| Augusta Medical Group | |
|
78 Medical Center Dr Fishersville VA 22939-2332 | |
| (540) 932-5162 | |
| (540) 932-4616 |
| Full Name | Augusta Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 78 Medical Center Dr, Fishersville, Virginia |
| Authorized Official Name and Position | Mary N Mannix (FACHE) |
| Authorized Official Contact | 5409324000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Augusta Medical Group Po Box 388 Fishersville VA 22939-0388 Ph: (540) 932-5162 | Augusta Medical Group 78 Medical Center Dr Fishersville VA 22939-2332 Ph: (540) 932-5162 |
| NPI Number | 1245489590 |
|---|---|
| Provider Enumeration Date | 09/11/2008 |
| Last Update Date | 07/25/2013 |
| Medicare PECOS PAC ID | 3678632544 |
|---|---|
| Medicare Enrollment ID | O20081106000590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245489590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Clinton Merritt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114990207 PECOS PAC ID: 2668376815 Enrollment ID: I20031120000551 |
| Provider Name | Ming Y Liu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548215643 PECOS PAC ID: 8820993355 Enrollment ID: I20031205000720 |
| Provider Name | Marsha A Almarode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023062965 PECOS PAC ID: 4789579202 Enrollment ID: I20040216000319 |
| Provider Name | Ernest L Coburn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164423745 PECOS PAC ID: 9931091683 Enrollment ID: I20040326001052 |
| Provider Name | Jack Wayne Higginbotham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700859253 PECOS PAC ID: 0749271088 Enrollment ID: I20040524001048 |
| Provider Name | James Roger Sluss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245261783 PECOS PAC ID: 2163405283 Enrollment ID: I20040610000420 |
| Provider Name | Wanda K Murray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992743199 PECOS PAC ID: 6800794967 Enrollment ID: I20040625000681 |
| Provider Name | Oscar F Figueroa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801889720 PECOS PAC ID: 4981682689 Enrollment ID: I20040709000604 |
| Provider Name | Caroline Hackley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467427260 PECOS PAC ID: 6103886866 Enrollment ID: I20041016000128 |
| Provider Name | John Qunicy Adams Mattern |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164495354 PECOS PAC ID: 3870556053 Enrollment ID: I20041109000354 |
| Provider Name | Patricia M Clough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659345866 PECOS PAC ID: 0749248359 Enrollment ID: I20041229000705 |
| Provider Name | Evan J Wenger |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1467411983 PECOS PAC ID: 0143295535 Enrollment ID: I20050722000747 |
| Provider Name | Stephanie Ann Pitsilos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558431452 PECOS PAC ID: 2961431440 Enrollment ID: I20050804000887 |
| Provider Name | Bradley J Cashion |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144208901 PECOS PAC ID: 3173552288 Enrollment ID: I20050809000904 |
| Provider Name | Ami Hiatt Keatts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639260391 PECOS PAC ID: 2567491558 Enrollment ID: I20050810000438 |
| Provider Name | Donna M Westermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174663272 PECOS PAC ID: 8426030578 Enrollment ID: I20050812000738 |
| Provider Name | John Ulmer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437138187 PECOS PAC ID: 1052206737 Enrollment ID: I20050901000814 |
| Provider Name | Michael Plautz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932173408 PECOS PAC ID: 8729012224 Enrollment ID: I20050923000685 |
| Provider Name | Kara J Mcgill-meeks |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063487874 PECOS PAC ID: 9032133699 Enrollment ID: I20060123000168 |
| Provider Name | Paul H Ting |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205905841 PECOS PAC ID: 3971511536 Enrollment ID: I20060323000717 |
| Provider Name | Barry K Diduch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023095924 PECOS PAC ID: 2961410493 Enrollment ID: I20060324000636 |
| Provider Name | George M Verghese |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235176371 PECOS PAC ID: 4789692658 Enrollment ID: I20060404000407 |
| Provider Name | Tara D Balint |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932156304 PECOS PAC ID: 5395757124 Enrollment ID: I20060619000175 |
| Provider Name | Timothy Hellewell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922030733 PECOS PAC ID: 7113930306 Enrollment ID: I20060710000105 |
| Provider Name | Heidi E Martinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336155316 PECOS PAC ID: 8820092752 Enrollment ID: I20060908000094 |
| Provider Name | Edward Franklin Eisenberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295742773 PECOS PAC ID: 3072517705 Enrollment ID: I20060911000486 |
| Provider Name | Ilham C Grant |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457355075 PECOS PAC ID: 4385649722 Enrollment ID: I20060919000167 |
| Provider Name | Shelley L Snodgrass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154345932 PECOS PAC ID: 6507861770 Enrollment ID: I20060921000205 |
| Provider Name | Kimberly M Cheek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619995438 PECOS PAC ID: 0749285732 Enrollment ID: I20060926000232 |
| Provider Name | Brahim Elouardighi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598741191 PECOS PAC ID: 3678503869 Enrollment ID: I20061012000419 |
| Provider Name | Nelly A Maybee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023113768 PECOS PAC ID: 1456359868 Enrollment ID: I20061120000211 |
| Provider Name | Karen C Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588686315 PECOS PAC ID: 9537168208 Enrollment ID: I20061206000181 |
| Provider Name | Jennifer M Visger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194757773 PECOS PAC ID: 2264432038 Enrollment ID: I20061228000366 |
| Provider Name | Heidi Henson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962426254 PECOS PAC ID: 6406880129 Enrollment ID: I20070228000525 |
| Provider Name | Carl A Recine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013979780 PECOS PAC ID: 1254245723 Enrollment ID: I20070327000153 |
| Provider Name | Timothy J Nitzsche |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295720712 PECOS PAC ID: 5698740223 Enrollment ID: I20070614000642 |
| Provider Name | Scott G Olson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629196316 PECOS PAC ID: 7517066285 Enrollment ID: I20070620000580 |
| Provider Name | Scott D Woogen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215939251 PECOS PAC ID: 7416056726 Enrollment ID: I20070627000707 |
| Provider Name | Sandra A Clements |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508074550 PECOS PAC ID: 6002916822 Enrollment ID: I20070710000235 |
