| Banner -- University Medical Group | |
|
2901 N Central Ave Phoenix AZ 85012-2700 | |
| (602) 747-4000 | |
| Not Available |
| Full Name | Banner -- University Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 2901 N Central Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Venkata Evani (CEO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner -- University Medical Group 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner -- University Medical Group 2901 N Central Ave Phoenix AZ 85012-2700 Ph: (602) 747-4000 |
| NPI Number | 1508809427 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 09/13/2024 |
| Medicare PECOS PAC ID | 7719899871 |
|---|---|
| Medicare Enrollment ID | O20031105000694 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508809427 | NPI | - | NPPES |
| CC6470 | Other | AZ | RAIL ROAD MEDICARE |
| 005638 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Craig Edward Hancock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982693693 PECOS PAC ID: 7517871940 Enrollment ID: I20031120000459 |
| Provider Name | John J Mcgill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649269424 PECOS PAC ID: 4587568613 Enrollment ID: I20031120000956 |
| Provider Name | Steven R Maxfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801885694 PECOS PAC ID: 6002710134 Enrollment ID: I20031120000975 |
| Provider Name | Donald J Paquet |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801885686 PECOS PAC ID: 4880598507 Enrollment ID: I20031124000769 |
| Provider Name | Thuyngoc T Vo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669461521 PECOS PAC ID: 7911802103 Enrollment ID: I20031201000698 |
| Provider Name | Marvin K Tam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174512032 PECOS PAC ID: 6002711991 Enrollment ID: I20031204000128 |
| Provider Name | Stephanie Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629067244 PECOS PAC ID: 0840195574 Enrollment ID: I20031204001025 |
| Provider Name | Pamela J Chambers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922042936 PECOS PAC ID: 3577462290 Enrollment ID: I20031231000736 |
| Provider Name | Elizabeth B Juneman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982724308 PECOS PAC ID: 2668365925 Enrollment ID: I20040203000058 |
| Provider Name | Gerald N Goldberg |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1932106838 PECOS PAC ID: 7810880549 Enrollment ID: I20040305000812 |
| Provider Name | Wayne K Jacobsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295700839 PECOS PAC ID: 2264323682 Enrollment ID: I20040323001849 |
| Provider Name | Randy J Horwitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194790493 PECOS PAC ID: 1557252814 Enrollment ID: I20040324000752 |
| Provider Name | Todd W Altenbernd |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841273356 PECOS PAC ID: 0345132288 Enrollment ID: I20040326000251 |
| Provider Name | Colleen K Cagno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245202720 PECOS PAC ID: 1658263017 Enrollment ID: I20040329001287 |
| Provider Name | Robin L Giles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184609182 PECOS PAC ID: 2163418484 Enrollment ID: I20040422000714 |
| Provider Name | Tomas D Tredici |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992878862 PECOS PAC ID: 7618963497 Enrollment ID: I20040426000728 |
| Provider Name | Farshad M Shirazi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467452961 PECOS PAC ID: 5496742405 Enrollment ID: I20040429001136 |
| Provider Name | Setsuko K Chambers |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1801869300 PECOS PAC ID: 2961490891 Enrollment ID: I20040430001326 |
| Provider Name | Ron Z Shinar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669439204 PECOS PAC ID: 0749278414 Enrollment ID: I20040503000565 |
| Provider Name | David M Labiner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235236795 PECOS PAC ID: 7719976133 Enrollment ID: I20040511000542 |
| Provider Name | Herbert J Tomaso |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578552519 PECOS PAC ID: 5193715274 Enrollment ID: I20040512001530 |
| Provider Name | Denise J Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023007168 PECOS PAC ID: 8729078613 Enrollment ID: I20040513000675 |
| Provider Name | Leslie A Welk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013938984 PECOS PAC ID: 6103817127 Enrollment ID: I20040519001009 |
| Provider Name | Michael D Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114005253 PECOS PAC ID: 4880599745 Enrollment ID: I20040521001165 |
| Provider Name | Ziad M Shehab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265494603 PECOS PAC ID: 8820089378 Enrollment ID: I20040521001235 |
| Provider Name | Maria M Montez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720174519 PECOS PAC ID: 9335130848 Enrollment ID: I20040522000359 |
| Provider Name | Shaker Fawzy Youssef Saad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710032131 PECOS PAC ID: 7810988227 Enrollment ID: I20040524000116 |
| Provider Name | Peter Ott |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1477578383 PECOS PAC ID: 1254322563 Enrollment ID: I20040524000865 |
| Provider Name | Stephanie D Martinez Hawthorne |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003872037 PECOS PAC ID: 8729069836 Enrollment ID: I20040525001630 |
| Provider Name | John S Hunter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154328623 PECOS PAC ID: 0840271656 Enrollment ID: I20040527000654 |
| Provider Name | Stephanie Gillespie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457492563 PECOS PAC ID: 4981687423 Enrollment ID: I20040608000191 |
| Provider Name | Akash S Taggarse |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1811063555 PECOS PAC ID: 9537055694 Enrollment ID: I20040614000474 |
| Provider Name | Traci Pritchard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326006586 PECOS PAC ID: 2365426863 Enrollment ID: I20040614000968 |
| Provider Name | Jeffrey Thomas Maudlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811930423 PECOS PAC ID: 1052397130 Enrollment ID: I20040629000211 |
| Provider Name | Brent J Barber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487626222 PECOS PAC ID: 1557349586 Enrollment ID: I20040707001452 |
| Provider Name | Paul D Montanarella |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578551388 PECOS PAC ID: 2365420916 Enrollment ID: I20040709001077 |
| Provider Name | Anupama K Mathew |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164620811 PECOS PAC ID: 6406834555 Enrollment ID: I20040713001480 |
| Provider Name | Deborah A Fuchs |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295747335 PECOS PAC ID: 4587644737 Enrollment ID: I20040720001291 |
| Provider Name | Craig A Hoover |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114905973 PECOS PAC ID: 3274513189 Enrollment ID: I20040721001639 |
| Provider Name | Daniel L Beskind |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699747337 PECOS PAC ID: 0648240788 Enrollment ID: I20040727001519 |
| Provider Name | Kimberly M Rafacz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497710354 PECOS PAC ID: 8628049418 Enrollment ID: I20040804001313 |
| Provider Name | Clara N Curiel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1033182381 PECOS PAC ID: 0244201986 Enrollment ID: I20040804001718 |
| Provider Name | Karyn B Kolman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427098516 PECOS PAC ID: 4587636766 Enrollment ID: I20040809000812 |
| Provider Name | Mark D Wheeler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164468328 PECOS PAC ID: 4587639786 Enrollment ID: I20040831001183 |
| 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 | Robert J Segal |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306823216 PECOS PAC ID: 3173591955 Enrollment ID: I20040920000716 |
| Provider Name | Ana Maria Lopez |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1427156017 PECOS PAC ID: 3476521642 Enrollment ID: I20040924000427 |
| Provider Name | Joy L Logan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1285732859 PECOS PAC ID: 3971571142 Enrollment ID: I20040924000467 |
| Provider Name | Stephen A Klotz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801995196 PECOS PAC ID: 3870561061 Enrollment ID: I20040924000575 |
| Provider Name | Urszula H Kotlow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871692178 PECOS PAC ID: 2062481252 Enrollment ID: I20040924000645 |
| Provider Name | John N Galgiani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154341055 PECOS PAC ID: 2062481286 Enrollment ID: I20040924000918 |
| Provider Name | Steve Goldschmid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780798264 PECOS PAC ID: 9931178159 Enrollment ID: I20040924000950 |
| Provider Name | Gulabchand K Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114033875 PECOS PAC ID: 0143210542 Enrollment ID: I20040927001045 |
| Provider Name | Audrey I Russell Kibble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164589974 PECOS PAC ID: 4082673371 Enrollment ID: I20041004000174 |
| Provider Name | Dorothy Terrazas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982686259 PECOS PAC ID: 0042279333 Enrollment ID: I20041004000220 |
| Provider Name | Kamal R Rastogi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033107628 PECOS PAC ID: 6305815614 Enrollment ID: I20041004000485 |
| Provider Name | Jeffrey S Katz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275512352 PECOS PAC ID: 9234199431 Enrollment ID: I20041012001496 |
| Provider Name | Ilana B Addis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730150582 PECOS PAC ID: 0648231415 Enrollment ID: I20041025000698 |
| Provider Name | Karen L Weihs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376618991 PECOS PAC ID: 2860457298 Enrollment ID: I20041124000945 |
| Provider Name | Sydney A Rice |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154403111 PECOS PAC ID: 6002874815 Enrollment ID: I20041227000723 |
| Provider Name | John J Nigro |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1881707818 PECOS PAC ID: 0244290351 Enrollment ID: I20041229000188 |
| Provider Name | Robert N E French |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093723637 PECOS PAC ID: 8820046956 Enrollment ID: I20050105000934 |
| Provider Name | Jerry Mccoy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659397644 PECOS PAC ID: 6406804335 Enrollment ID: I20050107000344 |
| Provider Name | Kathy W Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629087143 PECOS PAC ID: 4688622194 Enrollment ID: I20050111000368 |
| Provider Name | Sally J Vetter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164457792 PECOS PAC ID: 2062301856 Enrollment ID: I20050120000123 |
| Provider Name | Ramesh Karra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891759452 PECOS PAC ID: 5698725851 Enrollment ID: I20050125000919 |
| Provider Name | Indu S Partha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194821165 PECOS PAC ID: 3678524972 Enrollment ID: I20050203000631 |
| Provider Name | William N Marshall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568560894 PECOS PAC ID: 1254385289 Enrollment ID: I20050311000405 |
| Provider Name | Lois E Lattimore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932171386 PECOS PAC ID: 3274588397 Enrollment ID: I20050322000139 |
| Provider Name | Elizabeth O Westfall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558314799 PECOS PAC ID: 6608821608 Enrollment ID: I20050329000242 |
| Provider Name | John D Mcarthur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144206806 PECOS PAC ID: 8527005602 Enrollment ID: I20050411000486 |
| Provider Name | Annette E Monterrosa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154347243 PECOS PAC ID: 1153370937 Enrollment ID: I20050421000460 |
| Provider Name | Richard V Chua |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356334528 PECOS PAC ID: 6507812146 Enrollment ID: I20050427001143 |
| Provider Name | Matthew B Gretzer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033184700 PECOS PAC ID: 8426023730 Enrollment ID: I20050428000285 |
| Provider Name | Penny Lee Bowen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912996638 PECOS PAC ID: 7517938939 Enrollment ID: I20050428000901 |
| Provider Name | Richard A Wahl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134293061 PECOS PAC ID: 2668413014 Enrollment ID: I20050517000304 |
| Provider Name | Bernhard P Knoblich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518066802 PECOS PAC ID: 6305889759 Enrollment ID: I20050607000133 |
| Provider Name | Soungwon S Bae |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922090513 PECOS PAC ID: 0244275295 Enrollment ID: I20050621000937 |
| Provider Name | Danielle Elizabeth Piar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538166830 PECOS PAC ID: 1052371473 Enrollment ID: I20050621000964 |
| Provider Name | John S Lawall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760436679 PECOS PAC ID: 4082659586 Enrollment ID: I20050624000750 |
| Provider Name | Chad D Viscusi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922172840 PECOS PAC ID: 7517902018 Enrollment ID: I20050624000763 |
| Provider Name | Nathan Linstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689848590 PECOS PAC ID: 7416993555 Enrollment ID: I20050629000722 |
| Provider Name | Martin E Weinand |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538234182 PECOS PAC ID: 8224074158 Enrollment ID: I20050630000957 |
| Provider Name | David S Sheinbein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316018674 PECOS PAC ID: 5890722839 Enrollment ID: I20050721000565 |
| Provider Name | Jennifer L Suriano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477664209 PECOS PAC ID: 3870521883 Enrollment ID: I20050801000588 |
| Provider Name | Matthew R Offerdahl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891750766 PECOS PAC ID: 2769383827 Enrollment ID: I20050825000349 |
| Provider Name | Joshua Tucker Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841256476 PECOS PAC ID: 5698707750 Enrollment ID: I20050909000214 |
| Provider Name | Timothy A Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740206739 PECOS PAC ID: 3971536145 Enrollment ID: I20050917000113 |
| Provider Name | Lisa M Truchan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174696850 PECOS PAC ID: 6901870278 Enrollment ID: I20050923000554 |
| Provider Name | Katalin Scherer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063465508 PECOS PAC ID: 8921032426 Enrollment ID: I20050923000671 |
| Provider Name | Barbara E Pritchard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871674440 PECOS PAC ID: 3476588484 Enrollment ID: I20050928001044 |
| Provider Name | Myrka R Torres |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144276205 PECOS PAC ID: 7214962737 Enrollment ID: I20051003000779 |
| Provider Name | Kurt R Denninghoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518948843 PECOS PAC ID: 8527093053 Enrollment ID: I20051003000834 |
| Provider Name | Robert R Klein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821197112 PECOS PAC ID: 2466487996 Enrollment ID: I20051003000900 |
| Provider Name | Franz P Rischard |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346272424 PECOS PAC ID: 6507881687 Enrollment ID: I20051007000392 |
| Provider Name | Hengameh Rastegar Murphy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548469992 PECOS PAC ID: 2163447053 Enrollment ID: I20051010000922 |
| Provider Name | Kevin M Reilly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912088436 PECOS PAC ID: 2769412675 Enrollment ID: I20051014000646 |
| Provider Name | Jose Ignacio Gonzalez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073601852 PECOS PAC ID: 4183640014 Enrollment ID: I20051020000456 |
| Provider Name | Songsiri Chanvitayapongs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538125471 PECOS PAC ID: 4981621935 Enrollment ID: I20051028000382 |
| Provider Name | Kathryn R Sanderlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336219724 PECOS PAC ID: 5597782334 Enrollment ID: I20051031000743 |
| Provider Name | Kwan S Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417931965 PECOS PAC ID: 2769401371 Enrollment ID: I20051114000285 |
| Provider Name | Raymond F Carmody |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396757563 PECOS PAC ID: 7416976030 Enrollment ID: I20051114000348 |
| Provider Name | Stephen J Metz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205941382 PECOS PAC ID: 8729007109 Enrollment ID: I20051115000452 |
| Provider Name | Duane C Whitaker |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1609847821 PECOS PAC ID: 5890715544 Enrollment ID: I20051128000343 |
| Provider Name | Stephanie L Olson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265673016 PECOS PAC ID: 1557384237 Enrollment ID: I20060109000557 |
| Provider Name | David D Neal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720149099 PECOS PAC ID: 2163436536 Enrollment ID: I20060206000896 |
| Provider Name | Ayad Agha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730113903 PECOS PAC ID: 4789663998 Enrollment ID: I20060223000507 |
| Provider Name | Eric T Cable |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922068410 PECOS PAC ID: 4284640939 Enrollment ID: I20060303000622 |
| Provider Name | Donna C Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346236122 PECOS PAC ID: 6507874427 Enrollment ID: I20060403000776 |
| Provider Name | Gerald A Wolff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366548349 PECOS PAC ID: 3476563909 Enrollment ID: I20060428000159 |
| Provider Name | Jennifer H Otto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043259617 PECOS PAC ID: 8729098082 Enrollment ID: I20060501000675 |
| Provider Name | Gamal F Sidarous |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1699731802 PECOS PAC ID: 0042220063 Enrollment ID: I20060504000327 |
| Provider Name | Scott J Sherman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265486179 PECOS PAC ID: 8628089000 Enrollment ID: I20060523000146 |
| Provider Name | Tina M Hendrix |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962451039 PECOS PAC ID: 5092608406 Enrollment ID: I20060531000064 |
| Provider Name | Ester C Little |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639126980 PECOS PAC ID: 6002827185 Enrollment ID: I20060606000284 |
| Provider Name | Troy M Tompkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245219674 PECOS PAC ID: 9032121934 Enrollment ID: I20060614000182 |
| Provider Name | Pierre N Tariot |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568429025 PECOS PAC ID: 8921025321 Enrollment ID: I20060626000278 |
| Provider Name | Celia P Valenzuela |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568495281 PECOS PAC ID: 8628071156 Enrollment ID: I20060822000532 |
| Provider Name | Peter J Sunenshine |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1487610937 PECOS PAC ID: 0749238848 Enrollment ID: I20060828000404 |
| Provider Name | Quentin N Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366452799 PECOS PAC ID: 6002810173 Enrollment ID: I20060901000044 |
| Provider Name | Maria S Posadas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457362113 PECOS PAC ID: 2062417348 Enrollment ID: I20060919000558 |
| Provider Name | Merlin C Lowe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154383495 PECOS PAC ID: 6406851252 Enrollment ID: I20060928000626 |
| Provider Name | Amy Deborah Tempkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689692279 PECOS PAC ID: 8921003732 Enrollment ID: I20060929000517 |
| Provider Name | Kaoru R Goshima |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972554558 PECOS PAC ID: 3375548183 Enrollment ID: I20060929000523 |
| Provider Name | Kimberly D Gerhart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427166826 PECOS PAC ID: 3577568112 Enrollment ID: I20061003000458 |
| Provider Name | Daniel Oscar Persky |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285736033 PECOS PAC ID: 4880690478 Enrollment ID: I20061004000200 |
| Provider Name | Poornima Mukerji |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952374845 PECOS PAC ID: 8224071097 Enrollment ID: I20061004000211 |
| Provider Name | Dmitriy S Tckachenko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285645531 PECOS PAC ID: 9537165402 Enrollment ID: I20061017000249 |
| Provider Name | Evelyn S Tiu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083644173 PECOS PAC ID: 8921005604 Enrollment ID: I20061024000068 |
| 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 | Teresa F Kestler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528155124 PECOS PAC ID: 5496753600 Enrollment ID: I20061127000068 |
| Provider Name | Susan Bazzell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669583456 PECOS PAC ID: 7810997574 Enrollment ID: I20070102000348 |
| Provider Name | Michael O Daines |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891744348 PECOS PAC ID: 5092715706 Enrollment ID: I20070103000196 |
| Provider Name | Cori L Daines |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285715417 PECOS PAC ID: 9133129844 Enrollment ID: I20070103000242 |
| Provider Name | Erika R Bracamonte |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235294182 PECOS PAC ID: 1557362928 Enrollment ID: I20070127000027 |
| Provider Name | Samata Reddy Paidy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194739474 PECOS PAC ID: 7719909837 Enrollment ID: I20070201000649 |
| Provider Name | Sara R Perotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053484337 PECOS PAC ID: 8426150996 Enrollment ID: I20070301000506 |
| Provider Name | Betsy E Painter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962487751 PECOS PAC ID: 2163525437 Enrollment ID: I20070307000535 |
| Provider Name | Fayez K Ghishan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144293960 PECOS PAC ID: 8921910001 Enrollment ID: I20070329000466 |
| Provider Name | Ghada Isaac |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194727917 PECOS PAC ID: 8820061526 Enrollment ID: I20070330000072 |
| Provider Name | Robyn J Meyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336230994 PECOS PAC ID: 8123122173 Enrollment ID: I20070330000261 |
| Provider Name | Fernando D Martinez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831297050 PECOS PAC ID: 4486689767 Enrollment ID: I20070410000414 |
| Provider Name | Laura H Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851407662 PECOS PAC ID: 9739284308 Enrollment ID: I20070411000059 |
| Provider Name | Andreas A Theodorou |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649343500 PECOS PAC ID: 4688771413 Enrollment ID: I20070514000069 |
| Provider Name | Wayne J Morgan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649295569 PECOS PAC ID: 1052396678 Enrollment ID: I20070514000112 |
| Provider Name | Ricardo Antonio Samson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811067291 PECOS PAC ID: 5597862334 Enrollment ID: I20070514000165 |
| Provider Name | Emmanuel Katsanis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720053291 PECOS PAC ID: 2264539121 Enrollment ID: I20070530000066 |
| Provider Name | Patrick K Boyle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093787277 PECOS PAC ID: 1557469426 Enrollment ID: I20070531000502 |
| Provider Name | Alice A Min Simpkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821201872 PECOS PAC ID: 2961500756 Enrollment ID: I20070601000100 |
| Provider Name | Donald E Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841325552 PECOS PAC ID: 6709984412 Enrollment ID: I20070604000597 |
| Provider Name | Erika A Soderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629191705 PECOS PAC ID: 4789782384 Enrollment ID: I20070605000580 |
| Provider Name | Asjad Sardar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568500924 PECOS PAC ID: 3072611680 Enrollment ID: I20070605000658 |
| Provider Name | Derek J Mitzel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477508232 PECOS PAC ID: 1557341906 Enrollment ID: I20070628000220 |
| Provider Name | Anna L Waterbrook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245308907 PECOS PAC ID: 4880793975 Enrollment ID: I20070702000267 |
| Provider Name | Laura E Meinke |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467547034 PECOS PAC ID: 2567563612 Enrollment ID: I20070719000666 |
| Provider Name | Hillary Franke |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245352624 PECOS PAC ID: 8527169671 Enrollment ID: I20070719000700 |
| Provider Name | Holly Beach |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1689879751 PECOS PAC ID: 3173624285 Enrollment ID: I20070725000053 |
| Provider Name | Tejo K Vemulapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013115492 PECOS PAC ID: 2466543533 Enrollment ID: I20070802000713 |
| Provider Name | Matthew Berkman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992739643 PECOS PAC ID: 2466478987 Enrollment ID: I20070802000724 |
| Provider Name | Alberto X Ramos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487788998 PECOS PAC ID: 0446341408 Enrollment ID: I20070806000068 |
| Provider Name | Caroline M Cranford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407069586 PECOS PAC ID: 6800987652 Enrollment ID: I20070808000151 |
| Provider Name | Cristian O Bratu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457464877 PECOS PAC ID: 7618889718 Enrollment ID: I20070810000276 |
| Provider Name | Ralph T Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548363070 PECOS PAC ID: 3274512819 Enrollment ID: I20070823000047 |
| Provider Name | Francisco A Moreno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780771295 PECOS PAC ID: 5991897878 Enrollment ID: I20070823000180 |
