| Aspirus Wausau Hospital Hospitalists | |
|
333 Pine Ridge Blvd Wausau WI 54401-4120 | |
| (715) 847-2121 | |
| Not Available |
| Full Name | Aspirus Wausau Hospital Hospitalists |
|---|---|
| Speciality | Clinic/Center |
| Location | 333 Pine Ridge Blvd, Wausau, 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 |
|---|---|
| Aspirus Wausau Hospital Hospitalists 29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | Aspirus Wausau Hospital Hospitalists 333 Pine Ridge Blvd Wausau WI 54401-4120 Ph: (715) 847-2121 |
| NPI Number | 1922321140 |
|---|---|
| Provider Enumeration Date | 03/02/2010 |
| Last Update Date | 06/12/2024 |
| Medicare PECOS PAC ID | 6406757442 |
|---|---|
| Medicare Enrollment ID | O20040114000297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922321140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kshamata Shalini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023099306 PECOS PAC ID: 0840196036 Enrollment ID: I20031209000630 |
| Provider Name | Robert G Teehan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366522393 PECOS PAC ID: 5294633384 Enrollment ID: I20031229000210 |
| Provider Name | Kathryn A Krohn Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336243526 PECOS PAC ID: 5092613067 Enrollment ID: I20031229000699 |
| Provider Name | Bernadette A Stremikis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487702676 PECOS PAC ID: 1456252410 Enrollment ID: I20040114000393 |
| Provider Name | Laurie A Demro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336151190 PECOS PAC ID: 4082515424 Enrollment ID: I20040119000021 |
| Provider Name | Michelle M Roiger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295762896 PECOS PAC ID: 4486555869 Enrollment ID: I20040119000188 |
| Provider Name | Kambiz Farbakhsh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861446015 PECOS PAC ID: 4284536988 Enrollment ID: I20040123000027 |
| Provider Name | Nicky Plementosh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467461053 PECOS PAC ID: 3173417268 Enrollment ID: I20040210000737 |
| Provider Name | Katharina L Hahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841345667 PECOS PAC ID: 8820983646 Enrollment ID: I20040219000429 |
| Provider Name | Debra L Baumann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023022241 PECOS PAC ID: 5597651422 Enrollment ID: I20040226000364 |
| Provider Name | Bashar A Omari |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265592372 PECOS PAC ID: 7416844022 Enrollment ID: I20040228000529 |
| Provider Name | Ryan Lozon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720254634 PECOS PAC ID: 1759279987 Enrollment ID: I20040309000293 |
| Provider Name | Christopher L Younker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528001716 PECOS PAC ID: 5092706168 Enrollment ID: I20040519000620 |
| Provider Name | Ifueko B Okundaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467460410 PECOS PAC ID: 9638152101 Enrollment ID: I20040609000226 |
| Provider Name | Noel K Sonnek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235169442 PECOS PAC ID: 9830179274 Enrollment ID: I20040724000360 |
| Provider Name | David M Kushner |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1659347672 PECOS PAC ID: 4486626777 Enrollment ID: I20040809000020 |
| Provider Name | Pavel Guigauri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801874094 PECOS PAC ID: 5496729683 Enrollment ID: I20040824000133 |
| Provider Name | Mary K Schwanebeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053429233 PECOS PAC ID: 8527033364 Enrollment ID: I20040826000656 |
| Provider Name | Jennifer L Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851407423 PECOS PAC ID: 5597730879 Enrollment ID: I20040831000250 |
| Provider Name | Daljeet Rishi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023120292 PECOS PAC ID: 3577530922 Enrollment ID: I20040914001272 |
| Provider Name | Thomas F Marren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952309833 PECOS PAC ID: 7012985104 Enrollment ID: I20040916001240 |
| Provider Name | John M Wheat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093733230 PECOS PAC ID: 1850369810 Enrollment ID: I20040917001166 |
| Provider Name | Melissa J Wendell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205814464 PECOS PAC ID: 0446219018 Enrollment ID: I20041008000283 |
| Provider Name | Vera Bocoun |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235233560 PECOS PAC ID: 4789644295 Enrollment ID: I20041018001152 |
| Provider Name | Mary S Alvarado |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962404194 PECOS PAC ID: 8325000672 Enrollment ID: I20041029000580 |
| Provider Name | Amy A Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902821747 PECOS PAC ID: 0749243228 Enrollment ID: I20041105000396 |
| Provider Name | Christian E Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750309993 PECOS PAC ID: 6608824537 Enrollment ID: I20050107000326 |
| Provider Name | Kathleen R Maginot |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922074095 PECOS PAC ID: 9739138983 Enrollment ID: I20050114000516 |
| Provider Name | German Larrain |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508845090 PECOS PAC ID: 9638129588 Enrollment ID: I20050127000832 |
| Provider Name | Alfred L Neuhoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700951639 PECOS PAC ID: 2163473430 Enrollment ID: I20050203000409 |
| Provider Name | Todd A Rave |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407982978 PECOS PAC ID: 6709837024 Enrollment ID: I20050203000750 |
| Provider Name | Clare A Cullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831246172 PECOS PAC ID: 8527019397 Enrollment ID: I20050209000486 |
| Provider Name | Tracy L Radke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659489458 PECOS PAC ID: 7810941648 Enrollment ID: I20050304000258 |
| Provider Name | Anthony N Friese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952418329 PECOS PAC ID: 6204880776 Enrollment ID: I20050308000600 |
| Provider Name | John S Hokanson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700852829 PECOS PAC ID: 2860446382 Enrollment ID: I20050308000886 |
| Provider Name | Glenn B Burt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891796553 PECOS PAC ID: 0547215774 Enrollment ID: I20050321000436 |
| Provider Name | Luke Joseph Lamers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952353799 PECOS PAC ID: 6305894668 Enrollment ID: I20050420001011 |
| Provider Name | James M Cygan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235145210 PECOS PAC ID: 0840238572 Enrollment ID: I20050421001476 |
| Provider Name | Lori K Erdman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427036789 PECOS PAC ID: 7012953680 Enrollment ID: I20050705000862 |
| Provider Name | Mark T Hoffmann |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356342034 PECOS PAC ID: 8527966803 Enrollment ID: I20050706000135 |
| Provider Name | Paul A Luetmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689675332 PECOS PAC ID: 9133027410 Enrollment ID: I20050706000179 |
| Provider Name | David K Murdock |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942200910 PECOS PAC ID: 5991603276 Enrollment ID: I20050706000195 |
| Provider Name | Benjamin S Battino |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417998451 PECOS PAC ID: 3971549346 Enrollment ID: I20050707000544 |
| Provider Name | Christopher Gary Peterson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700897535 PECOS PAC ID: 8820024474 Enrollment ID: I20050714000500 |
| Provider Name | Jessica M Engel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114037793 PECOS PAC ID: 6204868086 Enrollment ID: I20050831000858 |
| Provider Name | Michael Todd Tennier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922084615 PECOS PAC ID: 5799717393 Enrollment ID: I20050902000704 |
| Provider Name | Jennifer M Buehler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225144819 PECOS PAC ID: 5294760211 Enrollment ID: I20050928001128 |
| Provider Name | Sandhya V Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114921046 PECOS PAC ID: 2264459635 Enrollment ID: I20051026000298 |
| Provider Name | Bradley S Boettcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487666947 PECOS PAC ID: 7214927482 Enrollment ID: I20051118000338 |
| Provider Name | Shee-chang Tang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063424315 PECOS PAC ID: 0143210310 Enrollment ID: I20051118000521 |
| Provider Name | Thomas A Voelker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497767644 PECOS PAC ID: 2264422450 Enrollment ID: I20051118000541 |
| Provider Name | Richard S Wessling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649282807 PECOS PAC ID: 3678563830 Enrollment ID: I20051118000549 |
| Provider Name | Rezwan Islam |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1154417145 PECOS PAC ID: 0143249037 Enrollment ID: I20051121000673 |
| Provider Name | Eva T Matanguihan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508878802 PECOS PAC ID: 5597755751 Enrollment ID: I20051129000828 |
| Provider Name | Kasra A Milani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124089750 PECOS PAC ID: 7911927306 Enrollment ID: I20051130000446 |
| Provider Name | Scott E Dickman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588676977 PECOS PAC ID: 1456254572 Enrollment ID: I20051201000363 |
| Provider Name | Marjorie S Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487687604 PECOS PAC ID: 3577583418 Enrollment ID: I20051207000376 |
| Provider Name | Haresh B Modi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780699660 PECOS PAC ID: 3870497480 Enrollment ID: I20060111000418 |
