| Banner Hospital Based Physicians Arizona Llc | |
|
37000 N Gantzel Rd San Tan Valley AZ 85140-7303 | |
| (480) 543-2034 | |
| Not Available |
| Full Name | Banner Hospital Based Physicians Arizona Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 37000 N Gantzel Rd, San Tan Valley, Arizona |
| 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 Hospital Based Physicians Arizona Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Hospital Based Physicians Arizona Llc 37000 N Gantzel Rd San Tan Valley AZ 85140-7303 Ph: (480) 543-2034 |
| NPI Number | 1275889891 |
|---|---|
| Provider Enumeration Date | 08/01/2012 |
| Last Update Date | 12/23/2021 |
| Medicare PECOS PAC ID | 3274782487 |
|---|---|
| Medicare Enrollment ID | O20121003000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275889891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Manoj Mittal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972520708 PECOS PAC ID: 3274439013 Enrollment ID: I20031211000274 |
| Provider Name | Adrienne Pettit |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912993445 PECOS PAC ID: 5496651929 Enrollment ID: I20031211000339 |
| Provider Name | Babak Tehranchi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073503967 PECOS PAC ID: 7113826835 Enrollment ID: I20031231000742 |
| Provider Name | Peter C Chanin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497709141 PECOS PAC ID: 4183526569 Enrollment ID: I20040126000248 |
| Provider Name | Mankanwal S Sachdev |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356307839 PECOS PAC ID: 4183527443 Enrollment ID: I20040202000763 |
| Provider Name | Ghada A Raban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336109529 PECOS PAC ID: 7214820703 Enrollment ID: I20040206000915 |
| Provider Name | Michael Allen Dagley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699790113 PECOS PAC ID: 1254232283 Enrollment ID: I20040217000206 |
| Provider Name | Bilal A Mian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679563647 PECOS PAC ID: 0042106452 Enrollment ID: I20040224000284 |
| Provider Name | Subha Gopinath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356356059 PECOS PAC ID: 7416843651 Enrollment ID: I20040225000432 |
| Provider Name | Raymond L Holsten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003810540 PECOS PAC ID: 8224926662 Enrollment ID: I20040308001097 |
| Provider Name | Megan W Abshire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003813841 PECOS PAC ID: 6608762539 Enrollment ID: I20040309000150 |
| Provider Name | Jeffrey M Gold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477642437 PECOS PAC ID: 7012806441 Enrollment ID: I20040313000294 |
| Provider Name | Mohamad Reza Kharrazi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336139237 PECOS PAC ID: 0547158388 Enrollment ID: I20040323001479 |
| Provider Name | Boeldridge E Mcclain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992772446 PECOS PAC ID: 9234020413 Enrollment ID: I20040324001572 |
| Provider Name | Madhavagopal V Cherukuri |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104860337 PECOS PAC ID: 1254324577 Enrollment ID: I20040405000374 |
| Provider Name | Stephanie M Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871583062 PECOS PAC ID: 7810982295 Enrollment ID: I20040415001030 |
| Provider Name | Dennis J Foley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194729632 PECOS PAC ID: 8022005859 Enrollment ID: I20040426001096 |
| Provider Name | Robert A Raschke |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407823412 PECOS PAC ID: 0446247449 Enrollment ID: I20040430000208 |
| Provider Name | Eric D Pittman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063472249 PECOS PAC ID: 7810987914 Enrollment ID: I20040512000953 |
| Provider Name | John M Morgan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407890353 PECOS PAC ID: 5799699617 Enrollment ID: I20040512001042 |
| Provider Name | Brian I Yuh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528057569 PECOS PAC ID: 4688664717 Enrollment ID: I20040512001201 |
| Provider Name | Stanley M Wehn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578552618 PECOS PAC ID: 9638169774 Enrollment ID: I20040512001252 |
| Provider Name | Herbert J Tomaso |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578552519 PECOS PAC ID: 5193715274 Enrollment ID: I20040512001530 |
| Provider Name | Denise J Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023007168 PECOS PAC ID: 8729078613 Enrollment ID: I20040513000675 |
| Provider Name | Brian Frohna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225027279 PECOS PAC ID: 2668462557 Enrollment ID: I20040513000721 |
| Provider Name | Patrick G Fredenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710976766 PECOS PAC ID: 6002806908 Enrollment ID: I20040513000736 |
| Provider Name | Norris Lai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912997693 PECOS PAC ID: 0244220101 Enrollment ID: I20040513001145 |
| Provider Name | John Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972593929 PECOS PAC ID: 5496745275 Enrollment ID: I20040513001375 |
| Provider Name | Threasa H Frouge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598754558 PECOS PAC ID: 3870582422 Enrollment ID: I20040513001475 |
| Provider Name | Christian L Dewald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336138387 PECOS PAC ID: 0840280640 Enrollment ID: I20040513001495 |
| Provider Name | Rajesh Saxena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871550681 PECOS PAC ID: 6608866025 Enrollment ID: I20040517000582 |
| Provider Name | Leslie A Welk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013938984 PECOS PAC ID: 6103817127 Enrollment ID: I20040519001009 |
| Provider Name | Michael P Simons |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881681534 PECOS PAC ID: 8729079223 Enrollment ID: I20040522000314 |
| Provider Name | Nadhiwan Sakarin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528054913 PECOS PAC ID: 5193706414 Enrollment ID: I20040525000081 |
| Provider Name | Hamid H Rayani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033102991 PECOS PAC ID: 9931180023 Enrollment ID: I20040525001515 |
| Provider Name | Rajesh U Bhakta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023077872 PECOS PAC ID: 3870574130 Enrollment ID: I20040528000643 |
| Provider Name | Marjorie J Bessel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710002068 PECOS PAC ID: 2163405598 Enrollment ID: I20040608000880 |
| Provider Name | Akash S Taggarse |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1811063555 PECOS PAC ID: 9537055694 Enrollment ID: I20040614000474 |
| Provider Name | Mohammad Irfan Jamil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255419206 PECOS PAC ID: 7012991334 Enrollment ID: I20040615000935 |
| Provider Name | Juan E Morales |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700843463 PECOS PAC ID: 2668458746 Enrollment ID: I20040629000157 |
| Provider Name | Susan Passalaqua |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891784880 PECOS PAC ID: 3375520919 Enrollment ID: I20040701001142 |
| Provider Name | Lakshmi Gb Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700963519 PECOS PAC ID: 3870572530 Enrollment ID: I20040715001332 |
| Provider Name | Zaher Akkad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952308454 PECOS PAC ID: 3678544665 Enrollment ID: I20040803001545 |
| Provider Name | Deepa P Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750365094 PECOS PAC ID: 0648242735 Enrollment ID: I20040810000149 |
| Provider Name | Mark T Marias |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649241340 PECOS PAC ID: 7315919115 Enrollment ID: I20040811001120 |
| Provider Name | Carlos Alvarado-valdes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396772356 PECOS PAC ID: 1850386988 Enrollment ID: I20040823001469 |
| Provider Name | John G Meernik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013019777 PECOS PAC ID: 7719951623 Enrollment ID: I20040825000410 |
| Provider Name | David E Cox |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124137245 PECOS PAC ID: 9436124708 Enrollment ID: I20040831000135 |
| Provider Name | Cheryl W Omalley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588633226 PECOS PAC ID: 3375518392 Enrollment ID: I20040901000597 |
| Provider Name | Howard L Baxter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053367938 PECOS PAC ID: 9032184981 Enrollment ID: I20040901001486 |
| Provider Name | Richard Sue |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053320168 PECOS PAC ID: 5991772063 Enrollment ID: I20040916000999 |
| Provider Name | Urszula H Kotlow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871692178 PECOS PAC ID: 2062481252 Enrollment ID: I20040924000645 |
| Provider Name | Gulabchand K Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114033875 PECOS PAC ID: 0143210542 Enrollment ID: I20040927001045 |
| Provider Name | Andrew J Ondracek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528057585 PECOS PAC ID: 8527028414 Enrollment ID: I20041014001019 |
| Provider Name | Kevin S Hirsch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891784849 PECOS PAC ID: 9133180474 Enrollment ID: I20041020001086 |
| Provider Name | Mustari Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558322875 PECOS PAC ID: 5496710048 Enrollment ID: I20041123000816 |
| Provider Name | Amir R Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841240728 PECOS PAC ID: 4880597160 Enrollment ID: I20050110001185 |
| Provider Name | Jed M Bayasi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538207238 PECOS PAC ID: 1951354075 Enrollment ID: I20050301000167 |
| Provider Name | Elizabeth O Westfall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558314799 PECOS PAC ID: 6608821608 Enrollment ID: I20050329000242 |
| Provider Name | Franklin H Baroi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710067608 PECOS PAC ID: 2264425446 Enrollment ID: I20050404000495 |
| Provider Name | Daryn N Mcclure |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497827018 PECOS PAC ID: 8729063169 Enrollment ID: I20050422001070 |
| Provider Name | Naved N Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285677856 PECOS PAC ID: 9133160617 Enrollment ID: I20050514000017 |
| Provider Name | Feng Liao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871573246 PECOS PAC ID: 0547201501 Enrollment ID: I20050519000642 |
| Provider Name | Mehmud Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942221635 PECOS PAC ID: 8628019445 Enrollment ID: I20050520000931 |
| Provider Name | Jennifer A Ohea |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558338517 PECOS PAC ID: 1456393586 Enrollment ID: I20050527000605 |
| Provider Name | Charles M Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851314348 PECOS PAC ID: 2567404601 Enrollment ID: I20050527000743 |
| Provider Name | Gregory T Chu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144297128 PECOS PAC ID: 6406898360 Enrollment ID: I20050601000712 |
| Provider Name | James E Gerace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932183191 PECOS PAC ID: 1951344894 Enrollment ID: I20050602000371 |
| Provider Name | Thomas L Young |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285631507 PECOS PAC ID: 7214970532 Enrollment ID: I20050608000152 |
| Provider Name | Benjamin I Rosin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609877448 PECOS PAC ID: 1052356011 Enrollment ID: I20050621000958 |
| Provider Name | Joseph L Peters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205822632 PECOS PAC ID: 2961447313 Enrollment ID: I20050627000067 |
| Provider Name | Nathan Linstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689848590 PECOS PAC ID: 7416993555 Enrollment ID: I20050629000722 |
| Provider Name | Timothy J Weise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336182799 PECOS PAC ID: 4284628504 Enrollment ID: I20050708000555 |
| Provider Name | Jeffrey D Butler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619908175 PECOS PAC ID: 5193768570 Enrollment ID: I20050719000298 |
| Provider Name | Dean Prater |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942382692 PECOS PAC ID: 9234169533 Enrollment ID: I20050816001180 |
| Provider Name | Alina M Danciu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447246285 PECOS PAC ID: 2365475274 Enrollment ID: I20050912001139 |
| Provider Name | Homan Salehi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053371088 PECOS PAC ID: 5597798017 Enrollment ID: I20050915000297 |
| Provider Name | Stephanie A Nevins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609853035 PECOS PAC ID: 2567496755 Enrollment ID: I20050927000543 |
| Provider Name | Shannon Hillman Smalley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295716348 PECOS PAC ID: 2668421793 Enrollment ID: I20050927000598 |
| Provider Name | Ellie M Alevritis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073573267 PECOS PAC ID: 2163405358 Enrollment ID: I20050930000422 |
| Provider Name | Harpreet S Grewal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487644381 PECOS PAC ID: 0840215356 Enrollment ID: I20051013000067 |
| Provider Name | Lorna F Honan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154395531 PECOS PAC ID: 6800811548 Enrollment ID: I20051014000396 |
| Provider Name | Ramanjit S Dhaliwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689669095 PECOS PAC ID: 4082630710 Enrollment ID: I20051021000097 |
| Provider Name | Vinita R Dodd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174624837 PECOS PAC ID: 1052338001 Enrollment ID: I20051028000398 |
| Provider Name | Farha N Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073584611 PECOS PAC ID: 6901824754 Enrollment ID: I20051109001172 |
| Provider Name | Farouk Mookadam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760452395 PECOS PAC ID: 2264423763 Enrollment ID: I20051216000515 |
| Provider Name | Cecil C Vaughn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1912904509 PECOS PAC ID: 8628061983 Enrollment ID: I20060110001071 |
| Provider Name | Donna L Holland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447210307 PECOS PAC ID: 0042233595 Enrollment ID: I20060110001098 |
| Provider Name | Michelle B Huddleston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164484200 PECOS PAC ID: 8123041456 Enrollment ID: I20060112000335 |
| Provider Name | Asligul C Hendershot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346234804 PECOS PAC ID: 8921022237 Enrollment ID: I20060125000278 |
| Provider Name | Sripathi Ramakrishna |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598718892 PECOS PAC ID: 6103831953 Enrollment ID: I20060215000290 |
| Provider Name | Alan M Grobman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811953094 PECOS PAC ID: 3274597653 Enrollment ID: I20060308000431 |
| Provider Name | Jagveer S Sandhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548200728 PECOS PAC ID: 8426063405 Enrollment ID: I20060310000277 |
| Provider Name | Misael Chaen Alonso |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1487603312 PECOS PAC ID: 2567479819 Enrollment ID: I20060313000274 |
| Provider Name | Mohammed T Alhammouri |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649219270 PECOS PAC ID: 5496796526 Enrollment ID: I20060328000124 |
| Provider Name | Donna C Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346236122 PECOS PAC ID: 6507874427 Enrollment ID: I20060403000776 |
