| Au Medical Associates Inc | |
|
1120 15th St Augusta GA 30912-0004 | |
| (706) 721-2273 | |
| Not Available |
| Full Name | Au Medical Associates Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1120 15th St, Augusta, Georgia |
| Authorized Official Name and Position | Donna Fields (DIRECTOR CMO BUSINESS OPERATIONS) |
| Authorized Official Contact | 7064465587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Au Medical Associates Inc 1499 Walton Way Ste 1400 Augusta GA 30901-2650 Ph: (706) 828-6410 | Au Medical Associates Inc 1120 15th St Augusta GA 30912-0004 Ph: (706) 721-2273 |
| NPI Number | 1841230620 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 10/31/2024 |
| Medicare PECOS PAC ID | 9931013513 |
|---|---|
| Medicare Enrollment ID | O20040107000188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841230620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Ronald W Beaudreau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356345136 PECOS PAC ID: 0749192250 Enrollment ID: I20031104000002 |
| Provider Name | Stephen A Shiver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003927922 PECOS PAC ID: 1850204835 Enrollment ID: I20031106000345 |
| Provider Name | Jimmy L Peebles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366478281 PECOS PAC ID: 4082528393 Enrollment ID: I20031119000281 |
| Provider Name | Matthew L Lyon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932218146 PECOS PAC ID: 5597661025 Enrollment ID: I20031208000421 |
| Provider Name | Cargill H Alleyne |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700995925 PECOS PAC ID: 2567362247 Enrollment ID: I20040109000699 |
| Provider Name | Edmond F. Ritter |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1982793378 PECOS PAC ID: 8820999584 Enrollment ID: I20040115000898 |
| Provider Name | Gloria M Gamboa-gonzalez |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1538279922 PECOS PAC ID: 4082515770 Enrollment ID: I20040115001032 |
| Provider Name | Jack C Yu |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1538270210 PECOS PAC ID: 1557262250 Enrollment ID: I20040115001085 |
| Provider Name | Albert D Copeland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912906199 PECOS PAC ID: 8224923776 Enrollment ID: I20040216000452 |
| Provider Name | Bruce D Janiak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801970330 PECOS PAC ID: 7315833449 Enrollment ID: I20040225000993 |
| Provider Name | Renuka Mehta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306955356 PECOS PAC ID: 9032101589 Enrollment ID: I20040402000442 |
| Provider Name | Ramon O. Parrish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841242617 PECOS PAC ID: 1850383217 Enrollment ID: I20040402001116 |
| Provider Name | Daniel G Schwartzberg |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1669419347 PECOS PAC ID: 8224026976 Enrollment ID: I20040503001043 |
| Provider Name | Roger A Vega |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104937184 PECOS PAC ID: 6608866082 Enrollment ID: I20040517001019 |
| Provider Name | Ruth Elizabeth Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689784142 PECOS PAC ID: 5890786859 Enrollment ID: I20040519001270 |
| Provider Name | Deepak Kapoor |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871603134 PECOS PAC ID: 8123009966 Enrollment ID: I20040527000033 |
| Provider Name | Karen C Panzitta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588666739 PECOS PAC ID: 0244215317 Enrollment ID: I20040622001378 |
| Provider Name | Norman B Thomson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508860883 PECOS PAC ID: 7113903675 Enrollment ID: I20040625000305 |
| Provider Name | Thomas E Bailey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093751174 PECOS PAC ID: 3678551090 Enrollment ID: I20040712001257 |
| Provider Name | Thomas Raymond Lovas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245233584 PECOS PAC ID: 9537148424 Enrollment ID: I20040715000003 |
| Provider Name | Michael J Caudell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275646747 PECOS PAC ID: 7113906918 Enrollment ID: I20040715000813 |
| Provider Name | Rolando Torres |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528097003 PECOS PAC ID: 7810976313 Enrollment ID: I20040719000170 |
| Provider Name | Kathleen T Mckie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801905948 PECOS PAC ID: 7214916675 Enrollment ID: I20040719000670 |
| Provider Name | Vita L Goei |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609986041 PECOS PAC ID: 5496734709 Enrollment ID: I20040719001032 |
| Provider Name | Sherman Chamberlain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104936855 PECOS PAC ID: 9931188174 Enrollment ID: I20040720000373 |
| Provider Name | Henry Alperin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609830751 PECOS PAC ID: 4789654724 Enrollment ID: I20040728000512 |
| Provider Name | Johnathan R Gore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922027283 PECOS PAC ID: 5294705968 Enrollment ID: I20040730000856 |
| Provider Name | Coleman T King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629171582 PECOS PAC ID: 0547233611 Enrollment ID: I20040817000529 |
| Provider Name | Steven B Holsten |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902817315 PECOS PAC ID: 2062485931 Enrollment ID: I20040818000640 |
| Provider Name | Henry W Ferguson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1942258397 PECOS PAC ID: 4587638564 Enrollment ID: I20040825000106 |
| Provider Name | Tarun K Ghosh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760560726 PECOS PAC ID: 8426023102 Enrollment ID: I20040826001009 |
| Provider Name | Bradford Z Reynolds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942310065 PECOS PAC ID: 0042285272 Enrollment ID: I20040831000688 |
| Provider Name | Robert F Boedy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437269149 PECOS PAC ID: 2163497314 Enrollment ID: I20040831000821 |
| Provider Name | William P Kanto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649380908 PECOS PAC ID: 3274508346 Enrollment ID: I20040901000174 |
| Provider Name | Jed W Howington |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1417913070 PECOS PAC ID: 1456326362 Enrollment ID: I20040901001183 |
| Provider Name | Paul C Browne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366496465 PECOS PAC ID: 2668447558 Enrollment ID: I20040902000285 |
| Provider Name | Sandra Sexson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326159377 PECOS PAC ID: 3870562804 Enrollment ID: I20040928000026 |
| Provider Name | Asha Nayak |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497864433 PECOS PAC ID: 3476522236 Enrollment ID: I20040928001146 |
| Provider Name | Steven Elliot Brooks |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043289085 PECOS PAC ID: 5890764260 Enrollment ID: I20041004001012 |
| Provider Name | Vijay Patel |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1922108976 PECOS PAC ID: 0547229197 Enrollment ID: I20041008000127 |
| Provider Name | Simeon Marcus Fulcher |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1730295551 PECOS PAC ID: 6507826641 Enrollment ID: I20041013001071 |
| Provider Name | Dale A Peeples |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245281849 PECOS PAC ID: 6305806233 Enrollment ID: I20041015000013 |
| Provider Name | Sal J Wambsgans |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770587560 PECOS PAC ID: 5597727941 Enrollment ID: I20041028000856 |
| Provider Name | Joe Calkins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720197460 PECOS PAC ID: 4486618006 Enrollment ID: I20041115000154 |
| Provider Name | Doris Elizabeth Tummillo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457339251 PECOS PAC ID: 6406813286 Enrollment ID: I20041214000009 |
| Provider Name | Robert A Sorrentino |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1174634760 PECOS PAC ID: 3971561473 Enrollment ID: I20041230000264 |
| Provider Name | Samuel J Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376632786 PECOS PAC ID: 0446218770 Enrollment ID: I20050106000212 |
| Provider Name | Signe H Oneale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205931441 PECOS PAC ID: 7315996105 Enrollment ID: I20050119000569 |
| Provider Name | Michael F Roberts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790895787 PECOS PAC ID: 5395797096 Enrollment ID: I20050210000469 |
| Provider Name | Pardeep K Mittal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871527770 PECOS PAC ID: 1254383417 Enrollment ID: I20050216000021 |
| Provider Name | James Wilkin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962509315 PECOS PAC ID: 2961302864 Enrollment ID: I20050315000530 |
| Provider Name | Warren D Elam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811951858 PECOS PAC ID: 8022078435 Enrollment ID: I20050502000786 |
| Provider Name | April L Hartman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255390399 PECOS PAC ID: 0648210187 Enrollment ID: I20050504000777 |
| Provider Name | Joseph Michael Kaminski |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1033229380 PECOS PAC ID: 5890736003 Enrollment ID: I20050518000699 |
| Provider Name | Caralee J Forseen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871603340 PECOS PAC ID: 1557328994 Enrollment ID: I20050519000084 |
| Provider Name | Jean P Mcdonough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902900624 PECOS PAC ID: 8527057363 Enrollment ID: I20050519000100 |
| Provider Name | James Wynn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1568573228 PECOS PAC ID: 0345281366 Enrollment ID: I20050519000312 |
| Provider Name | Laura L Mulloy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376652388 PECOS PAC ID: 4688615602 Enrollment ID: I20050519000337 |
| Provider Name | Anand Prasad Jillella |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1205946548 PECOS PAC ID: 1052216827 Enrollment ID: I20050520000077 |
| Provider Name | Pablo J Santamaria |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801975164 PECOS PAC ID: 4587605357 Enrollment ID: I20050523000136 |
| Provider Name | Daniel J Sheehan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1619088671 PECOS PAC ID: 3971545542 Enrollment ID: I20050524000638 |
| Provider Name | John J White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699878108 PECOS PAC ID: 9335181916 Enrollment ID: I20050524000724 |
| Provider Name | Colleen H Mcdonough |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164531281 PECOS PAC ID: 7810930898 Enrollment ID: I20050610000085 |
| Provider Name | Ricky R Byrd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992865752 PECOS PAC ID: 9335183425 Enrollment ID: I20050620000657 |
| Provider Name | Rhonda E Colombo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912191511 PECOS PAC ID: 2365488129 Enrollment ID: I20050701000040 |
| Provider Name | Jennifer Elizabeth Tucker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114038148 PECOS PAC ID: 6002703923 Enrollment ID: I20050701000104 |
| Provider Name | Jose Santiago |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083679252 PECOS PAC ID: 0042253536 Enrollment ID: I20050719000509 |
| Provider Name | Walter L Pipkin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881794345 PECOS PAC ID: 3375570492 Enrollment ID: I20050720000833 |
| Provider Name | Louis P Ciamillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881704575 PECOS PAC ID: 5597793844 Enrollment ID: I20050728000942 |
| Provider Name | Tracie Lynn Sponseller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861400517 PECOS PAC ID: 8921036146 Enrollment ID: I20050729000322 |
| Provider Name | Sandhya Ramayya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225006471 PECOS PAC ID: 0648201723 Enrollment ID: I20050829000500 |
| Provider Name | Janis S Coffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003926643 PECOS PAC ID: 8729010483 Enrollment ID: I20050902000382 |
| Provider Name | Janet A Munroe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851400873 PECOS PAC ID: 4082646641 Enrollment ID: I20050902000390 |
| Provider Name | Solon Kao |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1043269640 PECOS PAC ID: 3779515994 Enrollment ID: I20050908000209 |
| Provider Name | Julie L Dahl-smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457461030 PECOS PAC ID: 7911932165 Enrollment ID: I20050927001099 |
| Provider Name | Carlos F Zayas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205979564 PECOS PAC ID: 3870528391 Enrollment ID: I20051003000763 |
| Provider Name | Saroj B Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003927062 PECOS PAC ID: 4587680699 Enrollment ID: I20051018000974 |
| Provider Name | Stephen R Broadwater |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083697478 PECOS PAC ID: 1850317892 Enrollment ID: I20051019000914 |
| Provider Name | Gregory N Postma |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780784249 PECOS PAC ID: 7214953785 Enrollment ID: I20051024000651 |
| Provider Name | Rabih I Bechara |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841240512 PECOS PAC ID: 3072587781 Enrollment ID: I20051128000475 |
| Provider Name | Jose Bauza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275597148 PECOS PAC ID: 2961422449 Enrollment ID: I20051129000633 |
| Provider Name | Harry L Cheves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063491504 PECOS PAC ID: 6901829050 Enrollment ID: I20060104000676 |
| Provider Name | Jay Schecter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871658054 PECOS PAC ID: 3577594746 Enrollment ID: I20060112000954 |
| Provider Name | Dennis M Marcus |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851376776 PECOS PAC ID: 3678597705 Enrollment ID: I20060117000399 |
| Provider Name | Dean U Harrell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1295845659 PECOS PAC ID: 8123034790 Enrollment ID: I20060307000004 |
| Provider Name | Kathleen Slagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568573491 PECOS PAC ID: 9739196189 Enrollment ID: I20060310000053 |
| Provider Name | Christopher Peter Houk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194760777 PECOS PAC ID: 0042100505 Enrollment ID: I20060504000776 |
| Provider Name | James L Becton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578514980 PECOS PAC ID: 1355352741 Enrollment ID: I20060524000040 |
| Provider Name | Adam Eric Berman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588613194 PECOS PAC ID: 8729051743 Enrollment ID: I20060526000062 |
| Provider Name | Michael Macfee |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1285671461 PECOS PAC ID: 9032120217 Enrollment ID: I20060601000287 |
| Provider Name | Dilip Abraham Thomas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689613994 PECOS PAC ID: 9830101435 Enrollment ID: I20060623000167 |
| Provider Name | Bridget A Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942249487 PECOS PAC ID: 3779596853 Enrollment ID: I20060712000114 |
| Provider Name | Jeffrey A Switzer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174569305 PECOS PAC ID: 7416960240 Enrollment ID: I20060724000018 |
| Provider Name | Chadburn B. Ray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902832728 PECOS PAC ID: 4587677224 Enrollment ID: I20060724000178 |
| Provider Name | Edward J Kruse |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1093746984 PECOS PAC ID: 5294748935 Enrollment ID: I20060724000184 |
| Provider Name | Matthew J Diamond |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760410351 PECOS PAC ID: 1658384318 Enrollment ID: I20060725000003 |
| Provider Name | Suash Sharma |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851327894 PECOS PAC ID: 2062425531 Enrollment ID: I20060731000064 |
| Provider Name | Mark R Stevens |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1407878606 PECOS PAC ID: 3779586458 Enrollment ID: I20060818000246 |
| Provider Name | Gina Piazza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790758621 PECOS PAC ID: 0042101487 Enrollment ID: I20060824000036 |
| Provider Name | Brian John Mckinnon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316945819 PECOS PAC ID: 3870598139 Enrollment ID: I20060921000011 |
| Provider Name | Sharad A Ghamande |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174500128 PECOS PAC ID: 4183629363 Enrollment ID: I20060921000272 |
| Provider Name | Sara E Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235153206 PECOS PAC ID: 7214916667 Enrollment ID: I20061018000496 |
| Provider Name | Mary L Sheram |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194739011 PECOS PAC ID: 8224035050 Enrollment ID: I20061108000505 |
| Provider Name | Kenneth Murdison |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306938287 PECOS PAC ID: 8022901065 Enrollment ID: I20070402000062 |
| Provider Name | Reda W Bassali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043329055 PECOS PAC ID: 0244334001 Enrollment ID: I20070404000029 |
| Provider Name | Laura D Hartmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437288362 PECOS PAC ID: 5991753469 Enrollment ID: I20070411000135 |
| Provider Name | Angello Lin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184647760 PECOS PAC ID: 2860431079 Enrollment ID: I20070412000000 |
| Provider Name | Ayaz J. Chaudhary |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639289382 PECOS PAC ID: 5991788291 Enrollment ID: I20070501000285 |
| Provider Name | John Edward Hartmann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982694998 PECOS PAC ID: 1153427109 Enrollment ID: I20070508000264 |
| Provider Name | Alyce M Oliver |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255352308 PECOS PAC ID: 5799882304 Enrollment ID: I20070516000185 |
| Provider Name | Jennifer C Beaudreau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225082977 PECOS PAC ID: 8527079433 Enrollment ID: I20070518000081 |
| Provider Name | Clara M Stogner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861604712 PECOS PAC ID: 3173621968 Enrollment ID: I20070601000080 |
| Provider Name | Todd David Merchen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730135252 PECOS PAC ID: 2264490739 Enrollment ID: I20070601000142 |
| Provider Name | Robyn M Hatley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649380015 PECOS PAC ID: 7810097136 Enrollment ID: I20070716000035 |
| Provider Name | Steven Ga Rogers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942264981 PECOS PAC ID: 9931169349 Enrollment ID: I20070719000338 |
| Provider Name | Brian K Stansfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124241708 PECOS PAC ID: 7214038892 Enrollment ID: I20070726000350 |
| Provider Name | Gautam Agarwal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1912982687 PECOS PAC ID: 6305882747 Enrollment ID: I20070731000368 |
| Provider Name | Zeeshan Perveze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851591895 PECOS PAC ID: 0042304768 Enrollment ID: I20070925000559 |
| Provider Name | Donna B Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316056302 PECOS PAC ID: 9335234384 Enrollment ID: I20071005000010 |
| Provider Name | Samuel K Tsappidi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255537122 PECOS PAC ID: 8123115144 Enrollment ID: I20071107000352 |
| Provider Name | William Randolph Maddox |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003030693 PECOS PAC ID: 6800984907 Enrollment ID: I20071126000314 |
| Provider Name | Vishal Arora |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538371802 PECOS PAC ID: 5698864783 Enrollment ID: I20071127000447 |
| Provider Name | Melanie C Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780870808 PECOS PAC ID: 8820187586 Enrollment ID: I20071203000503 |
| Provider Name | Randall Joseph Ruark |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437270691 PECOS PAC ID: 5890885594 Enrollment ID: I20071219000131 |
| Provider Name | Kyle B Mcleod |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164535332 PECOS PAC ID: 3870497530 Enrollment ID: I20071220000178 |
| Provider Name | Pamela Cromer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851366058 PECOS PAC ID: 6103710397 Enrollment ID: I20080109000430 |
| Provider Name | Lee A Merchen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346225562 PECOS PAC ID: 1052384633 Enrollment ID: I20080207000084 |
| Provider Name | Daniel Lee Miller |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831288430 PECOS PAC ID: 4789767096 Enrollment ID: I20080211000164 |
| Provider Name | Hadyn Williams |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1720199425 PECOS PAC ID: 7012091739 Enrollment ID: I20080219000766 |
| Provider Name | Obioma Nwobi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295921823 PECOS PAC ID: 1153405402 Enrollment ID: I20080225000615 |
| Provider Name | Rodney H Hobbs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154369403 PECOS PAC ID: 8820001555 Enrollment ID: I20080226000394 |
| Provider Name | Chad Asplund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184786162 PECOS PAC ID: 6709962913 Enrollment ID: I20080328000236 |
| Provider Name | David Riggans |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1366408197 PECOS PAC ID: 3476630567 Enrollment ID: I20080415000092 |
| Provider Name | Samuel W. Mietling |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750347589 PECOS PAC ID: 0648358663 Enrollment ID: I20080416000333 |
| Provider Name | Eugene Marnell |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1275599003 PECOS PAC ID: 5294813945 Enrollment ID: I20080421000328 |
| Provider Name | William Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154385193 PECOS PAC ID: 8921104118 Enrollment ID: I20080423000617 |
| Provider Name | Harold B Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245294115 PECOS PAC ID: 5294766630 Enrollment ID: I20080423000730 |
| Provider Name | Nirupma Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700971603 PECOS PAC ID: 6406836931 Enrollment ID: I20080429000037 |
| Provider Name | John R Lue |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104938570 PECOS PAC ID: 5294813432 Enrollment ID: I20080429000117 |
| Provider Name | Larry J Wells |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487618542 PECOS PAC ID: 9739285925 Enrollment ID: I20080505000001 |
| Provider Name | Michael D Longe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881817286 PECOS PAC ID: 7416026265 Enrollment ID: I20080520000102 |
| Provider Name | William Jeffrey Rosenblum |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376643031 PECOS PAC ID: 4284737214 Enrollment ID: I20080520000600 |
| Provider Name | John P Rissing |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437269404 PECOS PAC ID: 5698844223 Enrollment ID: I20080521000753 |
| Provider Name | Curless A Patterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548324635 PECOS PAC ID: 3971673203 Enrollment ID: I20080529000512 |
| Provider Name | Suzanne Strickland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104040690 PECOS PAC ID: 7113097239 Enrollment ID: I20080602000438 |
| Provider Name | Kelli M Braun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659598696 PECOS PAC ID: 4981774015 Enrollment ID: I20080602000603 |
| Provider Name | Rene Harper |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710055132 PECOS PAC ID: 1951472166 Enrollment ID: I20080616000638 |
| Provider Name | Forrest B Walker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174746028 PECOS PAC ID: 8628176807 Enrollment ID: I20080630000094 |
| Provider Name | Pascha E Schafer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285851360 PECOS PAC ID: 3577636729 Enrollment ID: I20080721000632 |
| Provider Name | Vincent B Robinson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851401848 PECOS PAC ID: 0143393256 Enrollment ID: I20080723000389 |
| Provider Name | Fremont P Wirth |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1639168776 PECOS PAC ID: 0042113367 Enrollment ID: I20080804000038 |
| Provider Name | Kerry Bachista |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891845798 PECOS PAC ID: 2769557446 Enrollment ID: I20080814000285 |
| Provider Name | Scott Rahimi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093939118 PECOS PAC ID: 3476628710 Enrollment ID: I20080820000604 |
| Provider Name | Charles Howell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881704161 PECOS PAC ID: 0042386138 Enrollment ID: I20080915000401 |
| Provider Name | Bernard G Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356441737 PECOS PAC ID: 2062414287 Enrollment ID: I20081007000661 |
| Provider Name | Michael P Madaio |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235288705 PECOS PAC ID: 3274549118 Enrollment ID: I20081014000323 |
| Provider Name | Askiel Bruno |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770505737 PECOS PAC ID: 9739247297 Enrollment ID: I20081028000214 |
| Provider Name | Brian B Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942458096 PECOS PAC ID: 7315006707 Enrollment ID: I20081029000776 |
