| Ballad Health Medical Associates | |
|
105 W Stone Dr Suite 6a Kingsport TN 37660 | |
| (423) 408-7220 | |
| (423) 408-7405 |
| Full Name | Ballad Health Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 105 W Stone Dr, Kingsport, Tennessee |
| Authorized Official Name and Position | Shane Hilton (EVP/CFO) |
| Authorized Official Contact | 4233023467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ballad Health Medical Associates 2020 Brookside Dr Kingsport TN 37660-4633 Ph: (423) 343-0434 | Ballad Health Medical Associates 105 W Stone Dr Suite 6a Kingsport TN 37660 Ph: (423) 408-7220 |
| NPI Number | 1780986257 |
|---|---|
| Provider Enumeration Date | 12/03/2010 |
| Last Update Date | 04/19/2024 |
| Medicare PECOS PAC ID | 8123291739 |
|---|---|
| Medicare Enrollment ID | O20111026000909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780986257 | NPI | - | NPPES |
| Provider Name | Rita E Plemmons-winfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467457861 PECOS PAC ID: 9830093491 Enrollment ID: I20031125000201 |
| Provider Name | Nikhil Suresh Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104810027 PECOS PAC ID: 4688574304 Enrollment ID: I20040109000900 |
| Provider Name | Scott D Watson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497732929 PECOS PAC ID: 2860386125 Enrollment ID: I20040209001159 |
| Provider Name | Gregory Brewer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285621870 PECOS PAC ID: 2668367202 Enrollment ID: I20040220000882 |
| Provider Name | Remy C Sagadraca |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639116460 PECOS PAC ID: 8921994328 Enrollment ID: I20040224000150 |
| Provider Name | Michael A Ponder |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831155944 PECOS PAC ID: 3476454885 Enrollment ID: I20040228000171 |
| Provider Name | Shannon Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376512806 PECOS PAC ID: 4880581552 Enrollment ID: I20040228000202 |
| Provider Name | Gregory E Clarity |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568451516 PECOS PAC ID: 2163311531 Enrollment ID: I20040312001199 |
| Provider Name | Ralph L Mills |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1942295894 PECOS PAC ID: 9335031376 Enrollment ID: I20040325001408 |
| Provider Name | Margaret Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487611018 PECOS PAC ID: 9335131291 Enrollment ID: I20040331001136 |
| Provider Name | David Beckner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326074220 PECOS PAC ID: 5890788517 Enrollment ID: I20040407000502 |
| Provider Name | John C Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194781203 PECOS PAC ID: 6800787797 Enrollment ID: I20040408000209 |
| Provider Name | Roger J Mcsharry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063405736 PECOS PAC ID: 1456346840 Enrollment ID: I20040415001105 |
| Provider Name | Michael J Hodge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588641187 PECOS PAC ID: 4183612930 Enrollment ID: I20040503000376 |
| Provider Name | April Elaine Wisehart-johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639143001 PECOS PAC ID: 9133119902 Enrollment ID: I20040513001284 |
| Provider Name | Kenton B Goh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972547172 PECOS PAC ID: 1658352224 Enrollment ID: I20040528000446 |
| Provider Name | Jack H Whitaker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922064047 PECOS PAC ID: 5698757128 Enrollment ID: I20040607001001 |
| Provider Name | Raymond D Merrick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588620108 PECOS PAC ID: 2264414747 Enrollment ID: I20040607001343 |
| Provider Name | Lisa R Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538163076 PECOS PAC ID: 6103809470 Enrollment ID: I20040608001252 |
| Provider Name | Janet E Cradic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497758551 PECOS PAC ID: 2769466523 Enrollment ID: I20040617000976 |
| Provider Name | Linda S Morelock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558366963 PECOS PAC ID: 8527042399 Enrollment ID: I20040617001096 |
| Provider Name | Herbert Ladley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174552467 PECOS PAC ID: 0345154852 Enrollment ID: I20040622000949 |
| Provider Name | Tanja Todd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295814861 PECOS PAC ID: 9931185451 Enrollment ID: I20040625000781 |
| Provider Name | Luke S Erdoes |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558355511 PECOS PAC ID: 5294712634 Enrollment ID: I20040702000418 |
| Provider Name | Stanley A Gall |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1982633467 PECOS PAC ID: 7719964170 Enrollment ID: I20040702000523 |
| Provider Name | Beverly Turner-winbush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992792576 PECOS PAC ID: 3375520406 Enrollment ID: I20040706001270 |
| Provider Name | George M Testerman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033107859 PECOS PAC ID: 7911985627 Enrollment ID: I20040709000635 |
| Provider Name | Daniel Drinnen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184660482 PECOS PAC ID: 4789662933 Enrollment ID: I20040716000702 |
| Provider Name | Jeffrey A Nix |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699717223 PECOS PAC ID: 7416935663 Enrollment ID: I20040716000738 |
| Provider Name | Tom C Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992741292 PECOS PAC ID: 2961480116 Enrollment ID: I20040716000777 |
| Provider Name | Hiren B Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225042831 PECOS PAC ID: 2961481437 Enrollment ID: I20040717000379 |
| Provider Name | Gregory F Vines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609819291 PECOS PAC ID: 4486633872 Enrollment ID: I20040719000802 |
| Provider Name | David E Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558331033 PECOS PAC ID: 0941270680 Enrollment ID: I20040729000462 |
| Provider Name | Alton J Blow |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1922091826 PECOS PAC ID: 3072583780 Enrollment ID: I20040729001010 |
| Provider Name | Kristel Winebarger Rush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164408126 PECOS PAC ID: 5890766539 Enrollment ID: I20040804001711 |
| Provider Name | Wendy G Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700978848 PECOS PAC ID: 3678545803 Enrollment ID: I20040809001125 |
| Provider Name | Cynthia Bayer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407818164 PECOS PAC ID: 6204809296 Enrollment ID: I20040817001389 |
| Provider Name | Shelby G Olds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205832169 PECOS PAC ID: 3274528799 Enrollment ID: I20040831000397 |
| Provider Name | Tammy D Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063431781 PECOS PAC ID: 6709851728 Enrollment ID: I20040901000547 |
| Provider Name | Jean M Mancini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013914308 PECOS PAC ID: 7517934672 Enrollment ID: I20040916000937 |
| Provider Name | Mandeep S Bakshi |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1669458857 PECOS PAC ID: 6901874411 Enrollment ID: I20040922000867 |
| Provider Name | James C Watts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609860303 PECOS PAC ID: 5395714513 Enrollment ID: I20040924000946 |
| Provider Name | Ahmed A Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639165277 PECOS PAC ID: 7911976089 Enrollment ID: I20040927000744 |
| Provider Name | Michael Anders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932165040 PECOS PAC ID: 6901875079 Enrollment ID: I20040927000749 |
| Provider Name | Janice F Ewing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770502551 PECOS PAC ID: 5395714174 Enrollment ID: I20040928001283 |
| Provider Name | Connie L Nickelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841229903 PECOS PAC ID: 1850350042 Enrollment ID: I20041004001085 |
| Provider Name | Kenneth E Turner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396710620 PECOS PAC ID: 5597732461 Enrollment ID: I20041005000321 |
| Provider Name | Lisa I Griggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073563250 PECOS PAC ID: 6800855313 Enrollment ID: I20041008000615 |
| Provider Name | Eustacia L Pratt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114977972 PECOS PAC ID: 1052371804 Enrollment ID: I20041015000240 |
| Provider Name | Michael L Dillard |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376594291 PECOS PAC ID: 4183685092 Enrollment ID: I20041025000245 |
| Provider Name | Arthur Ogborn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508031956 PECOS PAC ID: 9739141813 Enrollment ID: I20041101000586 |
| Provider Name | Diane Lee Ryland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669513610 PECOS PAC ID: 2264495779 Enrollment ID: I20041105000602 |
| Provider Name | Larry Shuster |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588630891 PECOS PAC ID: 8022071208 Enrollment ID: I20041109000295 |
| Provider Name | Matthew D. Beasey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962495853 PECOS PAC ID: 4284698648 Enrollment ID: I20041116000140 |
| Provider Name | Marc Dalmond Counts |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629002043 PECOS PAC ID: 7719884600 Enrollment ID: I20041116000271 |
| Provider Name | Christopher S Castle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568406684 PECOS PAC ID: 5294792875 Enrollment ID: I20041215000428 |
| Provider Name | Constantino Diaz-miranda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093782963 PECOS PAC ID: 0244213759 Enrollment ID: I20050103000838 |
| Provider Name | Benjamin Altman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619942380 PECOS PAC ID: 6800845462 Enrollment ID: I20050120000839 |
| Provider Name | Gregory A Gerlock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114987740 PECOS PAC ID: 5698725117 Enrollment ID: I20050124000127 |
| Provider Name | Mary Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548247208 PECOS PAC ID: 1456302991 Enrollment ID: I20050202000470 |
| Provider Name | Israel D Garcia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598750481 PECOS PAC ID: 7719938810 Enrollment ID: I20050207000338 |
| Provider Name | Scott A Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083609200 PECOS PAC ID: 2365493046 Enrollment ID: I20050210000261 |
| Provider Name | Andy Delwadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629089784 PECOS PAC ID: 5496707598 Enrollment ID: I20050217000138 |
| Provider Name | Curtis K Drumwright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205896834 PECOS PAC ID: 3577515576 Enrollment ID: I20050217000931 |
| Provider Name | Dennis M Aguirre |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1376588996 PECOS PAC ID: 7618922345 Enrollment ID: I20050316000180 |
| Provider Name | Page S Mcclanahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104894641 PECOS PAC ID: 5496700049 Enrollment ID: I20050316000413 |
| Provider Name | James D Louthan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477556157 PECOS PAC ID: 1052366622 Enrollment ID: I20050316000599 |
| Provider Name | Mitzi M Musick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780686865 PECOS PAC ID: 7012962459 Enrollment ID: I20050317000930 |
| Provider Name | Donald R Quinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447219688 PECOS PAC ID: 1759299761 Enrollment ID: I20050323001005 |
| Provider Name | Douglas L Damron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396785317 PECOS PAC ID: 4284681388 Enrollment ID: I20050331000898 |
| Provider Name | Celesta Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912963026 PECOS PAC ID: 5890734206 Enrollment ID: I20050426000628 |
| Provider Name | Geoffrey G Correll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861462426 PECOS PAC ID: 0143268763 Enrollment ID: I20050429000858 |
| Provider Name | William Robert Bridges |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033164181 PECOS PAC ID: 1850335910 Enrollment ID: I20050620000391 |
| Provider Name | Abrar Ahmad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376534305 PECOS PAC ID: 9931143005 Enrollment ID: I20050620000493 |
| Provider Name | Jonathan D Dixon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962430496 PECOS PAC ID: 3870538606 Enrollment ID: I20050622001068 |
| Provider Name | William B Harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346248879 PECOS PAC ID: 4385689033 Enrollment ID: I20050622001333 |
| Provider Name | Lenita H Thibault |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659391092 PECOS PAC ID: 0345285060 Enrollment ID: I20050623000201 |
| Provider Name | Grant D Taylor |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427013044 PECOS PAC ID: 7618912999 Enrollment ID: I20050627001243 |
| Provider Name | Maria Liquete |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942266580 PECOS PAC ID: 4385670298 Enrollment ID: I20050712001003 |
| Provider Name | Sharon L Farley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801870548 PECOS PAC ID: 7517993215 Enrollment ID: I20050714000094 |
| Provider Name | Leah Nicole Moon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417913526 PECOS PAC ID: 7517995053 Enrollment ID: I20050727000357 |
| Provider Name | Borzou Azima |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447297692 PECOS PAC ID: 9537197660 Enrollment ID: I20050730000194 |
| Provider Name | Rashid Mahboob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659356335 PECOS PAC ID: 4789613977 Enrollment ID: I20050808001101 |
| Provider Name | John W Coursey |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114998507 PECOS PAC ID: 0446289466 Enrollment ID: I20050810000747 |
| Provider Name | Paul L Jett |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780634469 PECOS PAC ID: 7315976032 Enrollment ID: I20050811000945 |
| Provider Name | David L Shumway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548369242 PECOS PAC ID: 5395775431 Enrollment ID: I20050817001084 |
| Provider Name | Paula L Countiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649205907 PECOS PAC ID: 1850322678 Enrollment ID: I20050822001047 |
| Provider Name | Mark A Borsch |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1447288667 PECOS PAC ID: 3072544808 Enrollment ID: I20050822001109 |
| Provider Name | Pierre Md Istfan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679518989 PECOS PAC ID: 9133150964 Enrollment ID: I20050822001146 |
| Provider Name | Christopher J Kennedy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487682365 PECOS PAC ID: 4587695325 Enrollment ID: I20050822001159 |
| Provider Name | Srinivas Ananthula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992706931 PECOS PAC ID: 0042241747 Enrollment ID: I20050823000288 |
| Provider Name | Vipul R Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1679559165 PECOS PAC ID: 6507899416 Enrollment ID: I20050912001173 |
| Provider Name | Brian F Wiseman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669442547 PECOS PAC ID: 2769415132 Enrollment ID: I20050915000815 |
| Provider Name | Vitaly Nazarov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760469084 PECOS PAC ID: 9830114131 Enrollment ID: I20051005001193 |
| Provider Name | Steven J Baumrucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841239969 PECOS PAC ID: 8628093515 Enrollment ID: I20051010000914 |
| Provider Name | Fawwaz Hamati |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225023104 PECOS PAC ID: 9234107079 Enrollment ID: I20051010000935 |
| Provider Name | Shubha R Chatra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205804820 PECOS PAC ID: 3971528787 Enrollment ID: I20051011000735 |
| Provider Name | Jamie Bartley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386679462 PECOS PAC ID: 5496773467 Enrollment ID: I20051108000739 |
| Provider Name | Amy L Haynes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871543926 PECOS PAC ID: 3375561244 Enrollment ID: I20051109000457 |
| Provider Name | James M Shipley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912957937 PECOS PAC ID: 4486673019 Enrollment ID: I20051114000386 |
| Provider Name | Daniel K Guinn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922072990 PECOS PAC ID: 3173542040 Enrollment ID: I20051121000546 |
| Provider Name | Karen S Prill |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1902899818 PECOS PAC ID: 4385637735 Enrollment ID: I20051129000869 |
| Provider Name | Sam Sadeghi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053380949 PECOS PAC ID: 5890692834 Enrollment ID: I20051201000371 |
| Provider Name | Mircea R Boiciuc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629017025 PECOS PAC ID: 9931129962 Enrollment ID: I20051205000859 |
| Provider Name | Jeffery D Sargent |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396775532 PECOS PAC ID: 9830189794 Enrollment ID: I20051215000570 |
| Provider Name | Lucinda Miller |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174577464 PECOS PAC ID: 9234151168 Enrollment ID: I20051220000716 |
| Provider Name | Raymond P Compton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366461071 PECOS PAC ID: 3375565492 Enrollment ID: I20060103000478 |
| Provider Name | Lisa C Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942314539 PECOS PAC ID: 7113940602 Enrollment ID: I20060111000202 |
| Provider Name | Girendra V Hoskere |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710970793 PECOS PAC ID: 4880618545 Enrollment ID: I20060120000303 |
| Provider Name | Bradley S Avans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306808530 PECOS PAC ID: 8022032531 Enrollment ID: I20060124000419 |
| Provider Name | Christopher M Christian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659309011 PECOS PAC ID: 9133029010 Enrollment ID: I20060202000244 |
| Provider Name | Lori Christian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124063599 PECOS PAC ID: 8527059344 Enrollment ID: I20060202000790 |
| Provider Name | Gordon P Hoppe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497711097 PECOS PAC ID: 7618981044 Enrollment ID: I20060206000436 |
| Provider Name | Carla R Cheek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275525354 PECOS PAC ID: 1153336052 Enrollment ID: I20060214000550 |
| Provider Name | Mark Withrow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255338547 PECOS PAC ID: 9133117633 Enrollment ID: I20060215000219 |
| Provider Name | Octavio J Pinell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730186859 PECOS PAC ID: 4981671971 Enrollment ID: I20060215000285 |
| Provider Name | Suzanne E Patton |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902801228 PECOS PAC ID: 4486552049 Enrollment ID: I20060220000554 |
| Provider Name | Teresa Q Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851317663 PECOS PAC ID: 4284640053 Enrollment ID: I20060302000632 |
| Provider Name | Georgia Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124110465 PECOS PAC ID: 7719994235 Enrollment ID: I20060308000524 |
| Provider Name | Kevin P Kirk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376503060 PECOS PAC ID: 1557378494 Enrollment ID: I20060316000564 |
| Provider Name | Ron Lanier Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073553608 PECOS PAC ID: 3375551906 Enrollment ID: I20060323000503 |
| Provider Name | John Morehead |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649267873 PECOS PAC ID: 9638135684 Enrollment ID: I20060327000150 |
| Provider Name | Kelley D Mayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871526194 PECOS PAC ID: 9638188303 Enrollment ID: I20060410000137 |
| Provider Name | Deka Efobi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720059397 PECOS PAC ID: 4082676614 Enrollment ID: I20060421000480 |
| Provider Name | Naveed H Memon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386609055 PECOS PAC ID: 4688572795 Enrollment ID: I20060503000599 |
| Provider Name | Tracey Y Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528093507 PECOS PAC ID: 4486667573 Enrollment ID: I20060712000222 |
| Provider Name | Christopher M Mathews |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134166291 PECOS PAC ID: 5496768087 Enrollment ID: I20060727000117 |
| Provider Name | Melanie R Davidson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487610507 PECOS PAC ID: 9032122528 Enrollment ID: I20060731000194 |
| Provider Name | Jonathan Burress |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760415582 PECOS PAC ID: 5092719377 Enrollment ID: I20060828000540 |