| Provider Name | Gamal F Sidarous |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1699731802 PECOS PAC ID: 0042220063 Enrollment ID: I20060504000327 |
| Provider Name | Scott D Lopata |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356390843 PECOS PAC ID: 1850304270 Enrollment ID: I20060803000058 |
| Provider Name | Hites Thakor Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831140995 PECOS PAC ID: 7315838190 Enrollment ID: I20060816000597 |
| Provider Name | Sara R Shimmin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497729982 PECOS PAC ID: 0446223259 Enrollment ID: I20060823000307 |
| Provider Name | Peter J Sunenshine |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1487610937 PECOS PAC ID: 0749238848 Enrollment ID: I20060828000404 |
| Provider Name | Gregory A Greenbaum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982654067 PECOS PAC ID: 4284647694 Enrollment ID: I20060831000087 |
| Provider Name | Walter H Migotto |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922013689 PECOS PAC ID: 6406851831 Enrollment ID: I20060919000136 |
| Provider Name | Sanjay B Kulkarni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003923491 PECOS PAC ID: 6103822952 Enrollment ID: I20061018000397 |
| Provider Name | Lori A Porter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205846144 PECOS PAC ID: 8224034095 Enrollment ID: I20061018000568 |
| Provider Name | Il-lyuck Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245254127 PECOS PAC ID: 3173520152 Enrollment ID: I20061106000119 |
| Provider Name | Heather M Bartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861417271 PECOS PAC ID: 5799781050 Enrollment ID: I20061117000101 |
| Provider Name | Raed F Suyyagh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285745646 PECOS PAC ID: 2365440609 Enrollment ID: I20061120000517 |
| Provider Name | Sara C Stimsonriahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023063450 PECOS PAC ID: 5294734752 Enrollment ID: I20061211000181 |
| Provider Name | Ini E Ekpo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720004138 PECOS PAC ID: 0446250377 Enrollment ID: I20061228000044 |
| Provider Name | Brijesh Bobba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326145210 PECOS PAC ID: 1254331978 Enrollment ID: I20070103000308 |
| Provider Name | Fnu Pranav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952327116 PECOS PAC ID: 5890795165 Enrollment ID: I20070110000510 |
| Provider Name | Suresh Uppalapu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134229800 PECOS PAC ID: 5799786836 Enrollment ID: I20070116000549 |
| Provider Name | Mahmood Vahedian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679622518 PECOS PAC ID: 1355342668 Enrollment ID: I20070129000322 |
| Provider Name | David Podkameni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700967478 PECOS PAC ID: 7416958749 Enrollment ID: I20070129000600 |
| Provider Name | Keyvan Koochek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902855513 PECOS PAC ID: 7911909494 Enrollment ID: I20070213000332 |
| Provider Name | Jason A Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578672630 PECOS PAC ID: 6800990383 Enrollment ID: I20070323000231 |
| Provider Name | Pragya Tiwari Sharma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164452116 PECOS PAC ID: 7012011810 Enrollment ID: I20070404000311 |
| Provider Name | Huw Owen-reece |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609860188 PECOS PAC ID: 1456301621 Enrollment ID: I20070425000519 |
| Provider Name | Aaron L Greeley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225096464 PECOS PAC ID: 4981616406 Enrollment ID: I20070503000185 |
| Provider Name | Darcie M Groeper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407841166 PECOS PAC ID: 9830295856 Enrollment ID: I20070508000010 |
| Provider Name | Janeen C Bjork |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932103462 PECOS PAC ID: 1658477492 Enrollment ID: I20070510000487 |
| Provider Name | Emmanuel A Bayongan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003808668 PECOS PAC ID: 7911806567 Enrollment ID: I20070530000554 |
| Provider Name | Jodi A Sciandra |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487871034 PECOS PAC ID: 3779681341 Enrollment ID: I20070605000346 |
| Provider Name | Shweta A Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356371769 PECOS PAC ID: 5890893325 Enrollment ID: I20070607000321 |
| Provider Name | Donald K Maxwell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508841560 PECOS PAC ID: 9436257706 Enrollment ID: I20070611000167 |
| Provider Name | Caroline M Cranford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407069586 PECOS PAC ID: 6800987652 Enrollment ID: I20070808000151 |
| Provider Name | Christine E Edberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144438441 PECOS PAC ID: 8628169406 Enrollment ID: I20070808000460 |
| Provider Name | Shantipriya Siripurapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740202860 PECOS PAC ID: 3274539176 Enrollment ID: I20070823000660 |
| Provider Name | Punnaiah C Marella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407878523 PECOS PAC ID: 9638175532 Enrollment ID: I20070823000862 |
| Provider Name | John E Rooney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083811285 PECOS PAC ID: 0840383295 Enrollment ID: I20070830000747 |
| Provider Name | Amy T Blanchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346430907 PECOS PAC ID: 5193818052 Enrollment ID: I20070907000730 |
| Provider Name | Neal A Klein |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639111743 PECOS PAC ID: 4880508704 Enrollment ID: I20070910000556 |
| Provider Name | Emily A Mallin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538380977 PECOS PAC ID: 9335232149 Enrollment ID: I20070911000124 |
| Provider Name | Ruth A Franks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356558548 PECOS PAC ID: 8123111812 Enrollment ID: I20070911000928 |
| Provider Name | Stephen F Hawkyns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568578482 PECOS PAC ID: 8224034871 Enrollment ID: I20070918000611 |
| Provider Name | Mason P Makdesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720281801 PECOS PAC ID: 3577657659 Enrollment ID: I20070920000042 |
| Provider Name | Mandy B Limberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114110533 PECOS PAC ID: 7517052186 Enrollment ID: I20071002000387 |
| Provider Name | Sirajunnisa Abusalih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912031642 PECOS PAC ID: 5092800078 Enrollment ID: I20071005000298 |
| Provider Name | Dheeraj K Bobba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588878508 PECOS PAC ID: 0840391694 Enrollment ID: I20071018000791 |
| Provider Name | Jason Buchwald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285675439 PECOS PAC ID: 1951215599 Enrollment ID: I20071023000616 |
| Provider Name | Daniela D Ivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326121682 PECOS PAC ID: 9537168570 Enrollment ID: I20071024000234 |
| Provider Name | Hal E Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831184563 PECOS PAC ID: 9234228339 Enrollment ID: I20071127000516 |
| Provider Name | Eric J Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720086507 PECOS PAC ID: 0547167108 Enrollment ID: I20071128000023 |
| Provider Name | Neeraj K Vij |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528054921 PECOS PAC ID: 0547340325 Enrollment ID: I20080107000237 |
| Provider Name | Tracey L Bryce |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447442892 PECOS PAC ID: 1557444270 Enrollment ID: I20080218000608 |
| Provider Name | Julie A Lindholm |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073547501 PECOS PAC ID: 7618052820 Enrollment ID: I20080312000528 |
| Provider Name | Michael J Hanelin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891726436 PECOS PAC ID: 4880779743 Enrollment ID: I20080317000589 |
| Provider Name | John S Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386847598 PECOS PAC ID: 6901983220 Enrollment ID: I20080410000172 |
| Provider Name | Douglas Ck Dang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114936796 PECOS PAC ID: 9638070741 Enrollment ID: I20080516000558 |
| Provider Name | Sandra M Roca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285816918 PECOS PAC ID: 3678643723 Enrollment ID: I20080602000757 |
| Provider Name | Ashish Sadhu |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1124218607 PECOS PAC ID: 5193895621 Enrollment ID: I20080610000172 |
| Provider Name | Sohail M Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598758450 PECOS PAC ID: 1850462227 Enrollment ID: I20080612000810 |
| Provider Name | Ashish M Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851372585 PECOS PAC ID: 1052482338 Enrollment ID: I20080613000084 |
| Provider Name | Nasif E Yousif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780677641 PECOS PAC ID: 4385715663 Enrollment ID: I20080613000113 |
| Provider Name | Robert I Aizenstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467460402 PECOS PAC ID: 9133205206 Enrollment ID: I20080625000151 |
| Provider Name | Ipuole P Ogar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306039920 PECOS PAC ID: 6608948617 Enrollment ID: I20080721000686 |
| Provider Name | Zahid Q Virk |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598724049 PECOS PAC ID: 3072541564 Enrollment ID: I20080724000051 |
| Provider Name | Elliott S Farber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588653745 PECOS PAC ID: 2062455959 Enrollment ID: I20080804000043 |
| Provider Name | Julie Wynne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336115401 PECOS PAC ID: 6406812858 Enrollment ID: I20080811000713 |
| Provider Name | Sandra Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386685915 PECOS PAC ID: 6204901846 Enrollment ID: I20080818000208 |
| Provider Name | Steven M Kallmeyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043278518 PECOS PAC ID: 7719085729 Enrollment ID: I20080819000940 |
| Provider Name | Sandeep Badhwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952374993 PECOS PAC ID: 7911072319 Enrollment ID: I20080820000107 |
| Provider Name | Satyavathi Atluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821082256 PECOS PAC ID: 6901979301 Enrollment ID: I20080822000083 |
| Provider Name | Abrar U Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043205297 PECOS PAC ID: 8426009218 Enrollment ID: I20080827000093 |
| Provider Name | Adebowale O Oyelakin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528234374 PECOS PAC ID: 9830265271 Enrollment ID: I20080909000024 |
| Provider Name | George W Leon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1417928276 PECOS PAC ID: 1456324177 Enrollment ID: I20080917000534 |
| Provider Name | Tina H Pithawalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235340456 PECOS PAC ID: 5294803102 Enrollment ID: I20081006000227 |
| Provider Name | Anita Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699980318 PECOS PAC ID: 2961560859 Enrollment ID: I20081021000882 |
| Provider Name | Pedro R Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184617961 PECOS PAC ID: 2769540442 Enrollment ID: I20081024000084 |
| Provider Name | Mohamad W Al-baghdadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790773844 PECOS PAC ID: 6204861693 Enrollment ID: I20081024000239 |
| Provider Name | Jonathan Brad Hornstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144254723 PECOS PAC ID: 7810991270 Enrollment ID: I20081125000418 |
| Provider Name | Binoy Chandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811931595 PECOS PAC ID: 4688736275 Enrollment ID: I20081216000138 |
| Provider Name | Roxanne Garcia Orr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407060460 PECOS PAC ID: 2668534744 Enrollment ID: I20081224000262 |
| Provider Name | Shahnaz Mazdeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912128364 PECOS PAC ID: 4587726674 Enrollment ID: I20081226000010 |
| Provider Name | Shawn Win Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427210210 PECOS PAC ID: 5092878504 Enrollment ID: I20090109000369 |
| Provider Name | Faiza A Laleka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538248042 PECOS PAC ID: 0345249884 Enrollment ID: I20090303000206 |
| Provider Name | Christopher S Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649449653 PECOS PAC ID: 3173670197 Enrollment ID: I20090409000045 |
| Provider Name | Rishi K Gosalia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174797286 PECOS PAC ID: 8820149511 Enrollment ID: I20090618000726 |
| Provider Name | Michelle K Gabbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295956639 PECOS PAC ID: 6608929732 Enrollment ID: I20090806000365 |
| Provider Name | Kendall L Novoa Takara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780635227 PECOS PAC ID: 6204869084 Enrollment ID: I20090807000047 |
| Provider Name | Mei Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538336292 PECOS PAC ID: 7810041571 Enrollment ID: I20090813000833 |
| Provider Name | David L August |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508933847 PECOS PAC ID: 8325119811 Enrollment ID: I20090814000070 |
| Provider Name | Robert G Kaufman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144471640 PECOS PAC ID: 2860546496 Enrollment ID: I20090817000787 |
| Provider Name | Kern K Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740460005 PECOS PAC ID: 7911061148 Enrollment ID: I20090817000800 |
| Provider Name | Gerard Brophy Chamberlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750503124 PECOS PAC ID: 8123173267 Enrollment ID: I20090826000130 |
| Provider Name | Zoltan Vajo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255477055 PECOS PAC ID: 1759470883 Enrollment ID: I20090911000412 |
| Provider Name | Rael Bennett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124078548 PECOS PAC ID: 6709932858 Enrollment ID: I20090915000656 |
| Provider Name | Jatinder Pal Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386977742 PECOS PAC ID: 1355487513 Enrollment ID: I20091001000753 |
| Provider Name | Sarah A Payne |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1114145778 PECOS PAC ID: 8921146879 Enrollment ID: I20091112000646 |
| Provider Name | Rajeev Lochan Achari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508817842 PECOS PAC ID: 8921010893 Enrollment ID: I20091113000501 |
| Provider Name | Mariana D Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841523180 PECOS PAC ID: 3678611233 Enrollment ID: I20091119000163 |
| Provider Name | Margaret E Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114991999 PECOS PAC ID: 1557324092 Enrollment ID: I20091125000052 |
| Provider Name | Vinay G Bangalore |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295827400 PECOS PAC ID: 7315943180 Enrollment ID: I20091130000254 |
| Provider Name | Zarin B Kolia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295744811 PECOS PAC ID: 5597789818 Enrollment ID: I20100129000503 |
| Provider Name | Eyad Alkas Yousef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871710467 PECOS PAC ID: 5496898793 Enrollment ID: I20100209000537 |
| Provider Name | Wyssem A Ramdani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104840693 PECOS PAC ID: 2668463936 Enrollment ID: I20100211000474 |
| Provider Name | Teresa S Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851331961 PECOS PAC ID: 5890753313 Enrollment ID: I20100304000045 |
| Provider Name | Justin D Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285671446 PECOS PAC ID: 2769481829 Enrollment ID: I20100312000308 |