| Provider Name | Angela V Sutton |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265529291 PECOS PAC ID: 1456445287 Enrollment ID: I20070924000418 |
| Provider Name | Christopher D Cook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407061534 PECOS PAC ID: 3779679469 Enrollment ID: I20071010000654 |
| Provider Name | Christopher C Heck |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1730170028 PECOS PAC ID: 0941381974 Enrollment ID: I20080116000406 |
| Provider Name | Colleen M Arnold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851317796 PECOS PAC ID: 7012098619 Enrollment ID: I20080122000387 |
| Provider Name | Mirjam C Molenaar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225226533 PECOS PAC ID: 1052493426 Enrollment ID: I20080124000568 |
| Provider Name | Bruce Urban |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376578369 PECOS PAC ID: 0840256624 Enrollment ID: I20080228000366 |
| Provider Name | Kenneth S Sternberg |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871566190 PECOS PAC ID: 1658278197 Enrollment ID: I20080602000660 |
| Provider Name | George Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912999566 PECOS PAC ID: 2365463775 Enrollment ID: I20080610000275 |
| Provider Name | James B Chadduck |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952381741 PECOS PAC ID: 4284704750 Enrollment ID: I20080610000583 |
| Provider Name | Stephen C Brawley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275601890 PECOS PAC ID: 6406928019 Enrollment ID: I20080626000245 |
| Provider Name | David B Reid |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457320137 PECOS PAC ID: 6002980612 Enrollment ID: I20080730000741 |
| Provider Name | Surjya P Das |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063598696 PECOS PAC ID: 7214975994 Enrollment ID: I20080911000323 |
| Provider Name | Eduard Nemirovsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629187265 PECOS PAC ID: 1951479427 Enrollment ID: I20081010000296 |
| Provider Name | Michon Bechamps |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356539472 PECOS PAC ID: 4385712645 Enrollment ID: I20081014000386 |
| Provider Name | Syed Ismail Thiwan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932174687 PECOS PAC ID: 1254235294 Enrollment ID: I20081016000181 |
| Provider Name | Sujatha G Ramamurthy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053525659 PECOS PAC ID: 5991863888 Enrollment ID: I20081021000842 |
| Provider Name | Benjamin G Farley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275505802 PECOS PAC ID: 5294894960 Enrollment ID: I20081110000658 |
| Provider Name | Erin D Marley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790877694 PECOS PAC ID: 1254434434 Enrollment ID: I20081122000107 |
| Provider Name | Alexander E Salomon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760552749 PECOS PAC ID: 3476615907 Enrollment ID: I20081217000602 |
| Provider Name | Zakia D Bell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053339465 PECOS PAC ID: 0648332866 Enrollment ID: I20081223000323 |
| Provider Name | Michael E Brookings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952355620 PECOS PAC ID: 5395807481 Enrollment ID: I20081226000022 |
| Provider Name | James W Backstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497721146 PECOS PAC ID: 1951321512 Enrollment ID: I20090115000774 |
| Provider Name | Derek R Armfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477525863 PECOS PAC ID: 5890792329 Enrollment ID: I20090115000781 |
| Provider Name | Ghazaleh Aram |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154499069 PECOS PAC ID: 5597814962 Enrollment ID: I20090514000571 |
| Provider Name | Susan N Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124263298 PECOS PAC ID: 8224187554 Enrollment ID: I20090515000550 |
| Provider Name | Vonda Kay Evans Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457595647 PECOS PAC ID: 7719039585 Enrollment ID: I20090709000437 |
| Provider Name | Robert J Szeles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063634624 PECOS PAC ID: 4284786922 Enrollment ID: I20090710000266 |
| Provider Name | Joan B Stalzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245323708 PECOS PAC ID: 0547267411 Enrollment ID: I20090804000002 |
| Provider Name | William Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346258829 PECOS PAC ID: 1850485400 Enrollment ID: I20100109000022 |
| Provider Name | Charles D Goff |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508870205 PECOS PAC ID: 4486748035 Enrollment ID: I20100109000036 |
| Provider Name | Pradeep Rajagopalan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750354262 PECOS PAC ID: 2466340708 Enrollment ID: I20100513000092 |
| Provider Name | Anthony W Spinelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750354296 PECOS PAC ID: 8123121738 Enrollment ID: I20100513000236 |
| Provider Name | James F Newcity |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295749521 PECOS PAC ID: 9335184274 Enrollment ID: I20100527000379 |
| Provider Name | Joseph L Ranzini |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1699790147 PECOS PAC ID: 9739281072 Enrollment ID: I20100617000724 |
| Provider Name | Gavin T Slitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821291485 PECOS PAC ID: 4688707086 Enrollment ID: I20100805000768 |
| Provider Name | Kenneth Roy Pendergrast |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255304697 PECOS PAC ID: 7719073410 Enrollment ID: I20100806000387 |
| Provider Name | Kerry A Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144390139 PECOS PAC ID: 9234263955 Enrollment ID: I20100817001147 |
| Provider Name | Robert Mcmahon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093775801 PECOS PAC ID: 5193849008 Enrollment ID: I20100830000709 |
| Provider Name | Thomas A Zumsteg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033109228 PECOS PAC ID: 6103957246 Enrollment ID: I20101020000609 |
| Provider Name | Emily C Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518271295 PECOS PAC ID: 1951596519 Enrollment ID: I20101109001411 |
| Provider Name | Nabeel I Babar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942478961 PECOS PAC ID: 5890865505 Enrollment ID: I20101117001599 |
| Provider Name | Ngoc Hai Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629045588 PECOS PAC ID: 6800082058 Enrollment ID: I20101130000544 |
| Provider Name | Jason M Lawrence |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477718922 PECOS PAC ID: 8921295395 Enrollment ID: I20101210000450 |
| Provider Name | Frank J Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851357370 PECOS PAC ID: 3072510395 Enrollment ID: I20110118000172 |
| Provider Name | Ami Sethi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518175256 PECOS PAC ID: 1052594975 Enrollment ID: I20110330000193 |
| Provider Name | Reshma Khetpal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336446020 PECOS PAC ID: 9335322122 Enrollment ID: I20110505000824 |
