| Banner Physician Specialists Arizona Llc | |
|
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 | |
| (602) 747-4000 | |
| Not Available |
| Full Name | Banner Physician Specialists Arizona Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2901 N Central Ave Ste 160, Phoenix, Arizona |
| Authorized Official Name and Position | Shiva Birdi (CEO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Physician Specialists Arizona Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Physician Specialists Arizona Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: (602) 747-4000 |
| NPI Number | 1316228802 |
|---|---|
| Provider Enumeration Date | 08/29/2011 |
| Last Update Date | 09/03/2024 |
| Medicare PECOS PAC ID | 6204002272 |
|---|---|
| Medicare Enrollment ID | O20111222000509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316228802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Michael V Koss |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053365742 PECOS PAC ID: 8325942378 Enrollment ID: I20031124000501 |
| Provider Name | Mankanwal S Sachdev |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356307839 PECOS PAC ID: 4183527443 Enrollment ID: I20040202000763 |
| Provider Name | Ping Y Wang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548200652 PECOS PAC ID: 9537057906 Enrollment ID: I20040308000627 |
| Provider Name | Antonio S Torloni |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134102023 PECOS PAC ID: 7315835212 Enrollment ID: I20040310000675 |
| Provider Name | Douglas J Carlon |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1396704680 PECOS PAC ID: 6305736687 Enrollment ID: I20040318001662 |
| Provider Name | Bradley H White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376760926 PECOS PAC ID: 1153212675 Enrollment ID: I20040323001793 |
| Provider Name | Thomas T Chen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932149036 PECOS PAC ID: 0244223337 Enrollment ID: I20040405001634 |
| Provider Name | Abdul Nadir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780752907 PECOS PAC ID: 1557356425 Enrollment ID: I20040419001482 |
| Provider Name | Scott D Agran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053389957 PECOS PAC ID: 9032101738 Enrollment ID: I20040519000061 |
| 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 | Stephanie D Martinez Hawthorne |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003872037 PECOS PAC ID: 8729069836 Enrollment ID: I20040525001630 |
| Provider Name | Edward H Charles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821097973 PECOS PAC ID: 4284615618 Enrollment ID: I20040601000205 |
| Provider Name | Miquel D Gomez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780611731 PECOS PAC ID: 5193707123 Enrollment ID: I20040604000063 |
| Provider Name | Hack J Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588647044 PECOS PAC ID: 5698751766 Enrollment ID: I20040629000118 |
| 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 | Anupama K Mathew |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164620811 PECOS PAC ID: 6406834555 Enrollment ID: I20040713001480 |
| Provider Name | Lakshmi Gb Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700963519 PECOS PAC ID: 3870572530 Enrollment ID: I20040715001332 |
| 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 N Wong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821054081 PECOS PAC ID: 9436121316 Enrollment ID: I20040811000294 |
| Provider Name | Kishore Tipirneni |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033184486 PECOS PAC ID: 4082687694 Enrollment ID: I20040812001315 |
| Provider Name | Ashok Narayan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184626095 PECOS PAC ID: 6709859911 Enrollment ID: I20040817000017 |
| Provider Name | Carlos Alvarado-valdes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396772356 PECOS PAC ID: 1850386988 Enrollment ID: I20040823001469 |
| Provider Name | Howard L Baxter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053367938 PECOS PAC ID: 9032184981 Enrollment ID: I20040901001486 |
| Provider Name | James S Kort |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770523888 PECOS PAC ID: 2062488075 Enrollment ID: I20040909000909 |
| Provider Name | Rajeev S Kathuria |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1871568048 PECOS PAC ID: 9436127149 Enrollment ID: I20040921000511 |
| 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 | Virender K Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932184918 PECOS PAC ID: 1355310178 Enrollment ID: I20040929000157 |
| Provider Name | Stephen W Ripple |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477528461 PECOS PAC ID: 1850350919 Enrollment ID: I20041005001187 |
| 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 | Sundeep S Patel |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1912931601 PECOS PAC ID: 0547226565 Enrollment ID: I20041201001046 |
| Provider Name | Ananya Das |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669457206 PECOS PAC ID: 9739145699 Enrollment ID: I20041202001021 |
| Provider Name | Roberta Irene Helen Matern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215984349 PECOS PAC ID: 2860458601 Enrollment ID: I20041203000485 |
| Provider Name | Amir R Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841240728 PECOS PAC ID: 4880597160 Enrollment ID: I20050110001185 |
| Provider Name | Joseph M Scoggin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144297250 PECOS PAC ID: 8426007253 Enrollment ID: I20050119000093 |
| Provider Name | Lawrence James Kelly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124014758 PECOS PAC ID: 8729037403 Enrollment ID: I20050120000211 |
| 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 | Steven C Simon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982604708 PECOS PAC ID: 2961456140 Enrollment ID: I20050314000316 |
| Provider Name | Elizabeth O Westfall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558314799 PECOS PAC ID: 6608821608 Enrollment ID: I20050329000242 |
| Provider Name | Cynthia D Booth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215938022 PECOS PAC ID: 4284537804 Enrollment ID: I20050331001158 |
| Provider Name | Rushda Mumtaz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134101892 PECOS PAC ID: 1951358266 Enrollment ID: I20050407000847 |
| Provider Name | Mohammed Alhassen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730140781 PECOS PAC ID: 5092752592 Enrollment ID: I20050415000635 |
| Provider Name | Brett A Roeder |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134116700 PECOS PAC ID: 1850378407 Enrollment ID: I20050421000530 |
| Provider Name | Feng Liao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871573246 PECOS PAC ID: 0547201501 Enrollment ID: I20050519000642 |
| 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 | Steven M Erickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215998901 PECOS PAC ID: 7719917657 Enrollment ID: I20050819000423 |
| 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 | Cindy L Penaranda |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336578038 PECOS PAC ID: 0547286825 Enrollment ID: I20051017000157 |
| 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 | Paravasthu S Ramanujam |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1447286752 PECOS PAC ID: 2264450345 Enrollment ID: I20051107001106 |
| Provider Name | Ashesh H Sanghvi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336185685 PECOS PAC ID: 5193743102 Enrollment ID: I20051201000910 |