| Provider Name | Elisa J Lafountain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992738702 PECOS PAC ID: 4486658184 Enrollment ID: I20060912000338 |
| Provider Name | Robert Wayne Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902877137 PECOS PAC ID: 9638194806 Enrollment ID: I20060930000027 |
| Provider Name | Mirle Girish |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205872876 PECOS PAC ID: 8325044514 Enrollment ID: I20061011000389 |
| Provider Name | Lisa Doran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841300597 PECOS PAC ID: 7719983444 Enrollment ID: I20061019000498 |
| Provider Name | Tiffany M Lasky |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104861731 PECOS PAC ID: 5991702185 Enrollment ID: I20061101000065 |
| Provider Name | Kelly Chumbley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841243292 PECOS PAC ID: 5991741787 Enrollment ID: I20061102000357 |
| Provider Name | Chadi M Jarjoura |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407834211 PECOS PAC ID: 7416955083 Enrollment ID: I20061114000307 |
| Provider Name | Wendy Chartier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568488823 PECOS PAC ID: 2466450705 Enrollment ID: I20061120000505 |
| Provider Name | Shawn K Nelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346233020 PECOS PAC ID: 8729031174 Enrollment ID: I20061201000141 |
| Provider Name | Naushaba Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942298559 PECOS PAC ID: 1456359306 Enrollment ID: I20061201000242 |
| Provider Name | Donna Jo Mcdonald |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053483644 PECOS PAC ID: 0749289692 Enrollment ID: I20061204000407 |
| Provider Name | Douglas P Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528051208 PECOS PAC ID: 3678552809 Enrollment ID: I20061211000613 |
| Provider Name | Stephen L Wayne |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881687556 PECOS PAC ID: 8921051376 Enrollment ID: I20061215000411 |
| Provider Name | Earl K Wilson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568455244 PECOS PAC ID: 0648241141 Enrollment ID: I20061215000413 |
| Provider Name | Thomas C Greene |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801991062 PECOS PAC ID: 1951301399 Enrollment ID: I20070108000529 |
| Provider Name | David N Gwaltney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538264064 PECOS PAC ID: 1355341678 Enrollment ID: I20070110000028 |
| Provider Name | Kevin S Cornwell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982634754 PECOS PAC ID: 6305847278 Enrollment ID: I20070118000592 |
| Provider Name | Joseph A Brombach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114902541 PECOS PAC ID: 6608778121 Enrollment ID: I20070130000566 |
| Provider Name | Lata S Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275547234 PECOS PAC ID: 9436151651 Enrollment ID: I20070131000723 |
| Provider Name | Sean P White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912961764 PECOS PAC ID: 5193727683 Enrollment ID: I20070213000436 |
| Provider Name | Gary S Harbin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508802638 PECOS PAC ID: 1951403161 Enrollment ID: I20070219000407 |
| Provider Name | John R Hereford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619931557 PECOS PAC ID: 3072615178 Enrollment ID: I20070220000522 |
| Provider Name | Leigh A Livingston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285798116 PECOS PAC ID: 8325141385 Enrollment ID: I20070312000347 |
| Provider Name | Corydon Siffring |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891728887 PECOS PAC ID: 7517964398 Enrollment ID: I20070313000136 |
| Provider Name | Daniel T Walters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457389181 PECOS PAC ID: 6204939226 Enrollment ID: I20070313000239 |
| Provider Name | Helen R Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366470163 PECOS PAC ID: 6507969474 Enrollment ID: I20070314000060 |
| Provider Name | Terry L Puckett |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1376510222 PECOS PAC ID: 3577667831 Enrollment ID: I20070327000518 |
| Provider Name | Mark Emery |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801849674 PECOS PAC ID: 4082681036 Enrollment ID: I20070402000406 |
| Provider Name | Willie Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164433587 PECOS PAC ID: 9436254745 Enrollment ID: I20070416000313 |
| Provider Name | Joanna B King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154399053 PECOS PAC ID: 1850496191 Enrollment ID: I20070416000533 |
| Provider Name | Michael S Dew |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093701427 PECOS PAC ID: 9436193943 Enrollment ID: I20070417000280 |
| Provider Name | Margaret Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417984824 PECOS PAC ID: 7315042330 Enrollment ID: I20070420000092 |
| Provider Name | Andrew P Kramer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205844024 PECOS PAC ID: 5294625935 Enrollment ID: I20070501000600 |
| Provider Name | Richard E Neubert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487649273 PECOS PAC ID: 5597861849 Enrollment ID: I20070502000318 |
| Provider Name | Bruce Grover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518919745 PECOS PAC ID: 8729055777 Enrollment ID: I20070504000408 |
| Provider Name | Sherri G White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275602690 PECOS PAC ID: 5799882445 Enrollment ID: I20070515000329 |
| Provider Name | Wendy A Weidner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366488355 PECOS PAC ID: 7618074238 Enrollment ID: I20070516000270 |
| Provider Name | Donovan Dean Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093743726 PECOS PAC ID: 4486751856 Enrollment ID: I20070518000349 |
| Provider Name | Robert M Harris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134126378 PECOS PAC ID: 6507857612 Enrollment ID: I20070529000612 |
| Provider Name | Walter Davis Arnold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033162375 PECOS PAC ID: 1456459635 Enrollment ID: I20070612000442 |
| Provider Name | Angela M Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578529699 PECOS PAC ID: 4880793314 Enrollment ID: I20070625000637 |
| Provider Name | Patrick Showalter |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558343830 PECOS PAC ID: 4183725229 Enrollment ID: I20070719000685 |
| Provider Name | Felicia J Brickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467575662 PECOS PAC ID: 6305947987 Enrollment ID: I20070726000349 |
| Provider Name | Christopher T Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326182635 PECOS PAC ID: 3476654088 Enrollment ID: I20070726000628 |
| Provider Name | Cynthia Logan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306817259 PECOS PAC ID: 1951402429 Enrollment ID: I20070727000445 |
| Provider Name | Angela L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912951005 PECOS PAC ID: 1557462843 Enrollment ID: I20070731000514 |
| Provider Name | Marta J Wayt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316903099 PECOS PAC ID: 8426149048 Enrollment ID: I20070810000098 |
| Provider Name | Kelly Hare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821115676 PECOS PAC ID: 8527150374 Enrollment ID: I20070823000920 |
| Provider Name | Mary K King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245268481 PECOS PAC ID: 4587756150 Enrollment ID: I20070828000081 |
| Provider Name | Tara D Spurling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184823528 PECOS PAC ID: 7315039849 Enrollment ID: I20070828000810 |
| Provider Name | Cindy D Winegar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972677359 PECOS PAC ID: 1557454980 Enrollment ID: I20070830000583 |
| Provider Name | Clinton A Musil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366546046 PECOS PAC ID: 6800988320 Enrollment ID: I20070907000373 |
| Provider Name | Anastasia Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548453327 PECOS PAC ID: 6002901543 Enrollment ID: I20070928000478 |
| Provider Name | Ambreen A Warsy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336335835 PECOS PAC ID: 6204922073 Enrollment ID: I20071010000384 |
| Provider Name | Scott Hubbard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699768549 PECOS PAC ID: 5395831093 Enrollment ID: I20071010000762 |
| Provider Name | Daniel E Krenk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992803001 PECOS PAC ID: 4789770926 Enrollment ID: I20071018000512 |
| Provider Name | Debbie A Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689893810 PECOS PAC ID: 2567559370 Enrollment ID: I20071025000523 |
| Provider Name | Guillian M Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851468524 PECOS PAC ID: 1153418629 Enrollment ID: I20071030000629 |
| Provider Name | Christopher Klugewicz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1871596999 PECOS PAC ID: 9830121516 Enrollment ID: I20071107000484 |
| Provider Name | William Sharp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982724779 PECOS PAC ID: 8921196817 Enrollment ID: I20071109000395 |
| Provider Name | Pabitra Saha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992795066 PECOS PAC ID: 0941399901 Enrollment ID: I20071129000175 |
| Provider Name | Andrew N Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558562850 PECOS PAC ID: 8729189881 Enrollment ID: I20071204000815 |
| Provider Name | David T Greenfield |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1710942545 PECOS PAC ID: 6709975220 Enrollment ID: I20071207000288 |
| Provider Name | Gregory Houston Miller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063445989 PECOS PAC ID: 3173547643 Enrollment ID: I20071212000756 |
| Provider Name | Timothy Schwob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679543623 PECOS PAC ID: 0547340275 Enrollment ID: I20080107000726 |
| Provider Name | Landon Combs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376513721 PECOS PAC ID: 3870676505 Enrollment ID: I20080218000728 |
| Provider Name | Tabitha Justice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467401695 PECOS PAC ID: 6507940293 Enrollment ID: I20080219000526 |
| Provider Name | Kimberly L Hixson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083805907 PECOS PAC ID: 1355425588 Enrollment ID: I20080227000390 |
| Provider Name | Laura Leigh Bassham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710162789 PECOS PAC ID: 3476638610 Enrollment ID: I20080311000748 |
| Provider Name | Jamie E Givens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871634428 PECOS PAC ID: 8628154044 Enrollment ID: I20080326000451 |
| Provider Name | Jessie L Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194905455 PECOS PAC ID: 4981780970 Enrollment ID: I20080401000327 |
| Provider Name | Anthony E Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912923442 PECOS PAC ID: 9931286341 Enrollment ID: I20080409000741 |
| Provider Name | Mayur C Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164603676 PECOS PAC ID: 9335227446 Enrollment ID: I20080415000301 |
| Provider Name | John Bertuso |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427084342 PECOS PAC ID: 9739267857 Enrollment ID: I20080415000367 |
| Provider Name | Robert K Kramer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346285467 PECOS PAC ID: 9537247325 Enrollment ID: I20080418000412 |
| Provider Name | Sarah N Carrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801067848 PECOS PAC ID: 2668550971 Enrollment ID: I20080425000514 |
| Provider Name | Jennifer R Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689844375 PECOS PAC ID: 7416035688 Enrollment ID: I20080429000400 |
| Provider Name | Claudia F Corradino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063623692 PECOS PAC ID: 9335231992 Enrollment ID: I20080429000634 |
| Provider Name | David Christopher Metzger |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568490464 PECOS PAC ID: 8921187915 Enrollment ID: I20080501000549 |
| Provider Name | Meenu Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407057409 PECOS PAC ID: 3678595345 Enrollment ID: I20080505000460 |
| Provider Name | Peter K Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821053703 PECOS PAC ID: 2466481825 Enrollment ID: I20080509000537 |
| Provider Name | Daniel David |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427058411 PECOS PAC ID: 8628148756 Enrollment ID: I20080602000595 |
| Provider Name | Jason E Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447236450 PECOS PAC ID: 6709784937 Enrollment ID: I20080603000568 |
| Provider Name | Rajesh Shivaji Kadam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134336563 PECOS PAC ID: 6002909538 Enrollment ID: I20080604000340 |
| Provider Name | Jonna D Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427253111 PECOS PAC ID: 7113099524 Enrollment ID: I20080630000476 |
| Provider Name | Leandra R Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740443084 PECOS PAC ID: 4688747793 Enrollment ID: I20080723000403 |
| Provider Name | Anthony Palazzo |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1629030267 PECOS PAC ID: 7517933138 Enrollment ID: I20080731000786 |
| Provider Name | Marc W Mayhew |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710098546 PECOS PAC ID: 1759327240 Enrollment ID: I20080805000564 |
| Provider Name | Cathleen C Suto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013902527 PECOS PAC ID: 8224103692 Enrollment ID: I20080819000847 |
| Provider Name | Brenda K Friend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184889115 PECOS PAC ID: 2769557735 Enrollment ID: I20080826000743 |
| Provider Name | Retty Rachel Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861560492 PECOS PAC ID: 1052374212 Enrollment ID: I20080902000155 |
| Provider Name | Sherry L Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659532778 PECOS PAC ID: 5799851853 Enrollment ID: I20080915000190 |
| Provider Name | John W Mann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104811694 PECOS PAC ID: 6204818032 Enrollment ID: I20080918000411 |
| Provider Name | Gerald G Blackwell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689600587 PECOS PAC ID: 4183676992 Enrollment ID: I20080919000319 |
| Provider Name | Wendy Vogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497748362 PECOS PAC ID: 2860551975 Enrollment ID: I20081104000720 |
| Provider Name | Jennifer Elswick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811158702 PECOS PAC ID: 9335200641 Enrollment ID: I20081204000976 |
| Provider Name | Richard Warren Dickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326040643 PECOS PAC ID: 2860553815 Enrollment ID: I20081209000377 |
| Provider Name | Kevin Jessee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851547053 PECOS PAC ID: 2567523418 Enrollment ID: I20081210000363 |
| Provider Name | Eric M Schwartz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508868720 PECOS PAC ID: 9830251560 Enrollment ID: I20081215000302 |
| Provider Name | Christopher A Neglia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679575963 PECOS PAC ID: 1254493687 Enrollment ID: I20081219000063 |
| Provider Name | Nataria Pitiyanuvath |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831301811 PECOS PAC ID: 7911069067 Enrollment ID: I20081223000640 |
| Provider Name | Melissa S Tankersley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912158080 PECOS PAC ID: 5294897187 Enrollment ID: I20081231000451 |
| Provider Name | Clarence Goulding |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033292362 PECOS PAC ID: 6406863810 Enrollment ID: I20090115000317 |
| Provider Name | Paul W Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407820863 PECOS PAC ID: 6406844497 Enrollment ID: I20090128000555 |
| Provider Name | Martha D Silmon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922273663 PECOS PAC ID: 7911061346 Enrollment ID: I20090130000250 |
| Provider Name | Wael Khaled El Minaoui |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871781443 PECOS PAC ID: 4688739220 Enrollment ID: I20090216000432 |
| Provider Name | Jeremy Dennis Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568609378 PECOS PAC ID: 4688739824 Enrollment ID: I20090223000196 |
| Provider Name | James J Merrill |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1790717429 PECOS PAC ID: 2062597420 Enrollment ID: I20090410000215 |
| Provider Name | Peter C Earl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740256478 PECOS PAC ID: 3375544596 Enrollment ID: I20090423000800 |
| Provider Name | James C Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336389824 PECOS PAC ID: 4284782152 Enrollment ID: I20090501000519 |
| Provider Name | Daniel E Simpson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073539078 PECOS PAC ID: 6103974803 Enrollment ID: I20090507000405 |
| Provider Name | Jeffrey Vaughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134121320 PECOS PAC ID: 7113075680 Enrollment ID: I20090511000587 |
| Provider Name | Janeen M Gibson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801039763 PECOS PAC ID: 5890844294 Enrollment ID: I20090513000653 |
| Provider Name | Paul Ronald Kramer |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1730143801 PECOS PAC ID: 5991603524 Enrollment ID: I20090615000659 |
| Provider Name | Zia Ur Rahman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386838811 PECOS PAC ID: 0042384083 Enrollment ID: I20090620000011 |
| Provider Name | Rhonda S Sivley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235135963 PECOS PAC ID: 5991606303 Enrollment ID: I20090710000152 |
| Provider Name | Thomas J Metcalf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932317674 PECOS PAC ID: 7517019169 Enrollment ID: I20090714000036 |
| Provider Name | Freddie Williams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356553648 PECOS PAC ID: 1153473186 Enrollment ID: I20090722000176 |
| Provider Name | Muhammad Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265626279 PECOS PAC ID: 8527128438 Enrollment ID: I20090722000205 |
| Provider Name | David F Hassell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053357608 PECOS PAC ID: 1951453950 Enrollment ID: I20090722000733 |
| Provider Name | Emily C Stacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427285188 PECOS PAC ID: 6204989049 Enrollment ID: I20090727000769 |
| Provider Name | David M Pryputniewicz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871790691 PECOS PAC ID: 7618020942 Enrollment ID: I20090803000742 |
| Provider Name | Mark Kadowaki |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013901784 PECOS PAC ID: 6507863610 Enrollment ID: I20090805000776 |
| Provider Name | Anita Harker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417146374 PECOS PAC ID: 6002969003 Enrollment ID: I20090807000351 |
| Provider Name | Wendy K Zouras |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770539868 PECOS PAC ID: 8022017193 Enrollment ID: I20090812000829 |
| Provider Name | Perrie Ryan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1073530432 PECOS PAC ID: 3072695410 Enrollment ID: I20090818000778 |
| Provider Name | Ibrahim N Nakhoul |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871538389 PECOS PAC ID: 6507865870 Enrollment ID: I20090818000838 |
| Provider Name | Jimmy C Brasfield |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558399089 PECOS PAC ID: 8123932878 Enrollment ID: I20090930000306 |
| Provider Name | Pushkas Gopalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376700930 PECOS PAC ID: 3274679949 Enrollment ID: I20091009000427 |
| Provider Name | Devin S Edwards |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578753521 PECOS PAC ID: 7315083979 Enrollment ID: I20091013000170 |
| Provider Name | Lynda L Page |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912927732 PECOS PAC ID: 8123914496 Enrollment ID: I20091015000307 |
| Provider Name | Nicholas B Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194777953 PECOS PAC ID: 4284733825 Enrollment ID: I20091028000032 |
| Provider Name | Nicholas A Cook |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114015989 PECOS PAC ID: 1658386040 Enrollment ID: I20091104000207 |
| Provider Name | Laura E Azima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730320243 PECOS PAC ID: 1355489618 Enrollment ID: I20091109000039 |
| Provider Name | Beth A Mccurley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336321066 PECOS PAC ID: 1951440445 Enrollment ID: I20091123000034 |