| Provider Name | Michael A Valente |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265492078 PECOS PAC ID: 8426236415 Enrollment ID: I20110621000803 |
| Provider Name | Charles N Barax |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962495374 PECOS PAC ID: 5991609133 Enrollment ID: I20110705000393 |
| Provider Name | Jack L Breaux |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942473905 PECOS PAC ID: 4385778679 Enrollment ID: I20110726000027 |
| Provider Name | Amy S Kipp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699970855 PECOS PAC ID: 2163690751 Enrollment ID: I20110726000849 |
| Provider Name | Jessica D Lewis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205095726 PECOS PAC ID: 0446420111 Enrollment ID: I20110907001335 |
| Provider Name | Jessicah Susanne Collins |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679778237 PECOS PAC ID: 5395916860 Enrollment ID: I20110914000560 |
| Provider Name | Heather N Camp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902184567 PECOS PAC ID: 9234301516 Enrollment ID: I20111010000364 |
| Provider Name | Ashley F Blurton |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1295908077 PECOS PAC ID: 3173698214 Enrollment ID: I20111020000782 |
| Provider Name | Leonard Wortley Aamodt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497746051 PECOS PAC ID: 0143220095 Enrollment ID: I20111107000057 |
| Provider Name | Louis E Nelsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487753372 PECOS PAC ID: 5092985184 Enrollment ID: I20111214000029 |
| Provider Name | Douglas Carl Vander Kooi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225215155 PECOS PAC ID: 5294901542 Enrollment ID: I20120109000180 |
| Provider Name | Kari L Somers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164795217 PECOS PAC ID: 3870754955 Enrollment ID: I20120417000565 |
| Provider Name | Atul Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487861720 PECOS PAC ID: 8628255361 Enrollment ID: I20120606000005 |
| Provider Name | Rodney C Graber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710991575 PECOS PAC ID: 3072507813 Enrollment ID: I20120710000194 |
| Provider Name | Clinton S Pease |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760672042 PECOS PAC ID: 7214193846 Enrollment ID: I20120725000585 |
| Provider Name | Brian Stisser |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043461064 PECOS PAC ID: 3173770450 Enrollment ID: I20120821000527 |
| Provider Name | Amanda I Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033474283 PECOS PAC ID: 9234387259 Enrollment ID: I20120918000064 |
| Provider Name | David Dean Krieger |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1225016470 PECOS PAC ID: 1951550953 Enrollment ID: I20121008000460 |
| Provider Name | Monica A Heck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306194808 PECOS PAC ID: 2264682541 Enrollment ID: I20121022000812 |
| Provider Name | Karen S Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558490714 PECOS PAC ID: 0345490546 Enrollment ID: I20121024000708 |
| Provider Name | David Strasburg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558398537 PECOS PAC ID: 1456505031 Enrollment ID: I20130206000652 |
| Provider Name | Savita Srivastava |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790931558 PECOS PAC ID: 6406923853 Enrollment ID: I20130207000172 |
| Provider Name | Heather Higgins Schulz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558331140 PECOS PAC ID: 6901051382 Enrollment ID: I20130311000288 |
| Provider Name | Kristin L Hanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922359041 PECOS PAC ID: 3577708700 Enrollment ID: I20130318000245 |
| Provider Name | Peter A Puzio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295795003 PECOS PAC ID: 5597901637 Enrollment ID: I20130416000691 |
| Provider Name | Kevin Lawrence |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063513489 PECOS PAC ID: 1759431828 Enrollment ID: I20130716000471 |
| Provider Name | Connie S Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477642841 PECOS PAC ID: 7719976570 Enrollment ID: I20130903000292 |
| Provider Name | Jason William Romesburg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760680862 PECOS PAC ID: 9739322165 Enrollment ID: I20130903000814 |
| Provider Name | John A Snyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922273432 PECOS PAC ID: 7618155060 Enrollment ID: I20130904000276 |
| Provider Name | John P Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932361730 PECOS PAC ID: 8527238336 Enrollment ID: I20131001000104 |
| Provider Name | Jenilee V Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295050664 PECOS PAC ID: 0648404350 Enrollment ID: I20131014000332 |
| Provider Name | Joe F Surratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780026757 PECOS PAC ID: 8325272974 Enrollment ID: I20131014001713 |
| Provider Name | Glenn M. Brammer |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1083822522 PECOS PAC ID: 5799954434 Enrollment ID: I20131022000012 |
| Provider Name | Lori J Conyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104265354 PECOS PAC ID: 2466680152 Enrollment ID: I20131231000976 |
| Provider Name | Tami L Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740614825 PECOS PAC ID: 8820226434 Enrollment ID: I20140103001405 |
| Provider Name | Michael Rowland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992791081 PECOS PAC ID: 0345133393 Enrollment ID: I20140128001784 |
| Provider Name | Oleg V Glushkov |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184830929 PECOS PAC ID: 2860582103 Enrollment ID: I20140430000872 |
| Provider Name | Justin D Deaton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265752174 PECOS PAC ID: 3870717028 Enrollment ID: I20140610001317 |
| Provider Name | Richard B Schartz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114244274 PECOS PAC ID: 0840440889 Enrollment ID: I20140613000238 |
| Provider Name | Rizwan Ahmed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841469061 PECOS PAC ID: 6002972023 Enrollment ID: I20140814002481 |
| Provider Name | William D Davidson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033196415 PECOS PAC ID: 4486745882 Enrollment ID: I20140922000283 |
| Provider Name | Catherine Michelle Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952727216 PECOS PAC ID: 9436378551 Enrollment ID: I20140922001740 |
| Provider Name | Aswani Suthrave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013942341 PECOS PAC ID: 9638176506 Enrollment ID: I20140922002072 |
| Provider Name | Tonia Lee Markel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073922811 PECOS PAC ID: 1759501570 Enrollment ID: I20140930000559 |
| Provider Name | Jared A Davis |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1922234699 PECOS PAC ID: 7911134887 Enrollment ID: I20141001000948 |