| Provider Name | Hilary P Scully |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144253097 PECOS PAC ID: 2860408994 Enrollment ID: I20060228000154 |
| Provider Name | Kristin J Whitaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134231376 PECOS PAC ID: 2466461447 Enrollment ID: I20060419000684 |
| Provider Name | Andrew C Buchl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215924626 PECOS PAC ID: 3375556228 Enrollment ID: I20060720000067 |
| Provider Name | Marietta S Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023032075 PECOS PAC ID: 5890798797 Enrollment ID: I20060815000207 |
| Provider Name | William H Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427017789 PECOS PAC ID: 3577566223 Enrollment ID: I20060817000631 |
| Provider Name | Brenda J Banaszynski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730104613 PECOS PAC ID: 4486657046 Enrollment ID: I20060821000321 |
| Provider Name | Kay M Shawbitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669491510 PECOS PAC ID: 8022012731 Enrollment ID: I20060912000420 |
| Provider Name | Kevin J Ferreira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982712220 PECOS PAC ID: 6406852508 Enrollment ID: I20061012000549 |
| Provider Name | Lucille M Scott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609941491 PECOS PAC ID: 3476553801 Enrollment ID: I20070108000465 |
| Provider Name | Ahmad S Qureshi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710962907 PECOS PAC ID: 7416980255 Enrollment ID: I20070223000377 |
| Provider Name | Corina J Norrbom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982637914 PECOS PAC ID: 1759484892 Enrollment ID: I20070312000098 |
| Provider Name | Margaret D Anderson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275645855 PECOS PAC ID: 2567565310 Enrollment ID: I20070315000138 |
| Provider Name | Chad H Radke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457410847 PECOS PAC ID: 0244337095 Enrollment ID: I20070514000232 |
| Provider Name | Yaw D Berko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003952995 PECOS PAC ID: 6608974050 Enrollment ID: I20070607000528 |
| Provider Name | Rebecca L England |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457360869 PECOS PAC ID: 7214035500 Enrollment ID: I20070611000307 |
| Provider Name | Jacob P Prunuske |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326004102 PECOS PAC ID: 9436101375 Enrollment ID: I20070615000388 |
| Provider Name | Amy A Sweet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235340753 PECOS PAC ID: 7113027830 Enrollment ID: I20070711000132 |
| Provider Name | Joshua L Luce |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780600668 PECOS PAC ID: 8022063346 Enrollment ID: I20070807000353 |
| Provider Name | Moshood A Lawal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457559296 PECOS PAC ID: 7416044664 Enrollment ID: I20071105000141 |
| Provider Name | Heather S Pelock Hjelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932396959 PECOS PAC ID: 8325137318 Enrollment ID: I20071128000465 |
| Provider Name | Samer Jabbour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043215692 PECOS PAC ID: 7810950136 Enrollment ID: I20080107000050 |
| Provider Name | John R Fuller |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801817267 PECOS PAC ID: 5395743496 Enrollment ID: I20080110000119 |
| Provider Name | John C Ralphe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811962921 PECOS PAC ID: 6608853056 Enrollment ID: I20080227000658 |
| Provider Name | Narasimha R Saladi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528257045 PECOS PAC ID: 6901796473 Enrollment ID: I20080306000611 |
| Provider Name | Sean M Cashin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558564203 PECOS PAC ID: 2961588595 Enrollment ID: I20080324000607 |
| Provider Name | Naomi E Arenson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033102546 PECOS PAC ID: 4284662545 Enrollment ID: I20080619000612 |
| Provider Name | Nicholas J Lombardo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952599904 PECOS PAC ID: 1153493150 Enrollment ID: I20080709000093 |
| Provider Name | Kay L Lockwood |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1487686820 PECOS PAC ID: 7416022686 Enrollment ID: I20080822000290 |
| Provider Name | Kofi A Asiamah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427221621 PECOS PAC ID: 2466528567 Enrollment ID: I20080912000470 |
| Provider Name | Tara A Patridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942465539 PECOS PAC ID: 6204903131 Enrollment ID: I20080918000513 |
| Provider Name | Reed J Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720259112 PECOS PAC ID: 5193892446 Enrollment ID: I20080929000204 |
| Provider Name | Kelly B Jankowsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952550576 PECOS PAC ID: 3173691102 Enrollment ID: I20081003000731 |
| Provider Name | Stacey L Gusman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851556658 PECOS PAC ID: 6709944895 Enrollment ID: I20081017000494 |
| Provider Name | Cecilia Stroede |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922065754 PECOS PAC ID: 4385696475 Enrollment ID: I20081028000737 |
| Provider Name | Suzanne V Powell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265458053 PECOS PAC ID: 6709777444 Enrollment ID: I20081030000730 |
| Provider Name | Vickie J Woelfel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144337999 PECOS PAC ID: 6103985460 Enrollment ID: I20081101000119 |
| Provider Name | Holly L Beede-mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578713335 PECOS PAC ID: 3173682796 Enrollment ID: I20081111000311 |
| Provider Name | Mary L Merdan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912157314 PECOS PAC ID: 9537229968 Enrollment ID: I20081114000730 |
| Provider Name | Kristy J Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316960610 PECOS PAC ID: 8628139664 Enrollment ID: I20081209000247 |
| Provider Name | Rhonda K Bartelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699754184 PECOS PAC ID: 8820151707 Enrollment ID: I20090121000071 |
| Provider Name | Susan Harris-peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982841862 PECOS PAC ID: 6800944489 Enrollment ID: I20090508000508 |
| Provider Name | Harvey S Block |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821101205 PECOS PAC ID: 7315044880 Enrollment ID: I20090616000602 |
| Provider Name | Gregory L Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922109784 PECOS PAC ID: 1052461845 Enrollment ID: I20090617000286 |
| Provider Name | Vicky A Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811009061 PECOS PAC ID: 6608926324 Enrollment ID: I20090617000733 |
| Provider Name | Paul A Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558467704 PECOS PAC ID: 6406884527 Enrollment ID: I20090626000400 |
| Provider Name | Sandip Ghuge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770727083 PECOS PAC ID: 9537211362 Enrollment ID: I20090709000030 |
| Provider Name | Barbara L Rothweiler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376544247 PECOS PAC ID: 8426100256 Enrollment ID: I20090709000049 |
| Provider Name | Philip M Bovet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912118308 PECOS PAC ID: 7810040532 Enrollment ID: I20090728000814 |
| Provider Name | Jackie Lynn Yaeger |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1144205618 PECOS PAC ID: 1951453265 Enrollment ID: I20090805000063 |
| Provider Name | Rafal G Ciecierski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093916595 PECOS PAC ID: 2163577586 Enrollment ID: I20090908000264 |
| Provider Name | Andrew J Weddle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831395888 PECOS PAC ID: 8921159708 Enrollment ID: I20090921000599 |
| Provider Name | Thomas L Nielsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982765806 PECOS PAC ID: 3779471685 Enrollment ID: I20100202000523 |
| Provider Name | Gregory Obst |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629139548 PECOS PAC ID: 3173411089 Enrollment ID: I20100202000538 |
| Provider Name | Winston D Ryan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194886044 PECOS PAC ID: 8224926134 Enrollment ID: I20100202000642 |
| Provider Name | Lisa A Reineke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982629077 PECOS PAC ID: 9133263072 Enrollment ID: I20100216000739 |
| Provider Name | Stephen L Saeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639102593 PECOS PAC ID: 0042355000 Enrollment ID: I20100303000054 |
| Provider Name | Steven D Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518991199 PECOS PAC ID: 9830234897 Enrollment ID: I20100303000081 |
| Provider Name | Thomas C Wald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164438040 PECOS PAC ID: 6507992708 Enrollment ID: I20100326000660 |
| Provider Name | Chirasakdi Ratanawong |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760583462 PECOS PAC ID: 8820124050 Enrollment ID: I20100326000950 |
| Provider Name | William A Bowler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508966235 PECOS PAC ID: 0345376075 Enrollment ID: I20100331001136 |
| Provider Name | Shardha Srinivasan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205804010 PECOS PAC ID: 1850428657 Enrollment ID: I20100428000150 |
| Provider Name | Nicholas Vonbergen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124229406 PECOS PAC ID: 6002986619 Enrollment ID: I20100603000634 |
| Provider Name | Kevin J Oconnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194755702 PECOS PAC ID: 1052441805 Enrollment ID: I20100604001112 |