| Provider Name | Jonathan J Goodman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902845134 PECOS PAC ID: 8325008758 Enrollment ID: I20051223000231 |
| Provider Name | Paul L Vaughn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1336111798 PECOS PAC ID: 2163326307 Enrollment ID: I20060110001038 |
| Provider Name | Cecil C Vaughn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1912904509 PECOS PAC ID: 8628061983 Enrollment ID: I20060110001071 |
| Provider Name | Sripathi Ramakrishna |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598718892 PECOS PAC ID: 6103831953 Enrollment ID: I20060215000290 |
| Provider Name | Stanley J Goldberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346280443 PECOS PAC ID: 5799726915 Enrollment ID: I20060308000183 |
| Provider Name | Anthony D Santos |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1144270059 PECOS PAC ID: 7911912993 Enrollment ID: I20060308000599 |
| Provider Name | Joseph B Dobrusin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457391559 PECOS PAC ID: 4082629050 Enrollment ID: I20060310000024 |
| Provider Name | Jagveer S Sandhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548200728 PECOS PAC ID: 8426063405 Enrollment ID: I20060310000277 |
| Provider Name | Seema R Narayan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811937097 PECOS PAC ID: 2961417944 Enrollment ID: I20060310000486 |
| 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 | Kumash R Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548298425 PECOS PAC ID: 6901836741 Enrollment ID: I20060411000120 |
| Provider Name | Florin A Gaidici |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780686147 PECOS PAC ID: 1951311489 Enrollment ID: I20060428000141 |
| Provider Name | Gamal F Sidarous |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1699731802 PECOS PAC ID: 0042220063 Enrollment ID: I20060504000327 |
| Provider Name | Amy K Mccoy Sorensen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700828787 PECOS PAC ID: 3870596703 Enrollment ID: I20060815000407 |
| Provider Name | Peter J Sunenshine |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1487610937 PECOS PAC ID: 0749238848 Enrollment ID: I20060828000404 |
| Provider Name | Mansur A Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770532020 PECOS PAC ID: 4587669908 Enrollment ID: I20060919000052 |
| Provider Name | Sanjay B Kulkarni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003923491 PECOS PAC ID: 6103822952 Enrollment ID: I20061018000397 |
| Provider Name | Il-lyuck Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245254127 PECOS PAC ID: 3173520152 Enrollment ID: I20061106000119 |
| 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 | David Podkameni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700967478 PECOS PAC ID: 7416958749 Enrollment ID: I20070129000600 |
| Provider Name | James M Gordon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780662320 PECOS PAC ID: 8628170636 Enrollment ID: I20070222000144 |
| Provider Name | Debra S Wickman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407943939 PECOS PAC ID: 8426034992 Enrollment ID: I20070226000078 |
| Provider Name | Sandra M Kuniyoshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265590855 PECOS PAC ID: 7517869100 Enrollment ID: I20070305000493 |
| Provider Name | Jason A Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578672630 PECOS PAC ID: 6800990383 Enrollment ID: I20070323000231 |
| Provider Name | Todd W Turley |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1437123775 PECOS PAC ID: 1658283700 Enrollment ID: I20070413000210 |
| Provider Name | Darcie M Groeper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407841166 PECOS PAC ID: 9830295856 Enrollment ID: I20070508000010 |
| 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 | Albert Y Chen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922039601 PECOS PAC ID: 2567469190 Enrollment ID: I20070611000145 |
| Provider Name | Chad R Westphal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720128051 PECOS PAC ID: 5496846529 Enrollment ID: I20070803000400 |
| Provider Name | Alberto X Ramos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487788998 PECOS PAC ID: 0446341408 Enrollment ID: I20070806000068 |
| 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 | Barry Chang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386612000 PECOS PAC ID: 0446343735 Enrollment ID: I20070831000318 |
| Provider Name | Adedayo Onibokun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912941360 PECOS PAC ID: 8729171897 Enrollment ID: I20070905000541 |
| Provider Name | Rekha Kumari-agarwai |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265443782 PECOS PAC ID: 5092819581 Enrollment ID: I20070907000165 |
| Provider Name | Stephanie C Byrum |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083833602 PECOS PAC ID: 5799879102 Enrollment ID: I20070917000167 |
| Provider Name | Mason P Makdesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720281801 PECOS PAC ID: 3577657659 Enrollment ID: I20070920000042 |
| Provider Name | Trent H Smith |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336110576 PECOS PAC ID: 3971580002 Enrollment ID: I20071026000041 |
| Provider Name | Michael J Stumpf |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003015918 PECOS PAC ID: 8224125711 Enrollment ID: I20071031000127 |
| Provider Name | Travis S Jensen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659366342 PECOS PAC ID: 2668413865 Enrollment ID: I20071103000152 |
| Provider Name | Hal E Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831184563 PECOS PAC ID: 9234228339 Enrollment ID: I20071127000516 |
| Provider Name | Mohammad H Madantschi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710103023 PECOS PAC ID: 1456246990 Enrollment ID: I20080129000362 |
| Provider Name | John S Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386847598 PECOS PAC ID: 6901983220 Enrollment ID: I20080410000172 |
| Provider Name | Sandra M Roca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285816918 PECOS PAC ID: 3678643723 Enrollment ID: I20080602000757 |
| Provider Name | Sohail M Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598758450 PECOS PAC ID: 1850462227 Enrollment ID: I20080612000810 |
| Provider Name | Nasif E Yousif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780677641 PECOS PAC ID: 4385715663 Enrollment ID: I20080613000113 |
| Provider Name | Charles M Garner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720186851 PECOS PAC ID: 3072426980 Enrollment ID: I20080624000139 |
| Provider Name | Shane M Daley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902883838 PECOS PAC ID: 7012089865 Enrollment ID: I20080710000516 |
| Provider Name | Ipuole P Ogar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306039920 PECOS PAC ID: 6608948617 Enrollment ID: I20080721000686 |
| Provider Name | Susan C Horne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336343763 PECOS PAC ID: 3971678517 Enrollment ID: I20080818000167 |
| Provider Name | Sandra Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386685915 PECOS PAC ID: 6204901846 Enrollment ID: I20080818000208 |
| 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 | Allison M Peckumn |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023230778 PECOS PAC ID: 0244306231 Enrollment ID: I20080827000175 |