| Provider Name | Sean N Higginson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235350299 PECOS PAC ID: 8527167725 Enrollment ID: I20141008002580 |
| Provider Name | Nicholas Jay Sparler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699095554 PECOS PAC ID: 7214155068 Enrollment ID: I20141104001135 |
| Provider Name | Christopher J Porter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679521082 PECOS PAC ID: 8729300785 Enrollment ID: I20141202000086 |
| Provider Name | Daniel E Parks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245202928 PECOS PAC ID: 4284872029 Enrollment ID: I20150217000747 |
| Provider Name | Joseph Romagnuolo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336257294 PECOS PAC ID: 8022089283 Enrollment ID: I20150414000751 |
| Provider Name | Judy Ko |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093991275 PECOS PAC ID: 0547435901 Enrollment ID: I20150430002109 |
| Provider Name | Galina S Lyles |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932475688 PECOS PAC ID: 0042522534 Enrollment ID: I20150713001178 |
| Provider Name | Michael Rolen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730316118 PECOS PAC ID: 8022330893 Enrollment ID: I20150713002602 |
| Provider Name | Allan S Hamby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780973032 PECOS PAC ID: 3072740943 Enrollment ID: I20150724010454 |
| Provider Name | Kristin C Turza |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1194929059 PECOS PAC ID: 3870722812 Enrollment ID: I20150817000421 |
| Provider Name | Catherine Winifred Davies |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598027559 PECOS PAC ID: 3971728734 Enrollment ID: I20150820012028 |
| Provider Name | David Dante Pellei |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427057934 PECOS PAC ID: 5294818696 Enrollment ID: I20150826002449 |
| Provider Name | Amy Chico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033592431 PECOS PAC ID: 9133436819 Enrollment ID: I20150911002163 |
| Provider Name | Jason Moore |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023037348 PECOS PAC ID: 9032427950 Enrollment ID: I20150925002495 |
| Provider Name | Michael David Longo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528053600 PECOS PAC ID: 4789762261 Enrollment ID: I20151223000198 |
| Provider Name | Elizabeth Savage Curry Simms |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952690620 PECOS PAC ID: 7810126547 Enrollment ID: I20151228000771 |
| Provider Name | Zahid I Baig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356325088 PECOS PAC ID: 8022021179 Enrollment ID: I20160119002304 |
| Provider Name | Bradley Moore Tipler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790775989 PECOS PAC ID: 6901103480 Enrollment ID: I20160329000130 |
| Provider Name | Franklin W Goldwire |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124227012 PECOS PAC ID: 6709185515 Enrollment ID: I20160429000365 |
| Provider Name | Eleanor Grimm Hutchens |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043445976 PECOS PAC ID: 4082860465 Enrollment ID: I20160527001206 |
| Provider Name | Shalendra K Varma |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912991746 PECOS PAC ID: 1355326190 Enrollment ID: I20160715001535 |
| Provider Name | Zafar Zamir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336123058 PECOS PAC ID: 7113930264 Enrollment ID: I20160720002923 |
| Provider Name | Raymond I Cruz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609034362 PECOS PAC ID: 8123264819 Enrollment ID: I20160725001203 |
| Provider Name | Rashad C Wilkerson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821152067 PECOS PAC ID: 4688812688 Enrollment ID: I20160815002143 |
| Provider Name | Christopher Ray Simpson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518229616 PECOS PAC ID: 4880989631 Enrollment ID: I20160818001844 |
| Provider Name | Chuan L Miao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962660696 PECOS PAC ID: 6608921705 Enrollment ID: I20160927002081 |
| Provider Name | Imran Fayyaz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952385692 PECOS PAC ID: 9032110879 Enrollment ID: I20161011001593 |
| Provider Name | Sarah Goodwin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497708226 PECOS PAC ID: 2466731567 Enrollment ID: I20161114000175 |
| Provider Name | Stanley Hatcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801344064 PECOS PAC ID: 9739469982 Enrollment ID: I20161206001662 |
| Provider Name | Lewis A Siegel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023017928 PECOS PAC ID: 0648295972 Enrollment ID: I20161213002295 |
| Provider Name | Muhammad Z Bawany |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093970097 PECOS PAC ID: 9436327640 Enrollment ID: I20170123000098 |
| Provider Name | Paul Alexander Detrana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891230108 PECOS PAC ID: 1153604384 Enrollment ID: I20170213001582 |
| Provider Name | Daniel J Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306866785 PECOS PAC ID: 7214981505 Enrollment ID: I20170424000577 |
| Provider Name | Michael D Flam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396729679 PECOS PAC ID: 9436180601 Enrollment ID: I20170502001398 |
| Provider Name | Claire Michelle Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770922254 PECOS PAC ID: 4486931201 Enrollment ID: I20170504001160 |
| Provider Name | Carrie E Schlabach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093247017 PECOS PAC ID: 5092082388 Enrollment ID: I20170516002098 |
| Provider Name | Charles F Pagels |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154765444 PECOS PAC ID: 2860620630 Enrollment ID: I20170711001895 |
| Provider Name | Jonathan A Craun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295931293 PECOS PAC ID: 0042435380 Enrollment ID: I20170717003017 |
| Provider Name | Jeffrey S Genda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528355971 PECOS PAC ID: 1951528124 Enrollment ID: I20170719001425 |
| Provider Name | Nicole Y Linton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134563026 PECOS PAC ID: 7012145949 Enrollment ID: I20170731000525 |
| Provider Name | Divyangkumar K Gandhi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386993343 PECOS PAC ID: 8022307941 Enrollment ID: I20170814002161 |
| Provider Name | Kimberly A Greer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366785917 PECOS PAC ID: 2668609397 Enrollment ID: I20170815002285 |
| Provider Name | Yonis Geberemariam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558624619 PECOS PAC ID: 7618281270 Enrollment ID: I20170907000665 |
| Provider Name | Todd Anthony Goodnight |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366638512 PECOS PAC ID: 2961578935 Enrollment ID: I20170926002709 |
| Provider Name | Kelvin B Raybon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750395364 PECOS PAC ID: 4789582628 Enrollment ID: I20170928000354 |