| Provider Name | Bernard M Morenz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184711608 PECOS PAC ID: 3072605955 Enrollment ID: I20070823000186 |
| Provider Name | John J Misiaszek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841386695 PECOS PAC ID: 1850483744 Enrollment ID: I20070823000246 |
| Provider Name | Richard D Lane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407953961 PECOS PAC ID: 1557453073 Enrollment ID: I20070828000647 |
| Provider Name | Sarah E Sullivan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205039468 PECOS PAC ID: 8123111739 Enrollment ID: I20070912000228 |
| Provider Name | Gregory L Desilva |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770523656 PECOS PAC ID: 6103809959 Enrollment ID: I20070920000437 |
| Provider Name | Scott E Klewer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992804280 PECOS PAC ID: 7810081528 Enrollment ID: I20070925000412 |
| Provider Name | Roger E Nellans |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487742201 PECOS PAC ID: 0749272664 Enrollment ID: I20071003000408 |
| Provider Name | Sairam Parthasarathy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598877474 PECOS PAC ID: 7113957937 Enrollment ID: I20071008000359 |
| Provider Name | Maria C Ospina |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881633212 PECOS PAC ID: 6406821016 Enrollment ID: I20071015000143 |
| Provider Name | Joel T Funk |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881720894 PECOS PAC ID: 0749377539 Enrollment ID: I20071025000434 |
| Provider Name | Sarah L Kratz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972505246 PECOS PAC ID: 7416930656 Enrollment ID: I20071030000410 |
| Provider Name | Geetha Kolli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295928109 PECOS PAC ID: 7214025287 Enrollment ID: I20071109000089 |
| Provider Name | Catherine M Shisslak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265503544 PECOS PAC ID: 8022106814 Enrollment ID: I20071112000554 |
| Provider Name | Swati B Kolpuru |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487789848 PECOS PAC ID: 0042255507 Enrollment ID: I20071126000609 |
| Provider Name | Eric J Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720086507 PECOS PAC ID: 0547167108 Enrollment ID: I20071128000023 |
| Provider Name | Rihan Khan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487607990 PECOS PAC ID: 2961414800 Enrollment ID: I20071204000499 |
| Provider Name | Jonathan S Lowry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225251093 PECOS PAC ID: 4486734233 Enrollment ID: I20080107000024 |
| Provider Name | Alan D Bedrick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528027323 PECOS PAC ID: 3678654761 Enrollment ID: I20080115000325 |
| Provider Name | Carol L Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235326521 PECOS PAC ID: 2264513142 Enrollment ID: I20080116000782 |
| Provider Name | John S Polson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629159363 PECOS PAC ID: 7012001761 Enrollment ID: I20080123000628 |
| Provider Name | Lisa A Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164602215 PECOS PAC ID: 6305928482 Enrollment ID: I20080129000056 |
| Provider Name | Victoria R Fewell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972588960 PECOS PAC ID: 3971592536 Enrollment ID: I20080204000293 |
| Provider Name | Jasna Seserinac |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497785208 PECOS PAC ID: 4981788486 Enrollment ID: I20080221000605 |
| 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 | Paul R Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588771893 PECOS PAC ID: 8628152857 Enrollment ID: I20080227000387 |
| Provider Name | James H Mcclenathan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053498907 PECOS PAC ID: 1557447539 Enrollment ID: I20080401000310 |
| Provider Name | Carolyn B Stonemark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326186388 PECOS PAC ID: 8527145028 Enrollment ID: I20080408000772 |
| Provider Name | Kristi A Watson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750346615 PECOS PAC ID: 4183701402 Enrollment ID: I20080410000170 |
| Provider Name | Lauren G Le Beau |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982814315 PECOS PAC ID: 3173601838 Enrollment ID: I20080421000350 |
| Provider Name | Kai O. Schoenhage |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861662660 PECOS PAC ID: 0244318459 Enrollment ID: I20080428000620 |
| Provider Name | Hans R Bradshaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346426244 PECOS PAC ID: 8022188572 Enrollment ID: I20080610000369 |
| Provider Name | Conrad J Clemens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104899566 PECOS PAC ID: 4981775129 Enrollment ID: I20080617000104 |
| Provider Name | Lawrence A Deluca |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053501767 PECOS PAC ID: 2062583008 Enrollment ID: I20080618000305 |
| Provider Name | Mingwu Wang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841497765 PECOS PAC ID: 0648341685 Enrollment ID: I20080618000350 |
| Provider Name | Lisa R Stoneking |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962527499 PECOS PAC ID: 1355412156 Enrollment ID: I20080623000416 |
| Provider Name | Christian O Twiss |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770505836 PECOS PAC ID: 0840296083 Enrollment ID: I20080709000571 |
| Provider Name | Kathryn L Reed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740361252 PECOS PAC ID: 9234028754 Enrollment ID: I20080715000300 |
| Provider Name | Karen B Lesser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922105485 PECOS PAC ID: 8224101803 Enrollment ID: I20080715000339 |
| Provider Name | Janiel M Cragun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811169485 PECOS PAC ID: 9335212927 Enrollment ID: I20080715000433 |
| Provider Name | Randall S Friese |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104886357 PECOS PAC ID: 4587737176 Enrollment ID: I20080715000452 |
| Provider Name | James E Maciulla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942308465 PECOS PAC ID: 8426121484 Enrollment ID: I20080724000009 |
| Provider Name | Lynn M Coppola |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609849017 PECOS PAC ID: 0446324909 Enrollment ID: I20080731000362 |
| Provider Name | Georg A Hishaw |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275734493 PECOS PAC ID: 9133293384 Enrollment ID: I20080806000069 |
| Provider Name | Emmanuel L Apostol |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1619085776 PECOS PAC ID: 2567536717 Enrollment ID: I20080806000104 |
| Provider Name | Anthony R Lucas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568624401 PECOS PAC ID: 2365516911 Enrollment ID: I20080813000287 |
| Provider Name | Barbara Eckstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518169143 PECOS PAC ID: 2567537319 Enrollment ID: I20080813000881 |
| Provider Name | Isaac J Farrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053587881 PECOS PAC ID: 2264507557 Enrollment ID: I20080821000168 |
| Provider Name | John Borrego |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780745539 PECOS PAC ID: 5294800389 Enrollment ID: I20080829000556 |
| Provider Name | Christina Laukaitis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912071937 PECOS PAC ID: 2264508035 Enrollment ID: I20080902000011 |
| Provider Name | James E Sligh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366539462 PECOS PAC ID: 3779504253 Enrollment ID: I20080917000144 |
| Provider Name | Vijay H Chandiramani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104090125 PECOS PAC ID: 7214004217 Enrollment ID: I20080917000168 |
| Provider Name | Ralph Drosten |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386743128 PECOS PAC ID: 7214837038 Enrollment ID: I20080917000231 |
| Provider Name | Vivian Monique Mccorvey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992788566 PECOS PAC ID: 0446288195 Enrollment ID: I20081001000196 |
| Provider Name | Luz O Pelayo-katsanis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306094008 PECOS PAC ID: 2466520440 Enrollment ID: I20081003000342 |
| Provider Name | Bhaskar Banerjee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568458438 PECOS PAC ID: 0648348094 Enrollment ID: I20081013000062 |
| Provider Name | Ibraheem M Mizyed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851592570 PECOS PAC ID: 9638247935 Enrollment ID: I20081013000591 |
| Provider Name | Joseph M Miller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699863282 PECOS PAC ID: 5092874446 Enrollment ID: I20081030000420 |
| Provider Name | Daniela Lax |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487751947 PECOS PAC ID: 4385703677 Enrollment ID: I20081031000045 |
| Provider Name | Sudeshna C Bose |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962414839 PECOS PAC ID: 1153480454 Enrollment ID: I20081031000120 |
| Provider Name | Rita Bhakta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821137530 PECOS PAC ID: 1355400912 Enrollment ID: I20081111000701 |
| Provider Name | Margaret E Trouard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366522526 PECOS PAC ID: 5193756138 Enrollment ID: I20081114000715 |
| Provider Name | Mary G Gaspers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285882985 PECOS PAC ID: 3870653207 Enrollment ID: I20081114000749 |
| Provider Name | Edward R Garcia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891744306 PECOS PAC ID: 5991708240 Enrollment ID: I20081126000560 |
| Provider Name | Mary S Schafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093793291 PECOS PAC ID: 6305907023 Enrollment ID: I20081212000295 |
| Provider Name | Sharon M Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629251343 PECOS PAC ID: 7719049287 Enrollment ID: I20081217000114 |
| Provider Name | Ravitharan Krishnadasan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174538995 PECOS PAC ID: 0648379222 Enrollment ID: I20090105000276 |
| Provider Name | Nathaniel R Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083886212 PECOS PAC ID: 1850455023 Enrollment ID: I20090203000259 |
| Provider Name | Amy Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144465592 PECOS PAC ID: 9234294133 Enrollment ID: I20090210000047 |
| Provider Name | Kenneth S Knox |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154386118 PECOS PAC ID: 4981761137 Enrollment ID: I20090316000414 |
| Provider Name | Narong Kulvatunyou |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740258094 PECOS PAC ID: 9133144249 Enrollment ID: I20090402000422 |
| Provider Name | Kelli J Yee |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669613287 PECOS PAC ID: 4183773583 Enrollment ID: I20090513000631 |
| Provider Name | Felicia R Lane |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639310253 PECOS PAC ID: 7810046216 Enrollment ID: I20090513000634 |
| Provider Name | Linda M Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417196379 PECOS PAC ID: 9133279656 Enrollment ID: I20090604000090 |
| Provider Name | Marlon A Guerrero |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487822516 PECOS PAC ID: 9638240195 Enrollment ID: I20090605000297 |
| Provider Name | Joshua E Appel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891956470 PECOS PAC ID: 7214087329 Enrollment ID: I20090611000375 |
| Provider Name | Rishi K Gosalia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174797286 PECOS PAC ID: 8820149511 Enrollment ID: I20090618000726 |
| Provider Name | Thomas P Malan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487752846 PECOS PAC ID: 8820149644 Enrollment ID: I20090707000485 |
| Provider Name | Bellal A Joseph |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013127174 PECOS PAC ID: 6103978838 Enrollment ID: I20090710000151 |
| Provider Name | Christine M Kneisel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376711572 PECOS PAC ID: 5496807091 Enrollment ID: I20090713000309 |
| Provider Name | Joshua B Gaither |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174706824 PECOS PAC ID: 3375619315 Enrollment ID: I20090713000673 |
| Provider Name | Amy N Sussman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215047337 PECOS PAC ID: 7911068523 Enrollment ID: I20090727000280 |
| Provider Name | Gregory D Novak |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275511156 PECOS PAC ID: 4183602097 Enrollment ID: I20090727000625 |
| Provider Name | Heather A Reed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780859082 PECOS PAC ID: 9931252525 Enrollment ID: I20090729000661 |
| Provider Name | Joshua Malo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265630594 PECOS PAC ID: 2264585868 Enrollment ID: I20090729000707 |
| Provider Name | Rachel E Cramton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932326758 PECOS PAC ID: 6709930639 Enrollment ID: I20090812000325 |
| Provider Name | Suzanne K Wong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700087400 PECOS PAC ID: 1456452960 Enrollment ID: I20090812000520 |
| Provider Name | James J Yanes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730372251 PECOS PAC ID: 4082768940 Enrollment ID: I20090812000646 |
| Provider Name | Patrick L Tsai |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346418274 PECOS PAC ID: 1052487006 Enrollment ID: I20090817000562 |
| Provider Name | Katri V Typpo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508946849 PECOS PAC ID: 5092778621 Enrollment ID: I20090817000584 |
| Provider Name | Nancy H Kim |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1396955076 PECOS PAC ID: 3678627213 Enrollment ID: I20090818000084 |
| Provider Name | Anil K Potharaju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740442532 PECOS PAC ID: 8729132030 Enrollment ID: I20090821000121 |
| Provider Name | Heather Cassell |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1093700684 PECOS PAC ID: 6507936820 Enrollment ID: I20090821000192 |
| Provider Name | Martin Worrall |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477532497 PECOS PAC ID: 0446246938 Enrollment ID: I20090902000134 |
| Provider Name | Kimberly K Tucker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295906790 PECOS PAC ID: 6800961665 Enrollment ID: I20090908000521 |
| Provider Name | Lawrence D Buadu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942314463 PECOS PAC ID: 3678628930 Enrollment ID: I20090910000134 |
| Provider Name | Gerald M Lemole |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215984398 PECOS PAC ID: 6204726045 Enrollment ID: I20090914000346 |
| Provider Name | Jordan L Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306906144 PECOS PAC ID: 6103999347 Enrollment ID: I20091013000151 |
| Provider Name | Melvin G Hector |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952382640 PECOS PAC ID: 5092851683 Enrollment ID: I20091013000355 |
| Provider Name | Eugene A Trowers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609897545 PECOS PAC ID: 8527044965 Enrollment ID: I20091104000582 |
| Provider Name | Phillip Kuo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336315316 PECOS PAC ID: 1456313451 Enrollment ID: I20091106000115 |
| Provider Name | Jarrod M Mosier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407026230 PECOS PAC ID: 7911045042 Enrollment ID: I20091111000148 |
| Provider Name | Wayne S Kubal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669453247 PECOS PAC ID: 4385681386 Enrollment ID: I20091117000242 |
| Provider Name | Leonard D Latt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174745640 PECOS PAC ID: 5496827305 Enrollment ID: I20091119000640 |
| Provider Name | Marc R Matthews |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871533000 PECOS PAC ID: 0244379972 Enrollment ID: I20091209000256 |
| Provider Name | Holli A Horak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578592036 PECOS PAC ID: 6204895261 Enrollment ID: I20100122000239 |
| Provider Name | Deborah Novak |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992920821 PECOS PAC ID: 4587739214 Enrollment ID: I20100122000722 |
| Provider Name | Susan L Cassidy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295732428 PECOS PAC ID: 9133262769 Enrollment ID: I20100204000711 |
| Provider Name | John B Leslie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952384026 PECOS PAC ID: 1951445352 Enrollment ID: I20100223000882 |
| Provider Name | Mindy A Black |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295065639 PECOS PAC ID: 4587709662 Enrollment ID: I20100301000172 |
| Provider Name | Ronald E Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124263561 PECOS PAC ID: 5395870471 Enrollment ID: I20100315000404 |
| Provider Name | John T Ruth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588734065 PECOS PAC ID: 2860527744 Enrollment ID: I20100317000548 |
| Provider Name | Robin A Samlan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528090008 PECOS PAC ID: 4082740006 Enrollment ID: I20100330000273 |
| Provider Name | Julia H Indik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235104951 PECOS PAC ID: 0345376257 Enrollment ID: I20100330001209 |
| Provider Name | Noah M Tolby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427058924 PECOS PAC ID: 7012043714 Enrollment ID: I20100406000322 |
| Provider Name | John D Hughes |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1821063140 PECOS PAC ID: 6507993094 Enrollment ID: I20100414000446 |
| Provider Name | James A Warneke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871668483 PECOS PAC ID: 7012044506 Enrollment ID: I20100414000474 |
| Provider Name | Wendy Edith Mccurdy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558332809 PECOS PAC ID: 1052448032 Enrollment ID: I20100422000920 |
| Provider Name | Jong H Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104923663 PECOS PAC ID: 1456488451 Enrollment ID: I20100422001144 |
| Provider Name | Daniel T Redford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306927819 PECOS PAC ID: 5991832990 Enrollment ID: I20100422001161 |
| Provider Name | Sandra Kurtin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700985009 PECOS PAC ID: 2668509456 Enrollment ID: I20100428000018 |
| Provider Name | Janet M Campion |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710968565 PECOS PAC ID: 6507994191 Enrollment ID: I20100430000523 |
| Provider Name | Shona T Dougherty |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124091368 PECOS PAC ID: 5890823413 Enrollment ID: I20100503000103 |
| Provider Name | Steve R Knoper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427157718 PECOS PAC ID: 3870621493 Enrollment ID: I20100503000128 |
| Provider Name | John W Bloom |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659343390 PECOS PAC ID: 9931237559 Enrollment ID: I20100503000158 |
| Provider Name | Linda S Snyder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205908548 PECOS PAC ID: 5395873921 Enrollment ID: I20100503000180 |
| Provider Name | William A Meyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790876373 PECOS PAC ID: 9638207210 Enrollment ID: I20100503000866 |
| Provider Name | Stuart R Hameroff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003880741 PECOS PAC ID: 0547398125 Enrollment ID: I20100503000867 |
| Provider Name | Todd G Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083651731 PECOS PAC ID: 1456489038 Enrollment ID: I20100503000868 |
| Provider Name | Linda L Garland |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366416976 PECOS PAC ID: 3476681982 Enrollment ID: I20100504000343 |
| Provider Name | Baldassarre Stea |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003988247 PECOS PAC ID: 5991833402 Enrollment ID: I20100504000392 |
| Provider Name | Bruce M Coull |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629041942 PECOS PAC ID: 4789712290 Enrollment ID: I20100504000430 |
| Provider Name | Rand W Siekert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902978372 PECOS PAC ID: 8921136441 Enrollment ID: I20100504000492 |
| Provider Name | Karl B Kern |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336248616 PECOS PAC ID: 1951439033 Enrollment ID: I20100511000568 |
| Provider Name | Joseph S Alpert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265404446 PECOS PAC ID: 4385556463 Enrollment ID: I20100511000594 |
| Provider Name | William R Roeske |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932279494 PECOS PAC ID: 4082742176 Enrollment ID: I20100511000653 |
| Provider Name | Kevin F Moynahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619064003 PECOS PAC ID: 0143358234 Enrollment ID: I20100511000679 |
| Provider Name | Marlys Witte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992870489 PECOS PAC ID: 8426186321 Enrollment ID: I20100513000982 |
| Provider Name | Marvin J Slepian |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1518039908 PECOS PAC ID: 0749318509 Enrollment ID: I20100514000646 |
| Provider Name | Victoria H Maizes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477651818 PECOS PAC ID: 1850429622 Enrollment ID: I20100514000759 |
| Provider Name | Lawrence Z Stern |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184796294 PECOS PAC ID: 0042349565 Enrollment ID: I20100521000380 |
| Provider Name | Daruka Mahadevan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841398302 PECOS PAC ID: 8426187956 Enrollment ID: I20100521000498 |
| Provider Name | Rifat Latifi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760589220 PECOS PAC ID: 8820127376 Enrollment ID: I20100521000722 |
| Provider Name | Maria C Bishop |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841202785 PECOS PAC ID: 9335278597 Enrollment ID: I20100526000430 |
| Provider Name | Randa M Kutob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326145889 PECOS PAC ID: 2567591720 Enrollment ID: I20100526000498 |
| Provider Name | Myra L Muramoto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639268808 PECOS PAC ID: 1456480623 Enrollment ID: I20100526000527 |
| Provider Name | Tamsen L Bassford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265404933 PECOS PAC ID: 1759410954 Enrollment ID: I20100526000878 |
| Provider Name | Linda K Nolin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487977559 PECOS PAC ID: 4688704471 Enrollment ID: I20100604000330 |
| Provider Name | Wallace M Nogami |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548350648 PECOS PAC ID: 7719017813 Enrollment ID: I20100616000882 |
| Provider Name | Albert B Fiorello |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962475897 PECOS PAC ID: 1658402425 Enrollment ID: I20100623000868 |
| Provider Name | John A Guisto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003881798 PECOS PAC ID: 9739210162 Enrollment ID: I20100629000896 |
| Provider Name | Samuel M Keim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134194616 PECOS PAC ID: 7719018142 Enrollment ID: I20100629000916 |
| Provider Name | Jessica Moreno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881780609 PECOS PAC ID: 6709917982 Enrollment ID: I20100702000221 |
| Provider Name | Amy L Mitchell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699861450 PECOS PAC ID: 0345371530 Enrollment ID: I20100702000323 |
| Provider Name | Naomi E Rance |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003997594 PECOS PAC ID: 6305977513 Enrollment ID: I20100703000022 |
| Provider Name | Catherine M Spier |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164594446 PECOS PAC ID: 1759412968 Enrollment ID: I20100703000028 |
| Provider Name | Craig M Palmer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073694220 PECOS PAC ID: 3577694785 Enrollment ID: I20100703000030 |
| Provider Name | Lisa M Rimsza |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477623023 PECOS PAC ID: 8921139130 Enrollment ID: I20100703000038 |
| Provider Name | Achyut K Bhattacharyya |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558372573 PECOS PAC ID: 9830220045 Enrollment ID: I20100703000041 |
| Provider Name | Richard E Sobonya |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528130861 PECOS PAC ID: 0749311959 Enrollment ID: I20100703000042 |
| Provider Name | Harvey W Meislin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043301674 PECOS PAC ID: 7113058215 Enrollment ID: I20100707000316 |
| Provider Name | Andrew L Tang |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962561605 PECOS PAC ID: 3072645043 Enrollment ID: I20100712000185 |
| Provider Name | Srikar R Adhikari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942236617 PECOS PAC ID: 1052348281 Enrollment ID: I20100714000815 |
| Provider Name | Arthur B Sanders |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124198510 PECOS PAC ID: 6901938752 Enrollment ID: I20100714001077 |
| Provider Name | Terence D Valenzuela |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124192034 PECOS PAC ID: 7719019561 Enrollment ID: I20100714001078 |
| Provider Name | Michael Frederick Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114047040 PECOS PAC ID: 4082769088 Enrollment ID: I20100715001054 |
| Provider Name | Terri M Kresha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962600692 PECOS PAC ID: 7618009440 Enrollment ID: I20100716000448 |
| Provider Name | Timothy P Bohan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831271840 PECOS PAC ID: 6204968886 Enrollment ID: I20100716000653 |
| Provider Name | Wendi I Kulin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043411333 PECOS PAC ID: 5193857647 Enrollment ID: I20100719000509 |
| Provider Name | Kathryn Sisterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942485891 PECOS PAC ID: 5698807162 Enrollment ID: I20100719000734 |