| Provider Name | Anthony D Seaton |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083646905 PECOS PAC ID: 3274435409 Enrollment ID: I20091203000585 |
| Provider Name | Shobha R Hiremagalar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407841398 PECOS PAC ID: 2365516531 Enrollment ID: I20091228000225 |
| Provider Name | Todd A Fowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154386886 PECOS PAC ID: 5092741835 Enrollment ID: I20100105000345 |
| Provider Name | William H Messerschmidt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1134115777 PECOS PAC ID: 1355482894 Enrollment ID: I20100106000649 |
| Provider Name | Marcus G Williams |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1730177155 PECOS PAC ID: 8426199845 Enrollment ID: I20100107000616 |
| Provider Name | Adel M El Abbassi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437346301 PECOS PAC ID: 1759423338 Enrollment ID: I20100120000272 |
| Provider Name | Jennifer E Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326270570 PECOS PAC ID: 8426191438 Enrollment ID: I20100129000444 |
| Provider Name | Benjamin S Scharfstein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497850515 PECOS PAC ID: 9931280807 Enrollment ID: I20100209000017 |
| Provider Name | Fred Greear |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851361836 PECOS PAC ID: 5698846228 Enrollment ID: I20100209000113 |
| Provider Name | Susan Flaglor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851300990 PECOS PAC ID: 0244373512 Enrollment ID: I20100209000311 |
| Provider Name | Stephanie A Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023289493 PECOS PAC ID: 4385787506 Enrollment ID: I20100210000047 |
| Provider Name | Stephen P Combs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144290552 PECOS PAC ID: 9638268477 Enrollment ID: I20100304000911 |
| Provider Name | William D Astin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356310759 PECOS PAC ID: 3577608280 Enrollment ID: I20100305000557 |
| Provider Name | Steven R Hanor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578533055 PECOS PAC ID: 5294870903 Enrollment ID: I20100305000566 |
| Provider Name | Robert Saunders |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265409809 PECOS PAC ID: 3375688088 Enrollment ID: I20100305000577 |
| Provider Name | Gail Stanley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437124641 PECOS PAC ID: 5092850701 Enrollment ID: I20100305000589 |
| Provider Name | Asheesh Shipstone |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144297946 PECOS PAC ID: 4082759790 Enrollment ID: I20100305000597 |
| Provider Name | John F Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225008717 PECOS PAC ID: 2062557788 Enrollment ID: I20100305000627 |
| Provider Name | Janet W Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477572972 PECOS PAC ID: 8527193390 Enrollment ID: I20100318000276 |
| Provider Name | James Kneff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639256183 PECOS PAC ID: 1951490051 Enrollment ID: I20100329000521 |
| Provider Name | Daniel D Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467428987 PECOS PAC ID: 5597848614 Enrollment ID: I20100506000657 |
| Provider Name | Ramesh Chadalavada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487723342 PECOS PAC ID: 6901822188 Enrollment ID: I20100510000557 |
| Provider Name | Stephen E Dexter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740461011 PECOS PAC ID: 8022146158 Enrollment ID: I20100512000043 |
| Provider Name | Amanda R Roark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386975738 PECOS PAC ID: 1951430628 Enrollment ID: I20100519000353 |
| Provider Name | Christy S Willocks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710906144 PECOS PAC ID: 3870622996 Enrollment ID: I20100528000351 |
| Provider Name | Phillip A Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225369440 PECOS PAC ID: 7315076437 Enrollment ID: I20100528000354 |
| Provider Name | Anna D Pendleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235158643 PECOS PAC ID: 1153450176 Enrollment ID: I20100528000450 |
| Provider Name | Douglass Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871590166 PECOS PAC ID: 3577504604 Enrollment ID: I20100604000383 |
| Provider Name | John A Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740288380 PECOS PAC ID: 5092782615 Enrollment ID: I20100604000405 |
| Provider Name | Thomas Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932106093 PECOS PAC ID: 1850332982 Enrollment ID: I20100607000036 |
| Provider Name | Kelly L Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689998403 PECOS PAC ID: 8628108602 Enrollment ID: I20100618000071 |
| Provider Name | Eliza H Sykes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245554054 PECOS PAC ID: 8729119318 Enrollment ID: I20100625000402 |
| Provider Name | Cynthia K Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023011814 PECOS PAC ID: 1355476250 Enrollment ID: I20100707000242 |
| Provider Name | Billy K Parsley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255544904 PECOS PAC ID: 4981759438 Enrollment ID: I20100714000402 |
| Provider Name | Tracy Welsh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881929818 PECOS PAC ID: 4587704952 Enrollment ID: I20100720000539 |
| Provider Name | Melissa A Mcphail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154643278 PECOS PAC ID: 5698807089 Enrollment ID: I20100721000186 |
| Provider Name | Lindsey R Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790001469 PECOS PAC ID: 5799817086 Enrollment ID: I20100722000412 |
| Provider Name | Richard Wesley Pectol |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154315018 PECOS PAC ID: 0648351502 Enrollment ID: I20100803000984 |
| Provider Name | Vickie K Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699768564 PECOS PAC ID: 1254464753 Enrollment ID: I20100804000952 |
| Provider Name | Jamal G Maatouk |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205016060 PECOS PAC ID: 6709910110 Enrollment ID: I20100819000906 |
| Provider Name | Myra Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760668271 PECOS PAC ID: 0840273397 Enrollment ID: I20100823000425 |
| Provider Name | Ronald K Carroll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215129515 PECOS PAC ID: 5193862357 Enrollment ID: I20100823000727 |
| Provider Name | Melissa D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073839684 PECOS PAC ID: 4688798796 Enrollment ID: I20100826000350 |
| Provider Name | James Beckner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215904065 PECOS PAC ID: 9830213610 Enrollment ID: I20100831000504 |
| Provider Name | William D Mcintosh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205827920 PECOS PAC ID: 0840380663 Enrollment ID: I20100902000328 |
| Provider Name | Kurt A Ick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760439152 PECOS PAC ID: 2062556715 Enrollment ID: I20100923000009 |
| Provider Name | Charles Payne |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447208913 PECOS PAC ID: 5698890705 Enrollment ID: I20100923000013 |
| Provider Name | Oleksandr Osipchuk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700045416 PECOS PAC ID: 3476604406 Enrollment ID: I20100927000068 |
| Provider Name | William Kyle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770758351 PECOS PAC ID: 7315063427 Enrollment ID: I20100927000618 |
| Provider Name | Robin F Harris |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1013936525 PECOS PAC ID: 1355533811 Enrollment ID: I20101004000351 |
| Provider Name | Tracy J Curtin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184662025 PECOS PAC ID: 3274512314 Enrollment ID: I20101011000337 |
| Provider Name | Malcolm Mathews |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1952378747 PECOS PAC ID: 1658397989 Enrollment ID: I20101011000534 |
| Provider Name | Marco A Da Silva |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063489649 PECOS PAC ID: 7618901034 Enrollment ID: I20101011000694 |
| Provider Name | Shannon A Barker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285757484 PECOS PAC ID: 3375735970 Enrollment ID: I20101013001159 |
| Provider Name | Miranda N Moretz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255529509 PECOS PAC ID: 5597821967 Enrollment ID: I20101014001333 |
| Provider Name | Rasmiyah M Jastan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740474527 PECOS PAC ID: 2365595493 Enrollment ID: I20101102000908 |
| Provider Name | Sharjeel Iqbal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417142159 PECOS PAC ID: 2163595968 Enrollment ID: I20101103000751 |
| Provider Name | Ryland P Byrd |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659308112 PECOS PAC ID: 2163617275 Enrollment ID: I20101115001266 |
| Provider Name | Haytham F Adada |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336324896 PECOS PAC ID: 6204980543 Enrollment ID: I20101117000439 |
| Provider Name | Nerissa Licup |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720269731 PECOS PAC ID: 5496940363 Enrollment ID: I20101117000937 |
| Provider Name | Ella F Meade |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1174717235 PECOS PAC ID: 5092901710 Enrollment ID: I20101120000001 |
| Provider Name | Mark David Patterson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437145497 PECOS PAC ID: 4082800727 Enrollment ID: I20101122000022 |
| Provider Name | William Turney Williams |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1952396236 PECOS PAC ID: 1951352202 Enrollment ID: I20101203000939 |
| Provider Name | Sameh Abou Ward |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1215987938 PECOS PAC ID: 7113114976 Enrollment ID: I20101207000373 |
| Provider Name | Jesse B Begley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851609903 PECOS PAC ID: 7719174119 Enrollment ID: I20101210000899 |
| Provider Name | Helene Holbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972597151 PECOS PAC ID: 9335336445 Enrollment ID: I20101214001258 |
| Provider Name | Brent Coyle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275507642 PECOS PAC ID: 3072581669 Enrollment ID: I20101222000325 |
| Provider Name | Jeffrey L Hatcher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861706491 PECOS PAC ID: 0345439139 Enrollment ID: I20110110000515 |
| Provider Name | Leigh Suzanne Saylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609861442 PECOS PAC ID: 5193914810 Enrollment ID: I20110112000328 |
| Provider Name | Jennifer F Jeffers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861795288 PECOS PAC ID: 4486833084 Enrollment ID: I20110128000371 |
| Provider Name | Mark W Chang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174632475 PECOS PAC ID: 9234027095 Enrollment ID: I20110201000287 |
| Provider Name | Rawan G Abu-zeitoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265621072 PECOS PAC ID: 8628258779 Enrollment ID: I20110208000302 |
| Provider Name | Steven Paul Hopkins |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760471056 PECOS PAC ID: 8325095391 Enrollment ID: I20110210000298 |
| Provider Name | Louis Jordan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902915135 PECOS PAC ID: 7214825074 Enrollment ID: I20110223000669 |
| Provider Name | Ryan K Judson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285936930 PECOS PAC ID: 7719168319 Enrollment ID: I20110301000819 |
| Provider Name | Shweta Kharalkar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851585996 PECOS PAC ID: 3779764311 Enrollment ID: I20110302000196 |
| Provider Name | David J Arrowood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336444231 PECOS PAC ID: 0749462109 Enrollment ID: I20110308000056 |
| Provider Name | Melinda L Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497801559 PECOS PAC ID: 0345422622 Enrollment ID: I20110308000376 |
| Provider Name | Ernest A Estep |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609171412 PECOS PAC ID: 9931381167 Enrollment ID: I20110309000944 |
| Provider Name | Johnny L Estep |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043515851 PECOS PAC ID: 8921280801 Enrollment ID: I20110314000909 |
| Provider Name | Elizabeth Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588822050 PECOS PAC ID: 8628251741 Enrollment ID: I20110328000781 |
| Provider Name | Janett M Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952609463 PECOS PAC ID: 9830374693 Enrollment ID: I20110421000479 |
| Provider Name | Daniel S Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730352642 PECOS PAC ID: 7719162247 Enrollment ID: I20110427000737 |
| Provider Name | Priscilla A Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912296369 PECOS PAC ID: 8224213525 Enrollment ID: I20110502000515 |
| Provider Name | Kimberly B Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588969463 PECOS PAC ID: 4082899224 Enrollment ID: I20110503000319 |
| Provider Name | Jeremy Arnold |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396035853 PECOS PAC ID: 3577749274 Enrollment ID: I20110513000337 |
| Provider Name | Melanie Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972893139 PECOS PAC ID: 6204012867 Enrollment ID: I20110516000476 |
| Provider Name | Tonya D Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386946267 PECOS PAC ID: 1951587492 Enrollment ID: I20110517000507 |
| Provider Name | John M Daniel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013987023 PECOS PAC ID: 5991718983 Enrollment ID: I20110519000035 |
| Provider Name | Jan Summer Morea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285937250 PECOS PAC ID: 6901082387 Enrollment ID: I20110519000407 |
| Provider Name | Heather C Loyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740588987 PECOS PAC ID: 2769660653 Enrollment ID: I20110623000552 |
| Provider Name | Charles A Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306005137 PECOS PAC ID: 7719155845 Enrollment ID: I20110715000579 |
| Provider Name | Uchenna Christopher Ozuah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578883377 PECOS PAC ID: 9830367432 Enrollment ID: I20110726000923 |
| Provider Name | Amanda Dove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093978330 PECOS PAC ID: 0042489510 Enrollment ID: I20110818000171 |
| Provider Name | Claudia C Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053586941 PECOS PAC ID: 0648440339 Enrollment ID: I20110907001567 |
| Provider Name | Liliana Murillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861688533 PECOS PAC ID: 4981875390 Enrollment ID: I20110915000255 |
| Provider Name | Mihir H Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528226016 PECOS PAC ID: 4789855651 Enrollment ID: I20110926000612 |
| Provider Name | Tommy Livesay |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154581437 PECOS PAC ID: 0648441121 Enrollment ID: I20110927000767 |
| Provider Name | Nicole A Lawitzke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225316946 PECOS PAC ID: 9032380308 Enrollment ID: I20110927000812 |
| Provider Name | Erin Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780919696 PECOS PAC ID: 3971775529 Enrollment ID: I20111004000663 |
| Provider Name | Srikanth Gaddam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083874317 PECOS PAC ID: 3678745015 Enrollment ID: I20111010000176 |
| Provider Name | Cynthia Knecht |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548257629 PECOS PAC ID: 3274688866 Enrollment ID: I20111013000257 |
| Provider Name | Matthew D Garrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881814648 PECOS PAC ID: 8325210388 Enrollment ID: I20111017000627 |
| Provider Name | Remigiusz M Switalski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881859882 PECOS PAC ID: 4486826492 Enrollment ID: I20111018000341 |
| Provider Name | Jeffrey R Kappa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285665968 PECOS PAC ID: 1153363247 Enrollment ID: I20111031000507 |
| Provider Name | Robert C Northrop |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588695266 PECOS PAC ID: 2961444062 Enrollment ID: I20111031000546 |
| Provider Name | Rachel Seal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154603181 PECOS PAC ID: 9638342538 Enrollment ID: I20111108000906 |
| Provider Name | Melissa F Morenings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497054530 PECOS PAC ID: 1456536002 Enrollment ID: I20111109000594 |
| Provider Name | Harry P Claybrook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801892765 PECOS PAC ID: 1759376270 Enrollment ID: I20111114000498 |
| Provider Name | Bernard P Grunstra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558367417 PECOS PAC ID: 6305831819 Enrollment ID: I20111115000691 |
| Provider Name | Brandon K Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396908430 PECOS PAC ID: 0840469052 Enrollment ID: I20111123000680 |
| Provider Name | Farooq Akbar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1396772117 PECOS PAC ID: 6507828787 Enrollment ID: I20111205000886 |
| Provider Name | Alan L. Gorrell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912082108 PECOS PAC ID: 1759556327 Enrollment ID: I20111209000099 |
| Provider Name | Vickie J Camilli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053697888 PECOS PAC ID: 8224203641 Enrollment ID: I20111214000402 |
| Provider Name | Parminderjit Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396903126 PECOS PAC ID: 9032385844 Enrollment ID: I20111228000673 |
| Provider Name | Kimberly Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619251626 PECOS PAC ID: 0749447753 Enrollment ID: I20120202000585 |
| Provider Name | Kristie J Nies |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568504967 PECOS PAC ID: 1759548456 Enrollment ID: I20120208000529 |
| Provider Name | Nina Tarlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477518496 PECOS PAC ID: 1153484266 Enrollment ID: I20120214000222 |
| Provider Name | Michelle D Snodgrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154693091 PECOS PAC ID: 0941468722 Enrollment ID: I20120224000457 |
| Provider Name | Rohini Nathan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316130586 PECOS PAC ID: 0547394991 Enrollment ID: I20120322000624 |
| Provider Name | Brandon S Fletcher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376817700 PECOS PAC ID: 1557521804 Enrollment ID: I20120326000104 |
| Provider Name | Jennifer E Mays |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124392303 PECOS PAC ID: 9931369998 Enrollment ID: I20120328000825 |
| Provider Name | Melissa V Layne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619242443 PECOS PAC ID: 5991965725 Enrollment ID: I20120402000054 |
| Provider Name | Marissa G Vito Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922071448 PECOS PAC ID: 5597667857 Enrollment ID: I20120423000643 |
| Provider Name | James Duval Koonce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851480776 PECOS PAC ID: 8820252109 Enrollment ID: I20120618000469 |
| Provider Name | Michelle Painter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538428230 PECOS PAC ID: 5698930493 Enrollment ID: I20120628000634 |
| Provider Name | Leon C Bass |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063639839 PECOS PAC ID: 8527223239 Enrollment ID: I20120703000166 |
| Provider Name | Jeffrey A Marchessault |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134114333 PECOS PAC ID: 9739344318 Enrollment ID: I20120705000181 |
| Provider Name | Michele D Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417218447 PECOS PAC ID: 9234394461 Enrollment ID: I20120712000883 |
| Provider Name | Peggy Sue Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740419746 PECOS PAC ID: 0446416218 Enrollment ID: I20120723000713 |
| Provider Name | Kristen Nicole Yost |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982898193 PECOS PAC ID: 2567541352 Enrollment ID: I20120731000375 |
| Provider Name | Inger L Reynolds |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225394398 PECOS PAC ID: 9032371786 Enrollment ID: I20120802000578 |
| Provider Name | Lindsey B Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366716136 PECOS PAC ID: 3173783537 Enrollment ID: I20120806000348 |
| Provider Name | Jennifer C Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578640561 PECOS PAC ID: 6507868684 Enrollment ID: I20120806000616 |