| Provider Name | Nicole Wimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447403829 PECOS PAC ID: 9234299892 Enrollment ID: I20081201000098 |
| Provider Name | Jennifer Herbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417077355 PECOS PAC ID: 8123188794 Enrollment ID: I20081201000128 |
| Provider Name | Ishmael Lamptey-mills |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760463376 PECOS PAC ID: 2860417219 Enrollment ID: I20081208000517 |
| Provider Name | Cole A Giller |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114954120 PECOS PAC ID: 9638132822 Enrollment ID: I20081217000711 |
| Provider Name | Cindy D Powell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497780860 PECOS PAC ID: 2264594282 Enrollment ID: I20081229000141 |
| Provider Name | Hartmut Gross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154431500 PECOS PAC ID: 5092879130 Enrollment ID: I20090204000162 |
| Provider Name | David B. Flannery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003926569 PECOS PAC ID: 8820178122 Enrollment ID: I20090204000169 |
| Provider Name | Christopher W Pallas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053410076 PECOS PAC ID: 9537223672 Enrollment ID: I20090204000181 |
| Provider Name | Thomas R Swift |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336234459 PECOS PAC ID: 5890859938 Enrollment ID: I20090204000190 |
| Provider Name | Clarence Joe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912017252 PECOS PAC ID: 4688738727 Enrollment ID: I20090204000222 |
| Provider Name | Suzanne H Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902917693 PECOS PAC ID: 7214091354 Enrollment ID: I20090204000240 |
| Provider Name | George A Nixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508965732 PECOS PAC ID: 2769546803 Enrollment ID: I20090204000248 |
| Provider Name | Cheryl L Newman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275632564 PECOS PAC ID: 0840354999 Enrollment ID: I20090204000261 |
| Provider Name | Lisa E Leggio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689783953 PECOS PAC ID: 9638233786 Enrollment ID: I20090204000287 |
| Provider Name | Annamma T Mammen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376652453 PECOS PAC ID: 1355405408 Enrollment ID: I20090204000308 |
| Provider Name | Anthony M Murro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740399781 PECOS PAC ID: 8325102478 Enrollment ID: I20090204000317 |
| Provider Name | Christopher B White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700997590 PECOS PAC ID: 5597829648 Enrollment ID: I20090204000326 |
| Provider Name | James R Gossage |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295845634 PECOS PAC ID: 4587728647 Enrollment ID: I20090204000340 |
| Provider Name | Maximillian E Stachura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568564839 PECOS PAC ID: 7719041870 Enrollment ID: I20090204000388 |
| Provider Name | William K Dolen |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1649274630 PECOS PAC ID: 5890859953 Enrollment ID: I20090204000399 |
| Provider Name | Charles W Linder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659480846 PECOS PAC ID: 8426112582 Enrollment ID: I20090204000413 |
| Provider Name | Henry Wiles |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154432953 PECOS PAC ID: 7416011572 Enrollment ID: I20090204000424 |
| Provider Name | Lyle E Fisher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518077072 PECOS PAC ID: 5597829655 Enrollment ID: I20090204000432 |
| Provider Name | Rita S Jerath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093825333 PECOS PAC ID: 3779647847 Enrollment ID: I20090204000440 |
| Provider Name | Chitra Mani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811006901 PECOS PAC ID: 2668536731 Enrollment ID: I20090204000457 |
| Provider Name | William B Davis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215047709 PECOS PAC ID: 2668536764 Enrollment ID: I20090205000030 |
| Provider Name | Davidson L Freeman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982707832 PECOS PAC ID: 3375607476 Enrollment ID: I20090205000039 |
| Provider Name | Kathryn S Mcleod |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083723035 PECOS PAC ID: 6305900317 Enrollment ID: I20090205000206 |
| Provider Name | Christopher A Fly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902916471 PECOS PAC ID: 0840354866 Enrollment ID: I20090205000322 |
| Provider Name | Bruce M Leclair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942319298 PECOS PAC ID: 2567526593 Enrollment ID: I20090205000342 |
| Provider Name | William G Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518067073 PECOS PAC ID: 8729142757 Enrollment ID: I20090205000353 |
| Provider Name | Jeff T Wilkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932210739 PECOS PAC ID: 1355405382 Enrollment ID: I20090205000368 |
| Provider Name | Gilberto Sostre |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194836759 PECOS PAC ID: 4880758812 Enrollment ID: I20090205000376 |
| Provider Name | Joseph Hobbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801906177 PECOS PAC ID: 5991869935 Enrollment ID: I20090205000451 |
| Provider Name | Shilpa P Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801906524 PECOS PAC ID: 0244394286 Enrollment ID: I20090205000469 |
| Provider Name | William H Salazar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093825085 PECOS PAC ID: 6507920543 Enrollment ID: I20090205000477 |
| Provider Name | William B Bates |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508975533 PECOS PAC ID: 5496819443 Enrollment ID: I20090205000503 |
| Provider Name | Julian J Nussbaum |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528167699 PECOS PAC ID: 1355405309 Enrollment ID: I20090205000561 |
| Provider Name | Amy Blanchard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538279245 PECOS PAC ID: 6709941735 Enrollment ID: I20090209000008 |
| Provider Name | Robert A Pendergrast |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982704896 PECOS PAC ID: 7618032640 Enrollment ID: I20090209000009 |
| Provider Name | Thomas A Albritton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851400063 PECOS PAC ID: 1254496284 Enrollment ID: I20090209000010 |
| Provider Name | Carlos M Isales |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740390061 PECOS PAC ID: 1153486188 Enrollment ID: I20090209000019 |
| Provider Name | Raymond S Corpe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366556417 PECOS PAC ID: 8224193255 Enrollment ID: I20090209000034 |
| Provider Name | Styles L Bertrand |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891892089 PECOS PAC ID: 6406760099 Enrollment ID: I20090209000040 |
| Provider Name | Jaspal S Gujral |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104936558 PECOS PAC ID: 7214092253 Enrollment ID: I20090209000049 |
| Provider Name | William A Lutin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275642472 PECOS PAC ID: 5395800361 Enrollment ID: I20090209000348 |
| Provider Name | Dennis L Murray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316056344 PECOS PAC ID: 1658436621 Enrollment ID: I20090209000356 |
| Provider Name | Luis A Ortiz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114026242 PECOS PAC ID: 3173688074 Enrollment ID: I20090210000010 |
| Provider Name | Alice L Caldwell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063522795 PECOS PAC ID: 1355406257 Enrollment ID: I20090210000022 |
| Provider Name | Lynnette Budet Bauza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629187570 PECOS PAC ID: 7517022411 Enrollment ID: I20090210000035 |
| Provider Name | John C Morgan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023127024 PECOS PAC ID: 1951466853 Enrollment ID: I20090210000054 |
| Provider Name | Valera L Hudson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134239429 PECOS PAC ID: 6002971918 Enrollment ID: I20090210000109 |
| Provider Name | Robert E Suter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124098926 PECOS PAC ID: 3375503006 Enrollment ID: I20090210000325 |
| Provider Name | Mahendra K Mandawat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871602961 PECOS PAC ID: 7315002243 Enrollment ID: I20090210000352 |
| Provider Name | John W Thornton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922191659 PECOS PAC ID: 6406911346 Enrollment ID: I20090210000363 |
| Provider Name | Ramon E Figueroa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871603324 PECOS PAC ID: 6103981048 Enrollment ID: I20090210000388 |
| Provider Name | Colville H Ferdinand |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306956842 PECOS PAC ID: 9830254770 Enrollment ID: I20090210000392 |
| Provider Name | Phillip L Coule |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790895357 PECOS PAC ID: 1456416395 Enrollment ID: I20090210000425 |
| Provider Name | James A Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245340728 PECOS PAC ID: 7911062864 Enrollment ID: I20090210000504 |
| Provider Name | John H Crosby |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366552929 PECOS PAC ID: 6608931555 Enrollment ID: I20090210000538 |
| Provider Name | David J Terris |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689683765 PECOS PAC ID: 5193710564 Enrollment ID: I20090210000561 |
| Provider Name | Stilianos E Kountakis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508976770 PECOS PAC ID: 3173531753 Enrollment ID: I20090210000588 |
| Provider Name | Haroon F Choudhri |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477663144 PECOS PAC ID: 3870658743 Enrollment ID: I20090210000671 |
| Provider Name | Kapil D Sethi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003927054 PECOS PAC ID: 5395800262 Enrollment ID: I20090210000697 |
| Provider Name | Samuel D Macomson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346354735 PECOS PAC ID: 5395709307 Enrollment ID: I20090210000712 |
| Provider Name | David C Hess |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477663748 PECOS PAC ID: 7719042688 Enrollment ID: I20090210000732 |
| Provider Name | Fenwick T Nichols |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306945639 PECOS PAC ID: 4082779855 Enrollment ID: I20090210000743 |
| Provider Name | Paul D Forney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255441721 PECOS PAC ID: 9436214210 Enrollment ID: I20090211000018 |
| Provider Name | Michael H Rivner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669582649 PECOS PAC ID: 2668537440 Enrollment ID: I20090211000065 |
| Provider Name | Lloyd B Schnuck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477663490 PECOS PAC ID: 7012072895 Enrollment ID: I20090211000071 |
| Provider Name | Elizabeth A Sekul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215048269 PECOS PAC ID: 4284799065 Enrollment ID: I20090211000080 |
| Provider Name | Natalie E Lane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861501314 PECOS PAC ID: 3072678887 Enrollment ID: I20090211000338 |
| Provider Name | Mark D Lopez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053420257 PECOS PAC ID: 1254358328 Enrollment ID: I20090211000366 |
| Provider Name | Jerry N Pruitt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316047871 PECOS PAC ID: 6103981923 Enrollment ID: I20090211000419 |
| Provider Name | John R Vender |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174634174 PECOS PAC ID: 7911062732 Enrollment ID: I20090211000432 |
| Provider Name | James E Sinex |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982715801 PECOS PAC ID: 5092870816 Enrollment ID: I20090211000446 |
| Provider Name | Thomas A Dillard |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194835603 PECOS PAC ID: 8527123348 Enrollment ID: I20090211000456 |
| Provider Name | Chantrapa Bunyapen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861502585 PECOS PAC ID: 5597820316 Enrollment ID: I20090211000470 |
| Provider Name | Abdullah Kutlar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780793349 PECOS PAC ID: 7214092907 Enrollment ID: I20090212000348 |
| Provider Name | David R Haburchak |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265542625 PECOS PAC ID: 5597820290 Enrollment ID: I20090212000423 |
| Provider Name | Anthony L Mulloy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588773592 PECOS PAC ID: 1951466531 Enrollment ID: I20090213000484 |
| Provider Name | Daron Ferris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619087160 PECOS PAC ID: 8325103914 Enrollment ID: I20090216000006 |
| Provider Name | Adelina M Emmi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164532685 PECOS PAC ID: 2961567557 Enrollment ID: I20090216000011 |
| Provider Name | Timothy Young |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518977701 PECOS PAC ID: 8224193818 Enrollment ID: I20090216000022 |
| Provider Name | Loretta Davis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346350832 PECOS PAC ID: 0840355442 Enrollment ID: I20090216000043 |
| Provider Name | James Wilde |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598876385 PECOS PAC ID: 1456416056 Enrollment ID: I20090216000078 |
| Provider Name | Lawrence C Layman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538278940 PECOS PAC ID: 6305901844 Enrollment ID: I20090217000035 |
| Provider Name | Lawrence D Devoe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063522563 PECOS PAC ID: 9032274576 Enrollment ID: I20090217000041 |
| Provider Name | Peter F Buckley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528178241 PECOS PAC ID: 7810052362 Enrollment ID: I20090217000085 |
| Provider Name | David D Bogorad |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609986314 PECOS PAC ID: 3173688652 Enrollment ID: I20090217000352 |
| Provider Name | James E Carroll |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285744920 PECOS PAC ID: 9436214913 Enrollment ID: I20090217000367 |
| Provider Name | Lane D Ulrich |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730191081 PECOS PAC ID: 1850456344 Enrollment ID: I20090217000414 |
| Provider Name | Martha K Terris |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215948211 PECOS PAC ID: 8729143227 Enrollment ID: I20090217000536 |
| Provider Name | Michael L Hawkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083724454 PECOS PAC ID: 9234294737 Enrollment ID: I20090217000567 |
| Provider Name | Clay N Stallworth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790896215 PECOS PAC ID: 0042375552 Enrollment ID: I20090217000587 |
| Provider Name | Kimberly B Jester |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063522308 PECOS PAC ID: 0840355350 Enrollment ID: I20090217000608 |
| Provider Name | Subbaramiah Sridhar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548371024 PECOS PAC ID: 6901961333 Enrollment ID: I20090218000199 |
| Provider Name | Stephanie L Goei |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083724413 PECOS PAC ID: 6800951245 Enrollment ID: I20090218000216 |
| Provider Name | Paul M Dainer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346221256 PECOS PAC ID: 7517022957 Enrollment ID: I20090218000231 |
| Provider Name | Richard B Schwartz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033220074 PECOS PAC ID: 2961567300 Enrollment ID: I20090218000247 |
| Provider Name | Margaret F Guill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306956750 PECOS PAC ID: 0749345197 Enrollment ID: I20090218000361 |
| Provider Name | Achih Hung-chin Chen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1083796460 PECOS PAC ID: 7012072416 Enrollment ID: I20090219000088 |
| Provider Name | Yong Park |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760582712 PECOS PAC ID: 5698830925 Enrollment ID: I20090219000413 |
| Provider Name | William Titman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285726745 PECOS PAC ID: 2567463433 Enrollment ID: I20090225000149 |
| Provider Name | Olusegun John |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174796130 PECOS PAC ID: 2062578164 Enrollment ID: I20090225000299 |
| Provider Name | Jeffrey Scott Dowling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558578427 PECOS PAC ID: 6800952219 Enrollment ID: I20090311000155 |
| Provider Name | Ralph A Gillies |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073623401 PECOS PAC ID: 4385794957 Enrollment ID: I20090603000215 |
| Provider Name | David M Hunter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780794008 PECOS PAC ID: 5597815076 Enrollment ID: I20090603000379 |
| Provider Name | Larry B Mellick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841309804 PECOS PAC ID: 9133279615 Enrollment ID: I20090603000383 |
| Provider Name | Chiriyankandath S Sebastian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801907845 PECOS PAC ID: 3577613058 Enrollment ID: I20090603000398 |
| Provider Name | Donna L Londino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447369632 PECOS PAC ID: 6103976683 Enrollment ID: I20090603000406 |
| Provider Name | Betty B Wray |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1497866123 PECOS PAC ID: 1658421136 Enrollment ID: I20090603000413 |
| Provider Name | Afshin Ameri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265541403 PECOS PAC ID: 1557411030 Enrollment ID: I20090603000429 |
| Provider Name | Lorna E Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013026921 PECOS PAC ID: 5092865584 Enrollment ID: I20090603000442 |
| Provider Name | Edward Chin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861502536 PECOS PAC ID: 9537219027 Enrollment ID: I20090603000449 |
| Provider Name | Eric Lewkowiez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639288814 PECOS PAC ID: 6709936297 Enrollment ID: I20090603000455 |
| Provider Name | Stewart A Shevitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255442273 PECOS PAC ID: 6103976691 Enrollment ID: I20090603000508 |
| Provider Name | Debra J Ware |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821080342 PECOS PAC ID: 5496805434 Enrollment ID: I20090612000007 |
| Provider Name | Sravankumar Kavuri |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245437813 PECOS PAC ID: 0941351019 Enrollment ID: I20090701000100 |
| Provider Name | Robert C Dinsmore |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1346301231 PECOS PAC ID: 2466503354 Enrollment ID: I20090707000164 |
| Provider Name | Arie Franco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568562395 PECOS PAC ID: 1850284712 Enrollment ID: I20090710000318 |
| Provider Name | Lynn Crosby |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376509406 PECOS PAC ID: 5092608026 Enrollment ID: I20090723000440 |
| Provider Name | David M Cearley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922034537 PECOS PAC ID: 6406859669 Enrollment ID: I20090723000454 |
| Provider Name | Jack E Hanson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932302007 PECOS PAC ID: 6800948753 Enrollment ID: I20090723000498 |
| Provider Name | Catherine L Ferguson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194720409 PECOS PAC ID: 9335291285 Enrollment ID: I20090723000522 |
| Provider Name | Paula W Finley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669681862 PECOS PAC ID: 5496807356 Enrollment ID: I20090723000559 |
| Provider Name | Kristen H Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205022001 PECOS PAC ID: 3678626249 Enrollment ID: I20090729000425 |
| Provider Name | Stephanie L Baer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063544062 PECOS PAC ID: 0446343313 Enrollment ID: I20090730000386 |
| Provider Name | Clementino Arturo Solares |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033307111 PECOS PAC ID: 7012068133 Enrollment ID: I20090805000551 |
| Provider Name | Houman S Tamaddon |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1609096585 PECOS PAC ID: 6305990995 Enrollment ID: I20090817000441 |
| Provider Name | Roni Bollag |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144342056 PECOS PAC ID: 8527112135 Enrollment ID: I20090817000614 |
| Provider Name | Jimmy Brown |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508974395 PECOS PAC ID: 6002996626 Enrollment ID: I20090818000121 |
| Provider Name | David J Fallaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437370939 PECOS PAC ID: 4789730086 Enrollment ID: I20090928000363 |
| Provider Name | Kathryn Elizabeth Bollinger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851598270 PECOS PAC ID: 1658471180 Enrollment ID: I20091020000254 |
| Provider Name | Dominic R Gallo |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1891803821 PECOS PAC ID: 3678611019 Enrollment ID: I20091105000215 |
| Provider Name | Shahram Bozorgnia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013120930 PECOS PAC ID: 8921146903 Enrollment ID: I20091111000613 |
| Provider Name | Michael B Sumner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528250388 PECOS PAC ID: 7315085107 Enrollment ID: I20091116000540 |
| Provider Name | Joyce Gonzales |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912120528 PECOS PAC ID: 3971641689 Enrollment ID: I20091117000169 |
| Provider Name | Erin F Switzer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801994884 PECOS PAC ID: 5597806257 Enrollment ID: I20100104000472 |
| Provider Name | Bobbilynn H Hawkins Lee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457330359 PECOS PAC ID: 6204979701 Enrollment ID: I20100205000436 |
| Provider Name | Charles A Hughes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720053598 PECOS PAC ID: 2567506587 Enrollment ID: I20100215000323 |
| Provider Name | Rafik A Abdelsayed |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1902854110 PECOS PAC ID: 0244375756 Enrollment ID: I20100309000414 |
| Provider Name | Tiffany Katease Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356567986 PECOS PAC ID: 8921143355 Enrollment ID: I20100309000829 |
| Provider Name | Gyanendra Kumar Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427051556 PECOS PAC ID: 4183609597 Enrollment ID: I20100322000726 |
| Provider Name | Byron G Dasher |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1518923416 PECOS PAC ID: 7517092984 Enrollment ID: I20100324000518 |
| Provider Name | Tiffaney S Jackson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962653816 PECOS PAC ID: 9739215351 Enrollment ID: I20100407000168 |
| Provider Name | William D Martin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659337129 PECOS PAC ID: 6002943750 Enrollment ID: I20100428000814 |
| Provider Name | Christy M Cockfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215265442 PECOS PAC ID: 8224166699 Enrollment ID: I20100505000314 |
| Provider Name | Ricaurte Antonio Solis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295996924 PECOS PAC ID: 5193856326 Enrollment ID: I20100701000416 |
| Provider Name | Theodore S Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255453759 PECOS PAC ID: 1658402839 Enrollment ID: I20100702000164 |
| Provider Name | Frank L Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164464087 PECOS PAC ID: 4385552918 Enrollment ID: I20100719000353 |
| Provider Name | Darko Pucar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679725451 PECOS PAC ID: 1951433291 Enrollment ID: I20100721000870 |
| Provider Name | Leslie A Rudzinski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336122639 PECOS PAC ID: 3274691159 Enrollment ID: I20100809000193 |
| Provider Name | Ian James Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902003395 PECOS PAC ID: 6901930015 Enrollment ID: I20100811000542 |
| Provider Name | Subhashini Ramesh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124225792 PECOS PAC ID: 0143354910 Enrollment ID: I20100816000400 |
| Provider Name | Jacqueline Dubose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922129683 PECOS PAC ID: 1951456946 Enrollment ID: I20100817000922 |
| Provider Name | Amyn Rojiani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528089349 PECOS PAC ID: 8022198175 Enrollment ID: I20100818000897 |
| Provider Name | Scott Forseen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235352923 PECOS PAC ID: 4486783602 Enrollment ID: I20100831000630 |
| Provider Name | Paul M Weinberger |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407976673 PECOS PAC ID: 1759406150 Enrollment ID: I20100908000806 |
| Provider Name | Zhonglin Hao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356527543 PECOS PAC ID: 2062537350 Enrollment ID: I20100909000805 |
| Provider Name | Robert R Francilin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538485321 PECOS PAC ID: 8921123100 Enrollment ID: I20100910000829 |
| Provider Name | Lisa M Sheehan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518146059 PECOS PAC ID: 0547385221 Enrollment ID: I20100917000955 |
| Provider Name | Brian J Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831312537 PECOS PAC ID: 1052436748 Enrollment ID: I20100917001019 |