| Provider Name | John C Sakles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558431924 PECOS PAC ID: 3870625361 Enrollment ID: I20100720000043 |
| Provider Name | William Pekarske |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689668485 PECOS PAC ID: 3678605102 Enrollment ID: I20100720000417 |
| Provider Name | Monica R Vandivort |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1720044365 PECOS PAC ID: 3577548221 Enrollment ID: I20100729000917 |
| Provider Name | Mark T Lin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366594749 PECOS PAC ID: 0042317745 Enrollment ID: I20100802000995 |
| Provider Name | Christopher O'neill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063406759 PECOS PAC ID: 0941333421 Enrollment ID: I20100804000605 |
| Provider Name | Susan K Hadley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437148533 PECOS PAC ID: 0840227211 Enrollment ID: I20100810001190 |
| Provider Name | Raul Galvez-trevino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033281878 PECOS PAC ID: 2365576261 Enrollment ID: I20100813000756 |
| Provider Name | Ranjit I Kylathu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669423877 PECOS PAC ID: 3375563729 Enrollment ID: I20100817000932 |
| Provider Name | Rebecca S Madigan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821320524 PECOS PAC ID: 0244364784 Enrollment ID: I20100818001337 |
| Provider Name | Dale P Woolridge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508925827 PECOS PAC ID: 8729112172 Enrollment ID: I20100820000131 |
| Provider Name | Frank G Walter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780759449 PECOS PAC ID: 1759415003 Enrollment ID: I20100823000383 |
| Provider Name | Patricia Lebensohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295832756 PECOS PAC ID: 2365566676 Enrollment ID: I20100824000071 |
| Provider Name | Adrienne A Yarnish |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164631420 PECOS PAC ID: 7719001023 Enrollment ID: I20100824000076 |
| Provider Name | David S Nathalang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174847255 PECOS PAC ID: 7315061637 Enrollment ID: I20100824000236 |
| Provider Name | Victoria E Murrain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912096124 PECOS PAC ID: 4284758483 Enrollment ID: I20100825000009 |
| Provider Name | Bujji B Ainapurapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952624868 PECOS PAC ID: 1153445382 Enrollment ID: I20100825000454 |
| Provider Name | Tarang Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144372020 PECOS PAC ID: 4587703491 Enrollment ID: I20100825001017 |
| Provider Name | Frank P Morello |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285692442 PECOS PAC ID: 3577573484 Enrollment ID: I20100825001112 |
| Provider Name | Lisa M Kopp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437473436 PECOS PAC ID: 6800910985 Enrollment ID: I20100825001147 |
| Provider Name | Keli A Lawton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073827382 PECOS PAC ID: 9537283221 Enrollment ID: I20100902000004 |
| Provider Name | Michael L Hecht |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356334080 PECOS PAC ID: 4880753029 Enrollment ID: I20100908000127 |
| Provider Name | Ryan W Matika |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003148198 PECOS PAC ID: 9032233416 Enrollment ID: I20100908000396 |
| Provider Name | Nicholette L Breier Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518286210 PECOS PAC ID: 0042335853 Enrollment ID: I20100916001298 |
| Provider Name | James L Sameshima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942305032 PECOS PAC ID: 4587789045 Enrollment ID: I20100921000683 |
| Provider Name | Philip J Starceski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124124284 PECOS PAC ID: 2365567823 Enrollment ID: I20100921000726 |
| Provider Name | Marnie G Lamm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689992265 PECOS PAC ID: 4981720364 Enrollment ID: I20100922000833 |
| Provider Name | Joleen Marie Emami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124335666 PECOS PAC ID: 7517083884 Enrollment ID: I20100923000739 |
| Provider Name | Carla M Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871811083 PECOS PAC ID: 2062538002 Enrollment ID: I20100927001124 |
| Provider Name | Carie L Baumann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326217845 PECOS PAC ID: 4789700659 Enrollment ID: I20100928001450 |
| Provider Name | Craig L Mcclure |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124119037 PECOS PAC ID: 3971629858 Enrollment ID: I20100928001567 |
| Provider Name | Guihong Xu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164416632 PECOS PAC ID: 7214129923 Enrollment ID: I20101012001267 |
| Provider Name | Maria S Theodorou |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427154590 PECOS PAC ID: 5799978219 Enrollment ID: I20101018000020 |
| Provider Name | Lisa M Dimenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013158195 PECOS PAC ID: 6002009966 Enrollment ID: I20101022001377 |
| Provider Name | Marilyn Medwied |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841396827 PECOS PAC ID: 0446443170 Enrollment ID: I20101026000519 |
| Provider Name | Amanpreet S Bains |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104064211 PECOS PAC ID: 4082808282 Enrollment ID: I20101102000306 |
| Provider Name | Joanna Katsanis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669448189 PECOS PAC ID: 1658567540 Enrollment ID: I20101117001370 |
| Provider Name | Eric W Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891752457 PECOS PAC ID: 0446248017 Enrollment ID: I20101210000955 |
| Provider Name | Luis Esparza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629034194 PECOS PAC ID: 3173711975 Enrollment ID: I20101221000415 |
| Provider Name | Michael A Lopez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790741338 PECOS PAC ID: 3375731037 Enrollment ID: I20101221001218 |
| Provider Name | Debra K Michel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326040015 PECOS PAC ID: 2567455876 Enrollment ID: I20101224000001 |
| Provider Name | Marisa Menchola |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134439961 PECOS PAC ID: 4981892429 Enrollment ID: I20101227000833 |
| Provider Name | Octavio Pajaro |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1629065677 PECOS PAC ID: 3274532239 Enrollment ID: I20110113001088 |
| Provider Name | Christopher G Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902060429 PECOS PAC ID: 2466641832 Enrollment ID: I20110117000129 |
| Provider Name | Bethany A Bruzzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477716942 PECOS PAC ID: 5597954974 Enrollment ID: I20110117000224 |
| Provider Name | Leslie Judith Pearl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699075549 PECOS PAC ID: 7810176096 Enrollment ID: I20110119001340 |
| Provider Name | Lucille K Mcelrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801114269 PECOS PAC ID: 6305025578 Enrollment ID: I20110120000932 |
| Provider Name | Sundeep Singh Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366633547 PECOS PAC ID: 6800077256 Enrollment ID: I20110218000346 |
| Provider Name | Jeffrey Rein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760460323 PECOS PAC ID: 0941483580 Enrollment ID: I20110321000140 |
| Provider Name | Glenn Islat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295715902 PECOS PAC ID: 0244413649 Enrollment ID: I20110322001069 |
| Provider Name | Bethany A Rowe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922330349 PECOS PAC ID: 1557547213 Enrollment ID: I20110512000886 |
| Provider Name | Mindy J Fain |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1780785246 PECOS PAC ID: 2163609264 Enrollment ID: I20110526000405 |
| Provider Name | Angelina M Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023307881 PECOS PAC ID: 6305023391 Enrollment ID: I20110531000147 |
| 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 | Elizabeth A Moran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588850549 PECOS PAC ID: 4284811449 Enrollment ID: I20110615000815 |
| Provider Name | Rafael Noriega |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063404895 PECOS PAC ID: 7113195306 Enrollment ID: I20110713000664 |
| Provider Name | Quinlan D Amos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619149580 PECOS PAC ID: 1355519281 Enrollment ID: I20110720000812 |
| Provider Name | David M Lucas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508165598 PECOS PAC ID: 0244408185 Enrollment ID: I20110721000004 |
| Provider Name | Melanie A Fillmore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114105822 PECOS PAC ID: 1153599097 Enrollment ID: I20110721000005 |
| Provider Name | Hong Lei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487780284 PECOS PAC ID: 4880862721 Enrollment ID: I20110721000008 |
| Provider Name | James L Knepler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336105311 PECOS PAC ID: 0042270985 Enrollment ID: I20110721000012 |
| Provider Name | Tirdad T Zangeneh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730381922 PECOS PAC ID: 4486726304 Enrollment ID: I20110804000376 |
| Provider Name | Vincent M Kresha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639341951 PECOS PAC ID: 0244409324 Enrollment ID: I20110805000401 |
| Provider Name | Richard Amini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538322250 PECOS PAC ID: 2567631419 Enrollment ID: I20110810000002 |
| Provider Name | Tara F Carr |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1669634853 PECOS PAC ID: 7911176870 Enrollment ID: I20110810000023 |
| Provider Name | Brian D Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063676732 PECOS PAC ID: 5092984955 Enrollment ID: I20110810000045 |
| Provider Name | Krista A Sunderman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871791830 PECOS PAC ID: 8325217284 Enrollment ID: I20110810000091 |
| Provider Name | Le Yu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801080320 PECOS PAC ID: 6305032947 Enrollment ID: I20110815000003 |
| Provider Name | Rebecca K Viscusi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144498635 PECOS PAC ID: 1951570696 Enrollment ID: I20110815000018 |
| Provider Name | Sharon A Gregoire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528173267 PECOS PAC ID: 4981873593 Enrollment ID: I20110816000001 |
| Provider Name | Brent C Lorenzen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013176551 PECOS PAC ID: 0446420939 Enrollment ID: I20110818000487 |
| Provider Name | Gordon E Carr |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407030729 PECOS PAC ID: 9234323577 Enrollment ID: I20110818000930 |
| Provider Name | Sudhir Tutiki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710141593 PECOS PAC ID: 1658541123 Enrollment ID: I20110819000551 |
| Provider Name | Saumil Kadakia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578685673 PECOS PAC ID: 7416089008 Enrollment ID: I20110824000483 |
| Provider Name | Mark A Mcclain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336387141 PECOS PAC ID: 2860662004 Enrollment ID: I20110826000212 |
| Provider Name | James M Doe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558523191 PECOS PAC ID: 7911178157 Enrollment ID: I20110920000904 |
| Provider Name | Jolene C Hardy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225228901 PECOS PAC ID: 5698806966 Enrollment ID: I20110921000293 |
| Provider Name | Sarah Desoky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932341138 PECOS PAC ID: 4385815414 Enrollment ID: I20110922000188 |
| Provider Name | Sergio Rivero |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730372731 PECOS PAC ID: 4082730858 Enrollment ID: I20111011000755 |
| Provider Name | Kimberley K Njoroge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982854691 PECOS PAC ID: 0749452928 Enrollment ID: I20111012000261 |
| Provider Name | Lynn M Gries |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780730309 PECOS PAC ID: 1254503279 Enrollment ID: I20111017000093 |
| Provider Name | Felesia N Macfarland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063616308 PECOS PAC ID: 4880867498 Enrollment ID: I20111026000886 |
| Provider Name | Kim A Usher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295909083 PECOS PAC ID: 0244385698 Enrollment ID: I20111028000076 |
| Provider Name | Valentine N Nfonsam |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1992944284 PECOS PAC ID: 4880867027 Enrollment ID: I20111102000892 |
| Provider Name | Audrey Heather Baker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528185501 PECOS PAC ID: 8628241676 Enrollment ID: I20111108000105 |
| Provider Name | Serge A Hougeir |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912127580 PECOS PAC ID: 0345386314 Enrollment ID: I20111109000863 |
| Provider Name | Kapildeo Lotun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265510796 PECOS PAC ID: 1456349943 Enrollment ID: I20111114000697 |
| Provider Name | Bruce E Stewart |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811974835 PECOS PAC ID: 9032384300 Enrollment ID: I20111214001059 |
| Provider Name | Tolga Turker |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1417104977 PECOS PAC ID: 0547436586 Enrollment ID: I20111222000206 |
| Provider Name | Hina Arif Tiwari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427334523 PECOS PAC ID: 3274709688 Enrollment ID: I20120106000553 |
| Provider Name | Todd M Alter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972763027 PECOS PAC ID: 0941476253 Enrollment ID: I20120106000630 |
| Provider Name | Robin L Kloth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104827294 PECOS PAC ID: 9830278324 Enrollment ID: I20120112000258 |
| Provider Name | Dominick G Sudano |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1275774937 PECOS PAC ID: 9436326469 Enrollment ID: I20120116000144 |
| Provider Name | Julia B Jernberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548221450 PECOS PAC ID: 8022149053 Enrollment ID: I20120117000422 |
| Provider Name | Debra J Jur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366719205 PECOS PAC ID: 3375710726 Enrollment ID: I20120125000656 |
| Provider Name | Maria A Proytcheva |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386644433 PECOS PAC ID: 7618876988 Enrollment ID: I20120131000943 |
| Provider Name | Kathleen M Strohmeyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982721445 PECOS PAC ID: 5496913311 Enrollment ID: I20120223000700 |
| Provider Name | Jamie E Ledesma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073618161 PECOS PAC ID: 9931367851 Enrollment ID: I20120223000703 |
| Provider Name | Rhonda L Nieto |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093711624 PECOS PAC ID: 8527252790 Enrollment ID: I20120228000105 |
| Provider Name | Melissa E Zukowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366641904 PECOS PAC ID: 3577722032 Enrollment ID: I20120302000329 |
| Provider Name | Vance Nielsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518991009 PECOS PAC ID: 3274679477 Enrollment ID: I20120306000582 |
| Provider Name | Ole Thienhaus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689784811 PECOS PAC ID: 3476578675 Enrollment ID: I20120312000543 |
| Provider Name | Jil C Tardiff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295810067 PECOS PAC ID: 6002909272 Enrollment ID: I20120319000685 |
| Provider Name | Deven Kothari |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962600270 PECOS PAC ID: 2961557202 Enrollment ID: I20120321000436 |
| Provider Name | Sayea Jenabzadeh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215252895 PECOS PAC ID: 2062544059 Enrollment ID: I20120410000185 |
| Provider Name | Robert C Hamilton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386693547 PECOS PAC ID: 5395645527 Enrollment ID: I20120412000219 |
| Provider Name | Charles Thomas Hennemeyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548209539 PECOS PAC ID: 7012927700 Enrollment ID: I20120521000102 |
| Provider Name | Shyam M Shridharani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730168626 PECOS PAC ID: 0143293332 Enrollment ID: I20120522000714 |
| Provider Name | Afshin Sam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588836084 PECOS PAC ID: 1456428259 Enrollment ID: I20120709000004 |
| Provider Name | Amish M Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780892943 PECOS PAC ID: 2668572066 Enrollment ID: I20120709000006 |
| Provider Name | Kareem W Shehab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144414442 PECOS PAC ID: 5799943478 Enrollment ID: I20120709000013 |
| Provider Name | Parminder Singh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194961763 PECOS PAC ID: 5395900872 Enrollment ID: I20120709000018 |
| Provider Name | Suzanne M Rhodes |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1639308588 PECOS PAC ID: 2567627045 Enrollment ID: I20120709000026 |
| Provider Name | Jennifer M Parod |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700034741 PECOS PAC ID: 1153586631 Enrollment ID: I20120709000087 |
| Provider Name | Pavani Chalasani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689879967 PECOS PAC ID: 9032375134 Enrollment ID: I20120718000022 |
| Provider Name | Bradley Aaron Dreifuss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487852281 PECOS PAC ID: 1850415704 Enrollment ID: I20120725000253 |
| Provider Name | Tanya P Lin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215184114 PECOS PAC ID: 5193971448 Enrollment ID: I20120802000204 |
| Provider Name | Chithra Poongkunran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477782548 PECOS PAC ID: 4880840909 Enrollment ID: I20120806000587 |
| Provider Name | Mohammad A Khan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861679441 PECOS PAC ID: 3577741479 Enrollment ID: I20120820001199 |
| Provider Name | Jennifer L Pappalardo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003141029 PECOS PAC ID: 6305093519 Enrollment ID: I20120823000196 |
| Provider Name | Jane M Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770711178 PECOS PAC ID: 9739336967 Enrollment ID: I20120823000345 |
| Provider Name | Brian S Drummond |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538130786 PECOS PAC ID: 1153518212 Enrollment ID: I20120824000293 |
| Provider Name | Stephanie L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215264023 PECOS PAC ID: 1557401023 Enrollment ID: I20120827000762 |
| Provider Name | Rajesh Janardhanan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174796239 PECOS PAC ID: 4183788201 Enrollment ID: I20120905000290 |
| Provider Name | Kisani B Ogwaro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518128883 PECOS PAC ID: 7810145208 Enrollment ID: I20120910000134 |
| Provider Name | Kevin J Peine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649541301 PECOS PAC ID: 5597913574 Enrollment ID: I20120917000567 |
| Provider Name | Lynn M Klimo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184669921 PECOS PAC ID: 4385531623 Enrollment ID: I20120919000862 |
| Provider Name | Krisstina Gowin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477845089 PECOS PAC ID: 0749438448 Enrollment ID: I20120921000775 |
| Provider Name | Anita Koshy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326237801 PECOS PAC ID: 3971577735 Enrollment ID: I20121017000486 |
| Provider Name | Jordana M Smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740484112 PECOS PAC ID: 4789834920 Enrollment ID: I20121023000818 |
| Provider Name | Julie A Thorvaldsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902173099 PECOS PAC ID: 6901056159 Enrollment ID: I20121024000053 |
| Provider Name | Seth J Tate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659651172 PECOS PAC ID: 4789855610 Enrollment ID: I20121107000656 |
| Provider Name | Venessa S Saldana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710232483 PECOS PAC ID: 4082865639 Enrollment ID: I20121108000418 |
| Provider Name | Brent A Anton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730433871 PECOS PAC ID: 2365694254 Enrollment ID: I20121128000210 |
| Provider Name | Merri Pendergrass |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376594846 PECOS PAC ID: 2769384981 Enrollment ID: I20121203000122 |
| Provider Name | Jerome F Koleski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871763979 PECOS PAC ID: 8527132257 Enrollment ID: I20121205000104 |
| Provider Name | Cindy N Chin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326257411 PECOS PAC ID: 8729230388 Enrollment ID: I20121205000119 |
| Provider Name | Sheryl L Mcgrath |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750357745 PECOS PAC ID: 8224043336 Enrollment ID: I20121227000354 |
| Provider Name | Aaron N Leetch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972767648 PECOS PAC ID: 5193979334 Enrollment ID: I20130215000511 |
| Provider Name | Sherri L Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558339499 PECOS PAC ID: 4789645359 Enrollment ID: I20130308000287 |
| Provider Name | Cristine E Oropez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154475614 PECOS PAC ID: 3577747963 Enrollment ID: I20130308000291 |
| Provider Name | Vivek Prasad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760692032 PECOS PAC ID: 2769675701 Enrollment ID: I20130308000297 |
| Provider Name | Muhammad J Sethi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275762130 PECOS PAC ID: 5294970380 Enrollment ID: I20130320000310 |
| Provider Name | John B Christoforidis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801833447 PECOS PAC ID: 2264462811 Enrollment ID: I20130410000333 |
| Provider Name | Mary A Littlehorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952645558 PECOS PAC ID: 9739325077 Enrollment ID: I20130411000397 |
| Provider Name | Marie L Olson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386726313 PECOS PAC ID: 7719123694 Enrollment ID: I20130419000192 |
| Provider Name | Giles William Becker |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1932472826 PECOS PAC ID: 7911143433 Enrollment ID: I20130429000142 |
| Provider Name | Steven A Malangone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952641748 PECOS PAC ID: 8820235716 Enrollment ID: I20130514000085 |
| Provider Name | Silvia Galvan Druke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033457890 PECOS PAC ID: 9931347390 Enrollment ID: I20130524000650 |
| Provider Name | Brian Marasigan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033372131 PECOS PAC ID: 0143396986 Enrollment ID: I20130710000645 |
| Provider Name | Michael D Seckeler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568506186 PECOS PAC ID: 0143307645 Enrollment ID: I20130801000056 |
| Provider Name | Christine Desilva |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417984808 PECOS PAC ID: 6800876947 Enrollment ID: I20130801000220 |
| Provider Name | Cameron Hypes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376862425 PECOS PAC ID: 0042452658 Enrollment ID: I20130812000214 |
| Provider Name | Alina Doina Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336584739 PECOS PAC ID: 5991945073 Enrollment ID: I20130816000002 |
| Provider Name | Nicola J Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881906931 PECOS PAC ID: 2567604614 Enrollment ID: I20130820000430 |
| Provider Name | David M Melville |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033316997 PECOS PAC ID: 1456517960 Enrollment ID: I20130826000600 |
| Provider Name | Tasneem Manish Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790098242 PECOS PAC ID: 3476796335 Enrollment ID: I20130826000704 |
| Provider Name | Bijin Thajudeen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821252453 PECOS PAC ID: 2860635620 Enrollment ID: I20130826000803 |
| Provider Name | Allison D Lane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417269648 PECOS PAC ID: 7911140702 Enrollment ID: I20130826001098 |
| Provider Name | Dalia M Mikhael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750693925 PECOS PAC ID: 9830332550 Enrollment ID: I20130828000729 |
| Provider Name | Pamela S Pomeroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912909151 PECOS PAC ID: 7517100134 Enrollment ID: I20130829000901 |
| Provider Name | Vivienne P Ng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831327584 PECOS PAC ID: 7517121544 Enrollment ID: I20130829000934 |
| Provider Name | Rajesh Kotagiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356653976 PECOS PAC ID: 9234372665 Enrollment ID: I20130903000761 |
| Provider Name | Janalee Gordon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275860082 PECOS PAC ID: 6901049360 Enrollment ID: I20130904000282 |
| Provider Name | Eric C Peters |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487880415 PECOS PAC ID: 9931342292 Enrollment ID: I20130905000587 |
| Provider Name | David J Aria |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477794253 PECOS PAC ID: 2062655327 Enrollment ID: I20130905000662 |
| Provider Name | Travis M Dumont |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649491242 PECOS PAC ID: 4082857206 Enrollment ID: I20130906000496 |
| Provider Name | Neesann Puangsuvan Marietta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972834364 PECOS PAC ID: 9931343175 Enrollment ID: I20130910000334 |
| Provider Name | David Teh-chung Tzou |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427204759 PECOS PAC ID: 5890939045 Enrollment ID: I20130910000558 |
| Provider Name | Mridula Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932193885 PECOS PAC ID: 5890972640 Enrollment ID: I20130917000392 |
| Provider Name | Divya Kapoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629168521 PECOS PAC ID: 9032126313 Enrollment ID: I20130925000592 |