| Provider Name | Olusolape A Adegbehingbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679756977 PECOS PAC ID: 5890825095 Enrollment ID: I20100615000528 |
| Provider Name | Lisa J Walder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538267372 PECOS PAC ID: 1355471376 Enrollment ID: I20100617000171 |
| Provider Name | Ross A Lange |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396778270 PECOS PAC ID: 8123158060 Enrollment ID: I20100619000030 |
| Provider Name | Wendy L Hanneman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740210038 PECOS PAC ID: 4789675257 Enrollment ID: I20100619000035 |
| Provider Name | Kevin E Rist |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1497734750 PECOS PAC ID: 7618864075 Enrollment ID: I20100724000181 |
| Provider Name | Denise Kniprath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962436162 PECOS PAC ID: 8921132762 Enrollment ID: I20100817000067 |
| Provider Name | Matthew T Clancy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639180961 PECOS PAC ID: 2961304472 Enrollment ID: I20100825000074 |
| Provider Name | Kris M Lahren |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700891546 PECOS PAC ID: 9133243884 Enrollment ID: I20100901000541 |
| Provider Name | Dennis Mcfadden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184758237 PECOS PAC ID: 2961580717 Enrollment ID: I20101004000991 |
| Provider Name | Emmanuel O Odeyemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346566460 PECOS PAC ID: 7810189925 Enrollment ID: I20101007000972 |
| Provider Name | Sandhya Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114182771 PECOS PAC ID: 6901098904 Enrollment ID: I20101008000780 |
| Provider Name | Amy L Peterson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679649123 PECOS PAC ID: 9830381763 Enrollment ID: I20101008001297 |
| Provider Name | Shefiu O Shittu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154646727 PECOS PAC ID: 5799977401 Enrollment ID: I20101012001243 |
| Provider Name | Michele M Klasinski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194743070 PECOS PAC ID: 4789689696 Enrollment ID: I20101015001036 |
| Provider Name | Okechukwu N Kanu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871817593 PECOS PAC ID: 1850584772 Enrollment ID: I20101022000966 |
| Provider Name | William Y Ansa Otu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346564168 PECOS PAC ID: 2365635208 Enrollment ID: I20101022001131 |
| Provider Name | Josephine M Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881797462 PECOS PAC ID: 5193751519 Enrollment ID: I20101022001231 |
| Provider Name | Ruth Mahmood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659518199 PECOS PAC ID: 9234322900 Enrollment ID: I20101026000991 |
| Provider Name | Herbert C Coussons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427007624 PECOS PAC ID: 4284699117 Enrollment ID: I20101027000327 |
| Provider Name | Anna Kathryn Olson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790992295 PECOS PAC ID: 7214122050 Enrollment ID: I20101105001271 |
| Provider Name | Andrew Mykytsey |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1750547378 PECOS PAC ID: 0648465310 Enrollment ID: I20101109000220 |
| Provider Name | Kelly Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023328226 PECOS PAC ID: 4789871666 Enrollment ID: I20101203000771 |
| Provider Name | Olatunji Sarafadeen Olaoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962668970 PECOS PAC ID: 2961690839 Enrollment ID: I20101217000896 |
| 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 | Gina E Ramthun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033428271 PECOS PAC ID: 1355521402 Enrollment ID: I20110208000307 |
| Provider Name | Theodore K Reahm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891740379 PECOS PAC ID: 4688684152 Enrollment ID: I20110212000054 |
| Provider Name | Helen A Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487964045 PECOS PAC ID: 3971783499 Enrollment ID: I20110215000750 |
| Provider Name | Megan M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891090387 PECOS PAC ID: 1052595915 Enrollment ID: I20110418000786 |
| Provider Name | Shannon I Lozon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831183417 PECOS PAC ID: 1456329481 Enrollment ID: I20110419000946 |
| Provider Name | David R Beck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326169822 PECOS PAC ID: 6406032457 Enrollment ID: I20110509000855 |
| Provider Name | Navid A Majid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225327828 PECOS PAC ID: 9931386406 Enrollment ID: I20110609000346 |
| Provider Name | Patrick A Mckenna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831358142 PECOS PAC ID: 0941487359 Enrollment ID: I20110613000612 |
| Provider Name | Natalie Mykytsey |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1073766168 PECOS PAC ID: 6204004179 Enrollment ID: I20110720000147 |
| Provider Name | Lynn M Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902826522 PECOS PAC ID: 7315964665 Enrollment ID: I20110811000540 |
| Provider Name | Amy Jo Ewan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558520866 PECOS PAC ID: 4082883517 Enrollment ID: I20110817000714 |
| Provider Name | Daniel S Skeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487942694 PECOS PAC ID: 6608046404 Enrollment ID: I20110906000343 |
| Provider Name | Mohamed Fouzi Abdul Hameed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255590899 PECOS PAC ID: 8527239128 Enrollment ID: I20110912000077 |
| Provider Name | Steven P Phillipson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023034105 PECOS PAC ID: 0345141313 Enrollment ID: I20110923000055 |
| Provider Name | Nikki A Bonitz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396026266 PECOS PAC ID: 2567634199 Enrollment ID: I20111004000353 |
| Provider Name | Jean E Erdman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922388925 PECOS PAC ID: 3173795515 Enrollment ID: I20111007000460 |
| Provider Name | Rebecca L Padilla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447468251 PECOS PAC ID: 9638341944 Enrollment ID: I20111011000126 |
| Provider Name | Krista A Scharer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467694455 PECOS PAC ID: 2668645292 Enrollment ID: I20111027000092 |
| Provider Name | Jan Z Ciejka |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1124015557 PECOS PAC ID: 4486604337 Enrollment ID: I20111216000089 |
| Provider Name | Kathryn F Bush |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124316963 PECOS PAC ID: 9830350446 Enrollment ID: I20120409000025 |
| Provider Name | Shaher M Samrah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275696601 PECOS PAC ID: 3971490079 Enrollment ID: I20120417000627 |
| Provider Name | Katheryn R Kaldor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700922754 PECOS PAC ID: 8325189954 Enrollment ID: I20120620000377 |
| Provider Name | Clarissa J Renken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861636375 PECOS PAC ID: 6901052562 Enrollment ID: I20120814000412 |
| Provider Name | Vimarsh Raina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508177841 PECOS PAC ID: 9537315064 Enrollment ID: I20120815000587 |
| Provider Name | Mazin M Noor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881838910 PECOS PAC ID: 4981851573 Enrollment ID: I20120905000164 |
| Provider Name | Niaz M Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871783407 PECOS PAC ID: 9234271107 Enrollment ID: I20120917000455 |
| Provider Name | Sarah G Hostetler |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1861654014 PECOS PAC ID: 5991954067 Enrollment ID: I20121004000508 |
| Provider Name | Michael T Landis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558624908 PECOS PAC ID: 2668621731 Enrollment ID: I20121004000573 |
| Provider Name | Premraj Makkuni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730395740 PECOS PAC ID: 5092857532 Enrollment ID: I20121004000837 |
| Provider Name | Alicia M Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013264571 PECOS PAC ID: 7416106208 Enrollment ID: I20121011000656 |
| Provider Name | Timothy E Wasano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982959391 PECOS PAC ID: 1658356175 Enrollment ID: I20121012000317 |
| Provider Name | Anna K Nummelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740504745 PECOS PAC ID: 1153571716 Enrollment ID: I20121017000594 |
| Provider Name | Jennifer T Krall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336497197 PECOS PAC ID: 9436309515 Enrollment ID: I20121025000783 |
| Provider Name | Hope M Mcpeake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114278934 PECOS PAC ID: 2961652045 Enrollment ID: I20121025000812 |
| Provider Name | Thomas D Boostrom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164773685 PECOS PAC ID: 7810147931 Enrollment ID: I20121026000450 |
| Provider Name | Julie L Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982956827 PECOS PAC ID: 8527219849 Enrollment ID: I20121115000086 |
| Provider Name | Daniel C Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972852010 PECOS PAC ID: 5799937884 Enrollment ID: I20121219000198 |
| Provider Name | Sarah J Staff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881944858 PECOS PAC ID: 0345492724 Enrollment ID: I20121228000191 |
| Provider Name | Kyle J Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154648020 PECOS PAC ID: 3274788583 Enrollment ID: I20130312000140 |
| Provider Name | Coy H Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720371321 PECOS PAC ID: 9537112545 Enrollment ID: I20130321000458 |