| Provider Name | Steven Bobby Ellison |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992724769 PECOS PAC ID: 9830214311 Enrollment ID: I20100921000969 |
| Provider Name | Ricardo Azziz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447237375 PECOS PAC ID: 5193864833 Enrollment ID: I20101011000154 |
| Provider Name | Kristopher Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396866265 PECOS PAC ID: 7012109648 Enrollment ID: I20101014000131 |
| Provider Name | Courtney Emmett Gustin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316273840 PECOS PAC ID: 6800089434 Enrollment ID: I20101015000017 |
| Provider Name | Leigh G Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679684518 PECOS PAC ID: 2163615600 Enrollment ID: I20101018000295 |
| Provider Name | William J Conkright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609853191 PECOS PAC ID: 6406049485 Enrollment ID: I20101022000410 |
| Provider Name | Andrew L Vanalstine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609853068 PECOS PAC ID: 6608060231 Enrollment ID: I20101028000059 |
| Provider Name | Anthony Van Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740267194 PECOS PAC ID: 2961567219 Enrollment ID: I20101028000087 |
| Provider Name | Erin V Spearman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053498212 PECOS PAC ID: 5698969178 Enrollment ID: I20101028000735 |
| Provider Name | Judson Alan Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376740340 PECOS PAC ID: 8921293408 Enrollment ID: I20101110000248 |
| Provider Name | Kenna S Given |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1437114725 PECOS PAC ID: 1850586975 Enrollment ID: I20101115000211 |
| Provider Name | Kristi Thomas Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992027205 PECOS PAC ID: 2062608623 Enrollment ID: I20101122000312 |
| Provider Name | David L Kriegel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497816318 PECOS PAC ID: 6901703107 Enrollment ID: I20101124000165 |
| Provider Name | Thomas P Garigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275535593 PECOS PAC ID: 3375739733 Enrollment ID: I20101124000200 |
| Provider Name | Arthur Joseph Torsiglieri |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538271408 PECOS PAC ID: 1850454059 Enrollment ID: I20101130000834 |
| Provider Name | Peter Joseph Stager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346305588 PECOS PAC ID: 9032305230 Enrollment ID: I20101130001114 |
| Provider Name | Michel Pare |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912089533 PECOS PAC ID: 2163634841 Enrollment ID: I20101216000426 |
| Provider Name | Betty S Pace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700195039 PECOS PAC ID: 7315135175 Enrollment ID: I20101220001160 |
| Provider Name | Laura Logue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396899167 PECOS PAC ID: 1658324678 Enrollment ID: I20101220001170 |
| Provider Name | Robert Scott Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003117680 PECOS PAC ID: 5597953356 Enrollment ID: I20101220001176 |
| Provider Name | John S Earwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063580488 PECOS PAC ID: 9335337054 Enrollment ID: I20101222000641 |
| Provider Name | Jason S Lanham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730177965 PECOS PAC ID: 8628265386 Enrollment ID: I20110104000640 |
| Provider Name | Wanda Del Carmen Jirau-rosaly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720242068 PECOS PAC ID: 5193914851 Enrollment ID: I20110111000517 |
| Provider Name | Erin Z Latif |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568408342 PECOS PAC ID: 3577576966 Enrollment ID: I20110118000662 |
| Provider Name | Sheldon E Litwin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861447989 PECOS PAC ID: 1759375785 Enrollment ID: I20110119000224 |
| Provider Name | Michael Kilbourne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235442682 PECOS PAC ID: 2466631171 Enrollment ID: I20110127000459 |
| Provider Name | Peter J Skidmore |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174691737 PECOS PAC ID: 9830379288 Enrollment ID: I20110202000521 |
| Provider Name | Keith F Omalley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053381145 PECOS PAC ID: 7214080308 Enrollment ID: I20110204000632 |
| Provider Name | Mark Robert Keaton |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477530533 PECOS PAC ID: 4486685864 Enrollment ID: I20110215000457 |
| Provider Name | John G Devine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700853017 PECOS PAC ID: 6002947124 Enrollment ID: I20110228000207 |
| Provider Name | William S Duke |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679545875 PECOS PAC ID: 0840471629 Enrollment ID: I20110228000232 |
| Provider Name | Diana Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417173600 PECOS PAC ID: 6507049996 Enrollment ID: I20110322000992 |
| Provider Name | Troy W Akers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265697049 PECOS PAC ID: 4486837648 Enrollment ID: I20110324000923 |
| Provider Name | Diego G Espinosa-heidmann |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891913380 PECOS PAC ID: 5496806879 Enrollment ID: I20110406000627 |
| Provider Name | Christen F. Standiford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366751463 PECOS PAC ID: 9739365792 Enrollment ID: I20110510000107 |
| Provider Name | Edward Francis Szabo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437186012 PECOS PAC ID: 6901701515 Enrollment ID: I20110525000067 |
| Provider Name | Manjeshwar Vinayak Kamath |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669535522 PECOS PAC ID: 3173647864 Enrollment ID: I20110603000519 |
| Provider Name | Charles Spurr |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134157571 PECOS PAC ID: 9133148182 Enrollment ID: I20110614000042 |
| Provider Name | Matthew Haubert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548286107 PECOS PAC ID: 9638131048 Enrollment ID: I20110616000213 |
| Provider Name | Mirsad Mirza Mujadzic |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1184812968 PECOS PAC ID: 5698953743 Enrollment ID: I20110621000156 |
| Provider Name | Michael Groves |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215180526 PECOS PAC ID: 1759569767 Enrollment ID: I20110622000181 |
| Provider Name | Kandace Klein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053535856 PECOS PAC ID: 7315125341 Enrollment ID: I20110622000389 |
| Provider Name | Brent A Parnell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205957404 PECOS PAC ID: 9739251083 Enrollment ID: I20110622000396 |
| Provider Name | Daniel Kleven |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619180742 PECOS PAC ID: 2365638541 Enrollment ID: I20110622000418 |
| Provider Name | Vamsi Kota |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790902393 PECOS PAC ID: 9032397708 Enrollment ID: I20110628000509 |
| Provider Name | James Holcomb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407836349 PECOS PAC ID: 1557549235 Enrollment ID: I20110628000555 |
| Provider Name | John G Stewart |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1427251412 PECOS PAC ID: 8820276132 Enrollment ID: I20110708000359 |
| Provider Name | Theodore Chung |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1609895200 PECOS PAC ID: 6103922083 Enrollment ID: I20110712000595 |
| Provider Name | Todd E. Burgbacher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821226341 PECOS PAC ID: 1557539574 Enrollment ID: I20110719000240 |
| Provider Name | Richard D Gordon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982868345 PECOS PAC ID: 0244414613 Enrollment ID: I20110727000635 |
| Provider Name | Yulia Melenevsky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841432481 PECOS PAC ID: 4880862333 Enrollment ID: I20110727000652 |
| Provider Name | Michael R Ferguson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891956520 PECOS PAC ID: 1557530516 Enrollment ID: I20110808000675 |
| Provider Name | William Shingleton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851319362 PECOS PAC ID: 1759351216 Enrollment ID: I20110811000207 |
| Provider Name | Sarah Josephson Cely |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1225235393 PECOS PAC ID: 7214106087 Enrollment ID: I20110811000738 |
| Provider Name | Ranjan Avasthi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801068507 PECOS PAC ID: 1658540356 Enrollment ID: I20110815000741 |
| Provider Name | Namita Mohanty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093977753 PECOS PAC ID: 9032389598 Enrollment ID: I20110819000386 |
| Provider Name | Michel M Mcdonough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083652879 PECOS PAC ID: 7315030392 Enrollment ID: I20110913000058 |
| Provider Name | Satish S Rao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063485340 PECOS PAC ID: 3274675970 Enrollment ID: I20110915000479 |
| Provider Name | Catherine S Sanderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649550245 PECOS PAC ID: 9830360049 Enrollment ID: I20110920000516 |
| Provider Name | Shefali Navin Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124237284 PECOS PAC ID: 8628162591 Enrollment ID: I20110927000412 |
| Provider Name | Jigarkumar R Parikh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073775722 PECOS PAC ID: 6507037272 Enrollment ID: I20110929000376 |
| Provider Name | Vishwas Sakhalkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053492975 PECOS PAC ID: 2163528506 Enrollment ID: I20111019000732 |
| Provider Name | Monali Sakhalkar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891716890 PECOS PAC ID: 5092797779 Enrollment ID: I20111101000458 |
| Provider Name | Donald Scott Burns |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912012915 PECOS PAC ID: 2769677020 Enrollment ID: I20111102000603 |
| Provider Name | Cristian Thomae |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306934658 PECOS PAC ID: 5597842401 Enrollment ID: I20111104000022 |
| Provider Name | Mohammad R Amini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982899704 PECOS PAC ID: 7719174069 Enrollment ID: I20111108000774 |
| Provider Name | Melissa Stone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780806968 PECOS PAC ID: 8921132788 Enrollment ID: I20111116000861 |
| Provider Name | Edsworth John |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841331881 PECOS PAC ID: 6002905080 Enrollment ID: I20111129000127 |
| Provider Name | Swapna Velamakanni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689835746 PECOS PAC ID: 8426223116 Enrollment ID: I20111207000807 |
| Provider Name | Charlton Judson Pickett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366429854 PECOS PAC ID: 1951466051 Enrollment ID: I20111208000605 |
| Provider Name | Divakar Jammalamadaka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265699920 PECOS PAC ID: 8820271273 Enrollment ID: I20111212000230 |
| Provider Name | Adam F Hoover |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669600235 PECOS PAC ID: 0446425698 Enrollment ID: I20111216000145 |
| Provider Name | Brooke Erika Bond |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659394377 PECOS PAC ID: 3678740438 Enrollment ID: I20120118000782 |
| Provider Name | Brian Lane |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568442184 PECOS PAC ID: 6103892450 Enrollment ID: I20120120000507 |
| Provider Name | Eric J Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477767044 PECOS PAC ID: 0042362808 Enrollment ID: I20120201000224 |
| Provider Name | Leonard Little |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316984347 PECOS PAC ID: 0244497303 Enrollment ID: I20120201000922 |
| Provider Name | Bruce R Smoller |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144310632 PECOS PAC ID: 4082755624 Enrollment ID: I20120208000147 |
| Provider Name | Sharon M Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144283714 PECOS PAC ID: 1456258649 Enrollment ID: I20120222000905 |
| Provider Name | Jeremy Mark Alexander Pantin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407033376 PECOS PAC ID: 3375702145 Enrollment ID: I20120314000400 |
| Provider Name | Rubjit K Nagpal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992721963 PECOS PAC ID: 6507839172 Enrollment ID: I20120410000390 |
| Provider Name | Anthony James Moretti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487668679 PECOS PAC ID: 6204098098 Enrollment ID: I20120423000774 |
| Provider Name | John E Janik |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1508052127 PECOS PAC ID: 1658534490 Enrollment ID: I20120515000424 |
| Provider Name | Kelvin A Moses |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609052554 PECOS PAC ID: 9830352228 Enrollment ID: I20120522001250 |
| Provider Name | Padmashree C Woodham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982882056 PECOS PAC ID: 3173786381 Enrollment ID: I20120529000198 |
| Provider Name | Thomas W Kiernan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518074855 PECOS PAC ID: 2466616610 Enrollment ID: I20120619000573 |
| Provider Name | Christa Pepitone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376771899 PECOS PAC ID: 7012171135 Enrollment ID: I20120620000811 |
| Provider Name | Rebecca Suzanne Napier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730317314 PECOS PAC ID: 3375707409 Enrollment ID: I20120620000833 |
| Provider Name | Marcie Beth Massaro Alisangco |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225222680 PECOS PAC ID: 7618131764 Enrollment ID: I20120621000192 |
| Provider Name | Clark A Mcdonough |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578531935 PECOS PAC ID: 1153585203 Enrollment ID: I20120621000214 |
| Provider Name | Daniel J Heine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730317918 PECOS PAC ID: 5597929646 Enrollment ID: I20120621000232 |
| Provider Name | William Vaughn Mccall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902881485 PECOS PAC ID: 6901931807 Enrollment ID: I20120621000251 |
| Provider Name | Jeremy R Anthony |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487882056 PECOS PAC ID: 7810151974 Enrollment ID: I20120621000279 |
| Provider Name | Ravindra Kolhe |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831351527 PECOS PAC ID: 5991969057 Enrollment ID: I20120621000295 |
| Provider Name | Matthew Givens |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1275737918 PECOS PAC ID: 3971767039 Enrollment ID: I20120621000315 |
| Provider Name | Natasha Savage |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265639827 PECOS PAC ID: 2668636739 Enrollment ID: I20120621000353 |
| Provider Name | Eran Rotem |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1912294182 PECOS PAC ID: 0547425670 Enrollment ID: I20120622000336 |
| Provider Name | Jaswinder Singh Rattan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477708436 PECOS PAC ID: 6800932542 Enrollment ID: I20120703000623 |
| Provider Name | Stephanie Ann Lareau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063654879 PECOS PAC ID: 8123205812 Enrollment ID: I20120705000131 |
| Provider Name | Debra T Moore-hill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275730665 PECOS PAC ID: 0547425126 Enrollment ID: I20120705000189 |
| Provider Name | Stephen H. Bush |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083875710 PECOS PAC ID: 4789849365 Enrollment ID: I20120705000242 |
| Provider Name | Lu Y Huber |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629278759 PECOS PAC ID: 2567627169 Enrollment ID: I20120705000421 |
| Provider Name | Joshua Ben Rafoth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912050899 PECOS PAC ID: 3173698883 Enrollment ID: I20120713000266 |
| Provider Name | Andrea Haltiner Prosser |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790947448 PECOS PAC ID: 0042476723 Enrollment ID: I20120724001002 |
| Provider Name | George F Harris |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689885659 PECOS PAC ID: 5294900205 Enrollment ID: I20120724001021 |
| Provider Name | Bunja Rungruang |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1356547624 PECOS PAC ID: 2961668538 Enrollment ID: I20120725001111 |
| Provider Name | Lance Frank Evans |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235179078 PECOS PAC ID: 2365454907 Enrollment ID: I20120731000316 |
| Provider Name | Anil K Puri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629166335 PECOS PAC ID: 6901052745 Enrollment ID: I20120809000430 |
| Provider Name | Jennifer Purdie Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245467158 PECOS PAC ID: 4587859384 Enrollment ID: I20120820000051 |
| Provider Name | Cassandra Q White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245456706 PECOS PAC ID: 2769639160 Enrollment ID: I20120820000752 |
| Provider Name | Barbara Robinson Henley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912063728 PECOS PAC ID: 0042341661 Enrollment ID: I20120821001086 |
| Provider Name | Sarah E Mowry |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639327901 PECOS PAC ID: 6901952746 Enrollment ID: I20120827000559 |
| Provider Name | Lok Wong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366641458 PECOS PAC ID: 3870740871 Enrollment ID: I20120827000651 |
| Provider Name | Anthony Bonitatibus |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1689606477 PECOS PAC ID: 1456255124 Enrollment ID: I20120828000774 |
| Provider Name | Hal Bowers |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932195898 PECOS PAC ID: 9830150143 Enrollment ID: I20120829000856 |
| Provider Name | Peter B Rosenquist |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033193099 PECOS PAC ID: 6204826001 Enrollment ID: I20120829000872 |
| Provider Name | Ian M Heger |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801891411 PECOS PAC ID: 6002853843 Enrollment ID: I20120910000356 |
| Provider Name | Adil M Abuzeid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285857391 PECOS PAC ID: 5092963405 Enrollment ID: I20120910000387 |
| Provider Name | David W Jang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295995355 PECOS PAC ID: 1052569225 Enrollment ID: I20120912000682 |
| Provider Name | Paul M Wallach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487665675 PECOS PAC ID: 0244395697 Enrollment ID: I20120917000740 |
| Provider Name | Lester Young |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518118678 PECOS PAC ID: 6103074992 Enrollment ID: I20120920000269 |
| Provider Name | Michelle Cintron |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1790976710 PECOS PAC ID: 0648429076 Enrollment ID: I20120928000612 |
| Provider Name | Alberto B Santos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134237175 PECOS PAC ID: 1456420165 Enrollment ID: I20121008000041 |
| Provider Name | Babar Hasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649266016 PECOS PAC ID: 2860387891 Enrollment ID: I20121015000121 |
| Provider Name | Kelly C Homlar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295882017 PECOS PAC ID: 2961652219 Enrollment ID: I20121022000492 |
| Provider Name | Krystle Leigh Graham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225268949 PECOS PAC ID: 4880844067 Enrollment ID: I20121024000484 |
| Provider Name | Bennett Greenspan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750334843 PECOS PAC ID: 3476562919 Enrollment ID: I20121105000616 |
| Provider Name | Bruce Gilbert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497725824 PECOS PAC ID: 8224289533 Enrollment ID: I20121114000575 |
| Provider Name | Paul B Poommipanit |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487779757 PECOS PAC ID: 0244355220 Enrollment ID: I20121121000142 |
| Provider Name | Christopher B Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164734851 PECOS PAC ID: 0648422972 Enrollment ID: I20121212000314 |
| Provider Name | Frederick James |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225113210 PECOS PAC ID: 8628244704 Enrollment ID: I20130123000403 |
| Provider Name | Amaka Eunice Ezimora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902121122 PECOS PAC ID: 5799939799 Enrollment ID: I20130128000489 |
| Provider Name | George R Pokorny |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982677829 PECOS PAC ID: 1153453279 Enrollment ID: I20130204000117 |
| Provider Name | Monuj T Bashambu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083704159 PECOS PAC ID: 8820240765 Enrollment ID: I20130207000428 |
| Provider Name | Robert Mulry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922346337 PECOS PAC ID: 4284605130 Enrollment ID: I20130214000109 |
| Provider Name | John Affronti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023020872 PECOS PAC ID: 7214024181 Enrollment ID: I20130313000385 |
| Provider Name | Ricky R Byrd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992865752 PECOS PAC ID: 9335183425 Enrollment ID: I20130315000254 |
| Provider Name | Charles Ayanleke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255573960 PECOS PAC ID: 0749336329 Enrollment ID: I20130403000435 |
| Provider Name | Lucas H Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265660799 PECOS PAC ID: 4486890811 Enrollment ID: I20130409000437 |
| Provider Name | Charles R Wolf Iii |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205888310 PECOS PAC ID: 2466631866 Enrollment ID: I20130424001068 |
| Provider Name | Lisa Spencer Towns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528309218 PECOS PAC ID: 2466699921 Enrollment ID: I20130501000218 |
| Provider Name | Trekesha Mitchell Broady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851632350 PECOS PAC ID: 7618114406 Enrollment ID: I20130515000492 |
| Provider Name | Jordan D Mellinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669737771 PECOS PAC ID: 0648419036 Enrollment ID: I20130614000458 |
| Provider Name | David R Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689995821 PECOS PAC ID: 8820237605 Enrollment ID: I20130627000319 |
| Provider Name | Amy Cohan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164793170 PECOS PAC ID: 9234379488 Enrollment ID: I20130711000160 |
| Provider Name | Zahid Amin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285639435 PECOS PAC ID: 4789656851 Enrollment ID: I20130712000596 |
| Provider Name | Kenneth C Walters |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619005469 PECOS PAC ID: 8921248964 Enrollment ID: I20130715000731 |
| Provider Name | Candice Renee Lovelace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215248307 PECOS PAC ID: 8729228762 Enrollment ID: I20130715000751 |
| Provider Name | Michael John Allen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831346139 PECOS PAC ID: 1254570336 Enrollment ID: I20130715000778 |
| Provider Name | Sarah H King |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861730749 PECOS PAC ID: 0840430807 Enrollment ID: I20130716000141 |
| Provider Name | Daniel J Mccollum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528389707 PECOS PAC ID: 8921248980 Enrollment ID: I20130716000158 |
| Provider Name | William Nicholas Toussaint |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861626301 PECOS PAC ID: 3971743832 Enrollment ID: I20130717000634 |
| Provider Name | Chelsea M Carson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053549501 PECOS PAC ID: 2668613571 Enrollment ID: I20130718000422 |
| Provider Name | Ronald Andrew Rimmer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568414910 PECOS PAC ID: 6709938780 Enrollment ID: I20130723000864 |
| Provider Name | Eric Zevallos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245551415 PECOS PAC ID: 3779724307 Enrollment ID: I20130724000793 |
| Provider Name | Thaddeus Y Carson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750602967 PECOS PAC ID: 9830330463 Enrollment ID: I20130724000822 |
| Provider Name | William Cagle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083811657 PECOS PAC ID: 5799957627 Enrollment ID: I20130725000879 |
| Provider Name | Amy Estes |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790908663 PECOS PAC ID: 4385812866 Enrollment ID: I20130725000907 |
| Provider Name | Feng-ming Phoenix Kong |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699867093 PECOS PAC ID: 9931115664 Enrollment ID: I20130725000921 |
| Provider Name | Joseph P Mcevoy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962586859 PECOS PAC ID: 0547364879 Enrollment ID: I20130729000484 |
| Provider Name | Joshua M Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871814939 PECOS PAC ID: 7618118951 Enrollment ID: I20130729000530 |
| Provider Name | Sean Tristan T Cook |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083811475 PECOS PAC ID: 8224279567 Enrollment ID: I20130729000567 |
| Provider Name | Austin Shiver |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407177652 PECOS PAC ID: 2567603806 Enrollment ID: I20130729000611 |
| Provider Name | Andre Michael Pennardt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174502280 PECOS PAC ID: 9537239124 Enrollment ID: I20130802000750 |