| Provider Name | Beverly G Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942604012 PECOS PAC ID: 7517232523 Enrollment ID: I20171002000522 |
| Provider Name | Michael Reiser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285609339 PECOS PAC ID: 8729026588 Enrollment ID: I20171012000085 |
| Provider Name | Todd Blodgett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689877730 PECOS PAC ID: 7012008667 Enrollment ID: I20171012003432 |
| Provider Name | Danika A Hogan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336302207 PECOS PAC ID: 6507005451 Enrollment ID: I20171017000706 |
| Provider Name | Mark T Andres |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700080249 PECOS PAC ID: 3274768197 Enrollment ID: I20171017000923 |
| Provider Name | Eric Steckler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972503514 PECOS PAC ID: 5698933794 Enrollment ID: I20171030000246 |
| Provider Name | Dane Marc Larsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972569523 PECOS PAC ID: 9133311780 Enrollment ID: I20171031000575 |
| Provider Name | Polly Arey Cason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851817175 PECOS PAC ID: 3577829555 Enrollment ID: I20171107002766 |
| Provider Name | Harjot Dulai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356557763 PECOS PAC ID: 8426121559 Enrollment ID: I20171128000432 |
| Provider Name | Joseph James Freeze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831608504 PECOS PAC ID: 4284991159 Enrollment ID: I20171130002301 |
| Provider Name | Katherine F Bryant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912197765 PECOS PAC ID: 9638361785 Enrollment ID: I20171207000049 |
| Provider Name | Seth Dukes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316258221 PECOS PAC ID: 8123304821 Enrollment ID: I20171220002191 |
| Provider Name | Mark Jablonski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942407135 PECOS PAC ID: 4385735828 Enrollment ID: I20171227002820 |
| Provider Name | Betsy A Izes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720054554 PECOS PAC ID: 0648183772 Enrollment ID: I20180102000877 |
| Provider Name | David Scott Hursh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033359096 PECOS PAC ID: 5799736815 Enrollment ID: I20180108000761 |
| Provider Name | Nayef A Abouzaki |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164742359 PECOS PAC ID: 9234370503 Enrollment ID: I20180131000967 |
| Provider Name | Amanda Guedes De Morais |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417143660 PECOS PAC ID: 7416184106 Enrollment ID: I20180201003101 |
| Provider Name | William W Chuang |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1396723193 PECOS PAC ID: 4284538638 Enrollment ID: I20180205000327 |
| Provider Name | Clark Bryan Bernard |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477654937 PECOS PAC ID: 1153364989 Enrollment ID: I20180306000020 |
| Provider Name | Edward B Schmidt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477509644 PECOS PAC ID: 4385531060 Enrollment ID: I20180322002019 |
| Provider Name | Kevin Charles Greer |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1275876823 PECOS PAC ID: 8325275639 Enrollment ID: I20180410000462 |
| Provider Name | Joseph M Bender |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265411011 PECOS PAC ID: 5395641401 Enrollment ID: I20180417000122 |
| Provider Name | Elizabeth Cox |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629026091 PECOS PAC ID: 2466346440 Enrollment ID: I20180423002620 |
| Provider Name | Jawad Hussain |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1124394390 PECOS PAC ID: 2668728304 Enrollment ID: I20180710003400 |
| Provider Name | Matthew Thomas Meade |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689069262 PECOS PAC ID: 6709133283 Enrollment ID: I20180716002976 |
| Provider Name | Paul Hudson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376939181 PECOS PAC ID: 3577870815 Enrollment ID: I20180720000035 |
| Provider Name | John Andrew Starr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780841833 PECOS PAC ID: 9830406313 Enrollment ID: I20180725003482 |
| Provider Name | Amit P Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538696950 PECOS PAC ID: 4981952322 Enrollment ID: I20180801003128 |
| Provider Name | Christopher Thomas Bunn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164798716 PECOS PAC ID: 6709003742 Enrollment ID: I20180822002515 |
| Provider Name | Christine Ou |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1851684666 PECOS PAC ID: 5496004244 Enrollment ID: I20180828000848 |
| Provider Name | Elizabeth Scott Dattilio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548781230 PECOS PAC ID: 5193075497 Enrollment ID: I20180907000652 |
| Provider Name | Leah Mccown |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437635570 PECOS PAC ID: 9335491505 Enrollment ID: I20181017000073 |
| Provider Name | Christopher Andrew Sanders |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245341254 PECOS PAC ID: 5496795304 Enrollment ID: I20181019001292 |
| Provider Name | Ronald Daniel Kunst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326026543 PECOS PAC ID: 6608866553 Enrollment ID: I20181114003473 |
| Provider Name | Mark A Cogen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730147562 PECOS PAC ID: 4880752286 Enrollment ID: I20181120000371 |
| Provider Name | Rachel M Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992299903 PECOS PAC ID: 6507101946 Enrollment ID: I20181213000727 |
| Provider Name | Bert Cody Piggott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104901354 PECOS PAC ID: 3173674900 Enrollment ID: I20181217000699 |
| Provider Name | Gregg David Schubach |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1558369900 PECOS PAC ID: 7416927132 Enrollment ID: I20190107000648 |
| Provider Name | Gregory T Trecha |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1396716577 PECOS PAC ID: 0244228666 Enrollment ID: I20190109002673 |
| Provider Name | Sarah B Borchelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083183057 PECOS PAC ID: 6305182445 Enrollment ID: I20190110003441 |
| Provider Name | Brenton J Ellison |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033377460 PECOS PAC ID: 1557519782 Enrollment ID: I20190219000837 |
| Provider Name | Matthew Douglas Painter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144791104 PECOS PAC ID: 4789656604 Enrollment ID: I20190225003125 |
| Provider Name | Andrew M Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629064951 PECOS PAC ID: 7113824582 Enrollment ID: I20190401000128 |
| Provider Name | Tim Alan Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922091073 PECOS PAC ID: 6103845961 Enrollment ID: I20190408002649 |
| Provider Name | Christopher Maxwell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073909206 PECOS PAC ID: 9436492543 Enrollment ID: I20190513001341 |
| Provider Name | David William Lacey |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1205838968 PECOS PAC ID: 4587764311 Enrollment ID: I20190725000883 |
