie Blemke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306546866 PECOS PAC ID: 0840656096 Enrollment ID: I20230515001609 |
Provider Name | Elizabeth O Wendt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821784067 PECOS PAC ID: 3870959513 Enrollment ID: I20230522003253 |
Provider Name | Christopher L Smith |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1629028782 PECOS PAC ID: 6901790252 Enrollment ID: I20230524003086 |
Provider Name | Patrick H Archie |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982895835 PECOS PAC ID: 0749355543 Enrollment ID: I20230602000332 |
Provider Name | Tian Xia |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437357423 PECOS PAC ID: 2961681713 Enrollment ID: I20230602002603 |
Provider Name | Tiffany Justine Krusick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861197667 PECOS PAC ID: 5395103238 Enrollment ID: I20230624000180 |
Provider Name | Thomas Oliver |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083069470 PECOS PAC ID: 9739477324 Enrollment ID: I20230711001880 |
Provider Name | Richard Belt |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275064263 PECOS PAC ID: 1850643115 Enrollment ID: I20230731000081 |
Provider Name | Carina Lea Hafner |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407284417 PECOS PAC ID: 8426411604 Enrollment ID: I20230906001205 |
Provider Name | Tatyana Bombard |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1255629861 PECOS PAC ID: 0941595748 Enrollment ID: I20230911001645 |
Provider Name | Annika Grace Fox |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1033994702 PECOS PAC ID: 6204280324 Enrollment ID: I20230922003282 |
Provider Name | Katy Lynn Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295412815 PECOS PAC ID: 8527412295 Enrollment ID: I20230928002772 |
Provider Name | Adrienne Stevenson |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1497020697 PECOS PAC ID: 8426346958 Enrollment ID: I20240126002659 |
Provider Name | Angela Joy Filbrandt-sheldon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194591628 PECOS PAC ID: 0042663940 Enrollment ID: I20240126002940 |
Provider Name | Louis Joseph Mautone |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1144294513 PECOS PAC ID: 4082508577 Enrollment ID: I20240430002923 |