| Provider Name | Christopher M Johnson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295931350 PECOS PAC ID: 2567604531 Enrollment ID: I20130805000567 |
| Provider Name | Huda S Salman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790772556 PECOS PAC ID: 8729011317 Enrollment ID: I20130813000754 |
| Provider Name | Hoang Anh Tran Vo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457597387 PECOS PAC ID: 3072755438 Enrollment ID: I20130814000437 |
| Provider Name | Neal Weintraub |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265467492 PECOS PAC ID: 6709858731 Enrollment ID: I20130814000632 |
| Provider Name | Jon D Willardson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780819771 PECOS PAC ID: 9436396850 Enrollment ID: I20130816000602 |
| Provider Name | Lynne Coule |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942303961 PECOS PAC ID: 1355584012 Enrollment ID: I20130827000929 |
| Provider Name | Ryan M Decoons |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275693749 PECOS PAC ID: 1456594837 Enrollment ID: I20130904000544 |
| Provider Name | Fanta E Kasiah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639480684 PECOS PAC ID: 8729227178 Enrollment ID: I20130909000461 |
| Provider Name | Laura D Carbone |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1639136435 PECOS PAC ID: 4385778794 Enrollment ID: I20130911000165 |
| Provider Name | Miranda R Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679735328 PECOS PAC ID: 2466696596 Enrollment ID: I20130911000587 |
| Provider Name | Shawn Marie Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538416821 PECOS PAC ID: 5890939706 Enrollment ID: I20130916000418 |
| Provider Name | Deewan Deewan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811292055 PECOS PAC ID: 6406024587 Enrollment ID: I20130917000628 |
| Provider Name | Richard Camino Gaztambide |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184803116 PECOS PAC ID: 8325222060 Enrollment ID: I20130917000704 |
| Provider Name | Ayman Al-hendy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023184637 PECOS PAC ID: 1759470388 Enrollment ID: I20130918000292 |
| Provider Name | Matthew Adam Lynn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578749990 PECOS PAC ID: 8022252683 Enrollment ID: I20130920000499 |
| Provider Name | John Mcmanus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164493987 PECOS PAC ID: 6800851007 Enrollment ID: I20130923000579 |
| Provider Name | Sumanth R Daram |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619957107 PECOS PAC ID: 3870560964 Enrollment ID: I20130923000627 |
| Provider Name | Joseph N Myers |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851529994 PECOS PAC ID: 8325288012 Enrollment ID: I20130924000246 |
| Provider Name | Thomas L Estes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659596054 PECOS PAC ID: 7911141429 Enrollment ID: I20130924000622 |
| Provider Name | Edward Rigtrup |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023182557 PECOS PAC ID: 9436393840 Enrollment ID: I20130924000673 |
| Provider Name | Jordan H Weitzner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992026140 PECOS PAC ID: 1951535160 Enrollment ID: I20131001000401 |
| Provider Name | Sean M Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295901312 PECOS PAC ID: 7315103447 Enrollment ID: I20131002000481 |
| Provider Name | Lauren Newhall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700197951 PECOS PAC ID: 5395979280 Enrollment ID: I20131008001397 |
| Provider Name | Joshua Alton Lane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467680983 PECOS PAC ID: 6406080282 Enrollment ID: I20131010000358 |
| Provider Name | Shaylee R Dave |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487975694 PECOS PAC ID: 1355589078 Enrollment ID: I20131016000253 |
| Provider Name | Larisa Gavrilova-jordan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003895780 PECOS PAC ID: 4981677028 Enrollment ID: I20131023001717 |
| Provider Name | Shou-ching Tang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568421147 PECOS PAC ID: 8224063177 Enrollment ID: I20131024001918 |
| Provider Name | Charles Scarborough |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285862706 PECOS PAC ID: 7517192677 Enrollment ID: I20131025000153 |
| Provider Name | Rashmi P Karanth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275854499 PECOS PAC ID: 4789819822 Enrollment ID: I20131028000769 |
| Provider Name | Daniel E Mccall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912261819 PECOS PAC ID: 8820223878 Enrollment ID: I20131028001623 |
| Provider Name | Martin D Jeffries |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699877324 PECOS PAC ID: 6709011646 Enrollment ID: I20131030000477 |
| Provider Name | Nicole Martinez De Andino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790112464 PECOS PAC ID: 3476788191 Enrollment ID: I20131104001508 |
| Provider Name | Leo M Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013960012 PECOS PAC ID: 2163409491 Enrollment ID: I20131106000770 |
| Provider Name | Lee E Laravia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568777548 PECOS PAC ID: 0840425468 Enrollment ID: I20131106001066 |
| Provider Name | Nancy A Harpold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699842674 PECOS PAC ID: 1254567779 Enrollment ID: I20131111001343 |
| Provider Name | Anthony Sheldon Ramage |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508867896 PECOS PAC ID: 8820055841 Enrollment ID: I20131121000352 |
| Provider Name | Michael Peter Diamond |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669410734 PECOS PAC ID: 7315959665 Enrollment ID: I20131127001276 |
| Provider Name | Shalini Khurana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164467668 PECOS PAC ID: 0749204493 Enrollment ID: I20131204001046 |
| Provider Name | Anne L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184732786 PECOS PAC ID: 2163431826 Enrollment ID: I20131204001108 |
| Provider Name | Kathleen Elizabeth Mahoney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417278664 PECOS PAC ID: 8921234501 Enrollment ID: I20131204001716 |
| Provider Name | Lynn Allmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396973749 PECOS PAC ID: 2567699192 Enrollment ID: I20131205001235 |
| Provider Name | Frank E Mott |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043270416 PECOS PAC ID: 6103721709 Enrollment ID: I20131217001216 |
| Provider Name | Karen Renee Draper |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134153414 PECOS PAC ID: 1052311768 Enrollment ID: I20131218000652 |
| Provider Name | Sandeep Khurana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558326207 PECOS PAC ID: 5597733089 Enrollment ID: I20140109000661 |
| Provider Name | Kevin C Dellsperger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407807662 PECOS PAC ID: 4082623418 Enrollment ID: I20140207000813 |
| Provider Name | Mohammed Firdos Ziauddin |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1407866205 PECOS PAC ID: 9739184367 Enrollment ID: I20140210001634 |
| Provider Name | Cassie Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508147844 PECOS PAC ID: 4183854847 Enrollment ID: I20140226000911 |
| Provider Name | Amit Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295994390 PECOS PAC ID: 4880865344 Enrollment ID: I20140226001185 |
| Provider Name | Jose A Vazquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518035054 PECOS PAC ID: 2961451448 Enrollment ID: I20140227001476 |
| Provider Name | Braxton Jordan Fields |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528220274 PECOS PAC ID: 8224268768 Enrollment ID: I20140303001583 |
| Provider Name | Klepper Alfredo Garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477713725 PECOS PAC ID: 9133359375 Enrollment ID: I20140307001128 |
| Provider Name | Claude Sportes |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932359171 PECOS PAC ID: 7416187620 Enrollment ID: I20140310001447 |
| Provider Name | Steven Bomeli |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639372147 PECOS PAC ID: 1052589090 Enrollment ID: I20140326002190 |
| Provider Name | Ashley Nikko Saucier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124314265 PECOS PAC ID: 1254570484 Enrollment ID: I20140430002526 |
| Provider Name | Yousef N Zakharia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871756163 PECOS PAC ID: 1557509254 Enrollment ID: I20140501000238 |
| Provider Name | Azif Safarulla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477702504 PECOS PAC ID: 7214150473 Enrollment ID: I20140516000441 |
| Provider Name | Jennifer T Allen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487975702 PECOS PAC ID: 3274771134 Enrollment ID: I20140519001993 |
| Provider Name | Tyra Lashaye Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043637598 PECOS PAC ID: 8921221995 Enrollment ID: I20140520000740 |
| Provider Name | Sumner Leon Fishbein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659373959 PECOS PAC ID: 9032392550 Enrollment ID: I20140521002352 |
| Provider Name | Shelly Renee Keip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205253093 PECOS PAC ID: 7810111069 Enrollment ID: I20140610001512 |
| Provider Name | Gurmukh Singh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962464974 PECOS PAC ID: 4385653013 Enrollment ID: I20140623001566 |
| Provider Name | Anastasios C Polimenakos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649283516 PECOS PAC ID: 0547332975 Enrollment ID: I20140623002207 |
| Provider Name | Rajan None Kapoor |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376881177 PECOS PAC ID: 3971727488 Enrollment ID: I20140623002449 |
| Provider Name | Humberto Sifuentes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053577320 PECOS PAC ID: 1153471198 Enrollment ID: I20140623002745 |
| Provider Name | Girindra G Raval |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831313097 PECOS PAC ID: 8729149596 Enrollment ID: I20140630001314 |
| Provider Name | James Kenneth Byrd |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720285166 PECOS PAC ID: 6608031737 Enrollment ID: I20140708000752 |
| Provider Name | Justin Mackenzie Vining |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184886822 PECOS PAC ID: 8820236672 Enrollment ID: I20140715002065 |
| Provider Name | Andrew Wen-han Chao |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699062893 PECOS PAC ID: 7315162963 Enrollment ID: I20140715002319 |
| Provider Name | Thomas Getzen Fortson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588950596 PECOS PAC ID: 5294951810 Enrollment ID: I20140716002359 |
| Provider Name | Ashleigh C Steinmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548601644 PECOS PAC ID: 9436383643 Enrollment ID: I20140722001090 |
| Provider Name | Soumia Brakta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164749008 PECOS PAC ID: 0446476659 Enrollment ID: I20140724001160 |
| Provider Name | Tara Taylor-jean Haston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528354503 PECOS PAC ID: 9234377243 Enrollment ID: I20140805001418 |
| Provider Name | Zahraa Abdul Sater |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467731125 PECOS PAC ID: 1951528348 Enrollment ID: I20140807002533 |
| Provider Name | Carsten Schroeder |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1700088143 PECOS PAC ID: 0840212361 Enrollment ID: I20140827001848 |
| Provider Name | Keerthi Kiran Ponugoti |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013228196 PECOS PAC ID: 4284852534 Enrollment ID: I20140827002574 |
| Provider Name | Gregory D Kalv |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033347638 PECOS PAC ID: 6406095066 Enrollment ID: I20140905001099 |
| Provider Name | Manuel Fernando Ramirez |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1376624759 PECOS PAC ID: 7214100619 Enrollment ID: I20140908002579 |
| Provider Name | Waleed Mourad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1710120548 PECOS PAC ID: 0749409530 Enrollment ID: I20140909002040 |
| Provider Name | Claire Slocumb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962630418 PECOS PAC ID: 8628297306 Enrollment ID: I20140910002421 |
| Provider Name | Elva Elizabeth Fernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538455597 PECOS PAC ID: 5799924866 Enrollment ID: I20140911002093 |
| Provider Name | Susan H Leighty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447667233 PECOS PAC ID: 1153540430 Enrollment ID: I20140918001524 |
| Provider Name | Durwood Neal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801842539 PECOS PAC ID: 8224135090 Enrollment ID: I20140922001717 |
| Provider Name | Saira Iqbal Alimohamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942527684 PECOS PAC ID: 4284853250 Enrollment ID: I20140924001539 |
| Provider Name | Bejal Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154613289 PECOS PAC ID: 9638399488 Enrollment ID: I20140930001822 |
| Provider Name | William Solomon Jacobs |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1619915824 PECOS PAC ID: 1153345400 Enrollment ID: I20141001001024 |
| Provider Name | Jonathan Lawson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992933584 PECOS PAC ID: 5698913390 Enrollment ID: I20141009002500 |
| Provider Name | Chasity C Tierney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811304744 PECOS PAC ID: 0446470579 Enrollment ID: I20141013000739 |
| Provider Name | Marjorie Nicole Whaley Borchik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639588106 PECOS PAC ID: 3072734847 Enrollment ID: I20141020001265 |
| Provider Name | Lori G Tomlinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881023844 PECOS PAC ID: 5890916506 Enrollment ID: I20141022001239 |
| Provider Name | Ferdinand Johannes Schafer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104016609 PECOS PAC ID: 4183863020 Enrollment ID: I20141030001156 |
| Provider Name | Anu Batra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720386857 PECOS PAC ID: 0840411054 Enrollment ID: I20141031000108 |
| Provider Name | Julie Kurek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306163324 PECOS PAC ID: 7214159706 Enrollment ID: I20141118001586 |
| Provider Name | Valencia Ciara Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851793327 PECOS PAC ID: 4486977113 Enrollment ID: I20150102001272 |
| Provider Name | Stephanie A Milks |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225119738 PECOS PAC ID: 9032116397 Enrollment ID: I20150127001752 |
| Provider Name | Amy Danielle Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154728558 PECOS PAC ID: 2769707496 Enrollment ID: I20150220001377 |
| Provider Name | Shalini Syama Saith |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154551521 PECOS PAC ID: 9638318801 Enrollment ID: I20150303000439 |
| Provider Name | Natalie Nicole Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053738013 PECOS PAC ID: 9436475530 Enrollment ID: I20150309001616 |
| Provider Name | Rebekah Ashley Beagles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861746992 PECOS PAC ID: 8426274770 Enrollment ID: I20150309001864 |
| Provider Name | Jack Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003115254 PECOS PAC ID: 8729209903 Enrollment ID: I20150317001692 |
| Provider Name | Donna J Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366536286 PECOS PAC ID: 5496811143 Enrollment ID: I20150319001574 |
| Provider Name | Julia T. Donovan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104892157 PECOS PAC ID: 7416924261 Enrollment ID: I20150325002475 |
| Provider Name | Shanika Linette Richardson Conyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467840272 PECOS PAC ID: 9931427713 Enrollment ID: I20150407000494 |
| Provider Name | Susanna Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952708802 PECOS PAC ID: 7911225602 Enrollment ID: I20150408002379 |
| Provider Name | Michelle Kotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306883269 PECOS PAC ID: 6901990761 Enrollment ID: I20150409001085 |
| Provider Name | Tara S Woodall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942692157 PECOS PAC ID: 4486972510 Enrollment ID: I20150421001391 |
| Provider Name | Sean Javaheri |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982677605 PECOS PAC ID: 9830313410 Enrollment ID: I20150422001093 |
| Provider Name | Jerry Dwayne Hooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144611914 PECOS PAC ID: 2567372105 Enrollment ID: I20150512000330 |
| Provider Name | Nagy A. Youssef |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336156991 PECOS PAC ID: 7719945583 Enrollment ID: I20150514001257 |
| Provider Name | Natosha Manning-rollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558751206 PECOS PAC ID: 5092035543 Enrollment ID: I20150522001505 |
| Provider Name | Paige Ward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649381575 PECOS PAC ID: 7911227335 Enrollment ID: I20150526001240 |
| Provider Name | Maxine Semaneh Eikani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841477478 PECOS PAC ID: 2668660077 Enrollment ID: I20150529001625 |
| Provider Name | Christos Hatzigeorgiou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831189752 PECOS PAC ID: 3476799396 Enrollment ID: I20150601001720 |
| Provider Name | John Drew Prosser |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942462627 PECOS PAC ID: 1456590629 Enrollment ID: I20150604000405 |
| Provider Name | Arash Poursina |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831379544 PECOS PAC ID: 4486828423 Enrollment ID: I20150605000074 |
| Provider Name | Jake E Turrentine |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1386934933 PECOS PAC ID: 8022329044 Enrollment ID: I20150617002356 |
| Provider Name | Bridget Sinnott |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215912399 PECOS PAC ID: 6204866528 Enrollment ID: I20150622000538 |
| Provider Name | George Lazari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679837215 PECOS PAC ID: 2365681558 Enrollment ID: I20150622001573 |
| Provider Name | Daniel Albo |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1396846564 PECOS PAC ID: 1456407485 Enrollment ID: I20150622001689 |
| Provider Name | Pinkalkumar Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700197399 PECOS PAC ID: 1557558459 Enrollment ID: I20150623000055 |
| Provider Name | Edgar Antonio Mercado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821244039 PECOS PAC ID: 5092026625 Enrollment ID: I20150623001159 |
| Provider Name | Malinda West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679837629 PECOS PAC ID: 2466763909 Enrollment ID: I20150624001696 |
| Provider Name | Jamie W Lawson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508120460 PECOS PAC ID: 8325287014 Enrollment ID: I20150624001782 |
| Provider Name | Kannan M Narayana |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629220512 PECOS PAC ID: 1254643026 Enrollment ID: I20150708000391 |
| Provider Name | Sarah Beth Sappington |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669851374 PECOS PAC ID: 0143532788 Enrollment ID: I20150709002707 |
| Provider Name | Renee Theresa Page |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275573156 PECOS PAC ID: 4981616158 Enrollment ID: I20150714000848 |
| Provider Name | Jay Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538397104 PECOS PAC ID: 8527207661 Enrollment ID: I20150727001034 |
| Provider Name | Jedidiah Amos Ballard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023329976 PECOS PAC ID: 8224342738 Enrollment ID: I20150728005577 |
| Provider Name | Miranda Harris Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942635677 PECOS PAC ID: 1951615111 Enrollment ID: I20150731015292 |
| Provider Name | Roger Delappe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679709299 PECOS PAC ID: 2062658867 Enrollment ID: I20150819008679 |
| Provider Name | Linnea Michelle Larson-williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558505800 PECOS PAC ID: 5496910903 Enrollment ID: I20150821013667 |
| Provider Name | Michael Kelly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801044714 PECOS PAC ID: 3870808694 Enrollment ID: I20150821014186 |
| Provider Name | Locke Johnson Bryan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780857375 PECOS PAC ID: 5193994192 Enrollment ID: I20150826002476 |
| Provider Name | Michael Donald Beres |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821352717 PECOS PAC ID: 3678889201 Enrollment ID: I20150827002081 |
| Provider Name | James Frederick Shikle |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871564179 PECOS PAC ID: 4587970124 Enrollment ID: I20150827002499 |
| Provider Name | Priyadarshi Shardul Kurl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528322450 PECOS PAC ID: 5496994329 Enrollment ID: I20150827003036 |
| Provider Name | Jason Varghese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437413366 PECOS PAC ID: 7315187101 Enrollment ID: I20150831003161 |
| Provider Name | Chaltsy Mariah Carlton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508094673 PECOS PAC ID: 4688814411 Enrollment ID: I20150901000564 |
| Provider Name | David M Hardy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548467939 PECOS PAC ID: 7517105299 Enrollment ID: I20150902000673 |
| Provider Name | Michael Bursey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295099182 PECOS PAC ID: 3072753813 Enrollment ID: I20150909002150 |
| Provider Name | Amol Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124276761 PECOS PAC ID: 4981862117 Enrollment ID: I20150910002523 |
| Provider Name | Jose Armando Gonzales Zamora |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205148400 PECOS PAC ID: 8729396189 Enrollment ID: I20151005000836 |
| Provider Name | John W Henson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992786164 PECOS PAC ID: 3577551480 Enrollment ID: I20151005002132 |
| Provider Name | Jacob Andrew Eichenberger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902192966 PECOS PAC ID: 2567601743 Enrollment ID: I20151005002202 |
| Provider Name | Mary Lee Gregory |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376710970 PECOS PAC ID: 7113176850 Enrollment ID: I20151005003239 |
| Provider Name | Alan Herline |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1174622518 PECOS PAC ID: 2365578713 Enrollment ID: I20151007003386 |
| Provider Name | Mei Zheng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508094020 PECOS PAC ID: 5991929820 Enrollment ID: I20151012000447 |
| Provider Name | Nikhil Govindbhai Patel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659505220 PECOS PAC ID: 3173832953 Enrollment ID: I20151016002035 |
| Provider Name | Barry Scott Fuller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598029548 PECOS PAC ID: 9032358387 Enrollment ID: I20151020001256 |
| Provider Name | Jonathan Hunt Dell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861814592 PECOS PAC ID: 9335458819 Enrollment ID: I20151023000803 |
| Provider Name | Heather Harrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891170023 PECOS PAC ID: 7113237207 Enrollment ID: I20151102000819 |
| Provider Name | Julie S Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528247525 PECOS PAC ID: 1951611540 Enrollment ID: I20151111001137 |
| Provider Name | Morgan Wenner Thakore |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1770875130 PECOS PAC ID: 1557500998 Enrollment ID: I20151210002084 |
| Provider Name | William D Jordan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134159668 PECOS PAC ID: 1254465255 Enrollment ID: I20151222000527 |
| Provider Name | William Thomas Parker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437271335 PECOS PAC ID: 0446552079 Enrollment ID: I20160113001486 |
| Provider Name | Jamie R Edwards |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982832572 PECOS PAC ID: 1153624309 Enrollment ID: I20160121000601 |
| Provider Name | Amer Y Sayed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467892372 PECOS PAC ID: 2668776394 Enrollment ID: I20160201001331 |
| Provider Name | Muhammad Irfan Saeed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487806048 PECOS PAC ID: 0840421376 Enrollment ID: I20160205002095 |
| Provider Name | Beau Philip Gedrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679899215 PECOS PAC ID: 8426280959 Enrollment ID: I20160218001176 |
| Provider Name | Jackson Elam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649535469 PECOS PAC ID: 7416266192 Enrollment ID: I20160323001853 |
| Provider Name | Linda K Randolph |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902279706 PECOS PAC ID: 8921305020 Enrollment ID: I20160404001451 |
| Provider Name | Weiping Wang |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1164481842 PECOS PAC ID: 2769377225 Enrollment ID: I20160404001612 |
| Provider Name | Rebecca Yang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508119983 PECOS PAC ID: 0143469213 Enrollment ID: I20160502000166 |
| Provider Name | Nadine Janice Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881927945 PECOS PAC ID: 1759670532 Enrollment ID: I20160518000304 |