| 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 | Martin J Benoit |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669429320 PECOS PAC ID: 3173604899 Enrollment ID: I20080909000506 |
| Provider Name | Win Toe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144480682 PECOS PAC ID: 3173690765 Enrollment ID: I20080924000040 |
| Provider Name | Anita Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699980318 PECOS PAC ID: 2961560859 Enrollment ID: I20081021000882 |
| 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 | Alka Batheja Bennion |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700084779 PECOS PAC ID: 9436242708 Enrollment ID: I20081030000801 |
| Provider Name | Faiza A Laleka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538248042 PECOS PAC ID: 0345249884 Enrollment ID: I20090303000206 |
| Provider Name | Anantharam V Kalya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831167238 PECOS PAC ID: 4183652563 Enrollment ID: I20090423000732 |
| Provider Name | Rishi K Gosalia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174797286 PECOS PAC ID: 8820149511 Enrollment ID: I20090618000726 |
| Provider Name | Pooja Jain Shah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255520433 PECOS PAC ID: 5890847321 Enrollment ID: I20090715000120 |
| Provider Name | Nelson H Lim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366463168 PECOS PAC ID: 4385688233 Enrollment ID: I20090817000649 |
| Provider Name | John D Toth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780736348 PECOS PAC ID: 1153496484 Enrollment ID: I20090825000689 |
| Provider Name | Mark I Gimbel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235324518 PECOS PAC ID: 0840348892 Enrollment ID: I20090826000573 |
| Provider Name | Charles J Dolce |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669675500 PECOS PAC ID: 7719073139 Enrollment ID: I20090901000000 |
| Provider Name | Rael Bennett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124078548 PECOS PAC ID: 6709932858 Enrollment ID: I20090915000656 |
| Provider Name | Rajeev Lochan Achari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508817842 PECOS PAC ID: 8921010893 Enrollment ID: I20091113000501 |
| 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 | Wyssem A Ramdani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104840693 PECOS PAC ID: 2668463936 Enrollment ID: I20100211000474 |
| Provider Name | Christy Renee Kutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699927822 PECOS PAC ID: 3072657071 Enrollment ID: I20100215000111 |
| Provider Name | Eeleen Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457463614 PECOS PAC ID: 0749281665 Enrollment ID: I20100316000164 |
| Provider Name | Jonathan Cary Landsman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548235146 PECOS PAC ID: 0547286007 Enrollment ID: I20100510000516 |
| Provider Name | Marc Rosen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194790188 PECOS PAC ID: 4880650225 Enrollment ID: I20100511000103 |
| Provider Name | Leslie A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740255181 PECOS PAC ID: 7214066455 Enrollment ID: I20100526000200 |
| Provider Name | Neha A Lacorte |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669458972 PECOS PAC ID: 3375673171 Enrollment ID: I20100604000485 |
| Provider Name | Robert T Hurst |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124000989 PECOS PAC ID: 3476684309 Enrollment ID: I20100621000921 |
| Provider Name | Julie Slivinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427377381 PECOS PAC ID: 6103958897 Enrollment ID: I20100715000477 |
| Provider Name | Michael Frederick Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114047040 PECOS PAC ID: 4082769088 Enrollment ID: I20100715001054 |
| Provider Name | Catherine C Kapoor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215084553 PECOS PAC ID: 2860526019 Enrollment ID: I20100810000837 |
| Provider Name | Ahmed R Abouzeid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871619601 PECOS PAC ID: 9830223296 Enrollment ID: I20100820000248 |
| 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 | Le H Le |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326295593 PECOS PAC ID: 6204952187 Enrollment ID: I20100928001493 |
| 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 | Katherine E Mccuaig |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467484659 PECOS PAC ID: 2567354939 Enrollment ID: I20101019000958 |
| 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 | Jamal Mourad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366404634 PECOS PAC ID: 7315131612 Enrollment ID: I20101101000538 |
| Provider Name | Ahmed Essam El Gengaihy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598960429 PECOS PAC ID: 1456549864 Enrollment ID: I20101229001167 |
| Provider Name | Philip T Ho |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760579718 PECOS PAC ID: 6901876291 Enrollment ID: I20110131000412 |
| Provider Name | Travis J Reed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780879502 PECOS PAC ID: 0042374936 Enrollment ID: I20110216000610 |
| Provider Name | Darryl G Stein |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1902828825 PECOS PAC ID: 5799828166 Enrollment ID: I20110216001223 |
| Provider Name | Robert S Kinkade |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255360889 PECOS PAC ID: 9133032477 Enrollment ID: I20110311000658 |
| Provider Name | Nevra S King-logsdon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356496079 PECOS PAC ID: 9830372036 Enrollment ID: I20110325000270 |
| 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 | Neil Mody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033369665 PECOS PAC ID: 7214113620 Enrollment ID: I20110519000697 |
| Provider Name | Trevor R Thompson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1568544088 PECOS PAC ID: 4385679620 Enrollment ID: I20110520000704 |
| Provider Name | Muhammad K Qadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528068269 PECOS PAC ID: 5496714461 Enrollment ID: I20110525000709 |
| Provider Name | Teodor C Pitea |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710193016 PECOS PAC ID: 9638233406 Enrollment ID: I20110610000661 |
| Provider Name | Legesse L Mekonnen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023222619 PECOS PAC ID: 4688708803 Enrollment ID: I20110718000331 |
| Provider Name | Steven M Wise |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336330869 PECOS PAC ID: 3173654043 Enrollment ID: I20110722000603 |
| 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 | Tomas Rivera-bonilla |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881855294 PECOS PAC ID: 1850561820 Enrollment ID: I20110830000556 |
| Provider Name | Shayna C Klein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295976538 PECOS PAC ID: 9234282682 Enrollment ID: I20110915000622 |
| Provider Name | Jyotsna Rathee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861623019 PECOS PAC ID: 4880866326 Enrollment ID: I20111006000024 |
| Provider Name | Vilert Loving |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235244112 PECOS PAC ID: 1355494097 Enrollment ID: I20111201000340 |
| Provider Name | Nirav Patel |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1215939566 PECOS PAC ID: 9537292693 Enrollment ID: I20111202000694 |
| Provider Name | Pritesh Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689876898 PECOS PAC ID: 1759412828 Enrollment ID: I20111206000249 |
