| Banner Health Physicians Colorado Llc | |
|
1800 15th St Suite 210 Greeley CO 80631-4500 | |
| (970) 352-8216 | |
| Not Available |
| Full Name | Banner Health Physicians Colorado Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1800 15th St, Greeley, Colorado |
| Authorized Official Name and Position | Dennis Laraway (CFO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Health Physicians Colorado Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Health Physicians Colorado Llc 1800 15th St Suite 210 Greeley CO 80631-4500 Ph: (970) 352-8216 |
| NPI Number | 1073899134 |
|---|---|
| Provider Enumeration Date | 11/02/2011 |
| Last Update Date | 01/26/2022 |
| Medicare PECOS PAC ID | 8921273038 |
|---|---|
| Medicare Enrollment ID | O20111219000237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073899134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Elias Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457337040 PECOS PAC ID: 2365347671 Enrollment ID: I20031201000304 |
| Provider Name | Julie A Gaca |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013946672 PECOS PAC ID: 6507759727 Enrollment ID: I20040203000492 |
| Provider Name | Marcus R Reinhardt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356349823 PECOS PAC ID: 7618860172 Enrollment ID: I20040206000777 |
| Provider Name | Jay F Cook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871576520 PECOS PAC ID: 5890688477 Enrollment ID: I20040209000330 |
| Provider Name | Grant M Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417963349 PECOS PAC ID: 4082501242 Enrollment ID: I20040302000829 |
| Provider Name | William Dickey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598722084 PECOS PAC ID: 7113817537 Enrollment ID: I20040318001202 |
| Provider Name | Theodore L Stringer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114922978 PECOS PAC ID: 5496646499 Enrollment ID: I20040322000057 |
| Provider Name | Douglas Tangel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114024080 PECOS PAC ID: 4385538685 Enrollment ID: I20040412000749 |
| Provider Name | Thomas M Blomquist |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215996178 PECOS PAC ID: 8921095266 Enrollment ID: I20040428000747 |
| Provider Name | Scot Lewey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972695765 PECOS PAC ID: 4183613375 Enrollment ID: I20040512000008 |
| Provider Name | Kenneth Richards |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1083689376 PECOS PAC ID: 5698752707 Enrollment ID: I20040706001132 |
| Provider Name | Gene Tullis |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1366422073 PECOS PAC ID: 2163409244 Enrollment ID: I20040707000219 |
| Provider Name | Marci A Sowko |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548825292 PECOS PAC ID: 3476527862 Enrollment ID: I20040823000235 |
| Provider Name | Pamola Gale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447250071 PECOS PAC ID: 4880662030 Enrollment ID: I20040924000297 |
| Provider Name | Ahmed Sherif |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750492096 PECOS PAC ID: 2163491069 Enrollment ID: I20040928000578 |
| Provider Name | Scott J Schaffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750364931 PECOS PAC ID: 0143289660 Enrollment ID: I20041008000709 |
| Provider Name | John T Crane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811978281 PECOS PAC ID: 4385603802 Enrollment ID: I20041008000737 |
| Provider Name | Anthony J Cabrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407846074 PECOS PAC ID: 5193784627 Enrollment ID: I20041008000752 |
| Provider Name | Anthony A Doft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235110602 PECOS PAC ID: 8224097787 Enrollment ID: I20041008001075 |
| Provider Name | James Wolach |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881673820 PECOS PAC ID: 3173586641 Enrollment ID: I20041105000258 |
| Provider Name | Charles Ruzkowski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669576757 PECOS PAC ID: 4789648601 Enrollment ID: I20041118001214 |
| Provider Name | Steven Broman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215985619 PECOS PAC ID: 0042278236 Enrollment ID: I20041220000745 |
| Provider Name | Janna G Deason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770568768 PECOS PAC ID: 2961450499 Enrollment ID: I20050111000481 |
| Provider Name | Samuel A Shelanski |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1295713899 PECOS PAC ID: 2163483652 Enrollment ID: I20050302000558 |
| Provider Name | Thomas Kenigsberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467412650 PECOS PAC ID: 5395790398 Enrollment ID: I20050312000031 |
| Provider Name | Lila Ann Statz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649219494 PECOS PAC ID: 1557316908 Enrollment ID: I20050317000959 |
| Provider Name | Mark E Howshar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891710547 PECOS PAC ID: 9133026248 Enrollment ID: I20050411000444 |
| Provider Name | Stephen H Shogan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801982400 PECOS PAC ID: 9931147188 Enrollment ID: I20050419001162 |
| Provider Name | James Summers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306879333 PECOS PAC ID: 5092755488 Enrollment ID: I20050504001227 |
| Provider Name | Shane B Rowan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1831166636 PECOS PAC ID: 5496796856 Enrollment ID: I20050516000671 |
| Provider Name | Thomas L Englert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508861832 PECOS PAC ID: 5395779292 Enrollment ID: I20050920001329 |
| Provider Name | Chima C Nwizu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902882517 PECOS PAC ID: 7214962554 Enrollment ID: I20051005000663 |
| Provider Name | Mary N Cook |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649367798 PECOS PAC ID: 3779508866 Enrollment ID: I20051007000485 |
| Provider Name | Cecilia Hirsch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700923059 PECOS PAC ID: 3173548989 Enrollment ID: I20051011000720 |
| Provider Name | Dena S Sheppard Madden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841249968 PECOS PAC ID: 9133142003 Enrollment ID: I20060105000713 |
| Provider Name | Robert A Mason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821005992 PECOS PAC ID: 7911920244 Enrollment ID: I20060112000418 |
| Provider Name | Robert C Bruce |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922098292 PECOS PAC ID: 4981619012 Enrollment ID: I20060210000546 |
| Provider Name | Fabio B Pivetta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023226503 PECOS PAC ID: 0749295541 Enrollment ID: I20060215000657 |
| Provider Name | Aaron Joseph Burrows |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366491367 PECOS PAC ID: 4789690223 Enrollment ID: I20060221000809 |
