| Banner - University Hospital Based Physicians Llc | |
|
1111 E Mcdowell Rd Phoenix AZ 85006-2612 | |
| (602) 839-2000 | |
| Not Available |
| Full Name | Banner - University Hospital Based Physicians Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1111 E Mcdowell Rd, Phoenix, 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 - University Hospital Based Physicians Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner - University Hospital Based Physicians Llc 1111 E Mcdowell Rd Phoenix AZ 85006-2612 Ph: (602) 839-2000 |
| NPI Number | 1750751566 |
|---|---|
| Provider Enumeration Date | 10/06/2015 |
| Last Update Date | 02/23/2022 |
| Medicare PECOS PAC ID | 1052614294 |
|---|---|
| Medicare Enrollment ID | O20160122000508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750751566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Andrew M Pohl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407845381 PECOS PAC ID: 6002711207 Enrollment ID: I20031201000753 |
| Provider Name | Adrienne Pettit |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912993445 PECOS PAC ID: 5496651929 Enrollment ID: I20031211000339 |
| Provider Name | Muttaa Masalkhi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093711632 PECOS PAC ID: 1456250174 Enrollment ID: I20031231000758 |
| Provider Name | Anne Michelle Ruha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871561761 PECOS PAC ID: 9436042777 Enrollment ID: I20040202001227 |
| Provider Name | David B Katz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518937788 PECOS PAC ID: 7214821040 Enrollment ID: I20040211001082 |
| Provider Name | Jeffrey M Gold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477642437 PECOS PAC ID: 7012806441 Enrollment ID: I20040313000294 |
| Provider Name | Stephanie M Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871583062 PECOS PAC ID: 7810982295 Enrollment ID: I20040415001030 |
| Provider Name | Magdy I Gad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356334619 PECOS PAC ID: 8729074174 Enrollment ID: I20040422000131 |
| Provider Name | Evan S Lederman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932183456 PECOS PAC ID: 5092602334 Enrollment ID: I20040422001434 |
| 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 | Ron Z Shinar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669439204 PECOS PAC ID: 0749278414 Enrollment ID: I20040503000565 |
| Provider Name | Daniel Beruti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710970983 PECOS PAC ID: 0648269092 Enrollment ID: I20040510001584 |
| Provider Name | Leslie A Welk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013938984 PECOS PAC ID: 6103817127 Enrollment ID: I20040519001009 |
| Provider Name | Randy Ray Richardson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326056599 PECOS PAC ID: 5799766648 Enrollment ID: I20040526000991 |
| Provider Name | John S Hunter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154328623 PECOS PAC ID: 0840271656 Enrollment ID: I20040527000654 |
| 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 | Manoj Mathew |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467572107 PECOS PAC ID: 6305823535 Enrollment ID: I20040706000606 |
| Provider Name | Lloyd P Champagne |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1407856537 PECOS PAC ID: 6507844826 Enrollment ID: I20040712001321 |
| Provider Name | Patrick S Pasulka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194799841 PECOS PAC ID: 1850370511 Enrollment ID: I20040715001350 |
| Provider Name | Jack A Buhrow |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1609858356 PECOS PAC ID: 5597745471 Enrollment ID: I20040721001433 |
| Provider Name | Frederick R Stack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548256977 PECOS PAC ID: 9638149230 Enrollment ID: I20040730000095 |
| Provider Name | Corey L Detlefs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700842457 PECOS PAC ID: 0345211538 Enrollment ID: I20040802001552 |
| Provider Name | Rajan Gaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720047590 PECOS PAC ID: 6608847397 Enrollment ID: I20040805000131 |
| 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 | Mihra Taljanovic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063584050 PECOS PAC ID: 4284601303 Enrollment ID: I20040916000573 |
| Provider Name | Kam D Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285673822 PECOS PAC ID: 5991773772 Enrollment ID: I20040920000717 |
| Provider Name | Gulabchand K Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114033875 PECOS PAC ID: 0143210542 Enrollment ID: I20040927001045 |
| Provider Name | Manish J Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326010471 PECOS PAC ID: 0749240307 Enrollment ID: I20041018000739 |
| Provider Name | Kevin S Hirsch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891784849 PECOS PAC ID: 9133180474 Enrollment ID: I20041020001086 |
| Provider Name | Elizabeth O Westfall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558314799 PECOS PAC ID: 6608821608 Enrollment ID: I20050329000242 |
| Provider Name | Courtney L Mitchell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558433870 PECOS PAC ID: 9335186873 Enrollment ID: I20050415000179 |
| Provider Name | Hung S Lu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144212614 PECOS PAC ID: 2668466509 Enrollment ID: I20050509000445 |
| Provider Name | Erum M Noon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982686747 PECOS PAC ID: 4183664923 Enrollment ID: I20050511000125 |
| 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 | Gregory T Chu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144297128 PECOS PAC ID: 6406898360 Enrollment ID: I20050601000712 |
| Provider Name | Ayrn D Oconnor |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1194785063 PECOS PAC ID: 5294771481 Enrollment ID: I20050628000830 |
| Provider Name | Nathan Linstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689848590 PECOS PAC ID: 7416993555 Enrollment ID: I20050629000722 |
| Provider Name | Wilber Wei-poh Su |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689618084 PECOS PAC ID: 9931003373 Enrollment ID: I20050711000486 |
| Provider Name | Steven R Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083674154 PECOS PAC ID: 7517994130 Enrollment ID: I20050725001099 |
| Provider Name | Thomas Ardiles |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437119278 PECOS PAC ID: 6608809215 Enrollment ID: I20050914000927 |
| Provider Name | Homan Salehi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053371088 PECOS PAC ID: 5597798017 Enrollment ID: I20050915000297 |
| Provider Name | Shannon Hillman Smalley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295716348 PECOS PAC ID: 2668421793 Enrollment ID: I20050927000598 |
| Provider Name | Ramanjit S Dhaliwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689669095 PECOS PAC ID: 4082630710 Enrollment ID: I20051021000097 |
| Provider Name | Raymond F Carmody |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396757563 PECOS PAC ID: 7416976030 Enrollment ID: I20051114000348 |
| 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 | Cheryl R Pendergrass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780670133 PECOS PAC ID: 6305850389 Enrollment ID: I20060130000131 |
| Provider Name | Fariya A Bukhari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477595296 PECOS PAC ID: 5294744579 Enrollment ID: I20060413000638 |
| Provider Name | Robert R Mccarver |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174595102 PECOS PAC ID: 9133026743 Enrollment ID: I20060425000503 |
| Provider Name | Sharry Kay Veres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831135300 PECOS PAC ID: 4880604008 Enrollment ID: I20060502000395 |
| Provider Name | Gamal F Sidarous |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1699731802 PECOS PAC ID: 0042220063 Enrollment ID: I20060504000327 |
| Provider Name | Brenda L Shinar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679542401 PECOS PAC ID: 9234140393 Enrollment ID: I20060606000144 |
| Provider Name | Harvey Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659330769 PECOS PAC ID: 4486665569 Enrollment ID: I20060606000261 |
| Provider Name | Steven C Curry |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477512572 PECOS PAC ID: 6103838024 Enrollment ID: I20060614000273 |
| Provider Name | Peter J Sunenshine |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1487610937 PECOS PAC ID: 0749238848 Enrollment ID: I20060828000404 |
| Provider Name | Gbadebo Adebayo |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1780613695 PECOS PAC ID: 8224056635 Enrollment ID: I20060918000403 |
| Provider Name | Walter H Migotto |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922013689 PECOS PAC ID: 6406851831 Enrollment ID: I20060919000136 |
| Provider Name | Jeremy R Payne |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699727784 PECOS PAC ID: 1557366366 Enrollment ID: I20060929000533 |
| Provider Name | Grigory Horonenko |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356394035 PECOS PAC ID: 9638175219 Enrollment ID: I20061005000255 |
| Provider Name | Dmitriy S Tckachenko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285645531 PECOS PAC ID: 9537165402 Enrollment ID: I20061017000249 |
| Provider Name | Lori A Porter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205846144 PECOS PAC ID: 8224034095 Enrollment ID: I20061018000568 |
| Provider Name | Paul K Simmonds |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578595377 PECOS PAC ID: 1254361892 Enrollment ID: I20061024000260 |
| Provider Name | Heather M Bartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861417271 PECOS PAC ID: 5799781050 Enrollment ID: I20061117000101 |
| Provider Name | Dorothy L Gilbertson Dahdal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861574832 PECOS PAC ID: 3870591159 Enrollment ID: I20061121000187 |
| Provider Name | Sara C Stimsonriahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023063450 PECOS PAC ID: 5294734752 Enrollment ID: I20061211000181 |
| Provider Name | Oyesiji A Arojojoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790873222 PECOS PAC ID: 6608876636 Enrollment ID: I20061222000001 |
| 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 | Sarmad P Makdesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801960802 PECOS PAC ID: 7214939065 Enrollment ID: I20070207000119 |