| Provider Name | Eeleen Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457463614 PECOS PAC ID: 0749281665 Enrollment ID: I20100316000164 |
| Provider Name | Nathan R Beget |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134343577 PECOS PAC ID: 2466506134 Enrollment ID: I20100324000932 |
| Provider Name | Christopher K Oros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669654802 PECOS PAC ID: 2264568682 Enrollment ID: I20100324001085 |
| Provider Name | Nagaraj C Madugonde |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386838530 PECOS PAC ID: 4789712894 Enrollment ID: I20100511000829 |
| Provider Name | Michael Frederick Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114047040 PECOS PAC ID: 4082769088 Enrollment ID: I20100715001054 |
| Provider Name | Robert S Kaliappan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164612578 PECOS PAC ID: 4688706328 Enrollment ID: I20100716000018 |
| Provider Name | Mariel Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144556150 PECOS PAC ID: 3577696673 Enrollment ID: I20100726000776 |
| Provider Name | Eduardo Quinones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376797084 PECOS PAC ID: 4981769387 Enrollment ID: I20100812001179 |
| Provider Name | Raul Galvez-trevino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033281878 PECOS PAC ID: 2365576261 Enrollment ID: I20100813000756 |
| Provider Name | Thomas M Wills |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386676492 PECOS PAC ID: 2961305198 Enrollment ID: I20100819000798 |
| Provider Name | Ahmed R Abouzeid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871619601 PECOS PAC ID: 9830223296 Enrollment ID: I20100820000248 |
| Provider Name | Frank C Contursi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902821374 PECOS PAC ID: 5799688925 Enrollment ID: I20100820000873 |
| Provider Name | Steven I Zell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265610638 PECOS PAC ID: 0244385821 Enrollment ID: I20100825000392 |
| Provider Name | Tarang Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144372020 PECOS PAC ID: 4587703491 Enrollment ID: I20100825001017 |
| Provider Name | Matthew Steven Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649434846 PECOS PAC ID: 0648394312 Enrollment ID: I20100901000750 |
| Provider Name | Christina R. Bergin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124223888 PECOS PAC ID: 2769507706 Enrollment ID: I20100915000304 |
| Provider Name | Samuel N.f. Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790870210 PECOS PAC ID: 5698678829 Enrollment ID: I20100920000809 |
| Provider Name | Sarah Johanna Carstens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952506867 PECOS PAC ID: 3072638543 Enrollment ID: I20100921000899 |
| Provider Name | James M Kurbat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396775599 PECOS PAC ID: 0941103196 Enrollment ID: I20100921001370 |
| Provider Name | Amy L Hinze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124331210 PECOS PAC ID: 6709902810 Enrollment ID: I20100927000723 |
| Provider Name | Michael Zawaneh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104982057 PECOS PAC ID: 5799821229 Enrollment ID: I20101006000174 |
| Provider Name | Vivek R Kesara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548420334 PECOS PAC ID: 5890832646 Enrollment ID: I20101008000895 |
| Provider Name | Adeola Adelayo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205996907 PECOS PAC ID: 1557322641 Enrollment ID: I20101013000995 |
| Provider Name | Amir Etemad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295932408 PECOS PAC ID: 1850584467 Enrollment ID: I20101014001296 |
| Provider Name | Samuel Unzek Freiman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548442577 PECOS PAC ID: 9931287455 Enrollment ID: I20101020001533 |
| Provider Name | Steve Y Chen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1316924533 PECOS PAC ID: 6103802491 Enrollment ID: I20101021001327 |
| Provider Name | Andres Duque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487856696 PECOS PAC ID: 1951472976 Enrollment ID: I20101029000728 |
| Provider Name | Sarita Pal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831314087 PECOS PAC ID: 6204989064 Enrollment ID: I20101101000356 |
| Provider Name | Hamidullah H Fala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124284625 PECOS PAC ID: 0345435814 Enrollment ID: I20101110000056 |
| Provider Name | Tequa A Salehi-rad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922143106 PECOS PAC ID: 6204975022 Enrollment ID: I20101203000297 |
| Provider Name | Roy S Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154525814 PECOS PAC ID: 2668669169 Enrollment ID: I20101209000888 |
| Provider Name | Randall Haschke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114018256 PECOS PAC ID: 2668661307 Enrollment ID: I20110111000324 |
| Provider Name | John C Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669669164 PECOS PAC ID: 2668522756 Enrollment ID: I20110111000395 |
| Provider Name | Evan T Weiden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154358836 PECOS PAC ID: 8022143874 Enrollment ID: I20110120001020 |
| Provider Name | Casey M Golab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790011435 PECOS PAC ID: 1557541067 Enrollment ID: I20110215000697 |
| Provider Name | Leslie M Rach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629384284 PECOS PAC ID: 5395926182 Enrollment ID: I20110228000351 |
| Provider Name | John Scott Jordan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578593380 PECOS PAC ID: 3779470646 Enrollment ID: I20110307000626 |
| Provider Name | Manish Sahni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558477984 PECOS PAC ID: 9436128584 Enrollment ID: I20110324000398 |
| Provider Name | Theobald Jean Claude Minani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295947232 PECOS PAC ID: 9234312125 Enrollment ID: I20110330000962 |
| Provider Name | Zafar Quadir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457371759 PECOS PAC ID: 7113943002 Enrollment ID: I20110421000613 |
| Provider Name | Neil Mody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033369665 PECOS PAC ID: 7214113620 Enrollment ID: I20110519000697 |
| Provider Name | Muhammad K Qadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528068269 PECOS PAC ID: 5496714461 Enrollment ID: I20110525000709 |
| Provider Name | Douglas M Franz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053582221 PECOS PAC ID: 7214009042 Enrollment ID: I20110608000215 |
| Provider Name | Cherie M Murray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811162217 PECOS PAC ID: 9234263757 Enrollment ID: I20110614000026 |
| Provider Name | Steven M Wise |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336330869 PECOS PAC ID: 3173654043 Enrollment ID: I20110722000603 |
| Provider Name | Ryan M Pyles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750549093 PECOS PAC ID: 7012186125 Enrollment ID: I20110805000761 |
| Provider Name | Krithiga Ganesh Babu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366771347 PECOS PAC ID: 2668642943 Enrollment ID: I20110823001070 |
| Provider Name | Shantanu Saraswat |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700851094 PECOS PAC ID: 2365488574 Enrollment ID: I20110824000037 |
| Provider Name | Bret Bitza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831345529 PECOS PAC ID: 6204006455 Enrollment ID: I20110826000380 |
| Provider Name | Mayank Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528223245 PECOS PAC ID: 8729258769 Enrollment ID: I20110830000238 |
| Provider Name | Kalpa M Rathod |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518111905 PECOS PAC ID: 3274703095 Enrollment ID: I20110902000139 |
| Provider Name | Sarju N Govani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255592226 PECOS PAC ID: 9931379765 Enrollment ID: I20110902000235 |
| Provider Name | Sarah S Bannister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588828032 PECOS PAC ID: 0648440396 Enrollment ID: I20110907001037 |
| Provider Name | Joyce K Lee-iannotti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518133271 PECOS PAC ID: 0345371472 Enrollment ID: I20110908001632 |
| Provider Name | Kevin R Tench |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902063639 PECOS PAC ID: 8325219975 Enrollment ID: I20110913000005 |
| Provider Name | Jay N Mccombs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669634689 PECOS PAC ID: 0143491795 Enrollment ID: I20110913000007 |
| Provider Name | Amy Soloman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982723508 PECOS PAC ID: 1153429337 Enrollment ID: I20110915000190 |
| Provider Name | Shayna C Klein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295976538 PECOS PAC ID: 9234282682 Enrollment ID: I20110915000622 |
| Provider Name | Fadi Domit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922263938 PECOS PAC ID: 1355513979 Enrollment ID: I20111004000252 |
| Provider Name | Moses Imohi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437438041 PECOS PAC ID: 2163694639 Enrollment ID: I20111005000008 |
| Provider Name | Jyotsna Rathee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861623019 PECOS PAC ID: 4880866326 Enrollment ID: I20111006000024 |
| Provider Name | Suresh Challa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578711024 PECOS PAC ID: 9638342371 Enrollment ID: I20111025000807 |
| Provider Name | Andrew C Price |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366521734 PECOS PAC ID: 7113027095 Enrollment ID: I20111026000599 |
| Provider Name | Avinashi Arun Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326375999 PECOS PAC ID: 3072705185 Enrollment ID: I20111102000666 |
| Provider Name | Jessica Zeman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093869414 PECOS PAC ID: 6709050479 Enrollment ID: I20111114000812 |
| Provider Name | Vilert Loving |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235244112 PECOS PAC ID: 1355494097 Enrollment ID: I20111201000340 |
| Provider Name | Pritesh Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689876898 PECOS PAC ID: 1759412828 Enrollment ID: I20111206000249 |
| Provider Name | Pavan Kumar Tiyyagura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366757361 PECOS PAC ID: 8820262470 Enrollment ID: I20111208000473 |
| Provider Name | Hassan Hussein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710142518 PECOS PAC ID: 0042488165 Enrollment ID: I20111219000622 |
| Provider Name | Seema Tanveer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134163405 PECOS PAC ID: 8123082229 Enrollment ID: I20120105000793 |
| Provider Name | Mohammad Wisam Baqdunes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124356779 PECOS PAC ID: 2860668217 Enrollment ID: I20120105000886 |
| Provider Name | Jijo John |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366583619 PECOS PAC ID: 5496814733 Enrollment ID: I20120109000144 |
| Provider Name | Baharak Bagheri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033379151 PECOS PAC ID: 3173699758 Enrollment ID: I20120131000652 |
| Provider Name | Alan S Lovejoy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871594267 PECOS PAC ID: 3678555836 Enrollment ID: I20120229000632 |
| Provider Name | Eric J Schenk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912136557 PECOS PAC ID: 3072772037 Enrollment ID: I20120309000638 |
| Provider Name | Deven Kothari |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962600270 PECOS PAC ID: 2961557202 Enrollment ID: I20120321000436 |
| Provider Name | Herby Ambroise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811181043 PECOS PAC ID: 8325233786 Enrollment ID: I20120412000208 |
| Provider Name | Uchenna G Onyia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346482031 PECOS PAC ID: 1052574316 Enrollment ID: I20120523000692 |
| Provider Name | Kristin M Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891922829 PECOS PAC ID: 5890959118 Enrollment ID: I20120615000400 |
| Provider Name | Neil D Singhal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609049576 PECOS PAC ID: 8123284072 Enrollment ID: I20120723000421 |
| Provider Name | Mikul D Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033375456 PECOS PAC ID: 1759570138 Enrollment ID: I20120803000606 |
| Provider Name | Abdulilah Arafeh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821036583 PECOS PAC ID: 3072524198 Enrollment ID: I20120810000330 |
| Provider Name | Carmen M Torres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790927721 PECOS PAC ID: 3274789847 Enrollment ID: I20120814000529 |
| Provider Name | Suha Ayoub |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427387422 PECOS PAC ID: 6709032188 Enrollment ID: I20120820000435 |
| Provider Name | Lachoa T Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861727307 PECOS PAC ID: 9133376643 Enrollment ID: I20120905000467 |
| Provider Name | Kevin J Peine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649541301 PECOS PAC ID: 5597913574 Enrollment ID: I20120917000567 |
| Provider Name | Lisa Le Ngo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700013687 PECOS PAC ID: 9537318126 Enrollment ID: I20120925000234 |
| Provider Name | Nilda L Franco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215164389 PECOS PAC ID: 4981853322 Enrollment ID: I20121001000027 |
| Provider Name | Jayashree Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447450457 PECOS PAC ID: 5395837934 Enrollment ID: I20121016000184 |
| Provider Name | Aaron Daniel Knudson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447417951 PECOS PAC ID: 8426208083 Enrollment ID: I20121017000592 |
| Provider Name | Basel Channis |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982834594 PECOS PAC ID: 0345490736 Enrollment ID: I20121019000513 |
| Provider Name | Gerard F Leahy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124255294 PECOS PAC ID: 4880844000 Enrollment ID: I20121024000866 |
| Provider Name | Mohd J Jibreel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225267156 PECOS PAC ID: 9436300209 Enrollment ID: I20121105000408 |
| Provider Name | Ravindra Gudavalli |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649351222 PECOS PAC ID: 8628100765 Enrollment ID: I20121108000628 |
| Provider Name | Raniah Al Tamsheh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750328829 PECOS PAC ID: 3274539218 Enrollment ID: I20121120000267 |
| Provider Name | Srikant Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215168794 PECOS PAC ID: 9739331620 Enrollment ID: I20121128000190 |
| Provider Name | Nezar Dahdal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194977405 PECOS PAC ID: 7214093236 Enrollment ID: I20130121000063 |
| Provider Name | Sandeep Sidhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154551331 PECOS PAC ID: 8729126602 Enrollment ID: I20130124000492 |
| Provider Name | Chukwuemeka E Oji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518114909 PECOS PAC ID: 1254500630 Enrollment ID: I20130128000551 |
| Provider Name | Ruben O Espinoza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164621470 PECOS PAC ID: 8022253186 Enrollment ID: I20130321000167 |
| Provider Name | Mutende J Sikuyayenga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528387347 PECOS PAC ID: 0345485017 Enrollment ID: I20130328000573 |
| Provider Name | Muzna Naqvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558691493 PECOS PAC ID: 0244476562 Enrollment ID: I20130411000200 |