| Provider Name | Sherri A Barzdukas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386726198 PECOS PAC ID: 3173533098 Enrollment ID: I20060421000313 |
| Provider Name | Steven D Sides |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679528541 PECOS PAC ID: 4284645664 Enrollment ID: I20060523000125 |
| Provider Name | David Kovar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770536179 PECOS PAC ID: 9638151400 Enrollment ID: I20060803000478 |
| Provider Name | Adam D Mackintosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992721013 PECOS PAC ID: 4082617782 Enrollment ID: I20060818000395 |
| Provider Name | Kelly R Sanderford |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790730562 PECOS PAC ID: 5890757355 Enrollment ID: I20060822000167 |
| Provider Name | Lori A Hollos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326083999 PECOS PAC ID: 9335146927 Enrollment ID: I20061024000232 |
| Provider Name | Anne M Lease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205821162 PECOS PAC ID: 9234137753 Enrollment ID: I20061117000107 |
| Provider Name | Tamra M Meurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316928542 PECOS PAC ID: 0941198238 Enrollment ID: I20070305000272 |
| Provider Name | Christopher S Michael |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689607491 PECOS PAC ID: 5496858631 Enrollment ID: I20070308000588 |
| Provider Name | Daphne Rommereim Madden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740287556 PECOS PAC ID: 6709980287 Enrollment ID: I20070323000162 |
| Provider Name | Darrel Fenton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558318816 PECOS PAC ID: 0244335156 Enrollment ID: I20070509000203 |
| Provider Name | Maurice I Lyons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386610194 PECOS PAC ID: 2961503743 Enrollment ID: I20070724000122 |
| Provider Name | Cynthia L Gryboski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548223316 PECOS PAC ID: 8921991217 Enrollment ID: I20071011000552 |
| Provider Name | Randall C Marsh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720042161 PECOS PAC ID: 3274426564 Enrollment ID: I20071011000561 |
| Provider Name | Gary A. Rath |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144284456 PECOS PAC ID: 9032002324 Enrollment ID: I20071015000381 |
| Provider Name | David Kukafka |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255301180 PECOS PAC ID: 3072573492 Enrollment ID: I20071106000239 |
| Provider Name | Barbara A Pivonka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942204698 PECOS PAC ID: 1951482371 Enrollment ID: I20080111000165 |
| Provider Name | Zachary Alan Flake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912946377 PECOS PAC ID: 8123063450 Enrollment ID: I20080124000451 |
| Provider Name | Julie A Hoffmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215126867 PECOS PAC ID: 3779665120 Enrollment ID: I20080124000466 |
| Provider Name | Nirmala S. Kumar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619059144 PECOS PAC ID: 9739250911 Enrollment ID: I20080616000316 |
| Provider Name | Steve R Sunderman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861529844 PECOS PAC ID: 0749351864 Enrollment ID: I20080618000070 |
| Provider Name | Lin-wang Dong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114064490 PECOS PAC ID: 9638244882 Enrollment ID: I20080822000075 |
| Provider Name | Arnold Pfahnl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205894284 PECOS PAC ID: 9537234786 Enrollment ID: I20080822000087 |
| Provider Name | Jasmin D Deneault |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629295043 PECOS PAC ID: 5294803177 Enrollment ID: I20081006000084 |
| Provider Name | Teresa M Sieg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962653477 PECOS PAC ID: 3870656929 Enrollment ID: I20090115000270 |
| Provider Name | Curtis E Crylen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881644532 PECOS PAC ID: 3678637543 Enrollment ID: I20090122000150 |
| Provider Name | Christopher A Noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154576205 PECOS PAC ID: 4981760766 Enrollment ID: I20090303000222 |
| Provider Name | Robert P Marshall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518978980 PECOS PAC ID: 6305849092 Enrollment ID: I20090330000338 |
| Provider Name | Jason D Mccarl |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144376757 PECOS PAC ID: 2769532720 Enrollment ID: I20090612000221 |
| Provider Name | John H Drury |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700975570 PECOS PAC ID: 8628965720 Enrollment ID: I20090825000647 |
| Provider Name | Steven W Loecke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265410005 PECOS PAC ID: 5890841779 Enrollment ID: I20090917000333 |
| Provider Name | Wayne S Jeffers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952390114 PECOS PAC ID: 5597802728 Enrollment ID: I20091021000168 |
| Provider Name | Shu Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326257387 PECOS PAC ID: 8527119783 Enrollment ID: I20091021000183 |
| Provider Name | Sarah M Schutte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902844624 PECOS PAC ID: 9931090495 Enrollment ID: I20091208000171 |
| Provider Name | Angela M Mills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215152954 PECOS PAC ID: 2466592266 Enrollment ID: I20091229000232 |
| Provider Name | Myka D Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154558302 PECOS PAC ID: 5991846875 Enrollment ID: I20100114000425 |
| Provider Name | Michael A Harkabus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255304192 PECOS PAC ID: 8426064890 Enrollment ID: I20100114000478 |
| Provider Name | Robert P Vickerman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023085511 PECOS PAC ID: 1850364795 Enrollment ID: I20100126000675 |
| Provider Name | Jasjot S. Johar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427089408 PECOS PAC ID: 7113053547 Enrollment ID: I20100324001137 |
| Provider Name | Mark S Faszholz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982683744 PECOS PAC ID: 7416960349 Enrollment ID: I20100511000779 |
| Provider Name | David S Snodgrass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205834983 PECOS PAC ID: 1254460157 Enrollment ID: I20100602001044 |
| Provider Name | David C Puls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982800835 PECOS PAC ID: 7113041252 Enrollment ID: I20100826000684 |
| Provider Name | Amy E Mattox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386840239 PECOS PAC ID: 4385768274 Enrollment ID: I20100830000401 |
| Provider Name | Jonathan Alex Kary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811982788 PECOS PAC ID: 3870627243 Enrollment ID: I20100902000979 |
| Provider Name | Thomas Clyde Atwood |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770595514 PECOS PAC ID: 3779472147 Enrollment ID: I20100928000634 |