| Provider Name | Lori M Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881931988 PECOS PAC ID: 0345485140 Enrollment ID: I20130327000438 |
| Provider Name | Rebecca A Mielke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588900609 PECOS PAC ID: 3678719945 Enrollment ID: I20130412000063 |
| 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 | Jyoti Eknoor Brar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609193028 PECOS PAC ID: 4587800636 Enrollment ID: I20130417000094 |
| Provider Name | Christopher S Platta |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811127301 PECOS PAC ID: 6305083312 Enrollment ID: I20130511000060 |
| Provider Name | Oscar G Padilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326365206 PECOS PAC ID: 9133360019 Enrollment ID: I20130719000346 |
| Provider Name | Jolyne Check-ostrowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750725339 PECOS PAC ID: 1254572829 Enrollment ID: I20130724000167 |
| Provider Name | Muhammad T Tariq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366790719 PECOS PAC ID: 1850532383 Enrollment ID: I20130726000071 |
| Provider Name | Sumeet K Goel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073824470 PECOS PAC ID: 2163663691 Enrollment ID: I20130726000147 |
| Provider Name | Anna J Igler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508096017 PECOS PAC ID: 8224272869 Enrollment ID: I20130920000177 |
| Provider Name | Nicole M Wolfgram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447593454 PECOS PAC ID: 9931333119 Enrollment ID: I20131001000043 |
| Provider Name | Kimberly Lynn Moldenhauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720420391 PECOS PAC ID: 5496989683 Enrollment ID: I20131001000161 |
| Provider Name | Kai Chen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568780062 PECOS PAC ID: 6608907480 Enrollment ID: I20131008000218 |
| Provider Name | Adam G Clements |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033477997 PECOS PAC ID: 0749419778 Enrollment ID: I20140214000951 |
| Provider Name | Tahnee R Siewert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013265966 PECOS PAC ID: 2264670124 Enrollment ID: I20140507001308 |
| Provider Name | Anthony Kehr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629225099 PECOS PAC ID: 5395918304 Enrollment ID: I20140521000689 |
| Provider Name | Samantha J Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225457526 PECOS PAC ID: 3173746047 Enrollment ID: I20140521001749 |
| Provider Name | Lindsey C Graff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467871525 PECOS PAC ID: 2860615440 Enrollment ID: I20140529000998 |
| Provider Name | Jennifer R Stieber |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295078962 PECOS PAC ID: 4284859380 Enrollment ID: I20140703001115 |
| Provider Name | Owusu-bekoe Opoku-owusu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528121647 PECOS PAC ID: 9931207347 Enrollment ID: I20140707001452 |
| Provider Name | Ridhwi Mukerji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366735755 PECOS PAC ID: 5698990364 Enrollment ID: I20140714001681 |
| Provider Name | Patrick M Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811280407 PECOS PAC ID: 7315162005 Enrollment ID: I20140714002105 |
| Provider Name | Richard Amankwah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164712741 PECOS PAC ID: 6901022540 Enrollment ID: I20140717000527 |
| Provider Name | Michael S Bolan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659488807 PECOS PAC ID: 0941467195 Enrollment ID: I20140730000763 |
| Provider Name | Daniel S Judd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477840445 PECOS PAC ID: 5991930026 Enrollment ID: I20140806002321 |
| Provider Name | Jason Douglas Mack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609169200 PECOS PAC ID: 7214154608 Enrollment ID: I20140807002569 |
| Provider Name | Jodi L Priebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720254089 PECOS PAC ID: 2567531957 Enrollment ID: I20140808001403 |
| Provider Name | Amy L Kloehn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669883591 PECOS PAC ID: 7315164217 Enrollment ID: I20140818001364 |
| Provider Name | Michael P Kehoe |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477870194 PECOS PAC ID: 7214151695 Enrollment ID: I20140828001794 |
| Provider Name | Heather L Bartlett |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1487649323 PECOS PAC ID: 9133146012 Enrollment ID: I20140828001997 |
| Provider Name | Connie Metz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265831226 PECOS PAC ID: 8729207956 Enrollment ID: I20140919000918 |
| Provider Name | Cassie K Littlejohn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760881882 PECOS PAC ID: 2769602275 Enrollment ID: I20141006000931 |
| Provider Name | Jennifer L Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801295571 PECOS PAC ID: 5395965784 Enrollment ID: I20141007001616 |
| Provider Name | Amy C Murphy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851603112 PECOS PAC ID: 1557504727 Enrollment ID: I20141014000153 |
| Provider Name | Carla A Ziolkowski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174881809 PECOS PAC ID: 6305067737 Enrollment ID: I20141028000692 |
| Provider Name | Erin C Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194129353 PECOS PAC ID: 4486876349 Enrollment ID: I20141107001369 |
| Provider Name | Edward G. Barton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285862375 PECOS PAC ID: 3971799909 Enrollment ID: I20150116000032 |
| Provider Name | Tracie L Timm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306248158 PECOS PAC ID: 6608191655 Enrollment ID: I20150213001434 |
| 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 | Nicole K Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831582436 PECOS PAC ID: 3476872896 Enrollment ID: I20150507000572 |
| Provider Name | Rachel M Gilbert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568557056 PECOS PAC ID: 3678607314 Enrollment ID: I20150508001054 |
| Provider Name | Molly K Pilarski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316213390 PECOS PAC ID: 9234459538 Enrollment ID: I20150528001528 |
| Provider Name | Amy Jo Hanneman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750770640 PECOS PAC ID: 7012238686 Enrollment ID: I20150608001737 |
| Provider Name | Jenna L Kolodziej |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962789719 PECOS PAC ID: 1557509445 Enrollment ID: I20150624000751 |
| Provider Name | Steven Straub |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699718924 PECOS PAC ID: 2668405333 Enrollment ID: I20150702000760 |
| Provider Name | Kayode J Bello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427306935 PECOS PAC ID: 0345553384 Enrollment ID: I20150720001368 |
| Provider Name | Suchada Chaiwechakarn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558647495 PECOS PAC ID: 3678748647 Enrollment ID: I20150730011426 |
| Provider Name | Kyle Dembowiak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235499815 PECOS PAC ID: 7517271539 Enrollment ID: I20150805006698 |
| Provider Name | Andrew J Zane |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477817351 PECOS PAC ID: 6709017387 Enrollment ID: I20150805006723 |
| Provider Name | Nicholas Otten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013277714 PECOS PAC ID: 2264651108 Enrollment ID: I20150806010351 |
| Provider Name | Melinda R Roskos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386878635 PECOS PAC ID: 4981910445 Enrollment ID: I20150828000134 |
| Provider Name | Tou Shoua J Lor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104184076 PECOS PAC ID: 0749597615 Enrollment ID: I20150910000980 |
| Provider Name | Shirley Tetteh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114210473 PECOS PAC ID: 9638318504 Enrollment ID: I20150911000555 |
| Provider Name | Richmond Gyamfi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700089414 PECOS PAC ID: 1951426386 Enrollment ID: I20150916001161 |
| Provider Name | Shanna L Paul |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942566120 PECOS PAC ID: 9739406620 Enrollment ID: I20150925001122 |
| Provider Name | John-jeremiah Kretchy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487902805 PECOS PAC ID: 3274842570 Enrollment ID: I20151028001445 |
| Provider Name | Benjamin J Kaster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881033298 PECOS PAC ID: 0749599983 Enrollment ID: I20151028003058 |
| Provider Name | Craig D Destree |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154732063 PECOS PAC ID: 2062722895 Enrollment ID: I20151106002246 |
| Provider Name | Stephanie M Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912379785 PECOS PAC ID: 7618287103 Enrollment ID: I20151112003231 |
| Provider Name | Karla R Retrum |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376930560 PECOS PAC ID: 5092011015 Enrollment ID: I20160316002111 |
| Provider Name | Nathaniel S Laden |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1356316889 PECOS PAC ID: 2264442961 Enrollment ID: I20160505000910 |
| Provider Name | Eric K Moeker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235578659 PECOS PAC ID: 9931493756 Enrollment ID: I20160802001747 |
| Provider Name | Derek Hoyme |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245469808 PECOS PAC ID: 2062657372 Enrollment ID: I20160808002817 |
| Provider Name | Natalie R Schwab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457706541 PECOS PAC ID: 3577857713 Enrollment ID: I20160810001538 |