| Provider Name | Kenneth J Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275763229 PECOS PAC ID: 4587832282 Enrollment ID: I20120806000636 |
| Provider Name | Kita Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689820912 PECOS PAC ID: 5294981841 Enrollment ID: I20120814000286 |
| Provider Name | Zachary A Hammons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073779799 PECOS PAC ID: 6709075690 Enrollment ID: I20120821000340 |
| Provider Name | Matthew S Luff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538246822 PECOS PAC ID: 9739336785 Enrollment ID: I20120827000095 |
| Provider Name | Malisa Overbey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437417565 PECOS PAC ID: 1759539018 Enrollment ID: I20120912000458 |
| Provider Name | Robin E Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629331178 PECOS PAC ID: 9638328917 Enrollment ID: I20121002000012 |
| Provider Name | Tina Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609124635 PECOS PAC ID: 0749439628 Enrollment ID: I20121009000777 |
| Provider Name | Amit Vashist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598950644 PECOS PAC ID: 9335398130 Enrollment ID: I20121011000762 |
| Provider Name | Sajin M Karakattu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619107794 PECOS PAC ID: 3971750241 Enrollment ID: I20121027000020 |
| Provider Name | David J Flowers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205894227 PECOS PAC ID: 3779486469 Enrollment ID: I20121029000478 |
| Provider Name | Aimee E Light |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609123108 PECOS PAC ID: 1850541715 Enrollment ID: I20121030000521 |
| Provider Name | Autumn R Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790037240 PECOS PAC ID: 7214188168 Enrollment ID: I20121127000287 |
| Provider Name | Shahram Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285827923 PECOS PAC ID: 5991855793 Enrollment ID: I20121127000320 |
| Provider Name | Joye Bandy Kimbrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538418686 PECOS PAC ID: 4789836677 Enrollment ID: I20121128000146 |
| Provider Name | Saurabh H Desai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366682171 PECOS PAC ID: 5991957433 Enrollment ID: I20121210000361 |
| Provider Name | Jean Y Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326390592 PECOS PAC ID: 9032361365 Enrollment ID: I20121212000293 |
| Provider Name | Eduardo Fernandez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336176130 PECOS PAC ID: 5991757197 Enrollment ID: I20130122000569 |
| Provider Name | Balraj Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508097452 PECOS PAC ID: 9436303476 Enrollment ID: I20130129000293 |
| Provider Name | Holley Osborne Craddock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124362181 PECOS PAC ID: 9335393263 Enrollment ID: I20130131000253 |
| Provider Name | Imran Ehsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881961563 PECOS PAC ID: 4587818273 Enrollment ID: I20130205000284 |
| Provider Name | Cathy M Gowan |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1235125162 PECOS PAC ID: 9133137797 Enrollment ID: I20130225000223 |
| Provider Name | Amy L Fugate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801135694 PECOS PAC ID: 3375798812 Enrollment ID: I20130306000407 |
| Provider Name | Christina Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881931301 PECOS PAC ID: 8123263746 Enrollment ID: I20130401000378 |
| Provider Name | John James Gemmell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861731887 PECOS PAC ID: 0143466912 Enrollment ID: I20130424000098 |
| Provider Name | Stacey A Ryder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013256809 PECOS PAC ID: 0840437117 Enrollment ID: I20130503000256 |
| Provider Name | Stephen A Ikele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548407166 PECOS PAC ID: 9335270578 Enrollment ID: I20130510000161 |
| Provider Name | Tonya M Carr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396988978 PECOS PAC ID: 6901050186 Enrollment ID: I20130514000065 |
| Provider Name | Lindsay M Townsend |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891034666 PECOS PAC ID: 6406093210 Enrollment ID: I20130515000666 |
| Provider Name | Warren E English |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609194067 PECOS PAC ID: 8426294083 Enrollment ID: I20130522000150 |
| Provider Name | Travis Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912247263 PECOS PAC ID: 6103064480 Enrollment ID: I20130528000365 |
| Provider Name | Laura Hutchinson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1265876643 PECOS PAC ID: 4981842796 Enrollment ID: I20130605000570 |
| Provider Name | Heesuk R Yoon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841499191 PECOS PAC ID: 1759520729 Enrollment ID: I20130624000341 |
| Provider Name | Robert Weir |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437475266 PECOS PAC ID: 1850531419 Enrollment ID: I20130703000216 |
| Provider Name | John S Keeley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316164288 PECOS PAC ID: 8527208719 Enrollment ID: I20130711000615 |
| Provider Name | Michael A Ratliff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427229574 PECOS PAC ID: 6103996228 Enrollment ID: I20130717000434 |
| Provider Name | Laura L Bland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043552003 PECOS PAC ID: 3577703438 Enrollment ID: I20130717000561 |
| Provider Name | Paula D Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285912196 PECOS PAC ID: 1355581216 Enrollment ID: I20130717000611 |
| Provider Name | Erin A Koscinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184936742 PECOS PAC ID: 6507007382 Enrollment ID: I20130719000470 |
| Provider Name | Paige C Furrow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720268667 PECOS PAC ID: 5597931816 Enrollment ID: I20130802000498 |
| Provider Name | Richard N Carter |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1508168303 PECOS PAC ID: 3173765153 Enrollment ID: I20130805000756 |
| Provider Name | Ruhma Arif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962680462 PECOS PAC ID: 7517109267 Enrollment ID: I20130809000272 |
| Provider Name | Kendra L Morrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831184118 PECOS PAC ID: 2961584511 Enrollment ID: I20130809000661 |
| Provider Name | Rodney James Deaton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003934274 PECOS PAC ID: 8921240425 Enrollment ID: I20130813000561 |
| Provider Name | Kelly Oggero |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417990730 PECOS PAC ID: 2567549579 Enrollment ID: I20130813000662 |
| Provider Name | Andrew Sparkman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518196187 PECOS PAC ID: 9436307782 Enrollment ID: I20130823000670 |
| Provider Name | Joseph D Foley |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750418547 PECOS PAC ID: 2365542776 Enrollment ID: I20130827000184 |
| Provider Name | Rachel K Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902244650 PECOS PAC ID: 5193965440 Enrollment ID: I20130829000818 |
| Provider Name | Robin M Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861832081 PECOS PAC ID: 6305089814 Enrollment ID: I20130903000394 |
| Provider Name | Tia M Aryal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265694913 PECOS PAC ID: 0143463513 Enrollment ID: I20130904000460 |
| Provider Name | Dane Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952305609 PECOS PAC ID: 7719143874 Enrollment ID: I20130913000273 |
| Provider Name | Bhavesh B Barad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336464841 PECOS PAC ID: 6507000452 Enrollment ID: I20130917000059 |
| Provider Name | Beth Ann Bulawa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285620781 PECOS PAC ID: 6002834751 Enrollment ID: I20130917000233 |
| Provider Name | Gabriel A Zaietta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740477116 PECOS PAC ID: 8820232622 Enrollment ID: I20130917000802 |
| Provider Name | Gaurav S Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962727453 PECOS PAC ID: 7315181617 Enrollment ID: I20130925000907 |
| Provider Name | Mansoor Tanwir |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538322664 PECOS PAC ID: 6800020934 Enrollment ID: I20131003000480 |
| Provider Name | Mary Gehring Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295964179 PECOS PAC ID: 1456407626 Enrollment ID: I20131017000721 |
| Provider Name | Meeradevi Sudarsanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407282098 PECOS PAC ID: 2264667229 Enrollment ID: I20131028001742 |
| Provider Name | Melanie L Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487089322 PECOS PAC ID: 2466687439 Enrollment ID: I20131028002012 |
| Provider Name | Rabab I Elmezayen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184949489 PECOS PAC ID: 7315173457 Enrollment ID: I20131120001592 |
| Provider Name | Yasin Zada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891768222 PECOS PAC ID: 0042241150 Enrollment ID: I20131127000913 |
| Provider Name | Jena E Hutson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164856969 PECOS PAC ID: 4082840657 Enrollment ID: I20131204001431 |
| Provider Name | Bethany K Seale |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053748863 PECOS PAC ID: 7315174935 Enrollment ID: I20131205001063 |
| Provider Name | Rachelle R Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952730145 PECOS PAC ID: 4880821776 Enrollment ID: I20131223000539 |
| Provider Name | Kevin K Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174957864 PECOS PAC ID: 1759518509 Enrollment ID: I20131226000636 |
| Provider Name | Sarah Jane Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972933976 PECOS PAC ID: 2769610211 Enrollment ID: I20140108001869 |
| Provider Name | Sallie B Lively |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063781714 PECOS PAC ID: 4284891623 Enrollment ID: I20140127000233 |
| Provider Name | Madonna Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184053472 PECOS PAC ID: 1951531136 Enrollment ID: I20140310000330 |
| Provider Name | Joe M Rupe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013986264 PECOS PAC ID: 4981687720 Enrollment ID: I20140321001167 |
| Provider Name | Terri Ratcliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255753810 PECOS PAC ID: 6608007299 Enrollment ID: I20140325000301 |
| Provider Name | Melanie Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902237985 PECOS PAC ID: 4082846480 Enrollment ID: I20140417002129 |
| Provider Name | Jacquelyn C Burt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003238940 PECOS PAC ID: 7810129103 Enrollment ID: I20140421001810 |
| Provider Name | Cristie L Woodward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407287980 PECOS PAC ID: 5799917910 Enrollment ID: I20140422000902 |
| Provider Name | Russell E Proffitt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124440128 PECOS PAC ID: 6507099710 Enrollment ID: I20140423001671 |
| Provider Name | Matthew Craig Stringer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255754867 PECOS PAC ID: 3274766407 Enrollment ID: I20140423002187 |
| Provider Name | Ardel W Gorospe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144532342 PECOS PAC ID: 8224261185 Enrollment ID: I20140429001631 |
| Provider Name | Mark A Aziz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407003403 PECOS PAC ID: 4688852775 Enrollment ID: I20140516001329 |
| Provider Name | Timothy Himel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548304553 PECOS PAC ID: 2062468598 Enrollment ID: I20140521002490 |
| Provider Name | Dustin P Roberts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225450539 PECOS PAC ID: 5496979890 Enrollment ID: I20140604001665 |
| Provider Name | Callie H Matney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255757787 PECOS PAC ID: 5193949501 Enrollment ID: I20140604001843 |
| Provider Name | Lisa M Williams-gunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881010908 PECOS PAC ID: 3173747201 Enrollment ID: I20140611002285 |
| Provider Name | Aimee M Henley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194075374 PECOS PAC ID: 6608090428 Enrollment ID: I20140618001534 |
| Provider Name | Aimee Hurd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225457310 PECOS PAC ID: 9133343890 Enrollment ID: I20140619001174 |
| Provider Name | Rebecca Yvonne Mumpower |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861507881 PECOS PAC ID: 2466451125 Enrollment ID: I20140623002211 |
| Provider Name | Miranda R Kyker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366862336 PECOS PAC ID: 8123242690 Enrollment ID: I20140624001861 |
| Provider Name | Michael Eugene Sutherland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639442213 PECOS PAC ID: 7214988450 Enrollment ID: I20140625002519 |
| Provider Name | Schuyler K Geller |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1972653152 PECOS PAC ID: 9234363466 Enrollment ID: I20140710001251 |
| Provider Name | Lindsay M Sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295152874 PECOS PAC ID: 8426274036 Enrollment ID: I20140716002109 |
| Provider Name | Hevti K Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023340510 PECOS PAC ID: 3476779232 Enrollment ID: I20140731000439 |
| Provider Name | Russell Mark Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508121849 PECOS PAC ID: 5092940445 Enrollment ID: I20140801000920 |
| Provider Name | Ravikumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679879118 PECOS PAC ID: 9638396377 Enrollment ID: I20140804001851 |
| Provider Name | Brian S Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629298757 PECOS PAC ID: 4688810104 Enrollment ID: I20140812001786 |
| Provider Name | Leopoldo Mario Basilico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538480603 PECOS PAC ID: 7214150051 Enrollment ID: I20140821002098 |
| Provider Name | Sherryl Kathryn Croitor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417190729 PECOS PAC ID: 3072783661 Enrollment ID: I20140822001520 |
| Provider Name | Geoff S Szabo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629482310 PECOS PAC ID: 0840418935 Enrollment ID: I20140903000883 |
| Provider Name | Barbara J Paterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619273596 PECOS PAC ID: 3779701602 Enrollment ID: I20140905001467 |
| Provider Name | Suzanne C Dargan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033524970 PECOS PAC ID: 7012136674 Enrollment ID: I20140912000790 |
| Provider Name | Robert B Rutherford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427461755 PECOS PAC ID: 3072732494 Enrollment ID: I20140917002594 |
| Provider Name | Stacie L Mccray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326453473 PECOS PAC ID: 3375762453 Enrollment ID: I20140923000889 |
| Provider Name | Jeremiah L Marsh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104141944 PECOS PAC ID: 1759525082 Enrollment ID: I20140923001201 |
| Provider Name | Courtney D Conkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093122301 PECOS PAC ID: 0840419867 Enrollment ID: I20140923002656 |
| Provider Name | Emily C Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801203690 PECOS PAC ID: 8729208418 Enrollment ID: I20140930003088 |
| Provider Name | Charisma K Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801200506 PECOS PAC ID: 8123247764 Enrollment ID: I20141001001379 |
| Provider Name | Ribal Al Aridi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1881826832 PECOS PAC ID: 8325268923 Enrollment ID: I20141002001415 |
| Provider Name | Elizabeth Lucas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346524154 PECOS PAC ID: 8729209812 Enrollment ID: I20141014001050 |
| Provider Name | Ralph Edward Fig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356750731 PECOS PAC ID: 9638390735 Enrollment ID: I20141014001085 |
| Provider Name | Katherine J Hodge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548576549 PECOS PAC ID: 3274776067 Enrollment ID: I20141015001954 |
| Provider Name | Maria Victoria Recio-restrepo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245214766 PECOS PAC ID: 9931122835 Enrollment ID: I20141021002025 |
| Provider Name | Jennifer L Haynie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194013615 PECOS PAC ID: 4486875630 Enrollment ID: I20141031001564 |
| Provider Name | Celeste Y Sorah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790101558 PECOS PAC ID: 1759508369 Enrollment ID: I20141103001689 |
| Provider Name | Virginia Ann Thurston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043611882 PECOS PAC ID: 8527280650 Enrollment ID: I20141111001304 |
| Provider Name | Laurie L Lavery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275507402 PECOS PAC ID: 2769427251 Enrollment ID: I20141112001312 |
| Provider Name | Prashanth C Chandra Sekhar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861612103 PECOS PAC ID: 2769516863 Enrollment ID: I20141121000200 |
| Provider Name | Nicole A Long |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962609289 PECOS PAC ID: 2264754589 Enrollment ID: I20141122000279 |
| Provider Name | Elizabeth M. Jackson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386870285 PECOS PAC ID: 3577885839 Enrollment ID: I20141124001198 |
| Provider Name | Steven L Trentham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821406760 PECOS PAC ID: 3678895794 Enrollment ID: I20141201000256 |
| Provider Name | Frederick Paul Clayton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992945745 PECOS PAC ID: 5193954196 Enrollment ID: I20141201000323 |
| Provider Name | Jasmine M Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902213275 PECOS PAC ID: 0648490672 Enrollment ID: I20141201001116 |
| Provider Name | Trey M Vanzant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104245638 PECOS PAC ID: 7416279336 Enrollment ID: I20141204000500 |
| Provider Name | Pamela S Earles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487061313 PECOS PAC ID: 4587986294 Enrollment ID: I20141209000737 |
| Provider Name | Esha I Cannon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700183522 PECOS PAC ID: 6507180064 Enrollment ID: I20150112000641 |
| Provider Name | Kimberly Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235542085 PECOS PAC ID: 8527972975 Enrollment ID: I20150216000577 |
| Provider Name | Brooklyn Beaupre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336541259 PECOS PAC ID: 8325364292 Enrollment ID: I20150312000625 |
| Provider Name | Tarandeep Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023203080 PECOS PAC ID: 1355526799 Enrollment ID: I20150313001047 |
| Provider Name | Michael K Patrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538109038 PECOS PAC ID: 6507824356 Enrollment ID: I20150324001038 |
| Provider Name | Lauren A Kidd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811386105 PECOS PAC ID: 0244557296 Enrollment ID: I20150331002632 |
| Provider Name | Sarah M Mcrae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770994972 PECOS PAC ID: 2466673116 Enrollment ID: I20150401002568 |
| Provider Name | Amanda Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447658919 PECOS PAC ID: 3375860232 Enrollment ID: I20150402001634 |
| Provider Name | Natosha L Matlock-carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417351891 PECOS PAC ID: 7113242983 Enrollment ID: I20150408000645 |
| Provider Name | Olukayode A Bamgbelu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164677845 PECOS PAC ID: 1557496965 Enrollment ID: I20150408001160 |
| Provider Name | Rachel A Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154736288 PECOS PAC ID: 3779801543 Enrollment ID: I20150408001201 |
| Provider Name | Yvette M Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932597226 PECOS PAC ID: 6507184272 Enrollment ID: I20150408001636 |
| Provider Name | Brian J Vaughn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477941755 PECOS PAC ID: 2860710597 Enrollment ID: I20150409000978 |
| Provider Name | Cassondra Nichole Compton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003205139 PECOS PAC ID: 5991023582 Enrollment ID: I20150410001018 |
| Provider Name | Linda L Funk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831588714 PECOS PAC ID: 8921327966 Enrollment ID: I20150424001475 |
| Provider Name | Mary C Olmsted |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508204835 PECOS PAC ID: 9931359841 Enrollment ID: I20150430001879 |