| Provider Name | Amanda G Dean Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841444858 PECOS PAC ID: 1254598659 Enrollment ID: I20120213000180 |
| Provider Name | Kristin M Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891922829 PECOS PAC ID: 5890959118 Enrollment ID: I20120615000400 |
| Provider Name | Abdulilah Arafeh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821036583 PECOS PAC ID: 3072524198 Enrollment ID: I20120810000330 |
| Provider Name | Michael W Manning |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093919995 PECOS PAC ID: 2860548609 Enrollment ID: I20120823000153 |
| Provider Name | Rajesh Janardhanan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174796239 PECOS PAC ID: 4183788201 Enrollment ID: I20120905000290 |
| Provider Name | Lachoa T Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861727307 PECOS PAC ID: 9133376643 Enrollment ID: I20120905000467 |
| 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 | Basel Channis |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982834594 PECOS PAC ID: 0345490736 Enrollment ID: I20121019000513 |
| Provider Name | Rose Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932463148 PECOS PAC ID: 0244480457 Enrollment ID: I20121024000850 |
| Provider Name | Eli A Swanson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902097587 PECOS PAC ID: 5193975050 Enrollment ID: I20121030000557 |
| Provider Name | Mohd J Jibreel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225267156 PECOS PAC ID: 9436300209 Enrollment ID: I20121105000408 |
| Provider Name | Thomas D Shellenberger |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1730141391 PECOS PAC ID: 1052364734 Enrollment ID: I20121108000639 |
| Provider Name | Raniah Al Tamsheh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750328829 PECOS PAC ID: 3274539218 Enrollment ID: I20121120000267 |
| Provider Name | Prathab Devaraj |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073778064 PECOS PAC ID: 0446421929 Enrollment ID: I20130124000528 |
| Provider Name | Chukwuemeka E Oji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518114909 PECOS PAC ID: 1254500630 Enrollment ID: I20130128000551 |
| Provider Name | Yasmin Akhunji |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790918738 PECOS PAC ID: 9335393180 Enrollment ID: I20130204000306 |
| Provider Name | Thomas O Wildes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154393791 PECOS PAC ID: 4486606738 Enrollment ID: I20130211000481 |
| Provider Name | Karen T Pitman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972574663 PECOS PAC ID: 7416044425 Enrollment ID: I20130311000119 |
| Provider Name | Elizabeth Mcqueary |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568702728 PECOS PAC ID: 0345487344 Enrollment ID: I20130510000602 |
| Provider Name | Jodi Deanne Strand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942543749 PECOS PAC ID: 5496993396 Enrollment ID: I20130605000377 |
| Provider Name | Madhuri Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649407206 PECOS PAC ID: 0547400038 Enrollment ID: I20130703000663 |
| Provider Name | Justin Wayne Woodruff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851554216 PECOS PAC ID: 2860632973 Enrollment ID: I20130715000328 |
| Provider Name | Jonathan A Goit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083925721 PECOS PAC ID: 1850539834 Enrollment ID: I20130715000432 |
| Provider Name | Ravneet Singh Dhaliwal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306055173 PECOS PAC ID: 3375720030 Enrollment ID: I20130723000537 |
| Provider Name | Navaid A Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588739528 PECOS PAC ID: 4880595966 Enrollment ID: I20130807000802 |
| Provider Name | Shoma Bommena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952610966 PECOS PAC ID: 4183866270 Enrollment ID: I20130820001009 |
| Provider Name | Michael G Crincoli |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497728372 PECOS PAC ID: 1557263878 Enrollment ID: I20130823000102 |
| Provider Name | Nina Sarwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225349285 PECOS PAC ID: 1355584376 Enrollment ID: I20130823000416 |
| Provider Name | Abby --- Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841510120 PECOS PAC ID: 9234374299 Enrollment ID: I20130823000920 |
| Provider Name | Fadi M Khoury |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558708487 PECOS PAC ID: 1759524663 Enrollment ID: I20130826000004 |
| Provider Name | Emil T Graf |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225231434 PECOS PAC ID: 0749461747 Enrollment ID: I20130826000487 |
| Provider Name | Ramon G Esteban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033418991 PECOS PAC ID: 5092984898 Enrollment ID: I20130906000187 |
| Provider Name | Kristen J Costello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619319753 PECOS PAC ID: 3274776471 Enrollment ID: I20130906000320 |
| Provider Name | Huixu Liang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154648749 PECOS PAC ID: 2466696679 Enrollment ID: I20130909000775 |
| Provider Name | Vanessa Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811157530 PECOS PAC ID: 3375787526 Enrollment ID: I20130910000517 |
| Provider Name | Sarath Bhimineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205157948 PECOS PAC ID: 8224272810 Enrollment ID: I20130920000754 |
| Provider Name | Janelle Jambrosic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235391368 PECOS PAC ID: 7911133079 Enrollment ID: I20131119001233 |
| 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 | Ronaldo D Holgado |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801849468 PECOS PAC ID: 2567408735 Enrollment ID: I20140207001469 |
| Provider Name | Nathalie T Petein-alamshaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285928721 PECOS PAC ID: 9931339116 Enrollment ID: I20140310000405 |
| Provider Name | Aaron M Goldfaden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568685162 PECOS PAC ID: 6507951332 Enrollment ID: I20140404001241 |
| Provider Name | Damian J Plues |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639473143 PECOS PAC ID: 1254563562 Enrollment ID: I20140418000210 |
| Provider Name | Vijayaratna Chockalingam |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225299332 PECOS PAC ID: 3577786227 Enrollment ID: I20140527001018 |
| Provider Name | Chafeek Tomeh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497970057 PECOS PAC ID: 1355505033 Enrollment ID: I20140625001499 |
| Provider Name | Harmeet S Narula |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487679668 PECOS PAC ID: 1557325362 Enrollment ID: I20140710000354 |
| Provider Name | Mohamed Teleb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750432035 PECOS PAC ID: 2668699521 Enrollment ID: I20140818000000 |
| 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 | Yu-hsien Huang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922235530 PECOS PAC ID: 1658590476 Enrollment ID: I20140909002870 |
| Provider Name | Andri G Olafsson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023092632 PECOS PAC ID: 3274569751 Enrollment ID: I20140925001445 |
| Provider Name | Joshua Tournas |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407046329 PECOS PAC ID: 9436201837 Enrollment ID: I20141030001344 |
| Provider Name | Masood Hashmi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831100833 PECOS PAC ID: 7315929171 Enrollment ID: I20141118001342 |