| Provider Name | Margaret Mary Greco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760686414 PECOS PAC ID: 9739251703 Enrollment ID: I20160817003183 |
| Provider Name | Joshua D Troyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770809204 PECOS PAC ID: 1951534577 Enrollment ID: I20160818000971 |
| Provider Name | Nicole J Sederholm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942663877 PECOS PAC ID: 2264723535 Enrollment ID: I20160818001464 |
| Provider Name | James Shaotsung Peng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780871780 PECOS PAC ID: 8224196605 Enrollment ID: I20160818002438 |
| Provider Name | Tiffany J King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114378817 PECOS PAC ID: 0840585386 Enrollment ID: I20160823003201 |
| Provider Name | Catherine Cooch Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265673164 PECOS PAC ID: 5991090110 Enrollment ID: I20160825002781 |
| Provider Name | Ahsley J Wirtz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598104911 PECOS PAC ID: 5092000166 Enrollment ID: I20160829001378 |
| Provider Name | Lisa M Barry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902245699 PECOS PAC ID: 6507095239 Enrollment ID: I20160912000322 |
| Provider Name | Debra K Michel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326040015 PECOS PAC ID: 2567455876 Enrollment ID: I20161019000406 |
| Provider Name | Aaron M Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568911097 PECOS PAC ID: 5799063343 Enrollment ID: I20161102000345 |
| Provider Name | Lisa A Grams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841691607 PECOS PAC ID: 8325359011 Enrollment ID: I20161123001915 |
| Provider Name | Robert W Martin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104806835 PECOS PAC ID: 4284814419 Enrollment ID: I20161202000018 |
| Provider Name | Connie M Endvick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376087775 PECOS PAC ID: 7113208232 Enrollment ID: I20170104001504 |
| Provider Name | Dee Cha |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396287447 PECOS PAC ID: 3274814223 Enrollment ID: I20170105000621 |
| Provider Name | Zjia A Evans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164967568 PECOS PAC ID: 5799066775 Enrollment ID: I20170105001944 |
| Provider Name | Josh J Pallen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629195771 PECOS PAC ID: 8022391564 Enrollment ID: I20170208001010 |
| Provider Name | Bonnie A Soik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245761261 PECOS PAC ID: 6406123447 Enrollment ID: I20170523002804 |
| Provider Name | Olatunji D Oladeji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689985350 PECOS PAC ID: 9638313448 Enrollment ID: I20170613000968 |
| Provider Name | Michael J Kuklinski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821383407 PECOS PAC ID: 1850520289 Enrollment ID: I20170706001162 |
| Provider Name | Efe M Akpoigbe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023365152 PECOS PAC ID: 9032334891 Enrollment ID: I20170719003840 |
| Provider Name | Andrew J Stoltze |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396156766 PECOS PAC ID: 4789800194 Enrollment ID: I20170725001806 |
| Provider Name | Chikako Ono |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699903526 PECOS PAC ID: 9335389188 Enrollment ID: I20170725002777 |
| Provider Name | Christine Feder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942725676 PECOS PAC ID: 3870867773 Enrollment ID: I20170915001220 |
| Provider Name | Amanda Leigh Eilers |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1427349075 PECOS PAC ID: 0749574333 Enrollment ID: I20170928003301 |
| Provider Name | Brittney A Wanless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689050213 PECOS PAC ID: 2466728134 Enrollment ID: I20171024002994 |
| Provider Name | Agnieszka K Thompson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1205192788 PECOS PAC ID: 0749415206 Enrollment ID: I20171026000559 |
| Provider Name | Sara Starr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518471838 PECOS PAC ID: 2264790203 Enrollment ID: I20171220000408 |
| Provider Name | Clayton Aaron Charles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083974679 PECOS PAC ID: 6204145246 Enrollment ID: I20180319001349 |
| Provider Name | Dawne D Suehring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255399291 PECOS PAC ID: 1456523885 Enrollment ID: I20180613000149 |
| Provider Name | Bret K Stysly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104188416 PECOS PAC ID: 8224344544 Enrollment ID: I20180702002370 |
| Provider Name | Jared A Scherr |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912378522 PECOS PAC ID: 0446506521 Enrollment ID: I20180703000135 |
| Provider Name | Kenneth Degnan Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386131324 PECOS PAC ID: 2264788827 Enrollment ID: I20180712000218 |
| Provider Name | Jennifer D Yurish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265923098 PECOS PAC ID: 6901153329 Enrollment ID: I20180717001492 |
| Provider Name | Donna C Hamburg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689601965 PECOS PAC ID: 7911144043 Enrollment ID: I20180725003890 |
| Provider Name | Quang D Cao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093196032 PECOS PAC ID: 7719234301 Enrollment ID: I20180730000408 |
| Provider Name | Ahmed Mohammed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407231178 PECOS PAC ID: 1557619913 Enrollment ID: I20180801004049 |
| Provider Name | Daniel Joseph Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194104075 PECOS PAC ID: 5597060905 Enrollment ID: I20180813002491 |
| Provider Name | Nicole Marie Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639603913 PECOS PAC ID: 6103197413 Enrollment ID: I20180912003598 |
| Provider Name | Katie E Vangoethem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760962393 PECOS PAC ID: 7012267958 Enrollment ID: I20180913002198 |
| Provider Name | Michael Given |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104898980 PECOS PAC ID: 0042256141 Enrollment ID: I20181009003035 |
| Provider Name | Nicola S Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477963833 PECOS PAC ID: 8224253919 Enrollment ID: I20181025000945 |
| Provider Name | Hans J Wolslau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588825301 PECOS PAC ID: 0345303590 Enrollment ID: I20181107000901 |
| 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 | Christopher K. Cheng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700175312 PECOS PAC ID: 8426320755 Enrollment ID: I20181115001791 |
| Provider Name | Dina Abi Fadel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528234135 PECOS PAC ID: 4880872209 Enrollment ID: I20181120002437 |
| Provider Name | Shanna R Badje |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174099634 PECOS PAC ID: 5799029427 Enrollment ID: I20181206000030 |
| Provider Name | Alida M Yee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891259107 PECOS PAC ID: 8628317062 Enrollment ID: I20190304000638 |
| Provider Name | Richard C Prokesch |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427064583 PECOS PAC ID: 2668411570 Enrollment ID: I20190319000054 |
| Provider Name | Ronald M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962485714 PECOS PAC ID: 6800827270 Enrollment ID: I20190404001400 |
| Provider Name | Lisa M Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609340561 PECOS PAC ID: 6709127335 Enrollment ID: I20190409002427 |
| Provider Name | Marie L Alden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366906018 PECOS PAC ID: 0648512095 Enrollment ID: I20190503001873 |
| Provider Name | Tyler Qiu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780038851 PECOS PAC ID: 1557604113 Enrollment ID: I20190522001407 |
| 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 | Ateeq Mubarik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396197836 PECOS PAC ID: 1557694866 Enrollment ID: I20190531000002 |
| Provider Name | Christine M Baker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508350521 PECOS PAC ID: 4688907710 Enrollment ID: I20190605000740 |
| Provider Name | Madeleine Neri Guevara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225254451 PECOS PAC ID: 5496818890 Enrollment ID: I20190607000084 |
| 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 | Alemieneh H Woldeyesus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760845622 PECOS PAC ID: 2163755638 Enrollment ID: I20190621001516 |
| Provider Name | Tisha D Sleiter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760868939 PECOS PAC ID: 2769716513 Enrollment ID: I20190627001536 |
| Provider Name | Nikole L Larkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467016899 PECOS PAC ID: 2668707316 Enrollment ID: I20190717002031 |
| Provider Name | Amanda J Schoenfuss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396196150 PECOS PAC ID: 9133455751 Enrollment ID: I20190719001071 |
| Provider Name | Robyn A Gilbertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407148349 PECOS PAC ID: 3173779345 Enrollment ID: I20190731000856 |
| Provider Name | Paul Gill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528422623 PECOS PAC ID: 4880958180 Enrollment ID: I20190814001780 |
| Provider Name | Bryan Austin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316997943 PECOS PAC ID: 3678511326 Enrollment ID: I20190819002635 |
| Provider Name | David L Werner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225471063 PECOS PAC ID: 7315166840 Enrollment ID: I20190911003917 |