| Provider Name | Keyvan Koochek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902855513 PECOS PAC ID: 7911909494 Enrollment ID: I20070213000332 |
| Provider Name | Vasif N Sabeeh |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730241993 PECOS PAC ID: 1456453067 Enrollment ID: I20070228000737 |
| Provider Name | Laura H Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851407662 PECOS PAC ID: 9739284308 Enrollment ID: I20070411000059 |
| 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 | Kalpesh Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639185580 PECOS PAC ID: 3274631486 Enrollment ID: I20070612000751 |
| Provider Name | Daniel E Brooks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326010331 PECOS PAC ID: 9436258449 Enrollment ID: I20070615000241 |
| Provider Name | Michael Murray |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871580167 PECOS PAC ID: 6709821283 Enrollment ID: I20070711000934 |
| Provider Name | Diana R Mulumba-lubandi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790812139 PECOS PAC ID: 9335249580 Enrollment ID: I20070717000485 |
| Provider Name | Amy T Blanchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346430907 PECOS PAC ID: 5193818052 Enrollment ID: I20070907000730 |
| 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 | Mandy B Limberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114110533 PECOS PAC ID: 7517052186 Enrollment ID: I20071002000387 |
| Provider Name | Jason Buchwald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285675439 PECOS PAC ID: 1951215599 Enrollment ID: I20071023000616 |
| Provider Name | Masood A Kisana |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1558583989 PECOS PAC ID: 5496839185 Enrollment ID: I20080219000539 |
| Provider Name | Radha Selvar Gopalan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043280787 PECOS PAC ID: 5799731576 Enrollment ID: I20080226000747 |
| 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 | Lurlyn V Pero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023056728 PECOS PAC ID: 8820039050 Enrollment ID: I20080605000104 |
| Provider Name | Ashish M Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851372585 PECOS PAC ID: 1052482338 Enrollment ID: I20080613000084 |
| Provider Name | Leta A Hice |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205006186 PECOS PAC ID: 8123199353 Enrollment ID: I20080616000768 |
| Provider Name | Marie Anne D Gue |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063581130 PECOS PAC ID: 1658371984 Enrollment ID: I20080619000030 |
| Provider Name | Jesse Shriki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689864456 PECOS PAC ID: 1052484672 Enrollment ID: I20080715000757 |
| Provider Name | Elliott S Farber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588653745 PECOS PAC ID: 2062455959 Enrollment ID: I20080804000043 |
| Provider Name | Travis A Warner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427187822 PECOS PAC ID: 0042384455 Enrollment ID: I20080804000123 |
| Provider Name | Julie Wynne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336115401 PECOS PAC ID: 6406812858 Enrollment ID: I20080811000713 |
| Provider Name | G Paul Dabrowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881665115 PECOS PAC ID: 3971550211 Enrollment ID: I20080821000379 |
| Provider Name | Lindsay J Grizzle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336335017 PECOS PAC ID: 2163598921 Enrollment ID: I20080903000193 |
| 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 | Steven D Bastian |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1760538342 PECOS PAC ID: 1759440928 Enrollment ID: I20081103000165 |
| Provider Name | Edward R Garcia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891744306 PECOS PAC ID: 5991708240 Enrollment ID: I20081126000560 |
| Provider Name | Michael David Levine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447348370 PECOS PAC ID: 3779656293 Enrollment ID: I20081201000102 |
| Provider Name | Roxanne Garcia Orr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407060460 PECOS PAC ID: 2668534744 Enrollment ID: I20081224000262 |
| 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 | Olufolajimi Obembe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164630117 PECOS PAC ID: 7315097367 Enrollment ID: I20090612000112 |
| Provider Name | Rishi K Gosalia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174797286 PECOS PAC ID: 8820149511 Enrollment ID: I20090618000726 |
| Provider Name | Devin N Minior |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386803088 PECOS PAC ID: 7214089085 Enrollment ID: I20090709000395 |
| 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 | Alexander J Catton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871768887 PECOS PAC ID: 6709932742 Enrollment ID: I20090916000752 |
| 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 | Wayne S Kubal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669453247 PECOS PAC ID: 4385681386 Enrollment ID: I20091117000242 |
| Provider Name | Mariana D Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841523180 PECOS PAC ID: 3678611233 Enrollment ID: I20091119000163 |
| 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 | Eyad Alkas Yousef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871710467 PECOS PAC ID: 5496898793 Enrollment ID: I20100209000537 |
| Provider Name | Peter Nakaji |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174518765 PECOS PAC ID: 7113060492 Enrollment ID: I20100216000409 |
| Provider Name | Teresa S Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851331961 PECOS PAC ID: 5890753313 Enrollment ID: I20100304000045 |
| Provider Name | Wendy Edith Mccurdy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558332809 PECOS PAC ID: 1052448032 Enrollment ID: I20100422000920 |
| Provider Name | Michael Frederick Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114047040 PECOS PAC ID: 4082769088 Enrollment ID: I20100715001054 |
| Provider Name | Mariel Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144556150 PECOS PAC ID: 3577696673 Enrollment ID: I20100726000776 |
| Provider Name | Christopher O'neill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063406759 PECOS PAC ID: 0941333421 Enrollment ID: I20100804000605 |
| Provider Name | Moustafa Hazin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003098161 PECOS PAC ID: 4789718867 Enrollment ID: I20100811000165 |
| Provider Name | Tarang Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144372020 PECOS PAC ID: 4587703491 Enrollment ID: I20100825001017 |
| Provider Name | Christina R. Bergin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124223888 PECOS PAC ID: 2769507706 Enrollment ID: I20100915000304 |
| Provider Name | Sarah Johanna Carstens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952506867 PECOS PAC ID: 3072638543 Enrollment ID: I20100921000899 |
| Provider Name | Michael Zawaneh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104982057 PECOS PAC ID: 5799821229 Enrollment ID: I20101006000174 |
| Provider Name | John S Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861462434 PECOS PAC ID: 5890987457 Enrollment ID: I20101014000609 |
| 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 | Kathryn Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235124876 PECOS PAC ID: 4385838119 Enrollment ID: I20101104001578 |
| Provider Name | Sunil Santhanakrishnan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215991617 PECOS PAC ID: 6002002441 Enrollment ID: I20101124000050 |
| Provider Name | Cameron R Dick |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194780767 PECOS PAC ID: 3274729629 Enrollment ID: I20101124000074 |
| 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 | Kim Winder Beggs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154525756 PECOS PAC ID: 6507054145 Enrollment ID: I20101222000928 |
| Provider Name | John C Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669669164 PECOS PAC ID: 2668522756 Enrollment ID: I20110111000395 |
| Provider Name | Casey M Golab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790011435 PECOS PAC ID: 1557541067 Enrollment ID: I20110215000697 |
| Provider Name | John Scott Jordan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578593380 PECOS PAC ID: 3779470646 Enrollment ID: I20110307000626 |
| Provider Name | David Yao |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1598786345 PECOS PAC ID: 5092711440 Enrollment ID: I20110425000270 |
| Provider Name | Antonio Dewayne Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326356650 PECOS PAC ID: 8426243528 Enrollment ID: I20110606000280 |
| Provider Name | Kimberlie A Graeme |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073597431 PECOS PAC ID: 7012185630 Enrollment ID: I20110726000017 |
| Provider Name | Veneda T Polite |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952540577 PECOS PAC ID: 5092864207 Enrollment ID: I20110815000390 |
| Provider Name | Lee Anne Denny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891958302 PECOS PAC ID: 7618146127 Enrollment ID: I20110817000462 |
| 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 | 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 | Sarah Desoky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932341138 PECOS PAC ID: 4385815414 Enrollment ID: I20110922000188 |
| Provider Name | Fadi Domit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922263938 PECOS PAC ID: 1355513979 Enrollment ID: I20111004000252 |
| 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 | Imran Anwar Bhatti |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912911280 PECOS PAC ID: 7315957297 Enrollment ID: I20111107000554 |
| Provider Name | Daniel J Chow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821377607 PECOS PAC ID: 5799958674 Enrollment ID: I20111109000823 |
| Provider Name | Tiffany N Graybill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679754592 PECOS PAC ID: 2062565906 Enrollment ID: I20111118000570 |
| Provider Name | Brenda Nora Sowards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881756732 PECOS PAC ID: 8527069772 Enrollment ID: I20111121000974 |
| 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 | Hassan Hussein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710142518 PECOS PAC ID: 0042488165 Enrollment ID: I20111219000622 |
| Provider Name | Ashley M Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821384934 PECOS PAC ID: 5193991669 Enrollment ID: I20120104000727 |