| Provider Name | Aneesh T Narang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003875956 PECOS PAC ID: 4486684966 Enrollment ID: I20130424000276 |
| Provider Name | Suzanne J Nielsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457526030 PECOS PAC ID: 9537306782 Enrollment ID: I20130508000310 |
| Provider Name | Huma Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326371733 PECOS PAC ID: 8426297193 Enrollment ID: I20130611000104 |
| Provider Name | Todd Andrew Mcgregor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427106400 PECOS PAC ID: 0547275919 Enrollment ID: I20130618000669 |
| Provider Name | Russell Horton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780996967 PECOS PAC ID: 9537308663 Enrollment ID: I20130620000196 |
| Provider Name | Shweta Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982852018 PECOS PAC ID: 1456490283 Enrollment ID: I20130621000130 |
| Provider Name | Khawaja F Shuja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801091467 PECOS PAC ID: 8022119973 Enrollment ID: I20130701000514 |
| Provider Name | Madhuri Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649407206 PECOS PAC ID: 0547400038 Enrollment ID: I20130703000663 |
| Provider Name | Christopher Dubay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083926794 PECOS PAC ID: 3870733124 Enrollment ID: I20130709000665 |
| Provider Name | David J Berrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568604593 PECOS PAC ID: 0446404842 Enrollment ID: I20130709000670 |
| Provider Name | Jonathan A Goit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083925721 PECOS PAC ID: 1850539834 Enrollment ID: I20130715000432 |
| Provider Name | Nancy Youssef |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487833752 PECOS PAC ID: 2264672286 Enrollment ID: I20130715000521 |
| Provider Name | Manpreet Dhaliwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295041333 PECOS PAC ID: 3375784077 Enrollment ID: I20130723000273 |
| Provider Name | Ravneet Singh Dhaliwal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306055173 PECOS PAC ID: 3375720030 Enrollment ID: I20130723000537 |
| Provider Name | Michael B Vergason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942524673 PECOS PAC ID: 2466693023 Enrollment ID: I20130724000129 |
| Provider Name | Monica Viteri-giordano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063491041 PECOS PAC ID: 8426012113 Enrollment ID: I20130724000210 |
| Provider Name | Vidyasagargoud Marupakula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003123530 PECOS PAC ID: 4082855507 Enrollment ID: I20130725000994 |
| Provider Name | David N Bebawy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003128885 PECOS PAC ID: 1850532052 Enrollment ID: I20130731000428 |
| Provider Name | Navaid A Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588739528 PECOS PAC ID: 4880595966 Enrollment ID: I20130807000802 |
| Provider Name | Carlos J Ventura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174842884 PECOS PAC ID: 4082856745 Enrollment ID: I20130808000176 |
| Provider Name | Shoma Bommena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952610966 PECOS PAC ID: 4183866270 Enrollment ID: I20130820001009 |
| Provider Name | Lise K Harper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205156528 PECOS PAC ID: 3072756188 Enrollment ID: I20130821000197 |
| Provider Name | Abby --- Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841510120 PECOS PAC ID: 9234374299 Enrollment ID: I20130823000920 |
| Provider Name | Ramon G Esteban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033418991 PECOS PAC ID: 5092984898 Enrollment ID: I20130906000187 |
| Provider Name | Huixu Liang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154648749 PECOS PAC ID: 2466696679 Enrollment ID: I20130909000775 |
| Provider Name | Saroj Subedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942511498 PECOS PAC ID: 1759415508 Enrollment ID: I20130920000579 |
| Provider Name | Sarath Bhimineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205157948 PECOS PAC ID: 8224272810 Enrollment ID: I20130920000754 |
| Provider Name | Dennise A Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497060768 PECOS PAC ID: 3274777891 Enrollment ID: I20130923000396 |
| Provider Name | Silvia Romine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760798284 PECOS PAC ID: 5193959690 Enrollment ID: I20131017000428 |
| Provider Name | Adina Weis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255527115 PECOS PAC ID: 7315172129 Enrollment ID: I20131104000692 |
| Provider Name | Beth M Ranney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003133745 PECOS PAC ID: 8426283144 Enrollment ID: I20131104001339 |
| Provider Name | Adnan Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699088864 PECOS PAC ID: 2769618172 Enrollment ID: I20131113000882 |
| Provider Name | William Nassour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104131820 PECOS PAC ID: 2264668615 Enrollment ID: I20131113002100 |
| Provider Name | John Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104253376 PECOS PAC ID: 2163658311 Enrollment ID: I20131119000380 |
| Provider Name | Janelle Jambrosic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235391368 PECOS PAC ID: 7911133079 Enrollment ID: I20131119001233 |
| Provider Name | Jacqueline Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659677748 PECOS PAC ID: 6608054564 Enrollment ID: I20131206000813 |
| Provider Name | Nimit K Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811155245 PECOS PAC ID: 8820140684 Enrollment ID: I20131231001856 |
| Provider Name | Neychelle Rocca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063645778 PECOS PAC ID: 6305095811 Enrollment ID: I20140116001702 |
| Provider Name | Nathalie T Petein-alamshaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285928721 PECOS PAC ID: 9931339116 Enrollment ID: I20140310000405 |
| Provider Name | Toyo A Trenou |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083913826 PECOS PAC ID: 8527299296 Enrollment ID: I20140321000294 |
| Provider Name | Sajith Foustin Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013295161 PECOS PAC ID: 6103076294 Enrollment ID: I20140604000459 |
| Provider Name | Kristie Julien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376740787 PECOS PAC ID: 6800019290 Enrollment ID: I20140604001042 |
| Provider Name | Alma June Outen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770900920 PECOS PAC ID: 4385868223 Enrollment ID: I20140616000051 |
| Provider Name | Adam Blystra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073860441 PECOS PAC ID: 4587889795 Enrollment ID: I20140702000216 |
| Provider Name | Mahmoud A Mahafzah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649434887 PECOS PAC ID: 6608008917 Enrollment ID: I20140710002582 |
| Provider Name | Matthew L Keeler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124347695 PECOS PAC ID: 8729230636 Enrollment ID: I20140725001333 |
| Provider Name | Emanuel M Pauwels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871883355 PECOS PAC ID: 8628202272 Enrollment ID: I20140804000641 |
| Provider Name | Matthew R Nerdin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265729867 PECOS PAC ID: 1254558885 Enrollment ID: I20140805002812 |
| Provider Name | Colin Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467615252 PECOS PAC ID: 5597982694 Enrollment ID: I20140813002669 |
| Provider Name | Danny Yuhsiang Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154615490 PECOS PAC ID: 7113144031 Enrollment ID: I20140815001680 |
| Provider Name | Jacqueline E Corcoran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659401834 PECOS PAC ID: 1658455100 Enrollment ID: I20140821000040 |
| Provider Name | Jason L Grimsman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184913717 PECOS PAC ID: 8820238280 Enrollment ID: I20140821002905 |
| Provider Name | Mark Anthony Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437382389 PECOS PAC ID: 6002035995 Enrollment ID: I20140908001419 |
| Provider Name | Wally Folad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326331893 PECOS PAC ID: 8022237841 Enrollment ID: I20140909002842 |
| Provider Name | Nimit Ambalal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790072072 PECOS PAC ID: 2567691645 Enrollment ID: I20140912001297 |
| Provider Name | Manish Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548557275 PECOS PAC ID: 2062662588 Enrollment ID: I20140915001002 |
| Provider Name | Tonya Whiting |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700047834 PECOS PAC ID: 7517186059 Enrollment ID: I20140916002040 |
| Provider Name | Leigh A Goodman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477847705 PECOS PAC ID: 9335368737 Enrollment ID: I20140917001826 |
| Provider Name | Mostafa Assadalla Sherazy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255644118 PECOS PAC ID: 0042446445 Enrollment ID: I20140922001914 |
| Provider Name | Suemoy S Wallace |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184850885 PECOS PAC ID: 3577734904 Enrollment ID: I20140924001838 |
| Provider Name | Neha Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609144633 PECOS PAC ID: 3476773318 Enrollment ID: I20140929000092 |
| Provider Name | Dereje F Moti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962792499 PECOS PAC ID: 7416177217 Enrollment ID: I20140929002796 |
| Provider Name | Ulysses P Montero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891082962 PECOS PAC ID: 2264652908 Enrollment ID: I20141001001997 |
| Provider Name | Samantha S Wu Halpert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760738124 PECOS PAC ID: 4082834239 Enrollment ID: I20141009002713 |
| Provider Name | Himmat Mal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962613182 PECOS PAC ID: 0244390722 Enrollment ID: I20141010000900 |
| Provider Name | Jose Jimenez Cintron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902047434 PECOS PAC ID: 4880728575 Enrollment ID: I20141016000993 |
| Provider Name | Gobran Shahla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649694720 PECOS PAC ID: 6103047816 Enrollment ID: I20141022001115 |
| Provider Name | An Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487880076 PECOS PAC ID: 4385865963 Enrollment ID: I20141023001702 |
| Provider Name | Donald Lefevre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841589710 PECOS PAC ID: 3375764822 Enrollment ID: I20141024002204 |
| Provider Name | Roshni Madappa Kundranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700955838 PECOS PAC ID: 8224036462 Enrollment ID: I20141029000137 |
| Provider Name | Samer Muala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790943900 PECOS PAC ID: 9234292384 Enrollment ID: I20141030000134 |
| Provider Name | Nonihal Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841598869 PECOS PAC ID: 3072734219 Enrollment ID: I20141031001280 |
| Provider Name | Randy S Gelow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568755130 PECOS PAC ID: 6002038213 Enrollment ID: I20141103001854 |
| Provider Name | Connie Marie Bruch-harrison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184626194 PECOS PAC ID: 5193799963 Enrollment ID: I20141104000542 |
| Provider Name | Nithya V Krishnaswamy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710273693 PECOS PAC ID: 0042456113 Enrollment ID: I20141107002132 |
| Provider Name | Darren A Farrington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174815039 PECOS PAC ID: 0749402634 Enrollment ID: I20141108000136 |
| Provider Name | Ashwini Ammunje |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891088563 PECOS PAC ID: 5698997443 Enrollment ID: I20141111000020 |
| Provider Name | Arun Pillai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336107994 PECOS PAC ID: 9133172042 Enrollment ID: I20141118002698 |
| Provider Name | Joel B Freedman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235413378 PECOS PAC ID: 8628290004 Enrollment ID: I20141119002752 |
| Provider Name | Samuel B Braff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124249206 PECOS PAC ID: 7012164619 Enrollment ID: I20141209000997 |
| Provider Name | Divya Jot Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376826180 PECOS PAC ID: 1759604713 Enrollment ID: I20141223001241 |
| Provider Name | Rahsaan L Lindsey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245400928 PECOS PAC ID: 8123155710 Enrollment ID: I20150130001722 |
| Provider Name | Steven A Baldwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003888546 PECOS PAC ID: 5092895516 Enrollment ID: I20150218002051 |
| Provider Name | Karen B Alonso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033439328 PECOS PAC ID: 9638495948 Enrollment ID: I20150304001461 |
| Provider Name | Andrew J Kwak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740489418 PECOS PAC ID: 9739366170 Enrollment ID: I20150312000472 |
| Provider Name | Courtney A Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336307495 PECOS PAC ID: 9830250307 Enrollment ID: I20150319002123 |
| Provider Name | Danny H Byun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811286925 PECOS PAC ID: 9931427598 Enrollment ID: I20150410000007 |
| Provider Name | Beeletsega T Yeneneh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528367166 PECOS PAC ID: 5799004552 Enrollment ID: I20150430000001 |
| Provider Name | Delana P Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356731418 PECOS PAC ID: 1759601859 Enrollment ID: I20150513000453 |
| Provider Name | Aaron M Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952336885 PECOS PAC ID: 1355661695 Enrollment ID: I20150527002650 |
| Provider Name | David Gregory Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184879900 PECOS PAC ID: 6204089600 Enrollment ID: I20150612001692 |
| Provider Name | William J Mcgrade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164810289 PECOS PAC ID: 1052622545 Enrollment ID: I20150625000004 |
| Provider Name | Lloyd Centino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215216973 PECOS PAC ID: 5496971350 Enrollment ID: I20150625001328 |
| Provider Name | Matthew J Brownell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649614561 PECOS PAC ID: 4385957281 Enrollment ID: I20150721003021 |
| Provider Name | Tarek Hafez Youssef |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962483693 PECOS PAC ID: 6204870389 Enrollment ID: I20150805008828 |
| Provider Name | Fadi K Alrabadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609131499 PECOS PAC ID: 6507171105 Enrollment ID: I20150811005276 |
| Provider Name | Varun Monga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639457096 PECOS PAC ID: 0648402958 Enrollment ID: I20150812008689 |
| Provider Name | Sarah Corral |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992067672 PECOS PAC ID: 9537474952 Enrollment ID: I20150813012304 |
| Provider Name | Stephanie E Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295029940 PECOS PAC ID: 0042525297 Enrollment ID: I20150817001896 |
| Provider Name | Daniel L Montgomery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922395656 PECOS PAC ID: 1254658693 Enrollment ID: I20150819008773 |
| Provider Name | Brian Geyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891094637 PECOS PAC ID: 2264699107 Enrollment ID: I20150820011623 |
| Provider Name | Brandon S Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972864775 PECOS PAC ID: 2668799669 Enrollment ID: I20150821013349 |
| Provider Name | Christopher Savage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659633329 PECOS PAC ID: 6103131008 Enrollment ID: I20150821013359 |