| Provider Name | Eric T Field |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467809830 PECOS PAC ID: 6305132218 Enrollment ID: I20190812000246 |
| Provider Name | Roberta R Gray |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285614685 PECOS PAC ID: 8022100817 Enrollment ID: I20190821004940 |
| Provider Name | Susanna Lynch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558724138 PECOS PAC ID: 7810280146 Enrollment ID: I20190918003554 |
| Provider Name | Shannon N Tierney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003020660 PECOS PAC ID: 4587716451 Enrollment ID: I20190924000741 |
| Provider Name | Arathi M Gorur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669823183 PECOS PAC ID: 2466726682 Enrollment ID: I20191009000390 |
| Provider Name | Jordan E Larew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326692716 PECOS PAC ID: 7113258864 Enrollment ID: I20191009003610 |
| Provider Name | Brandy L Hollabaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477105377 PECOS PAC ID: 5698007839 Enrollment ID: I20191021003536 |
| Provider Name | Christina Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952721979 PECOS PAC ID: 9133429335 Enrollment ID: I20191028000285 |
| Provider Name | Lori L Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063735397 PECOS PAC ID: 0244367738 Enrollment ID: I20191126000180 |
| Provider Name | Palam Annamalai |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1972529584 PECOS PAC ID: 5698776144 Enrollment ID: I20191202000089 |
| Provider Name | Camille Evon Kaplan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104469659 PECOS PAC ID: 3072946029 Enrollment ID: I20191204002091 |
| Provider Name | Khurram Muhammad Baig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568753002 PECOS PAC ID: 4284866484 Enrollment ID: I20200109002853 |
| Provider Name | Laura L Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033220819 PECOS PAC ID: 5092946962 Enrollment ID: I20200221002556 |
| Provider Name | Kathryn W Berger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346280963 PECOS PAC ID: 4688774821 Enrollment ID: I20200409000848 |
| Provider Name | April Matiasek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992859417 PECOS PAC ID: 8426295619 Enrollment ID: I20200409002437 |
| Provider Name | Megan Anne Cather |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033742978 PECOS PAC ID: 1153751037 Enrollment ID: I20200416000761 |
| Provider Name | Richard Wall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275525388 PECOS PAC ID: 7214965482 Enrollment ID: I20200427000105 |
| Provider Name | Tianyi Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346777398 PECOS PAC ID: 4183994833 Enrollment ID: I20200709000306 |
| Provider Name | Gregory Michael Wade |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1942647888 PECOS PAC ID: 5294974283 Enrollment ID: I20200715002603 |
| Provider Name | Jennifer M Cornwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780084913 PECOS PAC ID: 7911321807 Enrollment ID: I20200724001426 |
| Provider Name | Amar S Mehta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477828523 PECOS PAC ID: 1153623749 Enrollment ID: I20200810001180 |
| Provider Name | Michael Timothy Quinn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225370893 PECOS PAC ID: 5799910329 Enrollment ID: I20200814001615 |
| Provider Name | Uchenna S Nwosu |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1588921829 PECOS PAC ID: 3072730316 Enrollment ID: I20200827000351 |
| Provider Name | Anastasia Snelling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023541372 PECOS PAC ID: 8628355740 Enrollment ID: I20200831002593 |
| Provider Name | Tiffany Alana Stoddard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720114846 PECOS PAC ID: 1557517893 Enrollment ID: I20200902002552 |
| Provider Name | Mary Victoria Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679188767 PECOS PAC ID: 3173933967 Enrollment ID: I20201105002934 |
| Provider Name | Liisa L Laakso |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003894221 PECOS PAC ID: 3971496241 Enrollment ID: I20201130000561 |
| Provider Name | Christine Heath |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629007273 PECOS PAC ID: 6103843016 Enrollment ID: I20201210001348 |
| Provider Name | Dalton R Daniel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346227493 PECOS PAC ID: 2466425640 Enrollment ID: I20201216000310 |
| Provider Name | Sarah Coleman Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093311888 PECOS PAC ID: 9032525878 Enrollment ID: I20210303000407 |
| Provider Name | Emad Hamid |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457553588 PECOS PAC ID: 7618021999 Enrollment ID: I20210527001353 |
| Provider Name | Tyler A Dailey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700150406 PECOS PAC ID: 4587925862 Enrollment ID: I20210609000741 |
| Provider Name | Christina A Tennyson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538389127 PECOS PAC ID: 8628136744 Enrollment ID: I20210614001219 |
| Provider Name | John Morrissey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740293984 PECOS PAC ID: 5597934422 Enrollment ID: I20210623000991 |
| Provider Name | Javelle A Wynter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659799906 PECOS PAC ID: 2769604263 Enrollment ID: I20210714000506 |
| Provider Name | Andrew Sekhon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295189504 PECOS PAC ID: 1355635467 Enrollment ID: I20210714002210 |
| Provider Name | Joseph F O'brien |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1417486937 PECOS PAC ID: 8729346341 Enrollment ID: I20210722003653 |
| Provider Name | Shaun E Carpenter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225525496 PECOS PAC ID: 7911256375 Enrollment ID: I20210724000034 |
| Provider Name | Leann N Denlinger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063807303 PECOS PAC ID: 1557678950 Enrollment ID: I20210729000340 |
| Provider Name | Claire V Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396315263 PECOS PAC ID: 1355746884 Enrollment ID: I20210823000977 |
| Provider Name | Elizabeth C Ullrich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912403767 PECOS PAC ID: 8820405749 Enrollment ID: I20210830000205 |
| Provider Name | Anit Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114337029 PECOS PAC ID: 8224321013 Enrollment ID: I20210831000776 |
| Provider Name | Sammy Zaki Elsarrag |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003348848 PECOS PAC ID: 5294089116 Enrollment ID: I20210901001652 |
| Provider Name | Shavitri Mahendiran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326339946 PECOS PAC ID: 5890081186 Enrollment ID: I20210907000951 |
| Provider Name | Meredith Holmes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891286001 PECOS PAC ID: 4183972714 Enrollment ID: I20210907001329 |