| Provider Name | Samuel L Saltz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609049287 PECOS PAC ID: 2769674407 Enrollment ID: I20101013000273 |
| Provider Name | Mckay C Marler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629163183 PECOS PAC ID: 4385838366 Enrollment ID: I20101103001024 |
| Provider Name | Jennifer C Norman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245213404 PECOS PAC ID: 4183818164 Enrollment ID: I20101103001045 |
| Provider Name | Katherine Teruel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760471213 PECOS PAC ID: 4587646021 Enrollment ID: I20101103001165 |
| Provider Name | Daniel Heaston |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871715078 PECOS PAC ID: 1658426580 Enrollment ID: I20101123000778 |
| Provider Name | Mitzi A Mcgarr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538159306 PECOS PAC ID: 9931395928 Enrollment ID: I20101202000792 |
| Provider Name | Azure Zeigler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053373522 PECOS PAC ID: 7719902345 Enrollment ID: I20101208000527 |
| Provider Name | Rachel I Konda-sundheim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801994421 PECOS PAC ID: 5991724676 Enrollment ID: I20101216000253 |
| Provider Name | Lynn J Boyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831329341 PECOS PAC ID: 3577751981 Enrollment ID: I20101229001136 |
| Provider Name | Bradford R Keeler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669431946 PECOS PAC ID: 1456428614 Enrollment ID: I20110104000862 |
| Provider Name | Edwin Risenhoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669421822 PECOS PAC ID: 1759399082 Enrollment ID: I20110106000964 |
| Provider Name | Danielle Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366674392 PECOS PAC ID: 8123167798 Enrollment ID: I20110215000209 |
| Provider Name | Lance A Reynoso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902883531 PECOS PAC ID: 6507047503 Enrollment ID: I20110224000154 |
| Provider Name | Jessica S Nedom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184936627 PECOS PAC ID: 0840476651 Enrollment ID: I20110512000021 |
| Provider Name | Courtney B Isley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366601700 PECOS PAC ID: 4183897176 Enrollment ID: I20111108000642 |
| Provider Name | Douglas Minton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174697023 PECOS PAC ID: 1658542915 Enrollment ID: I20120103000674 |
| Provider Name | Keith L Elliott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508011180 PECOS PAC ID: 5597933911 Enrollment ID: I20120228000565 |
| Provider Name | Juan Weksler |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316919723 PECOS PAC ID: 2365482759 Enrollment ID: I20120420000532 |
| Provider Name | Susan L Garvin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275804163 PECOS PAC ID: 4486817749 Enrollment ID: I20120523000724 |
| Provider Name | Cara Bruntz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194089425 PECOS PAC ID: 4385800218 Enrollment ID: I20120723000236 |
| Provider Name | Christopher Douglas Doll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558658427 PECOS PAC ID: 7416113071 Enrollment ID: I20120725000977 |
| Provider Name | Stephanie J Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477812964 PECOS PAC ID: 0244486199 Enrollment ID: I20120808000297 |
| Provider Name | David Ritsema |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750573283 PECOS PAC ID: 6103076286 Enrollment ID: I20121025000747 |
| Provider Name | Eugene J Reinersman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003138397 PECOS PAC ID: 5799961546 Enrollment ID: I20130201000405 |
| Provider Name | Qaisar Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952344301 PECOS PAC ID: 3577566454 Enrollment ID: I20130729000176 |
| Provider Name | Misti L Neil |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558357103 PECOS PAC ID: 4082518030 Enrollment ID: I20130730000605 |
| Provider Name | Richard B Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770788796 PECOS PAC ID: 9335383207 Enrollment ID: I20130913000674 |
| Provider Name | Kathryn Chmura |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821344664 PECOS PAC ID: 0648414342 Enrollment ID: I20130919000384 |
| Provider Name | Marvin Couch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023031861 PECOS PAC ID: 1153352166 Enrollment ID: I20130930000108 |
| Provider Name | Michelle Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881774289 PECOS PAC ID: 2567508211 Enrollment ID: I20131113000773 |
| Provider Name | Molly E Decker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194972091 PECOS PAC ID: 2365693595 Enrollment ID: I20131220000719 |
| Provider Name | Gregory Golden |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184821506 PECOS PAC ID: 7810049921 Enrollment ID: I20131220001159 |
| Provider Name | Brandon M Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144570763 PECOS PAC ID: 6709037526 Enrollment ID: I20131227000478 |
| Provider Name | Ryan E Peck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902118813 PECOS PAC ID: 4981842150 Enrollment ID: I20140115001490 |
| Provider Name | Gerald Blake Mclaughlin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952476996 PECOS PAC ID: 3072694504 Enrollment ID: I20140123000284 |
| Provider Name | Katje Marie Lerew Musgrave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144420787 PECOS PAC ID: 4981886942 Enrollment ID: I20140723001441 |
| Provider Name | Khoi D Le |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942438023 PECOS PAC ID: 9638311293 Enrollment ID: I20140924000367 |
| Provider Name | Nicholas Noce |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720063704 PECOS PAC ID: 1951526714 Enrollment ID: I20141030002601 |
| Provider Name | Kirsten Storey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710298484 PECOS PAC ID: 8325270234 Enrollment ID: I20141105001145 |
| Provider Name | Eric J Gardner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881639060 PECOS PAC ID: 5294906269 Enrollment ID: I20141121000357 |
| Provider Name | Stuart A Nerzig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447350996 PECOS PAC ID: 6406025030 Enrollment ID: I20141201001578 |
| Provider Name | Erin M Gronenthal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922402353 PECOS PAC ID: 0244552123 Enrollment ID: I20141203001976 |
| Provider Name | Garrett Micah Snyder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558680082 PECOS PAC ID: 2668642422 Enrollment ID: I20141222000666 |
| Provider Name | Melissa A Brinkman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982011987 PECOS PAC ID: 4688997463 Enrollment ID: I20141231001369 |
| Provider Name | Reena Dhakal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164858445 PECOS PAC ID: 4486882677 Enrollment ID: I20150513002084 |