| Provider Name | Anita R Woolford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972920320 PECOS PAC ID: 0143440800 Enrollment ID: I20150504002302 |
| Provider Name | Malika Manyam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013148576 PECOS PAC ID: 5092963512 Enrollment ID: I20150610002013 |
| Provider Name | Anthony R Yount |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962760546 PECOS PAC ID: 8921319724 Enrollment ID: I20150619002181 |
| Provider Name | Linda T Pearson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1821314576 PECOS PAC ID: 1850613704 Enrollment ID: I20150622002345 |
| Provider Name | Justin Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770920621 PECOS PAC ID: 7416199690 Enrollment ID: I20150623000294 |
| Provider Name | Jennifer L Woodard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861768350 PECOS PAC ID: 0749500023 Enrollment ID: I20150625002578 |
| Provider Name | Rebecca Platt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790097855 PECOS PAC ID: 5496067894 Enrollment ID: I20150626000965 |
| Provider Name | Mistie G Hagaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760861140 PECOS PAC ID: 9638481054 Enrollment ID: I20150626001491 |
| Provider Name | Johan Koo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114280419 PECOS PAC ID: 4880906080 Enrollment ID: I20150630002968 |
| Provider Name | Elise H Marshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013271477 PECOS PAC ID: 6406168665 Enrollment ID: I20150701001499 |
| Provider Name | Jennifer Kite Phemister |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598008542 PECOS PAC ID: 1052623782 Enrollment ID: I20150708002451 |
| Provider Name | Anthony Geraci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932247657 PECOS PAC ID: 1951291905 Enrollment ID: I20150714003088 |
| Provider Name | Lauren S Py |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598012775 PECOS PAC ID: 2163664806 Enrollment ID: I20150721002945 |
| Provider Name | Susan D Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083007066 PECOS PAC ID: 8224341078 Enrollment ID: I20150722004980 |
| Provider Name | Judy C Umstott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548647787 PECOS PAC ID: 4385956333 Enrollment ID: I20150724012548 |
| Provider Name | Nausheen Ahmed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750519856 PECOS PAC ID: 1850525890 Enrollment ID: I20150728006523 |
| Provider Name | Benjamin Culp |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558520528 PECOS PAC ID: 2567604820 Enrollment ID: I20150731016046 |
| Provider Name | Ryan W Shao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649406190 PECOS PAC ID: 1759521867 Enrollment ID: I20150801017376 |
| Provider Name | Ashley Corinne Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710369590 PECOS PAC ID: 6800100942 Enrollment ID: I20150803000449 |
| Provider Name | Megan K Eades |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619377553 PECOS PAC ID: 5597986901 Enrollment ID: I20150803002747 |
| Provider Name | Shardul B Nagre |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1467771899 PECOS PAC ID: 3870739832 Enrollment ID: I20150811003701 |
| Provider Name | Paul C Lange |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578537882 PECOS PAC ID: 0244355410 Enrollment ID: I20150817001683 |
| Provider Name | Tommy A Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720461379 PECOS PAC ID: 5092960344 Enrollment ID: I20150820011445 |
| Provider Name | John A Ehrenfried |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841369402 PECOS PAC ID: 8325080427 Enrollment ID: I20150827000714 |
| Provider Name | Kristin Gaffney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720241318 PECOS PAC ID: 2163556523 Enrollment ID: I20150828001262 |
| Provider Name | Giacomo Meeker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790071173 PECOS PAC ID: 9537476411 Enrollment ID: I20150910001421 |
| Provider Name | David E Dahl |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1841516937 PECOS PAC ID: 2264674985 Enrollment ID: I20150914001882 |
| Provider Name | Sherry W Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194104976 PECOS PAC ID: 4082929708 Enrollment ID: I20150915003517 |
| Provider Name | Isioma R Aninyei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235450248 PECOS PAC ID: 0042527574 Enrollment ID: I20150916001965 |
| Provider Name | Stephanie M Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487052429 PECOS PAC ID: 1052628302 Enrollment ID: I20150918000188 |
| Provider Name | Becca J Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124387857 PECOS PAC ID: 5698931954 Enrollment ID: I20150921002368 |
| Provider Name | Michelle Annette Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699151761 PECOS PAC ID: 6608183793 Enrollment ID: I20150922002976 |
| Provider Name | Peggy Murrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982080370 PECOS PAC ID: 0345558607 Enrollment ID: I20151006002178 |
| Provider Name | Sara Elizabeth Yarber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588045280 PECOS PAC ID: 3173831047 Enrollment ID: I20151008002738 |
| Provider Name | Chad Cabell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326422312 PECOS PAC ID: 5294044251 Enrollment ID: I20151014002558 |
| Provider Name | Morgan Cabell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134503121 PECOS PAC ID: 5991014961 Enrollment ID: I20151014003220 |
| Provider Name | Li Hua |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780812198 PECOS PAC ID: 9032434758 Enrollment ID: I20151016002207 |
| Provider Name | Sherry Cline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366793861 PECOS PAC ID: 2860704897 Enrollment ID: I20151019001745 |
| Provider Name | Christopher Byrd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306100789 PECOS PAC ID: 6901115757 Enrollment ID: I20151019002378 |
| Provider Name | Jessica Woolsey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083097141 PECOS PAC ID: 1759691967 Enrollment ID: I20151029003090 |
| Provider Name | Spencer Maden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487022745 PECOS PAC ID: 5496065583 Enrollment ID: I20151102000812 |
| Provider Name | Sarah Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770950479 PECOS PAC ID: 6608186747 Enrollment ID: I20151102002571 |
| Provider Name | Amy R Dickenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932582350 PECOS PAC ID: 9032429964 Enrollment ID: I20151105001157 |
| Provider Name | Callie E Tankersley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932575958 PECOS PAC ID: 7810207685 Enrollment ID: I20151106000136 |
| Provider Name | William M Hennage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154601508 PECOS PAC ID: 5698990174 Enrollment ID: I20151110002529 |
| Provider Name | Tanzid Shams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245559236 PECOS PAC ID: 8022242734 Enrollment ID: I20151112001737 |
| Provider Name | Keith Aaron Kyker |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1437245636 PECOS PAC ID: 7315987633 Enrollment ID: I20151117001713 |
| Provider Name | Martin E Litman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689938052 PECOS PAC ID: 2769782309 Enrollment ID: I20151203001366 |
| Provider Name | Joshua Wayne Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104293679 PECOS PAC ID: 8921308453 Enrollment ID: I20151204001520 |
| Provider Name | Kevin A Draper |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447518519 PECOS PAC ID: 4486955705 Enrollment ID: I20151210001289 |
| Provider Name | Dwayne Likens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326336793 PECOS PAC ID: 3870894090 Enrollment ID: I20151214000514 |
| Provider Name | Lori A Correll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194193102 PECOS PAC ID: 5991006041 Enrollment ID: I20151215002906 |
| Provider Name | Robert Knizley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952501983 PECOS PAC ID: 8820142763 Enrollment ID: I20151216000691 |
| Provider Name | Weihong Pan |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1760677900 PECOS PAC ID: 4486743598 Enrollment ID: I20151217001205 |
| Provider Name | Ashley Pannell Stidham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649644055 PECOS PAC ID: 2860793528 Enrollment ID: I20151222001900 |
| Provider Name | David Bhola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881946630 PECOS PAC ID: 7810298387 Enrollment ID: I20151229001591 |
| Provider Name | Theodore D Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164815817 PECOS PAC ID: 7618284704 Enrollment ID: I20160106002356 |
| Provider Name | David Curtis Ison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548502677 PECOS PAC ID: 6406158013 Enrollment ID: I20160113000945 |
| Provider Name | Shadi Nakhla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134414196 PECOS PAC ID: 0941426365 Enrollment ID: I20160115000743 |
| Provider Name | Mark A Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588639421 PECOS PAC ID: 5395646012 Enrollment ID: I20160125001054 |
| Provider Name | Kaushal Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275858516 PECOS PAC ID: 5092016188 Enrollment ID: I20160125001366 |
| Provider Name | Candis L Daugherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528477569 PECOS PAC ID: 0143441311 Enrollment ID: I20160202000000 |
| Provider Name | Christopher Lawrence Chinault |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235596545 PECOS PAC ID: 7113221987 Enrollment ID: I20160215002753 |
| Provider Name | Kenneth S Burnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760848204 PECOS PAC ID: 4385948157 Enrollment ID: I20160215002807 |
| Provider Name | Shawn Youngman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831562016 PECOS PAC ID: 7315242161 Enrollment ID: I20160216002566 |
| Provider Name | Lauren E Snapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932582012 PECOS PAC ID: 0840592127 Enrollment ID: I20160229000633 |
| Provider Name | Nekisha S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285006304 PECOS PAC ID: 1456657659 Enrollment ID: I20160315001340 |
| Provider Name | Samantha Ray Irwin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659731636 PECOS PAC ID: 4284931700 Enrollment ID: I20160329001738 |
| Provider Name | Amanda B Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063755502 PECOS PAC ID: 8729385802 Enrollment ID: I20160405001497 |
| Provider Name | Courtney L Bowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609239425 PECOS PAC ID: 3274832324 Enrollment ID: I20160425001535 |
| Provider Name | Ling Zhang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710277678 PECOS PAC ID: 6103064175 Enrollment ID: I20160504001020 |
| Provider Name | Kristen Looney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053784157 PECOS PAC ID: 3971802307 Enrollment ID: I20160505001809 |
| Provider Name | Douglas Steven Brtalik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831533306 PECOS PAC ID: 0840597969 Enrollment ID: I20160513000261 |
| Provider Name | John L Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205293198 PECOS PAC ID: 8123318276 Enrollment ID: I20160602001374 |
| Provider Name | Ahmed Abdal Cheema |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942435375 PECOS PAC ID: 9537450705 Enrollment ID: I20160617000861 |
| Provider Name | Wendy N Rumley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407082423 PECOS PAC ID: 2961555644 Enrollment ID: I20160617001738 |
| Provider Name | Nicholas Henry Laffely |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801981410 PECOS PAC ID: 8022161397 Enrollment ID: I20160628000893 |
| Provider Name | Carla Jane Weems |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528430147 PECOS PAC ID: 0244531903 Enrollment ID: I20160629002522 |
| Provider Name | Joseph W Frye |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1457617011 PECOS PAC ID: 6709178759 Enrollment ID: I20160712001056 |
| Provider Name | Amy Welch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740218031 PECOS PAC ID: 1052392743 Enrollment ID: I20160712002378 |
| Provider Name | Deana J Duffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124486626 PECOS PAC ID: 4284932310 Enrollment ID: I20160719002801 |
| Provider Name | Parrish Fry Moree |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518123447 PECOS PAC ID: 1658505284 Enrollment ID: I20160726001490 |
| Provider Name | Julius A Gasso |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1942232038 PECOS PAC ID: 8527083922 Enrollment ID: I20160727001296 |
| Provider Name | Sharon R Nunley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720436785 PECOS PAC ID: 1951694843 Enrollment ID: I20160729002016 |
| Provider Name | Brian M Enriquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528216447 PECOS PAC ID: 6305068222 Enrollment ID: I20160801000753 |
| Provider Name | Rosalyn Patrice Baxter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497972145 PECOS PAC ID: 0446420541 Enrollment ID: I20160801001332 |
| Provider Name | Carol S Keen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033461777 PECOS PAC ID: 0143471284 Enrollment ID: I20160811002725 |
| Provider Name | Kayla J Joyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184077158 PECOS PAC ID: 7315232154 Enrollment ID: I20160818001173 |
| Provider Name | Miranda D Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629495247 PECOS PAC ID: 4183843790 Enrollment ID: I20160818001633 |
| Provider Name | Kathryn A Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093165102 PECOS PAC ID: 7113212689 Enrollment ID: I20160823001126 |
| Provider Name | Rochelle Holtzclaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356794713 PECOS PAC ID: 8921393406 Enrollment ID: I20160823001210 |
| Provider Name | Keressa L Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346693868 PECOS PAC ID: 8729373188 Enrollment ID: I20160824000758 |
| Provider Name | Michelle M Meade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790136489 PECOS PAC ID: 6204121676 Enrollment ID: I20160824001335 |
| Provider Name | Billy Earl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114375664 PECOS PAC ID: 3870888431 Enrollment ID: I20160831001932 |
| Provider Name | Tracy Romans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023466786 PECOS PAC ID: 8628364429 Enrollment ID: I20160902001054 |
| Provider Name | Brandon C Burnsed |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801108139 PECOS PAC ID: 7113946484 Enrollment ID: I20160907002313 |
| Provider Name | Ashley Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457708380 PECOS PAC ID: 4284920844 Enrollment ID: I20160907002350 |
| Provider Name | Akinkunmi Oyewole Oladiran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467713610 PECOS PAC ID: 6204072069 Enrollment ID: I20160920000436 |
| Provider Name | Reza Shams Pirzadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831419779 PECOS PAC ID: 9032419585 Enrollment ID: I20160921000433 |
| Provider Name | Denise L. Welsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962956516 PECOS PAC ID: 0345537817 Enrollment ID: I20160927001764 |
| Provider Name | Barima Poku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750728143 PECOS PAC ID: 1456648880 Enrollment ID: I20160928000857 |
| Provider Name | Mary J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821543463 PECOS PAC ID: 9032406418 Enrollment ID: I20160928002468 |
| Provider Name | Melissa A Arrowood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992253140 PECOS PAC ID: 3274820410 Enrollment ID: I20161003000486 |
| Provider Name | Kelli L Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720370091 PECOS PAC ID: 4981929189 Enrollment ID: I20161004001860 |
| Provider Name | Fereidoon Shafiei |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1740493113 PECOS PAC ID: 6901907237 Enrollment ID: I20161005000535 |
| Provider Name | Snow Peterson |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1477809093 PECOS PAC ID: 8123316254 Enrollment ID: I20161005001826 |
| Provider Name | Rhonda C Hillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083160519 PECOS PAC ID: 5799073334 Enrollment ID: I20161013001388 |
| Provider Name | Thomas Helton |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750345211 PECOS PAC ID: 4789620030 Enrollment ID: I20161013002270 |
| Provider Name | Angela L Arnold-ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548713191 PECOS PAC ID: 0941588693 Enrollment ID: I20161031002016 |
| Provider Name | Brenda Jessee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457340598 PECOS PAC ID: 2961426218 Enrollment ID: I20161102001481 |
| Provider Name | Heather N Ketron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356891493 PECOS PAC ID: 5193004455 Enrollment ID: I20161109002882 |
| Provider Name | Amanda A Cantwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063962728 PECOS PAC ID: 9234418393 Enrollment ID: I20161111001175 |
| Provider Name | Jessica N Bembry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043769490 PECOS PAC ID: 9234418831 Enrollment ID: I20161123001027 |
| Provider Name | Marcus K Byler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538617139 PECOS PAC ID: 6204115736 Enrollment ID: I20161128000801 |
| Provider Name | Sandeep R Pandit |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194743716 PECOS PAC ID: 2264493295 Enrollment ID: I20170105000196 |
| Provider Name | Bonnie R Henley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649656240 PECOS PAC ID: 3779864624 Enrollment ID: I20170109000358 |
| Provider Name | Wanda K Jarrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184169658 PECOS PAC ID: 4688956246 Enrollment ID: I20170117001226 |
| Provider Name | Kyle Boren |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619256328 PECOS PAC ID: 8527340322 Enrollment ID: I20170130002605 |
| Provider Name | Stephanie E Toney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831633528 PECOS PAC ID: 3173806767 Enrollment ID: I20170206000492 |
| Provider Name | Michelle Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548496557 PECOS PAC ID: 8325191984 Enrollment ID: I20170214001289 |
| Provider Name | Daniel Sutphin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1821254517 PECOS PAC ID: 8022294040 Enrollment ID: I20170228000481 |
| Provider Name | Judd T Salamat |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912139411 PECOS PAC ID: 5991941155 Enrollment ID: I20170301000302 |
| Provider Name | Kelly C Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235675943 PECOS PAC ID: 3779867262 Enrollment ID: I20170301000378 |
| Provider Name | Julia P Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235513508 PECOS PAC ID: 1557678307 Enrollment ID: I20170314002019 |
| Provider Name | Larry V Carson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588764385 PECOS PAC ID: 4183600893 Enrollment ID: I20170315001201 |
| Provider Name | Stafford A Conway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366498206 PECOS PAC ID: 3870515752 Enrollment ID: I20170321001738 |
| Provider Name | Katherine Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669910337 PECOS PAC ID: 4183909732 Enrollment ID: I20170321002633 |
| Provider Name | Blakley T Stone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639620941 PECOS PAC ID: 5991080590 Enrollment ID: I20170322001559 |
| Provider Name | Michelle Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366990442 PECOS PAC ID: 9931484326 Enrollment ID: I20170327002597 |
| Provider Name | Camillia Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215474341 PECOS PAC ID: 9931484193 Enrollment ID: I20170330001353 |
| Provider Name | Jessica Machue |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255750550 PECOS PAC ID: 9537444617 Enrollment ID: I20170403001386 |
| Provider Name | Letitia B Fritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629517099 PECOS PAC ID: 9133405137 Enrollment ID: I20170405001474 |
| Provider Name | Bryan Md Helsel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891875399 PECOS PAC ID: 1254571383 Enrollment ID: I20170411000607 |
| Provider Name | Gunjan Choudhary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275975468 PECOS PAC ID: 5890094593 Enrollment ID: I20170419002461 |
| Provider Name | Tamara L Musgrave |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1922018605 PECOS PAC ID: 5395837330 Enrollment ID: I20170424002093 |
| Provider Name | Tina A Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174064950 PECOS PAC ID: 8224314497 Enrollment ID: I20170425000427 |