| Provider Name | Wilantha R Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043698574 PECOS PAC ID: 1951602150 Enrollment ID: I20160601001686 |
| Provider Name | Albert Attah-kofi Sey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396051785 PECOS PAC ID: 0143464271 Enrollment ID: I20160607002151 |
| Provider Name | Miteshkumar Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003255910 PECOS PAC ID: 2769626324 Enrollment ID: I20160608000521 |
| Provider Name | Robin Ann Lockhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659731313 PECOS PAC ID: 0345531653 Enrollment ID: I20160616001477 |
| Provider Name | Pamela Sue Tipler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275772576 PECOS PAC ID: 6608005632 Enrollment ID: I20160621001477 |
| Provider Name | Christen Brown Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225497134 PECOS PAC ID: 6103117213 Enrollment ID: I20160621001579 |
| Provider Name | Mukesh Kumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295902419 PECOS PAC ID: 8628144672 Enrollment ID: I20160706001137 |
| Provider Name | Christopher Watson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932191657 PECOS PAC ID: 0648457937 Enrollment ID: I20160706002026 |
| Provider Name | Paul Mann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316088743 PECOS PAC ID: 1658497482 Enrollment ID: I20160707000695 |
| Provider Name | Laura Barber |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1063661791 PECOS PAC ID: 1355586397 Enrollment ID: I20160708001631 |
| Provider Name | Virginia Parsons Borders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689040693 PECOS PAC ID: 4183916943 Enrollment ID: I20160714001772 |
| Provider Name | Christopher J Ito |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487953907 PECOS PAC ID: 5890088595 Enrollment ID: I20160718001761 |
| Provider Name | Elena Christina Prendergast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821447681 PECOS PAC ID: 2668765397 Enrollment ID: I20160719000030 |
| Provider Name | Mark A Fritz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336430255 PECOS PAC ID: 8325331895 Enrollment ID: I20160720002144 |
| Provider Name | Mariam Akhtar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780024596 PECOS PAC ID: 2365685013 Enrollment ID: I20160725000414 |
| Provider Name | Edward Villadelgado Agabin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932548849 PECOS PAC ID: 7113161795 Enrollment ID: I20160725001602 |
| Provider Name | Seth T Kay |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023317450 PECOS PAC ID: 2769783430 Enrollment ID: I20160725003147 |
| Provider Name | Sandarsh Surya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346538774 PECOS PAC ID: 8426291139 Enrollment ID: I20160726000951 |
| Provider Name | Hilda E Coste |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083003768 PECOS PAC ID: 6002109287 Enrollment ID: I20160726001107 |
| Provider Name | Wesley L Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982817904 PECOS PAC ID: 1052580172 Enrollment ID: I20160726001325 |
| Provider Name | Linda Marie Street |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962630830 PECOS PAC ID: 1153579735 Enrollment ID: I20160726003081 |
| Provider Name | Uzondu Francis Agochukwu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548455124 PECOS PAC ID: 4981829611 Enrollment ID: I20160802002153 |
| Provider Name | Rebecca D Pierce |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437598364 PECOS PAC ID: 5193019651 Enrollment ID: I20160805000495 |
| Provider Name | Rebecca Lynne Paquin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1831455732 PECOS PAC ID: 7416241773 Enrollment ID: I20160809001683 |
| Provider Name | Haitham Mahmoud Hreibe |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1275755928 PECOS PAC ID: 3779762356 Enrollment ID: I20160810002107 |
| Provider Name | Ram J Bishnoi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780963835 PECOS PAC ID: 3577858430 Enrollment ID: I20160817001625 |
| Provider Name | John Joseph Wallbillich |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1396094744 PECOS PAC ID: 9032350046 Enrollment ID: I20160817002704 |
| Provider Name | Jacob Misenheimer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154564557 PECOS PAC ID: 2365683786 Enrollment ID: I20160823002756 |
| Provider Name | Robin Chalkley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902246804 PECOS PAC ID: 7517036585 Enrollment ID: I20160829000490 |
| Provider Name | William Thad Poisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447603949 PECOS PAC ID: 3072809607 Enrollment ID: I20160908001486 |
| Provider Name | Thomas Dobosz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568894772 PECOS PAC ID: 7911203955 Enrollment ID: I20160913001383 |
| Provider Name | Feroze Afzal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598029423 PECOS PAC ID: 2668611922 Enrollment ID: I20160921001145 |
| Provider Name | Vinay Gidwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295078491 PECOS PAC ID: 8123328580 Enrollment ID: I20161017001938 |
| Provider Name | Marc Andrew Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487865754 PECOS PAC ID: 0244518108 Enrollment ID: I20161027000331 |
| Provider Name | Natalia Isabel Martinez-schlurmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801116140 PECOS PAC ID: 2264652221 Enrollment ID: I20161027000783 |
| Provider Name | Sheisa Y Claudio-sandoval |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235578162 PECOS PAC ID: 1759524507 Enrollment ID: I20161116001284 |
| Provider Name | Rodger David Macarthur |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831137959 PECOS PAC ID: 1052323417 Enrollment ID: I20161116001584 |
| Provider Name | Sherita A King |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700047982 PECOS PAC ID: 0244473163 Enrollment ID: I20161201001250 |
| Provider Name | Hima Reddy Boppidi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508096066 PECOS PAC ID: 0648561324 Enrollment ID: I20161205000784 |
| Provider Name | Anthony Goei |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255321915 PECOS PAC ID: 5496911182 Enrollment ID: I20161213001648 |
| Provider Name | Andre Dwayne Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922413913 PECOS PAC ID: 6507156767 Enrollment ID: I20161219000866 |
| Provider Name | Elizabeth D Fox |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033347232 PECOS PAC ID: 6507147824 Enrollment ID: I20161228002422 |
| Provider Name | Mayelin Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770618860 PECOS PAC ID: 9537440433 Enrollment ID: I20170109002222 |
| Provider Name | Stephen J Conner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780750083 PECOS PAC ID: 3173719119 Enrollment ID: I20170124000085 |
| Provider Name | Varsha S Taskar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831173426 PECOS PAC ID: 6204975493 Enrollment ID: I20170227001265 |
| Provider Name | Mackenzie Cheek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215472360 PECOS PAC ID: 3870878234 Enrollment ID: I20170327001479 |
| Provider Name | Christy Rainey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790999100 PECOS PAC ID: 9133201056 Enrollment ID: I20170328001149 |
| Provider Name | Robert Douglas Rice |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1841461027 PECOS PAC ID: 3274818570 Enrollment ID: I20170329001791 |
| Provider Name | Brandon Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629336615 PECOS PAC ID: 7810273505 Enrollment ID: I20170424001248 |
| Provider Name | Lauren J Mathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740729516 PECOS PAC ID: 0042596215 Enrollment ID: I20170425000433 |
| Provider Name | Stephen White |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265486229 PECOS PAC ID: 1254233539 Enrollment ID: I20170515000603 |
| Provider Name | Kathleen May |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1043260672 PECOS PAC ID: 4587793401 Enrollment ID: I20170524002181 |
| Provider Name | Candice Nadia Castellino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134564883 PECOS PAC ID: 6103194527 Enrollment ID: I20170607002209 |
| Provider Name | Lydia Kuhn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033437314 PECOS PAC ID: 0244452035 Enrollment ID: I20170612001091 |
| Provider Name | Lashawn Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821537622 PECOS PAC ID: 1052689080 Enrollment ID: I20170616000201 |
| Provider Name | Richard James Pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326484429 PECOS PAC ID: 4981993185 Enrollment ID: I20170620002797 |
| Provider Name | Regina Canty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073054813 PECOS PAC ID: 1254609928 Enrollment ID: I20170621002038 |
| Provider Name | Richard Woodville Sams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760456362 PECOS PAC ID: 5799000378 Enrollment ID: I20170705001166 |
| Provider Name | Megan Cahill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972739597 PECOS PAC ID: 8426237595 Enrollment ID: I20170713003180 |
| Provider Name | Christopher Mcadams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659634301 PECOS PAC ID: 1254601776 Enrollment ID: I20170717001428 |
| Provider Name | Holly Mahoney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437564960 PECOS PAC ID: 9032409750 Enrollment ID: I20170802001545 |
| Provider Name | Ding Xie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215342266 PECOS PAC ID: 8325319734 Enrollment ID: I20170803001486 |
| Provider Name | Nathaniel J. Walsh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255695185 PECOS PAC ID: 6406094184 Enrollment ID: I20170804001287 |
| Provider Name | Zunair Nazim Afghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376886853 PECOS PAC ID: 5597055103 Enrollment ID: I20170804001619 |
| Provider Name | Manish Bajaj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962843292 PECOS PAC ID: 5597907725 Enrollment ID: I20170807001729 |
| Provider Name | Ajay Pillai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477968774 PECOS PAC ID: 5092006254 Enrollment ID: I20170807003772 |
| Provider Name | Ryan James Keen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497160857 PECOS PAC ID: 8426349820 Enrollment ID: I20170808002846 |
| Provider Name | Eric Ring |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790070126 PECOS PAC ID: 3971751819 Enrollment ID: I20170812000262 |
| Provider Name | Azeem A. Mohammed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124258843 PECOS PAC ID: 3476787029 Enrollment ID: I20170815001740 |
| Provider Name | Mingsi Li |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518223908 PECOS PAC ID: 5092087783 Enrollment ID: I20170815002923 |
| Provider Name | Germame H Ajebo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396183661 PECOS PAC ID: 2163724261 Enrollment ID: I20170824000738 |
| Provider Name | April R Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306261441 PECOS PAC ID: 1951673979 Enrollment ID: I20170824003337 |
| Provider Name | Matthew Steven Nicholson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962639823 PECOS PAC ID: 0749445229 Enrollment ID: I20170830003586 |
| Provider Name | Andrew Lawson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073877908 PECOS PAC ID: 0143593384 Enrollment ID: I20170908002955 |
| Provider Name | Lisa Renee Hilton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992096416 PECOS PAC ID: 1355635384 Enrollment ID: I20170911002007 |
| Provider Name | John G Theisen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861734378 PECOS PAC ID: 1254647894 Enrollment ID: I20170919000472 |
| Provider Name | Sharica Monique Brookins |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912264268 PECOS PAC ID: 9739490095 Enrollment ID: I20170921000784 |
| Provider Name | Justin Ertle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760801245 PECOS PAC ID: 1850680919 Enrollment ID: I20170926002969 |
| Provider Name | Jennifer Lanzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205152154 PECOS PAC ID: 7810299112 Enrollment ID: I20171003006071 |
| Provider Name | Robert George Willson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215223276 PECOS PAC ID: 5395984561 Enrollment ID: I20171004000950 |
| Provider Name | Alicia Arnold |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1831485879 PECOS PAC ID: 7214175918 Enrollment ID: I20171011000036 |
| Provider Name | Guillermo Palacios |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831132711 PECOS PAC ID: 6901821172 Enrollment ID: I20171030002518 |
| Provider Name | John Thomas Barrett |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568571537 PECOS PAC ID: 0042318362 Enrollment ID: I20171031002761 |
| Provider Name | James Emery Joseph Crownover |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1306165329 PECOS PAC ID: 9436415775 Enrollment ID: I20171102001285 |
| Provider Name | David Michael Gloystein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619947413 PECOS PAC ID: 6507932746 Enrollment ID: I20171113000192 |
| Provider Name | Bradley Richard Zagol |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861424509 PECOS PAC ID: 3779640859 Enrollment ID: I20171113000383 |
| Provider Name | Zachary Lukowski |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063704898 PECOS PAC ID: 1456572569 Enrollment ID: I20171118000086 |
| Provider Name | Danielle Nicole Frischmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184133167 PECOS PAC ID: 8921364316 Enrollment ID: I20171120000178 |
| Provider Name | Melissa L Loper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396269155 PECOS PAC ID: 1355608464 Enrollment ID: I20171128001817 |
| Provider Name | Yogita Jamnadas Fotaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104172360 PECOS PAC ID: 7315175528 Enrollment ID: I20171211001554 |
| Provider Name | Kate Burgner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346769684 PECOS PAC ID: 2163780578 Enrollment ID: I20171212002634 |
| Provider Name | Adam Pyrzak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164859955 PECOS PAC ID: 8527297589 Enrollment ID: I20171213000786 |
| Provider Name | Imran Yaseen Gani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427336742 PECOS PAC ID: 8426355595 Enrollment ID: I20171213001176 |
| Provider Name | Nnenna Rosemary Ukachi Badamosi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376821173 PECOS PAC ID: 5799043600 Enrollment ID: I20171226001464 |
| Provider Name | Maria Helena Nascimento De Lima |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1518212166 PECOS PAC ID: 9436418597 Enrollment ID: I20180117001945 |
| Provider Name | Manan Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376897645 PECOS PAC ID: 0244599132 Enrollment ID: I20180123001359 |
| Provider Name | Lauren Berl Brannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912445461 PECOS PAC ID: 0547520710 Enrollment ID: I20180207002778 |
| Provider Name | Anika Nina Watson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073776126 PECOS PAC ID: 2062668064 Enrollment ID: I20180330000449 |
| Provider Name | Kenneth John Vega |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962479238 PECOS PAC ID: 6406997758 Enrollment ID: I20180514002741 |
| Provider Name | Lori Anne Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518470491 PECOS PAC ID: 6901161785 Enrollment ID: I20180525001928 |
| Provider Name | Stephen Arthur Parada |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497957732 PECOS PAC ID: 8022259100 Enrollment ID: I20180531001465 |
| Provider Name | Veronica Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659726917 PECOS PAC ID: 2769747252 Enrollment ID: I20180604003020 |
| Provider Name | Bhavik Dmd Desai |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1790003440 PECOS PAC ID: 0840440160 Enrollment ID: I20180611000580 |
| Provider Name | Donald D Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043306251 PECOS PAC ID: 8426007089 Enrollment ID: I20180628000708 |
| Provider Name | Jacqueline Trinidad Chan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356735914 PECOS PAC ID: 2466761648 Enrollment ID: I20180628002752 |
| Provider Name | Stephanie Hope Dunlap |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1376568675 PECOS PAC ID: 4486749256 Enrollment ID: I20180710003537 |
| Provider Name | Priyanka Raval |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235427675 PECOS PAC ID: 9436440112 Enrollment ID: I20180716001959 |
| Provider Name | Mary Kate Mulhall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457862286 PECOS PAC ID: 3375890494 Enrollment ID: I20180720001251 |
| Provider Name | Lakshmikantam Kantam Vemavarapu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043452568 PECOS PAC ID: 1355641820 Enrollment ID: I20180720002361 |
| Provider Name | Pouyan Daniel Arman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679952071 PECOS PAC ID: 7618286063 Enrollment ID: I20180720003053 |
| Provider Name | Achuta K Guddati |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457639312 PECOS PAC ID: 2860664307 Enrollment ID: I20180809004812 |
| Provider Name | Reddy Beesam Shashank |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902211881 PECOS PAC ID: 4385947845 Enrollment ID: I20180811000163 |
| Provider Name | William Wise Crosby Carroll |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124380084 PECOS PAC ID: 9032418249 Enrollment ID: I20180815001837 |
| Provider Name | Mohammed Bermo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972902732 PECOS PAC ID: 1850612508 Enrollment ID: I20180815002900 |
| Provider Name | Mouchammed Agko |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1285898247 PECOS PAC ID: 2567690720 Enrollment ID: I20180815003001 |
| Provider Name | Hamer Manning Titus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225443740 PECOS PAC ID: 3072732973 Enrollment ID: I20180816002445 |
| Provider Name | Evan Hamilton Fountain |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588046320 PECOS PAC ID: 5698065084 Enrollment ID: I20180820003734 |
| Provider Name | Shaheen Ul Islam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497727739 PECOS PAC ID: 1355311010 Enrollment ID: I20180822001402 |
| Provider Name | Erica Danielle Sapp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932582780 PECOS PAC ID: 6305196106 Enrollment ID: I20180828003930 |
| Provider Name | Dan-victor Giurgiutiu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649434317 PECOS PAC ID: 1850552076 Enrollment ID: I20180830001401 |
| Provider Name | Allan Norman Krutchik |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619938289 PECOS PAC ID: 5597795757 Enrollment ID: I20180830002047 |
| Provider Name | Stephanie Teng |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326483504 PECOS PAC ID: 2365792959 Enrollment ID: I20180830003749 |
| Provider Name | Nagla F Abdel Karim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881805166 PECOS PAC ID: 2567508435 Enrollment ID: I20180903000004 |
| Provider Name | Asifhusen Abdulrahim Mansuri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699109579 PECOS PAC ID: 1355623596 Enrollment ID: I20180903000043 |
| Provider Name | Aykut A Unsal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487095527 PECOS PAC ID: 8921358490 Enrollment ID: I20180904001459 |
| Provider Name | Bradley Andrew Morganstern |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558651398 PECOS PAC ID: 4385913219 Enrollment ID: I20180904002389 |
| Provider Name | Timothy Mark Adams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558700088 PECOS PAC ID: 6103050646 Enrollment ID: I20180904002680 |
| Provider Name | Austin Lively |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871976639 PECOS PAC ID: 2668722174 Enrollment ID: I20180904002835 |
| Provider Name | Carolyn Zahler-miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245645043 PECOS PAC ID: 5991055394 Enrollment ID: I20180905003732 |
| Provider Name | Bryan Richard Broach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003298902 PECOS PAC ID: 8325330970 Enrollment ID: I20180906002566 |
| Provider Name | Christopher Lee Baer Ellington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508249251 PECOS PAC ID: 3274822101 Enrollment ID: I20180906003489 |
| Provider Name | Robert Bradford Abrahams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174751051 PECOS PAC ID: 2860795473 Enrollment ID: I20180907000693 |
| Provider Name | Kevin Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619231560 PECOS PAC ID: 7113166539 Enrollment ID: I20180912003568 |
| Provider Name | Kenneth Aaron Shaw |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316387392 PECOS PAC ID: 7719112002 Enrollment ID: I20180913002205 |
| Provider Name | Catrena Lavonya Santana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861995391 PECOS PAC ID: 8123379039 Enrollment ID: I20180914002269 |
| Provider Name | Peomia Chela Lee Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205219920 PECOS PAC ID: 5597055855 Enrollment ID: I20180914002270 |
| Provider Name | Marian Symmes Johnson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1740579390 PECOS PAC ID: 3173874039 Enrollment ID: I20180917001722 |
| Provider Name | Kimberly Atianzar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497917629 PECOS PAC ID: 9436330495 Enrollment ID: I20180918001065 |
| Provider Name | Jeffrey Nelson James |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1225202484 PECOS PAC ID: 6507162500 Enrollment ID: I20180920003142 |
| Provider Name | Leighton Rolston James |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346202173 PECOS PAC ID: 8921088477 Enrollment ID: I20180921003121 |
| Provider Name | Nayer Canton Vafabakhsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265828388 PECOS PAC ID: 5294021226 Enrollment ID: I20180924000295 |
| Provider Name | Zachary William Abraham Klaassen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891082772 PECOS PAC ID: 8426309808 Enrollment ID: I20180924003678 |
| Provider Name | William Greer Albergotti |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538423546 PECOS PAC ID: 6305116872 Enrollment ID: I20180925001000 |
| Provider Name | Christopher Boyd Looney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740457373 PECOS PAC ID: 4284851783 Enrollment ID: I20181001002612 |
| Provider Name | John Erikson Yap |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184912529 PECOS PAC ID: 3678896412 Enrollment ID: I20181003001166 |
| Provider Name | Janelle Ann Mcgill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003299793 PECOS PAC ID: 6608128483 Enrollment ID: I20181004002936 |
| Provider Name | Imran Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538494844 PECOS PAC ID: 5597999771 Enrollment ID: I20181008003565 |
| Provider Name | Pushpa Shivaram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306192604 PECOS PAC ID: 1658503693 Enrollment ID: I20181009002897 |
| Provider Name | Zoya Kurago |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1366546376 PECOS PAC ID: 3375780109 Enrollment ID: I20181010000011 |
| Provider Name | Annette Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184667651 PECOS PAC ID: 1658332580 Enrollment ID: I20181010000468 |
| Provider Name | Aaron Robert Bolduc |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952697906 PECOS PAC ID: 8325288913 Enrollment ID: I20181011001703 |
| Provider Name | Lakeisha Michele Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467950915 PECOS PAC ID: 8921350208 Enrollment ID: I20181015003023 |
| Provider Name | James Brinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639655301 PECOS PAC ID: 8426300633 Enrollment ID: I20181016001068 |
| Provider Name | Donald Korkis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427388552 PECOS PAC ID: 4385668128 Enrollment ID: I20181017001599 |
| Provider Name | Amanda Meredith Saxon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447740741 PECOS PAC ID: 5799037800 Enrollment ID: I20181017001883 |
| Provider Name | Matthew Belcher |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1134568520 PECOS PAC ID: 2264666809 Enrollment ID: I20181018002067 |
| Provider Name | Bridgit Mathai Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881761344 PECOS PAC ID: 4789589284 Enrollment ID: I20181022000355 |
| Provider Name | Mark Christopher Snoddy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538427323 PECOS PAC ID: 6800199480 Enrollment ID: I20181022002314 |
| Provider Name | Smitha Rajan Mathew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225325384 PECOS PAC ID: 6103179007 Enrollment ID: I20181023001136 |
| Provider Name | Richard Lee |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1134238728 PECOS PAC ID: 8426154816 Enrollment ID: I20181026001366 |
| Provider Name | Lorie Stumpo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932532900 PECOS PAC ID: 9739478215 Enrollment ID: I20181106002099 |