| Provider Name | Ritesh Kanotra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215287685 PECOS PAC ID: 1850607409 Enrollment ID: I20150827002835 |
| Provider Name | Sally S Daee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750674289 PECOS PAC ID: 1557677911 Enrollment ID: I20150831001239 |
| Provider Name | Bianca S Brunelli |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1033404553 PECOS PAC ID: 1658598347 Enrollment ID: I20150910002617 |
| Provider Name | Basha I Mohammed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942693098 PECOS PAC ID: 7911214341 Enrollment ID: I20150917002334 |
| Provider Name | Lisa A R Simmon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922430008 PECOS PAC ID: 9638395767 Enrollment ID: I20150922002261 |
| Provider Name | Sandeep Nagre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871840108 PECOS PAC ID: 6608183777 Enrollment ID: I20150922002533 |
| Provider Name | Marwan M Oleiwi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063779262 PECOS PAC ID: 4183931124 Enrollment ID: I20150923001889 |
| Provider Name | Rakesh Gaddam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306100375 PECOS PAC ID: 7911215900 Enrollment ID: I20150924000742 |
| Provider Name | Pavan Lankaala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386990877 PECOS PAC ID: 1557679586 Enrollment ID: I20150924001919 |
| Provider Name | Waqas A Qamar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447517503 PECOS PAC ID: 2860700812 Enrollment ID: I20150924002539 |
| Provider Name | Adrienne L Jones Adamczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659670354 PECOS PAC ID: 0042496051 Enrollment ID: I20150925002396 |
| Provider Name | Ali Ahoui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093964769 PECOS PAC ID: 3072821537 Enrollment ID: I20151001002921 |
| Provider Name | Nagachandra K Dharmavaram-harirao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447506712 PECOS PAC ID: 5597073825 Enrollment ID: I20151006000976 |
| Provider Name | Learnmore Chiguma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912328501 PECOS PAC ID: 0547482192 Enrollment ID: I20151007003182 |
| Provider Name | Layth Al-jashaami |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255691895 PECOS PAC ID: 8022326297 Enrollment ID: I20151008000106 |
| Provider Name | Srilekha Sridhara |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477866713 PECOS PAC ID: 8123266913 Enrollment ID: I20151008001489 |
| Provider Name | Yasmine S Kenani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619234648 PECOS PAC ID: 9739497819 Enrollment ID: I20151009001816 |
| Provider Name | Anushree Monga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245545474 PECOS PAC ID: 2961646203 Enrollment ID: I20151009001854 |
| Provider Name | Ming Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902163173 PECOS PAC ID: 0042529067 Enrollment ID: I20151014001131 |
| Provider Name | Saurabh Jauhari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558507707 PECOS PAC ID: 1355599820 Enrollment ID: I20151015000433 |
| Provider Name | Firoozeh Isfahani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568729374 PECOS PAC ID: 7012226962 Enrollment ID: I20151016000499 |
| Provider Name | Krishna K Kasireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316184948 PECOS PAC ID: 0345435707 Enrollment ID: I20151019001045 |
| Provider Name | Umema S Burney-wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710247630 PECOS PAC ID: 3971812728 Enrollment ID: I20151019002052 |
| Provider Name | Sameer Bellapravalu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013030022 PECOS PAC ID: 0143354639 Enrollment ID: I20151020001403 |
| Provider Name | Melanie Meguro |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487916086 PECOS PAC ID: 3577872266 Enrollment ID: I20151020001685 |
| Provider Name | Appu Aparna Basnet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447512124 PECOS PAC ID: 0648589366 Enrollment ID: I20151021000010 |
| Provider Name | Eddie B Tabarangao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285030312 PECOS PAC ID: 3577799949 Enrollment ID: I20151027000228 |
| Provider Name | Bernard-dean Marucci |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1255453924 PECOS PAC ID: 1456313725 Enrollment ID: I20151027003012 |
| Provider Name | Alireza Abolmaali Damghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427275775 PECOS PAC ID: 1759459662 Enrollment ID: I20151104000658 |
| Provider Name | Shipra Maheshwari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750642484 PECOS PAC ID: 1153562731 Enrollment ID: I20151105001964 |
| Provider Name | Anthony V Silva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417219064 PECOS PAC ID: 7214247725 Enrollment ID: I20151113000508 |
| Provider Name | Ryan M Kessel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194087791 PECOS PAC ID: 0749580074 Enrollment ID: I20151118001454 |
| Provider Name | Nahian Latif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710375787 PECOS PAC ID: 6507172038 Enrollment ID: I20151207001844 |
| Provider Name | Ahmad A Kadhim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083971014 PECOS PAC ID: 0547561342 Enrollment ID: I20151221002249 |
| Provider Name | Mohammad M Nasser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376835157 PECOS PAC ID: 4880996321 Enrollment ID: I20151230001268 |
| Provider Name | Mark P Postacchini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255620019 PECOS PAC ID: 7618194507 Enrollment ID: I20160129000989 |
| Provider Name | Izabela B Postacchini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043509805 PECOS PAC ID: 1355560814 Enrollment ID: I20160129001560 |
| Provider Name | Sirisha Gayam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043508138 PECOS PAC ID: 7517188451 Enrollment ID: I20160203002995 |
| Provider Name | David Y Moromisato |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386771707 PECOS PAC ID: 0042346322 Enrollment ID: I20160209002592 |
| Provider Name | Mouhsen H Al Hakeem |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003934175 PECOS PAC ID: 9638242514 Enrollment ID: I20160308000361 |
| Provider Name | Brian S Johnston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639142847 PECOS PAC ID: 2567606528 Enrollment ID: I20160602002068 |
| Provider Name | Gajanth Shanmuganatha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568835692 PECOS PAC ID: 8123319282 Enrollment ID: I20160620002442 |
| Provider Name | Aaron Gomez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932442712 PECOS PAC ID: 4981995875 Enrollment ID: I20160623002159 |
| Provider Name | Hannah A Lawther |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467741025 PECOS PAC ID: 4486895885 Enrollment ID: I20160624000564 |
| Provider Name | Tracy E Mcnamara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114293339 PECOS PAC ID: 7618285545 Enrollment ID: I20160630002249 |
| Provider Name | Jennifer A Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699152405 PECOS PAC ID: 3870813363 Enrollment ID: I20160720000545 |
| Provider Name | Shikha Tuli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467731646 PECOS PAC ID: 1052535838 Enrollment ID: I20160721001803 |
| Provider Name | Patricia A Mayer |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1396942017 PECOS PAC ID: 8426035262 Enrollment ID: I20160728001367 |
| Provider Name | Konstantin Mazursky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033559554 PECOS PAC ID: 4183918428 Enrollment ID: I20160809001080 |
| Provider Name | Praveen Bheemanathini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669729042 PECOS PAC ID: 5395976096 Enrollment ID: I20160810002796 |
| Provider Name | Puneet Tuli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639518863 PECOS PAC ID: 7810112752 Enrollment ID: I20160811001036 |
| Provider Name | Abhinav Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295082790 PECOS PAC ID: 2062729684 Enrollment ID: I20160815002486 |
| Provider Name | Sweta B Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750639365 PECOS PAC ID: 7911212626 Enrollment ID: I20160816003069 |
| Provider Name | Timothy A Widener |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619312824 PECOS PAC ID: 8527353408 Enrollment ID: I20160817002213 |
| Provider Name | Sri Preethi Gunnala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366608341 PECOS PAC ID: 1456571900 Enrollment ID: I20160817003126 |
| Provider Name | Ibrahim Taweel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972944932 PECOS PAC ID: 4789979527 Enrollment ID: I20160818001514 |
| Provider Name | Aakashanand A Doshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598007189 PECOS PAC ID: 3870888548 Enrollment ID: I20160818002748 |
| Provider Name | Colton Arrant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457610164 PECOS PAC ID: 7113152992 Enrollment ID: I20160822002264 |
| Provider Name | Phillip J Koo |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1306902259 PECOS PAC ID: 5799956983 Enrollment ID: I20160823003107 |
| Provider Name | Fiza N Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619312899 PECOS PAC ID: 1658666946 Enrollment ID: I20160825001697 |
| Provider Name | Joshua Jalad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508200445 PECOS PAC ID: 6709171002 Enrollment ID: I20160825002148 |
| Provider Name | Karthik R Donuur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073989398 PECOS PAC ID: 5496040651 Enrollment ID: I20160826001213 |
| Provider Name | Soniyasri Koochana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922475698 PECOS PAC ID: 9830484013 Enrollment ID: I20160826001589 |
| Provider Name | Firas Abbas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336481407 PECOS PAC ID: 6507152428 Enrollment ID: I20160901000859 |
| Provider Name | Nicholas Harrell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467795617 PECOS PAC ID: 7012203680 Enrollment ID: I20160907002661 |
| Provider Name | William J Dasovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811927858 PECOS PAC ID: 3274636055 Enrollment ID: I20160915002196 |
| Provider Name | Dipti R Jethani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073936811 PECOS PAC ID: 8123315298 Enrollment ID: I20160919000717 |
| Provider Name | Nikhil Sood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982950739 PECOS PAC ID: 7214243526 Enrollment ID: I20160920001205 |
| Provider Name | Melissa Lynn Kolnik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477009702 PECOS PAC ID: 9133416035 Enrollment ID: I20160920002980 |
| Provider Name | Jeffrey A Kuo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689018343 PECOS PAC ID: 8224267059 Enrollment ID: I20160927000704 |
| Provider Name | Ashwin C Parekh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023458742 PECOS PAC ID: 4284921792 Enrollment ID: I20160928000012 |
| Provider Name | Ashish K Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013359967 PECOS PAC ID: 2062709413 Enrollment ID: I20160928001693 |
| Provider Name | Mohemmedd Khalid F Abbas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316366651 PECOS PAC ID: 9931496387 Enrollment ID: I20160928001798 |
| Provider Name | Kabir Noor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659713246 PECOS PAC ID: 7911295183 Enrollment ID: I20161004002583 |
| Provider Name | Semah Zavareh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477990190 PECOS PAC ID: 9537457338 Enrollment ID: I20161011001983 |
| Provider Name | Carrie Alissa Beaty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114081544 PECOS PAC ID: 0547406530 Enrollment ID: I20161021001685 |
| Provider Name | Theresa Rose Simard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861756181 PECOS PAC ID: 6305124272 Enrollment ID: I20161027000841 |
| Provider Name | Ria Ghose Kundu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881037539 PECOS PAC ID: 2466763941 Enrollment ID: I20161104001997 |
| Provider Name | Vidya Surapaneni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851521785 PECOS PAC ID: 9931488210 Enrollment ID: I20161108002644 |
| Provider Name | Yazhini Srivathsal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346509742 PECOS PAC ID: 9537464136 Enrollment ID: I20161122001769 |
| Provider Name | Jyothsna Talluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689830911 PECOS PAC ID: 3779761259 Enrollment ID: I20161206002408 |
| Provider Name | Erica M Flores |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851685309 PECOS PAC ID: 3274814637 Enrollment ID: I20161227001801 |
| Provider Name | Yash Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689847980 PECOS PAC ID: 0648496232 Enrollment ID: I20170127000814 |
| Provider Name | Paul J Riesenman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1831318195 PECOS PAC ID: 9739345372 Enrollment ID: I20170301001544 |
| Provider Name | Ryan Conway Wassenaar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457516288 PECOS PAC ID: 0749334357 Enrollment ID: I20170309002700 |
| Provider Name | Archana Sugumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275821571 PECOS PAC ID: 2860782190 Enrollment ID: I20170315001819 |
| Provider Name | Erin Folsom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083041792 PECOS PAC ID: 8921384462 Enrollment ID: I20170417001446 |
| Provider Name | Imran Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902098254 PECOS PAC ID: 3072736305 Enrollment ID: I20170518002380 |
| Provider Name | Srinivas Dannaram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003120437 PECOS PAC ID: 5698908564 Enrollment ID: I20170523002018 |
| Provider Name | Brandon J Laprade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568805372 PECOS PAC ID: 8729222013 Enrollment ID: I20170608001541 |
| Provider Name | Madhuri Pulluri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326480922 PECOS PAC ID: 0042441636 Enrollment ID: I20170620001272 |
| Provider Name | Broderick C Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396183158 PECOS PAC ID: 2264673862 Enrollment ID: I20170717003032 |
| Provider Name | Ian Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982863429 PECOS PAC ID: 0244491983 Enrollment ID: I20170724001028 |
| Provider Name | Ridhima Dabas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871858217 PECOS PAC ID: 6507015658 Enrollment ID: I20170725003441 |
| Provider Name | Theophilus I Ugheghe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568724623 PECOS PAC ID: 3274827969 Enrollment ID: I20170731003593 |
| Provider Name | Lloyd S Burns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639411564 PECOS PAC ID: 4486943784 Enrollment ID: I20170802000224 |
| Provider Name | Curtis Thacker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649526583 PECOS PAC ID: 8325266679 Enrollment ID: I20170804003124 |
| Provider Name | Jaspreet Bisla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508141599 PECOS PAC ID: 2365713591 Enrollment ID: I20170807003183 |
| Provider Name | Shiva Kumar Yadav Gosi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891006532 PECOS PAC ID: 5496980963 Enrollment ID: I20170814000796 |
| Provider Name | Christopher J Miedema |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255747432 PECOS PAC ID: 1557654738 Enrollment ID: I20170814001796 |
| Provider Name | Nichole Townsend |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720349095 PECOS PAC ID: 3072885797 Enrollment ID: I20170815004315 |