| Provider Name | Noel Patrice Dianas-hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194228122 PECOS PAC ID: 9335545409 Enrollment ID: I20210915002037 |
| Provider Name | Adiba A Geeti |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053542928 PECOS PAC ID: 7618015009 Enrollment ID: I20210922003372 |
| Provider Name | Sintayehu F Kenea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467806190 PECOS PAC ID: 5092046813 Enrollment ID: I20210928001844 |
| Provider Name | April M Shewmake |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932512050 PECOS PAC ID: 9931327392 Enrollment ID: I20211006001815 |
| Provider Name | Ademola Bello |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053609339 PECOS PAC ID: 4183935653 Enrollment ID: I20211008000781 |
| Provider Name | Lauren Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205409141 PECOS PAC ID: 2466850102 Enrollment ID: I20211011000043 |
| Provider Name | Emily Rebecca Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659942043 PECOS PAC ID: 0345648796 Enrollment ID: I20211014003295 |
| Provider Name | Steven Condron |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043423536 PECOS PAC ID: 0143390088 Enrollment ID: I20211018000828 |
| Provider Name | Ashley N Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154994622 PECOS PAC ID: 6709274087 Enrollment ID: I20211020000363 |
| Provider Name | Cameron P Lewis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609194695 PECOS PAC ID: 2668783960 Enrollment ID: I20211111001481 |
| Provider Name | Charles Hunter Shomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295407229 PECOS PAC ID: 0345630836 Enrollment ID: I20211123001968 |
| Provider Name | Mustafa Anssar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588168603 PECOS PAC ID: 3577801695 Enrollment ID: I20211229001004 |
| Provider Name | James L Henderson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750366860 PECOS PAC ID: 9133107683 Enrollment ID: I20220120000337 |
| Provider Name | Daniel Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851705990 PECOS PAC ID: 2062748528 Enrollment ID: I20220211000038 |
| Provider Name | Gerald Bertiger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265470140 PECOS PAC ID: 5597654533 Enrollment ID: I20220301000170 |
| Provider Name | Victor Mandanas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356413785 PECOS PAC ID: 8628077948 Enrollment ID: I20220312000145 |
| Provider Name | Caleb W Anderson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1982042917 PECOS PAC ID: 4082901525 Enrollment ID: I20220315000348 |
| Provider Name | Danielle Tamara Hoo Fatt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083031546 PECOS PAC ID: 9739311218 Enrollment ID: I20220321000213 |
| Provider Name | Mellony S Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699767095 PECOS PAC ID: 6002901865 Enrollment ID: I20220407001332 |
| Provider Name | Michael John Kelley |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1700883154 PECOS PAC ID: 1951351873 Enrollment ID: I20220419003091 |
| Provider Name | Julia W Karlsson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982760328 PECOS PAC ID: 2163462102 Enrollment ID: I20220616001663 |
| Provider Name | Hilary Binda Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982909669 PECOS PAC ID: 0840471538 Enrollment ID: I20220629002621 |
| Provider Name | Jose Luis Perez Lara |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013461060 PECOS PAC ID: 8426438508 Enrollment ID: I20220707000548 |
| Provider Name | Jiyoon Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851612170 PECOS PAC ID: 2567713373 Enrollment ID: I20220713000147 |
| Provider Name | Steven M Lasker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437261732 PECOS PAC ID: 7810913100 Enrollment ID: I20220722001477 |
| Provider Name | Keith Justin Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093459521 PECOS PAC ID: 5294118022 Enrollment ID: I20220811002064 |
| Provider Name | Andrew Kaiser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588070197 PECOS PAC ID: 4880995893 Enrollment ID: I20220824000876 |
| Provider Name | Lindsey Marie Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477208213 PECOS PAC ID: 9931583820 Enrollment ID: I20220825003712 |
| Provider Name | Christina K Herrmann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659499200 PECOS PAC ID: 5193825628 Enrollment ID: I20220901000321 |
| Provider Name | Usama Hasan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780099267 PECOS PAC ID: 0143560144 Enrollment ID: I20220922002472 |
| Provider Name | Ahmad Arab |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417448697 PECOS PAC ID: 7113275553 Enrollment ID: I20220922002728 |
| Provider Name | Cullen O Carter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275706277 PECOS PAC ID: 0648418897 Enrollment ID: I20221003000765 |
| Provider Name | Bruce Reiner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447235783 PECOS PAC ID: 7911008602 Enrollment ID: I20221005003557 |
| Provider Name | Nicole A Tormey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881316529 PECOS PAC ID: 3678940913 Enrollment ID: I20221031000508 |
| Provider Name | Sam D Zheng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700231107 PECOS PAC ID: 2163762931 Enrollment ID: I20221103000352 |
| Provider Name | Stephanie Osborne Findley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922728153 PECOS PAC ID: 7113396649 Enrollment ID: I20221206000400 |
| Provider Name | Sheikh Hoq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265470561 PECOS PAC ID: 7618980384 Enrollment ID: I20221209001893 |
| Provider Name | Monica Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528208436 PECOS PAC ID: 0749417715 Enrollment ID: I20221209002109 |
| Provider Name | Kathryn G Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336709492 PECOS PAC ID: 9638406507 Enrollment ID: I20221214003273 |
| Provider Name | Deborah Jo Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053038463 PECOS PAC ID: 8123498797 Enrollment ID: I20221227000044 |
| Provider Name | Brian Comeaux |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831192350 PECOS PAC ID: 0042394637 Enrollment ID: I20230113000240 |
| Provider Name | Sameh Sakla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518250307 PECOS PAC ID: 5294080230 Enrollment ID: I20230117001554 |
| Provider Name | Solange Flore Kamdem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528770948 PECOS PAC ID: 8820460512 Enrollment ID: I20230206001981 |
| Provider Name | David Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457305195 PECOS PAC ID: 2769385236 Enrollment ID: I20230221000193 |
| Provider Name | Daniel Taraskiewicz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578051470 PECOS PAC ID: 3779834353 Enrollment ID: I20230223001977 |
| Provider Name | Lori Ann Reagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215667902 PECOS PAC ID: 5991173486 Enrollment ID: I20230307003412 |