| Provider Name | Brendon R Comer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124372297 PECOS PAC ID: 0042522864 Enrollment ID: I20150708001773 |
| Provider Name | Natasha A Joshi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740419993 PECOS PAC ID: 5890944151 Enrollment ID: I20150825002887 |
| Provider Name | Danielle Suzanne Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932461506 PECOS PAC ID: 8729239264 Enrollment ID: I20150912000016 |
| Provider Name | Brett E Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902031149 PECOS PAC ID: 4587885025 Enrollment ID: I20150923001276 |
| Provider Name | Ronald K Schwindt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801150230 PECOS PAC ID: 7315194891 Enrollment ID: I20150924000570 |
| Provider Name | Sarah C Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699030346 PECOS PAC ID: 9931356052 Enrollment ID: I20151026002342 |
| Provider Name | Gayle M Close |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235116351 PECOS PAC ID: 3577548478 Enrollment ID: I20151202001380 |
| Provider Name | Jaime L Cazer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639541550 PECOS PAC ID: 4587965694 Enrollment ID: I20151215000893 |
| Provider Name | Kathleen Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750756896 PECOS PAC ID: 1052613049 Enrollment ID: I20160107002454 |
| Provider Name | Ashley M Schmieg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033196498 PECOS PAC ID: 5698669174 Enrollment ID: I20160330000532 |
| Provider Name | Ellie A Westover |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922366616 PECOS PAC ID: 4486888021 Enrollment ID: I20160610000470 |
| Provider Name | Aaron James Schmucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902260862 PECOS PAC ID: 8325339716 Enrollment ID: I20160615000123 |
| Provider Name | Shauna M Grady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164867735 PECOS PAC ID: 9638461890 Enrollment ID: I20160707002199 |
| Provider Name | Ronald W Quenzer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891755815 PECOS PAC ID: 1153316450 Enrollment ID: I20160708000489 |
| Provider Name | Maria M Herrera |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952627473 PECOS PAC ID: 9537488077 Enrollment ID: I20160727002492 |
| Provider Name | Amanda B Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316383136 PECOS PAC ID: 7315170420 Enrollment ID: I20160827000130 |
| Provider Name | Claude Fortin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235225780 PECOS PAC ID: 8921904327 Enrollment ID: I20161014000311 |
| Provider Name | Terry R Groff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144295866 PECOS PAC ID: 4688769284 Enrollment ID: I20161105000174 |
| Provider Name | Esther L Mondo |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1073838462 PECOS PAC ID: 9638451925 Enrollment ID: I20170120002694 |
| Provider Name | Brian L Henry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811124480 PECOS PAC ID: 5294989794 Enrollment ID: I20170203000841 |
| Provider Name | Ryan B Graves |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942468772 PECOS PAC ID: 9335387174 Enrollment ID: I20170209002132 |
| Provider Name | Lyndsay Dorrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841731999 PECOS PAC ID: 2264717743 Enrollment ID: I20170323002622 |
| Provider Name | Kindra R Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689118440 PECOS PAC ID: 1850668021 Enrollment ID: I20170519000637 |
| Provider Name | John David Cowden |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982665071 PECOS PAC ID: 1951204064 Enrollment ID: I20170525002522 |
| Provider Name | Kristin L Lynch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225580343 PECOS PAC ID: 8123395803 Enrollment ID: I20170531000784 |
| Provider Name | Tracy D Nunnally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245535897 PECOS PAC ID: 1951678556 Enrollment ID: I20170602001166 |
| Provider Name | Joshua D Spendlove |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356513014 PECOS PAC ID: 9436370160 Enrollment ID: I20170606002643 |
| Provider Name | Eric P Ahnfeldt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790729473 PECOS PAC ID: 3274798053 Enrollment ID: I20170711000215 |
| Provider Name | Elizabeth M Holl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730447939 PECOS PAC ID: 9931406584 Enrollment ID: I20170711001515 |
| Provider Name | Stephanie Sayers |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1609294982 PECOS PAC ID: 9335367747 Enrollment ID: I20170713000073 |
| Provider Name | Sandra J Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346781846 PECOS PAC ID: 6507137593 Enrollment ID: I20170809003272 |
| Provider Name | Paige A Helm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164875720 PECOS PAC ID: 0446547145 Enrollment ID: I20170815000941 |
| Provider Name | Ryan S Reiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548798176 PECOS PAC ID: 5395017834 Enrollment ID: I20170818000811 |
| Provider Name | Saskia Rene Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699113860 PECOS PAC ID: 1850697459 Enrollment ID: I20170822003826 |
| Provider Name | Jennifer R Steir |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437555018 PECOS PAC ID: 7315212024 Enrollment ID: I20171005002549 |
| Provider Name | Amir Mehdi Kalani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043659022 PECOS PAC ID: 7911273115 Enrollment ID: I20171016001410 |
| Provider Name | Lisa J Nash |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942594080 PECOS PAC ID: 9537469671 Enrollment ID: I20171103002442 |
| Provider Name | Steve S Chung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942317359 PECOS PAC ID: 5496748717 Enrollment ID: I20171107002366 |
| Provider Name | Robin A Lacour |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1548448442 PECOS PAC ID: 1355414442 Enrollment ID: I20171208000341 |
| Provider Name | Elizabeth J Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952827974 PECOS PAC ID: 4385901842 Enrollment ID: I20171208000874 |
| Provider Name | Allison R Polzin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306358429 PECOS PAC ID: 1951668441 Enrollment ID: I20171208002361 |
| Provider Name | Karla D Ornelas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023321981 PECOS PAC ID: 2860681764 Enrollment ID: I20180117000129 |
| Provider Name | Navpreet Sidhu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336303304 PECOS PAC ID: 5991006702 Enrollment ID: I20180209001032 |
| Provider Name | Kathryn A Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689039299 PECOS PAC ID: 2961763685 Enrollment ID: I20180221000042 |
| Provider Name | Natalie M Sheehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508374109 PECOS PAC ID: 0042572976 Enrollment ID: I20180313000753 |