| Provider Name | Mohammed Hafiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184034852 PECOS PAC ID: 3476825076 Enrollment ID: I20170816003355 |
| Provider Name | Christopher Atwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194139857 PECOS PAC ID: 4082986542 Enrollment ID: I20170817001733 |
| Provider Name | Raymond A F Romero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326450636 PECOS PAC ID: 0547532012 Enrollment ID: I20170817002087 |
| Provider Name | Sai Palakodety |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629384888 PECOS PAC ID: 4183868607 Enrollment ID: I20170817003497 |
| Provider Name | Mustafa Alani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689084774 PECOS PAC ID: 2567734072 Enrollment ID: I20170817003738 |
| Provider Name | Isela Drieling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881005049 PECOS PAC ID: 1850663394 Enrollment ID: I20170818000729 |
| Provider Name | Ghassan Kabbach |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730596040 PECOS PAC ID: 1759653710 Enrollment ID: I20170825001076 |
| Provider Name | Joseph Heller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467710293 PECOS PAC ID: 5395038137 Enrollment ID: I20170829001626 |
| Provider Name | Yasir Abdulqader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184955395 PECOS PAC ID: 5799058640 Enrollment ID: I20170829002117 |
| Provider Name | Leith Sawalha |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487830907 PECOS PAC ID: 7810076973 Enrollment ID: I20170831002163 |
| Provider Name | Kelly Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184890956 PECOS PAC ID: 2860648300 Enrollment ID: I20170831003098 |
| Provider Name | Daniel M Pacheco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346401759 PECOS PAC ID: 9830367739 Enrollment ID: I20170906001382 |
| Provider Name | Archan Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346458254 PECOS PAC ID: 5890883722 Enrollment ID: I20170913002895 |
| Provider Name | Veronica Ledvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467462507 PECOS PAC ID: 0648279703 Enrollment ID: I20170914004179 |
| Provider Name | Tania Jafary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902210131 PECOS PAC ID: 8426272451 Enrollment ID: I20170915001759 |
| Provider Name | Sarah M Luna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356864011 PECOS PAC ID: 8527332121 Enrollment ID: I20170920003028 |
| Provider Name | Leigh S Holdsworth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851705073 PECOS PAC ID: 7719262591 Enrollment ID: I20170926001014 |
| Provider Name | Roshan Lala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053654590 PECOS PAC ID: 6204056880 Enrollment ID: I20170927004526 |
| Provider Name | Ankur Mishra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619223880 PECOS PAC ID: 9830419944 Enrollment ID: I20171027002327 |
| Provider Name | Vinay Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619281862 PECOS PAC ID: 0446491518 Enrollment ID: I20171103000505 |
| Provider Name | Doris Ngemasong Menekeng Chafac |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881008803 PECOS PAC ID: 5799001145 Enrollment ID: I20171117002723 |
| Provider Name | Cora F Salvino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205881059 PECOS PAC ID: 8729034632 Enrollment ID: I20171130002649 |
| Provider Name | Mustafa A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275885147 PECOS PAC ID: 5597068171 Enrollment ID: I20171207003057 |
| Provider Name | Arin D Der Sarkissian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780905273 PECOS PAC ID: 2264664226 Enrollment ID: I20180205000996 |
| Provider Name | Emily Lash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578755450 PECOS PAC ID: 3476680182 Enrollment ID: I20180227002271 |
| Provider Name | Yunuen Manuel Valenzuela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942445127 PECOS PAC ID: 5092076380 Enrollment ID: I20180301001020 |
| Provider Name | Mussaret A Zuberi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639123409 PECOS PAC ID: 4183528235 Enrollment ID: I20180313000355 |
| Provider Name | Jake E Reyman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841586393 PECOS PAC ID: 4284859877 Enrollment ID: I20180313001910 |
| Provider Name | Lindsey R Reyman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952697435 PECOS PAC ID: 0042436164 Enrollment ID: I20180314002266 |
| Provider Name | Alicia Marie Cartagena |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720066657 PECOS PAC ID: 3870576689 Enrollment ID: I20180404002054 |
| Provider Name | Richard W Ulrich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962829986 PECOS PAC ID: 1254694136 Enrollment ID: I20180405001020 |
| Provider Name | Joshua Noren Carlson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093943086 PECOS PAC ID: 8820238470 Enrollment ID: I20180418001466 |
| Provider Name | Armando Sanchez Abucejo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649785288 PECOS PAC ID: 6507121167 Enrollment ID: I20180531001908 |
| Provider Name | Yingzhong Tian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518153055 PECOS PAC ID: 5698968147 Enrollment ID: I20180626003812 |
| Provider Name | Anup V Sura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114282464 PECOS PAC ID: 1658684279 Enrollment ID: I20180703001057 |
| Provider Name | Wyatt D Unger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356782221 PECOS PAC ID: 7719232610 Enrollment ID: I20180705000512 |
| Provider Name | Sean James Gamble |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417211921 PECOS PAC ID: 4587966775 Enrollment ID: I20180705002444 |
| Provider Name | Ryan M Stewart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659768240 PECOS PAC ID: 5991052433 Enrollment ID: I20180716001498 |
| Provider Name | Suchismita Dash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124408455 PECOS PAC ID: 5092084681 Enrollment ID: I20180718003053 |
| Provider Name | Michael G Best |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508251174 PECOS PAC ID: 9032417225 Enrollment ID: I20180804000227 |
| Provider Name | Deven Dell Cox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255591608 PECOS PAC ID: 8022248103 Enrollment ID: I20180808003764 |
| Provider Name | Dipal Dilipbhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780981563 PECOS PAC ID: 8022338268 Enrollment ID: I20180815001817 |
| Provider Name | Venkata S Buddhavarapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588061766 PECOS PAC ID: 3274849062 Enrollment ID: I20180906001140 |
| Provider Name | Elvina Mehinovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376930289 PECOS PAC ID: 9931414711 Enrollment ID: I20180913003190 |
| Provider Name | Tomasz Krolikowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487041935 PECOS PAC ID: 4981915261 Enrollment ID: I20180920002868 |
| Provider Name | Samer Makhoul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235102369 PECOS PAC ID: 3274548375 Enrollment ID: I20181022000986 |
| Provider Name | David Warren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487947180 PECOS PAC ID: 3375767312 Enrollment ID: I20181025001381 |
| Provider Name | Aman Seth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386010791 PECOS PAC ID: 6507119856 Enrollment ID: I20181102001184 |
| Provider Name | Aneesh Sinha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104209402 PECOS PAC ID: 3173876430 Enrollment ID: I20181102001562 |
| Provider Name | Carrie M Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316332026 PECOS PAC ID: 7012207400 Enrollment ID: I20181107001863 |
| Provider Name | Jessica Wickes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083001846 PECOS PAC ID: 2961756846 Enrollment ID: I20181112002317 |
| Provider Name | Bradley J Serack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942694062 PECOS PAC ID: 7416201009 Enrollment ID: I20181119000512 |
| Provider Name | Lewis K Shin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467507863 PECOS PAC ID: 6608818984 Enrollment ID: I20181212001840 |
| Provider Name | Shine C Win |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720461577 PECOS PAC ID: 5698010940 Enrollment ID: I20181214001803 |
| Provider Name | Imeh Sampson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699115402 PECOS PAC ID: 1850688961 Enrollment ID: I20190212002528 |
| Provider Name | Bradley Millman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265980585 PECOS PAC ID: 0547549891 Enrollment ID: I20190301001547 |
| Provider Name | Rauf A Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376507822 PECOS PAC ID: 9638126402 Enrollment ID: I20190306003409 |
| Provider Name | Fernando P Gonzalez Ibarra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841615317 PECOS PAC ID: 5991927923 Enrollment ID: I20190322000870 |
| Provider Name | Bahar Altaha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972531630 PECOS PAC ID: 3274598180 Enrollment ID: I20190415002176 |
| Provider Name | Chaitanya Allikayala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932528932 PECOS PAC ID: 5496057283 Enrollment ID: I20190603000542 |
| Provider Name | Vishant Bansal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386039907 PECOS PAC ID: 7012252323 Enrollment ID: I20190603001517 |
| Provider Name | Manveen Bassi Sasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174902142 PECOS PAC ID: 5092012559 Enrollment ID: I20190606002221 |
| Provider Name | Akshay Pandharinath Lokhande |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508268582 PECOS PAC ID: 1456641711 Enrollment ID: I20190612001631 |
| Provider Name | Jordan Merz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710373725 PECOS PAC ID: 7416280979 Enrollment ID: I20190614002574 |
| Provider Name | Doris Iordache |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407314875 PECOS PAC ID: 8123352531 Enrollment ID: I20190618003283 |
| Provider Name | Chad Rohan Burk |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1962848275 PECOS PAC ID: 1658605118 Enrollment ID: I20190703000687 |
| Provider Name | Adireddy Kamireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063646628 PECOS PAC ID: 1355580838 Enrollment ID: I20190712002234 |
| Provider Name | Zachary A Prather |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609139500 PECOS PAC ID: 0941507552 Enrollment ID: I20190723001840 |
| Provider Name | Nawang Sherpa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033485834 PECOS PAC ID: 4688983851 Enrollment ID: I20190802002521 |
| Provider Name | Cierra Nichole Chev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093370215 PECOS PAC ID: 1355678020 Enrollment ID: I20190805001238 |
| Provider Name | Yang Xuan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043668304 PECOS PAC ID: 4082941422 Enrollment ID: I20190808001367 |
| Provider Name | Joon S Kim |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730592171 PECOS PAC ID: 3476827940 Enrollment ID: I20190809002812 |
| Provider Name | Sangram Singh Randhawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306291323 PECOS PAC ID: 4587992128 Enrollment ID: I20190821001253 |
| Provider Name | Elliot Welder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396107827 PECOS PAC ID: 7113213364 Enrollment ID: I20190822002019 |
| Provider Name | Khalid Benkhadra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235593674 PECOS PAC ID: 0648563007 Enrollment ID: I20190829000460 |
| Provider Name | Abhishek Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710336615 PECOS PAC ID: 0547534752 Enrollment ID: I20190829001480 |
| Provider Name | Hasan A Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235585753 PECOS PAC ID: 6103180641 Enrollment ID: I20190903000809 |
| Provider Name | Jennifer Carolyn Vanfossan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376907501 PECOS PAC ID: 3072806504 Enrollment ID: I20190904000631 |
| Provider Name | Parker Waite Dixon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700231040 PECOS PAC ID: 1951695337 Enrollment ID: I20190910003714 |
| Provider Name | Sara Michelle York |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306290101 PECOS PAC ID: 2062741069 Enrollment ID: I20190916002742 |
| Provider Name | Spencer I Andersen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295130961 PECOS PAC ID: 9739418740 Enrollment ID: I20190916003461 |
| Provider Name | Joseph Seelbaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275997868 PECOS PAC ID: 0446520944 Enrollment ID: I20190917001165 |
| Provider Name | Craig L Curry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710336276 PECOS PAC ID: 6608149539 Enrollment ID: I20190917003687 |
| Provider Name | Emily Wey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679922801 PECOS PAC ID: 1658601687 Enrollment ID: I20190918000534 |
| Provider Name | Izayadeth Aguayo Jennings |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205285996 PECOS PAC ID: 6507196425 Enrollment ID: I20190919000984 |
| Provider Name | Kimberly Koike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316392624 PECOS PAC ID: 7517236300 Enrollment ID: I20190920003176 |
| Provider Name | Robert Plata Cordero |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1164818209 PECOS PAC ID: 6406153865 Enrollment ID: I20190924002770 |
| Provider Name | Christopher J Lebeau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871980292 PECOS PAC ID: 1850665217 Enrollment ID: I20190924003798 |
| Provider Name | Babak Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295092807 PECOS PAC ID: 1052662947 Enrollment ID: I20190929000010 |
| Provider Name | Douglas Spaeth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598708398 PECOS PAC ID: 7517869316 Enrollment ID: I20191001000573 |
| Provider Name | Christina Bentley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083063424 PECOS PAC ID: 8820328081 Enrollment ID: I20191001002529 |
| Provider Name | Imran Ali Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336596964 PECOS PAC ID: 9133474570 Enrollment ID: I20191003002291 |
| Provider Name | Douglas Naismith Kelly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831610450 PECOS PAC ID: 3274808175 Enrollment ID: I20191007000848 |
| Provider Name | Ira Davis Denny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255987475 PECOS PAC ID: 6406187129 Enrollment ID: I20191010002803 |
| Provider Name | Jane Lyons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407117039 PECOS PAC ID: 0042511164 Enrollment ID: I20191025001806 |
| Provider Name | Shawn Singh Sandhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851778708 PECOS PAC ID: 7214269810 Enrollment ID: I20191031001920 |
| Provider Name | Matthew M Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740669514 PECOS PAC ID: 7012216401 Enrollment ID: I20191108001634 |
| Provider Name | Rohini Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801138052 PECOS PAC ID: 1658677570 Enrollment ID: I20191218002308 |
| Provider Name | Jeremiah W Cheng |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043698061 PECOS PAC ID: 6709119308 Enrollment ID: I20191219001593 |
| Provider Name | Andrew P Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619314796 PECOS PAC ID: 8820232846 Enrollment ID: I20200109001766 |
| Provider Name | Danielle M Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124662374 PECOS PAC ID: 3476989419 Enrollment ID: I20200211000546 |
| Provider Name | Patrick Robert Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588197164 PECOS PAC ID: 4789011909 Enrollment ID: I20200228001521 |