| Provider Name | Carlos Perez Velez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104972728 PECOS PAC ID: 1658464474 Enrollment ID: I20131015000576 |
| Provider Name | Talal Moukabary |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1679788418 PECOS PAC ID: 6103084124 Enrollment ID: I20131017000327 |
| Provider Name | Leslie L Ledbetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326474982 PECOS PAC ID: 8325273592 Enrollment ID: I20131023001433 |
| Provider Name | William Nassour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104131820 PECOS PAC ID: 2264668615 Enrollment ID: I20131113002100 |
| Provider Name | Lilah Morris-wiseman |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1073768057 PECOS PAC ID: 3971777038 Enrollment ID: I20131115000054 |
| Provider Name | Janelle Jambrosic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235391368 PECOS PAC ID: 7911133079 Enrollment ID: I20131119001233 |
| Provider Name | Joao P Ferreira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649339490 PECOS PAC ID: 6305072349 Enrollment ID: I20131120002037 |
| Provider Name | Lauren Sapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982955415 PECOS PAC ID: 9032346523 Enrollment ID: I20131206001470 |
| Provider Name | Chian Kent Kwoh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730153131 PECOS PAC ID: 6709060841 Enrollment ID: I20131206001491 |
| Provider Name | Ali Raoof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699013649 PECOS PAC ID: 7012144504 Enrollment ID: I20131206001528 |
| Provider Name | Janet T Lau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831368968 PECOS PAC ID: 0446487466 Enrollment ID: I20131219001840 |
| Provider Name | Ann Juodakis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699903633 PECOS PAC ID: 8022265974 Enrollment ID: I20140107001197 |
| Provider Name | Marek Lukacik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225170780 PECOS PAC ID: 2961508965 Enrollment ID: I20140121000841 |
| Provider Name | Irene A Laventure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821361973 PECOS PAC ID: 4486883865 Enrollment ID: I20140205000858 |
| Provider Name | Mohab M Ibrahim |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1649433111 PECOS PAC ID: 0042464190 Enrollment ID: I20140210000230 |
| Provider Name | Jennifer Louise Becker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538593298 PECOS PAC ID: 7416187018 Enrollment ID: I20140227000463 |
| Provider Name | Kellie Ann Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619314523 PECOS PAC ID: 0345471033 Enrollment ID: I20140321001055 |
| Provider Name | Jason E Curry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396059457 PECOS PAC ID: 3375775950 Enrollment ID: I20140414001003 |
| Provider Name | John Edwin Langer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497177232 PECOS PAC ID: 1850524042 Enrollment ID: I20140423001069 |
| Provider Name | Ranjith Shetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316041270 PECOS PAC ID: 6507037454 Enrollment ID: I20140423002470 |
| Provider Name | Estella Margaret Kidwell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184696122 PECOS PAC ID: 1456398056 Enrollment ID: I20140425001071 |
| Provider Name | Daniel Allen Combs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235427345 PECOS PAC ID: 7214150267 Enrollment ID: I20140521000784 |
| Provider Name | Marissa L Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730503855 PECOS PAC ID: 3476776170 Enrollment ID: I20140528000439 |
| Provider Name | Sharon K Nyquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750712725 PECOS PAC ID: 0749403202 Enrollment ID: I20140602001213 |
| Provider Name | Scott D Lick |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1356440341 PECOS PAC ID: 4981748142 Enrollment ID: I20140603000128 |
| Provider Name | Kirk Kerle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942642749 PECOS PAC ID: 0446473888 Enrollment ID: I20140603001715 |
| Provider Name | Christian Bime |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952507279 PECOS PAC ID: 6709951908 Enrollment ID: I20140603002197 |
| Provider Name | Robin Julianne Poedel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942637921 PECOS PAC ID: 3779706130 Enrollment ID: I20140603002272 |
| Provider Name | Donna Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194144360 PECOS PAC ID: 3678797065 Enrollment ID: I20140604001253 |
| Provider Name | Sasha Taleban |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720197577 PECOS PAC ID: 1759505134 Enrollment ID: I20140605001556 |
| Provider Name | Sachin Chaudhary |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639341266 PECOS PAC ID: 6406920263 Enrollment ID: I20140626002661 |
| Provider Name | Willard Kasoff |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225214166 PECOS PAC ID: 7618128455 Enrollment ID: I20140702002146 |
| Provider Name | Iman Ghaderi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790069847 PECOS PAC ID: 7911171871 Enrollment ID: I20140708001224 |
| Provider Name | Robert F Hanna |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1356503478 PECOS PAC ID: 3173748100 Enrollment ID: I20140708001814 |
| Provider Name | Sommer Aldulaimi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194013813 PECOS PAC ID: 3577788108 Enrollment ID: I20140715001622 |
| Provider Name | Venkata R Rokkam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205123015 PECOS PAC ID: 9638395957 Enrollment ID: I20140723000609 |
| Provider Name | Jeffry C Maxwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790939502 PECOS PAC ID: 2163663659 Enrollment ID: I20140728002580 |
| Provider Name | Amol Madhusudan Patwardhan |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1871827725 PECOS PAC ID: 5799901625 Enrollment ID: I20140729001663 |
| Provider Name | Garrett S Pacheco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417235599 PECOS PAC ID: 7719104314 Enrollment ID: I20140805001670 |
| Provider Name | Tamim A Sultani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346446317 PECOS PAC ID: 1355582651 Enrollment ID: I20140806002264 |
| Provider Name | Nancy K Sweitzer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619938081 PECOS PAC ID: 0941224075 Enrollment ID: I20140807000270 |
| Provider Name | Leigh Neumayer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427148030 PECOS PAC ID: 8022917566 Enrollment ID: I20140807002160 |
| Provider Name | Nicholas B Hurst |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730477308 PECOS PAC ID: 8729205125 Enrollment ID: I20140808000002 |
| Provider Name | Jennifer Jean Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790063832 PECOS PAC ID: 9830315365 Enrollment ID: I20140812002137 |
| Provider Name | Colin Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467615252 PECOS PAC ID: 5597982694 Enrollment ID: I20140813002669 |
| Provider Name | Lillian M Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255768693 PECOS PAC ID: 0648497636 Enrollment ID: I20140815000153 |
| Provider Name | Mohamed Teleb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750432035 PECOS PAC ID: 2668699521 Enrollment ID: I20140818000000 |
| Provider Name | Meenakshi Dagar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558641340 PECOS PAC ID: 8224256912 Enrollment ID: I20140821000551 |
| Provider Name | Vinay Bandla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710134762 PECOS PAC ID: 5294953550 Enrollment ID: I20140827003023 |
| Provider Name | Norberto A Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396706107 PECOS PAC ID: 9739224213 Enrollment ID: I20140901000000 |
| Provider Name | Ravi P Grivois-shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851589527 PECOS PAC ID: 8729112487 Enrollment ID: I20140902001487 |
| Provider Name | Nicole R Sydow |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255598900 PECOS PAC ID: 9234357393 Enrollment ID: I20140902002245 |
| Provider Name | Rajesh K Prasad |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467627810 PECOS PAC ID: 0143448209 Enrollment ID: I20140902002246 |
| Provider Name | Raj Joshi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992093173 PECOS PAC ID: 8628297561 Enrollment ID: I20140908002734 |
| Provider Name | Toshinobu Kazui |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1205174794 PECOS PAC ID: 3375771306 Enrollment ID: I20140909002859 |
| Provider Name | Nicholas J Stea |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306157805 PECOS PAC ID: 4880813450 Enrollment ID: I20140912001021 |
| Provider Name | Manish Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548557275 PECOS PAC ID: 2062662588 Enrollment ID: I20140915001002 |
| Provider Name | Ernest Rr Vina |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588820484 PECOS PAC ID: 5294905782 Enrollment ID: I20140917001178 |
| Provider Name | Steven M Lampert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154315745 PECOS PAC ID: 3779568910 Enrollment ID: I20140918002418 |
| Provider Name | Ahmad Al-khashman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093095739 PECOS PAC ID: 1355560319 Enrollment ID: I20140924001246 |
| Provider Name | Matthew Stanich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235464181 PECOS PAC ID: 9436379419 Enrollment ID: I20140926000392 |
| Provider Name | Katie Ann Kowalek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376830497 PECOS PAC ID: 3476773573 Enrollment ID: I20141010002304 |
| Provider Name | Gurusaravanan Kutti Sridharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497037253 PECOS PAC ID: 7214158336 Enrollment ID: I20141014002209 |
| Provider Name | Elizabeth K Meehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144535519 PECOS PAC ID: 5294976858 Enrollment ID: I20141024000615 |
| Provider Name | Mari A Ricker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477500049 PECOS PAC ID: 6608819313 Enrollment ID: I20141024000812 |
| Provider Name | Randall Fortuna |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1285607986 PECOS PAC ID: 6406810076 Enrollment ID: I20141030000024 |
| Provider Name | Diana M Palacio Uran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477577617 PECOS PAC ID: 0446256119 Enrollment ID: I20141030002618 |
| Provider Name | Connie Marie Bruch-harrison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184626194 PECOS PAC ID: 5193799963 Enrollment ID: I20141104000542 |
| Provider Name | Tom A Lassar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487670048 PECOS PAC ID: 4587759444 Enrollment ID: I20141107000283 |
| Provider Name | Noshene E Ranjbar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831373901 PECOS PAC ID: 8921320151 Enrollment ID: I20141125001313 |
| Provider Name | Sierra C Wolter |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1669707709 PECOS PAC ID: 3476875600 Enrollment ID: I20141125001342 |
| Provider Name | Matthew B Barker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528477403 PECOS PAC ID: 6305168360 Enrollment ID: I20141201002375 |
| Provider Name | Paul M Ford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831380013 PECOS PAC ID: 4082888540 Enrollment ID: I20141205001997 |
| Provider Name | Eugene H Chang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073714887 PECOS PAC ID: 0941330047 Enrollment ID: I20141213000346 |
| Provider Name | Anna H Stepczynski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023320538 PECOS PAC ID: 4183868508 Enrollment ID: I20141215001279 |
| Provider Name | Saori Nakagawa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063817690 PECOS PAC ID: 3173846128 Enrollment ID: I20141223000551 |
| Provider Name | Sarah W Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841578986 PECOS PAC ID: 2365765153 Enrollment ID: I20141231001646 |
| Provider Name | Esther J Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942408588 PECOS PAC ID: 0042462210 Enrollment ID: I20150106001149 |
| Provider Name | Andrew L Tang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962561605 PECOS PAC ID: 3072645043 Enrollment ID: I20150112000001 |
| Provider Name | Amy Elizabeth Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225430739 PECOS PAC ID: 9234453044 Enrollment ID: I20150128000050 |
| Provider Name | John M Heusinkveld |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922082973 PECOS PAC ID: 6002718095 Enrollment ID: I20150128001625 |
| Provider Name | Lavanya Kodali |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225254899 PECOS PAC ID: 3678724309 Enrollment ID: I20150128002037 |
| Provider Name | Sean L Gibbons |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528119559 PECOS PAC ID: 4981782125 Enrollment ID: I20150213000922 |
| Provider Name | Naomi Park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710293675 PECOS PAC ID: 2062656671 Enrollment ID: I20150219000972 |
| Provider Name | Ryan Levasseur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881813103 PECOS PAC ID: 5991974156 Enrollment ID: I20150330000962 |
| Provider Name | Divis Khaira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285637298 PECOS PAC ID: 7810981727 Enrollment ID: I20150402001602 |
| Provider Name | Charles C Hsu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1033357991 PECOS PAC ID: 0446491815 Enrollment ID: I20150408002458 |
| Provider Name | Ann M Selsor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174921704 PECOS PAC ID: 6204154370 Enrollment ID: I20150422000003 |
| Provider Name | Geetha Gopalakrishnan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629366141 PECOS PAC ID: 5597084442 Enrollment ID: I20150428000611 |
| Provider Name | Robert C Harland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609931435 PECOS PAC ID: 4880737378 Enrollment ID: I20150513002477 |
| Provider Name | Dianne Billger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528244407 PECOS PAC ID: 2668555459 Enrollment ID: I20150522001535 |
| Provider Name | Kelli J Riggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962898940 PECOS PAC ID: 9032430020 Enrollment ID: I20150602002625 |
| Provider Name | Rajan Senguttuvan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740543396 PECOS PAC ID: 5294056107 Enrollment ID: I20150604000000 |
| Provider Name | Angela Anne Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699161406 PECOS PAC ID: 2365763638 Enrollment ID: I20150611002641 |
| Provider Name | Monica Kraft |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023192937 PECOS PAC ID: 0840268512 Enrollment ID: I20150612000211 |
| Provider Name | Teresa Ann Orth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134395007 PECOS PAC ID: 5597916189 Enrollment ID: I20150617000318 |
| Provider Name | Ramachandra R Sista |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083740252 PECOS PAC ID: 8628095551 Enrollment ID: I20150701001476 |
| Provider Name | Jason P Dupont |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922118298 PECOS PAC ID: 8527169853 Enrollment ID: I20150707000040 |
| 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 | Michael R. Ori |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134484199 PECOS PAC ID: 3971815481 Enrollment ID: I20150710001877 |
| Provider Name | Jenny S Mendelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891967808 PECOS PAC ID: 7618289141 Enrollment ID: I20150710002496 |
| Provider Name | Victoria Mccurry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902161888 PECOS PAC ID: 3072826379 Enrollment ID: I20150715001904 |
| Provider Name | Tyson S Chadaz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235459215 PECOS PAC ID: 9436462520 Enrollment ID: I20150717002616 |
| Provider Name | Jaimon Kim Stucki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447517644 PECOS PAC ID: 6204056393 Enrollment ID: I20150717002791 |
| Provider Name | Christopher Le |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679700801 PECOS PAC ID: 0143533083 Enrollment ID: I20150721001210 |
| Provider Name | Muhammad Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720391279 PECOS PAC ID: 4385957208 Enrollment ID: I20150722003683 |
| Provider Name | Julie A Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952780249 PECOS PAC ID: 3476867029 Enrollment ID: I20150728003032 |
| Provider Name | Heidi A Tavel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962795377 PECOS PAC ID: 6507170545 Enrollment ID: I20150804004407 |
| Provider Name | Mohammad R Khreiss |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1023241544 PECOS PAC ID: 2062630221 Enrollment ID: I20150804006319 |
| Provider Name | Nancy Y Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073836722 PECOS PAC ID: 5698903813 Enrollment ID: I20150805008125 |
| Provider Name | Juan Pablo Galvez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609050095 PECOS PAC ID: 4183757552 Enrollment ID: I20150810002924 |
| Provider Name | Amy J Colvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356724983 PECOS PAC ID: 1557676095 Enrollment ID: I20150813009686 |
| Provider Name | Ahmad Ghazi-askar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912281056 PECOS PAC ID: 2567778152 Enrollment ID: I20150827000777 |
| Provider Name | Heather M Coffman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255315669 PECOS PAC ID: 5698829067 Enrollment ID: I20150828002252 |
| Provider Name | Trevor Thomas Green |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770796716 PECOS PAC ID: 2567778954 Enrollment ID: I20150831001950 |
| Provider Name | Saira S Kalia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568724680 PECOS PAC ID: 0446566715 Enrollment ID: I20150901001552 |
| Provider Name | Clare Joan Lindner |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386932853 PECOS PAC ID: 8426364480 Enrollment ID: I20150904002301 |
| Provider Name | Taylor S Riall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245342625 PECOS PAC ID: 3870560980 Enrollment ID: I20150904002432 |
| Provider Name | Jana M Montez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770950438 PECOS PAC ID: 4688982960 Enrollment ID: I20151006002784 |
| Provider Name | Srinath Sundararajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316176597 PECOS PAC ID: 3274784145 Enrollment ID: I20151023001307 |
| Provider Name | Veronika Panah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013113547 PECOS PAC ID: 2062652415 Enrollment ID: I20151109000143 |
| Provider Name | Sherri L Tometczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164892790 PECOS PAC ID: 4587964457 Enrollment ID: I20151125000498 |
| Provider Name | Carrie L Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184659674 PECOS PAC ID: 4587689278 Enrollment ID: I20151201002331 |
| Provider Name | Brandon J Abeyta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841291804 PECOS PAC ID: 1759342447 Enrollment ID: I20151208000636 |
| Provider Name | Peter L Klinger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730384116 PECOS PAC ID: 4587850151 Enrollment ID: I20151222000217 |
| Provider Name | Deann M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992190201 PECOS PAC ID: 3971805292 Enrollment ID: I20160104002047 |
| Provider Name | Tessa Baumgardner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013150234 PECOS PAC ID: 9638312028 Enrollment ID: I20160115002580 |
| Provider Name | Patricia D Nast |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770956435 PECOS PAC ID: 9335444264 Enrollment ID: I20160301001850 |
| Provider Name | Lauren A Nicholls |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326238502 PECOS PAC ID: 8224333117 Enrollment ID: I20160302000680 |
| Provider Name | Nicole C Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295191716 PECOS PAC ID: 0840596391 Enrollment ID: I20160309000488 |
| Provider Name | Joanna R Husain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831571249 PECOS PAC ID: 5294031522 Enrollment ID: I20160311000965 |
| Provider Name | Allison N Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912320110 PECOS PAC ID: 2769788082 Enrollment ID: I20160314001061 |
| Provider Name | Catherine S Riley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598772501 PECOS PAC ID: 2860496718 Enrollment ID: I20160412001303 |
| Provider Name | Corinne M Self |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1255629762 PECOS PAC ID: 6901105550 Enrollment ID: I20160503000719 |
| Provider Name | Kathryn M Spielberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538537949 PECOS PAC ID: 7911208681 Enrollment ID: I20160505001402 |
| Provider Name | Christina L Boulton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366563785 PECOS PAC ID: 1759552243 Enrollment ID: I20160601001004 |
| Provider Name | Suzanne M Keller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184099350 PECOS PAC ID: 9739484296 Enrollment ID: I20160608002098 |
| Provider Name | Jason Lowe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669588802 PECOS PAC ID: 0042365751 Enrollment ID: I20160610001815 |
| Provider Name | Benjamin R Lee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013087451 PECOS PAC ID: 5799716726 Enrollment ID: I20160616002231 |
| Provider Name | Elizabeth Connick |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255421939 PECOS PAC ID: 0143200881 Enrollment ID: I20160620001331 |
| Provider Name | Bhupinder S Natt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073820726 PECOS PAC ID: 8325339138 Enrollment ID: I20160627001180 |
| Provider Name | Stephen Joseph Scholand |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679500268 PECOS PAC ID: 5092782128 Enrollment ID: I20160629002459 |
| Provider Name | Robin John Hurlbert |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497102628 PECOS PAC ID: 3476845520 Enrollment ID: I20160711000336 |
| Provider Name | Steven J Wang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144257734 PECOS PAC ID: 7214823871 Enrollment ID: I20160713002552 |
| Provider Name | Seth Studer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083902753 PECOS PAC ID: 4880987593 Enrollment ID: I20160718002119 |
| Provider Name | Vivian Shi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1720333990 PECOS PAC ID: 8921391442 Enrollment ID: I20160721000668 |
| Provider Name | Priyanka Sultania Dudani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316255847 PECOS PAC ID: 5890922678 Enrollment ID: I20160722001427 |
| Provider Name | Serena J Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699065334 PECOS PAC ID: 6204060627 Enrollment ID: I20160726003285 |
| Provider Name | Mathew D Hutchinson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1255329959 PECOS PAC ID: 2062473887 Enrollment ID: I20160728002458 |
| Provider Name | Lori E Fantry |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821046277 PECOS PAC ID: 2668667643 Enrollment ID: I20160728002733 |
| Provider Name | Keith R Primeau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396184024 PECOS PAC ID: 6800180571 Enrollment ID: I20160804000003 |
| Provider Name | Neha Jaswal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437408879 PECOS PAC ID: 3476865791 Enrollment ID: I20160804001595 |
| Provider Name | Katharine N Woods |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639481955 PECOS PAC ID: 6608028022 Enrollment ID: I20160805001131 |
| Provider Name | Shalinkumar Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225358179 PECOS PAC ID: 9234378936 Enrollment ID: I20160812002266 |
| Provider Name | Aaron J Scott |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497070221 PECOS PAC ID: 0143526863 Enrollment ID: I20160815002256 |
| Provider Name | Elle Ross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275976706 PECOS PAC ID: 4587958426 Enrollment ID: I20160816000415 |
| Provider Name | Sofhia Y Ytuarte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154771509 PECOS PAC ID: 8820382799 Enrollment ID: I20160816001289 |
| Provider Name | Stephanie L Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528416070 PECOS PAC ID: 3072808948 Enrollment ID: I20160817002200 |
| Provider Name | Sri Preethi Gunnala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366608341 PECOS PAC ID: 1456571900 Enrollment ID: I20160817003126 |
| Provider Name | Jeanne Ray Wiedemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861728495 PECOS PAC ID: 9739474230 Enrollment ID: I20160823001892 |
| Provider Name | Amber D Rice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659718260 PECOS PAC ID: 0345535886 Enrollment ID: I20160823003005 |
| Provider Name | Josephine G Acuna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710325287 PECOS PAC ID: 8820383284 Enrollment ID: I20160824000731 |
| Provider Name | Jennifer Krogh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003230509 PECOS PAC ID: 5496985145 Enrollment ID: I20160824002624 |
| Provider Name | Moses Kubwimana Mhayamaguru |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417397811 PECOS PAC ID: 3173818473 Enrollment ID: I20160825002116 |
| Provider Name | Carrie E Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528411170 PECOS PAC ID: 4486940392 Enrollment ID: I20160901000435 |
| Provider Name | Jaiva B Larsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275820888 PECOS PAC ID: 6204054828 Enrollment ID: I20160901002555 |
| Provider Name | Gary S Meredith |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659383503 PECOS PAC ID: 2466631775 Enrollment ID: I20160906001929 |
| Provider Name | Judy Krentzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316392954 PECOS PAC ID: 6507152295 Enrollment ID: I20160906002525 |
| Provider Name | Amit M Algotar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225460306 PECOS PAC ID: 4385930940 Enrollment ID: I20160907002314 |
| Provider Name | Carlos A Tafich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508299553 PECOS PAC ID: 6709172265 Enrollment ID: I20160908002497 |