| Provider Name | Mohammad Wisam Baqdunes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124356779 PECOS PAC ID: 2860668217 Enrollment ID: I20120105000886 |
| Provider Name | Hina Arif Tiwari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427334523 PECOS PAC ID: 3274709688 Enrollment ID: I20120106000553 |
| Provider Name | Jijo John |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366583619 PECOS PAC ID: 5496814733 Enrollment ID: I20120109000144 |
| Provider Name | Eric J Schenk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912136557 PECOS PAC ID: 3072772037 Enrollment ID: I20120309000638 |
| Provider Name | Boceifus O Medlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922379023 PECOS PAC ID: 1254590268 Enrollment ID: I20120312000386 |
| Provider Name | Deven Kothari |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962600270 PECOS PAC ID: 2961557202 Enrollment ID: I20120321000436 |
| Provider Name | Charles Thomas Hennemeyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548209539 PECOS PAC ID: 7012927700 Enrollment ID: I20120521000102 |
| Provider Name | Kristin M Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891922829 PECOS PAC ID: 5890959118 Enrollment ID: I20120615000400 |
| Provider Name | Jason K Leubner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487881546 PECOS PAC ID: 2466618962 Enrollment ID: I20120727000674 |
| Provider Name | Mikul D Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033375456 PECOS PAC ID: 1759570138 Enrollment ID: I20120803000606 |
| Provider Name | Amanpreet Kaur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689970220 PECOS PAC ID: 4880872712 Enrollment ID: I20120808000883 |
| Provider Name | Abdulilah Arafeh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821036583 PECOS PAC ID: 3072524198 Enrollment ID: I20120810000330 |
| Provider Name | Suha Ayoub |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427387422 PECOS PAC ID: 6709032188 Enrollment ID: I20120820000435 |
| Provider Name | Nilda L Franco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215164389 PECOS PAC ID: 4981853322 Enrollment ID: I20121001000027 |
| Provider Name | Basel Channis |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982834594 PECOS PAC ID: 0345490736 Enrollment ID: I20121019000513 |
| Provider Name | Mohd J Jibreel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225267156 PECOS PAC ID: 9436300209 Enrollment ID: I20121105000408 |
| Provider Name | Scott D Haferkamp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497084479 PECOS PAC ID: 1153573738 Enrollment ID: I20121205000293 |
| Provider Name | Sandeep Sidhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154551331 PECOS PAC ID: 8729126602 Enrollment ID: I20130124000492 |
| Provider Name | Holly M Yancy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861658858 PECOS PAC ID: 1951546043 Enrollment ID: I20130320000278 |
| 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 | Attila Mady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063478188 PECOS PAC ID: 2769576990 Enrollment ID: I20130610000759 |
| Provider Name | Brian Marasigan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033372131 PECOS PAC ID: 0143396986 Enrollment ID: I20130710000645 |
| Provider Name | Nancy Youssef |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487833752 PECOS PAC ID: 2264672286 Enrollment ID: I20130715000521 |
| Provider Name | Todd A Richards |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1053499541 PECOS PAC ID: 7719909084 Enrollment ID: I20130715000742 |
| Provider Name | Jonathan C Yang |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1255539532 PECOS PAC ID: 8729229976 Enrollment ID: I20130730000855 |
| 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 | 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 | Jihan Jorio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952597742 PECOS PAC ID: 0143387191 Enrollment ID: I20130829000629 |
| Provider Name | David J Aria |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477794253 PECOS PAC ID: 2062655327 Enrollment ID: I20130905000662 |
| Provider Name | Patrick Shayegan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649435751 PECOS PAC ID: 6608010533 Enrollment ID: I20130916000701 |
| Provider Name | Shilpa L Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902114598 PECOS PAC ID: 2365686136 Enrollment ID: I20130917000391 |
| 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 | Craig W Heise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629398912 PECOS PAC ID: 9234364050 Enrollment ID: I20131104000990 |
| 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 | 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 | Jignesh Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023136322 PECOS PAC ID: 8325198781 Enrollment ID: I20140225002080 |
| Provider Name | Jennifer Louise Becker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538593298 PECOS PAC ID: 7416187018 Enrollment ID: I20140227000463 |
| Provider Name | Sajith Foustin Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013295161 PECOS PAC ID: 6103076294 Enrollment ID: I20140604000459 |
| Provider Name | Jennifer F Preston |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902066111 PECOS PAC ID: 0446496525 Enrollment ID: I20140709002205 |
| Provider Name | Tamim A Sultani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346446317 PECOS PAC ID: 1355582651 Enrollment ID: I20140806002264 |
| Provider Name | Jason L Grimsman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184913717 PECOS PAC ID: 8820238280 Enrollment ID: I20140821002905 |
| Provider Name | Amanda R Mihalik |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1639499767 PECOS PAC ID: 1557580321 Enrollment ID: I20140910001879 |
| 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 | Steven M Lampert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154315745 PECOS PAC ID: 3779568910 Enrollment ID: I20140918002418 |
| 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 | 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 | An Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487880076 PECOS PAC ID: 4385865963 Enrollment ID: I20141023001702 |
| Provider Name | Chad A Boesl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265847065 PECOS PAC ID: 1759502297 Enrollment ID: I20141024002089 |
| Provider Name | Mohanad T Al-qaisi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376838862 PECOS PAC ID: 9436370780 Enrollment ID: I20141030000075 |
| Provider Name | Samer Muala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790943900 PECOS PAC ID: 9234292384 Enrollment ID: I20141030000134 |
| Provider Name | Randy S Gelow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568755130 PECOS PAC ID: 6002038213 Enrollment ID: I20141103001854 |
| Provider Name | Nithya V Krishnaswamy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710273693 PECOS PAC ID: 0042456113 Enrollment ID: I20141107002132 |
| Provider Name | Eileen M Channel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497831580 PECOS PAC ID: 0648229286 Enrollment ID: I20141125000450 |
| Provider Name | Meghan Spyres |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144547910 PECOS PAC ID: 4789906553 Enrollment ID: I20141205000303 |
| Provider Name | Samuel B Braff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124249206 PECOS PAC ID: 7012164619 Enrollment ID: I20141209000997 |
| Provider Name | Sarah W Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841578986 PECOS PAC ID: 2365765153 Enrollment ID: I20141231001646 |
| Provider Name | Natasha Keric |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750543757 PECOS PAC ID: 5395987895 Enrollment ID: I20150115002323 |
| Provider Name | Christopher Eicher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043509516 PECOS PAC ID: 1153544051 Enrollment ID: I20150220001693 |
| Provider Name | Adella Marie Deharo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851799142 PECOS PAC ID: 1052637477 Enrollment ID: I20150303000407 |
| Provider Name | Dana Caforio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942695622 PECOS PAC ID: 3173843695 Enrollment ID: I20150526000934 |
| Provider Name | David Gregory Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184879900 PECOS PAC ID: 6204089600 Enrollment ID: I20150612001692 |
| Provider Name | Lloyd Centino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215216973 PECOS PAC ID: 5496971350 Enrollment ID: I20150625001328 |
| Provider Name | Ramachandra R Sista |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083740252 PECOS PAC ID: 8628095551 Enrollment ID: I20150701001476 |
| Provider Name | Unni Krishna Kaimal Udayasankar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568647253 PECOS PAC ID: 6800927617 Enrollment ID: I20150709003119 |
| Provider Name | Tyson S Chadaz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235459215 PECOS PAC ID: 9436462520 Enrollment ID: I20150717002616 |
| Provider Name | Matthew J Brownell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649614561 PECOS PAC ID: 4385957281 Enrollment ID: I20150721003021 |
| Provider Name | Christine A Lovato |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114199866 PECOS PAC ID: 0941522411 Enrollment ID: I20150724010549 |
| Provider Name | Fadi K Alrabadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609131499 PECOS PAC ID: 6507171105 Enrollment ID: I20150811005276 |
| 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 | Brian Geyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891094637 PECOS PAC ID: 2264699107 Enrollment ID: I20150820011623 |
| 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 | Elissa R Abbruscato |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356603021 PECOS PAC ID: 4486960416 Enrollment ID: I20150904001419 |
| Provider Name | Shannon Bownds |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518911726 PECOS PAC ID: 6901817386 Enrollment ID: I20150909002432 |
| Provider Name | Brent E Schultz |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1760682660 PECOS PAC ID: 8527375062 Enrollment ID: I20150916002218 |
| 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 | 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 | Layth Al-jashaami |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255691895 PECOS PAC ID: 8022326297 Enrollment ID: I20151008000106 |