| Provider Name | Katherine J Kavanaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821058306 PECOS PAC ID: 6103850235 Enrollment ID: I20180315001495 |
| Provider Name | Robert Adam Arbuckle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659663136 PECOS PAC ID: 3072784800 Enrollment ID: I20180423000194 |
| Provider Name | Derek Mcvay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891937694 PECOS PAC ID: 2668696246 Enrollment ID: I20180426002096 |
| Provider Name | Lin Hao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528325529 PECOS PAC ID: 3173839446 Enrollment ID: I20180516002439 |
| Provider Name | Diane H Zug |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578596227 PECOS PAC ID: 1557365558 Enrollment ID: I20180710002281 |
| Provider Name | Ryan D Moss |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427436351 PECOS PAC ID: 3870807738 Enrollment ID: I20180911001687 |
| Provider Name | Adam Ploegman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508247156 PECOS PAC ID: 0648521245 Enrollment ID: I20180920001939 |
| Provider Name | Michael J.l. Bradfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588044093 PECOS PAC ID: 0840508370 Enrollment ID: I20181004000820 |
| Provider Name | Daniel P O'hair |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851370852 PECOS PAC ID: 9133021694 Enrollment ID: I20181008002163 |
| Provider Name | Darrel Richard Forslund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396783726 PECOS PAC ID: 4385531573 Enrollment ID: I20181016003572 |
| Provider Name | Jennifer M Abelson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1497989057 PECOS PAC ID: 1557615416 Enrollment ID: I20181112001544 |
| Provider Name | Luis S Nasiff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508840430 PECOS PAC ID: 2961307871 Enrollment ID: I20181114003027 |
| Provider Name | Alice Florentina Antonescu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801861315 PECOS PAC ID: 2860404332 Enrollment ID: I20181117000029 |
| Provider Name | Alexandra Lessem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447735634 PECOS PAC ID: 5092059154 Enrollment ID: I20181130002226 |
| Provider Name | Travis C Polk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306355409 PECOS PAC ID: 4284979659 Enrollment ID: I20181213001854 |
| Provider Name | Aubrey Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124500947 PECOS PAC ID: 5496093585 Enrollment ID: I20190215000152 |
| Provider Name | Dahlia Pease |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023182151 PECOS PAC ID: 3072537471 Enrollment ID: I20190215000300 |
| Provider Name | Erica Robin Bley Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619434800 PECOS PAC ID: 1052651163 Enrollment ID: I20190327000121 |
| Provider Name | Jessica Lynn Fritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073070199 PECOS PAC ID: 8022350198 Enrollment ID: I20190422001908 |
| Provider Name | Krystal Vanlowe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508825290 PECOS PAC ID: 7315840725 Enrollment ID: I20190604002612 |
| Provider Name | Bogdan Strambu |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1427366723 PECOS PAC ID: 9830337500 Enrollment ID: I20190617001285 |
| Provider Name | Ciani Kate Sosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265907406 PECOS PAC ID: 5799019139 Enrollment ID: I20190619000695 |
| Provider Name | Eileen Quillin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124587928 PECOS PAC ID: 8022342310 Enrollment ID: I20190619003453 |
| Provider Name | Colleen Cooke Foos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346214335 PECOS PAC ID: 8729022645 Enrollment ID: I20190625002598 |
| Provider Name | Ryan Peter Barmore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962841593 PECOS PAC ID: 5597088278 Enrollment ID: I20190711000907 |
| Provider Name | Inhyup Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659652758 PECOS PAC ID: 9537461942 Enrollment ID: I20190716003557 |
| Provider Name | Dennis L Dobkin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902833379 PECOS PAC ID: 1658314554 Enrollment ID: I20190730002195 |
| Provider Name | Colton Reisinger Redding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366889818 PECOS PAC ID: 3678876463 Enrollment ID: I20190806000712 |
| Provider Name | Joseph Armand Larouche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689939092 PECOS PAC ID: 5193032449 Enrollment ID: I20190819003708 |
| Provider Name | Samantha M Poupore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184150864 PECOS PAC ID: 1951669282 Enrollment ID: I20190820001594 |
| Provider Name | Siavash Panah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114122876 PECOS PAC ID: 5890911366 Enrollment ID: I20190821002380 |
| Provider Name | Rachel Lingreen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861841900 PECOS PAC ID: 6507150216 Enrollment ID: I20190821003106 |
| Provider Name | Veronika Panah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013113547 PECOS PAC ID: 2062652415 Enrollment ID: I20190824000203 |
| Provider Name | Aleksandr Demin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972911998 PECOS PAC ID: 1254688039 Enrollment ID: I20190830001576 |
| Provider Name | Anna Marie Freemyer-brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992046262 PECOS PAC ID: 0446545636 Enrollment ID: I20190916000136 |
| Provider Name | Erin Elizabeth Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821449695 PECOS PAC ID: 8224323472 Enrollment ID: I20190923003328 |
| Provider Name | Isheeka Tamali Edwards |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134495930 PECOS PAC ID: 4183949761 Enrollment ID: I20190926000843 |
| Provider Name | Emilee K Sandsmark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316328099 PECOS PAC ID: 7719238369 Enrollment ID: I20191104001275 |
| Provider Name | Christopher Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750891834 PECOS PAC ID: 3173899622 Enrollment ID: I20191105001790 |
| Provider Name | Breanna L Stricker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427602077 PECOS PAC ID: 2466784780 Enrollment ID: I20191105002466 |
| Provider Name | Keiko Howard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639308331 PECOS PAC ID: 5799929055 Enrollment ID: I20191127000576 |
| Provider Name | Stephanie Kramer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265826747 PECOS PAC ID: 1759695927 Enrollment ID: I20191209000169 |
| Provider Name | Hiwot Gebeye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356992192 PECOS PAC ID: 5890121412 Enrollment ID: I20200130000715 |
| Provider Name | Nirav Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215939566 PECOS PAC ID: 9537292693 Enrollment ID: I20200204000350 |
| Provider Name | Katherine Leigh Roland |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528698438 PECOS PAC ID: 8123457421 Enrollment ID: I20200408001625 |