| Provider Name | Gurvijay Sasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770962847 PECOS PAC ID: 2365740313 Enrollment ID: I20200326003012 |
| Provider Name | Stephanie K Slagle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548458656 PECOS PAC ID: 4981890076 Enrollment ID: I20200401000613 |
| Provider Name | Karla M Baning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972892032 PECOS PAC ID: 5597054973 Enrollment ID: I20200414000670 |
| Provider Name | Kyle Hirsh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356778161 PECOS PAC ID: 4981823580 Enrollment ID: I20200415003033 |
| Provider Name | Mani Maheshwari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659630051 PECOS PAC ID: 9032428024 Enrollment ID: I20200416001906 |
| Provider Name | Hemanthkumar Athiraman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821352345 PECOS PAC ID: 2961640800 Enrollment ID: I20200420001207 |
| Provider Name | Daniel B Dawson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427599158 PECOS PAC ID: 6709217615 Enrollment ID: I20200508002668 |
| Provider Name | Christopher James Mccabe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316470933 PECOS PAC ID: 5698197069 Enrollment ID: I20200612001999 |
| Provider Name | Janie Elizabeth Goodall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083838874 PECOS PAC ID: 9638253057 Enrollment ID: I20200623002190 |
| Provider Name | Daniel Alcantar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730542903 PECOS PAC ID: 2163793654 Enrollment ID: I20200624001716 |
| Provider Name | Lakshmi Koripella |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1538517628 PECOS PAC ID: 6507106309 Enrollment ID: I20200624003163 |
| Provider Name | Angie Tu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427585843 PECOS PAC ID: 7012331317 Enrollment ID: I20200720000085 |
| Provider Name | Housam A Tahboub |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629501481 PECOS PAC ID: 5698043115 Enrollment ID: I20200723000352 |
| Provider Name | Nathan Edward Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205360237 PECOS PAC ID: 4587932322 Enrollment ID: I20200724000475 |
| Provider Name | Matthew Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114451986 PECOS PAC ID: 8729357868 Enrollment ID: I20200728002507 |
| Provider Name | Bassil Bayazed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700987773 PECOS PAC ID: 5991707192 Enrollment ID: I20200731002462 |
| Provider Name | Alex H Shen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811421852 PECOS PAC ID: 9638595432 Enrollment ID: I20200811001880 |
| Provider Name | Victor Appau Karikari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538692165 PECOS PAC ID: 0547686115 Enrollment ID: I20200812003999 |
| Provider Name | Nabil Baig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235405655 PECOS PAC ID: 4284958992 Enrollment ID: I20200817003732 |
| Provider Name | Ali Md Hachem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316474406 PECOS PAC ID: 6608146923 Enrollment ID: I20200826001742 |
| Provider Name | Jaquelyn Wilansky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720519812 PECOS PAC ID: 0840568895 Enrollment ID: I20200826002358 |
| Provider Name | Puneet Katyal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659392728 PECOS PAC ID: 7810991262 Enrollment ID: I20200826003415 |
| Provider Name | Christina Pui-yunn Wong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669907119 PECOS PAC ID: 2264859834 Enrollment ID: I20200827000791 |
| Provider Name | Justin Meyers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588195473 PECOS PAC ID: 6608145420 Enrollment ID: I20200827001054 |
| Provider Name | Dimas Kosa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346774403 PECOS PAC ID: 7911324587 Enrollment ID: I20200827001056 |
| Provider Name | Mackenzie D Landin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740695337 PECOS PAC ID: 8628375581 Enrollment ID: I20200831000460 |
| Provider Name | Patrick James Nolan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912361494 PECOS PAC ID: 8325465396 Enrollment ID: I20200907000026 |
| Provider Name | Samantha Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417484916 PECOS PAC ID: 8426476458 Enrollment ID: I20200908002432 |
| Provider Name | Patrick J Viviano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689106536 PECOS PAC ID: 7113264409 Enrollment ID: I20200909001157 |
| Provider Name | Paul Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568984342 PECOS PAC ID: 9234468885 Enrollment ID: I20200909003036 |
| Provider Name | Justin Horwitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528201670 PECOS PAC ID: 3274707476 Enrollment ID: I20200918001906 |
| Provider Name | Thomas Foss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194257089 PECOS PAC ID: 4284904129 Enrollment ID: I20200921000546 |
| Provider Name | Maya S Stamm |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750735346 PECOS PAC ID: 0941574305 Enrollment ID: I20200928002866 |
| Provider Name | Katelyn Rheault |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154853885 PECOS PAC ID: 4284053034 Enrollment ID: I20200929001915 |
| Provider Name | Erica Guilmart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457883977 PECOS PAC ID: 4587083001 Enrollment ID: I20201002001489 |
| Provider Name | Aida Rezaie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821529983 PECOS PAC ID: 9830462084 Enrollment ID: I20201007002075 |
| Provider Name | Mirmuhammad K Razavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720512171 PECOS PAC ID: 3274952437 Enrollment ID: I20201007002958 |
| Provider Name | Omar Faisal Saleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053844183 PECOS PAC ID: 8325387087 Enrollment ID: I20201007003178 |
| Provider Name | Renato F Vieira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033647573 PECOS PAC ID: 3476973686 Enrollment ID: I20201008002647 |
| Provider Name | Rajeshwar Parmar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417484882 PECOS PAC ID: 9739452897 Enrollment ID: I20201021002992 |
| Provider Name | Ahsan Iftikhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912428673 PECOS PAC ID: 5092145409 Enrollment ID: I20201117003398 |
| Provider Name | Lisa Jarnagin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902288327 PECOS PAC ID: 2567709371 Enrollment ID: I20201210000250 |
| Provider Name | Shiva Shojaie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326571324 PECOS PAC ID: 4880007079 Enrollment ID: I20210107001106 |
| Provider Name | Radhika Bowes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174970636 PECOS PAC ID: 1355636184 Enrollment ID: I20210119000856 |
| Provider Name | Paramvir Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639470859 PECOS PAC ID: 7214113232 Enrollment ID: I20210127001566 |
| Provider Name | Spencer R Alaee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437545738 PECOS PAC ID: 8921300922 Enrollment ID: I20210129001233 |
| Provider Name | Marappa Gownder Nalle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578877064 PECOS PAC ID: 1759523053 Enrollment ID: I20210325000299 |
| Provider Name | Ashley Y Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720407422 PECOS PAC ID: 2365661873 Enrollment ID: I20210325001460 |
| Provider Name | Rita Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154583227 PECOS PAC ID: 0244418432 Enrollment ID: I20210407000760 |
| Provider Name | Roland K Kafuuma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962615732 PECOS PAC ID: 3072681709 Enrollment ID: I20210414002316 |
| Provider Name | Jasminder Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851731525 PECOS PAC ID: 8628372158 Enrollment ID: I20210428000381 |
| Provider Name | Noah Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922409846 PECOS PAC ID: 8628390333 Enrollment ID: I20210428002389 |
| Provider Name | Alyssa Lyn Birmingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386223162 PECOS PAC ID: 2163831942 Enrollment ID: I20210506002835 |
| Provider Name | Brenner Freeman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487048393 PECOS PAC ID: 7012296528 Enrollment ID: I20210514002185 |
| Provider Name | Rushin Nalin Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033531546 PECOS PAC ID: 6406078187 Enrollment ID: I20210623004171 |
| Provider Name | Sumi Prakash |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063611317 PECOS PAC ID: 4880842194 Enrollment ID: I20210630000821 |
| Provider Name | Nataraj Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851557201 PECOS PAC ID: 7810168580 Enrollment ID: I20210630000887 |
| Provider Name | Caitlyn Marie Harrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205223831 PECOS PAC ID: 2466853262 Enrollment ID: I20210630003783 |
| Provider Name | Taylor Brinton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124446315 PECOS PAC ID: 2466762562 Enrollment ID: I20210701001048 |
| Provider Name | Derek Yee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114331402 PECOS PAC ID: 0244458230 Enrollment ID: I20210701003804 |
| Provider Name | Karthik Kailasam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083097356 PECOS PAC ID: 7315253549 Enrollment ID: I20210712003931 |
| Provider Name | Joy Marie Dunn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760702328 PECOS PAC ID: 0042441248 Enrollment ID: I20210719001753 |
| Provider Name | Prabath Madusanka Herath Mudiyanselage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619463130 PECOS PAC ID: 2668876095 Enrollment ID: I20210809000002 |
| Provider Name | Brendan Lok Man Hum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154818557 PECOS PAC ID: 2365847662 Enrollment ID: I20210825001536 |
| Provider Name | Meredith Rosenthal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316434343 PECOS PAC ID: 5698027225 Enrollment ID: I20210826000530 |
| Provider Name | Yuliya Pavlovna Vakulchik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538658596 PECOS PAC ID: 5890190912 Enrollment ID: I20210826002680 |
| Provider Name | Shane Zachary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609372044 PECOS PAC ID: 9436554573 Enrollment ID: I20210826003572 |
| Provider Name | Aaron Joffe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780640185 PECOS PAC ID: 5496725657 Enrollment ID: I20210930001843 |
| Provider Name | Sudha Balan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508980160 PECOS PAC ID: 7012012610 Enrollment ID: I20210930002240 |
| Provider Name | Samuel Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477715589 PECOS PAC ID: 0446304760 Enrollment ID: I20210930002655 |
| Provider Name | Sarah Benberou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154828598 PECOS PAC ID: 6002213287 Enrollment ID: I20210930003032 |
| Provider Name | Colton Erskine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144717521 PECOS PAC ID: 5799183943 Enrollment ID: I20211001002771 |
| Provider Name | Michael Hart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063919025 PECOS PAC ID: 4789082934 Enrollment ID: I20211001002793 |
| Provider Name | Joshua West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285138453 PECOS PAC ID: 8325446586 Enrollment ID: I20211001002811 |
| Provider Name | Dena Green |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1740370519 PECOS PAC ID: 3173422565 Enrollment ID: I20211001002867 |
| Provider Name | Steven Schreiber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104317668 PECOS PAC ID: 5294086021 Enrollment ID: I20211004000354 |
| Provider Name | Alyssa Buckenheimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265896989 PECOS PAC ID: 3870886773 Enrollment ID: I20211005003230 |
| Provider Name | Melissa Knight |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376904276 PECOS PAC ID: 6507152089 Enrollment ID: I20211008000670 |
| Provider Name | Shalin Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649769142 PECOS PAC ID: 9335490929 Enrollment ID: I20211012003054 |
| Provider Name | Mazen Beydoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972009686 PECOS PAC ID: 3375941982 Enrollment ID: I20211013000413 |
| Provider Name | Rachel Nageotte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457856080 PECOS PAC ID: 6800129909 Enrollment ID: I20211013002057 |
| Provider Name | Zach Lewis O'connor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073002713 PECOS PAC ID: 8022416387 Enrollment ID: I20211018001704 |
| Provider Name | Sana M Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215425947 PECOS PAC ID: 1153719299 Enrollment ID: I20211022001392 |
| Provider Name | Neha Kulkarni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447747514 PECOS PAC ID: 5991193757 Enrollment ID: I20211027001674 |
| Provider Name | Stephanie Michelle Kost |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811488315 PECOS PAC ID: 0749678266 Enrollment ID: I20211102001253 |
| Provider Name | Ee-lynn Loi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174010300 PECOS PAC ID: 4981956521 Enrollment ID: I20211102002479 |
| Provider Name | Cris Jacob R. Molina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215433149 PECOS PAC ID: 1557759990 Enrollment ID: I20211103003108 |
| Provider Name | Abhineet Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821414459 PECOS PAC ID: 3274838057 Enrollment ID: I20211105000783 |
| Provider Name | Susan Hurley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063774040 PECOS PAC ID: 2264663988 Enrollment ID: I20211213001722 |
| Provider Name | Jacob Hurley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659723427 PECOS PAC ID: 1254664824 Enrollment ID: I20211213002394 |
| Provider Name | Ryan D Willen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912432063 PECOS PAC ID: 2567731144 Enrollment ID: I20211216003082 |
| Provider Name | Anh Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306342407 PECOS PAC ID: 5597008094 Enrollment ID: I20211220000646 |
| Provider Name | Charlotte Koo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093158297 PECOS PAC ID: 6204065915 Enrollment ID: I20211220001658 |
| Provider Name | Paige A Schmidt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982109468 PECOS PAC ID: 3274964838 Enrollment ID: I20220114001620 |
| Provider Name | Meera Raghavan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508064916 PECOS PAC ID: 8426144692 Enrollment ID: I20220211001675 |
| Provider Name | Rebecca M Henning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528730249 PECOS PAC ID: 0941694970 Enrollment ID: I20220308001390 |
| Provider Name | Vikeen Jaykrishna Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346637741 PECOS PAC ID: 1557661519 Enrollment ID: I20220318000084 |
| Provider Name | Bassam Choudhry |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477833028 PECOS PAC ID: 7810247772 Enrollment ID: I20220321001268 |
| Provider Name | Chris Bahler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891776779 PECOS PAC ID: 3870566383 Enrollment ID: I20220329002301 |
| Provider Name | Vitalie Victor Ureche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881894400 PECOS PAC ID: 4486825056 Enrollment ID: I20220406001345 |
| Provider Name | Brianna Jennas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093484032 PECOS PAC ID: 4284020736 Enrollment ID: I20220408001227 |
| Provider Name | Samantha Patricia Dalessio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508529504 PECOS PAC ID: 2860889789 Enrollment ID: I20220425000357 |