| Provider Name | Arun Pillai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336107994 PECOS PAC ID: 9133172042 Enrollment ID: I20141118002698 |
| Provider Name | John H Udall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649477357 PECOS PAC ID: 5799839486 Enrollment ID: I20150131000177 |
| Provider Name | Tami Lynn Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558751396 PECOS PAC ID: 1759608326 Enrollment ID: I20150318002161 |
| Provider Name | Alfonso G Ballesteros |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497957815 PECOS PAC ID: 4587717673 Enrollment ID: I20150319001512 |
| Provider Name | Courtney A Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336307495 PECOS PAC ID: 9830250307 Enrollment ID: I20150319002123 |
| Provider Name | Hiep T Nguyen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962480616 PECOS PAC ID: 4688638828 Enrollment ID: I20150601002311 |
| Provider Name | Anne Donos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750771861 PECOS PAC ID: 6103147202 Enrollment ID: I20150601002747 |
| Provider Name | Phillip E Richardson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629363072 PECOS PAC ID: 3577789338 Enrollment ID: I20150812006171 |
| Provider Name | Varun Monga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639457096 PECOS PAC ID: 0648402958 Enrollment ID: I20150812008689 |
| Provider Name | Jeffrey L Biehn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669637062 PECOS PAC ID: 8527204114 Enrollment ID: I20150922000516 |
| Provider Name | Anna Verhage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891189775 PECOS PAC ID: 9032426127 Enrollment ID: I20150922003045 |
| Provider Name | Loyd B Olson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306165733 PECOS PAC ID: 9133437932 Enrollment ID: I20150928002498 |
| Provider Name | Layth Al-jashaami |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255691895 PECOS PAC ID: 8022326297 Enrollment ID: I20151008000106 |
| Provider Name | Saurabh Jauhari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558507707 PECOS PAC ID: 1355599820 Enrollment ID: I20151015000433 |
| Provider Name | Jamie E Pardini |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568479962 PECOS PAC ID: 8820005606 Enrollment ID: I20151104003236 |
| Provider Name | Kresimira M Milas |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1669572772 PECOS PAC ID: 2062411135 Enrollment ID: I20151201002569 |
| Provider Name | Farhoud Khosravi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285874362 PECOS PAC ID: 3870761612 Enrollment ID: I20151230001065 |
| Provider Name | Mona Youssef |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861468217 PECOS PAC ID: 7315161932 Enrollment ID: I20160512002451 |
| Provider Name | Brian S Johnston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639142847 PECOS PAC ID: 2567606528 Enrollment ID: I20160602002068 |
| Provider Name | Hannah A Lawther |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467741025 PECOS PAC ID: 4486895885 Enrollment ID: I20160624000564 |
| Provider Name | Christina Chrisman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578832309 PECOS PAC ID: 9234421603 Enrollment ID: I20160705000774 |
| Provider Name | Jennifer Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851753404 PECOS PAC ID: 8527350776 Enrollment ID: I20160707001876 |
| Provider Name | William Stickney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588962211 PECOS PAC ID: 9537453642 Enrollment ID: I20160812001208 |
| Provider Name | Gina Marie Mathew |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366731358 PECOS PAC ID: 5698085660 Enrollment ID: I20160812001431 |
| Provider Name | Daniel Frederick Miller |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972747376 PECOS PAC ID: 4880994482 Enrollment ID: I20160812002225 |
| Provider Name | Rawad Mounzer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154554236 PECOS PAC ID: 0840416038 Enrollment ID: I20160907002644 |
| Provider Name | Dipti R Jethani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073936811 PECOS PAC ID: 8123315298 Enrollment ID: I20160919000717 |
| Provider Name | Jeff John Waknitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598115388 PECOS PAC ID: 2365739034 Enrollment ID: I20160922002796 |
| Provider Name | Dustin J Sepich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801109152 PECOS PAC ID: 1355653544 Enrollment ID: I20160928000347 |
| Provider Name | Janina J Carter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164977955 PECOS PAC ID: 3971890161 Enrollment ID: I20161003002216 |
| Provider Name | Michael B Fallon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629163613 PECOS PAC ID: 0446313662 Enrollment ID: I20161025002568 |
| Provider Name | Meliza Hio Salandanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851841605 PECOS PAC ID: 9830479344 Enrollment ID: I20161129001024 |
| Provider Name | Gopal K Kaza |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306083936 PECOS PAC ID: 1052584885 Enrollment ID: I20161209001798 |
| Provider Name | John C Wheeler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073700928 PECOS PAC ID: 1153647185 Enrollment ID: I20170123001460 |
| Provider Name | Ian Crain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447518006 PECOS PAC ID: 2163705567 Enrollment ID: I20170209000767 |
| Provider Name | Paul J Riesenman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1831318195 PECOS PAC ID: 9739345372 Enrollment ID: I20170301001544 |
| Provider Name | Mahmoud Alsayed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215288568 PECOS PAC ID: 2466693783 Enrollment ID: I20170605001820 |
| Provider Name | Satinder Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669761268 PECOS PAC ID: 8022386432 Enrollment ID: I20170607002063 |
| Provider Name | Donnamarie Burris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578984936 PECOS PAC ID: 7618106428 Enrollment ID: I20170613002234 |
| Provider Name | Madhuri Pulluri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326480922 PECOS PAC ID: 0042441636 Enrollment ID: I20170620001272 |
| Provider Name | Carmen Lombardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568901221 PECOS PAC ID: 6406124155 Enrollment ID: I20170621001361 |
| Provider Name | Jarrett Michael Leathem |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1205193109 PECOS PAC ID: 9739458332 Enrollment ID: I20170712003016 |
| Provider Name | Mohammad Islam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306286158 PECOS PAC ID: 3274803838 Enrollment ID: I20170714001792 |
| 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 | Joseph Heller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467710293 PECOS PAC ID: 5395038137 Enrollment ID: I20170829001626 |
| Provider Name | Mai Doan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134443799 PECOS PAC ID: 2264734797 Enrollment ID: I20170831001950 |
| Provider Name | Marybeth Barcome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144743071 PECOS PAC ID: 6507139680 Enrollment ID: I20170912002101 |
| Provider Name | Tania Jafary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902210131 PECOS PAC ID: 8426272451 Enrollment ID: I20170915001759 |
| Provider Name | Arash Koochek |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477720472 PECOS PAC ID: 9830350891 Enrollment ID: I20171018001186 |
| Provider Name | Matthew J Steele |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1407218860 PECOS PAC ID: 8224395793 Enrollment ID: I20171208001232 |