| Provider Name | Yasmine S Kenani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619234648 PECOS PAC ID: 9739497819 Enrollment ID: I20151009001816 |
| Provider Name | Sameer Bellapravalu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013030022 PECOS PAC ID: 0143354639 Enrollment ID: I20151020001403 |
| Provider Name | Appu Aparna Basnet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447512124 PECOS PAC ID: 0648589366 Enrollment ID: I20151021000010 |
| Provider Name | Kresimira M Milas |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1669572772 PECOS PAC ID: 2062411135 Enrollment ID: I20151201002569 |
| 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 | Angel L Chu-peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366811010 PECOS PAC ID: 9335448315 Enrollment ID: I20160425002643 |
| Provider Name | Dana Archbold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003254566 PECOS PAC ID: 9133173669 Enrollment ID: I20160623000176 |
| Provider Name | Sandra Lynn Till |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164658761 PECOS PAC ID: 2860677267 Enrollment ID: I20160623002310 |
| Provider Name | Christina Chrisman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578832309 PECOS PAC ID: 9234421603 Enrollment ID: I20160705000774 |
| Provider Name | Jacob S Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558708792 PECOS PAC ID: 9830481274 Enrollment ID: I20160706000672 |
| Provider Name | Carla D Lockhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871941476 PECOS PAC ID: 2365735909 Enrollment ID: I20160720001017 |
| Provider Name | Praveen Bheemanathini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669729042 PECOS PAC ID: 5395976096 Enrollment ID: I20160810002796 |
| Provider Name | Abhinav Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295082790 PECOS PAC ID: 2062729684 Enrollment ID: I20160815002486 |
| Provider Name | Timothy A Widener |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619312824 PECOS PAC ID: 8527353408 Enrollment ID: I20160817002213 |
| Provider Name | Jay H Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609134535 PECOS PAC ID: 9032404702 Enrollment ID: I20160818002793 |
| 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 | Joshua Jalad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508200445 PECOS PAC ID: 6709171002 Enrollment ID: I20160825002148 |
| Provider Name | Kelly Larsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801245246 PECOS PAC ID: 9234425281 Enrollment ID: I20160831001305 |
| Provider Name | Firas Abbas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336481407 PECOS PAC ID: 6507152428 Enrollment ID: I20160901000859 |
| Provider Name | Matthew Ploger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861757528 PECOS PAC ID: 1557663002 Enrollment ID: I20160909001178 |
| Provider Name | Gregory J Woodhead |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982925533 PECOS PAC ID: 6507152923 Enrollment ID: I20160912001833 |
| Provider Name | Samar D Kubba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871831024 PECOS PAC ID: 3678873387 Enrollment ID: I20160919000023 |
| Provider Name | Mohemmedd Khalid F Abbas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316366651 PECOS PAC ID: 9931496387 Enrollment ID: I20160928001798 |
| Provider Name | Karina Avechuco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770930067 PECOS PAC ID: 5698053742 Enrollment ID: I20161025001980 |
| Provider Name | Berndt Schmit |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578636304 PECOS PAC ID: 8527952977 Enrollment ID: I20161025003118 |
| Provider Name | Cole F P Mendenhall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891958351 PECOS PAC ID: 1153549902 Enrollment ID: I20161026001142 |
| Provider Name | Neil P Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700211455 PECOS PAC ID: 2769776798 Enrollment ID: I20161109002860 |
| Provider Name | Yazhini Srivathsal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346509742 PECOS PAC ID: 9537464136 Enrollment ID: I20161122001769 |
| Provider Name | Raed Al Adham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598104952 PECOS PAC ID: 5597045781 Enrollment ID: I20161205001835 |
| Provider Name | Jerry Wayne Snow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164465209 PECOS PAC ID: 1052371168 Enrollment ID: I20161214000578 |
| Provider Name | Alyssa M Glenn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316496557 PECOS PAC ID: 2860774874 Enrollment ID: I20170127001443 |
| Provider Name | Carlene Anolick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629424593 PECOS PAC ID: 4385927870 Enrollment ID: I20170207002038 |
| 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 | Katherine Ford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487940524 PECOS PAC ID: 0547427510 Enrollment ID: I20170518002854 |
| Provider Name | Daniel J Mcarthur |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497290167 PECOS PAC ID: 7214204395 Enrollment ID: I20170519001566 |
| Provider Name | Gunnar C Clark |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255626701 PECOS PAC ID: 9638497613 Enrollment ID: I20170522001260 |
| Provider Name | Michaela H Lee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396062386 PECOS PAC ID: 3274823992 Enrollment ID: I20170524001127 |
| Provider Name | Mahmoud Alsayed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215288568 PECOS PAC ID: 2466693783 Enrollment ID: I20170605001820 |
| Provider Name | Michael D Mckee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801056015 PECOS PAC ID: 5193093847 Enrollment ID: I20170621001169 |
| Provider Name | Ligita Centorino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376070508 PECOS PAC ID: 8325317779 Enrollment ID: I20170628002927 |
| Provider Name | Stephen Baker Murphy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396775227 PECOS PAC ID: 3072412949 Enrollment ID: I20170728002748 |
| 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 | Allen Shu Yuan Liu |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1902975907 PECOS PAC ID: 5395901706 Enrollment ID: I20170808002672 |
| Provider Name | Nicholas A Baumler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659542660 PECOS PAC ID: 6507036019 Enrollment ID: I20170811000786 |
| 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 | Gurbir Sehmbey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720408560 PECOS PAC ID: 9931471505 Enrollment ID: I20170816002247 |
| Provider Name | Mohammed Hafiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184034852 PECOS PAC ID: 3476825076 Enrollment ID: I20170816003355 |
| Provider Name | Mustafa Alani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689084774 PECOS PAC ID: 2567734072 Enrollment ID: I20170817003738 |
| Provider Name | Yasir Abdulqader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184955395 PECOS PAC ID: 5799058640 Enrollment ID: I20170829002117 |
| Provider Name | Daniel M Pacheco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346401759 PECOS PAC ID: 9830367739 Enrollment ID: I20170906001382 |
| Provider Name | Allison Tompeck |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518270909 PECOS PAC ID: 4183840192 Enrollment ID: I20170907001728 |
| Provider Name | Gregory C Dodaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598175051 PECOS PAC ID: 6608140736 Enrollment ID: I20170927004002 |
| Provider Name | Raed H Alalawi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366566176 PECOS PAC ID: 6305946609 Enrollment ID: I20171005002874 |
| Provider Name | Brittany R Muscha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730590837 PECOS PAC ID: 8325313703 Enrollment ID: I20171011001734 |
| Provider Name | Mohammad A Abdulrasool |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053738096 PECOS PAC ID: 4284909581 Enrollment ID: I20171012003289 |
| Provider Name | Ankur Mishra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619223880 PECOS PAC ID: 9830419944 Enrollment ID: I20171027002327 |
| Provider Name | Alysia D Reina |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225557093 PECOS PAC ID: 0446526800 Enrollment ID: I20171030003098 |
| Provider Name | Vinay Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619281862 PECOS PAC ID: 0446491518 Enrollment ID: I20171103000505 |
| Provider Name | Linnet Sebastian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659801223 PECOS PAC ID: 6305102278 Enrollment ID: I20171108003539 |
| Provider Name | Mustafa A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275885147 PECOS PAC ID: 5597068171 Enrollment ID: I20171207003057 |
| Provider Name | Matthew J Steele |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1407218860 PECOS PAC ID: 8224395793 Enrollment ID: I20171208001232 |
| 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 | Christopher Gard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306365770 PECOS PAC ID: 4183984446 Enrollment ID: I20180205002418 |
| Provider Name | Nafis A Shamsid-deen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326451220 PECOS PAC ID: 6103187547 Enrollment ID: I20180228001642 |
| Provider Name | Theresa Caruso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609301332 PECOS PAC ID: 3274801253 Enrollment ID: I20180328001320 |
| Provider Name | Katie L Kearl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316452162 PECOS PAC ID: 5698038107 Enrollment ID: I20180416002057 |
| Provider Name | Margaret A Berg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699291567 PECOS PAC ID: 1557624822 Enrollment ID: I20180419000998 |
| Provider Name | Clint Brock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275070369 PECOS PAC ID: 5890053912 Enrollment ID: I20180509001151 |
| Provider Name | Armando Sanchez Abucejo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649785288 PECOS PAC ID: 6507121167 Enrollment ID: I20180531001908 |
| Provider Name | Kyle Henry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194161588 PECOS PAC ID: 9931464591 Enrollment ID: I20180531002017 |
| Provider Name | Christopher Ryan Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407292527 PECOS PAC ID: 6709141948 Enrollment ID: I20180601000666 |
| Provider Name | Denege A Ward-wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467542902 PECOS PAC ID: 9830233170 Enrollment ID: I20180601001392 |
| Provider Name | Jennifer S Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932528056 PECOS PAC ID: 3971858077 Enrollment ID: I20180613001815 |