| Provider Name | Elizabeth A Renaker-jansen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1427204965 PECOS PAC ID: 4082745013 Enrollment ID: I20191021002085 |
| Provider Name | Kayla J Palmeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841841244 PECOS PAC ID: 0547592305 Enrollment ID: I20191028001376 |
| Provider Name | Heidi L Hodgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497092225 PECOS PAC ID: 6507001963 Enrollment ID: I20191105000833 |
| Provider Name | Neha Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366995052 PECOS PAC ID: 0547597452 Enrollment ID: I20191126000652 |
| Provider Name | Beth M Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194296079 PECOS PAC ID: 8820421985 Enrollment ID: I20191203001468 |
| Provider Name | Elizabeth Schuebel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376994137 PECOS PAC ID: 6103251475 Enrollment ID: I20200114002453 |
| Provider Name | Bartlett J Witherspoon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1295717973 PECOS PAC ID: 1456259407 Enrollment ID: I20200403001676 |
| Provider Name | James A Schmotzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821082710 PECOS PAC ID: 1153310297 Enrollment ID: I20200403002513 |
| Provider Name | Sanjay Mughal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538199781 PECOS PAC ID: 9234187261 Enrollment ID: I20200407000997 |
| Provider Name | Michelle L Halfman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164634622 PECOS PAC ID: 7517397011 Enrollment ID: I20200424000863 |
| Provider Name | Benjamin Barsotti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003947649 PECOS PAC ID: 5092869636 Enrollment ID: I20200430001577 |
| Provider Name | Pamela A Warnke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215558283 PECOS PAC ID: 6507297124 Enrollment ID: I20200515000936 |
| Provider Name | Stewart Wente |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013444140 PECOS PAC ID: 8820368095 Enrollment ID: I20200609002652 |
| Provider Name | Andrew Huang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679957526 PECOS PAC ID: 7113256025 Enrollment ID: I20200610000620 |
| Provider Name | Donald Garrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841678489 PECOS PAC ID: 7214285543 Enrollment ID: I20200615003540 |
| Provider Name | Dawit Worku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942732789 PECOS PAC ID: 3072848043 Enrollment ID: I20200620000057 |
| Provider Name | Alexander R Trecartin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366970113 PECOS PAC ID: 9537581178 Enrollment ID: I20200626001764 |
| Provider Name | Erik J Gustafson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073042487 PECOS PAC ID: 0042633232 Enrollment ID: I20200707000702 |
| Provider Name | Johonna Asquith |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730447400 PECOS PAC ID: 5395986848 Enrollment ID: I20200720000195 |
| Provider Name | Daniel Dube |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629214028 PECOS PAC ID: 8123185980 Enrollment ID: I20200722000776 |
| Provider Name | Kehua Zhou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649604695 PECOS PAC ID: 3476839408 Enrollment ID: I20200803001773 |
| Provider Name | Kemal Kucuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053844142 PECOS PAC ID: 7214205764 Enrollment ID: I20200805002483 |
| Provider Name | Aahd F Kubbara |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942564398 PECOS PAC ID: 3870889033 Enrollment ID: I20200806000312 |
| Provider Name | Lawrence Tse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972035517 PECOS PAC ID: 3375871635 Enrollment ID: I20200810002774 |
| Provider Name | Colleen E Lane |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659717312 PECOS PAC ID: 3779722251 Enrollment ID: I20200814002130 |
| Provider Name | Lukman Lawal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669824074 PECOS PAC ID: 7810225414 Enrollment ID: I20200818003433 |
| Provider Name | Volodymyr Manko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568984789 PECOS PAC ID: 7214208255 Enrollment ID: I20200820000763 |
| Provider Name | George N Ntui-ayuk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760796775 PECOS PAC ID: 7719134386 Enrollment ID: I20200902002810 |
| Provider Name | Adam Tod Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740890003 PECOS PAC ID: 3779901764 Enrollment ID: I20200908001109 |
| Provider Name | Syed M Imam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699202408 PECOS PAC ID: 8527339514 Enrollment ID: I20200917001379 |
| Provider Name | Long Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962817700 PECOS PAC ID: 1658606777 Enrollment ID: I20200917002959 |
| Provider Name | Stella Ofori-sampong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275064834 PECOS PAC ID: 9537431911 Enrollment ID: I20200923000766 |
| Provider Name | Justin Asquith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699031138 PECOS PAC ID: 1052603636 Enrollment ID: I20200925001250 |
| Provider Name | Dolly Myers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053707661 PECOS PAC ID: 4981949765 Enrollment ID: I20201007002200 |
| Provider Name | Nicholas Robert Rydzewski |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568855161 PECOS PAC ID: 5193075240 Enrollment ID: I20201009000156 |
| Provider Name | Jennifer Enman-bourgon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265789572 PECOS PAC ID: 1355589243 Enrollment ID: I20201009000890 |
| Provider Name | Samantha Jo Stiff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437687027 PECOS PAC ID: 3173943578 Enrollment ID: I20201026000117 |
| Provider Name | Justin A Cheongsiatmoy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003187808 PECOS PAC ID: 3678894961 Enrollment ID: I20201029000736 |
| Provider Name | Mhd Hashem Rajabbik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528422631 PECOS PAC ID: 3375888431 Enrollment ID: I20201103000422 |
| Provider Name | Jennifer Zimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831702976 PECOS PAC ID: 5193135051 Enrollment ID: I20201104000328 |
| Provider Name | Fidelis Ajobome Okotie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376856039 PECOS PAC ID: 0547384794 Enrollment ID: I20201203002469 |
| Provider Name | Patrick O Odia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285041285 PECOS PAC ID: 0547530859 Enrollment ID: I20201216001494 |
| Provider Name | Amy Lee Kurth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548869167 PECOS PAC ID: 9436561453 Enrollment ID: I20201216002270 |
| Provider Name | James T Williams |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841630274 PECOS PAC ID: 9638580681 Enrollment ID: I20210104000434 |
| Provider Name | Bradley Richard Brossard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457968687 PECOS PAC ID: 3577977057 Enrollment ID: I20210125000293 |
| Provider Name | Nancy A Rihana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982835237 PECOS PAC ID: 5294954699 Enrollment ID: I20210201000594 |
| Provider Name | Hannah Oswald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972108611 PECOS PAC ID: 1456767359 Enrollment ID: I20210301000982 |
| Provider Name | Emily C. Merfeld |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194222554 PECOS PAC ID: 4486901683 Enrollment ID: I20210407001145 |
| Provider Name | Erin Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568046548 PECOS PAC ID: 8123427341 Enrollment ID: I20210520001211 |
| Provider Name | John Nielsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003811415 PECOS PAC ID: 1254526072 Enrollment ID: I20210624003412 |
| Provider Name | Mark Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063688497 PECOS PAC ID: 4486827011 Enrollment ID: I20210630002725 |
| Provider Name | Kristen Jean Hoyord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467020081 PECOS PAC ID: 8022419761 Enrollment ID: I20210701001278 |
| Provider Name | Janelle Sobecki |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1518385244 PECOS PAC ID: 2860797149 Enrollment ID: I20210701003502 |
| Provider Name | Jalel Abera Hunde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194220558 PECOS PAC ID: 5597167569 Enrollment ID: I20210713003344 |
| Provider Name | Nathalie Jean |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700134293 PECOS PAC ID: 2264663186 Enrollment ID: I20210714001952 |
| Provider Name | Michael Oriakhi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366894701 PECOS PAC ID: 7113250036 Enrollment ID: I20210720002076 |
| Provider Name | Solomon Zerga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487159273 PECOS PAC ID: 9830592682 Enrollment ID: I20210730001662 |
| Provider Name | Elizabeth A L Roe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578053179 PECOS PAC ID: 4385993021 Enrollment ID: I20210805001504 |
| Provider Name | Elizabeth Anne Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942818927 PECOS PAC ID: 2961822952 Enrollment ID: I20210806002169 |
| Provider Name | Angelica T Hon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144892464 PECOS PAC ID: 5799189742 Enrollment ID: I20210812001983 |
| Provider Name | Aleksey Sakharuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891289138 PECOS PAC ID: 5193153039 Enrollment ID: I20210817002869 |
| Provider Name | Sonya Kirmani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861712358 PECOS PAC ID: 4385886811 Enrollment ID: I20210820003138 |
| Provider Name | Kelley Nicole Dilliard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114411956 PECOS PAC ID: 9830527753 Enrollment ID: I20210916002840 |