| Provider Name | Scott Mcintyre |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730476490 PECOS PAC ID: 0143479840 Enrollment ID: I20160908002815 |
| Provider Name | Ronald Tang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295097665 PECOS PAC ID: 8729374178 Enrollment ID: I20160909002604 |
| Provider Name | Elaine H Situ-lacasse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952749624 PECOS PAC ID: 8628364015 Enrollment ID: I20160912000991 |
| Provider Name | Gregory J Woodhead |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982925533 PECOS PAC ID: 6507152923 Enrollment ID: I20160912001833 |
| Provider Name | Katelin Morrissette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639515414 PECOS PAC ID: 4486952256 Enrollment ID: I20160914000056 |
| Provider Name | Jennifer L Plitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043658800 PECOS PAC ID: 3274829445 Enrollment ID: I20160914002111 |
| Provider Name | Michael A Grandner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982809422 PECOS PAC ID: 9830377613 Enrollment ID: I20160915001968 |
| Provider Name | Charisse Hanne Tagapulot Te |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861814311 PECOS PAC ID: 7517254527 Enrollment ID: I20160919002492 |
| Provider Name | David S E Margolis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255642344 PECOS PAC ID: 2365753456 Enrollment ID: I20161012000828 |
| Provider Name | Jennifer M Segar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225478068 PECOS PAC ID: 2466740055 Enrollment ID: I20161014000410 |
| Provider Name | Sima Ehsani Chimeh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699947002 PECOS PAC ID: 3274760798 Enrollment ID: I20161018002707 |
| Provider Name | Juan A Sandoval Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811252026 PECOS PAC ID: 8820386154 Enrollment ID: I20161019001004 |
| Provider Name | Marilyn Mora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821544032 PECOS PAC ID: 4385922657 Enrollment ID: I20161021000640 |
| Provider Name | Lindsey R Trutter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518305002 PECOS PAC ID: 2567740848 Enrollment ID: I20161021000955 |
| Provider Name | Rachel Lynn Darche |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619234671 PECOS PAC ID: 3476851148 Enrollment ID: I20161024000928 |
| Provider Name | Berndt Schmit |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578636304 PECOS PAC ID: 8527952977 Enrollment ID: I20161025003118 |
| Provider Name | Suzanna I Hutchinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861553687 PECOS PAC ID: 5991805111 Enrollment ID: I20161101002634 |
| Provider Name | Christopher J Justinich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275546467 PECOS PAC ID: 5890791198 Enrollment ID: I20161102001921 |
| Provider Name | John Wallace Kuluz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821026964 PECOS PAC ID: 8729134135 Enrollment ID: I20161102002649 |
| Provider Name | Erica Laber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780940122 PECOS PAC ID: 4082993449 Enrollment ID: I20161108001695 |
| Provider Name | Tuan M Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518253491 PECOS PAC ID: 2860794765 Enrollment ID: I20161109001990 |
| Provider Name | Lesa G Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326407875 PECOS PAC ID: 0345549515 Enrollment ID: I20161110000885 |
| Provider Name | Carolyn Anne Bangert |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1518045517 PECOS PAC ID: 0244332922 Enrollment ID: I20161114001612 |
| Provider Name | George T Fantry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043272610 PECOS PAC ID: 0244424109 Enrollment ID: I20161116000085 |
| Provider Name | Santosh S Hanmod |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730337478 PECOS PAC ID: 9335462811 Enrollment ID: I20161128001905 |
| Provider Name | Andrew W Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851538995 PECOS PAC ID: 8921387416 Enrollment ID: I20161128002701 |
| Provider Name | Vivian Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821549106 PECOS PAC ID: 6103106653 Enrollment ID: I20161129002488 |
| Provider Name | Sasmita Parajuli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619428109 PECOS PAC ID: 8527348093 Enrollment ID: I20161130000441 |
| Provider Name | Brittany L Pace |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417394594 PECOS PAC ID: 8921388364 Enrollment ID: I20161201000524 |
| Provider Name | Wei Zhou |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1790715167 PECOS PAC ID: 0143226282 Enrollment ID: I20161201001699 |
| Provider Name | Angelica M Lentner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497203350 PECOS PAC ID: 8628358512 Enrollment ID: I20161212001295 |
| Provider Name | Montaser F Shaheen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801860168 PECOS PAC ID: 0749276251 Enrollment ID: I20161213002388 |
| Provider Name | Tze-woei Tan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750500591 PECOS PAC ID: 0547424517 Enrollment ID: I20161216000769 |
| Provider Name | Akinlolu O Ojo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649352550 PECOS PAC ID: 8729117387 Enrollment ID: I20161216001022 |
| Provider Name | Ganesh Sundar Kumpati |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871508671 PECOS PAC ID: 3173528098 Enrollment ID: I20161223000381 |
| Provider Name | Laura M Mcpheeters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033669387 PECOS PAC ID: 3678854098 Enrollment ID: I20161223000417 |
| Provider Name | Sam Valid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912318783 PECOS PAC ID: 1456668185 Enrollment ID: I20161227001612 |
| Provider Name | Carmen Panizo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255875449 PECOS PAC ID: 2668753674 Enrollment ID: I20170106000465 |
| Provider Name | Salwa Abdel-aziz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295961043 PECOS PAC ID: 8729395959 Enrollment ID: I20170111001609 |
| Provider Name | Marc A Lindley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902849318 PECOS PAC ID: 9830186006 Enrollment ID: I20170124001426 |
| Provider Name | Annette R Lopez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699086256 PECOS PAC ID: 6608158829 Enrollment ID: I20170124001762 |
| Provider Name | Frank C Brosius |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336221217 PECOS PAC ID: 2567591738 Enrollment ID: I20170208001337 |
| Provider Name | Dawn L Kent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700829579 PECOS PAC ID: 0840240180 Enrollment ID: I20170208001583 |
| Provider Name | Laura B Costanza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578000147 PECOS PAC ID: 5294018685 Enrollment ID: I20170209000142 |
| Provider Name | Kelly D Lomax |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730180639 PECOS PAC ID: 4587562954 Enrollment ID: I20170217001505 |
| Provider Name | Carla Sue Rosenblum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376616151 PECOS PAC ID: 3274636477 Enrollment ID: I20170220001786 |
| Provider Name | Rebecca V Rivera |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639615073 PECOS PAC ID: 2860776192 Enrollment ID: I20170303001348 |
| Provider Name | Ann E Mathias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255394185 PECOS PAC ID: 5294775235 Enrollment ID: I20170306000854 |
| Provider Name | Sangeetha Murugapandian |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619283629 PECOS PAC ID: 1254616808 Enrollment ID: I20170321002290 |
| Provider Name | Ashley G Tian |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114107844 PECOS PAC ID: 7719127505 Enrollment ID: I20170323000025 |
| Provider Name | Erin Bottai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043756380 PECOS PAC ID: 8527343896 Enrollment ID: I20170329000626 |
| Provider Name | Srinivasa Raghavan Madhavan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043566607 PECOS PAC ID: 3173838356 Enrollment ID: I20170329000986 |
| Provider Name | Joan L Machamer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497292668 PECOS PAC ID: 5294011086 Enrollment ID: I20170410001647 |
| Provider Name | Julie C Moreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407132665 PECOS PAC ID: 1052578440 Enrollment ID: I20170411000687 |
| Provider Name | Akshay Amaraneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306285267 PECOS PAC ID: 2769613264 Enrollment ID: I20170419001501 |
| Provider Name | Hope A Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215478474 PECOS PAC ID: 5294012233 Enrollment ID: I20170501001299 |
| Provider Name | Fariba M Donovan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295998292 PECOS PAC ID: 9335283753 Enrollment ID: I20170505001796 |
| Provider Name | Jacqueline G May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699715706 PECOS PAC ID: 0941276547 Enrollment ID: I20170511001510 |
| Provider Name | Stephanie N Schock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588952725 PECOS PAC ID: 8921385378 Enrollment ID: I20170511002684 |
| Provider Name | Jeffrey P Martel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689867178 PECOS PAC ID: 7214105238 Enrollment ID: I20170522000315 |
| Provider Name | Kate E Hughes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740629765 PECOS PAC ID: 8729385067 Enrollment ID: I20170601002044 |
| Provider Name | Nathan Copeland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871855965 PECOS PAC ID: 5294047973 Enrollment ID: I20170605001771 |
| Provider Name | Satinder Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669761268 PECOS PAC ID: 8022386432 Enrollment ID: I20170607002063 |
| Provider Name | Sujatha Doddi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437418043 PECOS PAC ID: 1658535471 Enrollment ID: I20170609001609 |
| Provider Name | Kathleen R Cazzato |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629496898 PECOS PAC ID: 9931477114 Enrollment ID: I20170612001328 |
| Provider Name | Abhijeet Kumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134409923 PECOS PAC ID: 1153699137 Enrollment ID: I20170615001087 |
| Provider Name | Kenneth A Fox |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1235153552 PECOS PAC ID: 0143253542 Enrollment ID: I20170620000628 |
| Provider Name | Wonsuk Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467686246 PECOS PAC ID: 6901174796 Enrollment ID: I20170620002096 |
| Provider Name | Rebecca Milligan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316351950 PECOS PAC ID: 9335417971 Enrollment ID: I20170622001615 |
| Provider Name | Steven S Lock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629409644 PECOS PAC ID: 6901026392 Enrollment ID: I20170622001736 |
| Provider Name | Mark Joseph Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881953578 PECOS PAC ID: 9234420126 Enrollment ID: I20170622002299 |
| Provider Name | Kiel Urata |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659759595 PECOS PAC ID: 1850669425 Enrollment ID: I20170622002643 |
| Provider Name | Michael A Colon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508209891 PECOS PAC ID: 8224260294 Enrollment ID: I20170623002399 |
| Provider Name | Jennifer Schenne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770546731 PECOS PAC ID: 3870484405 Enrollment ID: I20170627003168 |
| Provider Name | Genevieve D Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750817813 PECOS PAC ID: 2365711389 Enrollment ID: I20170707001063 |
| Provider Name | Marcos A Teran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851648638 PECOS PAC ID: 6406125301 Enrollment ID: I20170710000795 |
| Provider Name | Uma D Goyal |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1427317510 PECOS PAC ID: 3678842283 Enrollment ID: I20170712003322 |
| Provider Name | Naresh Reddivalla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073851150 PECOS PAC ID: 8628367711 Enrollment ID: I20170718001431 |
| Provider Name | Shethal Bearelly |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851688113 PECOS PAC ID: 3779714399 Enrollment ID: I20170719002162 |
| Provider Name | Steven J Dudick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184967846 PECOS PAC ID: 0244539369 Enrollment ID: I20170721000794 |
| Provider Name | Ryan Mcgrath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013320183 PECOS PAC ID: 7113227760 Enrollment ID: I20170724001274 |
| Provider Name | Kara Samsel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477972115 PECOS PAC ID: 2769752674 Enrollment ID: I20170726001811 |
| Provider Name | Maili A Drachman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922441302 PECOS PAC ID: 6002107232 Enrollment ID: I20170728001539 |
| Provider Name | Sarah Sellers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366963977 PECOS PAC ID: 4688945926 Enrollment ID: I20170804002905 |
| Provider Name | Keyshanna L Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336686260 PECOS PAC ID: 8527345412 Enrollment ID: I20170807001845 |
| Provider Name | Robert Samuelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003881301 PECOS PAC ID: 0042201857 Enrollment ID: I20170809001641 |
| Provider Name | Sukeshi K Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679980122 PECOS PAC ID: 4587974415 Enrollment ID: I20170817003477 |
| Provider Name | Ealaf A Alrabia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952668915 PECOS PAC ID: 2264723980 Enrollment ID: I20170818001398 |
| Provider Name | Nora L Odisho Domit |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1548606957 PECOS PAC ID: 9739451162 Enrollment ID: I20170821001302 |
| Provider Name | Frank James Lexa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689606527 PECOS PAC ID: 5395634141 Enrollment ID: I20170823004097 |
| Provider Name | Michelina C De La Maza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255779385 PECOS PAC ID: 7012280852 Enrollment ID: I20170830001672 |
| Provider Name | Helena T Yip |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033193826 PECOS PAC ID: 5991801169 Enrollment ID: I20170831001157 |
| Provider Name | Rahim Khajeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982024246 PECOS PAC ID: 6507144169 Enrollment ID: I20170905001304 |
| Provider Name | Mary Angeli Del Rosario Lock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174948905 PECOS PAC ID: 2365749025 Enrollment ID: I20170915000021 |
| Provider Name | Brigette J Vyborny |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073037255 PECOS PAC ID: 7517231426 Enrollment ID: I20170915001595 |
| Provider Name | Scott P Rosenfield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538682299 PECOS PAC ID: 8628342466 Enrollment ID: I20170918003510 |
| Provider Name | Abhinav Dhakal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912301623 PECOS PAC ID: 8022382639 Enrollment ID: I20170920003278 |
| Provider Name | Demaretta S Rush |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588607873 PECOS PAC ID: 2062489677 Enrollment ID: I20170920003748 |
| Provider Name | Cara L Rood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376083832 PECOS PAC ID: 4981978459 Enrollment ID: I20170921002297 |
| Provider Name | Randall S Blute |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144759341 PECOS PAC ID: 7719251206 Enrollment ID: I20170921003192 |
| Provider Name | Gustavo Joaquin Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104071471 PECOS PAC ID: 2365716784 Enrollment ID: I20170925001590 |
| Provider Name | Jen Jung Pan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811073166 PECOS PAC ID: 0345386587 Enrollment ID: I20171003006326 |
| Provider Name | Sudheer Sreenath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578977906 PECOS PAC ID: 6406147313 Enrollment ID: I20171005001045 |
| Provider Name | Christina X Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548555014 PECOS PAC ID: 6901116961 Enrollment ID: I20171018003180 |
| Provider Name | Norma Mariscal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942723242 PECOS PAC ID: 4385910397 Enrollment ID: I20171018003344 |
| Provider Name | Craig C Weinkauf |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1568725539 PECOS PAC ID: 5991071623 Enrollment ID: I20171025002309 |
| Provider Name | Alexander Keith Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568980845 PECOS PAC ID: 4284900614 Enrollment ID: I20171030001498 |
| 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 | Anna S Landau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164787016 PECOS PAC ID: 4486957222 Enrollment ID: I20171031001896 |
| Provider Name | Brian C Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487092516 PECOS PAC ID: 6901184563 Enrollment ID: I20171031002429 |
| Provider Name | Wendy A Robb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316324080 PECOS PAC ID: 2062788383 Enrollment ID: I20171031002665 |
| Provider Name | May Grace Kushner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669907713 PECOS PAC ID: 4385900224 Enrollment ID: I20171109002763 |
| Provider Name | George Schatz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982091179 PECOS PAC ID: 7719243377 Enrollment ID: I20171114003520 |
| Provider Name | Christine N Legler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295808244 PECOS PAC ID: 3072782788 Enrollment ID: I20171121003012 |
| Provider Name | David Stewart |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1205930484 PECOS PAC ID: 3072511245 Enrollment ID: I20171122002364 |
| Provider Name | Josephine E Valenzuela |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881011807 PECOS PAC ID: 4981996188 Enrollment ID: I20171204000495 |
| Provider Name | Serign Mass A Marong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386959989 PECOS PAC ID: 2466689732 Enrollment ID: I20171205003229 |
| Provider Name | Asmaa Soliman Abu Maziad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922394139 PECOS PAC ID: 5991062598 Enrollment ID: I20171207001420 |
| Provider Name | Debra A Parrish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255443966 PECOS PAC ID: 2264320993 Enrollment ID: I20171208001242 |
| Provider Name | Ziga Tretjak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033186325 PECOS PAC ID: 8325055031 Enrollment ID: I20180102002227 |
| Provider Name | Dev Ashish |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396256251 PECOS PAC ID: 0547528168 Enrollment ID: I20180102002679 |
| Provider Name | Lerzan Tunali Madenci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659504181 PECOS PAC ID: 6709926629 Enrollment ID: I20180109003343 |
| Provider Name | Ingrid E Patsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184673279 PECOS PAC ID: 6204809882 Enrollment ID: I20180110002363 |
| Provider Name | Kawanjit Kaur Surapur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093120768 PECOS PAC ID: 1658697248 Enrollment ID: I20180110002808 |
| Provider Name | Chizoba Ngwube |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184902363 PECOS PAC ID: 2860632445 Enrollment ID: I20180124003476 |
| Provider Name | Gloria V Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831604206 PECOS PAC ID: 8921368283 Enrollment ID: I20180205002784 |
| Provider Name | Leonard Esward Philo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396893699 PECOS PAC ID: 5193016194 Enrollment ID: I20180207002440 |
| Provider Name | Steven Z Rapcsak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659474039 PECOS PAC ID: 8022378231 Enrollment ID: I20180208001556 |
| Provider Name | Salma I Patel |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1083058572 PECOS PAC ID: 3971723875 Enrollment ID: I20180208001850 |
| Provider Name | Alexandra P Turner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821276916 PECOS PAC ID: 5395914287 Enrollment ID: I20180213002952 |
| Provider Name | Alexi R Turk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396252409 PECOS PAC ID: 1557621356 Enrollment ID: I20180215000940 |
| Provider Name | Evelinda Dominique Gonzales-pryor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265875603 PECOS PAC ID: 1052544327 Enrollment ID: I20180227000109 |
| Provider Name | Georgette Mehalik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376595843 PECOS PAC ID: 1759669153 Enrollment ID: I20180227001953 |
| Provider Name | Kathryn Taylor |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669865259 PECOS PAC ID: 4880955194 Enrollment ID: I20180301002046 |
| Provider Name | Monica M Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497253850 PECOS PAC ID: 0143581280 Enrollment ID: I20180306000620 |
| Provider Name | Sara C Mckeever |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275876518 PECOS PAC ID: 1557688702 Enrollment ID: I20180327002949 |
| Provider Name | Courtney Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255748380 PECOS PAC ID: 5799090726 Enrollment ID: I20180328001400 |
| Provider Name | Vivek Gupta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831117290 PECOS PAC ID: 0345271953 Enrollment ID: I20180403002326 |
| Provider Name | Rachna T Shroff |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942425350 PECOS PAC ID: 6103908934 Enrollment ID: I20180405001260 |
| Provider Name | Chad Mcwhinnie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447773742 PECOS PAC ID: 2860755501 Enrollment ID: I20180411002185 |
| Provider Name | Nathan Brandt Price |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275709586 PECOS PAC ID: 0749314797 Enrollment ID: I20180430001222 |
| Provider Name | Amy S Klein |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1023370822 PECOS PAC ID: 6709028921 Enrollment ID: I20180514000113 |
| Provider Name | Nicole Elizabeth Adegbija |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245738590 PECOS PAC ID: 9032473301 Enrollment ID: I20180514002600 |
| Provider Name | Cari L Young |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235365651 PECOS PAC ID: 6901950450 Enrollment ID: I20180518001347 |
| Provider Name | Sandra Adele Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427553098 PECOS PAC ID: 0042575151 Enrollment ID: I20180521000220 |
| Provider Name | Rebecca Lynn Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548765811 PECOS PAC ID: 9638434681 Enrollment ID: I20180523000919 |
| Provider Name | Juan Chipollini |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326345935 PECOS PAC ID: 2567727431 Enrollment ID: I20180523002433 |
| Provider Name | Hiroko Tanaka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780913335 PECOS PAC ID: 1052676616 Enrollment ID: I20180531001870 |
| Provider Name | Armando Sanchez Abucejo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649785288 PECOS PAC ID: 6507121167 Enrollment ID: I20180531001908 |
| Provider Name | Michael David Montoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467973156 PECOS PAC ID: 9335404904 Enrollment ID: I20180531002455 |
| Provider Name | Christopher Ryan Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407292527 PECOS PAC ID: 6709141948 Enrollment ID: I20180601000666 |
| Provider Name | David Brual |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063824993 PECOS PAC ID: 6800011685 Enrollment ID: I20180605002527 |
| Provider Name | Tamara F Lundeen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447691860 PECOS PAC ID: 8224383476 Enrollment ID: I20180612002467 |
| Provider Name | Cara Lynne Whittingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730603598 PECOS PAC ID: 0547536104 Enrollment ID: I20180614002232 |
| Provider Name | Justin F Hayes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710321641 PECOS PAC ID: 6507162583 Enrollment ID: I20180614002531 |
| Provider Name | Rachel B Manzo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932586484 PECOS PAC ID: 2062777147 Enrollment ID: I20180615000889 |
| Provider Name | Monica Valdes-de La Cruz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588649198 PECOS PAC ID: 7113206319 Enrollment ID: I20180615001830 |
| Provider Name | Allison Thoeny |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073952982 PECOS PAC ID: 2860787256 Enrollment ID: I20180615002521 |
| Provider Name | Robert L Patton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649255274 PECOS PAC ID: 7517212418 Enrollment ID: I20180618002080 |
| Provider Name | Bonnie L Typlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144299090 PECOS PAC ID: 7810242476 Enrollment ID: I20180622000243 |
| Provider Name | Mohanad Mohammed Al-obaidi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578821203 PECOS PAC ID: 4082969498 Enrollment ID: I20180626000368 |
| Provider Name | Maria M Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063899177 PECOS PAC ID: 6608181094 Enrollment ID: I20180626000942 |
| Provider Name | Puneet Shroff |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1265645782 PECOS PAC ID: 8325202773 Enrollment ID: I20180627003204 |
| Provider Name | Derek B Paul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811301849 PECOS PAC ID: 2163777327 Enrollment ID: I20180703003200 |
| Provider Name | Wyatt D Unger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356782221 PECOS PAC ID: 7719232610 Enrollment ID: I20180705000512 |
| Provider Name | Elizabeth Ann Mcintyre |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023457611 PECOS PAC ID: 6406087741 Enrollment ID: I20180709002385 |
| Provider Name | Marko Esteves Marbella |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164764395 PECOS PAC ID: 9931401114 Enrollment ID: I20180709002396 |
| Provider Name | David E Mchorney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821073446 PECOS PAC ID: 0042566796 Enrollment ID: I20180710003791 |
| Provider Name | Dori Marie Scholer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982197398 PECOS PAC ID: 9335495852 Enrollment ID: I20180712002909 |