| Provider Name | Lu Pan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477843449 PECOS PAC ID: 3779862396 Enrollment ID: I20220505000370 |
| Provider Name | Chris Byung Yoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497132435 PECOS PAC ID: 6103129168 Enrollment ID: I20220509002303 |
| Provider Name | Heather Laurelei Merchut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326500687 PECOS PAC ID: 2961736632 Enrollment ID: I20220620001320 |
| Provider Name | Farah Husain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962473132 PECOS PAC ID: 5395933527 Enrollment ID: I20220629003187 |
| Provider Name | Breeane R. Wazney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538722822 PECOS PAC ID: 0840523346 Enrollment ID: I20220701000767 |
| Provider Name | Molly Carnahan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639604739 PECOS PAC ID: 6305116260 Enrollment ID: I20220701002383 |
| Provider Name | Man Hon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376586065 PECOS PAC ID: 4688762636 Enrollment ID: I20220707003289 |
| Provider Name | Ahmad Atallah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689237695 PECOS PAC ID: 8022344431 Enrollment ID: I20220707003666 |
| Provider Name | Tyler Monroe Mcgrady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821559485 PECOS PAC ID: 2961882980 Enrollment ID: I20220708001251 |
| Provider Name | Brian Baird |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174012397 PECOS PAC ID: 0143628578 Enrollment ID: I20220708002923 |
| Provider Name | Andrew R. Valenzuela |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1851889232 PECOS PAC ID: 2365822269 Enrollment ID: I20220709000604 |
| Provider Name | Tianrong Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659935203 PECOS PAC ID: 6305172552 Enrollment ID: I20220714001331 |
| Provider Name | Vy K Ly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851853337 PECOS PAC ID: 7517348907 Enrollment ID: I20220716000094 |
| Provider Name | Lili Barsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184038671 PECOS PAC ID: 5890919310 Enrollment ID: I20220726001182 |
| Provider Name | Stephanie Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598228926 PECOS PAC ID: 9436484680 Enrollment ID: I20220727000187 |
| Provider Name | Danielle Elizabeth Summers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104237825 PECOS PAC ID: 5193059137 Enrollment ID: I20220727001369 |
| Provider Name | Mustafa Nadeem Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912564154 PECOS PAC ID: 6709211006 Enrollment ID: I20220729000634 |
| Provider Name | Aniket R. Mody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508357377 PECOS PAC ID: 3971985110 Enrollment ID: I20220803003682 |
| Provider Name | Thanh Van Cao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295398394 PECOS PAC ID: 9032509260 Enrollment ID: I20220810002574 |
| Provider Name | Bojan Jokic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003477217 PECOS PAC ID: 0345674776 Enrollment ID: I20220817001851 |
| Provider Name | Saira Jean Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134681976 PECOS PAC ID: 8123354693 Enrollment ID: I20220817001914 |
| Provider Name | Fady Bodagh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467913269 PECOS PAC ID: 8628451093 Enrollment ID: I20220817002353 |
| Provider Name | Rahul Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497910186 PECOS PAC ID: 3870768385 Enrollment ID: I20220817003461 |
| Provider Name | Jose Daniel Mitjavila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992360317 PECOS PAC ID: 2961736467 Enrollment ID: I20220818002230 |
| Provider Name | Layal A Nissan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992265268 PECOS PAC ID: 8628451879 Enrollment ID: I20220819002775 |
| Provider Name | Samer Saeed Hasson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275195950 PECOS PAC ID: 7810370871 Enrollment ID: I20220824001286 |
| Provider Name | Stephanie Myer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154985992 PECOS PAC ID: 5496139982 Enrollment ID: I20220901001019 |
| Provider Name | Sunny Kapoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023660933 PECOS PAC ID: 1254715626 Enrollment ID: I20220902000963 |
| Provider Name | Kayvon Moazam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679137160 PECOS PAC ID: 6002142536 Enrollment ID: I20220914003293 |
| Provider Name | Tyler J Pretzlaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841855871 PECOS PAC ID: 2466838305 Enrollment ID: I20220930000528 |
| Provider Name | Brenda Christine Pecotte De Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083134241 PECOS PAC ID: 2769710011 Enrollment ID: I20220930000592 |
| Provider Name | Ali Turfah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891359071 PECOS PAC ID: 4789080789 Enrollment ID: I20221019002211 |
| Provider Name | Neelima K Marupudi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265775159 PECOS PAC ID: 2466743661 Enrollment ID: I20221026000273 |
| Provider Name | Mujtaba Cherri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871054189 PECOS PAC ID: 9638404197 Enrollment ID: I20221110003009 |
| Provider Name | Savdeep Dhawan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548590599 PECOS PAC ID: 5294929725 Enrollment ID: I20221118001594 |
| Provider Name | Elizabeth Anne Chappe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982040374 PECOS PAC ID: 9436445848 Enrollment ID: I20221128000801 |
| Provider Name | Bilaal Zahoui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073075081 PECOS PAC ID: 1254700859 Enrollment ID: I20221202001408 |
| Provider Name | Matthew Theodore Stuart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851824163 PECOS PAC ID: 6002232048 Enrollment ID: I20221207003177 |
| Provider Name | Migaela G. Reedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477297489 PECOS PAC ID: 3476922188 Enrollment ID: I20221219002159 |
| Provider Name | Nathaniel Eastman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023125887 PECOS PAC ID: 9830163120 Enrollment ID: I20221230000957 |
| Provider Name | Nuria Sisterna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649819509 PECOS PAC ID: 2961891015 Enrollment ID: I20230102000064 |
| Provider Name | Jessica P Jacobs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164580726 PECOS PAC ID: 8628213071 Enrollment ID: I20230124003141 |
| Provider Name | Ali Dosani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225599822 PECOS PAC ID: 5496124596 Enrollment ID: I20230216002992 |
| Provider Name | Tri Cao Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437877842 PECOS PAC ID: 0749652865 Enrollment ID: I20230217001134 |
| Provider Name | Karel A Deleeuw |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1225013022 PECOS PAC ID: 0042110348 Enrollment ID: I20230327001152 |
| Provider Name | Raymon E Darling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487648390 PECOS PAC ID: 7214013689 Enrollment ID: I20230517000884 |
| Provider Name | David Minoru Fujii |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366412553 PECOS PAC ID: 1254797087 Enrollment ID: I20230519001314 |
| Provider Name | Balaji K Tamarappoo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548470842 PECOS PAC ID: 1153454350 Enrollment ID: I20230530002716 |
| Provider Name | Kimberly Torrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588293609 PECOS PAC ID: 2668896937 Enrollment ID: I20230530003254 |
| Provider Name | Navneet Kaur Panesar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649655572 PECOS PAC ID: 6002108727 Enrollment ID: I20230616003074 |
| Provider Name | Ahsan Shahid Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306465646 PECOS PAC ID: 4981027034 Enrollment ID: I20230630000361 |
| Provider Name | Faraz Damghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770102253 PECOS PAC ID: 9436549664 Enrollment ID: I20230703001278 |
| Provider Name | Amanda R Bailey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750837456 PECOS PAC ID: 8729333851 Enrollment ID: I20230711004358 |
| Provider Name | Lily Schuneman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598385320 PECOS PAC ID: 5496115057 Enrollment ID: I20230714002213 |
| Provider Name | Amina Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417446840 PECOS PAC ID: 9830583038 Enrollment ID: I20230726003516 |
| Provider Name | Meet Sanjay Modi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700348018 PECOS PAC ID: 0143555839 Enrollment ID: I20230731002177 |
| Provider Name | Anas Husni Mohamad Abu Assi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881212264 PECOS PAC ID: 3476977083 Enrollment ID: I20230802002763 |
| Provider Name | Wendy E. Abbott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497290241 PECOS PAC ID: 0648608307 Enrollment ID: I20230814002662 |
| Provider Name | Mohammed S Alani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154940088 PECOS PAC ID: 1557723251 Enrollment ID: I20230815001600 |
| Provider Name | Ewelina Wojtaszek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548720741 PECOS PAC ID: 3173992104 Enrollment ID: I20230818002525 |
| Provider Name | Priya Raman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639565799 PECOS PAC ID: 1557765864 Enrollment ID: I20230822001800 |
| Provider Name | Alicia Meigh Benson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801415930 PECOS PAC ID: 3375965346 Enrollment ID: I20230825003029 |
| Provider Name | Olivia Book |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225667942 PECOS PAC ID: 7810385697 Enrollment ID: I20230829002587 |
| Provider Name | Diksha Chhetri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336768175 PECOS PAC ID: 9234553595 Enrollment ID: I20230830001501 |
| Provider Name | Derek Grady Lafarga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629697529 PECOS PAC ID: 4688096662 Enrollment ID: I20230901003243 |
| Provider Name | Rma Kumra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629697131 PECOS PAC ID: 1456775733 Enrollment ID: I20230905002100 |
| Provider Name | Trevor P. Octavio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730708843 PECOS PAC ID: 0840612834 Enrollment ID: I20230911001804 |
| Provider Name | Nikita Nalam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063041226 PECOS PAC ID: 9830553627 Enrollment ID: I20230912003600 |
| Provider Name | Hanh Ai Han |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073134458 PECOS PAC ID: 2466875786 Enrollment ID: I20230923000748 |
| Provider Name | Eric A Afari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215399068 PECOS PAC ID: 0042502379 Enrollment ID: I20231010001952 |
| Provider Name | Hingwan Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861790487 PECOS PAC ID: 3072800366 Enrollment ID: I20231011001368 |
| Provider Name | David Rochelin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093037632 PECOS PAC ID: 1355508532 Enrollment ID: I20231020000405 |
| Provider Name | Nazrul Chowdhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124345830 PECOS PAC ID: 8628204450 Enrollment ID: I20231108001213 |
| Provider Name | Saif K Altaie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003205683 PECOS PAC ID: 7911212477 Enrollment ID: I20231122003226 |
| Provider Name | Nneamaka N Enwemnwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801026448 PECOS PAC ID: 4587803283 Enrollment ID: I20231130001297 |
| Provider Name | Arya John Nikamal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013371459 PECOS PAC ID: 7113214487 Enrollment ID: I20231130003187 |
| Provider Name | Holly Vicars |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689985301 PECOS PAC ID: 3870728611 Enrollment ID: I20231204002173 |
| Provider Name | Megan E Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558821868 PECOS PAC ID: 4981076791 Enrollment ID: I20231205002347 |
| Provider Name | Joanne M. Pardun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245644012 PECOS PAC ID: 7416380282 Enrollment ID: I20231205003964 |
| Provider Name | Omar Abumahfouz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356621858 PECOS PAC ID: 8921224445 Enrollment ID: I20231215001501 |
| Provider Name | Neysi J Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124681374 PECOS PAC ID: 7113302886 Enrollment ID: I20240109001749 |
| Provider Name | Kevin John Zuidema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750791232 PECOS PAC ID: 2163721663 Enrollment ID: I20240116001982 |
| Provider Name | David J Colangione |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669993408 PECOS PAC ID: 1759656325 Enrollment ID: I20240117004765 |
| Provider Name | Iqtidar Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932193687 PECOS PAC ID: 9032197801 Enrollment ID: I20240118001320 |
| Provider Name | Krishan B Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710398615 PECOS PAC ID: 3274854518 Enrollment ID: I20240123002815 |
| Provider Name | Kirk J Giesbrandt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801039037 PECOS PAC ID: 4486891777 Enrollment ID: I20240213003538 |
| Provider Name | Amaka Eunice Ezimora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902121122 PECOS PAC ID: 5799939799 Enrollment ID: I20240224000304 |
| Provider Name | Bernardo Guevara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356801575 PECOS PAC ID: 1355751074 Enrollment ID: I20240227000955 |
| Provider Name | Muhammad Adil Mumtaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750837910 PECOS PAC ID: 7810225711 Enrollment ID: I20240304003112 |
| Provider Name | Thomas Roy Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134284524 PECOS PAC ID: 2466535059 Enrollment ID: I20240307002269 |
| Provider Name | Erik Robert Lystad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740574581 PECOS PAC ID: 8921383092 Enrollment ID: I20240308000693 |
| Provider Name | Vikas Maan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871521070 PECOS PAC ID: 7113823642 Enrollment ID: I20240321001729 |
| Provider Name | John Ifeanyi Ngene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457787855 PECOS PAC ID: 5395038830 Enrollment ID: I20240430002099 |
| Provider Name | Lynn Camargo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093169534 PECOS PAC ID: 8820389216 Enrollment ID: I20240516001521 |
| Provider Name | Stephen James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497218192 PECOS PAC ID: 4284016221 Enrollment ID: I20240516003038 |
| Provider Name | Paige Nicole Hiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831851179 PECOS PAC ID: 9537558846 Enrollment ID: I20240531003275 |
My Dr Now Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143 Phone: 480-677-8282 Fax: 888-316-1686 | |
O.serrano, M.d. Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37100 N Gantzel Rd, San Tan Valley, AZ 85140 Phone: 480-461-1135 Fax: 480-461-1138 | |
Intensive Treatment Systems, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36375 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140 Phone: 855-245-6350 | |
Banner Physician Super Specialists Arizona Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37100 N Gantzel Rd, Ste 113, San Tan Valley, AZ 85140 Phone: 480-412-9400 | |
Azmed4u Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 270 E Hunt Hwy Ste 16-189, San Tan Valley, AZ 85143 Phone: 480-349-7169 Fax: 480-546-3765 | |
San Tan Primary Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 36283 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140 Phone: 480-351-7277 Fax: 480-219-5457 |