| Provider Name | Staci E Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467696419 PECOS PAC ID: 1254637747 Enrollment ID: I20171220003298 |
| Provider Name | Lauren Pellizzon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801305669 PECOS PAC ID: 9335408137 Enrollment ID: I20180124003202 |
| Provider Name | Eddie M Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770909673 PECOS PAC ID: 0143510214 Enrollment ID: I20180206001122 |
| Provider Name | Emily Lash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578755450 PECOS PAC ID: 3476680182 Enrollment ID: I20180227002271 |
| Provider Name | Vicki Sein |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760775050 PECOS PAC ID: 1153600911 Enrollment ID: I20180702003337 |
| Provider Name | Brian H Hoang |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1437458239 PECOS PAC ID: 1658627500 Enrollment ID: I20180706001085 |
| Provider Name | Jesse Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629580436 PECOS PAC ID: 5698022838 Enrollment ID: I20180719001755 |
| Provider Name | Daniel Anders Arrhenius |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205065893 PECOS PAC ID: 0648427971 Enrollment ID: I20180828002257 |
| Provider Name | Rashi K Agarwal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336394956 PECOS PAC ID: 2163578147 Enrollment ID: I20180829001760 |
| Provider Name | Tushar Acharya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922313774 PECOS PAC ID: 3577866995 Enrollment ID: I20180906002801 |
| Provider Name | Olivia Y Hung |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679862999 PECOS PAC ID: 3870844798 Enrollment ID: I20180914002755 |
| Provider Name | Rizwan Jafri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386930667 PECOS PAC ID: 8820314826 Enrollment ID: I20181003001245 |
| Provider Name | Alan Chih-chung Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417395799 PECOS PAC ID: 9638486798 Enrollment ID: I20181004000372 |
| Provider Name | Anil Minocha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356385561 PECOS PAC ID: 1052403888 Enrollment ID: I20181008001079 |
| Provider Name | Erik S Bradley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912265869 PECOS PAC ID: 8426300658 Enrollment ID: I20181016002154 |
| Provider Name | Mustafa Nawaz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245597475 PECOS PAC ID: 0446546014 Enrollment ID: I20181026001193 |
| Provider Name | Christa L O'mara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003975012 PECOS PAC ID: 5092050450 Enrollment ID: I20181213001458 |
| Provider Name | Rishi Kirit Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972794659 PECOS PAC ID: 8729148358 Enrollment ID: I20190104001864 |
| Provider Name | Aravind Sugumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124222716 PECOS PAC ID: 1153408075 Enrollment ID: I20190109000915 |
| Provider Name | Rong Rong Guo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104211705 PECOS PAC ID: 7315249273 Enrollment ID: I20190112000267 |
| Provider Name | Brooke E Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194293043 PECOS PAC ID: 9830437458 Enrollment ID: I20190206001870 |
| Provider Name | Mya Tuesday Perkins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942772728 PECOS PAC ID: 3971843327 Enrollment ID: I20190320003377 |
| Provider Name | Megan Milleen Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801245154 PECOS PAC ID: 7618200650 Enrollment ID: I20190606002493 |
| Provider Name | Amitoj Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053699447 PECOS PAC ID: 0840561221 Enrollment ID: I20190618001775 |
| Provider Name | Tien-ching Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679041347 PECOS PAC ID: 4183958580 Enrollment ID: I20190618002661 |
| Provider Name | Krishna Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366913618 PECOS PAC ID: 0840524252 Enrollment ID: I20190618003333 |
| Provider Name | Hong Seok Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750767273 PECOS PAC ID: 5890074322 Enrollment ID: I20190711003628 |
| Provider Name | Luis S Nasiff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508840430 PECOS PAC ID: 2961307871 Enrollment ID: I20190716003197 |
| Provider Name | Pratik Kamal Dalal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053639336 PECOS PAC ID: 6901049295 Enrollment ID: I20190717001428 |
| Provider Name | Cierra Nichole Chev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093370215 PECOS PAC ID: 1355678020 Enrollment ID: I20190805001238 |
| Provider Name | John Edward Tidwell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184885519 PECOS PAC ID: 3971640897 Enrollment ID: I20190807000357 |
| Provider Name | Kambiz Kamrani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063755973 PECOS PAC ID: 0143557058 Enrollment ID: I20190814002600 |
| Provider Name | Meghan Elizabeth Maccleary |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972921724 PECOS PAC ID: 3678823416 Enrollment ID: I20190816002591 |
| Provider Name | Peter T Mccunniff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760802565 PECOS PAC ID: 6002110129 Enrollment ID: I20190916000286 |
| Provider Name | Spencer I Andersen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295130961 PECOS PAC ID: 9739418740 Enrollment ID: I20190916003461 |
| Provider Name | Kirstyn Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720641657 PECOS PAC ID: 4183954175 Enrollment ID: I20190917003581 |
| Provider Name | Kelsey Novak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427554732 PECOS PAC ID: 1456682434 Enrollment ID: I20191004001713 |
| Provider Name | Shawn Singh Sandhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851778708 PECOS PAC ID: 7214269810 Enrollment ID: I20191031001920 |
| Provider Name | Laura Vogel Abernathie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013274950 PECOS PAC ID: 2860766599 Enrollment ID: I20191106001722 |
| Provider Name | Jean Kuo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508158262 PECOS PAC ID: 6204077605 Enrollment ID: I20191114000682 |
| Provider Name | Regina M Valenzuela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366092082 PECOS PAC ID: 6800229931 Enrollment ID: I20191204001137 |
| Provider Name | Brenda Lea Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376997130 PECOS PAC ID: 5799078408 Enrollment ID: I20200127000500 |
| Provider Name | Viet Tran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235465311 PECOS PAC ID: 4587887666 Enrollment ID: I20200213003090 |
| Provider Name | Joshua D Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720545734 PECOS PAC ID: 5597192260 Enrollment ID: I20200219002240 |
| Provider Name | Brian Mccardel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942206768 PECOS PAC ID: 9739151051 Enrollment ID: I20200330003197 |
| Provider Name | Tyler Ray Vestal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851747687 PECOS PAC ID: 8921420332 Enrollment ID: I20200611002912 |
| Provider Name | Morgan R Zingsheim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699129742 PECOS PAC ID: 5496048506 Enrollment ID: I20200616001405 |
| Provider Name | Joel Stary |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780945113 PECOS PAC ID: 8022256916 Enrollment ID: I20200616003502 |
| Provider Name | Lakshmi Koripella |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1538517628 PECOS PAC ID: 6507106309 Enrollment ID: I20200624003163 |
| Provider Name | Ryan Neeley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053738229 PECOS PAC ID: 6002182375 Enrollment ID: I20200730000395 |