| Provider Name | Paras Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225492895 PECOS PAC ID: 1355635095 Enrollment ID: I20230314000936 |
| Provider Name | Karen L Mccauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033636337 PECOS PAC ID: 2961769393 Enrollment ID: I20230406001211 |
| Provider Name | Michael D Zimmerman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184086951 PECOS PAC ID: 6507289188 Enrollment ID: I20230429000073 |
| Provider Name | Anthony Chijioke Nwokocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285349100 PECOS PAC ID: 4688039373 Enrollment ID: I20230502002812 |
| Provider Name | James Webber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467459479 PECOS PAC ID: 0840257572 Enrollment ID: I20230602001527 |
| Provider Name | Esther Fontenot Barrios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053987438 PECOS PAC ID: 9638579402 Enrollment ID: I20230623001454 |
| Provider Name | Wei Lin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386621654 PECOS PAC ID: 1456383256 Enrollment ID: I20230627000060 |
| Provider Name | Nicole M Koiner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275257842 PECOS PAC ID: 0244699247 Enrollment ID: I20230710000791 |
| Provider Name | Rebecca Yaras |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467071852 PECOS PAC ID: 8325408255 Enrollment ID: I20230724002170 |
| Provider Name | Jo Anne Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659325793 PECOS PAC ID: 8820459126 Enrollment ID: I20230803000107 |
| Provider Name | Kara H Monger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134841091 PECOS PAC ID: 3476915463 Enrollment ID: I20230808001105 |
| Provider Name | Kaya J Payne |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174066633 PECOS PAC ID: 7214212687 Enrollment ID: I20230822004392 |
| Provider Name | Carissa Harnish-cruz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740817501 PECOS PAC ID: 9638594831 Enrollment ID: I20230828000819 |
| Provider Name | Courtney Brooks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316502347 PECOS PAC ID: 3870829955 Enrollment ID: I20230911002647 |
| Provider Name | Carolyn G Dudley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689651606 PECOS PAC ID: 0547251761 Enrollment ID: I20230921004181 |
| Provider Name | Allison Elizabeth Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316625114 PECOS PAC ID: 2466806583 Enrollment ID: I20230922003394 |
| Provider Name | Chelsea Hutchinson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083034284 PECOS PAC ID: 7416171251 Enrollment ID: I20230926004300 |
| Provider Name | Richard J Herzig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922078443 PECOS PAC ID: 6507854882 Enrollment ID: I20230927001207 |
| Provider Name | Hibatullah Mohammad Khader Abu El-haija |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083139422 PECOS PAC ID: 1355743519 Enrollment ID: I20231004003097 |
| Provider Name | April Ann Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538943857 PECOS PAC ID: 6103271689 Enrollment ID: I20231018003948 |
| Provider Name | Cayla Christine Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871272187 PECOS PAC ID: 3173979366 Enrollment ID: I20231024002924 |
| Provider Name | Danielle Steele Mccown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265138309 PECOS PAC ID: 8527415124 Enrollment ID: I20231102003840 |
| Provider Name | Justine Elaine Paladino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225811078 PECOS PAC ID: 7315394806 Enrollment ID: I20231106000089 |
| Provider Name | Matthew B Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801209713 PECOS PAC ID: 4587973011 Enrollment ID: I20231108001148 |
| Provider Name | Melody King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053080242 PECOS PAC ID: 9739536616 Enrollment ID: I20231115000063 |
| Provider Name | Jalal-deen Armiyaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356844179 PECOS PAC ID: 3779905096 Enrollment ID: I20231122002214 |
| Provider Name | Suzanna Hicks Rea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609579143 PECOS PAC ID: 2567812423 Enrollment ID: I20231219002332 |
| Provider Name | Briana Suarez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669123204 PECOS PAC ID: 4082061965 Enrollment ID: I20240117004582 |
| Provider Name | Susan Echols |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881366623 PECOS PAC ID: 0446600522 Enrollment ID: I20240122000926 |
| Provider Name | Duke Pham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578579728 PECOS PAC ID: 3870591100 Enrollment ID: I20240122002276 |
| Provider Name | Gary Leroger Parrish |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083211783 PECOS PAC ID: 6507218716 Enrollment ID: I20240123002832 |
| Provider Name | Richard Rezko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134489693 PECOS PAC ID: 0941446835 Enrollment ID: I20240124001744 |
| Provider Name | Hassan Semaan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144209420 PECOS PAC ID: 9830081744 Enrollment ID: I20240126003542 |
| Provider Name | Mac Martin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619407913 PECOS PAC ID: 7214201870 Enrollment ID: I20240222000137 |
| Provider Name | Amanda Thacker Mikolay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568230464 PECOS PAC ID: 4789020959 Enrollment ID: I20240311000568 |
| Provider Name | Heather Marie Fitch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972383669 PECOS PAC ID: 0547606428 Enrollment ID: I20240314000079 |
| Provider Name | Ashley Nicole Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932961596 PECOS PAC ID: 9931545837 Enrollment ID: I20240314000687 |
| Provider Name | Robert Port |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932208568 PECOS PAC ID: 0345135091 Enrollment ID: I20240315000398 |
| Provider Name | Malcolm Doyle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679566053 PECOS PAC ID: 7810012283 Enrollment ID: I20240315000746 |
| Provider Name | Nicholas Feinberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639609829 PECOS PAC ID: 8022387752 Enrollment ID: I20240318001488 |
| Provider Name | Amy Thompson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962491894 PECOS PAC ID: 3274625926 Enrollment ID: I20240412000717 |
| Provider Name | Brandon Sur |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1518227180 PECOS PAC ID: 3870888514 Enrollment ID: I20240412004061 |
| Provider Name | Darlene Hilton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386076701 PECOS PAC ID: 5991008567 Enrollment ID: I20240509000645 |
| Provider Name | Anika Nina Watson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073776126 PECOS PAC ID: 2062668064 Enrollment ID: I20240530004073 |
| Provider Name | Emily Winter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154718823 PECOS PAC ID: 2062794423 Enrollment ID: I20240613002722 |