| Provider Name | Dean Allen Seehusen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902972995 PECOS PAC ID: 3072831338 Enrollment ID: I20181107002044 |
| Provider Name | Sharonda Shontrell Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033605118 PECOS PAC ID: 5092069120 Enrollment ID: I20181108001221 |
| Provider Name | Lori Roth Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144709320 PECOS PAC ID: 7810241494 Enrollment ID: I20181117000401 |
| Provider Name | William Meek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639518301 PECOS PAC ID: 6507110996 Enrollment ID: I20181121002805 |
| Provider Name | Henry Weigle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710305479 PECOS PAC ID: 3678793379 Enrollment ID: I20181201000111 |
| Provider Name | William L Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265832042 PECOS PAC ID: 6103160015 Enrollment ID: I20181204001951 |
| Provider Name | Budder Siddiqui |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366670051 PECOS PAC ID: 1658522768 Enrollment ID: I20181210002847 |
| Provider Name | Muhammad Sarfraz Nawaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619222544 PECOS PAC ID: 6103132824 Enrollment ID: I20181217001393 |
| Provider Name | Matthew Groce Marshall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124462403 PECOS PAC ID: 5294049664 Enrollment ID: I20181220001848 |
| Provider Name | Rachel Elizabeth Elam |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1760865513 PECOS PAC ID: 3577852565 Enrollment ID: I20181231000171 |
| Provider Name | Caroline Marie Flake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346720596 PECOS PAC ID: 9830435213 Enrollment ID: I20190104002494 |
| Provider Name | Tanzila Salim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841634623 PECOS PAC ID: 8426394263 Enrollment ID: I20190115002328 |
| Provider Name | Stephen Ramey |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770922353 PECOS PAC ID: 8527305176 Enrollment ID: I20190122000246 |
| Provider Name | Heather Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043603111 PECOS PAC ID: 1658618228 Enrollment ID: I20190122000930 |
| Provider Name | Vaishali Doshi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922198407 PECOS PAC ID: 2961497110 Enrollment ID: I20190122003247 |
| Provider Name | Julisa Margarita Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205096336 PECOS PAC ID: 4789758780 Enrollment ID: I20190123000488 |
| Provider Name | George Sich |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093804817 PECOS PAC ID: 5597745554 Enrollment ID: I20190128000232 |
| Provider Name | Stephanie Madeline Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588145106 PECOS PAC ID: 1153668249 Enrollment ID: I20190128002510 |
| Provider Name | Tara Kim Pedigo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689669699 PECOS PAC ID: 7113905753 Enrollment ID: I20190131000715 |
| Provider Name | Alexander Farber Post |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750551123 PECOS PAC ID: 3870658180 Enrollment ID: I20190204000934 |
| Provider Name | Margret Allen Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568944072 PECOS PAC ID: 0446598957 Enrollment ID: I20190207002329 |
| Provider Name | Alexandria M Crooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992274765 PECOS PAC ID: 1951649359 Enrollment ID: I20190211000749 |
| Provider Name | Fernando L. Vale |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1710906052 PECOS PAC ID: 2163557182 Enrollment ID: I20190215002657 |
| Provider Name | Mary Gabrielle Helfgott |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174094668 PECOS PAC ID: 9931447943 Enrollment ID: I20190218002283 |
| Provider Name | Camilo Andres Reyes-gelves |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437532967 PECOS PAC ID: 1456690627 Enrollment ID: I20190305003488 |
| Provider Name | Arthur M Freedman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1508824095 PECOS PAC ID: 7517865728 Enrollment ID: I20190306003240 |
| Provider Name | Jennifer Elizabeth Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134443377 PECOS PAC ID: 0345567384 Enrollment ID: I20190313003198 |
| Provider Name | Kailea Jane Zelinka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790250363 PECOS PAC ID: 6103166848 Enrollment ID: I20190318000007 |
| Provider Name | Jeanne Hulse |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1326320318 PECOS PAC ID: 4082853684 Enrollment ID: I20190318000823 |
| Provider Name | Noelle A Rolle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003249194 PECOS PAC ID: 8628340254 Enrollment ID: I20190321001089 |
| Provider Name | Daniel Paul Fisher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124088281 PECOS PAC ID: 4789925678 Enrollment ID: I20190402001420 |
| Provider Name | Summer Mayson Cantrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467917047 PECOS PAC ID: 6507107422 Enrollment ID: I20190402002919 |
| Provider Name | Krista Lee Vernon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912471731 PECOS PAC ID: 5890036586 Enrollment ID: I20190405001709 |
| Provider Name | Taranjit Kaur Arora |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1093924409 PECOS PAC ID: 0648410944 Enrollment ID: I20190410002742 |
| Provider Name | Cory A Bryan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821437757 PECOS PAC ID: 0345483020 Enrollment ID: I20190415002208 |
| Provider Name | Daniel M Perrine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801354816 PECOS PAC ID: 3476894577 Enrollment ID: I20190417001588 |
| Provider Name | Colleen Priscilla Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881124451 PECOS PAC ID: 3072856020 Enrollment ID: I20190515002320 |
| Provider Name | Gina Maria Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841766524 PECOS PAC ID: 1355684036 Enrollment ID: I20190521001107 |
| Provider Name | Jacob Carl Lewis Rumley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588980130 PECOS PAC ID: 9032335393 Enrollment ID: I20190610000463 |
| Provider Name | Sandeepkumar Gupta |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1528485729 PECOS PAC ID: 0648595199 Enrollment ID: I20190611000937 |
| Provider Name | David A Temmermand |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881007250 PECOS PAC ID: 4385977032 Enrollment ID: I20190611003735 |
| Provider Name | Quyen Hong Pham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871932707 PECOS PAC ID: 9931432648 Enrollment ID: I20190612002167 |
| Provider Name | Titilayo Oluwabusi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912293077 PECOS PAC ID: 7214183359 Enrollment ID: I20190612003812 |
| Provider Name | Kelly Nicole Watson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740401835 PECOS PAC ID: 5496842452 Enrollment ID: I20190612003880 |
| Provider Name | Sandeep Padala |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134416563 PECOS PAC ID: 5799903472 Enrollment ID: I20190612003921 |
| Provider Name | Clovalyn Dalvenia Jeffrey-mcgann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790247245 PECOS PAC ID: 4385977941 Enrollment ID: I20190613000856 |
| Provider Name | Mario Maruthur |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1356738199 PECOS PAC ID: 8426381013 Enrollment ID: I20190613002474 |
| Provider Name | Prakash Harikrishnan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053687954 PECOS PAC ID: 2668723529 Enrollment ID: I20190613003357 |
| Provider Name | Amanda Carina Barrett |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033555834 PECOS PAC ID: 4385916006 Enrollment ID: I20190615000214 |
| Provider Name | Curran Dalal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881042646 PECOS PAC ID: 4183958028 Enrollment ID: I20190626001145 |
| Provider Name | Colin Mcleod |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750720124 PECOS PAC ID: 5890086557 Enrollment ID: I20190626002824 |
| Provider Name | Rami Arrouk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003071242 PECOS PAC ID: 3577696087 Enrollment ID: I20190702001167 |
| Provider Name | Omar Amed Tolaymat |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588082192 PECOS PAC ID: 8022324961 Enrollment ID: I20190703000292 |
| Provider Name | Sean Alexander Harrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528418563 PECOS PAC ID: 2466787007 Enrollment ID: I20190718001001 |
| Provider Name | Daniel Sohinki |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1992094106 PECOS PAC ID: 9739484106 Enrollment ID: I20190718001800 |
| Provider Name | Joseph John |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114375078 PECOS PAC ID: 1658607130 Enrollment ID: I20190722000806 |
| Provider Name | Yasmin Naomi Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760941694 PECOS PAC ID: 2567798986 Enrollment ID: I20190723002932 |
| Provider Name | Terence Sidney Okeeffe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235199407 PECOS PAC ID: 4082638457 Enrollment ID: I20190724000414 |
| Provider Name | Pia Anishka Shivdasani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376926147 PECOS PAC ID: 4789910894 Enrollment ID: I20190726002888 |
| Provider Name | Cynthia Allyson Mundy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598092694 PECOS PAC ID: 6002142957 Enrollment ID: I20190730002533 |
| Provider Name | Sameera Azeem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760897243 PECOS PAC ID: 3072804780 Enrollment ID: I20190802001500 |
| Provider Name | Mary Ellen Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902273261 PECOS PAC ID: 2769719491 Enrollment ID: I20190802003119 |
| Provider Name | Yuri Pak Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174097190 PECOS PAC ID: 4587991161 Enrollment ID: I20190805002020 |
| Provider Name | Gianmarco D Vizzeri |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598095085 PECOS PAC ID: 1850436015 Enrollment ID: I20190805002884 |
| Provider Name | Elisa R Jenks |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104484443 PECOS PAC ID: 7810224482 Enrollment ID: I20190806002263 |
| Provider Name | Ashley Hardy Bartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114137619 PECOS PAC ID: 5698054708 Enrollment ID: I20190806002688 |
| Provider Name | Chadi Makary |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184942310 PECOS PAC ID: 7618278987 Enrollment ID: I20190808002398 |
| Provider Name | Ashley Dodd Freeman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205270543 PECOS PAC ID: 5799925822 Enrollment ID: I20190812003414 |
| Provider Name | Yao Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598118549 PECOS PAC ID: 1052648029 Enrollment ID: I20190814000665 |
| Provider Name | Alan Robert Dahlmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396955373 PECOS PAC ID: 0446587380 Enrollment ID: I20190814003634 |
| Provider Name | Bryan Franklin Curtin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437425873 PECOS PAC ID: 8820397920 Enrollment ID: I20190817000481 |
| Provider Name | Kayla E Leach-frasca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598113268 PECOS PAC ID: 4688960099 Enrollment ID: I20190819001300 |
| Provider Name | Jorge E Cortes-franco |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578658480 PECOS PAC ID: 4284813395 Enrollment ID: I20190819004039 |
| Provider Name | Bushra Waseem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366850265 PECOS PAC ID: 9436446929 Enrollment ID: I20190820004137 |
| Provider Name | Marshall Bedder |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1013906833 PECOS PAC ID: 0840284493 Enrollment ID: I20190820004294 |
| Provider Name | Devin T Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942567482 PECOS PAC ID: 2860709078 Enrollment ID: I20190822002652 |
| Provider Name | David Walsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427379270 PECOS PAC ID: 4082854617 Enrollment ID: I20190822004167 |
| Provider Name | Julie E Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710115167 PECOS PAC ID: 8820326127 Enrollment ID: I20190823003595 |
| Provider Name | Alison Ward |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1083930812 PECOS PAC ID: 5193053312 Enrollment ID: I20190827001431 |
| Provider Name | Melissa Mundy Allen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578909396 PECOS PAC ID: 5698914364 Enrollment ID: I20190827003918 |
| Provider Name | Garrett Lyle Collins |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699124818 PECOS PAC ID: 4981932902 Enrollment ID: I20190828002143 |
| Provider Name | Elizabeth Earle Martin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306089610 PECOS PAC ID: 1153563721 Enrollment ID: I20190831000000 |
| Provider Name | Brian H. Annex |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124100375 PECOS PAC ID: 7315002045 Enrollment ID: I20190905002185 |
| Provider Name | Kathryn Potter |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1154740793 PECOS PAC ID: 9931327525 Enrollment ID: I20190909001732 |
| Provider Name | Richard Lane Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134579709 PECOS PAC ID: 0840529210 Enrollment ID: I20190910002548 |
| Provider Name | Joshua Benjamin Elder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295185809 PECOS PAC ID: 9032403092 Enrollment ID: I20190911002429 |
| Provider Name | George Downey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245692532 PECOS PAC ID: 8224392931 Enrollment ID: I20190912003304 |
| Provider Name | Martin Rutkowski |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780950923 PECOS PAC ID: 4789976556 Enrollment ID: I20190912003467 |
| Provider Name | Joseph P Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164837696 PECOS PAC ID: 5890084289 Enrollment ID: I20190917003092 |
| Provider Name | Folake J Kofo-idowu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174937858 PECOS PAC ID: 2668775248 Enrollment ID: I20190918001920 |
| Provider Name | Robert Oliver Broughton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386909034 PECOS PAC ID: 8426361940 Enrollment ID: I20190920002841 |
| Provider Name | Cassandre Neotha Marseille Perard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093165904 PECOS PAC ID: 6103169040 Enrollment ID: I20190923003530 |
| Provider Name | Rama Hritani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548623184 PECOS PAC ID: 5799015384 Enrollment ID: I20190924003970 |
| Provider Name | George Matthew Hinnant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164805479 PECOS PAC ID: 3779834528 Enrollment ID: I20191002001818 |
| Provider Name | Sarah Jane Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932582301 PECOS PAC ID: 2567772361 Enrollment ID: I20191016002496 |
| Provider Name | Machli Adrien |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356704597 PECOS PAC ID: 5890026272 Enrollment ID: I20191018000243 |
| Provider Name | Holly Ann Arreola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295128825 PECOS PAC ID: 3476885286 Enrollment ID: I20191029000418 |
| Provider Name | Todd A. Maugans |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518993252 PECOS PAC ID: 8224028675 Enrollment ID: I20191031002817 |
| Provider Name | Jennifer M Willard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750352423 PECOS PAC ID: 9739328600 Enrollment ID: I20191101001959 |
| Provider Name | Michael Neill Clemenshaw |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053531368 PECOS PAC ID: 4981926953 Enrollment ID: I20191108002435 |
| Provider Name | Joshua Forrest Stephenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285945873 PECOS PAC ID: 8123317203 Enrollment ID: I20191113003074 |
| Provider Name | Chiquita Rose Foreman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861043101 PECOS PAC ID: 1052743416 Enrollment ID: I20191124000011 |
| Provider Name | Ashley Turman Sabb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376107151 PECOS PAC ID: 4183056492 Enrollment ID: I20191203000627 |
| Provider Name | Michelle Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255436192 PECOS PAC ID: 3971696576 Enrollment ID: I20191211001938 |
| Provider Name | Ebony B Whisenant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891957353 PECOS PAC ID: 2466622790 Enrollment ID: I20191214000550 |
| Provider Name | Ana R Fernandes Longuino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851796270 PECOS PAC ID: 7618300187 Enrollment ID: I20191215000014 |
| Provider Name | Emily Joan Meeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932742939 PECOS PAC ID: 2264866482 Enrollment ID: I20191222000009 |
| Provider Name | Cassandra Ebony Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487214151 PECOS PAC ID: 9739513631 Enrollment ID: I20191231002222 |
| Provider Name | Harold S Rabinovitz |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1093710618 PECOS PAC ID: 4880602622 Enrollment ID: I20200103000826 |
| Provider Name | Jennifer M Vanvlerah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831754738 PECOS PAC ID: 9436583184 Enrollment ID: I20200106000925 |
| Provider Name | Melanie Sue Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336785898 PECOS PAC ID: 2860826484 Enrollment ID: I20200107001046 |
| Provider Name | Alicia Nicole Charette Pinchen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952945966 PECOS PAC ID: 0547695959 Enrollment ID: I20200113001970 |
| Provider Name | Derek Casper Whitaker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194791707 PECOS PAC ID: 5496987174 Enrollment ID: I20200114001535 |
| Provider Name | Tenzing Phanthok |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659765287 PECOS PAC ID: 2860797198 Enrollment ID: I20200125000436 |
| Provider Name | Joseph William Ivory |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1184603136 PECOS PAC ID: 5991928467 Enrollment ID: I20200126000004 |
| Provider Name | Elizabeth Kim Rutkowski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841580685 PECOS PAC ID: 2062643380 Enrollment ID: I20200126000015 |
| Provider Name | William Russell Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548242357 PECOS PAC ID: 4688758501 Enrollment ID: I20200127002324 |
| Provider Name | Ashley N Nunnally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639716715 PECOS PAC ID: 5890121479 Enrollment ID: I20200129002053 |
| Provider Name | Vicki Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669030995 PECOS PAC ID: 0345676359 Enrollment ID: I20200211002855 |
| Provider Name | Brittany Shalaigh Gustavson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346870409 PECOS PAC ID: 3476981184 Enrollment ID: I20200311002041 |
| Provider Name | Anah Bhatia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285271429 PECOS PAC ID: 6305275165 Enrollment ID: I20200331001689 |
| Provider Name | Benton Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467868935 PECOS PAC ID: 7810286093 Enrollment ID: I20200406003421 |
| Provider Name | Khyati Pandya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982803524 PECOS PAC ID: 4284789876 Enrollment ID: I20200409003837 |
| Provider Name | James A Blair |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881856110 PECOS PAC ID: 7416197603 Enrollment ID: I20200417000203 |
| Provider Name | Gary L Montgomery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730196882 PECOS PAC ID: 6507164134 Enrollment ID: I20200420001865 |
| Provider Name | Rohini Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326456625 PECOS PAC ID: 1153751805 Enrollment ID: I20200420002200 |
| Provider Name | William Healy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992024608 PECOS PAC ID: 2567604234 Enrollment ID: I20200504002862 |
| Provider Name | Ghada Mohamed Sami Ahmed K Elshimy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629453428 PECOS PAC ID: 1355772286 Enrollment ID: I20200511000330 |
| Provider Name | Amy Brooke Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851674204 PECOS PAC ID: 8729419163 Enrollment ID: I20200519000645 |
| Provider Name | Saranne E Perman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063704674 PECOS PAC ID: 5799927224 Enrollment ID: I20200519001953 |
| Provider Name | Patricia D. Morissette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992150312 PECOS PAC ID: 3072888916 Enrollment ID: I20200519002463 |
| Provider Name | Michael Alan Winkler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003846692 PECOS PAC ID: 1052382256 Enrollment ID: I20200520002087 |
| Provider Name | Matthew R Powell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497137301 PECOS PAC ID: 9638500994 Enrollment ID: I20200520003743 |
| Provider Name | Derek Hayden Backer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457646085 PECOS PAC ID: 6901025360 Enrollment ID: I20200520003766 |
| Provider Name | Rina Mosley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811283872 PECOS PAC ID: 2668611005 Enrollment ID: I20200521002203 |
| Provider Name | Robert V Higgins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063429322 PECOS PAC ID: 9638275126 Enrollment ID: I20200527000002 |
| Provider Name | Ahmad Mirza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437638772 PECOS PAC ID: 1456604511 Enrollment ID: I20200528003468 |
| Provider Name | Hanping Wu |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1093132979 PECOS PAC ID: 8022388875 Enrollment ID: I20200608000569 |
| Provider Name | Benjamin Barnes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760866545 PECOS PAC ID: 4486948015 Enrollment ID: I20200608003110 |
| Provider Name | Nathaniel Mosley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124360003 PECOS PAC ID: 3678869468 Enrollment ID: I20200609000512 |
| Provider Name | Jane As Conway |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346689270 PECOS PAC ID: 1355583428 Enrollment ID: I20200610000859 |
| Provider Name | Anne Marie Barnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447771688 PECOS PAC ID: 8224303946 Enrollment ID: I20200610000898 |
| Provider Name | Amanda Nappier Byers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104311141 PECOS PAC ID: 9931520392 Enrollment ID: I20200610003534 |
| Provider Name | Islam Ahmed Shehata Elhelf |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1801278031 PECOS PAC ID: 9335561653 Enrollment ID: I20200615002489 |
| Provider Name | Dilip Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265886287 PECOS PAC ID: 0143509224 Enrollment ID: I20200617002531 |
| Provider Name | William R. Grubb |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790170017 PECOS PAC ID: 7517389315 Enrollment ID: I20200624002554 |
| Provider Name | Danielle Nicole Rosema |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174052393 PECOS PAC ID: 1153660733 Enrollment ID: I20200625002400 |
| Provider Name | Sami Augustine Belakhlef |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194112078 PECOS PAC ID: 7113236779 Enrollment ID: I20200629001860 |
| Provider Name | Zachary Hodges |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538698154 PECOS PAC ID: 7719227578 Enrollment ID: I20200630003425 |
| Provider Name | Phong Jason Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992233407 PECOS PAC ID: 8628342821 Enrollment ID: I20200701000930 |
| Provider Name | Simon A Holoubek |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043697618 PECOS PAC ID: 9335434554 Enrollment ID: I20200701001613 |
| Provider Name | Lauren Christine Bush |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1639795990 PECOS PAC ID: 2961825377 Enrollment ID: I20200701002880 |
| Provider Name | Kendall Liner Buchanan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811359334 PECOS PAC ID: 5395080501 Enrollment ID: I20200702001421 |
| Provider Name | Connor Jordan Biskamp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831553924 PECOS PAC ID: 4587957105 Enrollment ID: I20200706001197 |
| Provider Name | Sarah Yen Tran |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093101883 PECOS PAC ID: 3779888011 Enrollment ID: I20200706001659 |
| Provider Name | Marshall Newman |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1467868901 PECOS PAC ID: 3870892151 Enrollment ID: I20200708003099 |
| Provider Name | Lindsey Ryan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982099479 PECOS PAC ID: 1355764317 Enrollment ID: I20200709000137 |
| Provider Name | Stephen Larson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972980928 PECOS PAC ID: 0143643106 Enrollment ID: I20200709000210 |
| Provider Name | William Harrison Cheeley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609396910 PECOS PAC ID: 4082970215 Enrollment ID: I20200709002061 |
| Provider Name | Sara J Healy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457677833 PECOS PAC ID: 7012158355 Enrollment ID: I20200714002679 |
| Provider Name | Adonis Imam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285096297 PECOS PAC ID: 0244591717 Enrollment ID: I20200721000967 |
| Provider Name | Stephanie E Schwarz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417044314 PECOS PAC ID: 0042304859 Enrollment ID: I20200723001964 |