| Provider Name | Jacob Duncan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740691641 PECOS PAC ID: 8325464241 Enrollment ID: I20200821001426 |
| Provider Name | Jon Alexander Nelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952714719 PECOS PAC ID: 9032488010 Enrollment ID: I20200827001878 |
| Provider Name | Sean Sitton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922410166 PECOS PAC ID: 3375769631 Enrollment ID: I20200901003009 |
| Provider Name | Blaine Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164045225 PECOS PAC ID: 6103243373 Enrollment ID: I20200902001584 |
| Provider Name | Priya Rajdev |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265775944 PECOS PAC ID: 2668709684 Enrollment ID: I20200917002807 |
| Provider Name | Justin Horwitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528201670 PECOS PAC ID: 3274707476 Enrollment ID: I20200918001906 |
| Provider Name | Kevin Gerard Murphy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669828232 PECOS PAC ID: 4688967326 Enrollment ID: I20201002000960 |
| Provider Name | Melva Zerkoune |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316205214 PECOS PAC ID: 3274796206 Enrollment ID: I20201007002601 |
| Provider Name | Rafael Antonio Buerba Siller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245658707 PECOS PAC ID: 3173875549 Enrollment ID: I20201012001024 |
| Provider Name | Dushant Uppal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477757961 PECOS PAC ID: 6204009285 Enrollment ID: I20201130000626 |
| Provider Name | Lisa Jarnagin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902288327 PECOS PAC ID: 2567709371 Enrollment ID: I20201210000250 |
| Provider Name | Stephanie Nicolai |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790065282 PECOS PAC ID: 6608288949 Enrollment ID: I20201210002134 |
| Provider Name | Kayla Mckenna Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952900565 PECOS PAC ID: 6608289780 Enrollment ID: I20210111000070 |
| Provider Name | Joshua L Pringle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902162258 PECOS PAC ID: 9436387669 Enrollment ID: I20210126002845 |
| Provider Name | Enrique Salazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285271445 PECOS PAC ID: 8729493986 Enrollment ID: I20210219002562 |
| Provider Name | Donna Rivera |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881020402 PECOS PAC ID: 7214150283 Enrollment ID: I20210303000245 |
| Provider Name | Francia Izmir Day |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952876377 PECOS PAC ID: 0840606406 Enrollment ID: I20210304002548 |
| Provider Name | Neha Jain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386232502 PECOS PAC ID: 2163838624 Enrollment ID: I20210308001277 |
| Provider Name | Margaret Kenan Comford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750335394 PECOS PAC ID: 3274941786 Enrollment ID: I20210422001570 |
| Provider Name | Dan Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710340070 PECOS PAC ID: 4486941499 Enrollment ID: I20210426000643 |
| Provider Name | Seania Bristol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992301188 PECOS PAC ID: 2264841493 Enrollment ID: I20210429001109 |
| Provider Name | Amanda Renee Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154901007 PECOS PAC ID: 3577972447 Enrollment ID: I20210505000789 |
| Provider Name | Pawarid Techathaveewat |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184088809 PECOS PAC ID: 7315348265 Enrollment ID: I20210629002363 |
| Provider Name | Wes Jonathan Arlein |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1770529240 PECOS PAC ID: 6901798214 Enrollment ID: I20210803002720 |
| Provider Name | John William Mcmahon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417060328 PECOS PAC ID: 9537230792 Enrollment ID: I20210820002435 |
| Provider Name | Cassandra Prosise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518561117 PECOS PAC ID: 9931504388 Enrollment ID: I20210823002296 |
| Provider Name | Omar Nadhem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598022725 PECOS PAC ID: 0648584417 Enrollment ID: I20210824002488 |
| Provider Name | Anchit P Mehrotra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922494525 PECOS PAC ID: 5294005617 Enrollment ID: I20210825001203 |
| Provider Name | Jeeyong Charlie Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437503000 PECOS PAC ID: 0446541247 Enrollment ID: I20210826003143 |
| Provider Name | Daniel James Casey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083141592 PECOS PAC ID: 4385042332 Enrollment ID: I20211006001466 |
| Provider Name | Joyce George |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669768842 PECOS PAC ID: 2668744798 Enrollment ID: I20211006002971 |
| Provider Name | Robert David Tidwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073042297 PECOS PAC ID: 1052709474 Enrollment ID: I20211103002399 |
| Provider Name | Marcia Mankin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881162303 PECOS PAC ID: 8325388804 Enrollment ID: I20211104002234 |
| Provider Name | Karissa M Valles |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639717325 PECOS PAC ID: 2466841770 Enrollment ID: I20211108000914 |
| Provider Name | Matthew Michael Brewster |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699909960 PECOS PAC ID: 1658591557 Enrollment ID: I20211130003146 |
| Provider Name | Rafik Benaissa |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851489280 PECOS PAC ID: 5294879110 Enrollment ID: I20211201000335 |
| Provider Name | Lashandra A Wilson-cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679236095 PECOS PAC ID: 6507257979 Enrollment ID: I20211217001696 |
| Provider Name | Christopher Toth |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659479541 PECOS PAC ID: 1052385945 Enrollment ID: I20220211001454 |
| Provider Name | Rebecca M Henning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528730249 PECOS PAC ID: 0941694970 Enrollment ID: I20220308001390 |
| Provider Name | Ankur Janak Shukla |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1144457961 PECOS PAC ID: 3274927264 Enrollment ID: I20220309000790 |
| Provider Name | Jennifer Dee Tschetter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730526526 PECOS PAC ID: 0244625986 Enrollment ID: I20220316002702 |
| Provider Name | Justin Esterberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558494427 PECOS PAC ID: 7810982436 Enrollment ID: I20220317001676 |
| Provider Name | Austin Tedder |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053054585 PECOS PAC ID: 7315326238 Enrollment ID: I20220623002763 |
| Provider Name | Andrew S Chung |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750709036 PECOS PAC ID: 6507135332 Enrollment ID: I20220629001540 |
| Provider Name | Jalpa B Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902257462 PECOS PAC ID: 7517259047 Enrollment ID: I20220629001616 |
| Provider Name | Molly Carnahan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639604739 PECOS PAC ID: 6305116260 Enrollment ID: I20220701002383 |
| Provider Name | Brian P Strollo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417248121 PECOS PAC ID: 0446527931 Enrollment ID: I20220706003797 |
| Provider Name | Kristin N Oehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326609173 PECOS PAC ID: 3476885138 Enrollment ID: I20220707002937 |