| Provider Name | Garett G Krug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689248247 PECOS PAC ID: 2860899572 Enrollment ID: I20210923000166 |
| Provider Name | Anna M Brown |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972966125 PECOS PAC ID: 8628349222 Enrollment ID: I20210929002662 |
| Provider Name | Mario A San Martin Gomez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598096679 PECOS PAC ID: 7618147919 Enrollment ID: I20211008001051 |
| Provider Name | Nebasi Valantine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134623721 PECOS PAC ID: 3870849946 Enrollment ID: I20211018000555 |
| Provider Name | Danielle Espe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750985453 PECOS PAC ID: 3577975176 Enrollment ID: I20211130003075 |
| Provider Name | Kim Meredith Reinhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952892457 PECOS PAC ID: 0244667152 Enrollment ID: I20211202000316 |
| Provider Name | Gabriella M Baran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851882344 PECOS PAC ID: 4587092390 Enrollment ID: I20211208002820 |
| Provider Name | Katie A Look |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578227203 PECOS PAC ID: 5698165371 Enrollment ID: I20211213000979 |
| Provider Name | Anitsira Collado Polanco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578977658 PECOS PAC ID: 7719274802 Enrollment ID: I20211215002212 |
| Provider Name | Britta Wolter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710641493 PECOS PAC ID: 4284025909 Enrollment ID: I20220106000872 |
| Provider Name | Natalie M Altenhofen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851692131 PECOS PAC ID: 0345633137 Enrollment ID: I20220128002109 |
| Provider Name | Anna-maria Meriwether |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235710880 PECOS PAC ID: 1355734559 Enrollment ID: I20220211000407 |
| Provider Name | Robert Jacoby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518961531 PECOS PAC ID: 9032003462 Enrollment ID: I20220211001907 |
| Provider Name | Brittany Vach |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861863326 PECOS PAC ID: 1355736760 Enrollment ID: I20220322002485 |
| Provider Name | Melissa S Skoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700309796 PECOS PAC ID: 7719250869 Enrollment ID: I20220408000493 |
| Provider Name | Linda Xiong-lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710632252 PECOS PAC ID: 4082000260 Enrollment ID: I20220418000046 |
| Provider Name | Ashley Kleutsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932860244 PECOS PAC ID: 6103203450 Enrollment ID: I20220506001780 |
| Provider Name | Fawzi Musa Hindi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962991174 PECOS PAC ID: 5496000358 Enrollment ID: I20220601002247 |
| Provider Name | Shannon Rae Stroik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962175703 PECOS PAC ID: 0749668895 Enrollment ID: I20220602001233 |
| Provider Name | Osman M Ahmedtaha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598140105 PECOS PAC ID: 8022307396 Enrollment ID: I20220607001429 |
| Provider Name | Mekbib G Onkiso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477013993 PECOS PAC ID: 4981083300 Enrollment ID: I20220615001390 |
| Provider Name | Sally B Mergendahl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508131137 PECOS PAC ID: 7618356429 Enrollment ID: I20220624002395 |
| Provider Name | Idiris Abdirahman Esse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457813420 PECOS PAC ID: 8628458932 Enrollment ID: I20220705001239 |
| Provider Name | Joshua S Gross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962065862 PECOS PAC ID: 1254761075 Enrollment ID: I20220705002124 |
| Provider Name | Abbas Zagnoon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033313028 PECOS PAC ID: 7315073707 Enrollment ID: I20220708001821 |
| Provider Name | Kimberly L Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053549873 PECOS PAC ID: 5294889853 Enrollment ID: I20220711003221 |
| Provider Name | Lacy Joyce Arrowood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861138638 PECOS PAC ID: 8224419601 Enrollment ID: I20220715002233 |
| Provider Name | Kate L Frank |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346480878 PECOS PAC ID: 5092196303 Enrollment ID: I20220718003652 |
| Provider Name | Andrew W Dehnel |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1144980392 PECOS PAC ID: 6608257415 Enrollment ID: I20220725001981 |
| Provider Name | Daniel J Krause |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457768327 PECOS PAC ID: 8224419304 Enrollment ID: I20220731000153 |
| Provider Name | Edward Mckenna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164884433 PECOS PAC ID: 6406111764 Enrollment ID: I20220809003475 |
| Provider Name | Ajay Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366654865 PECOS PAC ID: 1153454210 Enrollment ID: I20220819002828 |
| Provider Name | Tracy Lytle Huffstatler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538305800 PECOS PAC ID: 2163588534 Enrollment ID: I20220822000544 |
| Provider Name | Tracy L. Kiener |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124177894 PECOS PAC ID: 3870976913 Enrollment ID: I20220823000151 |
| Provider Name | Dana James Irrer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063771228 PECOS PAC ID: 9931406774 Enrollment ID: I20220823003131 |
| Provider Name | Andrew C Berry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487049193 PECOS PAC ID: 9537464565 Enrollment ID: I20220826002587 |
| Provider Name | Gail Marion Marquardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609503085 PECOS PAC ID: 0941684252 Enrollment ID: I20220906003137 |
| Provider Name | Pankaj Nagaraj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306040985 PECOS PAC ID: 3971885831 Enrollment ID: I20220907001137 |
| Provider Name | Melanie A Hellrood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003378886 PECOS PAC ID: 4880928068 Enrollment ID: I20220909001818 |
| Provider Name | Joshua Todd Mendelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265641070 PECOS PAC ID: 8921139023 Enrollment ID: I20220912001507 |
| Provider Name | Haley Erl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770067357 PECOS PAC ID: 9234514829 Enrollment ID: I20220919000636 |
| Provider Name | Abigail Jean Brown |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205563574 PECOS PAC ID: 9335524883 Enrollment ID: I20220919003348 |
| Provider Name | Herbert Kwon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205873668 PECOS PAC ID: 5193979748 Enrollment ID: I20220929001363 |
| Provider Name | Morgan Lynn Glodowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013642453 PECOS PAC ID: 2769868538 Enrollment ID: I20220930002345 |
| Provider Name | Neal J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134681927 PECOS PAC ID: 9537493879 Enrollment ID: I20221003002737 |
| Provider Name | Monica Cespedes Santana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114204161 PECOS PAC ID: 7214212653 Enrollment ID: I20221008000304 |
| Provider Name | David A Valentine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093192486 PECOS PAC ID: 9335474683 Enrollment ID: I20221014001488 |
| Provider Name | Sheng Xiong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700510724 PECOS PAC ID: 3870960859 Enrollment ID: I20221103002127 |
| 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 | Ashley Schulz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538558747 PECOS PAC ID: 1254709934 Enrollment ID: I20221130002964 |
| Provider Name | Austin Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114226404 PECOS PAC ID: 8628447281 Enrollment ID: I20221205000647 |
| Provider Name | Deborah Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023085768 PECOS PAC ID: 2163424656 Enrollment ID: I20221214000144 |
| Provider Name | Kirstin Casi Boquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255041307 PECOS PAC ID: 8527437342 Enrollment ID: I20221216001171 |
| Provider Name | Tsering Lhamo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093431454 PECOS PAC ID: 5698145985 Enrollment ID: I20230103000332 |
| Provider Name | Vanessa M Glendenning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821750787 PECOS PAC ID: 5991196065 Enrollment ID: I20230112000832 |
| Provider Name | Tony Swicer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558999433 PECOS PAC ID: 5890826200 Enrollment ID: I20230113002511 |
| Provider Name | Kristie Melvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356827802 PECOS PAC ID: 6800144569 Enrollment ID: I20230117001834 |
| Provider Name | Amanda K Gilmeister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083341994 PECOS PAC ID: 2567833882 Enrollment ID: I20230125001081 |
| Provider Name | Andrew S Goldberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184623936 PECOS PAC ID: 3870481146 Enrollment ID: I20230201002750 |
| Provider Name | Ravindran Arcot Padmanabhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730114943 PECOS PAC ID: 5799727616 Enrollment ID: I20230302001458 |
| Provider Name | Sarah Siekert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831802958 PECOS PAC ID: 0648643809 Enrollment ID: I20230309000095 |
| Provider Name | Ahmed U Otokiti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760867204 PECOS PAC ID: 9537410824 Enrollment ID: I20230316001775 |
| Provider Name | Katherine L Sohm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235643214 PECOS PAC ID: 8729348719 Enrollment ID: I20230331000727 |
| Provider Name | Andrea Caballero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003173824 PECOS PAC ID: 3274841770 Enrollment ID: I20230428001880 |