| Provider Name | Kenneth C Klein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215321153 PECOS PAC ID: 8921370883 Enrollment ID: I20180615000874 |
| Provider Name | Warren Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982138079 PECOS PAC ID: 2062767668 Enrollment ID: I20180622001545 |
| Provider Name | Wyatt D Unger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356782221 PECOS PAC ID: 7719232610 Enrollment ID: I20180705000512 |
| Provider Name | Christopher Stewart Goettl |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1609219633 PECOS PAC ID: 1355651654 Enrollment ID: I20180711004036 |
| Provider Name | Evan F Werk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184036774 PECOS PAC ID: 8022365311 Enrollment ID: I20180718000450 |
| Provider Name | Kristen J Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881089274 PECOS PAC ID: 6103190426 Enrollment ID: I20180719004113 |
| Provider Name | Vini Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902293327 PECOS PAC ID: 1658629464 Enrollment ID: I20180809004705 |
| Provider Name | Kartik S Boddupalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093101131 PECOS PAC ID: 5395964860 Enrollment ID: I20180810001465 |
| Provider Name | Rachel Js Hauns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104311240 PECOS PAC ID: 9830447630 Enrollment ID: I20180810001887 |
| Provider Name | Joshua T Mirrer |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1881984672 PECOS PAC ID: 8628326345 Enrollment ID: I20180811000133 |
| Provider Name | Kevin D Han |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1487953840 PECOS PAC ID: 7618226291 Enrollment ID: I20180814004118 |
| Provider Name | Douglas Smoot Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205197829 PECOS PAC ID: 5294084133 Enrollment ID: I20180824002965 |
| Provider Name | Aaron Anthony Arciniega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477049427 PECOS PAC ID: 1951650837 Enrollment ID: I20180827001339 |
| Provider Name | Elvina Mehinovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376930289 PECOS PAC ID: 9931414711 Enrollment ID: I20180913003190 |
| Provider Name | Anita Fazal Rasheed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396116299 PECOS PAC ID: 0042584211 Enrollment ID: I20180926000246 |
| Provider Name | Siamac Yazdchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457746018 PECOS PAC ID: 1759632946 Enrollment ID: I20180927001319 |
| Provider Name | Jack R Hannallah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497018915 PECOS PAC ID: 3274898481 Enrollment ID: I20181025001409 |
| Provider Name | Kavitha Yaddanapudi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326341801 PECOS PAC ID: 9335461698 Enrollment ID: I20181025002927 |
| Provider Name | Zachary James Hernandez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831577550 PECOS PAC ID: 3870806672 Enrollment ID: I20181102001870 |
| Provider Name | Jessica Wickes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083001846 PECOS PAC ID: 2961756846 Enrollment ID: I20181112002317 |
| Provider Name | Salam Mohammed Arif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205220142 PECOS PAC ID: 6901179886 Enrollment ID: I20181119002276 |
| Provider Name | Dawn N Nichols |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093294878 PECOS PAC ID: 3476897414 Enrollment ID: I20181203002229 |
| Provider Name | Lewis K Shin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467507863 PECOS PAC ID: 6608818984 Enrollment ID: I20181212001840 |
| Provider Name | Deborah E Fleming |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376919597 PECOS PAC ID: 5991041709 Enrollment ID: I20190116001737 |
| Provider Name | Damaris Hazell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699256347 PECOS PAC ID: 8123365947 Enrollment ID: I20190131001917 |
| Provider Name | Sumaiya M Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700272192 PECOS PAC ID: 7517205552 Enrollment ID: I20190215002619 |
| Provider Name | Scott Alan Tomlinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326512203 PECOS PAC ID: 6305186479 Enrollment ID: I20190327002829 |
| Provider Name | Kristina Marie Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588132096 PECOS PAC ID: 7315288230 Enrollment ID: I20190402002920 |
| Provider Name | Denis Borisovich Sviridenkov |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598232175 PECOS PAC ID: 7416298013 Enrollment ID: I20190409001118 |
| Provider Name | Amanda Elizabeth Patz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427429240 PECOS PAC ID: 8022328772 Enrollment ID: I20190507001150 |
| Provider Name | Brandon S Gardner |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1770979627 PECOS PAC ID: 9335482595 Enrollment ID: I20190510001478 |
| Provider Name | Danielle Marie Soza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649834912 PECOS PAC ID: 2860725009 Enrollment ID: I20190603003117 |
| Provider Name | Jordan Merz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710373725 PECOS PAC ID: 7416280979 Enrollment ID: I20190614002574 |
| Provider Name | Rosemarie Metzger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336351329 PECOS PAC ID: 8729265129 Enrollment ID: I20190618002174 |
| Provider Name | Kaitlyn Denise Elliott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881088318 PECOS PAC ID: 0042521411 Enrollment ID: I20190703001781 |
| Provider Name | Nicole Leeanne Restko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225525793 PECOS PAC ID: 9537424460 Enrollment ID: I20190708000341 |
| Provider Name | Hong Seok Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750767273 PECOS PAC ID: 5890074322 Enrollment ID: I20190711003628 |
| Provider Name | Khaled Hassan Malkawi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689809246 PECOS PAC ID: 3072788058 Enrollment ID: I20190715000844 |
| Provider Name | Pratik Kamal Dalal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053639336 PECOS PAC ID: 6901049295 Enrollment ID: I20190717001428 |
| Provider Name | Joon S Kim |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730592171 PECOS PAC ID: 3476827940 Enrollment ID: I20190809002812 |
| Provider Name | Emily B Cova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952868309 PECOS PAC ID: 1850628934 Enrollment ID: I20190812004119 |
| Provider Name | Varun Tandon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902251903 PECOS PAC ID: 5395031652 Enrollment ID: I20190821000539 |
| 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 | Michael Larsen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1891040440 PECOS PAC ID: 9638313521 Enrollment ID: I20190909000707 |
| Provider Name | Sara Michelle York |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306290101 PECOS PAC ID: 2062741069 Enrollment ID: I20190916002742 |
| Provider Name | Joseph Seelbaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275997868 PECOS PAC ID: 0446520944 Enrollment ID: I20190917001165 |
| Provider Name | Babak Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295092807 PECOS PAC ID: 1052662947 Enrollment ID: I20190929000010 |
| Provider Name | Ira Davis Denny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255987475 PECOS PAC ID: 6406187129 Enrollment ID: I20191010002803 |
| Provider Name | Aaron Benjamin Dahl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710243233 PECOS PAC ID: 8628219961 Enrollment ID: I20191022000950 |
| Provider Name | Kyung Chung |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1821208240 PECOS PAC ID: 0648529586 Enrollment ID: I20191104003053 |
| Provider Name | Christopher Ardary |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659785327 PECOS PAC ID: 0941426506 Enrollment ID: I20191107002880 |
| Provider Name | Saba Najeeb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902252281 PECOS PAC ID: 8123450319 Enrollment ID: I20191108000678 |
| Provider Name | Daise C Vieira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598155749 PECOS PAC ID: 7113359365 Enrollment ID: I20191109000032 |
| Provider Name | Nikhil K Mehta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275761595 PECOS PAC ID: 8123243979 Enrollment ID: I20191113003084 |
| Provider Name | Jared Todd Thirjung |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740831775 PECOS PAC ID: 5991137820 Enrollment ID: I20191115000102 |
| Provider Name | Adam H Leeds-peralta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972603751 PECOS PAC ID: 8022062066 Enrollment ID: I20191209002441 |
| Provider Name | Andrew P Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619314796 PECOS PAC ID: 8820232846 Enrollment ID: I20200109001766 |
| Provider Name | Andrew Radau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780234963 PECOS PAC ID: 9931535499 Enrollment ID: I20200203000456 |
| Provider Name | Erik R Dong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811283625 PECOS PAC ID: 0547577629 Enrollment ID: I20200217001407 |
| Provider Name | Gurvijay Sasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770962847 PECOS PAC ID: 2365740313 Enrollment ID: I20200326003012 |
| Provider Name | Jacen Tyler Knowlton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558830943 PECOS PAC ID: 0648515999 Enrollment ID: I20200416003596 |
| Provider Name | Tracey Escalante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669012084 PECOS PAC ID: 8123459930 Enrollment ID: I20200512000584 |
| Provider Name | Samuel N Rogers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689054918 PECOS PAC ID: 3971867615 Enrollment ID: I20200513003087 |
| Provider Name | Jonathan Wieland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407327828 PECOS PAC ID: 7113348467 Enrollment ID: I20200522001047 |
| Provider Name | Shawn S Shrawny |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376583013 PECOS PAC ID: 6800868571 Enrollment ID: I20200601002795 |
| Provider Name | Hasan Tuna Ozgur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447230255 PECOS PAC ID: 7618864281 Enrollment ID: I20200602000134 |
| Provider Name | Jon D Bingham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841824745 PECOS PAC ID: 4587086335 Enrollment ID: I20200624000551 |
| Provider Name | Daniel Alcantar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730542903 PECOS PAC ID: 2163793654 Enrollment ID: I20200624001716 |