| Provider Name | Meghan Ann Croteau Fels |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275808586 PECOS PAC ID: 1052741188 Enrollment ID: I20200414000115 |
| Provider Name | Patrick J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487274213 PECOS PAC ID: 6406278811 Enrollment ID: I20200611002817 |
| Provider Name | Minakshi Biswas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588925887 PECOS PAC ID: 0042528275 Enrollment ID: I20200615003279 |
| Provider Name | Kenna J Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770571853 PECOS PAC ID: 6800873035 Enrollment ID: I20200708001086 |
| Provider Name | Gregory P Campbell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598116337 PECOS PAC ID: 6507151867 Enrollment ID: I20200722000640 |
| Provider Name | Garrett N Urban |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699208066 PECOS PAC ID: 9739459983 Enrollment ID: I20200730002324 |
| Provider Name | Danielle Marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992225551 PECOS PAC ID: 2062775067 Enrollment ID: I20200730002507 |
| Provider Name | Kelsey Shay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306001797 PECOS PAC ID: 9830333210 Enrollment ID: I20200803002000 |
| Provider Name | Jennifer Van Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023386919 PECOS PAC ID: 1355508094 Enrollment ID: I20200805000137 |
| Provider Name | Elizabeth Sommerfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144740705 PECOS PAC ID: 3072876077 Enrollment ID: I20200810001031 |
| Provider Name | Michelle E Brassil |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1518377613 PECOS PAC ID: 7618272493 Enrollment ID: I20200814002158 |
| Provider Name | Joshua Marshall Beckman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558686113 PECOS PAC ID: 0749523579 Enrollment ID: I20200818001502 |
| Provider Name | Kymberlee Royals |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043673403 PECOS PAC ID: 1658666318 Enrollment ID: I20200824001001 |
| Provider Name | James Colombo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972692069 PECOS PAC ID: 6002871464 Enrollment ID: I20200915001701 |
| Provider Name | Peter Shedden |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861464893 PECOS PAC ID: 5496653875 Enrollment ID: I20201005001196 |
| Provider Name | Tracy J Hall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770192288 PECOS PAC ID: 1951721976 Enrollment ID: I20201013002681 |
| Provider Name | Cara L Johnson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1508095332 PECOS PAC ID: 8921245168 Enrollment ID: I20201022003888 |
| Provider Name | David Bicknell |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1679541338 PECOS PAC ID: 7911809264 Enrollment ID: I20201028002915 |
| Provider Name | Casey Snodgress |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023341443 PECOS PAC ID: 8729266937 Enrollment ID: I20201029001699 |
| Provider Name | Judith Csanky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598843039 PECOS PAC ID: 5597798264 Enrollment ID: I20201123000315 |
| Provider Name | Eric Luehr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730381104 PECOS PAC ID: 3072782010 Enrollment ID: I20201204000396 |
| Provider Name | Laura Luehr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922214824 PECOS PAC ID: 2860672789 Enrollment ID: I20201215003419 |
| Provider Name | William Christman Ratliff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619328721 PECOS PAC ID: 8820384290 Enrollment ID: I20201217000079 |
| Provider Name | Alba Cristina Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730714056 PECOS PAC ID: 6305259144 Enrollment ID: I20210115000840 |
| Provider Name | Gina Trapani Thayer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225627433 PECOS PAC ID: 7911313093 Enrollment ID: I20210316000886 |
| Provider Name | Teuta N Shemshedini |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760774178 PECOS PAC ID: 9133413727 Enrollment ID: I20210316002578 |
| Provider Name | Mckenna M Li |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750776779 PECOS PAC ID: 7618280793 Enrollment ID: I20210318000007 |
| Provider Name | Ashley Y Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720407422 PECOS PAC ID: 2365661873 Enrollment ID: I20210518000667 |
| Provider Name | Karen Eileen Volpe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497109904 PECOS PAC ID: 3072915537 Enrollment ID: I20210707002109 |
| Provider Name | Rebecca Lolley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518375427 PECOS PAC ID: 0042518425 Enrollment ID: I20210714003225 |
| Provider Name | Dwight Slater |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1912227927 PECOS PAC ID: 0446480677 Enrollment ID: I20210726003428 |
| Provider Name | Mark Tuttle |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1194086900 PECOS PAC ID: 8123317351 Enrollment ID: I20210802000827 |
| Provider Name | Sylvester Odeke |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265426787 PECOS PAC ID: 9436281839 Enrollment ID: I20210817002788 |
| Provider Name | Jason Wing Tcheng |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1215137237 PECOS PAC ID: 0042522138 Enrollment ID: I20210819000338 |
| Provider Name | Chad Morrison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366854978 PECOS PAC ID: 6507150752 Enrollment ID: I20210820001770 |
| Provider Name | Kevin Fulford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063594612 PECOS PAC ID: 1355421173 Enrollment ID: I20210824001821 |
| Provider Name | Caitlin Ann Wojciehoski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346696556 PECOS PAC ID: 1557786092 Enrollment ID: I20210825000666 |
| Provider Name | Cherie Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154960318 PECOS PAC ID: 8123424058 Enrollment ID: I20210901001172 |
| Provider Name | Amanda Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902430366 PECOS PAC ID: 9436556891 Enrollment ID: I20210928000795 |
| Provider Name | Donald Reed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427041391 PECOS PAC ID: 6901830041 Enrollment ID: I20211004003244 |
| Provider Name | Paige Nicole Hiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831851179 PECOS PAC ID: 9537558846 Enrollment ID: I20211108001010 |
| Provider Name | Elissa Test Serapio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508209669 PECOS PAC ID: 1254623200 Enrollment ID: I20211112000125 |
| Provider Name | Kathryn Manchester |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831689025 PECOS PAC ID: 8123376324 Enrollment ID: I20211123001421 |
| Provider Name | Sophia French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487223798 PECOS PAC ID: 7012307002 Enrollment ID: I20211206002789 |
| Provider Name | Kurt D Ammerman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780023655 PECOS PAC ID: 2365685179 Enrollment ID: I20211216000862 |