| Provider Name | Jena Haviland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518317213 PECOS PAC ID: 6800276858 Enrollment ID: I20220707003048 |
| Provider Name | Brian Baird |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174012397 PECOS PAC ID: 0143628578 Enrollment ID: I20220708002923 |
| Provider Name | David J. Wang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942341912 PECOS PAC ID: 0244307601 Enrollment ID: I20220712002789 |
| Provider Name | Ruel Jaramillo Reyes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235662016 PECOS PAC ID: 4284985060 Enrollment ID: I20220720001571 |
| Provider Name | Brenton Albracht |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366896607 PECOS PAC ID: 5597052845 Enrollment ID: I20220721002123 |
| Provider Name | Danielle Elizabeth Summers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104237825 PECOS PAC ID: 5193059137 Enrollment ID: I20220727001369 |
| Provider Name | Ryan L Bieberle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295228724 PECOS PAC ID: 4284982117 Enrollment ID: I20220801001644 |
| Provider Name | Shannon M Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396493789 PECOS PAC ID: 1254714629 Enrollment ID: I20220817002420 |
| Provider Name | Jeremy Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457732760 PECOS PAC ID: 0547677171 Enrollment ID: I20220817002738 |
| Provider Name | Nicholas Andrew Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679200158 PECOS PAC ID: 8921482738 Enrollment ID: I20220829000507 |
| Provider Name | Elena Marie Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831716059 PECOS PAC ID: 2163806811 Enrollment ID: I20220830003518 |
| Provider Name | Sonya Michelle Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134867450 PECOS PAC ID: 5698159200 Enrollment ID: I20220831002105 |
| Provider Name | Stephanie Myer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154985992 PECOS PAC ID: 5496139982 Enrollment ID: I20220901001019 |
| Provider Name | Robin Laurie Mcfarlane |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003312273 PECOS PAC ID: 9234514035 Enrollment ID: I20220914003638 |
| Provider Name | Tyler J Pretzlaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841855871 PECOS PAC ID: 2466838305 Enrollment ID: I20220930000528 |
| Provider Name | Joseph F. Georges |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831516251 PECOS PAC ID: 6002225448 Enrollment ID: I20221008000327 |
| Provider Name | David H Savage |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1063449080 PECOS PAC ID: 9931172525 Enrollment ID: I20221011001868 |
| Provider Name | Kevin Pugh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043204704 PECOS PAC ID: 4284607250 Enrollment ID: I20221020000118 |
| Provider Name | Muhammad Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861927386 PECOS PAC ID: 5193076420 Enrollment ID: I20221021001945 |
| Provider Name | Kelly Leigh Scott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417303348 PECOS PAC ID: 9234421306 Enrollment ID: I20221028001165 |
| Provider Name | Adarsh Sai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467742940 PECOS PAC ID: 4789801176 Enrollment ID: I20221101000101 |
| Provider Name | Jennifer Onorato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245954353 PECOS PAC ID: 1456728518 Enrollment ID: I20221102000331 |
| Provider Name | Austin Childs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093488231 PECOS PAC ID: 2961871496 Enrollment ID: I20221206000721 |
| Provider Name | Mohammad Zaidan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1891930855 PECOS PAC ID: 2769610377 Enrollment ID: I20221209001950 |
| Provider Name | Adam Thomas Childs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598474850 PECOS PAC ID: 3779955240 Enrollment ID: I20230209000951 |
| Provider Name | Amber Dawn Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154962439 PECOS PAC ID: 3173996212 Enrollment ID: I20230310000812 |
| Provider Name | Etta Kathryn Nevel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588616627 PECOS PAC ID: 7113970716 Enrollment ID: I20230322002078 |
| Provider Name | Kaleigh Suhs |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1073951067 PECOS PAC ID: 5890088579 Enrollment ID: I20230427002192 |
| Provider Name | Abdullah Al-arfaj |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780384875 PECOS PAC ID: 9335504943 Enrollment ID: I20230504001453 |
| Provider Name | John Michael Lowery |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215945928 PECOS PAC ID: 7315217809 Enrollment ID: I20230515002864 |
| Provider Name | Kevin Zhao |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538545975 PECOS PAC ID: 3870950132 Enrollment ID: I20230601002256 |
| Provider Name | Kitae Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033188289 PECOS PAC ID: 0446217467 Enrollment ID: I20230602001753 |
| Provider Name | Sarah Mariam Sohail |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326537507 PECOS PAC ID: 0840541769 Enrollment ID: I20230615000606 |
| Provider Name | Madison Chandler Zbaraschuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699322701 PECOS PAC ID: 8426387440 Enrollment ID: I20230628003821 |
| Provider Name | Joel Robin Lane |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578539482 PECOS PAC ID: 6002944162 Enrollment ID: I20230721002452 |
| Provider Name | Mohammed S Alani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154940088 PECOS PAC ID: 1557723251 Enrollment ID: I20230815001600 |
| Provider Name | Bruce M Palmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326110743 PECOS PAC ID: 4981937570 Enrollment ID: I20230815003957 |
| Provider Name | Aniket Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952938524 PECOS PAC ID: 4183087786 Enrollment ID: I20230830001254 |
| Provider Name | Derek Grady Lafarga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629697529 PECOS PAC ID: 4688096662 Enrollment ID: I20230901003243 |
| Provider Name | Sameh G Abuerreish |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447246202 PECOS PAC ID: 8527145671 Enrollment ID: I20230918000971 |
| Provider Name | Gerald Blake Mclaughlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952476996 PECOS PAC ID: 3072694504 Enrollment ID: I20230928002443 |
| Provider Name | Alicia Moana Taase |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083104368 PECOS PAC ID: 8022462423 Enrollment ID: I20231003001898 |
| Provider Name | Wan Pui Agnes Cheung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710769880 PECOS PAC ID: 2264880947 Enrollment ID: I20231120001874 |
| Provider Name | Sahil Agrawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174956890 PECOS PAC ID: 1658604400 Enrollment ID: I20231130002168 |
| Provider Name | Tisha Kaur Chadha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750161253 PECOS PAC ID: 7315395142 Enrollment ID: I20231204003360 |
| Provider Name | Ojas Bansal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467766410 PECOS PAC ID: 2769702406 Enrollment ID: I20240110000029 |
| Provider Name | Michael Scott Hewitt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164489597 PECOS PAC ID: 0143126284 Enrollment ID: I20240301000117 |
| Provider Name | Keely Rochelle Catanach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063261485 PECOS PAC ID: 3870035884 Enrollment ID: I20240605003874 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
Sheperd Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037 Phone: 623-247-2300 Fax: 623-247-1939 |