| Provider Name | Chelsea Lauren Schwartz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679115604 PECOS PAC ID: 2163856808 Enrollment ID: I20200709001467 |
| Provider Name | Todd S Traub |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215920160 PECOS PAC ID: 6002713914 Enrollment ID: I20200714002162 |
| Provider Name | Steve Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952725178 PECOS PAC ID: 2062745920 Enrollment ID: I20200715001586 |
| Provider Name | Kristen Holler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679991863 PECOS PAC ID: 4082038658 Enrollment ID: I20200716001197 |
| Provider Name | Ashkaun Shaterian |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1679917025 PECOS PAC ID: 1456667575 Enrollment ID: I20200723000865 |
| Provider Name | Ahmad Aouthmany |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427214337 PECOS PAC ID: 8921422718 Enrollment ID: I20200727002652 |
| Provider Name | Paul Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427582972 PECOS PAC ID: 3274958822 Enrollment ID: I20200730001137 |
| Provider Name | Nathanael Adjei-kyeremeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134651896 PECOS PAC ID: 6608291679 Enrollment ID: I20200807001438 |
| Provider Name | Tiffany Nichole Mercer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326544842 PECOS PAC ID: 4284050378 Enrollment ID: I20200819004142 |
| Provider Name | Michael J Ryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821039025 PECOS PAC ID: 2567492838 Enrollment ID: I20200821002384 |
| Provider Name | Puneet Katyal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659392728 PECOS PAC ID: 7810991262 Enrollment ID: I20200826003415 |
| Provider Name | Justin Meyers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588195473 PECOS PAC ID: 6608145420 Enrollment ID: I20200827001054 |
| Provider Name | Maikel Anthony Davalos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932646437 PECOS PAC ID: 6204113558 Enrollment ID: I20200827001723 |
| Provider Name | Jon Alexander Nelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952714719 PECOS PAC ID: 9032488010 Enrollment ID: I20200827001878 |
| Provider Name | Mackenzie D Landin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740695337 PECOS PAC ID: 8628375581 Enrollment ID: I20200831000460 |
| Provider Name | Priya Rajdev |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265775944 PECOS PAC ID: 2668709684 Enrollment ID: I20200917002807 |
| Provider Name | Jeremy Pruzin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962816249 PECOS PAC ID: 0042501090 Enrollment ID: I20200923001175 |
| Provider Name | Erica Guilmart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457883977 PECOS PAC ID: 4587083001 Enrollment ID: I20201002001489 |
| Provider Name | Raza Mushtaq |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700271285 PECOS PAC ID: 4082964044 Enrollment ID: I20201016000970 |
| Provider Name | Hilary Rourke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649882994 PECOS PAC ID: 7618397225 Enrollment ID: I20201021000959 |
| Provider Name | Zahid Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679960686 PECOS PAC ID: 6507285988 Enrollment ID: I20201027003366 |
| Provider Name | Christopher W. Rourke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538771886 PECOS PAC ID: 2466863329 Enrollment ID: I20201124003002 |
| Provider Name | Emma Simpson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396122412 PECOS PAC ID: 5698187037 Enrollment ID: I20201209001593 |
| Provider Name | Lisa Jarnagin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902288327 PECOS PAC ID: 2567709371 Enrollment ID: I20201210000250 |
| Provider Name | Tyler J Bagley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447590401 PECOS PAC ID: 5991943847 Enrollment ID: I20201216001666 |
| Provider Name | Willie Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154928463 PECOS PAC ID: 8325450018 Enrollment ID: I20201222002469 |
| Provider Name | Phillip Michael Standen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114378841 PECOS PAC ID: 7517237258 Enrollment ID: I20210106002786 |
| Provider Name | Enrique Hernandez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306481064 PECOS PAC ID: 6103239900 Enrollment ID: I20210118000482 |
| Provider Name | Andrew A Berlowitz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053573535 PECOS PAC ID: 2567601735 Enrollment ID: I20210120001137 |
| Provider Name | Omer Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235387119 PECOS PAC ID: 5294999116 Enrollment ID: I20210122002615 |
| Provider Name | Mario C Giudici |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558341073 PECOS PAC ID: 8527967710 Enrollment ID: I20210126002666 |
| Provider Name | Liza N Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891229266 PECOS PAC ID: 6002227667 Enrollment ID: I20210210002673 |
| Provider Name | Alicia Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952944142 PECOS PAC ID: 5294160867 Enrollment ID: I20210303000962 |
| Provider Name | Tyler Maples |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184222606 PECOS PAC ID: 7416363973 Enrollment ID: I20210308001319 |
| Provider Name | Alyssa Marie Bixby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255947404 PECOS PAC ID: 2961818265 Enrollment ID: I20210311001219 |
| Provider Name | Elizabeth K Batchelor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619387560 PECOS PAC ID: 0749550192 Enrollment ID: I20210324000759 |
| Provider Name | Frank Macalma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235767328 PECOS PAC ID: 4183032519 Enrollment ID: I20210422002575 |
| Provider Name | Mackenzie Pullee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558749770 PECOS PAC ID: 7113232620 Enrollment ID: I20210506000550 |
| Provider Name | Geoffrey D Rubin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285783472 PECOS PAC ID: 1951328053 Enrollment ID: I20210507000403 |
| Provider Name | Alexander Alsadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780174565 PECOS PAC ID: 3476804949 Enrollment ID: I20210525001038 |
| Provider Name | Drake Mcarthur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679935340 PECOS PAC ID: 1658664172 Enrollment ID: I20210615002086 |
| Provider Name | Michael David Weed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568824167 PECOS PAC ID: 4981004785 Enrollment ID: I20210616001477 |
| Provider Name | Devdutta Warhadpande |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871971119 PECOS PAC ID: 6800296492 Enrollment ID: I20210618001875 |
| Provider Name | Dushyant S Mann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477932432 PECOS PAC ID: 2860786969 Enrollment ID: I20210621000676 |
| Provider Name | Esa S Rayyan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699160572 PECOS PAC ID: 1355615725 Enrollment ID: I20210628003217 |
| Provider Name | Emily Truex |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518567403 PECOS PAC ID: 2466853445 Enrollment ID: I20210628003309 |
| Provider Name | Kathryn Marie Olsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689859431 PECOS PAC ID: 0345312815 Enrollment ID: I20210629000336 |
| Provider Name | Caitlyn Marie Harrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205223831 PECOS PAC ID: 2466853262 Enrollment ID: I20210630003783 |
| Provider Name | Stephanie Iusim |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558756320 PECOS PAC ID: 2860702958 Enrollment ID: I20210630003876 |
| Provider Name | Manik K Gupta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548655681 PECOS PAC ID: 9739481128 Enrollment ID: I20210722001891 |
| Provider Name | Usha Jayagurunathan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780106823 PECOS PAC ID: 0244585149 Enrollment ID: I20210726002640 |
| Provider Name | Robyn A Schleifman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194788786 PECOS PAC ID: 4587682398 Enrollment ID: I20210804000249 |
| Provider Name | Bital Savir-baruch |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1558687905 PECOS PAC ID: 9830310010 Enrollment ID: I20210820001909 |
| Provider Name | Aashiv Bharij |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932605615 PECOS PAC ID: 9436554896 Enrollment ID: I20210823002459 |
| Provider Name | Omar Nadhem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598022725 PECOS PAC ID: 0648584417 Enrollment ID: I20210824002488 |
| Provider Name | Abdul Ahad Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063896678 PECOS PAC ID: 2668877903 Enrollment ID: I20210824002935 |
| Provider Name | Daniel A Puebla Neira |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649404278 PECOS PAC ID: 1052546397 Enrollment ID: I20210824003264 |
| Provider Name | Richard Bigler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487018495 PECOS PAC ID: 5890190037 Enrollment ID: I20210825003380 |
| Provider Name | Avinaj Martin John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386008563 PECOS PAC ID: 3971873423 Enrollment ID: I20210831002579 |
| Provider Name | Amanda Webb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598335127 PECOS PAC ID: 1153728464 Enrollment ID: I20210928003260 |
| Provider Name | Mazi Condelee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568132975 PECOS PAC ID: 5395142673 Enrollment ID: I20210929002204 |
| Provider Name | Samuel Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477715589 PECOS PAC ID: 0446304760 Enrollment ID: I20210930002655 |
| Provider Name | Christopher Michael Garcia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295308138 PECOS PAC ID: 4486052628 Enrollment ID: I20211001002014 |
| Provider Name | Brian James Carpenter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912403395 PECOS PAC ID: 6305244484 Enrollment ID: I20211004001344 |
| Provider Name | Thomas Aquisto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861455271 PECOS PAC ID: 8628009321 Enrollment ID: I20211004002425 |
| Provider Name | Kaivan M Salehpour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497141204 PECOS PAC ID: 4789082751 Enrollment ID: I20211005001767 |
| Provider Name | Sally Suliman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891041737 PECOS PAC ID: 3072735901 Enrollment ID: I20211006002795 |
| Provider Name | Ram Gautam Gorantla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114443918 PECOS PAC ID: 7618375130 Enrollment ID: I20211013000972 |
| Provider Name | Omar S Abduljabar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770978843 PECOS PAC ID: 2062729080 Enrollment ID: I20211013001887 |