| Provider Name | Supriya Jain |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639597529 PECOS PAC ID: 9830314889 Enrollment ID: I20220106001838 |
| Provider Name | Katherine Warner |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1003137506 PECOS PAC ID: 6507137650 Enrollment ID: I20220107000138 |
| Provider Name | Daniel Lopez |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1801087093 PECOS PAC ID: 1759537533 Enrollment ID: I20220214000230 |
| Provider Name | Miles Tommeraasen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295733905 PECOS PAC ID: 2062536873 Enrollment ID: I20220224000944 |
| Provider Name | Christopher J Corkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760809123 PECOS PAC ID: 0648668715 Enrollment ID: I20220414001157 |
| Provider Name | Theophile Lyotard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679989438 PECOS PAC ID: 4486942349 Enrollment ID: I20220414002172 |
| Provider Name | Eric M Altschuler |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427032002 PECOS PAC ID: 0446332894 Enrollment ID: I20220526001884 |
| Provider Name | Garrick Greear |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164873816 PECOS PAC ID: 7012326424 Enrollment ID: I20220606000052 |
| Provider Name | Kristen Marla Arnesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770256406 PECOS PAC ID: 5193104909 Enrollment ID: I20220624002702 |
| Provider Name | Ryan Joseph Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134874456 PECOS PAC ID: 5496134173 Enrollment ID: I20220627002317 |
| Provider Name | Adam Tyler Bryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568029387 PECOS PAC ID: 5991185274 Enrollment ID: I20220705000158 |
| Provider Name | Akari Kyaw |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982125829 PECOS PAC ID: 1557741535 Enrollment ID: I20220708000028 |
| Provider Name | Kathryn Ann Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609524974 PECOS PAC ID: 1456731447 Enrollment ID: I20220708000384 |
| Provider Name | Benjamin Kober |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811459720 PECOS PAC ID: 1557783990 Enrollment ID: I20220708001077 |
| Provider Name | Randall James Brenneman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366899841 PECOS PAC ID: 2365737939 Enrollment ID: I20220718003498 |
| Provider Name | Edward Snyder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083792873 PECOS PAC ID: 6204994296 Enrollment ID: I20220722001546 |
| Provider Name | Sara Edeiken |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164740221 PECOS PAC ID: 8527204155 Enrollment ID: I20220729002507 |
| Provider Name | Anais Christina Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073073060 PECOS PAC ID: 2668702473 Enrollment ID: I20220811003846 |
| Provider Name | Sarah Edgerton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790270437 PECOS PAC ID: 6305192311 Enrollment ID: I20220812000961 |
| Provider Name | Aatif Mansoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033641709 PECOS PAC ID: 0547535460 Enrollment ID: I20220816001757 |
| Provider Name | Neal Mckimpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003311390 PECOS PAC ID: 4789087263 Enrollment ID: I20220823001754 |
| Provider Name | Theodore James |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003159559 PECOS PAC ID: 2567680549 Enrollment ID: I20220823003908 |
| Provider Name | Kirk Schlafer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003919432 PECOS PAC ID: 8325130107 Enrollment ID: I20220831003008 |
| Provider Name | Jack Klem |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871710004 PECOS PAC ID: 4587741236 Enrollment ID: I20220905000233 |
| Provider Name | Sarah R Cordova |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1447782487 PECOS PAC ID: 1658642301 Enrollment ID: I20220923000194 |
| Provider Name | Tracy Berg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376637421 PECOS PAC ID: 6305831439 Enrollment ID: I20221018001170 |
| Provider Name | Smitha D Neerukonda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669835013 PECOS PAC ID: 3779709258 Enrollment ID: I20221107002027 |
| Provider Name | Erin Elizabeth Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205563509 PECOS PAC ID: 1850769399 Enrollment ID: I20221115000900 |
| Provider Name | Lupe Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508583923 PECOS PAC ID: 1254709660 Enrollment ID: I20221116000553 |
| Provider Name | Joyce Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942654702 PECOS PAC ID: 3678872041 Enrollment ID: I20221121001006 |
| Provider Name | Angela Serrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013624667 PECOS PAC ID: 2567831886 Enrollment ID: I20221208001904 |
| Provider Name | Travis Wilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114289022 PECOS PAC ID: 1052692167 Enrollment ID: I20221229002847 |
| Provider Name | Brian M Fiani |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366835662 PECOS PAC ID: 9032590518 Enrollment ID: I20221230002459 |
| Provider Name | Elyse L Diewald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679200497 PECOS PAC ID: 2567832470 Enrollment ID: I20230110000613 |
| Provider Name | Alan Sears |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982864856 PECOS PAC ID: 8527384304 Enrollment ID: I20230130000503 |
| Provider Name | David Soll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083601199 PECOS PAC ID: 8628057114 Enrollment ID: I20230208002080 |
| Provider Name | John Hopkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871882837 PECOS PAC ID: 7416190301 Enrollment ID: I20230208002341 |
| Provider Name | Carissa Taylor Kapperman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881303139 PECOS PAC ID: 4284007030 Enrollment ID: I20230227002093 |
| Provider Name | Jessica Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639792435 PECOS PAC ID: 4183045008 Enrollment ID: I20230509003081 |
| Provider Name | Sarah Grace Hurd Dozier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891403242 PECOS PAC ID: 3971960204 Enrollment ID: I20230601001331 |
| Provider Name | Reagan Alayne Urioste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740975929 PECOS PAC ID: 8224495379 Enrollment ID: I20230605001217 |
| Provider Name | Randon Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861611816 PECOS PAC ID: 9133282155 Enrollment ID: I20230623003022 |
| Provider Name | Joy Marie Dunn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760702328 PECOS PAC ID: 0042441248 Enrollment ID: I20230627003570 |
| Provider Name | Kenneth Lipow |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427083674 PECOS PAC ID: 3678537446 Enrollment ID: I20230629004009 |
| Provider Name | Jacob Edwin Bernstein |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023402211 PECOS PAC ID: 2860876018 Enrollment ID: I20230721002009 |