| Provider Name | Anthony Mobley Witten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487032389 PECOS PAC ID: 3577819051 Enrollment ID: I20180713001538 |
| Provider Name | Alicia Rodriguez-pla |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083050025 PECOS PAC ID: 2961634357 Enrollment ID: I20180713001679 |
| Provider Name | Thersia J Knapik |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679790034 PECOS PAC ID: 7719250513 Enrollment ID: I20180716000947 |
| Provider Name | Andrea G Aguirre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518227206 PECOS PAC ID: 2466726716 Enrollment ID: I20180717002683 |
| Provider Name | Jared Rex Robbins |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124291562 PECOS PAC ID: 1658515184 Enrollment ID: I20180717003967 |
| Provider Name | Elizabeth Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689167397 PECOS PAC ID: 6002163722 Enrollment ID: I20180725003600 |
| Provider Name | Belinda Liu Sun |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356683155 PECOS PAC ID: 7113274861 Enrollment ID: I20180726000294 |
| Provider Name | Abby J Fuoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659435410 PECOS PAC ID: 0042319980 Enrollment ID: I20180727000921 |
| Provider Name | Nicole Helen Person-rennell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629480892 PECOS PAC ID: 7315228871 Enrollment ID: I20180802001857 |
| Provider Name | Imran Y Patel |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1780066282 PECOS PAC ID: 5597073882 Enrollment ID: I20180803000405 |
| Provider Name | Johannes S Kieding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811305634 PECOS PAC ID: 6800144973 Enrollment ID: I20180806002328 |
| Provider Name | Anindita Das |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598183477 PECOS PAC ID: 9133340730 Enrollment ID: I20180807002234 |
| Provider Name | Jeanie K Ringelberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093192122 PECOS PAC ID: 1456658533 Enrollment ID: I20180808001335 |
| Provider Name | Nicholas P Stetkevich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164803375 PECOS PAC ID: 2860705191 Enrollment ID: I20180808002398 |
| Provider Name | Deven Dell Cox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255591608 PECOS PAC ID: 8022248103 Enrollment ID: I20180808003764 |
| Provider Name | Jarrod S Reino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679067391 PECOS PAC ID: 4284982174 Enrollment ID: I20180809000932 |
| Provider Name | Helen Marchelle Forte |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922489152 PECOS PAC ID: 3173888013 Enrollment ID: I20180813000899 |
| Provider Name | Allison Rottman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568895043 PECOS PAC ID: 3678863206 Enrollment ID: I20180814003340 |
| Provider Name | Laura Stephens |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942561212 PECOS PAC ID: 8022367846 Enrollment ID: I20180827003508 |
| Provider Name | James F Serot |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538319801 PECOS PAC ID: 2264617554 Enrollment ID: I20180830000636 |
| Provider Name | Shilpa Pedapati |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295103299 PECOS PAC ID: 7618276379 Enrollment ID: I20180830000985 |
| Provider Name | Matthew Mobily |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750669024 PECOS PAC ID: 7012262108 Enrollment ID: I20180905002462 |
| Provider Name | Tushar Acharya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922313774 PECOS PAC ID: 3577866995 Enrollment ID: I20180906002801 |
| Provider Name | Erin Murphy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669959235 PECOS PAC ID: 1759631864 Enrollment ID: I20180912000015 |
| Provider Name | Jessica Bates |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689088494 PECOS PAC ID: 8628347838 Enrollment ID: I20180912002671 |
| Provider Name | Roberto Carlos Swazo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679953624 PECOS PAC ID: 7719290006 Enrollment ID: I20180913000193 |
| Provider Name | Nader Makki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306127808 PECOS PAC ID: 5799088043 Enrollment ID: I20180914001043 |
| Provider Name | Olivia Y Hung |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679862999 PECOS PAC ID: 3870844798 Enrollment ID: I20180914002755 |
| Provider Name | Sorabh Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952793374 PECOS PAC ID: 3476854910 Enrollment ID: I20180914002797 |
| Provider Name | Kyle Adam Suhr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063991826 PECOS PAC ID: 6901157460 Enrollment ID: I20180921000969 |
| Provider Name | Angela G Puthenveetil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649652280 PECOS PAC ID: 9638482912 Enrollment ID: I20180921002712 |
| Provider Name | Robert C Koch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801282967 PECOS PAC ID: 9234403460 Enrollment ID: I20180924003765 |
| Provider Name | Holly Elizabeth Pariury |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508129156 PECOS PAC ID: 4587915863 Enrollment ID: I20180926000143 |
| Provider Name | Megan Elizabeth Kasper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265921019 PECOS PAC ID: 4385995315 Enrollment ID: I20181001002048 |
| Provider Name | Katherine Anne Giordano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700364510 PECOS PAC ID: 5991057879 Enrollment ID: I20181003001790 |
| Provider Name | Alvaro J Altamirano Ufion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144614363 PECOS PAC ID: 6608170642 Enrollment ID: I20181004002939 |
| Provider Name | Satinder Kaur Grewal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386085546 PECOS PAC ID: 7618229436 Enrollment ID: I20181005001735 |
| Provider Name | Ana M Mendez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033597125 PECOS PAC ID: 3577828433 Enrollment ID: I20181005002627 |
| Provider Name | Nilesh Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467400580 PECOS PAC ID: 2062304603 Enrollment ID: I20181009001169 |
| Provider Name | Amanda Kay Finlayson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740773829 PECOS PAC ID: 2466704002 Enrollment ID: I20181010001689 |
| Provider Name | Irving L Kron |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1700919016 PECOS PAC ID: 8123037165 Enrollment ID: I20181016000380 |
| Provider Name | Caylin Stephanie Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184110512 PECOS PAC ID: 1052663226 Enrollment ID: I20181017000115 |
| Provider Name | Shana E Semmens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841606449 PECOS PAC ID: 7315213287 Enrollment ID: I20181018001602 |
| Provider Name | Nanda Kishore Pullela |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952785628 PECOS PAC ID: 2567710387 Enrollment ID: I20181023001905 |
| Provider Name | Juanita L Merchant |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164505095 PECOS PAC ID: 9638260623 Enrollment ID: I20181023002873 |
| Provider Name | Pablo C Loarte-campos |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417225319 PECOS PAC ID: 0547480535 Enrollment ID: I20181024001273 |
| Provider Name | Jack R Hannallah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497018915 PECOS PAC ID: 3274898481 Enrollment ID: I20181025001409 |
| Provider Name | Soham Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255741989 PECOS PAC ID: 5799038451 Enrollment ID: I20181025001942 |
| Provider Name | Kavitha Yaddanapudi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326341801 PECOS PAC ID: 9335461698 Enrollment ID: I20181025002927 |
| Provider Name | Joseph Simon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407198484 PECOS PAC ID: 4385945260 Enrollment ID: I20181027000249 |
| Provider Name | Cornel Mihalache |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902035785 PECOS PAC ID: 5092949412 Enrollment ID: I20181029003118 |
| Provider Name | Holly N Bullock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063777274 PECOS PAC ID: 5395037246 Enrollment ID: I20181031000172 |
| Provider Name | Natalie D Monahan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487093159 PECOS PAC ID: 1951654474 Enrollment ID: I20181031001613 |
| Provider Name | Jenny Farah Saint Aubyn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386029031 PECOS PAC ID: 0547570202 Enrollment ID: I20181101001553 |
| Provider Name | Zachary James Hernandez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831577550 PECOS PAC ID: 3870806672 Enrollment ID: I20181102001870 |
| Provider Name | Sao Jiralerspong |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821300039 PECOS PAC ID: 0143416271 Enrollment ID: I20181107002629 |
| Provider Name | Kris Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003294968 PECOS PAC ID: 6800109000 Enrollment ID: I20181108002289 |
| Provider Name | Jennifer Ann Erdrich |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1528292802 PECOS PAC ID: 7012261803 Enrollment ID: I20181114001083 |
| Provider Name | Salam Mohammed Arif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205220142 PECOS PAC ID: 6901179886 Enrollment ID: I20181119002276 |
| Provider Name | Logan Paolo Felix |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194038505 PECOS PAC ID: 2668773771 Enrollment ID: I20181119003326 |
| Provider Name | Ahmed Tammer Yehia El-aini |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942407101 PECOS PAC ID: 0143585091 Enrollment ID: I20181119003339 |
| Provider Name | Randal Owen Dull |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316037906 PECOS PAC ID: 5294630984 Enrollment ID: I20181121002022 |
| Provider Name | Ashley F Krauser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235511817 PECOS PAC ID: 7618280918 Enrollment ID: I20181207002532 |
| Provider Name | Robert L Pinsky |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720056328 PECOS PAC ID: 2062415797 Enrollment ID: I20181210002359 |
| Provider Name | Kamaldeep Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114318037 PECOS PAC ID: 1052664646 Enrollment ID: I20181214003045 |
| Provider Name | Sara Taherkhani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386954436 PECOS PAC ID: 7618108259 Enrollment ID: I20181220001016 |
| Provider Name | Galen P Garcia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982040036 PECOS PAC ID: 5991004244 Enrollment ID: I20181220003003 |
| Provider Name | Nasa-tate Nasser Luma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447469309 PECOS PAC ID: 1254529381 Enrollment ID: I20190104002385 |
| Provider Name | Priti Rawani-patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376957027 PECOS PAC ID: 9638434731 Enrollment ID: I20190104002524 |
| Provider Name | Mark Alan Schomogyi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407848559 PECOS PAC ID: 6709885403 Enrollment ID: I20190111001302 |
| Provider Name | Robert Robbins |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1346358900 PECOS PAC ID: 8325131832 Enrollment ID: I20190112000253 |
| Provider Name | David Ruiz |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1598013013 PECOS PAC ID: 4688925159 Enrollment ID: I20190116003326 |
| Provider Name | Jamilah Shubeilat |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548492309 PECOS PAC ID: 8921317421 Enrollment ID: I20190123002415 |
| Provider Name | J.r.exequiel T Pineda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093093429 PECOS PAC ID: 3274889506 Enrollment ID: I20190123002615 |
| Provider Name | Joel Timothy Lucero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942781281 PECOS PAC ID: 8224375423 Enrollment ID: I20190125002159 |
| Provider Name | Catherine Anne Hallmark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790269496 PECOS PAC ID: 5092052217 Enrollment ID: I20190125002837 |
| Provider Name | Tina M Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215312087 PECOS PAC ID: 3678889466 Enrollment ID: I20190129003196 |
| Provider Name | Oleh Haluszka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972573582 PECOS PAC ID: 3173656329 Enrollment ID: I20190131001296 |
| Provider Name | Malvika Varma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790037141 PECOS PAC ID: 7911218359 Enrollment ID: I20190205002750 |
| Provider Name | Nova Michele Foster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902829567 PECOS PAC ID: 5294881652 Enrollment ID: I20190206002113 |
| Provider Name | Ritika Ohri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295175362 PECOS PAC ID: 7517240898 Enrollment ID: I20190211003144 |
| Provider Name | Sarah Lynn Salce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003337981 PECOS PAC ID: 7315219185 Enrollment ID: I20190213002467 |
| Provider Name | Janelle Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225580095 PECOS PAC ID: 0143502807 Enrollment ID: I20190218000748 |
| Provider Name | Ericka Tamara Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366929028 PECOS PAC ID: 2769721158 Enrollment ID: I20190301000947 |
| Provider Name | Nahla Mohamed Saad Zaghloul |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255502696 PECOS PAC ID: 5395901755 Enrollment ID: I20190308001833 |
| Provider Name | Sonja O'sullivan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518324037 PECOS PAC ID: 9537468095 Enrollment ID: I20190313002057 |
| Provider Name | Kee Hang Kevin Luk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578797163 PECOS PAC ID: 0941424311 Enrollment ID: I20190313002956 |
| Provider Name | Mohamed N Ahmed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396749040 PECOS PAC ID: 0143298703 Enrollment ID: I20190321002154 |
| Provider Name | Julie Nicole Reddoch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447516208 PECOS PAC ID: 1658672167 Enrollment ID: I20190325002531 |
| Provider Name | Michael D Feldman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1790724466 PECOS PAC ID: 9032196019 Enrollment ID: I20190326000664 |
| Provider Name | Crystal L Pacanowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275946717 PECOS PAC ID: 1153685516 Enrollment ID: I20190326002464 |
| Provider Name | Meera Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952788143 PECOS PAC ID: 6204140593 Enrollment ID: I20190329000971 |
| Provider Name | Melissa Schwarzenberger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215135595 PECOS PAC ID: 3476697111 Enrollment ID: I20190402001784 |
| Provider Name | Edward Gelmann |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285632067 PECOS PAC ID: 1951402130 Enrollment ID: I20190409003386 |
| Provider Name | Sameh Sakla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518250307 PECOS PAC ID: 5294080230 Enrollment ID: I20190418001243 |
| Provider Name | Rolando J Leal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841272556 PECOS PAC ID: 0547260994 Enrollment ID: I20190423002916 |
| Provider Name | Kyleigh Staples |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235603697 PECOS PAC ID: 4880936731 Enrollment ID: I20190425001483 |
| Provider Name | Juan Cristobal Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356719751 PECOS PAC ID: 4981946746 Enrollment ID: I20190425002539 |
| Provider Name | Denise Rodriguez Esquivel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578968517 PECOS PAC ID: 2860716941 Enrollment ID: I20190603001966 |
| Provider Name | Bhupesh Pokhrel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649432790 PECOS PAC ID: 5496806028 Enrollment ID: I20190604000873 |
| Provider Name | Betty Jo Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437614476 PECOS PAC ID: 4587997606 Enrollment ID: I20190605000284 |
| Provider Name | Philipp Lorenz Hannan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013365675 PECOS PAC ID: 6305130543 Enrollment ID: I20190606000931 |
| Provider Name | Brendan T Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699122887 PECOS PAC ID: 6305133745 Enrollment ID: I20190606002738 |
| Provider Name | Dawn Lea Martin Herring |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265419444 PECOS PAC ID: 1456483957 Enrollment ID: I20190611002873 |
| Provider Name | Russell R Means |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720436702 PECOS PAC ID: 4587919683 Enrollment ID: I20190612000973 |
| Provider Name | Jessica Vondrak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245687185 PECOS PAC ID: 3072803733 Enrollment ID: I20190613002184 |
| Provider Name | Arlly G. Regoso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669939641 PECOS PAC ID: 1153654652 Enrollment ID: I20190617001049 |
| Provider Name | Kyle Mitts |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518372382 PECOS PAC ID: 0547583148 Enrollment ID: I20190618001309 |
| Provider Name | Megan S Matz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184071524 PECOS PAC ID: 6103159587 Enrollment ID: I20190618001618 |
| Provider Name | Amitoj Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053699447 PECOS PAC ID: 0840561221 Enrollment ID: I20190618001775 |
| Provider Name | Lourdes Castanon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790913267 PECOS PAC ID: 0345365300 Enrollment ID: I20190618002869 |
| Provider Name | Saif Arsan Mashaqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043424633 PECOS PAC ID: 3577758887 Enrollment ID: I20190619003266 |
| Provider Name | Drew C Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376998294 PECOS PAC ID: 8426313008 Enrollment ID: I20190627003039 |
| Provider Name | Tanya Anand |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992046015 PECOS PAC ID: 4789989757 Enrollment ID: I20190701000850 |
| Provider Name | Michael F Ditillo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063672194 PECOS PAC ID: 3870648637 Enrollment ID: I20190701001342 |
| Provider Name | Rachel Thurston Neville |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669828612 PECOS PAC ID: 7416282959 Enrollment ID: I20190705000801 |
| Provider Name | Deepak Acharya |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508043605 PECOS PAC ID: 5092971192 Enrollment ID: I20190711003068 |
| Provider Name | Hong Seok Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750767273 PECOS PAC ID: 5890074322 Enrollment ID: I20190711003628 |
| Provider Name | Shane Rainey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588041164 PECOS PAC ID: 4688989304 Enrollment ID: I20190712002499 |
| Provider Name | Khaled Hassan Malkawi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689809246 PECOS PAC ID: 3072788058 Enrollment ID: I20190715000844 |
| Provider Name | David B Lieberman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235591991 PECOS PAC ID: 0143555003 Enrollment ID: I20190715001830 |
| Provider Name | Cory J Spicer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932512811 PECOS PAC ID: 6002122603 Enrollment ID: I20190715002892 |
| Provider Name | Rohit Madan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265711337 PECOS PAC ID: 1850522418 Enrollment ID: I20190719000380 |
| Provider Name | Sarah A Snoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538543863 PECOS PAC ID: 7810204567 Enrollment ID: I20190719002905 |
| Provider Name | Brad Michael Askam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316209745 PECOS PAC ID: 9739400011 Enrollment ID: I20190722001031 |
| Provider Name | Valerie A Swingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710343124 PECOS PAC ID: 6103152574 Enrollment ID: I20190723001410 |
| Provider Name | Ricklie Ann Julian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861735052 PECOS PAC ID: 3173859436 Enrollment ID: I20190724000896 |
| Provider Name | Stephanie Jarvie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619343696 PECOS PAC ID: 7810223989 Enrollment ID: I20190726001282 |
| Provider Name | Khurram Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609229160 PECOS PAC ID: 4587928510 Enrollment ID: I20190801001970 |
| Provider Name | William H Denq |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558780700 PECOS PAC ID: 8820352701 Enrollment ID: I20190802002067 |
| Provider Name | Brian Norton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336536002 PECOS PAC ID: 0840583548 Enrollment ID: I20190806003831 |
| Provider Name | Nasreen Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801341268 PECOS PAC ID: 0244567758 Enrollment ID: I20190806004173 |
| Provider Name | Shagun Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730634346 PECOS PAC ID: 7315282753 Enrollment ID: I20190812002011 |
| Provider Name | Monica Margaret Davini |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952643348 PECOS PAC ID: 8123355237 Enrollment ID: I20190813001269 |
| Provider Name | Sunil Kumar Sinha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043482276 PECOS PAC ID: 9436327467 Enrollment ID: I20190814000893 |
| Provider Name | Heidi May Stapley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487035176 PECOS PAC ID: 4981916459 Enrollment ID: I20190816002784 |
| Provider Name | Babitha Bijin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174974323 PECOS PAC ID: 9537423769 Enrollment ID: I20190819001929 |
| Provider Name | Mark Truxillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588980825 PECOS PAC ID: 1658697636 Enrollment ID: I20190820002695 |
| Provider Name | Fiyin Sokoya |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255774998 PECOS PAC ID: 7214170679 Enrollment ID: I20190821000989 |
| Provider Name | Maurice G Hooff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427020684 PECOS PAC ID: 0446236350 Enrollment ID: I20190821001548 |
| Provider Name | Eamon Collison Armstrong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629036934 PECOS PAC ID: 0749585511 Enrollment ID: I20190822000686 |
| Provider Name | Nicholas Alexander Dewyer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154671089 PECOS PAC ID: 9335431766 Enrollment ID: I20190822002615 |
| Provider Name | Roy G O'neil |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275911968 PECOS PAC ID: 3779885165 Enrollment ID: I20190822002868 |
| Provider Name | Adam T Ratesic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578091286 PECOS PAC ID: 6507120722 Enrollment ID: I20190826001155 |
| Provider Name | Virag Y Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700834140 PECOS PAC ID: 8123090859 Enrollment ID: I20190826001658 |
| Provider Name | Karen A Reardon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1013095827 PECOS PAC ID: 8921023706 Enrollment ID: I20190829000622 |
| Provider Name | Grant G Swartz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386021434 PECOS PAC ID: 2062777485 Enrollment ID: I20190830001075 |
| Provider Name | Matthew Truocchio |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144607003 PECOS PAC ID: 2163751058 Enrollment ID: I20190830001737 |
| Provider Name | Alejandro Recio Boiles |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104266964 PECOS PAC ID: 0547525677 Enrollment ID: I20190903002817 |
| Provider Name | Naren Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609288638 PECOS PAC ID: 4183988041 Enrollment ID: I20190905001859 |
| Provider Name | Misty Villar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831742618 PECOS PAC ID: 2961731526 Enrollment ID: I20190906000756 |
| Provider Name | David M Smock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780850214 PECOS PAC ID: 2466624028 Enrollment ID: I20190909001170 |
| Provider Name | Rachael Charles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063860518 PECOS PAC ID: 3870844939 Enrollment ID: I20190909004240 |
| Provider Name | Jeremy Ray Chastain |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1316200538 PECOS PAC ID: 4789986258 Enrollment ID: I20190911001224 |
| Provider Name | Geoffrey Douglas Block |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942208608 PECOS PAC ID: 1456527530 Enrollment ID: I20190916000407 |
| Provider Name | Michelle Marie Faddoul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548541253 PECOS PAC ID: 5294065231 Enrollment ID: I20190918000993 |
| Provider Name | Joseph Torkildson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710944095 PECOS PAC ID: 7911959499 Enrollment ID: I20190919000152 |
| Provider Name | Christopher Brian Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437506904 PECOS PAC ID: 5991098022 Enrollment ID: I20190920000548 |
| Provider Name | Delaney Baker Stratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649837618 PECOS PAC ID: 2466782040 Enrollment ID: I20190924003251 |
| Provider Name | Vasveebye Sonoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710348636 PECOS PAC ID: 5294029690 Enrollment ID: I20190925001019 |
| Provider Name | Melody J Glenn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770826976 PECOS PAC ID: 6103118633 Enrollment ID: I20190925001076 |
| Provider Name | Molly J Douglas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609212695 PECOS PAC ID: 5294977757 Enrollment ID: I20190927002160 |
| Provider Name | Nayab Hassan Syed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134571516 PECOS PAC ID: 1456648203 Enrollment ID: I20191001000755 |
| Provider Name | Jonathan Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164075545 PECOS PAC ID: 3476883638 Enrollment ID: I20191001002505 |
| Provider Name | Deepa Gurusamy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629446208 PECOS PAC ID: 2668775933 Enrollment ID: I20191007003363 |
| Provider Name | Heather Fydrych |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255890737 PECOS PAC ID: 3870824717 Enrollment ID: I20191008001917 |
| Provider Name | Lidia M Nagae |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356630974 PECOS PAC ID: 3476731324 Enrollment ID: I20191009003612 |