| Provider Name | Shaiban Khaleel Jubair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427554989 PECOS PAC ID: 8123416484 Enrollment ID: I20211019003198 |
| Provider Name | Ariella C Jacques |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912490624 PECOS PAC ID: 6103173547 Enrollment ID: I20211025001530 |
| Provider Name | Justin Wayne Fuller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962176917 PECOS PAC ID: 4880082619 Enrollment ID: I20211028001039 |
| Provider Name | Rami H A Sulaiman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417305210 PECOS PAC ID: 0648514737 Enrollment ID: I20211101002860 |
| Provider Name | Marcia Mankin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881162303 PECOS PAC ID: 8325388804 Enrollment ID: I20211104002234 |
| Provider Name | Farhana Hossain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104353457 PECOS PAC ID: 0941622203 Enrollment ID: I20211111001731 |
| Provider Name | Autumn Lemke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538725072 PECOS PAC ID: 5991194805 Enrollment ID: I20211116000359 |
| Provider Name | Cameron Mcdougall |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366812828 PECOS PAC ID: 7618267279 Enrollment ID: I20211124002217 |
| Provider Name | Tae H Ro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952750739 PECOS PAC ID: 3476953068 Enrollment ID: I20211213001331 |
| Provider Name | Alexa Rae Finneman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811666597 PECOS PAC ID: 6002207321 Enrollment ID: I20211221002499 |
| Provider Name | Amy M Chaloux |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922513662 PECOS PAC ID: 7416216031 Enrollment ID: I20220104000502 |
| Provider Name | Erasmo Coutino |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730545658 PECOS PAC ID: 5597055525 Enrollment ID: I20220104000564 |
| Provider Name | Noele Morse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427018936 PECOS PAC ID: 7911993225 Enrollment ID: I20220105000667 |
| Provider Name | Aysha Agarwal Agarwal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033564026 PECOS PAC ID: 5294021556 Enrollment ID: I20220121000665 |
| Provider Name | Kathryn Demitruk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386138998 PECOS PAC ID: 4385991249 Enrollment ID: I20220131001447 |
| Provider Name | Laura Elizabeth Gibbons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952752974 PECOS PAC ID: 3870886765 Enrollment ID: I20220209000621 |
| Provider Name | Yuqing Alexandria Gao |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760837009 PECOS PAC ID: 6507157013 Enrollment ID: I20220209001463 |
| Provider Name | Leslie Giesemann |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710901590 PECOS PAC ID: 6103964259 Enrollment ID: I20220210000506 |
| Provider Name | Jake Martinez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699295188 PECOS PAC ID: 4284058884 Enrollment ID: I20220210000623 |
| Provider Name | Meera Raghavan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508064916 PECOS PAC ID: 8426144692 Enrollment ID: I20220211001675 |
| Provider Name | Jacob David Veater |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467128306 PECOS PAC ID: 0446643480 Enrollment ID: I20220215001361 |
| Provider Name | Kevin Kotamarti |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790163756 PECOS PAC ID: 1153654595 Enrollment ID: I20220224001285 |
| Provider Name | Shayne Nicholle Wood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841965241 PECOS PAC ID: 9335534676 Enrollment ID: I20220323000654 |
| Provider Name | Leila S Mclawhorn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043864408 PECOS PAC ID: 9436573649 Enrollment ID: I20220329001319 |
| Provider Name | Anas Rihawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386083830 PECOS PAC ID: 6103147525 Enrollment ID: I20220418001585 |
| Provider Name | Mohamed B Abdelhabib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184287161 PECOS PAC ID: 8426382227 Enrollment ID: I20220420000420 |
| Provider Name | Rapheal Okonye |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952876286 PECOS PAC ID: 9739428830 Enrollment ID: I20220422001470 |
| Provider Name | Abby Nicole Frederickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710483219 PECOS PAC ID: 5698165389 Enrollment ID: I20220511001183 |
| Provider Name | Janette Roselee Pitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043967243 PECOS PAC ID: 3971980590 Enrollment ID: I20220519000777 |
| Provider Name | Cordel E Fuher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750844254 PECOS PAC ID: 0143555151 Enrollment ID: I20220602002349 |
| Provider Name | Amber Finiels |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366825168 PECOS PAC ID: 8729394614 Enrollment ID: I20220610001007 |
| Provider Name | Mark Dewood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265811863 PECOS PAC ID: 9830406321 Enrollment ID: I20220613000664 |
| Provider Name | Mary-agnes N Knoles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134134000 PECOS PAC ID: 1254321144 Enrollment ID: I20220615003211 |
| Provider Name | Maria C Martin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720585805 PECOS PAC ID: 8123417755 Enrollment ID: I20220616002415 |
| Provider Name | Gregory J Opdahl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194985788 PECOS PAC ID: 3274784533 Enrollment ID: I20220623001055 |
| 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 | Jason Allen Dienhart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457814683 PECOS PAC ID: 3870829435 Enrollment ID: I20220707003419 |
| Provider Name | Vy K Ly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851853337 PECOS PAC ID: 7517348907 Enrollment ID: I20220716000094 |
| Provider Name | Megan S Guthrie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417383225 PECOS PAC ID: 5890920425 Enrollment ID: I20220719000707 |
| Provider Name | Matthew Pratt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750811782 PECOS PAC ID: 0143599407 Enrollment ID: I20220719002834 |
| Provider Name | Matthew M Reschke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174941082 PECOS PAC ID: 1254633704 Enrollment ID: I20220720001911 |
| Provider Name | Jamie Morrison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912413444 PECOS PAC ID: 1254691207 Enrollment ID: I20220720002276 |
| Provider Name | Vijay Anand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215378484 PECOS PAC ID: 1557665213 Enrollment ID: I20220721002428 |
| Provider Name | Daniel Wonil Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164451753 PECOS PAC ID: 8820173545 Enrollment ID: I20220721002762 |
| Provider Name | Maria Kotarska |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700248044 PECOS PAC ID: 3274816699 Enrollment ID: I20220721003725 |
| Provider Name | Sawsan Abulaimoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467977231 PECOS PAC ID: 6800290321 Enrollment ID: I20220816003687 |
| Provider Name | Farmin Samareh-jahani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851850168 PECOS PAC ID: 3274868989 Enrollment ID: I20220823003788 |
| Provider Name | Ethan A Weist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962000364 PECOS PAC ID: 0648681395 Enrollment ID: I20220901002496 |
| Provider Name | Mark T Hampton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861967606 PECOS PAC ID: 1557609369 Enrollment ID: I20220906002856 |
| Provider Name | Kimberly Anne Sacco |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790148005 PECOS PAC ID: 0143511667 Enrollment ID: I20220906003292 |
| Provider Name | Avanka Warnakulasuriya Lowe |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1790131159 PECOS PAC ID: 2466837364 Enrollment ID: I20220913002432 |
| Provider Name | Christopher Alan Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114666385 PECOS PAC ID: 4587049770 Enrollment ID: I20220926000144 |
| Provider Name | Sara Jonovich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518595107 PECOS PAC ID: 3971989468 Enrollment ID: I20221006002839 |
| Provider Name | Nehan Anam Sher |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932583382 PECOS PAC ID: 7517216534 Enrollment ID: I20221014003027 |
| Provider Name | Michael Vincent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699335331 PECOS PAC ID: 2860869872 Enrollment ID: I20221103003326 |
| Provider Name | Peter James Weyforth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629747209 PECOS PAC ID: 8022416932 Enrollment ID: I20221103003338 |
| Provider Name | Jordan Fisher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477013126 PECOS PAC ID: 3274920293 Enrollment ID: I20221104001793 |
| Provider Name | Renee Suzanne Hebbeler-clark |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528258340 PECOS PAC ID: 6406941368 Enrollment ID: I20221107000675 |
| Provider Name | Dion Gabaldon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427096429 PECOS PAC ID: 1052219961 Enrollment ID: I20221108001567 |
| Provider Name | Fallon Gallagher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093409484 PECOS PAC ID: 6406223916 Enrollment ID: I20221209002326 |
| Provider Name | R Jay L Marcus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427080340 PECOS PAC ID: 5991833394 Enrollment ID: I20221209002352 |
| Provider Name | Daniel Kyongsoo Yu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174029912 PECOS PAC ID: 5799180188 Enrollment ID: I20221213003113 |
| Provider Name | Edmond Nelson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912285446 PECOS PAC ID: 1951541754 Enrollment ID: I20221220001266 |
| Provider Name | Claire Marie Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043971823 PECOS PAC ID: 0840660445 Enrollment ID: I20221222001742 |
| Provider Name | Edward Rivas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790409431 PECOS PAC ID: 5395115752 Enrollment ID: I20221228002691 |
| Provider Name | Jhamiel Robles Phan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679298970 PECOS PAC ID: 4284004326 Enrollment ID: I20230105001735 |
| Provider Name | Virginia Tena Perez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922723741 PECOS PAC ID: 8123498292 Enrollment ID: I20230105002986 |
| Provider Name | Sammy T Dean |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871827147 PECOS PAC ID: 4284779331 Enrollment ID: I20230125003157 |