| Provider Name | Kelsey L Bundy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508595059 PECOS PAC ID: 2062872906 Enrollment ID: I20230724002625 |
| Provider Name | Danielle Nicole Lattes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588287361 PECOS PAC ID: 2769803675 Enrollment ID: I20230724002728 |
| Provider Name | Jaclyn Heather Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326738360 PECOS PAC ID: 1254792443 Enrollment ID: I20230803004328 |
| Provider Name | Ann Song |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649239609 PECOS PAC ID: 3476524240 Enrollment ID: I20230815003604 |
| Provider Name | Daniel Wann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144600933 PECOS PAC ID: 4082922588 Enrollment ID: I20230824003791 |
| Provider Name | Shannon Mary Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194348862 PECOS PAC ID: 3678994498 Enrollment ID: I20230920002920 |
| Provider Name | Caleb Lippman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598703910 PECOS PAC ID: 1951378009 Enrollment ID: I20230929001974 |
| Provider Name | Becky Sue Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720775844 PECOS PAC ID: 6305290917 Enrollment ID: I20231002001044 |
| Provider Name | Adam Fieber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093243784 PECOS PAC ID: 6709150105 Enrollment ID: I20231006000084 |
| Provider Name | Devin Sponseller |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1609237049 PECOS PAC ID: 3173926557 Enrollment ID: I20231009002656 |
| Provider Name | Aman Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013399286 PECOS PAC ID: 9234437237 Enrollment ID: I20231009003320 |
| Provider Name | Ann Joo Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396979126 PECOS PAC ID: 9739307638 Enrollment ID: I20231024001234 |
| Provider Name | Brayden Taylor Smith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588443568 PECOS PAC ID: 7416303011 Enrollment ID: I20231101002963 |
| Provider Name | Christine Roddy Lichtenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518645407 PECOS PAC ID: 4587011010 Enrollment ID: I20231106001391 |
| Provider Name | Derek Landan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477626810 PECOS PAC ID: 1456257229 Enrollment ID: I20231120003598 |
| Provider Name | Scott E Bell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1306992995 PECOS PAC ID: 5799925061 Enrollment ID: I20231202000501 |
| Provider Name | Renee Rogers |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407844152 PECOS PAC ID: 5597900167 Enrollment ID: I20231206001895 |
| Provider Name | Tamara Pylawka |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548482763 PECOS PAC ID: 6103074695 Enrollment ID: I20231212000781 |
| Provider Name | Alyssa Bowman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588019699 PECOS PAC ID: 2860738101 Enrollment ID: I20231215001009 |
| Provider Name | Ann E. Cope |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972741270 PECOS PAC ID: 9537518477 Enrollment ID: I20231218001436 |
| Provider Name | Gerardo Kalife |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538132030 PECOS PAC ID: 2466467055 Enrollment ID: I20231218002021 |
| Provider Name | Stacia J Taverner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467635086 PECOS PAC ID: 6709236656 Enrollment ID: I20231219002028 |
| Provider Name | Lisa Lahrs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932165859 PECOS PAC ID: 4688802986 Enrollment ID: I20231222002492 |
| Provider Name | Shelly Jean Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790918845 PECOS PAC ID: 0648620005 Enrollment ID: I20231227001306 |
| Provider Name | Preeyanka Sundar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174973028 PECOS PAC ID: 3274914239 Enrollment ID: I20231228000328 |
| Provider Name | Samantha Kylie Zimmer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114225802 PECOS PAC ID: 1951751239 Enrollment ID: I20231228002952 |
| Provider Name | Robert Jospeh Flores |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427410380 PECOS PAC ID: 1951752849 Enrollment ID: I20240104002323 |
| Provider Name | Nathaniel Eastman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023125887 PECOS PAC ID: 9830163120 Enrollment ID: I20240116000515 |
| Provider Name | Kendra Terry Stilwell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578958054 PECOS PAC ID: 8426356593 Enrollment ID: I20240206002256 |
| Provider Name | Jessika Hinz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316171127 PECOS PAC ID: 1254556038 Enrollment ID: I20240223002426 |
| Provider Name | Timothy Fuller |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104153063 PECOS PAC ID: 5092137224 Enrollment ID: I20240318001152 |
| Provider Name | Hannah Homafar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184944738 PECOS PAC ID: 8628370038 Enrollment ID: I20240319002079 |
| Provider Name | Michael Meyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588624662 PECOS PAC ID: 7810026051 Enrollment ID: I20240320002397 |
| Provider Name | Eric Hansen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154396570 PECOS PAC ID: 9133116007 Enrollment ID: I20240424004145 |
| Provider Name | Alexander Flower |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023094406 PECOS PAC ID: 0143230037 Enrollment ID: I20240501003576 |
| Provider Name | Asad Pathan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1518125962 PECOS PAC ID: 1456706985 Enrollment ID: I20240504000210 |
| Provider Name | Tulio Figarola |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457357691 PECOS PAC ID: 8224934393 Enrollment ID: I20240520001317 |
| Provider Name | Jon Pirrello |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114961604 PECOS PAC ID: 9133123060 Enrollment ID: I20240525000373 |
| Provider Name | Mary-jane Williams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285096032 PECOS PAC ID: 8123313871 Enrollment ID: I20240613002591 |
Banner Health Physicians Colorado Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 70th Ave, Greeley, CO 80634 Phone: 970-392-2135 Fax: 970-378-3825 | |
Banner Health Physicians Colorado Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 11th Ave Ste 106, Greeley, CO 80631 Phone: 970-352-6353 | |
Banner Health Physicians Colorado Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 70th Ave Ste 300, Greeley, CO 80634 Phone: 970-810-6353 | |
Ncmc Specialty Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-378-4475 | |
Ncmc Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 15th St, Suite 320, Greeley, CO 80631 Phone: 970-350-6953 | |
Bond Children's Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 E 26th St, Greeley, CO 80631 Phone: 970-702-2675 Fax: 970-350-4645 | |
Immersiv Health Of Colorado, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1715 61st Ave Ste 103, Greeley, CO 80634 Phone: 512-869-9323 |