| Provider Name | Brad E Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578094207 PECOS PAC ID: 6800173097 Enrollment ID: I20170425001538 |
| Provider Name | Courtney Shane Mcpherson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154618569 PECOS PAC ID: 3375763063 Enrollment ID: I20170502001488 |
| Provider Name | Todd M Pottorf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972842573 PECOS PAC ID: 7911142187 Enrollment ID: I20170524002813 |
| Provider Name | Jared W Pack |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396163101 PECOS PAC ID: 0042587529 Enrollment ID: I20170605001972 |
| Provider Name | Ashley Lindholm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235670878 PECOS PAC ID: 0749558062 Enrollment ID: I20170609000800 |
| Provider Name | Christina K Hammonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730488875 PECOS PAC ID: 7012192909 Enrollment ID: I20170609000920 |
| Provider Name | Michael L Thorpe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497726285 PECOS PAC ID: 0345149704 Enrollment ID: I20170621003168 |
| Provider Name | Jeffery Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962470138 PECOS PAC ID: 2466448360 Enrollment ID: I20170629002591 |
| Provider Name | Robert C Allen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1578791307 PECOS PAC ID: 2466721592 Enrollment ID: I20170706000500 |
| Provider Name | Alana S Cozier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821387721 PECOS PAC ID: 3173757135 Enrollment ID: I20170714002888 |
| Provider Name | Anna L Dunn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124437207 PECOS PAC ID: 5890064471 Enrollment ID: I20170726000554 |
| Provider Name | Kate L Molony |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184999120 PECOS PAC ID: 1254603970 Enrollment ID: I20170815004291 |
| Provider Name | Sheree A Bray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396061560 PECOS PAC ID: 3870711286 Enrollment ID: I20170816003251 |
| Provider Name | Ashish Ramesh Thakkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538456124 PECOS PAC ID: 3274758263 Enrollment ID: I20170816003418 |
| Provider Name | Brandie N Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285164483 PECOS PAC ID: 1153693635 Enrollment ID: I20170817002612 |
| Provider Name | Peter Y Shi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336569904 PECOS PAC ID: 6901178946 Enrollment ID: I20170825000224 |
| Provider Name | Taren A Keebler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285167890 PECOS PAC ID: 5395019988 Enrollment ID: I20170920002328 |
| Provider Name | Adam Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255515896 PECOS PAC ID: 2466726864 Enrollment ID: I20170925000591 |
| Provider Name | Charles M. Helton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598168627 PECOS PAC ID: 3072887348 Enrollment ID: I20170926000617 |
| Provider Name | Jaime Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538689542 PECOS PAC ID: 0547535270 Enrollment ID: I20171005003827 |
| Provider Name | Carissa Depew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477079861 PECOS PAC ID: 7517232986 Enrollment ID: I20171011001258 |
| Provider Name | Stephanie A Hart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417215195 PECOS PAC ID: 8224303607 Enrollment ID: I20171011001375 |
| Provider Name | Andrius Lescauskas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316351844 PECOS PAC ID: 8224304472 Enrollment ID: I20171016003364 |
| Provider Name | Michael Mcfall Wilkinson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1679722052 PECOS PAC ID: 6002108701 Enrollment ID: I20171018000469 |
| Provider Name | Kayla O Almanzor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912434820 PECOS PAC ID: 9234405978 Enrollment ID: I20171024001806 |
| Provider Name | Krissa M Trombetta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477079044 PECOS PAC ID: 7113293994 Enrollment ID: I20171031003224 |
| Provider Name | Leslie Bodo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275050627 PECOS PAC ID: 4385900281 Enrollment ID: I20171109000684 |
| Provider Name | Gregory Sengstock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033179858 PECOS PAC ID: 2769462217 Enrollment ID: I20171114001106 |
| Provider Name | Janna Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639556558 PECOS PAC ID: 3678873858 Enrollment ID: I20171128001828 |
| Provider Name | Jessica Elizabeth Taylor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790046704 PECOS PAC ID: 2567684459 Enrollment ID: I20171130003211 |
| Provider Name | Olexandr S Krinochkin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912971318 PECOS PAC ID: 8527074129 Enrollment ID: I20171201002028 |
| Provider Name | Leslie B Sullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619490307 PECOS PAC ID: 9032476841 Enrollment ID: I20171204002164 |
| Provider Name | Peter Nock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578561361 PECOS PAC ID: 5991706392 Enrollment ID: I20171205001935 |
| Provider Name | Michael Matthew Compton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902322126 PECOS PAC ID: 3870850811 Enrollment ID: I20171215000829 |
| Provider Name | Clayton Mcgill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871912048 PECOS PAC ID: 3678854957 Enrollment ID: I20171215002245 |
| Provider Name | Robert David Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497283402 PECOS PAC ID: 3476811449 Enrollment ID: I20171220001860 |
| Provider Name | Jared Charles Abel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023529401 PECOS PAC ID: 0143588392 Enrollment ID: I20180103001404 |
| Provider Name | Allison Raettig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689185241 PECOS PAC ID: 3375801954 Enrollment ID: I20180103003139 |
| Provider Name | Reynald Altema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548238892 PECOS PAC ID: 3577586890 Enrollment ID: I20180109002214 |
| Provider Name | Rebekah C Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417469958 PECOS PAC ID: 9032478425 Enrollment ID: I20180110000886 |
| Provider Name | Christopher Michael Basham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831160530 PECOS PAC ID: 3870664667 Enrollment ID: I20180122000524 |
| Provider Name | Sukaina J Jaffer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568430031 PECOS PAC ID: 5991714404 Enrollment ID: I20180125001174 |
| Provider Name | Emily B Crabtree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639525975 PECOS PAC ID: 9638463037 Enrollment ID: I20180129000936 |
| Provider Name | Ashley Brook Weems |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821525361 PECOS PAC ID: 9537429501 Enrollment ID: I20180213000278 |
| Provider Name | Rachel Anne Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306208798 PECOS PAC ID: 4385908607 Enrollment ID: I20180525000405 |
| Provider Name | Furhan Rashid Qureshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306194667 PECOS PAC ID: 7113233610 Enrollment ID: I20180605001974 |
| Provider Name | Jennifer Leigh Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770095762 PECOS PAC ID: 6608121587 Enrollment ID: I20180618001206 |
| Provider Name | Sara B Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548771447 PECOS PAC ID: 6002162401 Enrollment ID: I20180627001061 |
| Provider Name | Steven Dylan Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861909426 PECOS PAC ID: 5092061333 Enrollment ID: I20180628003427 |
| Provider Name | Elyse Suzanne Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417456054 PECOS PAC ID: 7012272248 Enrollment ID: I20180702003498 |
| Provider Name | Jennifer Stacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568962843 PECOS PAC ID: 5395000301 Enrollment ID: I20180703001021 |
| Provider Name | Aldene Ann Marie Mckenzie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598105231 PECOS PAC ID: 4789810169 Enrollment ID: I20180710001010 |
| Provider Name | Lindsey Mccurry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770849770 PECOS PAC ID: 1658514237 Enrollment ID: I20180711002172 |
| Provider Name | Jessica E Pugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982047650 PECOS PAC ID: 6406102052 Enrollment ID: I20180711004029 |
| Provider Name | April A Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427564079 PECOS PAC ID: 4385904358 Enrollment ID: I20180712003404 |
| Provider Name | Ashley T Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124538780 PECOS PAC ID: 2163779448 Enrollment ID: I20180717004253 |
| Provider Name | Gregg Willis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336171511 PECOS PAC ID: 6305897166 Enrollment ID: I20180808003147 |
| Provider Name | Ali Minhas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285884403 PECOS PAC ID: 8820269095 Enrollment ID: I20180821002157 |
| Provider Name | Allison Farris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679849814 PECOS PAC ID: 2961636857 Enrollment ID: I20180822003835 |
| Provider Name | Jessica Glasscock Mcgahey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689167181 PECOS PAC ID: 8123377025 Enrollment ID: I20180827002322 |
| Provider Name | Aaron H Cohen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073855540 PECOS PAC ID: 8022380161 Enrollment ID: I20180830001729 |
| Provider Name | Cassie Williams Luke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982622577 PECOS PAC ID: 3577459304 Enrollment ID: I20180830002953 |
| Provider Name | Mark Sah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346685260 PECOS PAC ID: 5799035259 Enrollment ID: I20180904000785 |
| Provider Name | Alexandra M Bowling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073996948 PECOS PAC ID: 5597063495 Enrollment ID: I20180905002536 |
| Provider Name | Connie A Manz Hinkle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386039469 PECOS PAC ID: 6204186448 Enrollment ID: I20180909000006 |
| Provider Name | Alexandria R. Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346726775 PECOS PAC ID: 1850641036 Enrollment ID: I20180910001185 |
| Provider Name | Crystal L Stiltner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366823460 PECOS PAC ID: 7517218480 Enrollment ID: I20180917001863 |
| Provider Name | Melanie Laforce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952896342 PECOS PAC ID: 7214288000 Enrollment ID: I20180918001178 |
| Provider Name | Rekha Kadam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740719848 PECOS PAC ID: 5294086047 Enrollment ID: I20180918003727 |
| Provider Name | Jon William Taveau |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083897086 PECOS PAC ID: 3072535772 Enrollment ID: I20180919003602 |
| Provider Name | Kara Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629556196 PECOS PAC ID: 5890046270 Enrollment ID: I20180924003654 |
| Provider Name | Lucy Xayathone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497264881 PECOS PAC ID: 6002172756 Enrollment ID: I20180925001108 |
| Provider Name | Linda Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235634361 PECOS PAC ID: 6406107820 Enrollment ID: I20180925001503 |
| Provider Name | Paul A Henkel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235484312 PECOS PAC ID: 0345511523 Enrollment ID: I20181015000912 |
| Provider Name | Syed Shiraz Hyder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245383108 PECOS PAC ID: 1951395938 Enrollment ID: I20181019000709 |
| Provider Name | Sanjay R Pallegar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780623629 PECOS PAC ID: 3678510856 Enrollment ID: I20181023001475 |
| Provider Name | Elizabeth Julissa Dockery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669823332 PECOS PAC ID: 2668725227 Enrollment ID: I20181029001169 |
| Provider Name | Prabha Jaishwal Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760965628 PECOS PAC ID: 8729331236 Enrollment ID: I20181031001342 |
| Provider Name | Todd Earl Wolf |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619952462 PECOS PAC ID: 7315985082 Enrollment ID: I20181101003432 |
| Provider Name | Ukana Bassey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356628812 PECOS PAC ID: 8527293331 Enrollment ID: I20181105001160 |
| Provider Name | Mary Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902282270 PECOS PAC ID: 9739489428 Enrollment ID: I20181114000955 |
| Provider Name | Kesha Robertson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790932499 PECOS PAC ID: 7517006240 Enrollment ID: I20181114003674 |
| Provider Name | Jeremy S. Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043797970 PECOS PAC ID: 8123363975 Enrollment ID: I20181222000244 |
| Provider Name | Serena Elizabeth Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952836751 PECOS PAC ID: 4385988062 Enrollment ID: I20190128003471 |
| Provider Name | Babak S Pirouz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609072578 PECOS PAC ID: 6103912118 Enrollment ID: I20190131001997 |
| Provider Name | Karen A Zino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992902407 PECOS PAC ID: 3072668334 Enrollment ID: I20190209000062 |
| Provider Name | Benjamin Daniel Whitfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114468444 PECOS PAC ID: 9739451410 Enrollment ID: I20190304002460 |
| Provider Name | Deborah Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710454376 PECOS PAC ID: 1658618202 Enrollment ID: I20190308002356 |
| Provider Name | Eric Artrip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114498532 PECOS PAC ID: 9537409644 Enrollment ID: I20190326003150 |
| Provider Name | Saurav Raj Baral |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316225774 PECOS PAC ID: 9739482514 Enrollment ID: I20190327002922 |
| Provider Name | Aswani Suthrave |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013942341 PECOS PAC ID: 9638176506 Enrollment ID: I20190328003038 |
| Provider Name | Misty Dawn Dockery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730655671 PECOS PAC ID: 4789925744 Enrollment ID: I20190401002254 |
| Provider Name | Shirley J Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104390285 PECOS PAC ID: 1456692185 Enrollment ID: I20190408000807 |
| Provider Name | Kelly Vanover Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154893998 PECOS PAC ID: 2860733219 Enrollment ID: I20190411001502 |
| Provider Name | Jonathan M. Hutchins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255873956 PECOS PAC ID: 4688956337 Enrollment ID: I20190415000772 |
| Provider Name | Esther Ajjarapu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952630725 PECOS PAC ID: 0446435838 Enrollment ID: I20190415002981 |
| Provider Name | Bukola O Afilaka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619268455 PECOS PAC ID: 3476774324 Enrollment ID: I20190501002806 |
| Provider Name | Sandra Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013419225 PECOS PAC ID: 1153663638 Enrollment ID: I20190502001780 |
| Provider Name | Luc Dupont Jasmin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083623193 PECOS PAC ID: 1355360256 Enrollment ID: I20190506000739 |
| Provider Name | Khine Swe Zin Min |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114210226 PECOS PAC ID: 3375866718 Enrollment ID: I20190524002182 |
| Provider Name | Katey S Morrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477027407 PECOS PAC ID: 9032452743 Enrollment ID: I20190528001158 |
| Provider Name | Tara Rose Buschor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689022642 PECOS PAC ID: 4385939909 Enrollment ID: I20190723003550 |
| Provider Name | Che Antonio Solla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598078909 PECOS PAC ID: 2961740170 Enrollment ID: I20190805002734 |
| Provider Name | Venkata Vedantam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255781712 PECOS PAC ID: 5890022016 Enrollment ID: I20190812001573 |
| Provider Name | Ayan Novruzov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245681196 PECOS PAC ID: 5294064291 Enrollment ID: I20190916002890 |
| Provider Name | Kelly Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972917755 PECOS PAC ID: 0547590143 Enrollment ID: I20190925000286 |
| Provider Name | Shane Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285117606 PECOS PAC ID: 1951631472 Enrollment ID: I20190926001456 |
| Provider Name | Aaron Towe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750745477 PECOS PAC ID: 8325375041 Enrollment ID: I20191007001872 |
| Provider Name | Mary Cummins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922492248 PECOS PAC ID: 1052642881 Enrollment ID: I20191009002231 |
| Provider Name | Melanie T Bray |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609124411 PECOS PAC ID: 5597056150 Enrollment ID: I20191010001182 |
| Provider Name | Whitney L Maden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932754934 PECOS PAC ID: 2062743750 Enrollment ID: I20191010001660 |
| Provider Name | Amanda K Light |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710530571 PECOS PAC ID: 5395076970 Enrollment ID: I20191011002318 |
| Provider Name | Stefani Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063065621 PECOS PAC ID: 0244561843 Enrollment ID: I20191014000478 |
| Provider Name | Stephanie H Garris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639625643 PECOS PAC ID: 2769763945 Enrollment ID: I20191023003465 |
| Provider Name | Brooke Leanna Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477100113 PECOS PAC ID: 0941532931 Enrollment ID: I20191023003731 |
| Provider Name | Cindy Canter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861955452 PECOS PAC ID: 4688906548 Enrollment ID: I20191024003344 |
| Provider Name | Kussay Nassr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316942022 PECOS PAC ID: 8820079684 Enrollment ID: I20191030000720 |
| Provider Name | Shyam Sundhar Odeti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154614816 PECOS PAC ID: 0143449785 Enrollment ID: I20191101000996 |
| Provider Name | Donald L Pierce |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790197523 PECOS PAC ID: 4880811264 Enrollment ID: I20191114001501 |
| Provider Name | Andrew Preston Widener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851875710 PECOS PAC ID: 0244662336 Enrollment ID: I20191114001850 |
| Provider Name | Shannon Fullen-roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245645118 PECOS PAC ID: 1951522127 Enrollment ID: I20191114003613 |
| Provider Name | Jason L Altman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609103126 PECOS PAC ID: 3476985292 Enrollment ID: I20191118000599 |
| Provider Name | Sherry Lynn Goode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023669744 PECOS PAC ID: 1759713399 Enrollment ID: I20191120002989 |
| Provider Name | Amit Keith Correa |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710396486 PECOS PAC ID: 6608208160 Enrollment ID: I20191121001742 |
| Provider Name | William Aaron Hayter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972028009 PECOS PAC ID: 1850724279 Enrollment ID: I20191125002725 |
| Provider Name | Carl Thurman Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073005989 PECOS PAC ID: 9335191477 Enrollment ID: I20191208000008 |
| Provider Name | Cynthia Michele Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487937009 PECOS PAC ID: 5597937615 Enrollment ID: I20191213000144 |
| Provider Name | Kelly A Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023650934 PECOS PAC ID: 4981038379 Enrollment ID: I20191217002546 |
| Provider Name | Christopher Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548549611 PECOS PAC ID: 9032338686 Enrollment ID: I20191218003246 |
| Provider Name | Heather R Sergent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134648918 PECOS PAC ID: 7315204138 Enrollment ID: I20191219003171 |
| Provider Name | Amanda Susan Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043715675 PECOS PAC ID: 0749536282 Enrollment ID: I20200107001760 |
| Provider Name | Alicia Deirth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225670128 PECOS PAC ID: 8820423460 Enrollment ID: I20200108002948 |
| Provider Name | Rachel West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952847493 PECOS PAC ID: 1153605472 Enrollment ID: I20200109002305 |
| Provider Name | Shannon Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265086003 PECOS PAC ID: 3072948546 Enrollment ID: I20200112000002 |