| Provider Name | Hong Shi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215324348 PECOS PAC ID: 3779908033 Enrollment ID: I20200803002886 |
| Provider Name | Danielle Weiss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528454402 PECOS PAC ID: 7214229939 Enrollment ID: I20200807000915 |
| Provider Name | James D St. Louis |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1942311436 PECOS PAC ID: 2860577681 Enrollment ID: I20200807002261 |
| Provider Name | Jonathan Eidman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487178646 PECOS PAC ID: 3173949914 Enrollment ID: I20200811003247 |
| Provider Name | Amanda Chaffin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013391838 PECOS PAC ID: 2668898438 Enrollment ID: I20200811004162 |
| Provider Name | Ravi Kiran Mallavarpu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619157310 PECOS PAC ID: 6406916634 Enrollment ID: I20200813003814 |
| Provider Name | Priyanka Minhas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598118978 PECOS PAC ID: 6709179682 Enrollment ID: I20200813003889 |
| Provider Name | Mithilesh Siddu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174907521 PECOS PAC ID: 0547550642 Enrollment ID: I20200824000866 |
| Provider Name | Ahmad Alkaddour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659660272 PECOS PAC ID: 7315163615 Enrollment ID: I20200824003332 |
| Provider Name | Alastair Tucker Hoyt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316027501 PECOS PAC ID: 7517117641 Enrollment ID: I20200825002047 |
| Provider Name | Carla Petty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578913646 PECOS PAC ID: 3173898756 Enrollment ID: I20200826001001 |
| Provider Name | Laura Lewis Gambrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275169617 PECOS PAC ID: 3072930718 Enrollment ID: I20200826003651 |
| Provider Name | Charlaine Conger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093326159 PECOS PAC ID: 2163849670 Enrollment ID: I20200828002511 |
| Provider Name | Kim Michelle Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326293788 PECOS PAC ID: 5698758373 Enrollment ID: I20200902003414 |
| Provider Name | Erin M Dexter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093198723 PECOS PAC ID: 1153674478 Enrollment ID: I20200908000003 |
| Provider Name | Wael Aljaroudi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033312129 PECOS PAC ID: 0446382311 Enrollment ID: I20200909002092 |
| Provider Name | Cynthia Lea-hardin Hipp |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1528176567 PECOS PAC ID: 4688092489 Enrollment ID: I20200910002003 |
| Provider Name | Krisztina Nadasy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124236450 PECOS PAC ID: 6901993096 Enrollment ID: I20200917000677 |
| Provider Name | Hailey Brockman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770967440 PECOS PAC ID: 3779901012 Enrollment ID: I20200917002490 |
| Provider Name | Stanley Lawrence Hoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043660228 PECOS PAC ID: 9436577723 Enrollment ID: I20200918001031 |
| Provider Name | Jacey Laine Devaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437760097 PECOS PAC ID: 8527486661 Enrollment ID: I20200922001120 |
| Provider Name | Anna Beth Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891166450 PECOS PAC ID: 8527487925 Enrollment ID: I20201005002106 |
| Provider Name | Pamela Bracewell Pilcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033408620 PECOS PAC ID: 4981023298 Enrollment ID: I20201005002653 |
| Provider Name | Alicia Tindol Murdock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851732556 PECOS PAC ID: 3779902978 Enrollment ID: I20201007000382 |
| Provider Name | Jennie S Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962962209 PECOS PAC ID: 7214347533 Enrollment ID: I20201027002998 |
| Provider Name | Anam Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679098974 PECOS PAC ID: 0749555167 Enrollment ID: I20201110000467 |
| Provider Name | Tanya Renee Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275130239 PECOS PAC ID: 8325450802 Enrollment ID: I20201208001447 |
| Provider Name | Carlyn Hett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457983504 PECOS PAC ID: 3870905110 Enrollment ID: I20201210001690 |
| Provider Name | Sharon Beall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821086695 PECOS PAC ID: 1456581347 Enrollment ID: I20201214001531 |
| Provider Name | Michael Grant Ehrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780280495 PECOS PAC ID: 4981016771 Enrollment ID: I20201221001002 |
| Provider Name | John Sharp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295113975 PECOS PAC ID: 1557662442 Enrollment ID: I20201222000828 |
| Provider Name | Shikara S Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902401896 PECOS PAC ID: 6608288386 Enrollment ID: I20201222002436 |
| Provider Name | Peter Vu Bui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730507575 PECOS PAC ID: 0446479117 Enrollment ID: I20210121001979 |
| Provider Name | Kunyong Xu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356877781 PECOS PAC ID: 2365700069 Enrollment ID: I20210126001466 |
| Provider Name | Isaac Ezra Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134581911 PECOS PAC ID: 4486948536 Enrollment ID: I20210127000636 |
| Provider Name | Anas Raed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780099218 PECOS PAC ID: 6305250606 Enrollment ID: I20210127003607 |
| Provider Name | Biny Sam George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972101897 PECOS PAC ID: 0941615645 Enrollment ID: I20210210001214 |
| Provider Name | Lauren W Tiernan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568007748 PECOS PAC ID: 1850706573 Enrollment ID: I20210210002224 |
| Provider Name | Heather Lowery Griffin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578945937 PECOS PAC ID: 4587954219 Enrollment ID: I20210215000475 |
| Provider Name | Courtney Nuckols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659963072 PECOS PAC ID: 5698180057 Enrollment ID: I20210216003054 |
| Provider Name | Melissa Criscillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629669452 PECOS PAC ID: 7315352564 Enrollment ID: I20210219002237 |
| Provider Name | Paula Gail Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043802697 PECOS PAC ID: 0345655320 Enrollment ID: I20210226000547 |
| Provider Name | Alan R Furness |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1093793465 PECOS PAC ID: 9032415153 Enrollment ID: I20210226001166 |
| Provider Name | Nilufer Yalcin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457732125 PECOS PAC ID: 2961799507 Enrollment ID: I20210302001309 |
| Provider Name | Intisar Ali Ghleilib |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285144519 PECOS PAC ID: 0840606935 Enrollment ID: I20210316001210 |
| Provider Name | Tanya Lynn Mims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326512732 PECOS PAC ID: 0547676637 Enrollment ID: I20210316001318 |
| Provider Name | Caprice Christian Greenberg |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1245271220 PECOS PAC ID: 1658378294 Enrollment ID: I20210323001922 |
| Provider Name | Nicola Zetola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952803157 PECOS PAC ID: 9537406780 Enrollment ID: I20210324002187 |
| Provider Name | Matthew Neil Simmons |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487826244 PECOS PAC ID: 9830245216 Enrollment ID: I20210406000000 |
| Provider Name | Hasan Samra |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356703094 PECOS PAC ID: 9638593759 Enrollment ID: I20210420001163 |
| Provider Name | Gilberto L Gomez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376998468 PECOS PAC ID: 8224446778 Enrollment ID: I20210421001971 |
| Provider Name | Jana Davis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326208000 PECOS PAC ID: 4486897238 Enrollment ID: I20210422000425 |
| Provider Name | Ravishankar Pillenahalli Maheshwarapp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700301082 PECOS PAC ID: 5092080713 Enrollment ID: I20210422001308 |
| Provider Name | Andrew Lee Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174118699 PECOS PAC ID: 3375952385 Enrollment ID: I20210504000730 |
| Provider Name | Nateka Latrice Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558922096 PECOS PAC ID: 4587090576 Enrollment ID: I20210504001205 |
| Provider Name | Christopher C Ledford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194952994 PECOS PAC ID: 9436399086 Enrollment ID: I20210506000018 |
| Provider Name | Akshat Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548770886 PECOS PAC ID: 6800150426 Enrollment ID: I20210506000725 |
| Provider Name | Mary E Sezer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386787299 PECOS PAC ID: 8224194238 Enrollment ID: I20210506001040 |
| Provider Name | Ayushi Chauhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134506942 PECOS PAC ID: 9335456573 Enrollment ID: I20210506001403 |
| Provider Name | Amany Keruakous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821482720 PECOS PAC ID: 5395040026 Enrollment ID: I20210506001653 |
| Provider Name | Walid Hadid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871549816 PECOS PAC ID: 6103838982 Enrollment ID: I20210506001836 |
| Provider Name | Viveksandeep Thoguluva Chandrasekar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831506641 PECOS PAC ID: 9739453200 Enrollment ID: I20210506003187 |
| Provider Name | Joshua Ethan Fakess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164881215 PECOS PAC ID: 9931493897 Enrollment ID: I20210510000553 |
| Provider Name | Amir Rafique Mian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447280789 PECOS PAC ID: 2668403536 Enrollment ID: I20210510001526 |
| Provider Name | Kathryn Morrison Humes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740643881 PECOS PAC ID: 2860784170 Enrollment ID: I20210511000311 |
| Provider Name | Musa Sharkawi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1447682414 PECOS PAC ID: 9234423146 Enrollment ID: I20210511000483 |
| Provider Name | James E Maher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396717211 PECOS PAC ID: 2365601390 Enrollment ID: I20210512001032 |
| Provider Name | Mohammad Umair Azam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033601315 PECOS PAC ID: 9032462130 Enrollment ID: I20210513001094 |
| Provider Name | Lucero Jacqueline Vivar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134533961 PECOS PAC ID: 5991924821 Enrollment ID: I20210513001485 |
| Provider Name | John Plowden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003814856 PECOS PAC ID: 2466534318 Enrollment ID: I20210514001251 |
| Provider Name | Timothy Scully |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447749049 PECOS PAC ID: 6406109578 Enrollment ID: I20210517001096 |
| Provider Name | Zain Ua Sobani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275975351 PECOS PAC ID: 1052669181 Enrollment ID: I20210517001971 |
| Provider Name | Tyler Vines |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730618729 PECOS PAC ID: 5395019541 Enrollment ID: I20210519001342 |
| Provider Name | Emad Al Haj Ali |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700340932 PECOS PAC ID: 9133528334 Enrollment ID: I20210520000292 |
| Provider Name | Ilako Chrystelle Agbatchi-houedan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922693134 PECOS PAC ID: 7113326323 Enrollment ID: I20210520000846 |
| Provider Name | Abdalrahman Zarzour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932551363 PECOS PAC ID: 4183910565 Enrollment ID: I20210520001316 |
| Provider Name | De'monica Swantese Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902482987 PECOS PAC ID: 9739594623 Enrollment ID: I20210525002453 |
| Provider Name | Manoj Kumar Reddy Ambur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538397369 PECOS PAC ID: 2264601830 Enrollment ID: I20210602002072 |
| Provider Name | Chasitie Ann Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841812591 PECOS PAC ID: 1759781537 Enrollment ID: I20210616000508 |
| Provider Name | Cassie Elizabeth Rutherford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093208837 PECOS PAC ID: 3870993686 Enrollment ID: I20210616001589 |
| Provider Name | Dionne Joy Adair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609251933 PECOS PAC ID: 0446650055 Enrollment ID: I20210617002034 |
| Provider Name | Brynn E Ehlers Jaschen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649763129 PECOS PAC ID: 8921408576 Enrollment ID: I20210618000062 |
| Provider Name | Robert Summey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801273602 PECOS PAC ID: 0648586594 Enrollment ID: I20210624003418 |
| Provider Name | Patrick F Morgan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659750370 PECOS PAC ID: 1759680903 Enrollment ID: I20210624003844 |
| Provider Name | Jose Salvana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598827149 PECOS PAC ID: 6204934995 Enrollment ID: I20210625002280 |
| Provider Name | Omar Iqbal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508397613 PECOS PAC ID: 5496005340 Enrollment ID: I20210630002327 |
| Provider Name | Nisreen Almusailim |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710556121 PECOS PAC ID: 7315348109 Enrollment ID: I20210630003194 |
| Provider Name | Khoi D Nguyen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083053912 PECOS PAC ID: 7810288529 Enrollment ID: I20210709000571 |
| Provider Name | Beomjune B Kim |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1598931735 PECOS PAC ID: 3476781923 Enrollment ID: I20210709002223 |
| Provider Name | Heather Anne Koehn |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1063809127 PECOS PAC ID: 8729395207 Enrollment ID: I20210712000996 |
| Provider Name | Abdul Rahman Abualruz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598282600 PECOS PAC ID: 8628483005 Enrollment ID: I20210712002726 |
| Provider Name | Marleny Aquino Cabrera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710379797 PECOS PAC ID: 1759653595 Enrollment ID: I20210712003608 |
| Provider Name | Nilbhi Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689162273 PECOS PAC ID: 7517211717 Enrollment ID: I20210722002170 |
| Provider Name | Amidat Adeyemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366933236 PECOS PAC ID: 6204189319 Enrollment ID: I20210722003957 |
| Provider Name | Cameron K Autry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548833635 PECOS PAC ID: 4981007796 Enrollment ID: I20210730000181 |
| Provider Name | Evan Hiner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821400441 PECOS PAC ID: 8527358548 Enrollment ID: I20210731000409 |
| Provider Name | Richard Alan Bickel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225011521 PECOS PAC ID: 6406250299 Enrollment ID: I20210802000043 |
| Provider Name | Eugene A Quarshie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306229109 PECOS PAC ID: 4385935683 Enrollment ID: I20210804000296 |
| Provider Name | Mona Yasrebi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235396722 PECOS PAC ID: 7416261698 Enrollment ID: I20210804002256 |
| Provider Name | Mark Vranicar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841215647 PECOS PAC ID: 5991979569 Enrollment ID: I20210804003407 |
| Provider Name | Ahmed Mohamed Redfaat Dakhly Mohamed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992257497 PECOS PAC ID: 4587921721 Enrollment ID: I20210809002676 |
| Provider Name | Monique Bethel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760822654 PECOS PAC ID: 4789827379 Enrollment ID: I20210810001214 |
| Provider Name | Ryan O'hagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750954814 PECOS PAC ID: 9537563747 Enrollment ID: I20210811000015 |
| Provider Name | Amanda Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164798732 PECOS PAC ID: 4587956537 Enrollment ID: I20210811001047 |
| Provider Name | Elizabeth Tyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750951323 PECOS PAC ID: 0345645149 Enrollment ID: I20210817001819 |
| Provider Name | Michelle Lauren Kraslow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619473303 PECOS PAC ID: 1456697606 Enrollment ID: I20210824001705 |
| Provider Name | Jiangnan Song |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649771569 PECOS PAC ID: 6103221197 Enrollment ID: I20210830002454 |
| Provider Name | Kim Lee Capehart |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1568478907 PECOS PAC ID: 9133525140 Enrollment ID: I20210831000179 |
| Provider Name | Jerome D Homish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316991870 PECOS PAC ID: 1951402338 Enrollment ID: I20210901000922 |
| Provider Name | Asa Cheesman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497208482 PECOS PAC ID: 3476975806 Enrollment ID: I20210901004138 |
| Provider Name | Smitha Suraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073724894 PECOS PAC ID: 9133525470 Enrollment ID: I20210910002614 |
| Provider Name | Sunil Amrit Kapoor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801852215 PECOS PAC ID: 1850798836 Enrollment ID: I20210917000080 |
| Provider Name | Talal Nakkar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477041663 PECOS PAC ID: 4486051349 Enrollment ID: I20210921001200 |
| Provider Name | Darlene Orcutt Batastini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538435086 PECOS PAC ID: 9638334667 Enrollment ID: I20210921003462 |
| Provider Name | Shreeti Kapoor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306950191 PECOS PAC ID: 3476968801 Enrollment ID: I20210922001853 |
| Provider Name | Christina Anne Bancroft |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538562590 PECOS PAC ID: 1153728761 Enrollment ID: I20210928000314 |
| Provider Name | Britney Elaine Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003412248 PECOS PAC ID: 0648677872 Enrollment ID: I20210930000728 |
| Provider Name | Zachariah Kuchta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033559711 PECOS PAC ID: 8123384658 Enrollment ID: I20211005000690 |
| Provider Name | Nathan A. Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386727006 PECOS PAC ID: 8628476520 Enrollment ID: I20211007000233 |
| Provider Name | David Chaffin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992775530 PECOS PAC ID: 7810973559 Enrollment ID: I20211007002063 |
| Provider Name | Roseline Whitten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922778083 PECOS PAC ID: 7517365307 Enrollment ID: I20211008000684 |
| Provider Name | Rachel Ann Shaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205309333 PECOS PAC ID: 6608274139 Enrollment ID: I20211013001489 |
| Provider Name | Ailia Karamat Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851888317 PECOS PAC ID: 2264761287 Enrollment ID: I20211014001578 |
| Provider Name | Megan Lee Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437820222 PECOS PAC ID: 0143618090 Enrollment ID: I20211026000289 |
| Provider Name | Nancy E Havas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255382081 PECOS PAC ID: 7618862665 Enrollment ID: I20211103003118 |
| Provider Name | Michelle Maxwell Lyon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164476479 PECOS PAC ID: 8729175187 Enrollment ID: I20211108002330 |
| Provider Name | Sameena Salcin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558821090 PECOS PAC ID: 9739422700 Enrollment ID: I20211118000092 |
| Provider Name | Brian Le |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1487069795 PECOS PAC ID: 3274823711 Enrollment ID: I20211122001935 |
| Provider Name | Marc Toeteberg-harms |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164187019 PECOS PAC ID: 5799175931 Enrollment ID: I20211202001908 |
| Provider Name | Sumit N Fogla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467652347 PECOS PAC ID: 6406920909 Enrollment ID: I20211207000900 |
| Provider Name | Avirup Guha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801151352 PECOS PAC ID: 2062728025 Enrollment ID: I20211208001848 |
| Provider Name | Miranda Alexander Shuler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194480541 PECOS PAC ID: 0042600959 Enrollment ID: I20211208003114 |
| Provider Name | Lelan Clinton Byrd |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1558510453 PECOS PAC ID: 4789075888 Enrollment ID: I20211228002050 |
| Provider Name | Emily Jarrett Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649826157 PECOS PAC ID: 4385976026 Enrollment ID: I20220125001576 |
| Provider Name | Scarlet Beatriz Charmelo Silva |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1669995593 PECOS PAC ID: 4880021302 Enrollment ID: I20220125002197 |
| Provider Name | Casey Nicole Borba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184376295 PECOS PAC ID: 1456743228 Enrollment ID: I20220128000925 |
| Provider Name | Ingrid Camelo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619163573 PECOS PAC ID: 6507903226 Enrollment ID: I20220131002372 |
| Provider Name | Grace Pickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851060669 PECOS PAC ID: 2466845151 Enrollment ID: I20220201001621 |
| Provider Name | Patrick David Grimm |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487070397 PECOS PAC ID: 1355764002 Enrollment ID: I20220204000493 |
| Provider Name | Brittney Scruggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174287460 PECOS PAC ID: 2365835501 Enrollment ID: I20220210000513 |
| Provider Name | Elizabeth Cannoles Shoop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669132668 PECOS PAC ID: 5890188783 Enrollment ID: I20220217001915 |
| Provider Name | Sarah Spriet |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1841584893 PECOS PAC ID: 7810219789 Enrollment ID: I20220221000889 |
| Provider Name | Zakery Lee Bearden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639824477 PECOS PAC ID: 7719371277 Enrollment ID: I20220225001135 |
| Provider Name | Egidio G. Del Fabbro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679679815 PECOS PAC ID: 0547285363 Enrollment ID: I20220301001018 |
| Provider Name | Lynne Victoria Abruzzo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275647364 PECOS PAC ID: 8527251545 Enrollment ID: I20220304001916 |
| Provider Name | Mohammed Abdulelah Bindakhil |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1588189435 PECOS PAC ID: 6204221187 Enrollment ID: I20220310001872 |
| Provider Name | Vatsalya Kosuru |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922536846 PECOS PAC ID: 1052707072 Enrollment ID: I20220331000179 |
| Provider Name | Jonathan Hanson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689101511 PECOS PAC ID: 2365718822 Enrollment ID: I20220406001291 |
| Provider Name | Jillian Giles Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568118388 PECOS PAC ID: 8426444068 Enrollment ID: I20220406002341 |
| Provider Name | Shakasha L. Scruggs-williams |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1508114323 PECOS PAC ID: 7911394861 Enrollment ID: I20220425001725 |
| Provider Name | Crystal Anne Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255084216 PECOS PAC ID: 1850788621 Enrollment ID: I20220426000246 |
| Provider Name | Linda Farkas |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1558334730 PECOS PAC ID: 3678698743 Enrollment ID: I20220506000235 |
| Provider Name | Donald Lance Smallwood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225487903 PECOS PAC ID: 3476840042 Enrollment ID: I20220512000006 |
| Provider Name | John Hansen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639563034 PECOS PAC ID: 3678883733 Enrollment ID: I20220524001522 |
| Provider Name | Erika Mabes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023457934 PECOS PAC ID: 9436392016 Enrollment ID: I20220526000657 |
| Provider Name | Anusha Vakiti |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508229881 PECOS PAC ID: 9032540497 Enrollment ID: I20220602000050 |
| Provider Name | Argyro Athanasiadi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477073112 PECOS PAC ID: 9234517368 Enrollment ID: I20220602000387 |
| Provider Name | Asad Jehangir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528409844 PECOS PAC ID: 4688969769 Enrollment ID: I20220602000671 |
| Provider Name | Muhammad Javaid |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1629500095 PECOS PAC ID: 5294006110 Enrollment ID: I20220603000740 |
| Provider Name | Kareem Baher Haroun |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508396896 PECOS PAC ID: 8628457090 Enrollment ID: I20220615003340 |
| Provider Name | Marylin Linnette Jeffrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972247856 PECOS PAC ID: 3274912571 Enrollment ID: I20220616001037 |
| Provider Name | Praneeth Kudaravalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629495973 PECOS PAC ID: 4880911957 Enrollment ID: I20220621002103 |
| Provider Name | Nichole Marie Holweg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043773278 PECOS PAC ID: 7810222528 Enrollment ID: I20220629000294 |