| Provider Name | Jessica Rose Nelson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285334185 PECOS PAC ID: 4587020581 Enrollment ID: I20230517002067 |
| Provider Name | Elizabeth O Wendt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821784067 PECOS PAC ID: 3870959513 Enrollment ID: I20230522003253 |
| Provider Name | Ifreah Ali Usmaiel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336608165 PECOS PAC ID: 5395101984 Enrollment ID: I20230524002592 |
| Provider Name | Patrick H Archie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982895835 PECOS PAC ID: 0749355543 Enrollment ID: I20230602000332 |
| Provider Name | Christopher W Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518251735 PECOS PAC ID: 4587972096 Enrollment ID: I20230602000826 |
| Provider Name | Lucot Cherenfant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144425505 PECOS PAC ID: 4688748924 Enrollment ID: I20230608002928 |
| Provider Name | Timothy Ryan Parker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063944429 PECOS PAC ID: 9335507482 Enrollment ID: I20230621002548 |
| Provider Name | Joshua Denk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174147987 PECOS PAC ID: 2466876040 Enrollment ID: I20230627002735 |
| Provider Name | Aderson Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992332241 PECOS PAC ID: 5496169120 Enrollment ID: I20230707000211 |
| Provider Name | Thomas Oliver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083069470 PECOS PAC ID: 9739477324 Enrollment ID: I20230711001880 |
| Provider Name | Ian Z Coker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699390633 PECOS PAC ID: 1254791346 Enrollment ID: I20230720004019 |
| Provider Name | Joseph Abraham Parks |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639580574 PECOS PAC ID: 5597093153 Enrollment ID: I20230721003271 |
| Provider Name | Richard Belt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275064263 PECOS PAC ID: 1850643115 Enrollment ID: I20230731000081 |
| Provider Name | Kelly Coker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063037000 PECOS PAC ID: 7618338096 Enrollment ID: I20230801003990 |
| Provider Name | Britt K Deruyter |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427618347 PECOS PAC ID: 0446585905 Enrollment ID: I20230802001571 |
| Provider Name | Michaela K Langer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871278317 PECOS PAC ID: 8628430832 Enrollment ID: I20230818001448 |
| Provider Name | Crystal Lynn Bushman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073291696 PECOS PAC ID: 5799148839 Enrollment ID: I20230823000607 |
| Provider Name | Ken Masui Fujimura |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629426630 PECOS PAC ID: 6608299227 Enrollment ID: I20230823004476 |
| Provider Name | Aaron M Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679197867 PECOS PAC ID: 0749603652 Enrollment ID: I20230830001315 |
| Provider Name | Christopher S Zeman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356964167 PECOS PAC ID: 8820451370 Enrollment ID: I20230830003615 |
| Provider Name | Olasunkanmi Kolawole Oyetunde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598962722 PECOS PAC ID: 6507953510 Enrollment ID: I20230906000459 |
| Provider Name | Emily M Sievert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578241097 PECOS PAC ID: 5799149654 Enrollment ID: I20230911001951 |
| Provider Name | Carlos Pineda Anzueto |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164684734 PECOS PAC ID: 2365725181 Enrollment ID: I20230913001449 |
| Provider Name | Alexandra A Erdmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447607213 PECOS PAC ID: 7517250673 Enrollment ID: I20230913002203 |
| Provider Name | Katy Lynn Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295412815 PECOS PAC ID: 8527412295 Enrollment ID: I20230928002772 |
| Provider Name | Ryan P. Dunn |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922458843 PECOS PAC ID: 1052603446 Enrollment ID: I20231004003767 |
| Provider Name | Jordan K Saari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205518446 PECOS PAC ID: 8527413780 Enrollment ID: I20231009002667 |
| Provider Name | Isabella Ott |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1306560511 PECOS PAC ID: 2668827379 Enrollment ID: I20231016003488 |
| Provider Name | Dana Rae Gumney |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538897822 PECOS PAC ID: 6800242264 Enrollment ID: I20231023000570 |
| Provider Name | Jasjot Kaur Bhullar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366602229 PECOS PAC ID: 7719038751 Enrollment ID: I20231031003367 |
| Provider Name | Meghan C Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346869476 PECOS PAC ID: 7214354968 Enrollment ID: I20231102002230 |
| Provider Name | Rashed N Alhabshan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811316680 PECOS PAC ID: 6002162609 Enrollment ID: I20231109002968 |
| Provider Name | Thomas Anthony Licata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427638659 PECOS PAC ID: 8123475258 Enrollment ID: I20231113000321 |
| Provider Name | Natalie R Weeks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023698198 PECOS PAC ID: 8426405432 Enrollment ID: I20231114000173 |
| Provider Name | Samantha Lynne Merkel-johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376321331 PECOS PAC ID: 4587012281 Enrollment ID: I20231117002645 |
| Provider Name | Yussuf Jaffar Ismail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841796745 PECOS PAC ID: 9638577604 Enrollment ID: I20231208002217 |
| Provider Name | Hiwot Ayalew Gobezie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326677196 PECOS PAC ID: 5597115733 Enrollment ID: I20231229001293 |
| Provider Name | Cristina Alexandra Morin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215712898 PECOS PAC ID: 9436505849 Enrollment ID: I20240117003199 |
| Provider Name | Brooke Elizabeth Kottke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104695246 PECOS PAC ID: 8820440365 Enrollment ID: I20240119002110 |
| Provider Name | Mohanad Omar Mahmoud Soliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942619408 PECOS PAC ID: 9638440126 Enrollment ID: I20240124004506 |
| Provider Name | Cullen Trangsrud |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780179101 PECOS PAC ID: 6709271075 Enrollment ID: I20240125002533 |
| Provider Name | Jaclyn Therese Cronin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992237184 PECOS PAC ID: 8123398708 Enrollment ID: I20240125003104 |
| Provider Name | Omolola Oladunni Idowu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194910448 PECOS PAC ID: 2860553708 Enrollment ID: I20240126001580 |
| Provider Name | Victor Obregon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346333754 PECOS PAC ID: 2466637483 Enrollment ID: I20240129000871 |
| Provider Name | Shayla Hesse |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689931305 PECOS PAC ID: 4082017868 Enrollment ID: I20240130001374 |
| Provider Name | Valerie Lynn Federwitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215719620 PECOS PAC ID: 2163866922 Enrollment ID: I20240220002623 |
| Provider Name | Charles Austen Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326797598 PECOS PAC ID: 2264876911 Enrollment ID: I20240221001312 |
| Provider Name | Steven Paul Kuhn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134307820 PECOS PAC ID: 4284079252 Enrollment ID: I20240229001150 |
| Provider Name | Lisa H Reaves |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346297058 PECOS PAC ID: 9638154248 Enrollment ID: I20240315000854 |
| Provider Name | Lisa Jun-pei Wong |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598933475 PECOS PAC ID: 9436320470 Enrollment ID: I20240320003040 |
| Provider Name | Jodi Ann Neumann |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578522835 PECOS PAC ID: 3072950153 Enrollment ID: I20240325003140 |
| Provider Name | Brianna Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881367167 PECOS PAC ID: 0840684429 Enrollment ID: I20240329002696 |
| Provider Name | Ronda J Benz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750141677 PECOS PAC ID: 6103265996 Enrollment ID: I20240412001363 |
| Provider Name | Taylor Jo Schilling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154198992 PECOS PAC ID: 3678912235 Enrollment ID: I20240415003756 |
| Provider Name | Amy Abelman Waldvogel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891196614 PECOS PAC ID: 4880036862 Enrollment ID: I20240522001007 |
| Provider Name | Rebecca Rae Ulep |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114186426 PECOS PAC ID: 7214159672 Enrollment ID: I20240528001160 |
Aspirus Womens Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Pine Ridge Blvd, Suite 185, Wausau, WI 54401 Phone: 715-847-0477 Fax: 715-847-0409 | |
North Central Heatlh Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Marshall St Ste A, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Aspirus Perinatology Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2720 Plaza Dr, Suite 2100, Wausau, WI 54401 Phone: 715-847-2475 | |
Wausau Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Wind Ridge Dr, Wausau, WI 54401 Phone: 715-675-5201 | |
North Central Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Aspirus Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Pine Ridge Blvd, Suite 220a, Wausau, WI 54401 Phone: 715-847-2070 | |
Spine & Brain Group Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2800 Westhill Dr, Suite 200, Wausau, WI 54401 Phone: 715-843-1000 Fax: 715-843-1001 |