| Provider Name | Michael Blue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588835185 PECOS PAC ID: 8921286626 Enrollment ID: I20200113002680 |
| Provider Name | Kathleen Seaton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841619582 PECOS PAC ID: 1153683065 Enrollment ID: I20200120000430 |
| Provider Name | Aaron Kevin Andersen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679821334 PECOS PAC ID: 6901020338 Enrollment ID: I20200121001823 |
| Provider Name | Victoria A. Whitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780182253 PECOS PAC ID: 1153686340 Enrollment ID: I20200128003247 |
| Provider Name | Christa Leigh Addington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992250286 PECOS PAC ID: 6204124498 Enrollment ID: I20200129003243 |
| Provider Name | Angelica Betina Vazquez Anaya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750507794 PECOS PAC ID: 2668619420 Enrollment ID: I20200130000649 |
| Provider Name | Caitlin Riden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881248664 PECOS PAC ID: 8224465075 Enrollment ID: I20200217004677 |
| Provider Name | Ahmed Janjua |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912162728 PECOS PAC ID: 8123159126 Enrollment ID: I20200319001027 |
| Provider Name | Thomas Oliver |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477534808 PECOS PAC ID: 8224061098 Enrollment ID: I20200325001650 |
| Provider Name | Jamie Bare Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174033880 PECOS PAC ID: 5799044533 Enrollment ID: I20200328000140 |
| Provider Name | Rebecca Ann Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497382162 PECOS PAC ID: 0749619344 Enrollment ID: I20200402001555 |
| Provider Name | Ali Hashmi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720033350 PECOS PAC ID: 0547161929 Enrollment ID: I20200409003743 |
| Provider Name | Laken A Schang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881109940 PECOS PAC ID: 6709128929 Enrollment ID: I20200506002895 |
| Provider Name | Elisabeth Jean Bradley Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639657562 PECOS PAC ID: 5193156487 Enrollment ID: I20200521001287 |
| Provider Name | Asha Sproles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831722966 PECOS PAC ID: 0941621296 Enrollment ID: I20200528001248 |
| Provider Name | Ryan Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912393166 PECOS PAC ID: 5496099442 Enrollment ID: I20200529002049 |
| Provider Name | Mary Catherine Shipley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578107181 PECOS PAC ID: 8224459003 Enrollment ID: I20200603000958 |
| Provider Name | Mary E Foran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477014827 PECOS PAC ID: 7113348863 Enrollment ID: I20200604000913 |
| Provider Name | Howard Leftin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295748184 PECOS PAC ID: 0941397194 Enrollment ID: I20200608000000 |
| Provider Name | Stevenson Howard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962857862 PECOS PAC ID: 0345510244 Enrollment ID: I20200608002373 |
| Provider Name | Crystal Danielle Chafin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700368313 PECOS PAC ID: 9739501123 Enrollment ID: I20200611001990 |
| Provider Name | Beth Morley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316359003 PECOS PAC ID: 8820324114 Enrollment ID: I20200727003553 |
| Provider Name | Chelsea Newsome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063055762 PECOS PAC ID: 0446675078 Enrollment ID: I20200730000321 |
| Provider Name | Ankush Kumar Jain |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1770891574 PECOS PAC ID: 7012332810 Enrollment ID: I20200810002610 |
| Provider Name | Phillip Connors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114543642 PECOS PAC ID: 8325464217 Enrollment ID: I20200824000745 |
| Provider Name | Ali Bokhari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699204768 PECOS PAC ID: 2466879218 Enrollment ID: I20200825003708 |
| Provider Name | Lindsey Marie Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205447604 PECOS PAC ID: 4183041742 Enrollment ID: I20200827000745 |
| Provider Name | Jeffery Martin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801109640 PECOS PAC ID: 7618965195 Enrollment ID: I20200831001138 |
| Provider Name | Nathan E Smith |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1912269796 PECOS PAC ID: 6800051426 Enrollment ID: I20200903000172 |
| Provider Name | Kelly Holdway Coches |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386174290 PECOS PAC ID: 7810314820 Enrollment ID: I20200904001496 |
| Provider Name | Robert L Horne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104994045 PECOS PAC ID: 9335190594 Enrollment ID: I20200909001007 |
| Provider Name | Shenia Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538777529 PECOS PAC ID: 1153749882 Enrollment ID: I20200914000407 |
| Provider Name | Haley Elizabeth Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942847694 PECOS PAC ID: 2961820600 Enrollment ID: I20200914000475 |
| Provider Name | Amanda L Herrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114449337 PECOS PAC ID: 9830517572 Enrollment ID: I20200914000569 |
| Provider Name | Stacie Lynn Braswell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851629703 PECOS PAC ID: 5496985871 Enrollment ID: I20200914001131 |
| Provider Name | Yonette Paul-ennis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790192565 PECOS PAC ID: 1355631714 Enrollment ID: I20200914001939 |
| Provider Name | Arthur Cooler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326078890 PECOS PAC ID: 6800808015 Enrollment ID: I20200928001876 |
| Provider Name | Sana Pathan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205447794 PECOS PAC ID: 9537588017 Enrollment ID: I20201001003557 |
| Provider Name | Tiffany Schack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427667310 PECOS PAC ID: 4587074224 Enrollment ID: I20201109000006 |
| Provider Name | Shipeng Yu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063772150 PECOS PAC ID: 8325342397 Enrollment ID: I20201110003395 |
| Provider Name | Nafees Ameer Mohammed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013358167 PECOS PAC ID: 9335376789 Enrollment ID: I20201116001510 |
| Provider Name | Neal Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811429210 PECOS PAC ID: 0749559664 Enrollment ID: I20201119003133 |
| Provider Name | Lindsey Clark |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043638315 PECOS PAC ID: 5395044671 Enrollment ID: I20201120001533 |
| Provider Name | Candace Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720694516 PECOS PAC ID: 3173934296 Enrollment ID: I20201121000224 |
| Provider Name | Wendy E. Abbott |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497290241 PECOS PAC ID: 0648608307 Enrollment ID: I20201123001143 |
| Provider Name | Ghino Francois |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982021044 PECOS PAC ID: 2567680275 Enrollment ID: I20201124000840 |
| Provider Name | Shayla Atkins Kilgore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720685217 PECOS PAC ID: 2961813480 Enrollment ID: I20201204000242 |
| Provider Name | Swarna Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528044583 PECOS PAC ID: 5496711830 Enrollment ID: I20201207000051 |
| Provider Name | Sarah Gach |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235667841 PECOS PAC ID: 3375962202 Enrollment ID: I20201208000704 |
| Provider Name | Emily Leidig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841807625 PECOS PAC ID: 5193137164 Enrollment ID: I20201215003408 |
| Provider Name | Andrew Tyson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770018921 PECOS PAC ID: 7113298407 Enrollment ID: I20210104000484 |
| Provider Name | Lauretha Uzoamaka Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295129179 PECOS PAC ID: 6800199233 Enrollment ID: I20210104002035 |
| Provider Name | Jon Wirshels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467076158 PECOS PAC ID: 2466865795 Enrollment ID: I20210106001005 |
| Provider Name | Sean Michael Rogers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386902062 PECOS PAC ID: 7719293216 Enrollment ID: I20210106003234 |
| Provider Name | Breanna Caudill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831716240 PECOS PAC ID: 3870910094 Enrollment ID: I20210107000766 |
| Provider Name | Kelly Fugate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629442694 PECOS PAC ID: 5991009193 Enrollment ID: I20210201002390 |
| Provider Name | Ashley Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285248591 PECOS PAC ID: 1557776283 Enrollment ID: I20210210002406 |
| Provider Name | Melissa Broome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811394638 PECOS PAC ID: 4587070214 Enrollment ID: I20210304000779 |
| Provider Name | Ryan Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568028967 PECOS PAC ID: 2567792542 Enrollment ID: I20210305002222 |
| Provider Name | Erika Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295388379 PECOS PAC ID: 3779916531 Enrollment ID: I20210414001072 |
| Provider Name | Miranda L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194330407 PECOS PAC ID: 1153737572 Enrollment ID: I20210415001963 |
| Provider Name | Gaurav Rana |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811128739 PECOS PAC ID: 9436464021 Enrollment ID: I20210419001370 |
| Provider Name | Tabitha Paloian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275111684 PECOS PAC ID: 9335557891 Enrollment ID: I20210421002408 |
| Provider Name | Shannon Hansen Cook |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356502389 PECOS PAC ID: 3173932233 Enrollment ID: I20210503001374 |
| Provider Name | Theresa George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457944951 PECOS PAC ID: 7113336132 Enrollment ID: I20210504001084 |
| Provider Name | Robin Nicole Lange |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568985133 PECOS PAC ID: 1658793831 Enrollment ID: I20210511002501 |
| Provider Name | Pammela Poore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982175501 PECOS PAC ID: 8729493580 Enrollment ID: I20210521001776 |
| Provider Name | Michael Shane Bermes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285253005 PECOS PAC ID: 4284033291 Enrollment ID: I20210525000671 |
| Provider Name | Carrie Elizabeth Robey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275067464 PECOS PAC ID: 5991105025 Enrollment ID: I20210611000671 |
| Provider Name | Jessica Ingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609469212 PECOS PAC ID: 0840690756 Enrollment ID: I20210615001653 |
| Provider Name | Anjali Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659787125 PECOS PAC ID: 7618275538 Enrollment ID: I20210616002374 |
| Provider Name | Sarah Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558946889 PECOS PAC ID: 0345641742 Enrollment ID: I20210623000617 |
| Provider Name | Danjing Zhao |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1154749927 PECOS PAC ID: 0648671651 Enrollment ID: I20210629000705 |
| Provider Name | Aryn B. Gosnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700455722 PECOS PAC ID: 9335540913 Enrollment ID: I20210702001808 |
| Provider Name | Lindsay Wilson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1003044694 PECOS PAC ID: 2163656232 Enrollment ID: I20210709001883 |
| Provider Name | Keith White |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558620278 PECOS PAC ID: 5991002453 Enrollment ID: I20210715002333 |
| Provider Name | Edward C Gray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811383706 PECOS PAC ID: 5698191443 Enrollment ID: I20210721003166 |
| Provider Name | Preston Fhorest Helmly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881124139 PECOS PAC ID: 5193128262 Enrollment ID: I20210727002087 |
| Provider Name | Melissa P Taylor |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1801235742 PECOS PAC ID: 3476797143 Enrollment ID: I20210728001685 |
| Provider Name | Laddie Crisp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184114175 PECOS PAC ID: 4789932203 Enrollment ID: I20210728001817 |
| Provider Name | Carmen Melissa Gerarde Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285308239 PECOS PAC ID: 9537564463 Enrollment ID: I20210816002579 |
| Provider Name | Jessica N Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205395001 PECOS PAC ID: 5395078430 Enrollment ID: I20210819001221 |
| Provider Name | Courtney A Burleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851066617 PECOS PAC ID: 8527464692 Enrollment ID: I20210915001982 |
| Provider Name | Megan Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821676511 PECOS PAC ID: 0345647277 Enrollment ID: I20210921000120 |
| Provider Name | Badar Siddiqui |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447679238 PECOS PAC ID: 5092130799 Enrollment ID: I20210928000271 |
| Provider Name | Kenneth Wayne Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700371044 PECOS PAC ID: 7911304100 Enrollment ID: I20211001000144 |
| Provider Name | Nadia Sabri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922324797 PECOS PAC ID: 3678707247 Enrollment ID: I20211019001621 |
| Provider Name | Melony Almany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255999330 PECOS PAC ID: 9931507357 Enrollment ID: I20211019001732 |
| Provider Name | Samantha Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831717008 PECOS PAC ID: 6608264858 Enrollment ID: I20211021000873 |
| Provider Name | Bethany Lynn Teilhet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285227231 PECOS PAC ID: 9537557707 Enrollment ID: I20211021001569 |
| Provider Name | Leutshia C Franks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922499409 PECOS PAC ID: 7810214632 Enrollment ID: I20211029000473 |
| Provider Name | Ahmad Albalbissi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164876330 PECOS PAC ID: 2062800584 Enrollment ID: I20211102001108 |
| Provider Name | Maci A Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942962519 PECOS PAC ID: 5890184345 Enrollment ID: I20211123000286 |
| Provider Name | Leslie Berryman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780295071 PECOS PAC ID: 6709276645 Enrollment ID: I20211208000143 |
| Provider Name | Nicholas Dean Helton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952072258 PECOS PAC ID: 8820488729 Enrollment ID: I20211208002818 |
| Provider Name | Amy Leigh Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639832645 PECOS PAC ID: 0749672418 Enrollment ID: I20220110002329 |
| Provider Name | Kourtney Kahler Oggero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427668953 PECOS PAC ID: 9032501648 Enrollment ID: I20220111001926 |
| Provider Name | Meredith M Janelle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205220399 PECOS PAC ID: 1052624681 Enrollment ID: I20220208002696 |
| Provider Name | Mariah W Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578227880 PECOS PAC ID: 7113311788 Enrollment ID: I20220224000612 |
| Provider Name | Whitney Fullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548748486 PECOS PAC ID: 1951653229 Enrollment ID: I20220304000721 |
| Provider Name | Niravkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891264099 PECOS PAC ID: 4981940749 Enrollment ID: I20220325000302 |
| Provider Name | Erin Bicek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528516697 PECOS PAC ID: 2264709344 Enrollment ID: I20220419001575 |
| Provider Name | Kara Elaine Bales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366102675 PECOS PAC ID: 7911394804 Enrollment ID: I20220422001918 |
| Provider Name | Erin Elizabeth Labert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306314612 PECOS PAC ID: 0941544977 Enrollment ID: I20220502001729 |
| Provider Name | Jean Inderfurth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851959712 PECOS PAC ID: 6002145695 Enrollment ID: I20220503000468 |
| Provider Name | Elizabeth Metcalf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275282527 PECOS PAC ID: 9830586296 Enrollment ID: I20220503002893 |
| Provider Name | Dana Meade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780337162 PECOS PAC ID: 8921493222 Enrollment ID: I20220504000914 |
| Provider Name | Madison Taylor Starnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093461055 PECOS PAC ID: 5991182883 Enrollment ID: I20220516000296 |
| Provider Name | Heather Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174029524 PECOS PAC ID: 0345635371 Enrollment ID: I20220526001659 |
| Provider Name | Ross Parker Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437596293 PECOS PAC ID: 3274888516 Enrollment ID: I20220607002280 |
| Provider Name | Lindsey Patterson Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023766649 PECOS PAC ID: 2769862200 Enrollment ID: I20220630001299 |
| Provider Name | James Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598253957 PECOS PAC ID: 5799010617 Enrollment ID: I20220715000315 |
| Provider Name | Ruchika Talwar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003349440 PECOS PAC ID: 9234511775 Enrollment ID: I20220801001456 |
| Provider Name | Lydia Gabriella Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881353712 PECOS PAC ID: 2365824489 Enrollment ID: I20220804003903 |
| Provider Name | Zachary Gamble |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669901435 PECOS PAC ID: 7214202886 Enrollment ID: I20220806000442 |
| Provider Name | Emily Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336871144 PECOS PAC ID: 7214310416 Enrollment ID: I20220822001469 |
| Provider Name | Mary Hebert Dawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447454251 PECOS PAC ID: 4789879636 Enrollment ID: I20220829003082 |
| Provider Name | Saad S Ghumman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356723373 PECOS PAC ID: 0648569145 Enrollment ID: I20220902001320 |
| Provider Name | Ryan Patrick Cronin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942612643 PECOS PAC ID: 9739519018 Enrollment ID: I20220902002811 |
| Provider Name | April N Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982339347 PECOS PAC ID: 0547644783 Enrollment ID: I20220907001333 |
| Provider Name | Edgar Kahn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225181217 PECOS PAC ID: 3173571874 Enrollment ID: I20220913000012 |
| Provider Name | Amy-sarah Maeve Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376270447 PECOS PAC ID: 5193100147 Enrollment ID: I20220913000038 |
| Provider Name | Reghan W Maddox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790410074 PECOS PAC ID: 8123403094 Enrollment ID: I20220913001210 |
| Provider Name | Steven Grijalva |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215909809 PECOS PAC ID: 3779707146 Enrollment ID: I20220915000755 |
| Provider Name | Kiley M Perethian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851852321 PECOS PAC ID: 4880926039 Enrollment ID: I20220915001768 |
| Provider Name | Muralidhar Reddy Papireddy |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1902136914 PECOS PAC ID: 8325172109 Enrollment ID: I20220916000288 |
| Provider Name | Miranda N Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669048294 PECOS PAC ID: 8820473499 Enrollment ID: I20220917000089 |
| Provider Name | Robert Brinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487741237 PECOS PAC ID: 0547498032 Enrollment ID: I20220921003992 |
| Provider Name | Penelope Dawn Musgrove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851010227 PECOS PAC ID: 2466829460 Enrollment ID: I20221103003023 |
| Provider Name | Amy Stinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982328563 PECOS PAC ID: 3779950613 Enrollment ID: I20221104001551 |
| Provider Name | David Brenner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124072475 PECOS PAC ID: 3476552399 Enrollment ID: I20221104002180 |
| Provider Name | Manasa Veluru |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477075760 PECOS PAC ID: 4789061342 Enrollment ID: I20221107002399 |
| Provider Name | Mariam A Alawoki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487017869 PECOS PAC ID: 8022485952 Enrollment ID: I20221107002487 |
| Provider Name | Ashlyn Nicole Morehouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962126128 PECOS PAC ID: 2365819091 Enrollment ID: I20221109000234 |
| Provider Name | Juston F Owens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740771344 PECOS PAC ID: 3870842008 Enrollment ID: I20221109003513 |