| Provider Name | Michael B Insel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164798161 PECOS PAC ID: 3274849153 Enrollment ID: I20191016001876 |
| Provider Name | Joy Elizabeth Bulger Beck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801039177 PECOS PAC ID: 9234392283 Enrollment ID: I20191016002291 |
| Provider Name | Iyad Sami Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215360508 PECOS PAC ID: 3274898911 Enrollment ID: I20191017001371 |
| Provider Name | Kathryn A Emerick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154701290 PECOS PAC ID: 3476818758 Enrollment ID: I20191017001925 |
| Provider Name | Amy Hu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295113629 PECOS PAC ID: 6103181482 Enrollment ID: I20191022000832 |
| Provider Name | Billie Ann Bixby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770801938 PECOS PAC ID: 0840436515 Enrollment ID: I20191022001275 |
| Provider Name | Walter E Mcnally |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104940311 PECOS PAC ID: 6608952999 Enrollment ID: I20191022003322 |
| Provider Name | Daniel Luis Orta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902254154 PECOS PAC ID: 5193070415 Enrollment ID: I20191022003404 |
| Provider Name | Jawad Bilal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1174939623 PECOS PAC ID: 2163773706 Enrollment ID: I20191028001554 |
| Provider Name | Joseph William Villard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053639740 PECOS PAC ID: 0749592277 Enrollment ID: I20191029003017 |
| Provider Name | Emma Moss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134563869 PECOS PAC ID: 1153548748 Enrollment ID: I20191106002038 |
| Provider Name | Sonia Villanueva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366006199 PECOS PAC ID: 1951733229 Enrollment ID: I20191107002620 |
| Provider Name | Christopher Ardary |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659785327 PECOS PAC ID: 0941426506 Enrollment ID: I20191107002880 |
| Provider Name | Jacqueline Claire Spera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144875451 PECOS PAC ID: 4880026939 Enrollment ID: I20191112001468 |
| Provider Name | Nikhil K Mehta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275761595 PECOS PAC ID: 8123243979 Enrollment ID: I20191113003084 |
| Provider Name | Jeffrey Michael Krase |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598143570 PECOS PAC ID: 6608180070 Enrollment ID: I20191122001619 |
| Provider Name | Kayven Max Farshad |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1841678307 PECOS PAC ID: 9032423918 Enrollment ID: I20191129000026 |
| Provider Name | Sridhar Shankar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659325587 PECOS PAC ID: 0840262622 Enrollment ID: I20191201000018 |
| Provider Name | Mihai Florin Iancu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437263175 PECOS PAC ID: 5092712117 Enrollment ID: I20191202000836 |
| Provider Name | Meena S Karnosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851812762 PECOS PAC ID: 5395001184 Enrollment ID: I20191202001365 |
| Provider Name | Laura A Micek-galinat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770583460 PECOS PAC ID: 4486632445 Enrollment ID: I20191210000994 |
| Provider Name | Truc-anh Thanh Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215279971 PECOS PAC ID: 4688800345 Enrollment ID: I20191211000789 |
| Provider Name | Michael Abecassis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134117377 PECOS PAC ID: 9830385343 Enrollment ID: I20191226002302 |
| Provider Name | Emmanuel Katsanis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720053291 PECOS PAC ID: 2264539121 Enrollment ID: I20191231000481 |
| Provider Name | Eileen C Wong |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1710278544 PECOS PAC ID: 6103131537 Enrollment ID: I20200103000983 |
| Provider Name | Glen I Olson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942574942 PECOS PAC ID: 7113241449 Enrollment ID: I20200114002751 |
| Provider Name | Susan Messenger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720632599 PECOS PAC ID: 5890120901 Enrollment ID: I20200120000393 |
| Provider Name | Sarah Voll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093140881 PECOS PAC ID: 6103059423 Enrollment ID: I20200123003077 |
| Provider Name | Claudia Elizabeth Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386289148 PECOS PAC ID: 4082049705 Enrollment ID: I20200127000590 |
| Provider Name | Angie M Littlejohn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700075520 PECOS PAC ID: 5294818662 Enrollment ID: I20200130001472 |
| Provider Name | Tu N Ha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033590096 PECOS PAC ID: 4183931900 Enrollment ID: I20200131000799 |
| Provider Name | Lorraine Y Yentzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013568542 PECOS PAC ID: 2163858515 Enrollment ID: I20200204001283 |
| Provider Name | Loanne Tran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881893089 PECOS PAC ID: 4284714239 Enrollment ID: I20200206000932 |
| Provider Name | Adriana Jazmin Medeiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467099143 PECOS PAC ID: 5597191445 Enrollment ID: I20200212002210 |
| Provider Name | Madhan Shanmugasundaram |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306032859 PECOS PAC ID: 4183740046 Enrollment ID: I20200214000723 |
| Provider Name | Dania Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528410107 PECOS PAC ID: 6800180829 Enrollment ID: I20200217000646 |
| Provider Name | Lucille H Cooke |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831629021 PECOS PAC ID: 1355778887 Enrollment ID: I20200224001126 |
| Provider Name | Catherine Evans |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124005129 PECOS PAC ID: 6002950003 Enrollment ID: I20200304001236 |
| Provider Name | Zachary C Taylor |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1437321411 PECOS PAC ID: 9537596432 Enrollment ID: I20200304002250 |
| Provider Name | Shahdokht Reeder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962507798 PECOS PAC ID: 7214969161 Enrollment ID: I20200310001284 |
| Provider Name | Amber Rose Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336784735 PECOS PAC ID: 3375971757 Enrollment ID: I20200318000702 |
| Provider Name | Alison Rose Coelho |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487032553 PECOS PAC ID: 3577991967 Enrollment ID: I20200318001063 |
| Provider Name | Robert Pereyra |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1841336138 PECOS PAC ID: 9234316290 Enrollment ID: I20200319000390 |
| Provider Name | Laurel Christine Truscott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730421579 PECOS PAC ID: 7911271267 Enrollment ID: I20200323001179 |
| Provider Name | Abigail Ruth Hamilton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669663787 PECOS PAC ID: 2062604762 Enrollment ID: I20200323002693 |
| Provider Name | William E Santaularia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982661310 PECOS PAC ID: 1355323494 Enrollment ID: I20200325003762 |
| Provider Name | Joshua Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003909144 PECOS PAC ID: 0143242826 Enrollment ID: I20200326002851 |
| Provider Name | Allison Marie Klatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841833118 PECOS PAC ID: 4183053135 Enrollment ID: I20200326003034 |
| Provider Name | Sheila Mickels |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396381190 PECOS PAC ID: 5193154060 Enrollment ID: I20200330001249 |
| Provider Name | Shrunjal Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528592326 PECOS PAC ID: 0547531287 Enrollment ID: I20200330002925 |
| Provider Name | Mark P Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841391000 PECOS PAC ID: 3971417189 Enrollment ID: I20200403002225 |
| Provider Name | Amy Suzanne Mabry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861032773 PECOS PAC ID: 3678902996 Enrollment ID: I20200407001632 |
| Provider Name | Venkatesh Kumar Ariyamuthu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376708396 PECOS PAC ID: 6204059843 Enrollment ID: I20200407001821 |
| Provider Name | Ty Abel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720175854 PECOS PAC ID: 2062442866 Enrollment ID: I20200414002895 |
| Provider Name | Bekir Tanriover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861440364 PECOS PAC ID: 5395721112 Enrollment ID: I20200415001302 |
| Provider Name | Johnna Marie Stoker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548897366 PECOS PAC ID: 8527498435 Enrollment ID: I20200416002646 |
| Provider Name | Katie Sandusky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891324992 PECOS PAC ID: 6406286814 Enrollment ID: I20200428000016 |
| Provider Name | Victoria Lindsay Cannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174815419 PECOS PAC ID: 0941630248 Enrollment ID: I20200429002304 |
| Provider Name | Jason A. Wertheim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821289943 PECOS PAC ID: 9931251295 Enrollment ID: I20200502000129 |
| Provider Name | Michael C Larson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225416860 PECOS PAC ID: 2062777113 Enrollment ID: I20200509000217 |
| Provider Name | Matthew S Erisman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891178257 PECOS PAC ID: 8123383403 Enrollment ID: I20200511003378 |
| Provider Name | Rana Moosavi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871908301 PECOS PAC ID: 4789909334 Enrollment ID: I20200512001756 |
| Provider Name | Brittney N Mitchell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366973661 PECOS PAC ID: 1153695978 Enrollment ID: I20200512002768 |
| Provider Name | Terry Platto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447607361 PECOS PAC ID: 5698066587 Enrollment ID: I20200513001645 |
| Provider Name | Lauren Elizabeth Estep |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518209071 PECOS PAC ID: 9133422496 Enrollment ID: I20200513002965 |
| Provider Name | Samuel N Rogers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689054918 PECOS PAC ID: 3971867615 Enrollment ID: I20200513003087 |
| Provider Name | Barbara Alva Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447879267 PECOS PAC ID: 4789015314 Enrollment ID: I20200514000225 |
| Provider Name | John Makoni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144607656 PECOS PAC ID: 3779834866 Enrollment ID: I20200514000706 |
| Provider Name | Kai Rou Tey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104232651 PECOS PAC ID: 6800166562 Enrollment ID: I20200514002564 |
| Provider Name | Brian E Bayze |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669829396 PECOS PAC ID: 8628360112 Enrollment ID: I20200514002654 |
| Provider Name | Mateen M Khokhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447788930 PECOS PAC ID: 7012272040 Enrollment ID: I20200519001411 |
| Provider Name | Philip P Lam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588011985 PECOS PAC ID: 4284926346 Enrollment ID: I20200519001597 |
| Provider Name | Mary A Nevin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871555805 PECOS PAC ID: 8022077528 Enrollment ID: I20200519001998 |
| Provider Name | Francisco Javier Andrade Jr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306377247 PECOS PAC ID: 2466738067 Enrollment ID: I20200519002850 |
| Provider Name | Kristin Kelly Swenson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205215324 PECOS PAC ID: 7012229727 Enrollment ID: I20200526002762 |
| Provider Name | Muhammad Husnain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477960227 PECOS PAC ID: 8426479668 Enrollment ID: I20200526003217 |
| Provider Name | Jonathan M Holmes |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003895897 PECOS PAC ID: 6507901865 Enrollment ID: I20200527000498 |
| Provider Name | Reena Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588082606 PECOS PAC ID: 8527358399 Enrollment ID: I20200529003006 |
| 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 | Kshipra A Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154854172 PECOS PAC ID: 0446515225 Enrollment ID: I20200605001416 |
| Provider Name | Kara Brock |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093238016 PECOS PAC ID: 2668894510 Enrollment ID: I20200622002949 |
| Provider Name | David C Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881007920 PECOS PAC ID: 9234484825 Enrollment ID: I20200623001488 |
| Provider Name | Arka Chatterjee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578890992 PECOS PAC ID: 8123279403 Enrollment ID: I20200623003160 |
| Provider Name | Ella I Starobinska |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861925612 PECOS PAC ID: 2961757752 Enrollment ID: I20200626001719 |
| Provider Name | Sharad Khurana |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659788529 PECOS PAC ID: 1052617784 Enrollment ID: I20200629001279 |
| Provider Name | Nina Raeleen Herrera Bajaj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689295305 PECOS PAC ID: 9032531504 Enrollment ID: I20200630000792 |
| Provider Name | George A Sayre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912435405 PECOS PAC ID: 1951665140 Enrollment ID: I20200630003546 |
| Provider Name | Donald Alexander Perry |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982022448 PECOS PAC ID: 6709004377 Enrollment ID: I20200701000573 |
| Provider Name | Christina Marie Vega Zarraga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609230796 PECOS PAC ID: 4587958293 Enrollment ID: I20200701001347 |
| Provider Name | Marci D Macaraeg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184153884 PECOS PAC ID: 5294087201 Enrollment ID: I20200701001656 |
| Provider Name | Keith Hazleton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770825275 PECOS PAC ID: 5092019174 Enrollment ID: I20200701002793 |
| Provider Name | Collin Howard Stewart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861835209 PECOS PAC ID: 0244540870 Enrollment ID: I20200707002115 |
| Provider Name | Alexander Joseph Tomesch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487181491 PECOS PAC ID: 7315216116 Enrollment ID: I20200708000277 |
| Provider Name | Juvel-lou P Velasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972086528 PECOS PAC ID: 7810231909 Enrollment ID: I20200709001796 |
| Provider Name | Ian A Coe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033644828 PECOS PAC ID: 1951676493 Enrollment ID: I20200710002204 |
| Provider Name | Elizabeth Sigler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376991679 PECOS PAC ID: 9133542046 Enrollment ID: I20200710002294 |
| Provider Name | Todd S Traub |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215920160 PECOS PAC ID: 6002713914 Enrollment ID: I20200714002162 |
| Provider Name | Jose Luis Jr Marquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528440468 PECOS PAC ID: 7113230541 Enrollment ID: I20200714002277 |
| Provider Name | Christopher Jensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932553831 PECOS PAC ID: 1254619471 Enrollment ID: I20200715001022 |
| Provider Name | Steve Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952725178 PECOS PAC ID: 2062745920 Enrollment ID: I20200715001586 |
| Provider Name | Codyjo K Kraemer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942647425 PECOS PAC ID: 2668723586 Enrollment ID: I20200715001639 |
| Provider Name | Adam Campman Nelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609219229 PECOS PAC ID: 1254660194 Enrollment ID: I20200715003514 |
| Provider Name | Jasmine Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457738726 PECOS PAC ID: 2466768049 Enrollment ID: I20200716000131 |
| Provider Name | Rachel Delan Munn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578954202 PECOS PAC ID: 7618233909 Enrollment ID: I20200716001071 |
| Provider Name | Matthew Kay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033646096 PECOS PAC ID: 7315292430 Enrollment ID: I20200716003171 |
| Provider Name | Andrea Padilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760902449 PECOS PAC ID: 9234408527 Enrollment ID: I20200717000398 |
| Provider Name | Jay S Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295706059 PECOS PAC ID: 8224196209 Enrollment ID: I20200717001572 |
| Provider Name | Dani Farhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609230937 PECOS PAC ID: 6800210022 Enrollment ID: I20200721003605 |
| Provider Name | Sunchin Kim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700299757 PECOS PAC ID: 1658635024 Enrollment ID: I20200721004206 |
| Provider Name | Qurat Ul Ain Riaz Sipra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578090890 PECOS PAC ID: 6608290572 Enrollment ID: I20200724000700 |
| Provider Name | Ahmad Aouthmany |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427214337 PECOS PAC ID: 8921422718 Enrollment ID: I20200727002652 |
| Provider Name | Ned Guirey Urbiztondo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184945164 PECOS PAC ID: 6002033586 Enrollment ID: I20200803000534 |
| Provider Name | Jonathan R Skirko |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306032347 PECOS PAC ID: 2769794650 Enrollment ID: I20200803003481 |
| Provider Name | Michelle Ann O'brien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144601618 PECOS PAC ID: 1759682495 Enrollment ID: I20200806001853 |
| Provider Name | Tiffany Ynosencio |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851735856 PECOS PAC ID: 9830445527 Enrollment ID: I20200810003031 |
| Provider Name | Nabin Khatiwada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649705625 PECOS PAC ID: 0345587010 Enrollment ID: I20200813002695 |
| Provider Name | Andrew Hoyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720002082 PECOS PAC ID: 6901801042 Enrollment ID: I20200813003354 |
| Provider Name | Patrick Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982966578 PECOS PAC ID: 9638335136 Enrollment ID: I20200817001093 |
| Provider Name | John Q Knochel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457392748 PECOS PAC ID: 2466481676 Enrollment ID: I20200817003353 |
| Provider Name | Loyal Tillotson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043256936 PECOS PAC ID: 5092703330 Enrollment ID: I20200817003772 |
| Provider Name | Richard B Stein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477949857 PECOS PAC ID: 1557674975 Enrollment ID: I20200819004183 |
| Provider Name | Michael J Ryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821039025 PECOS PAC ID: 2567492838 Enrollment ID: I20200821002384 |
| Provider Name | Candace Y Reveles |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356720569 PECOS PAC ID: 6608121850 Enrollment ID: I20200901001411 |
| Provider Name | John Hemlick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174553366 PECOS PAC ID: 8921152562 Enrollment ID: I20200902003012 |
| Provider Name | Chelsea E Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366970527 PECOS PAC ID: 3274897467 Enrollment ID: I20200903001233 |
| Provider Name | Joseph R Moseley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780117382 PECOS PAC ID: 1355605841 Enrollment ID: I20200914001645 |
| Provider Name | Danielle Avila |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154715365 PECOS PAC ID: 5294048773 Enrollment ID: I20200916000547 |
| Provider Name | Talina R. Skirko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427319938 PECOS PAC ID: 7810143658 Enrollment ID: I20200923002617 |
| Provider Name | Gina Springer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619203528 PECOS PAC ID: 1355482050 Enrollment ID: I20200925001486 |
| Provider Name | Michael C Trawicki |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730321886 PECOS PAC ID: 0547400228 Enrollment ID: I20200930002382 |
| Provider Name | Lana M Volz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801051727 PECOS PAC ID: 1456592625 Enrollment ID: I20200930003100 |
| Provider Name | Steven Gonsalves |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851779482 PECOS PAC ID: 7810251006 Enrollment ID: I20201009000728 |
| Provider Name | Josef Sipos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851829303 PECOS PAC ID: 8123382587 Enrollment ID: I20201014003584 |
| Provider Name | Raza Mushtaq |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700271285 PECOS PAC ID: 4082964044 Enrollment ID: I20201016000970 |
| Provider Name | Helene Felman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497912299 PECOS PAC ID: 3476837196 Enrollment ID: I20201019001446 |
| Provider Name | Rajeshwar Parmar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417484882 PECOS PAC ID: 9739452897 Enrollment ID: I20201021002992 |
| Provider Name | Meghan Good |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1437445236 PECOS PAC ID: 2264679158 Enrollment ID: I20201021003239 |
| Provider Name | Jing-tzyh Alan Chiang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780883835 PECOS PAC ID: 5698912061 Enrollment ID: I20201026002736 |
| Provider Name | Jordan Karp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144365156 PECOS PAC ID: 7618889858 Enrollment ID: I20201104002861 |
| Provider Name | Atalie Rutherford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821529090 PECOS PAC ID: 4981951803 Enrollment ID: I20201109002233 |
| Provider Name | Sarah Rachel Weinstein |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508275280 PECOS PAC ID: 4385864206 Enrollment ID: I20201113000715 |
| Provider Name | Garret Sewell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730792672 PECOS PAC ID: 3476964867 Enrollment ID: I20201116000439 |
| Provider Name | Joel S Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972110922 PECOS PAC ID: 3779994199 Enrollment ID: I20201116001638 |
| Provider Name | Michael Andrew Zgoda |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902910854 PECOS PAC ID: 4587694666 Enrollment ID: I20201116002185 |
| Provider Name | Jeffrey J. Pu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831399708 PECOS PAC ID: 2466546338 Enrollment ID: I20201119003493 |
| Provider Name | Felicia S Goraj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922624451 PECOS PAC ID: 3375954399 Enrollment ID: I20201124001033 |
| Provider Name | Rachel Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730794207 PECOS PAC ID: 1153733688 Enrollment ID: I20201207002493 |
| Provider Name | Kara Gilliland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548876675 PECOS PAC ID: 3577975978 Enrollment ID: I20201208003147 |
| Provider Name | Michael Ulissey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366406092 PECOS PAC ID: 1557334539 Enrollment ID: I20201209002962 |
| Provider Name | Terence Wayne Potter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639590383 PECOS PAC ID: 6002045903 Enrollment ID: I20201218000597 |
| Provider Name | Karen Elaine Parker |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1962615005 PECOS PAC ID: 5193863637 Enrollment ID: I20201222002930 |
| Provider Name | Jason L Feldman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609215177 PECOS PAC ID: 7618230137 Enrollment ID: I20201229002042 |
| Provider Name | Keri A Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699386813 PECOS PAC ID: 9931512100 Enrollment ID: I20210107000501 |
| Provider Name | Avin Aggarwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467716555 PECOS PAC ID: 5193019248 Enrollment ID: I20210107002099 |
| Provider Name | Kayla Mckenna Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952900565 PECOS PAC ID: 6608289780 Enrollment ID: I20210111000070 |
| Provider Name | Robin Kimberly Roche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992309793 PECOS PAC ID: 2769895549 Enrollment ID: I20210115002173 |
| Provider Name | Tatyana N Aurigemma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932743119 PECOS PAC ID: 4385058866 Enrollment ID: I20210125000350 |
| Provider Name | John Twelker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255405940 PECOS PAC ID: 3072642321 Enrollment ID: I20210203002871 |
| Provider Name | Dane A Hassani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003901430 PECOS PAC ID: 9133127244 Enrollment ID: I20210211001957 |
| Provider Name | Ayda Menjugas-macduff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881227908 PECOS PAC ID: 6800201401 Enrollment ID: I20210211002950 |
| Provider Name | John T Bryant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538383344 PECOS PAC ID: 3274629290 Enrollment ID: I20210211003327 |
| Provider Name | Saad Ajmal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457664047 PECOS PAC ID: 6507087368 Enrollment ID: I20210222000660 |
| Provider Name | Susan Pamela Goode |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255354593 PECOS PAC ID: 6305816612 Enrollment ID: I20210226000533 |
| Provider Name | Corey J Stotts |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619110426 PECOS PAC ID: 9032352497 Enrollment ID: I20210302003189 |
| Provider Name | Elisha M Storm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184212805 PECOS PAC ID: 3274949839 Enrollment ID: I20210304002689 |
| Provider Name | Heather J Werth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508156407 PECOS PAC ID: 8527374305 Enrollment ID: I20210309002642 |
| Provider Name | Winnie Stuempfle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407448046 PECOS PAC ID: 1456767623 Enrollment ID: I20210312001504 |
| Provider Name | Andrew Nejad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811375512 PECOS PAC ID: 4284926239 Enrollment ID: I20210316001514 |
| Provider Name | Jaime N Weisheit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457946436 PECOS PAC ID: 5395152623 Enrollment ID: I20210401001486 |
| Provider Name | Anne Paetra Flanagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295343853 PECOS PAC ID: 7315354461 Enrollment ID: I20210407003007 |