| Provider Name | Shirley Licano Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588078034 PECOS PAC ID: 9032453659 Enrollment ID: I20220630000806 |
| Provider Name | Avery Elizabeth Calhoun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669932083 PECOS PAC ID: 7416337977 Enrollment ID: I20220630002032 |
| Provider Name | Jordan Ciuro |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851741789 PECOS PAC ID: 6800188418 Enrollment ID: I20220701001892 |
| Provider Name | Daniel Sharbel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902253636 PECOS PAC ID: 6002225695 Enrollment ID: I20220705001652 |
| Provider Name | Erika Ho |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326573593 PECOS PAC ID: 4183004278 Enrollment ID: I20220707000806 |
| Provider Name | Brian P Bateson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225443898 PECOS PAC ID: 7315236593 Enrollment ID: I20220707000935 |
| Provider Name | Jennifer Poon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013114263 PECOS PAC ID: 7618145129 Enrollment ID: I20220708001110 |
| Provider Name | Gina Askar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376168468 PECOS PAC ID: 4486078201 Enrollment ID: I20220708001505 |
| Provider Name | William Philip Saunders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477114155 PECOS PAC ID: 8123352614 Enrollment ID: I20220709000494 |
| Provider Name | Jasmine Elyse-pocahuntas Shell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063857340 PECOS PAC ID: 9931432408 Enrollment ID: I20220711000361 |
| Provider Name | Faten Ragaban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588190292 PECOS PAC ID: 2567731110 Enrollment ID: I20220711000552 |
| Provider Name | Gregory Kramer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982132544 PECOS PAC ID: 8921374349 Enrollment ID: I20220718003706 |
| Provider Name | Gerald Wallace |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972024974 PECOS PAC ID: 7810251444 Enrollment ID: I20220720001179 |
| Provider Name | Faizal Asumda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336602184 PECOS PAC ID: 8628468790 Enrollment ID: I20220720001698 |
| Provider Name | Laura Lemley Hampton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174059133 PECOS PAC ID: 1456620558 Enrollment ID: I20220720002320 |
| Provider Name | Marianne Davignon Somma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902530462 PECOS PAC ID: 2860874542 Enrollment ID: I20220727002008 |
| Provider Name | Nafees Akber Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841850674 PECOS PAC ID: 9931434537 Enrollment ID: I20220731000179 |
| Provider Name | Evangelos Tsipotis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093199358 PECOS PAC ID: 4981995511 Enrollment ID: I20220802001905 |
| Provider Name | Muaz A Ibrahim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649702234 PECOS PAC ID: 7810248663 Enrollment ID: I20220809003542 |
| Provider Name | Robert Z Fialkow |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396742268 PECOS PAC ID: 2567374259 Enrollment ID: I20220811000045 |
| Provider Name | Jessica Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700449915 PECOS PAC ID: 0840521803 Enrollment ID: I20220811002045 |
| Provider Name | Ashley Huggett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073968491 PECOS PAC ID: 8527354687 Enrollment ID: I20220811002188 |
| Provider Name | John P Kuckelman |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669882304 PECOS PAC ID: 0941516066 Enrollment ID: I20220812000705 |
| Provider Name | Gina Linnetta Jones-knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750973863 PECOS PAC ID: 1355724493 Enrollment ID: I20220822003694 |
| Provider Name | Qusay Syria Haydour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407261944 PECOS PAC ID: 4183914427 Enrollment ID: I20220823003900 |
| Provider Name | Morgan Lough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760974539 PECOS PAC ID: 2365826807 Enrollment ID: I20220831003486 |
| Provider Name | Sarah Elizabeth Hodge |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003203837 PECOS PAC ID: 4082934153 Enrollment ID: I20220902001687 |
| Provider Name | Luis Alberto Velasquez Zarate |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003221235 PECOS PAC ID: 7517389331 Enrollment ID: I20220902002656 |
| Provider Name | Jaine Mckenzie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396127130 PECOS PAC ID: 3072913565 Enrollment ID: I20220903000039 |
| Provider Name | Andrew Jay Soo Hoo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1447699947 PECOS PAC ID: 0941687636 Enrollment ID: I20220903000330 |
| Provider Name | Charmaine Woody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407580897 PECOS PAC ID: 5991189318 Enrollment ID: I20220903000359 |
| Provider Name | Elena Schiopu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1003991514 PECOS PAC ID: 2668407925 Enrollment ID: I20220906001059 |
| Provider Name | Kristen Rogers Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013539907 PECOS PAC ID: 5890179162 Enrollment ID: I20220906001413 |
| Provider Name | Ashish Kataria |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487975926 PECOS PAC ID: 0345476214 Enrollment ID: I20220908003842 |
| Provider Name | Kristianna Adeera Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043664501 PECOS PAC ID: 1254716889 Enrollment ID: I20220919002043 |
| Provider Name | Whitney Rice Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730834243 PECOS PAC ID: 2567847924 Enrollment ID: I20220921001057 |
| Provider Name | Frank De Latour |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1497164081 PECOS PAC ID: 1759766124 Enrollment ID: I20220921001542 |
| Provider Name | Linda Kang Armstrong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285841916 PECOS PAC ID: 4486816105 Enrollment ID: I20220928000624 |
| Provider Name | Ryan Shuler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104359025 PECOS PAC ID: 1951726264 Enrollment ID: I20221003000477 |
| Provider Name | Daniel Lee Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447982475 PECOS PAC ID: 3173909769 Enrollment ID: I20221005001977 |
| Provider Name | Dariush Shahsavari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932549433 PECOS PAC ID: 5597057349 Enrollment ID: I20221005002260 |
| Provider Name | Katie Olson Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578286076 PECOS PAC ID: 8325414642 Enrollment ID: I20221011002853 |
| Provider Name | Travis Mcmaine |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1033524871 PECOS PAC ID: 4082006788 Enrollment ID: I20221013000534 |
| Provider Name | Neeharika Bade |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285187484 PECOS PAC ID: 4183911183 Enrollment ID: I20221013000957 |
| Provider Name | Mamta Pandya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295077899 PECOS PAC ID: 8820218159 Enrollment ID: I20221101000295 |
| Provider Name | Amr Adel Essa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174057699 PECOS PAC ID: 3678805512 Enrollment ID: I20221105000059 |
| Provider Name | Sarah Spellman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053930347 PECOS PAC ID: 6204257827 Enrollment ID: I20221114000840 |
| Provider Name | Caroline Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427673748 PECOS PAC ID: 5799153003 Enrollment ID: I20221117001474 |
| Provider Name | Jamika Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902481393 PECOS PAC ID: 4486061462 Enrollment ID: I20221123000283 |
| Provider Name | Charles Oribabor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609826346 PECOS PAC ID: 9234128935 Enrollment ID: I20221222000064 |
| Provider Name | Mark Ahlman |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1609038272 PECOS PAC ID: 6002286960 Enrollment ID: I20230110002760 |
| Provider Name | Melanie Susannah Wooten |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629464912 PECOS PAC ID: 3274904966 Enrollment ID: I20230117000071 |
| Provider Name | Charles Davis Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104533892 PECOS PAC ID: 9335510965 Enrollment ID: I20230119000091 |
| Provider Name | Danny Yakoub |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1386882538 PECOS PAC ID: 0446476428 Enrollment ID: I20230119001561 |
| Provider Name | Cynthia Benjamin Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346841186 PECOS PAC ID: 3375941701 Enrollment ID: I20230124001012 |
| Provider Name | Antonia Kolokythas |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992842793 PECOS PAC ID: 4688753718 Enrollment ID: I20230125001848 |
| Provider Name | Archie Overmann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144601717 PECOS PAC ID: 0446655179 Enrollment ID: I20230130001064 |
| Provider Name | Steven D. Colquhoun |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295719284 PECOS PAC ID: 7113067331 Enrollment ID: I20230203002494 |
| Provider Name | Joshua Glenn Hyatt |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1093062861 PECOS PAC ID: 1456725597 Enrollment ID: I20230313002034 |
| Provider Name | Mark D Plunkett |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518991074 PECOS PAC ID: 2163591603 Enrollment ID: I20230314003227 |
| Provider Name | Jacob Beltz |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1609200633 PECOS PAC ID: 6406120740 Enrollment ID: I20230314003258 |
| Provider Name | Andrea K Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225766629 PECOS PAC ID: 9335513191 Enrollment ID: I20230316002438 |
| Provider Name | Shaynna Mann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508228933 PECOS PAC ID: 6406144328 Enrollment ID: I20230320001702 |
| Provider Name | Nitin Chouthai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699884247 PECOS PAC ID: 4082619218 Enrollment ID: I20230327002233 |
| Provider Name | Kayla Ashley Shahbazian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003379280 PECOS PAC ID: 3072848076 Enrollment ID: I20230329000864 |
| Provider Name | Shreya Dushyant Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871157123 PECOS PAC ID: 9133500549 Enrollment ID: I20230417000765 |
| Provider Name | Bruce Palmer Freshley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033774633 PECOS PAC ID: 4880005453 Enrollment ID: I20230417002595 |
| Provider Name | Pankaj Vohra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891224903 PECOS PAC ID: 4880967736 Enrollment ID: I20230427001829 |
| Provider Name | Peter Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366797367 PECOS PAC ID: 2062631831 Enrollment ID: I20230501000084 |
| Provider Name | Nana Bonsu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649757493 PECOS PAC ID: 5890173827 Enrollment ID: I20230501002016 |
| Provider Name | Matthew Cornish |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073520573 PECOS PAC ID: 0648463448 Enrollment ID: I20230502000907 |
| Provider Name | Jessica Mcclard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790277556 PECOS PAC ID: 5496110181 Enrollment ID: I20230502002880 |
| Provider Name | Kristie Marie Wilson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1639519119 PECOS PAC ID: 8921241852 Enrollment ID: I20230503000860 |
| Provider Name | John P Noel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427615442 PECOS PAC ID: 5991030611 Enrollment ID: I20230503001130 |
| Provider Name | Israel Ernesto Acosta Sanchez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831540426 PECOS PAC ID: 8921426966 Enrollment ID: I20230504002434 |
| Provider Name | Saleh Ali Abdulaziz Alkathiri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962056192 PECOS PAC ID: 9638548639 Enrollment ID: I20230509001896 |
| Provider Name | Jason May |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750584199 PECOS PAC ID: 4082862768 Enrollment ID: I20230510000686 |
| Provider Name | Michael Sean Elges |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710412150 PECOS PAC ID: 6204292493 Enrollment ID: I20230512001920 |
| Provider Name | Tracy Thuy Phan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619592987 PECOS PAC ID: 2163847799 Enrollment ID: I20230518002527 |
| Provider Name | Kenyatta Carnell Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629635396 PECOS PAC ID: 2860866050 Enrollment ID: I20230522000594 |
| Provider Name | Tom Soker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134653702 PECOS PAC ID: 4981971140 Enrollment ID: I20230523002158 |
| Provider Name | Mallika Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265057426 PECOS PAC ID: 6901229897 Enrollment ID: I20230526000752 |
| Provider Name | Anthony L Daniels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366067639 PECOS PAC ID: 2264857895 Enrollment ID: I20230526001834 |
| Provider Name | Ashleigh N Rushing |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427410612 PECOS PAC ID: 7517256324 Enrollment ID: I20230608002008 |
| Provider Name | Kwabena Oware Adu-gyamfi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154677391 PECOS PAC ID: 2961633375 Enrollment ID: I20230612002506 |
| Provider Name | Chinmaya Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508481003 PECOS PAC ID: 0345663688 Enrollment ID: I20230615002090 |
| Provider Name | Venkatesh Sreeram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972091858 PECOS PAC ID: 1153789508 Enrollment ID: I20230616002784 |
| Provider Name | Brandon Bentley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407415797 PECOS PAC ID: 5799195152 Enrollment ID: I20230627003217 |
| Provider Name | Austin Clay West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356966857 PECOS PAC ID: 5395168280 Enrollment ID: I20230629000388 |
| Provider Name | Melissa Lynn Lefebvre |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720206550 PECOS PAC ID: 7911175823 Enrollment ID: I20230703001460 |
| Provider Name | Joshua Ziehm |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659806891 PECOS PAC ID: 0143689083 Enrollment ID: I20230710002847 |
| Provider Name | Audrey Renee Lown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841945268 PECOS PAC ID: 7315307170 Enrollment ID: I20230712002812 |
| Provider Name | Blaine Manning |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366937138 PECOS PAC ID: 6608124425 Enrollment ID: I20230713000660 |
| Provider Name | John Zyzo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1336502301 PECOS PAC ID: 8022317577 Enrollment ID: I20230714002706 |
| Provider Name | Wisam Daoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083238562 PECOS PAC ID: 6406279330 Enrollment ID: I20230720000684 |
| Provider Name | John Willis Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194163378 PECOS PAC ID: 7618394560 Enrollment ID: I20230724002937 |
| Provider Name | Raguraj Chandradevan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972090660 PECOS PAC ID: 4385978915 Enrollment ID: I20230726002283 |
| Provider Name | Taylor Mitchell Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457910069 PECOS PAC ID: 6800121419 Enrollment ID: I20230728000168 |
| Provider Name | Irene Kirolos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013291400 PECOS PAC ID: 6002177748 Enrollment ID: I20230728001303 |
| Provider Name | Steven Allen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831553346 PECOS PAC ID: 5991099046 Enrollment ID: I20230728001583 |
| Provider Name | Harkanwar Gill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427497403 PECOS PAC ID: 9830483502 Enrollment ID: I20230728001830 |
| Provider Name | Baris Olten |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720566698 PECOS PAC ID: 1355702937 Enrollment ID: I20230728002111 |
| Provider Name | Evan Compton |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851078414 PECOS PAC ID: 3274994587 Enrollment ID: I20230803000586 |
| Provider Name | James Aaron Grubbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538327481 PECOS PAC ID: 2062677529 Enrollment ID: I20230803003356 |
| Provider Name | Forest Weir |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053844738 PECOS PAC ID: 0042589129 Enrollment ID: I20230811000972 |
| Provider Name | Morgan Elizabeth Howell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710664057 PECOS PAC ID: 8820450570 Enrollment ID: I20230814001109 |
| Provider Name | William Randall Bachand |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1457390205 PECOS PAC ID: 1658679725 Enrollment ID: I20230814002271 |
| Provider Name | Abeer Bahaa Eldin Hamdy Ibrahim Hamdy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760611503 PECOS PAC ID: 7214232412 Enrollment ID: I20230814003528 |
| Provider Name | Paul-robert Derenoncourt |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1942850078 PECOS PAC ID: 3072975200 Enrollment ID: I20230818002517 |
| Provider Name | Gennell Lakeya White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669185013 PECOS PAC ID: 0749642890 Enrollment ID: I20230822000563 |
| Provider Name | Robert Daniel Kennedy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487278909 PECOS PAC ID: 0648693986 Enrollment ID: I20230823001096 |
| Provider Name | Liniya Tauhidul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932725694 PECOS PAC ID: 1951726157 Enrollment ID: I20230824003568 |
| Provider Name | Jonathan Robert Zurcher |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528452091 PECOS PAC ID: 2163731282 Enrollment ID: I20230825002369 |
| Provider Name | Alex Ciara Dawson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1275316192 PECOS PAC ID: 8022471713 Enrollment ID: I20230829000484 |
| Provider Name | Erica Demaagd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376168807 PECOS PAC ID: 0244654929 Enrollment ID: I20230829001485 |
| Provider Name | Christina Ramos Bruce |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427687946 PECOS PAC ID: 1254757347 Enrollment ID: I20230829003748 |
| Provider Name | Ivrose Joseph |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538522776 PECOS PAC ID: 9739542069 Enrollment ID: I20230901002971 |
| Provider Name | Bianca Alexandra Forte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902491988 PECOS PAC ID: 9931517190 Enrollment ID: I20230905000223 |
| Provider Name | Divya Ravindra Reddy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114456027 PECOS PAC ID: 7618216235 Enrollment ID: I20230905000745 |
| Provider Name | Dustie Michelle Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477336832 PECOS PAC ID: 8820452014 Enrollment ID: I20230906002355 |
| Provider Name | Catherine Elizabeth Kerr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083062913 PECOS PAC ID: 1557694015 Enrollment ID: I20231006000338 |
| Provider Name | Nafeesa Sultana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104246172 PECOS PAC ID: 3870825714 Enrollment ID: I20231009000566 |
| Provider Name | Adam Nikolas Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467015628 PECOS PAC ID: 6800121625 Enrollment ID: I20231013000121 |
| Provider Name | Ashley Ve'angela Patten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831641596 PECOS PAC ID: 7315228913 Enrollment ID: I20231013002385 |
| Provider Name | Daniel Milgrom |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1710326137 PECOS PAC ID: 9830332881 Enrollment ID: I20231016001276 |
| Provider Name | Allison Superneau |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619343811 PECOS PAC ID: 8022445527 Enrollment ID: I20231017003427 |
| Provider Name | Amanda J Andrews |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285098368 PECOS PAC ID: 4789030099 Enrollment ID: I20231023003056 |
| Provider Name | Tanner Kate Sauls |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033890801 PECOS PAC ID: 5193171288 Enrollment ID: I20231025003277 |
| Provider Name | Jason George Prince |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588281414 PECOS PAC ID: 1052767043 Enrollment ID: I20231027000298 |
| Provider Name | Drew William Nute |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770997314 PECOS PAC ID: 0941583199 Enrollment ID: I20231031001410 |
| Provider Name | David Krupp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982666970 PECOS PAC ID: 2567441561 Enrollment ID: I20231102003168 |
| Provider Name | Amy Singleton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780647925 PECOS PAC ID: 7911986575 Enrollment ID: I20231103002842 |
| Provider Name | Jesse Raposa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528697117 PECOS PAC ID: 0941674840 Enrollment ID: I20231107001110 |
| Provider Name | Natalie Shahbazi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467871103 PECOS PAC ID: 7719380609 Enrollment ID: I20231120001566 |
| Provider Name | Floribirth Ugo Nwokocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548047343 PECOS PAC ID: 6709234073 Enrollment ID: I20231127002417 |
| Provider Name | Freyli J Bustamante Gonzalez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619474848 PECOS PAC ID: 6608224878 Enrollment ID: I20231128003492 |
| Provider Name | Felicia Katherine Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528766094 PECOS PAC ID: 7113375254 Enrollment ID: I20231129002769 |
| Provider Name | Virin Ramoutar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891059408 PECOS PAC ID: 6204144124 Enrollment ID: I20231129002855 |
| Provider Name | Hasina Ashe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720492275 PECOS PAC ID: 8123244738 Enrollment ID: I20231129003081 |
| Provider Name | Omar Elshazly |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871960443 PECOS PAC ID: 6002182177 Enrollment ID: I20231129003751 |
| Provider Name | Muhammad Ali |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194162834 PECOS PAC ID: 4688818776 Enrollment ID: I20231206001072 |
| Provider Name | Patsy April Kilgore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477332526 PECOS PAC ID: 6608225198 Enrollment ID: I20231208002495 |
| Provider Name | Asmaa Naguib Ahmed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730680570 PECOS PAC ID: 8628321916 Enrollment ID: I20231212002176 |
| Provider Name | Chadwick Mills |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306824602 PECOS PAC ID: 6709874225 Enrollment ID: I20231213002007 |
| Provider Name | David Zabel |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1356381719 PECOS PAC ID: 0042112047 Enrollment ID: I20240109004022 |
| Provider Name | Tuba Kalelioglu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700440583 PECOS PAC ID: 5597114363 Enrollment ID: I20240111000091 |
| Provider Name | Rajan Ganesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730611096 PECOS PAC ID: 1355687674 Enrollment ID: I20240125003040 |
| Provider Name | Isha A Godbold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306551593 PECOS PAC ID: 1254777428 Enrollment ID: I20240311000471 |
| Provider Name | Juhi Bansal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043945033 PECOS PAC ID: 9739563404 Enrollment ID: I20240312002604 |
| Provider Name | Madeline Melanie Peebles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548021934 PECOS PAC ID: 7012353808 Enrollment ID: I20240315000290 |
| Provider Name | Christine Mills |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992142848 PECOS PAC ID: 8325333685 Enrollment ID: I20240315002682 |
| Provider Name | Stephen Recupero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821330135 PECOS PAC ID: 2163720236 Enrollment ID: I20240327000292 |
| Provider Name | Jasmyn Anastasia Johnson-hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912779174 PECOS PAC ID: 7618316027 Enrollment ID: I20240418001648 |
| Provider Name | Stephen Robert Schaffner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770087272 PECOS PAC ID: 4486094323 Enrollment ID: I20240425003050 |
| Provider Name | Amanda Hall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740741446 PECOS PAC ID: 4981930666 Enrollment ID: I20240426001798 |
| Provider Name | Mina A Shenouda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922635432 PECOS PAC ID: 7810439981 Enrollment ID: I20240604002661 |
Infectious Disease Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 St. Sebastian Way, Suite 4a, Augusta, GA 30901 Phone: 706-724-4376 Fax: 706-731-5289 | |
Augusta Hypertention, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 15th St Ste 2, Bio Tech Park, Augusta, GA 30901 Phone: 706-722-4688 Fax: 706-722-8194 | |
Welcome Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Davis Rd Ste 4a, Augusta, GA 30907 Phone: 706-504-9321 | |
Reba Brown Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Pleasant Home Rd Ste A, Augusta, GA 30907 Phone: 706-364-7398 | |
Benjamin L. Rucker M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1138 Druid Park Ave, Suite B, Augusta, GA 30904 Phone: 706-733-9447 Fax: 706-738-0863 | |
Neighborhood Improvement Project Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2300 Wrightsboro Rd, Augusta, GA 30904 Phone: 706-790-4440 | |
Champion Orthopedics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1706 Magnolia Way, Augusta, GA 30909 Phone: 706-210-7529 Fax: 706-312-7610 |