| Provider Name | Brooke Tillia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184339947 PECOS PAC ID: 3971975814 Enrollment ID: I20230202001604 |
| Provider Name | Margaret Lily Nice |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548347115 PECOS PAC ID: 9436295888 Enrollment ID: I20230203001937 |
| Provider Name | Jessica Miao Yang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851875066 PECOS PAC ID: 6204173990 Enrollment ID: I20230208001517 |
| Provider Name | Brian Changho Cho |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194068965 PECOS PAC ID: 1951525583 Enrollment ID: I20230308000515 |
| Provider Name | Robert William Crutchley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760079479 PECOS PAC ID: 8123421682 Enrollment ID: I20230314002171 |
| Provider Name | Christy Wiggins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124663950 PECOS PAC ID: 8729493028 Enrollment ID: I20230331000785 |
| Provider Name | Emily Catherine Savitt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790372720 PECOS PAC ID: 6800200676 Enrollment ID: I20230411001740 |
| Provider Name | Stacey Erin Railsback |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821669144 PECOS PAC ID: 2264816271 Enrollment ID: I20230411002391 |
| Provider Name | Maykel Irandost |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124523642 PECOS PAC ID: 0749670040 Enrollment ID: I20230418000603 |
| Provider Name | Neil Anand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508271149 PECOS PAC ID: 8325380900 Enrollment ID: I20230418001274 |
| Provider Name | Artyom Abramyan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861846685 PECOS PAC ID: 3870889439 Enrollment ID: I20230420000136 |
| Provider Name | Tessa R Guevara |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568413292 PECOS PAC ID: 7911918503 Enrollment ID: I20230420002772 |
| Provider Name | Harish Gudi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447812458 PECOS PAC ID: 9830554583 Enrollment ID: I20230502001381 |
| Provider Name | James T Frencher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386039758 PECOS PAC ID: 8022449941 Enrollment ID: I20230505000625 |
| Provider Name | Daniel N Young |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548612245 PECOS PAC ID: 6204162464 Enrollment ID: I20230512002483 |
| Provider Name | Macarthur Drake |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992994487 PECOS PAC ID: 1759418965 Enrollment ID: I20230605000467 |
| Provider Name | Xavier Garcia-rojas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083895379 PECOS PAC ID: 1355529744 Enrollment ID: I20230606000789 |
| Provider Name | Jamie Lee Kaiser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578274197 PECOS PAC ID: 5294192233 Enrollment ID: I20230606002164 |
| Provider Name | Akeel M Merchant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558628735 PECOS PAC ID: 9133544455 Enrollment ID: I20230612001458 |
| Provider Name | John N Kouvaras |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437194081 PECOS PAC ID: 1759394802 Enrollment ID: I20230612003056 |
| Provider Name | Yusef Abbas Esparza-monzavi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720501828 PECOS PAC ID: 9830462381 Enrollment ID: I20230622001570 |
| Provider Name | Britain Andrew Gailliot |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821401159 PECOS PAC ID: 7315354750 Enrollment ID: I20230628002244 |
| Provider Name | Pierce Lewien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295354983 PECOS PAC ID: 2264855444 Enrollment ID: I20230628003617 |
| Provider Name | Erin Schwarz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023473345 PECOS PAC ID: 2668770322 Enrollment ID: I20230628003987 |
| Provider Name | Ahsan Shahid Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306465646 PECOS PAC ID: 4981027034 Enrollment ID: I20230630000361 |
| Provider Name | Ricky Lee Fisher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730176645 PECOS PAC ID: 0547403578 Enrollment ID: I20230705003104 |
| Provider Name | John Noland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386913945 PECOS PAC ID: 8022271584 Enrollment ID: I20230707000145 |
| Provider Name | Tara Marie Lanzendorf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295354470 PECOS PAC ID: 2062803364 Enrollment ID: I20230707003217 |
| Provider Name | Bryce Malik Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811688468 PECOS PAC ID: 6608236047 Enrollment ID: I20230718000880 |
| Provider Name | Cameron Micheal Brach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548944671 PECOS PAC ID: 6901266162 Enrollment ID: I20230719002173 |
| Provider Name | Mackenzie Lynn Schutt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356038830 PECOS PAC ID: 4880054766 Enrollment ID: I20230724004051 |
| Provider Name | Jiwon Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437884327 PECOS PAC ID: 9436510708 Enrollment ID: I20230802003466 |
| Provider Name | Jason Welch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710124201 PECOS PAC ID: 3870640956 Enrollment ID: I20230803002575 |
| Provider Name | Kaelin Meesook Bernier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205455326 PECOS PAC ID: 0244652212 Enrollment ID: I20230807001669 |
| Provider Name | Alisha Yuko Howe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053084160 PECOS PAC ID: 9234591181 Enrollment ID: I20230809003668 |
| Provider Name | Elizabeth Ann Baglieri |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700376589 PECOS PAC ID: 8022357904 Enrollment ID: I20230811001477 |
| Provider Name | Cameron J. Aloisio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912595281 PECOS PAC ID: 6709292667 Enrollment ID: I20230811002944 |
| Provider Name | Sunil K Gujrathi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982706974 PECOS PAC ID: 6406953165 Enrollment ID: I20230816003130 |
| Provider Name | Andrew Fabian Talon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508328006 PECOS PAC ID: 2668852518 Enrollment ID: I20230816003203 |
| Provider Name | Stephen Jaszkowiak |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1669765285 PECOS PAC ID: 9638599434 Enrollment ID: I20230828001878 |
| Provider Name | Karim A. El-kersh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659681351 PECOS PAC ID: 3476865700 Enrollment ID: I20230830002282 |
| Provider Name | Sabina Sandhu |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1679990659 PECOS PAC ID: 1052611563 Enrollment ID: I20230920001529 |
| Provider Name | Richard Lee Hallett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407876865 PECOS PAC ID: 6002891157 Enrollment ID: I20230926003406 |
| Provider Name | Angiela Sivakumar |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1306409578 PECOS PAC ID: 6608260138 Enrollment ID: I20230927001944 |
| Provider Name | Jawad Akmal Hussain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780112102 PECOS PAC ID: 3173891942 Enrollment ID: I20231006000647 |
| Provider Name | Taryn C. Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801538491 PECOS PAC ID: 6901289586 Enrollment ID: I20231020001152 |
| Provider Name | Stephanie Randolph |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457811523 PECOS PAC ID: 5092136705 Enrollment ID: I20231027001233 |
| Provider Name | Cynthia Sebring |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447648860 PECOS PAC ID: 2365899606 Enrollment ID: I20231108002994 |
| Provider Name | Michael D French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215679881 PECOS PAC ID: 5496102246 Enrollment ID: I20231115003486 |
| Provider Name | Lauren Dinella |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225550023 PECOS PAC ID: 0547532749 Enrollment ID: I20231117001170 |
| Provider Name | Samantha Lind |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174284442 PECOS PAC ID: 1951782580 Enrollment ID: I20231121001791 |
| Provider Name | Frank J. Rybicki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255311999 PECOS PAC ID: 9133309909 Enrollment ID: I20231129001027 |
| Provider Name | Kimberly Lee Ward |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265217384 PECOS PAC ID: 9537510128 Enrollment ID: I20240108005496 |
| Provider Name | Kechi Amadi-obi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104119817 PECOS PAC ID: 6608097993 Enrollment ID: I20240220000644 |
| Provider Name | Hsiu P Su |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518130442 PECOS PAC ID: 4789721358 Enrollment ID: I20240222003296 |
| Provider Name | Ryan Louis Covey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235896804 PECOS PAC ID: 7719322486 Enrollment ID: I20240304003413 |
| Provider Name | Scott C Goodwin |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1144331703 PECOS PAC ID: 0143318659 Enrollment ID: I20240313003714 |
| Provider Name | Mona Batra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053304634 PECOS PAC ID: 1658319876 Enrollment ID: I20240322000912 |
| Provider Name | Akpevwoghene Stephanie Onedo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023549441 PECOS PAC ID: 7214214949 Enrollment ID: I20240402002031 |
| Provider Name | Maryam Khorrami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619125127 PECOS PAC ID: 5597811489 Enrollment ID: I20240405003607 |
| Provider Name | Harsh Rawal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164804670 PECOS PAC ID: 3779815196 Enrollment ID: I20240412002883 |
| Provider Name | Tyler James Krivanek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881469625 PECOS PAC ID: 1658710611 Enrollment ID: I20240423004341 |
| Provider Name | Holly K Marciniak Thompson |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1295962934 PECOS PAC ID: 9032427943 Enrollment ID: I20240423004371 |
| Provider Name | Tochukwu Nzeako |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982107595 PECOS PAC ID: 6305249798 Enrollment ID: I20240430003000 |
| Provider Name | Gulam Khan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528055001 PECOS PAC ID: 4183519812 Enrollment ID: I20240501001973 |
| Provider Name | Victor Arce Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659876969 PECOS PAC ID: 1153677208 Enrollment ID: I20240502003693 |
| Provider Name | Ranga Macherla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790802056 PECOS PAC ID: 4183725377 Enrollment ID: I20240606002391 |
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 |