| Provider Name | Rece Laney |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1326468828 PECOS PAC ID: 0749657385 Enrollment ID: I20221110001167 |
| Provider Name | Reena Baharani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659631950 PECOS PAC ID: 5395018865 Enrollment ID: I20221115003607 |
| Provider Name | Malerie Bolinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629708102 PECOS PAC ID: 7012385586 Enrollment ID: I20221116000990 |
| Provider Name | Hisham Amin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316443112 PECOS PAC ID: 9335499854 Enrollment ID: I20221118001484 |
| Provider Name | Kodjovi Kodjo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780100958 PECOS PAC ID: 7517203177 Enrollment ID: I20221122000276 |
| Provider Name | Manju Pushkas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528629920 PECOS PAC ID: 5597133967 Enrollment ID: I20221128000180 |
| Provider Name | Sophie Claire Feller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134514540 PECOS PAC ID: 0446580260 Enrollment ID: I20221128000329 |
| Provider Name | Nycole Kashka Joseph |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750804381 PECOS PAC ID: 5991077174 Enrollment ID: I20221206002276 |
| Provider Name | Marie Didario |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740591304 PECOS PAC ID: 3678700291 Enrollment ID: I20221230000272 |
| Provider Name | Anna M Arroyo Santiago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861602906 PECOS PAC ID: 6002954377 Enrollment ID: I20230111000338 |
| Provider Name | Abby Turner-killen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477270155 PECOS PAC ID: 9234509035 Enrollment ID: I20230111001767 |
| Provider Name | Andrea Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114636925 PECOS PAC ID: 1658741459 Enrollment ID: I20230111001878 |
| Provider Name | Christina Rochelle Gaby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790401313 PECOS PAC ID: 5597136184 Enrollment ID: I20230118001388 |
| Provider Name | Laura K Howell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710278684 PECOS PAC ID: 3274851308 Enrollment ID: I20230119000791 |
| Provider Name | Ryan L Hargraves |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306983556 PECOS PAC ID: 9234500745 Enrollment ID: I20230120000465 |
| Provider Name | Joseph Bram Johns |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578544367 PECOS PAC ID: 7416131727 Enrollment ID: I20230123002933 |
| Provider Name | Donna Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053612812 PECOS PAC ID: 9537530498 Enrollment ID: I20230201000854 |
| Provider Name | Isaac John Mcmurray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518675388 PECOS PAC ID: 1355713231 Enrollment ID: I20230203000252 |
| Provider Name | Laura Slaughter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063123412 PECOS PAC ID: 0941672752 Enrollment ID: I20230203001736 |
| Provider Name | Gary Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558488197 PECOS PAC ID: 3173614906 Enrollment ID: I20230214003227 |
| Provider Name | Chen-wen Heh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467449629 PECOS PAC ID: 6507885670 Enrollment ID: I20230217000306 |
| Provider Name | Johnny Fraley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427666460 PECOS PAC ID: 8628029063 Enrollment ID: I20230217001996 |
| Provider Name | Mark Schuchman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467517300 PECOS PAC ID: 2961683487 Enrollment ID: I20230221002673 |
| Provider Name | Lillian Arriona Yates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497408132 PECOS PAC ID: 1557734589 Enrollment ID: I20230222001539 |
| Provider Name | Richard Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316208382 PECOS PAC ID: 0547552580 Enrollment ID: I20230223002337 |
| Provider Name | Maura Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720407364 PECOS PAC ID: 8729206529 Enrollment ID: I20230310000670 |
| Provider Name | Richard Mcneilly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093087611 PECOS PAC ID: 0547568586 Enrollment ID: I20230313002347 |
| Provider Name | Esteban Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346236478 PECOS PAC ID: 6709074529 Enrollment ID: I20230410000469 |
| Provider Name | Betty Christian Kinser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972077816 PECOS PAC ID: 2961867205 Enrollment ID: I20230420002019 |
| Provider Name | Chandra Grubb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851016398 PECOS PAC ID: 9931564952 Enrollment ID: I20230426002919 |
| Provider Name | Nathaniel Eastman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023125887 PECOS PAC ID: 9830163120 Enrollment ID: I20230428000893 |
| Provider Name | Steven Kinsey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275506917 PECOS PAC ID: 6608806286 Enrollment ID: I20230501000345 |
| Provider Name | Shaun K G Colburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235511932 PECOS PAC ID: 8729394051 Enrollment ID: I20230504001558 |
| Provider Name | Preetham Talari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265695399 PECOS PAC ID: 4385812171 Enrollment ID: I20230511000792 |
| Provider Name | Divis Khaira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285637298 PECOS PAC ID: 7810981727 Enrollment ID: I20230516000371 |
| Provider Name | Nimesh Adhikari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417470832 PECOS PAC ID: 4587935085 Enrollment ID: I20230516000465 |
| Provider Name | Kelsie Strong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700588936 PECOS PAC ID: 0143686139 Enrollment ID: I20230517001874 |
| Provider Name | Joan James |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437312014 PECOS PAC ID: 6002066214 Enrollment ID: I20230518002320 |
| Provider Name | Ray B Terrell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447257415 PECOS PAC ID: 2769448166 Enrollment ID: I20230518002691 |
| Provider Name | Sydney Marie Lefay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801215249 PECOS PAC ID: 7113216193 Enrollment ID: I20230519000208 |
| Provider Name | Jennifer Kite Phemister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598008542 PECOS PAC ID: 1052623782 Enrollment ID: I20230524002690 |
| Provider Name | Amanda Elizabeth Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104321405 PECOS PAC ID: 0749545879 Enrollment ID: I20230609002530 |
| Provider Name | Michael Domina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396130613 PECOS PAC ID: 5294105722 Enrollment ID: I20230620002292 |
| Provider Name | Angie Chi Yon Capone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407396443 PECOS PAC ID: 4981972049 Enrollment ID: I20230621000479 |
| Provider Name | Steven Derick Todd Joyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841985934 PECOS PAC ID: 2769840982 Enrollment ID: I20230621000931 |
| Provider Name | Deborah L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861000135 PECOS PAC ID: 1355700816 Enrollment ID: I20230701000393 |
| Provider Name | Matthew D Young |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508817362 PECOS PAC ID: 2961415054 Enrollment ID: I20230705000082 |
| Provider Name | Karmon Janssen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740520543 PECOS PAC ID: 0143543074 Enrollment ID: I20230705000316 |
| Provider Name | Joseph Hill |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508354572 PECOS PAC ID: 1355700774 Enrollment ID: I20230705000941 |
| Provider Name | Nathan E Gargus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285928358 PECOS PAC ID: 1557656865 Enrollment ID: I20230706001651 |
| Provider Name | Babuji Gandra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215184726 PECOS PAC ID: 6800042219 Enrollment ID: I20230711001182 |
| Provider Name | Mhroos Faik Barak Peters |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083734123 PECOS PAC ID: 6709959281 Enrollment ID: I20230711004161 |
| Provider Name | Aubrey Evans |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538389200 PECOS PAC ID: 1759476500 Enrollment ID: I20230720003140 |
| Provider Name | Vijaya Galic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801093513 PECOS PAC ID: 7315180825 Enrollment ID: I20230724000685 |
| Provider Name | Gehan Botrus |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275910911 PECOS PAC ID: 9537415625 Enrollment ID: I20230802000953 |
| Provider Name | Tiffany Danielle Abel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922733708 PECOS PAC ID: 4385006378 Enrollment ID: I20230808001107 |
| Provider Name | Brijesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790172773 PECOS PAC ID: 0042613689 Enrollment ID: I20230808003808 |
| Provider Name | Mikayla B Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053092122 PECOS PAC ID: 0840652616 Enrollment ID: I20230810000938 |
| Provider Name | Panagiotis Drakos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447708235 PECOS PAC ID: 8729315338 Enrollment ID: I20230817000980 |
| Provider Name | Nadia Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902093925 PECOS PAC ID: 2860540754 Enrollment ID: I20230823002732 |
| Provider Name | Fran Hobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578988689 PECOS PAC ID: 2264754449 Enrollment ID: I20230824000897 |
| Provider Name | Hershenta Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619466844 PECOS PAC ID: 6204213325 Enrollment ID: I20230828000987 |
| Provider Name | Christopher Sutton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306824289 PECOS PAC ID: 1658402599 Enrollment ID: I20230828002494 |
| Provider Name | Inga Marie Giske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912471228 PECOS PAC ID: 1153752621 Enrollment ID: I20230830004325 |
| Provider Name | Lauren Alexander Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326726449 PECOS PAC ID: 3173987161 Enrollment ID: I20230908002384 |
| Provider Name | Shenelle Wilson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215283775 PECOS PAC ID: 6103060843 Enrollment ID: I20230913002100 |
| Provider Name | Floyd V Burton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932117322 PECOS PAC ID: 2264486174 Enrollment ID: I20230913002878 |
| Provider Name | Kathleen Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689386112 PECOS PAC ID: 8628422730 Enrollment ID: I20230922002946 |
| Provider Name | Sydney N Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336927706 PECOS PAC ID: 0749634285 Enrollment ID: I20231002002410 |
| Provider Name | Tyson B Nickels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982384129 PECOS PAC ID: 9436503984 Enrollment ID: I20231002003106 |
| Provider Name | William J Terry |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134380496 PECOS PAC ID: 7810133584 Enrollment ID: I20231010002946 |
| Provider Name | Richard E Chernecky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437210341 PECOS PAC ID: 2961551353 Enrollment ID: I20231018002170 |
| Provider Name | Ross Sage |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417253428 PECOS PAC ID: 1658503412 Enrollment ID: I20231018003071 |
| Provider Name | Bethany Conly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700129525 PECOS PAC ID: 8022303288 Enrollment ID: I20231027001184 |
| Provider Name | Clay Blanchett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205398179 PECOS PAC ID: 7911353883 Enrollment ID: I20231029000040 |
| Provider Name | Susan Smelcer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740848415 PECOS PAC ID: 2264889203 Enrollment ID: I20231113001176 |
| Provider Name | Mohmad Tantary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467732388 PECOS PAC ID: 2668785601 Enrollment ID: I20231114000941 |
| Provider Name | Ashton Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114708666 PECOS PAC ID: 1557718400 Enrollment ID: I20231114002377 |
| Provider Name | Kaycee Farlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215714647 PECOS PAC ID: 5294182903 Enrollment ID: I20231116002564 |
| Provider Name | Stephanie Mccauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619680188 PECOS PAC ID: 2668516204 Enrollment ID: I20231202000374 |
| Provider Name | Meagan Lefebvre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902426331 PECOS PAC ID: 2567811359 Enrollment ID: I20231205002300 |
| Provider Name | Denise White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477624294 PECOS PAC ID: 4880921667 Enrollment ID: I20231212000433 |
| Provider Name | Julie Tenbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164417606 PECOS PAC ID: 6709876279 Enrollment ID: I20231213002899 |
| Provider Name | Katlin E Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487168662 PECOS PAC ID: 2466713474 Enrollment ID: I20231214002292 |
| Provider Name | Ivana Dzeletovic |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881894475 PECOS PAC ID: 8729110218 Enrollment ID: I20231215002998 |
| Provider Name | Danielle R Pender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326815622 PECOS PAC ID: 3375993124 Enrollment ID: I20231220002083 |
| Provider Name | Emily M Looper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922875046 PECOS PAC ID: 3476903154 Enrollment ID: I20231220003792 |
| Provider Name | James A. Garizio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295396158 PECOS PAC ID: 1658738554 Enrollment ID: I20231221002382 |
| Provider Name | Angela Tolley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942651120 PECOS PAC ID: 7315368578 Enrollment ID: I20231228001233 |
| Provider Name | Katelyn N Couper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518530153 PECOS PAC ID: 9638535321 Enrollment ID: I20240103003026 |
| Provider Name | Charles Albert Bellefant |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740462035 PECOS PAC ID: 5597116566 Enrollment ID: I20240104001157 |
| Provider Name | Santosh Shanmuga |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386146769 PECOS PAC ID: 8527413442 Enrollment ID: I20240108005485 |
| Provider Name | Elizabeth V Dray |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225359243 PECOS PAC ID: 4789985334 Enrollment ID: I20240123003193 |
| Provider Name | Chase Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144091422 PECOS PAC ID: 3971955105 Enrollment ID: I20240123003582 |
| Provider Name | John M White |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689601379 PECOS PAC ID: 0446219828 Enrollment ID: I20240129000787 |
| Provider Name | Sarlenna Locklear |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710153432 PECOS PAC ID: 6608229950 Enrollment ID: I20240202000742 |
| Provider Name | Lisa D Bausell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932400405 PECOS PAC ID: 9436592300 Enrollment ID: I20240207002661 |
| Provider Name | Nicholas Crall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316262645 PECOS PAC ID: 3274761333 Enrollment ID: I20240215001124 |
| Provider Name | Kofoworola Ojo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942658075 PECOS PAC ID: 4981000262 Enrollment ID: I20240216002933 |
| Provider Name | Elizabeth Uzoma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326542523 PECOS PAC ID: 2062745268 Enrollment ID: I20240227001761 |
| Provider Name | Trisha Kammann |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699091546 PECOS PAC ID: 3678881422 Enrollment ID: I20240229004206 |
| Provider Name | Upama Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679197263 PECOS PAC ID: 2961826136 Enrollment ID: I20240306000239 |
| Provider Name | Samuel Sim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275633844 PECOS PAC ID: 8224029830 Enrollment ID: I20240306001723 |
| Provider Name | Teresa Delawter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235212200 PECOS PAC ID: 7214007707 Enrollment ID: I20240306002598 |
| Provider Name | Russell Libby |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902216740 PECOS PAC ID: 0941631212 Enrollment ID: I20240308001321 |
| Provider Name | Daniel John Mecca |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851891303 PECOS PAC ID: 3577909696 Enrollment ID: I20240312002116 |
| Provider Name | Fnu Warsha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205445079 PECOS PAC ID: 0345602967 Enrollment ID: I20240322001142 |
| Provider Name | Pedro Bauza-feliciano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104135128 PECOS PAC ID: 7810114840 Enrollment ID: I20240403003622 |
| Provider Name | Lauren Harless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194580928 PECOS PAC ID: 3476991621 Enrollment ID: I20240405003432 |
| Provider Name | Renee Boulicault |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639148422 PECOS PAC ID: 5799765152 Enrollment ID: I20240411000396 |
| Provider Name | Sherifat Forcey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043861438 PECOS PAC ID: 8022442235 Enrollment ID: I20240412000842 |
| Provider Name | Jonathan Jensen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598745002 PECOS PAC ID: 4587625074 Enrollment ID: I20240415003213 |
| Provider Name | Emily L. Newland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548748882 PECOS PAC ID: 9133568439 Enrollment ID: I20240419000762 |
| Provider Name | Karisa Harpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629304050 PECOS PAC ID: 2567501463 Enrollment ID: I20240502002066 |
| Provider Name | Mackenzie Rasnake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528771052 PECOS PAC ID: 6103290051 Enrollment ID: I20240503000174 |
| Provider Name | Tori Lafleur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447639422 PECOS PAC ID: 7719212927 Enrollment ID: I20240515000670 |
| Provider Name | Ann Collier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487898458 PECOS PAC ID: 0042442915 Enrollment ID: I20240515003575 |
| Provider Name | Mustafa Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861489601 PECOS PAC ID: 0345317277 Enrollment ID: I20240516002800 |
| Provider Name | Aravind Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548756588 PECOS PAC ID: 9436527447 Enrollment ID: I20240520002572 |
| Provider Name | Jessica Noel Tiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508623497 PECOS PAC ID: 4183066343 Enrollment ID: I20240521000328 |
| Provider Name | Joel Radhames Nunez Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497066997 PECOS PAC ID: 3577862622 Enrollment ID: I20240521001123 |
| Provider Name | Melissa Renee Tucker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053198515 PECOS PAC ID: 4981046000 Enrollment ID: I20240521002841 |
| Provider Name | Steven Tversky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356683874 PECOS PAC ID: 1658633664 Enrollment ID: I20240522002830 |
| Provider Name | Jeremiah Bell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639533870 PECOS PAC ID: 0244524338 Enrollment ID: I20240524001400 |
| Provider Name | Latangela Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790162493 PECOS PAC ID: 4587979232 Enrollment ID: I20240531001015 |
| Provider Name | Pranusha Pinna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861983660 PECOS PAC ID: 6406105154 Enrollment ID: I20240531002127 |
| Provider Name | Oyeronke Omodele Faleke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649025537 PECOS PAC ID: 0446792790 Enrollment ID: I20240603001453 |
| Provider Name | Sam Saha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629394390 PECOS PAC ID: 3870733181 Enrollment ID: I20240603002763 |
| Provider Name | Sarah Arif |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366974768 PECOS PAC ID: 3779025622 Enrollment ID: I20240606001298 |
Wps Providers Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 | |
Sullivan And Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2204 Pavilion Dr Ste 108, Kingsport, TN 37660 Phone: 423-392-6100 Fax: 423-392-0803 | |
Kingsport Primary Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1526 Bridgewater Ln, Kingsport, TN 37660 Phone: 423-246-0033 Fax: 423-245-0034 | |
Tri-cities Gastroenterology Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10461 Wallace Alley St, Kingsport, TN 37663 Phone: 423-279-1400 | |
Kingsport Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 Fax: 423-224-4693 | |
Carl E Bendeck Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1328 Belmeade Dr, Kingsport, TN 37664 Phone: 423-578-3489 | |
A. Evan Lewis Phd Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1936 Brookside Dr Ste D, Kingsport, TN 37660 Phone: 423-392-5020 Fax: 423-392-5100 |