| Provider Name | Tina Melinda Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831784073 PECOS PAC ID: 6002223872 Enrollment ID: I20210415001323 |
| Provider Name | Julie M Piittmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609467828 PECOS PAC ID: 5799193454 Enrollment ID: I20210416001874 |
| Provider Name | Kathryn E Glas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912937699 PECOS PAC ID: 2961536552 Enrollment ID: I20210422002613 |
| Provider Name | Kimberly C. Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811356405 PECOS PAC ID: 2264738988 Enrollment ID: I20210426002597 |
| Provider Name | Robert Hooker |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1265405765 PECOS PAC ID: 1759366487 Enrollment ID: I20210428002158 |
| Provider Name | Michel Corban |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699112268 PECOS PAC ID: 6204138803 Enrollment ID: I20210429001167 |
| Provider Name | Francisco E Mora Rodas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609019074 PECOS PAC ID: 7618232653 Enrollment ID: I20210429002783 |
| Provider Name | Micah Etter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295182160 PECOS PAC ID: 8224393053 Enrollment ID: I20210430000486 |
| Provider Name | Geoffrey D Rubin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285783472 PECOS PAC ID: 1951328053 Enrollment ID: I20210507000403 |
| Provider Name | Jad Abdul Ellah Dandashi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720584477 PECOS PAC ID: 9234548942 Enrollment ID: I20210510002858 |
| Provider Name | Paul Anthony Koscumb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306342126 PECOS PAC ID: 2961759915 Enrollment ID: I20210511001480 |
| Provider Name | Albert Shin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427583640 PECOS PAC ID: 8325393416 Enrollment ID: I20210511002340 |
| Provider Name | Michael Bradley Avery |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003475120 PECOS PAC ID: 3870821465 Enrollment ID: I20210511002579 |
| Provider Name | Rebecca Thiede |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477007136 PECOS PAC ID: 1951654565 Enrollment ID: I20210512000588 |
| Provider Name | Alexis Sasha Elliott |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275947731 PECOS PAC ID: 6305145954 Enrollment ID: I20210513002571 |
| Provider Name | Marina Novack |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649742990 PECOS PAC ID: 3577803907 Enrollment ID: I20210514002398 |
| Provider Name | Adil Lokhandwala |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427300029 PECOS PAC ID: 0547524910 Enrollment ID: I20210520002211 |
| Provider Name | Christopher M Morrison |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1295183499 PECOS PAC ID: 7618231135 Enrollment ID: I20210520002862 |
| Provider Name | Ryan Christopher Wong |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174910053 PECOS PAC ID: 4385965011 Enrollment ID: I20210520003149 |
| Provider Name | Saman Nematollahi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265828925 PECOS PAC ID: 1850649153 Enrollment ID: I20210521000475 |
| Provider Name | Sarah Tariq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821440876 PECOS PAC ID: 8527488261 Enrollment ID: I20210526001899 |
| Provider Name | Paul Fritts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063901999 PECOS PAC ID: 1557611597 Enrollment ID: I20210601002117 |
| Provider Name | Dave J Reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215427430 PECOS PAC ID: 4082965819 Enrollment ID: I20210601002213 |
| Provider Name | Paola Devis |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1093809618 PECOS PAC ID: 8022148253 Enrollment ID: I20210614001355 |
| 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 | Paul S Larson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013005321 PECOS PAC ID: 8628153640 Enrollment ID: I20210618001387 |
| Provider Name | Sanjay Bharat Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336536994 PECOS PAC ID: 9234439761 Enrollment ID: I20210618001578 |
| 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 | David Sining Chen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952672289 PECOS PAC ID: 5799062592 Enrollment ID: I20210621001878 |
| Provider Name | Laura Karasek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912324377 PECOS PAC ID: 6608094487 Enrollment ID: I20210621003157 |
| Provider Name | Alicia J Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386004810 PECOS PAC ID: 9436456860 Enrollment ID: I20210622002707 |
| Provider Name | Anas Bitar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184806358 PECOS PAC ID: 0042453763 Enrollment ID: I20210625002391 |
| Provider Name | Kathryn Marie Olsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689859431 PECOS PAC ID: 0345312815 Enrollment ID: I20210629000336 |
| Provider Name | Sumana Veeravelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568951788 PECOS PAC ID: 7517218183 Enrollment ID: I20210701003049 |
| Provider Name | Ralph Mohty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356847776 PECOS PAC ID: 9830447192 Enrollment ID: I20210702002178 |
| Provider Name | Xuemin Zhang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750745543 PECOS PAC ID: 9436496569 Enrollment ID: I20210707000504 |
| Provider Name | Christina Jensen Valentine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417945064 PECOS PAC ID: 2365448610 Enrollment ID: I20210707001291 |
| Provider Name | Joshua Taylor Dunn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407449572 PECOS PAC ID: 9133521693 Enrollment ID: I20210707001860 |
| Provider Name | Shihshiang Cheng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154511756 PECOS PAC ID: 6608928502 Enrollment ID: I20210707003394 |
| Provider Name | Junaid Arshad |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831506898 PECOS PAC ID: 6406151851 Enrollment ID: I20210707003994 |
| Provider Name | Saad Sabah Kubba |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720490600 PECOS PAC ID: 4981993060 Enrollment ID: I20210708003224 |
| Provider Name | Travis M Hughes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780070110 PECOS PAC ID: 2961717061 Enrollment ID: I20210708003619 |
| Provider Name | Rachel Robin Bass |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699185280 PECOS PAC ID: 6204123102 Enrollment ID: I20210708003641 |
| Provider Name | Talha Riaz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871925636 PECOS PAC ID: 4183853500 Enrollment ID: I20210712002507 |
| Provider Name | Nancy Ellyn Rolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215958939 PECOS PAC ID: 4385738251 Enrollment ID: I20210713001341 |
| Provider Name | Jessica Orta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497250989 PECOS PAC ID: 8628324928 Enrollment ID: I20210720001077 |
| Provider Name | Artur Mirzabekian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568968295 PECOS PAC ID: 9335497130 Enrollment ID: I20210720001469 |
| Provider Name | David A Nolte |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104212133 PECOS PAC ID: 9234445982 Enrollment ID: I20210720003616 |
| Provider Name | Usha Jayagurunathan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780106823 PECOS PAC ID: 0244585149 Enrollment ID: I20210726002640 |
| Provider Name | Stuart F Quan |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1609957281 PECOS PAC ID: 9133214463 Enrollment ID: I20210728003390 |
| Provider Name | Ahmad Iftikhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992299184 PECOS PAC ID: 6204186240 Enrollment ID: I20210728004094 |
| Provider Name | Chaur-dong Hsu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750325619 PECOS PAC ID: 1759273881 Enrollment ID: I20210729001338 |
| Provider Name | Zuma Speakman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639664519 PECOS PAC ID: 7911257076 Enrollment ID: I20210729001595 |
| Provider Name | Zachary H Chun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295224533 PECOS PAC ID: 6406107309 Enrollment ID: I20210729003049 |
| Provider Name | Florin M Orza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215918685 PECOS PAC ID: 7113902636 Enrollment ID: I20210729003112 |
| Provider Name | Aaron Clayton Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194067223 PECOS PAC ID: 5395098685 Enrollment ID: I20210730002681 |
| Provider Name | Nicholas Powell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063097814 PECOS PAC ID: 4082017876 Enrollment ID: I20210731000239 |
| Provider Name | Saher Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578059226 PECOS PAC ID: 0840541462 Enrollment ID: I20210802001724 |
| Provider Name | Karandeep Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053715300 PECOS PAC ID: 0143593830 Enrollment ID: I20210802001822 |
| Provider Name | Kelly Casquejo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063806214 PECOS PAC ID: 9537563309 Enrollment ID: I20210802003157 |
| Provider Name | Timothy Stephen Mccomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538135199 PECOS PAC ID: 9830177112 Enrollment ID: I20210802003534 |
| Provider Name | Trevor J Graifman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659808384 PECOS PAC ID: 9830449073 Enrollment ID: I20210803001678 |
| Provider Name | Aye Mar Aung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598259913 PECOS PAC ID: 7911301676 Enrollment ID: I20210803003141 |
| Provider Name | Robert Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922597061 PECOS PAC ID: 5092066902 Enrollment ID: I20210805002384 |
| Provider Name | Steffanie Michelle Owens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124349022 PECOS PAC ID: 6901200310 Enrollment ID: I20210806002638 |
| Provider Name | Mona Yasrebi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235396722 PECOS PAC ID: 7416261698 Enrollment ID: I20210810001493 |
| Provider Name | Rajan Manmohan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821526112 PECOS PAC ID: 0446528053 Enrollment ID: I20210810002174 |
| Provider Name | Victoria L Tsang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073047932 PECOS PAC ID: 9032464813 Enrollment ID: I20210810003031 |
| Provider Name | Chirag M Parikh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679007264 PECOS PAC ID: 8224432398 Enrollment ID: I20210811002844 |
| Provider Name | Fabiana Kotovicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477847432 PECOS PAC ID: 5193964047 Enrollment ID: I20210811003789 |
| Provider Name | Yali Gu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164036869 PECOS PAC ID: 9830502855 Enrollment ID: I20210816000367 |
| Provider Name | Paola Michelle Casillas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689178691 PECOS PAC ID: 6608123195 Enrollment ID: I20210816003487 |
| Provider Name | Aurangzaib M Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134618184 PECOS PAC ID: 0840541389 Enrollment ID: I20210817003381 |
| Provider Name | Maria Grazia Mcfarland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013580703 PECOS PAC ID: 3375948060 Enrollment ID: I20210818001673 |
| Provider Name | Mallory Leigh Ketterer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144821968 PECOS PAC ID: 8426453119 Enrollment ID: I20210818001841 |
| Provider Name | Stanley E Okosun |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316107444 PECOS PAC ID: 4688726441 Enrollment ID: I20210818004266 |
| Provider Name | Fadi Fahad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871925610 PECOS PAC ID: 5799022042 Enrollment ID: I20210819002282 |
| Provider Name | Bital Savir-baruch |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1558687905 PECOS PAC ID: 9830310010 Enrollment ID: I20210820001909 |
| Provider Name | Mark William Rolfe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255426417 PECOS PAC ID: 3476657727 Enrollment ID: I20210823002171 |
| Provider Name | Sebastian M Silva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639668411 PECOS PAC ID: 1951652551 Enrollment ID: I20210824002873 |
| Provider Name | Piroska Eszter Schlesinger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154785681 PECOS PAC ID: 6507159043 Enrollment ID: I20210825003335 |
| Provider Name | Patricia Marie Petzold |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013941152 PECOS PAC ID: 3779544226 Enrollment ID: I20210826000461 |
| Provider Name | Golnaz Vahdani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497118889 PECOS PAC ID: 4587069620 Enrollment ID: I20210827000027 |
| Provider Name | Andrew M Janicki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083105936 PECOS PAC ID: 5395096895 Enrollment ID: I20210827001166 |
| Provider Name | Juhi Jain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447644430 PECOS PAC ID: 8820497803 Enrollment ID: I20210827002230 |
| Provider Name | Juan Francisco Ortiz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710398342 PECOS PAC ID: 4486989829 Enrollment ID: I20210830001270 |
| Provider Name | Nicole Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053617720 PECOS PAC ID: 4486050341 Enrollment ID: I20210901002553 |
| Provider Name | Cori Marie Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063035491 PECOS PAC ID: 8729484431 Enrollment ID: I20210903002023 |
| Provider Name | Mireille Jabroun |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942780267 PECOS PAC ID: 5193121838 Enrollment ID: I20210907000468 |
| Provider Name | Anna Plotkin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992300750 PECOS PAC ID: 2365848942 Enrollment ID: I20210907002313 |
| Provider Name | Umbreen Arshad Rozell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629324546 PECOS PAC ID: 5496001737 Enrollment ID: I20210907003114 |
| Provider Name | Bernardo Campos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215050398 PECOS PAC ID: 7012079791 Enrollment ID: I20210908001659 |
| Provider Name | Che Carrie Liu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760973937 PECOS PAC ID: 6800139007 Enrollment ID: I20210909000633 |
| Provider Name | Aneesha Anand Shetty |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841505070 PECOS PAC ID: 0941519540 Enrollment ID: I20210909001023 |
| Provider Name | Joseph M Harkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144712274 PECOS PAC ID: 9739431339 Enrollment ID: I20210909002084 |
| Provider Name | Rodrick Maurice Turner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295227619 PECOS PAC ID: 4486901543 Enrollment ID: I20210910002703 |
| Provider Name | Patrick Healey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215962402 PECOS PAC ID: 0345224622 Enrollment ID: I20210913001234 |
| Provider Name | Jacquelin Esque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275997785 PECOS PAC ID: 8628474855 Enrollment ID: I20210913003135 |
| Provider Name | Rees L Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659345510 PECOS PAC ID: 7911146485 Enrollment ID: I20210915001582 |
| Provider Name | Richard Rubio |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437277217 PECOS PAC ID: 6406947753 Enrollment ID: I20210915003993 |
| Provider Name | Rabail A Chaudhry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447889175 PECOS PAC ID: 8921405952 Enrollment ID: I20210917001953 |
| Provider Name | Kendall M Wyllie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922486984 PECOS PAC ID: 6709201361 Enrollment ID: I20210917002801 |
| Provider Name | Ashley Kay Carney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912593443 PECOS PAC ID: 5193122059 Enrollment ID: I20210921001275 |
| Provider Name | Henry Cheng-ju Wu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093179004 PECOS PAC ID: 4486919412 Enrollment ID: I20210927002715 |
| Provider Name | Brianne Lee Herber |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861162950 PECOS PAC ID: 6608273925 Enrollment ID: I20210928003773 |
| Provider Name | Michael Russo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245720523 PECOS PAC ID: 7416207485 Enrollment ID: I20211005000893 |
| Provider Name | William Kyle Kwass |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669834446 PECOS PAC ID: 3375836919 Enrollment ID: I20211008001412 |
| Provider Name | Gebran Abboud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518160373 PECOS PAC ID: 0244417186 Enrollment ID: I20211011001417 |
| Provider Name | Christopher Bernard Komanapalli |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1194894519 PECOS PAC ID: 8022201789 Enrollment ID: I20211019003253 |
| Provider Name | Bart Tiberius Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437383932 PECOS PAC ID: 1557582384 Enrollment ID: I20211028000209 |
| Provider Name | Stephanie Worrell |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851685523 PECOS PAC ID: 3678720067 Enrollment ID: I20211030000023 |
| 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 | Sarah Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356012116 PECOS PAC ID: 9032507637 Enrollment ID: I20211102000011 |
| Provider Name | Robert David Tidwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073042297 PECOS PAC ID: 1052709474 Enrollment ID: I20211103002399 |
| Provider Name | Abd Assalam Qannus |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184133746 PECOS PAC ID: 5294065512 Enrollment ID: I20211105000465 |
| Provider Name | Jared Anthony Head |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366939621 PECOS PAC ID: 0446649800 Enrollment ID: I20211105001856 |
| Provider Name | Aaron C Mason |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1497775852 PECOS PAC ID: 7810995057 Enrollment ID: I20211109002899 |
| Provider Name | Todd Edward Koerner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588662878 PECOS PAC ID: 6709785298 Enrollment ID: I20211109002973 |
| Provider Name | Taylor S Leischman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871988295 PECOS PAC ID: 2860795507 Enrollment ID: I20211111002837 |
| Provider Name | Namit Rohant |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639516636 PECOS PAC ID: 0446573711 Enrollment ID: I20211117001501 |
| Provider Name | Noel D Bondi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518392158 PECOS PAC ID: 1254569585 Enrollment ID: I20211118001254 |
| Provider Name | Lusine Mesropyan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225396351 PECOS PAC ID: 3678790847 Enrollment ID: I20211118001609 |
| Provider Name | Shruti Vakil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720391493 PECOS PAC ID: 1951531904 Enrollment ID: I20211119000342 |
| Provider Name | Benjamin Searcy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912430349 PECOS PAC ID: 2466720602 Enrollment ID: I20211206002147 |
| Provider Name | Essa S Kaston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417482399 PECOS PAC ID: 7012267255 Enrollment ID: I20211215000548 |
| Provider Name | Shawna Michelle Price |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811336878 PECOS PAC ID: 7113151986 Enrollment ID: I20211215001779 |
| Provider Name | Chelsea E Carr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477134666 PECOS PAC ID: 6901296532 Enrollment ID: I20211216001501 |
| Provider Name | David Montenegro Sapien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922234889 PECOS PAC ID: 4082801055 Enrollment ID: I20211217000982 |
| Provider Name | Melissa L Rosado-de-christenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295785996 PECOS PAC ID: 7719979764 Enrollment ID: I20211228000192 |
| Provider Name | Nicole Z Syed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518346253 PECOS PAC ID: 4183970924 Enrollment ID: I20220106001462 |
| Provider Name | Alisa Y Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780926089 PECOS PAC ID: 3173880440 Enrollment ID: I20220107000974 |
| Provider Name | Jamie Aquino |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043803216 PECOS PAC ID: 0941692644 Enrollment ID: I20220107002166 |
| Provider Name | Mary Elizabeth Jamison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528721594 PECOS PAC ID: 7315339025 Enrollment ID: I20220109000006 |
| Provider Name | Meagane Bryhann Boston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285119644 PECOS PAC ID: 5698010452 Enrollment ID: I20220111002185 |
| Provider Name | Sheri Dimter Futch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699442459 PECOS PAC ID: 1557753050 Enrollment ID: I20220112002775 |
| Provider Name | Fernando Blumenkron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588198899 PECOS PAC ID: 7810389343 Enrollment ID: I20220113001142 |
| Provider Name | Blaise Peter Latriano |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194779926 PECOS PAC ID: 6800882705 Enrollment ID: I20220114001424 |
| Provider Name | Khalid Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063855260 PECOS PAC ID: 3375935778 Enrollment ID: I20220114001617 |
| Provider Name | Darima I Nemanova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720579956 PECOS PAC ID: 9739430216 Enrollment ID: I20220117000627 |
| Provider Name | Amanda K Schilling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255745022 PECOS PAC ID: 1557619442 Enrollment ID: I20220118000363 |
| Provider Name | Krish Sekar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548528391 PECOS PAC ID: 5092931634 Enrollment ID: I20220125000415 |
| Provider Name | Susan M Trocciola |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831365345 PECOS PAC ID: 2769631183 Enrollment ID: I20220125002701 |
| Provider Name | Shamar Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528389574 PECOS PAC ID: 1355585878 Enrollment ID: I20220131001523 |
| Provider Name | Kyle John Fecteau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811652480 PECOS PAC ID: 6305239666 Enrollment ID: I20220209000513 |
| Provider Name | Andrew William Talbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740784974 PECOS PAC ID: 3577819713 Enrollment ID: I20220210002036 |
| Provider Name | Roxana Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912300328 PECOS PAC ID: 6507114816 Enrollment ID: I20220211000894 |
| Provider Name | Geoffrey Cash Gurtner |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1891830881 PECOS PAC ID: 3476568304 Enrollment ID: I20220211000910 |
| Provider Name | Meera Raghavan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508064916 PECOS PAC ID: 8426144692 Enrollment ID: I20220211001675 |
| Provider Name | Miriam Dupe Erhabor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437817889 PECOS PAC ID: 2769875699 Enrollment ID: I20220216002913 |
| Provider Name | Amanda Zeagler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811652811 PECOS PAC ID: 9739573544 Enrollment ID: I20220221001620 |
| Provider Name | Kaylee Finchum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922765288 PECOS PAC ID: 7214321058 Enrollment ID: I20220222000417 |
| Provider Name | Nina L Luxenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477536746 PECOS PAC ID: 4981593654 Enrollment ID: I20220222001969 |
| Provider Name | Mairead H Mcconnell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205453180 PECOS PAC ID: 6002200441 Enrollment ID: I20220228002221 |
| Provider Name | Alon Kol |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932548922 PECOS PAC ID: 8921221615 Enrollment ID: I20220301001291 |
| Provider Name | Skylar Thornton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619630647 PECOS PAC ID: 9931593076 Enrollment ID: I20220307000523 |
| Provider Name | John Aita |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518956556 PECOS PAC ID: 9739311184 Enrollment ID: I20220307001428 |
| Provider Name | Tina Shashi Sanghvi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528235934 PECOS PAC ID: 8729228333 Enrollment ID: I20220310001875 |
| Provider Name | Diana Kisiel Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114685666 PECOS PAC ID: 5294120051 Enrollment ID: I20220315001676 |
| Provider Name | Rebecca R Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093399958 PECOS PAC ID: 3577952712 Enrollment ID: I20220328000517 |
| Provider Name | Janice M Romito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871517532 PECOS PAC ID: 0143494500 Enrollment ID: I20220330001043 |
| Provider Name | Daniel J Arteago |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235563909 PECOS PAC ID: 3274929260 Enrollment ID: I20220330002087 |
| Provider Name | Amy Distretti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891135489 PECOS PAC ID: 7719318666 Enrollment ID: I20220331001694 |
| Provider Name | Julia Badalov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174196307 PECOS PAC ID: 4486040318 Enrollment ID: I20220401001208 |
| Provider Name | Kristen B Rundell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912930850 PECOS PAC ID: 0446253934 Enrollment ID: I20220406000572 |
| Provider Name | Daniel J Goldberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164869293 PECOS PAC ID: 2466679964 Enrollment ID: I20220414001883 |
| Provider Name | Husam Srour Srour Mallah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912048703 PECOS PAC ID: 8325232432 Enrollment ID: I20220419002967 |
| Provider Name | James Ray Lim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619329406 PECOS PAC ID: 5799108619 Enrollment ID: I20220420003213 |
| Provider Name | Louis J Magnotti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326004128 PECOS PAC ID: 8527024843 Enrollment ID: I20220425002369 |
| Provider Name | Alexandra Jodelle Mcglamery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174911390 PECOS PAC ID: 2567788268 Enrollment ID: I20220504001655 |
| Provider Name | Jacob Albert Martinez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366742074 PECOS PAC ID: 9739451584 Enrollment ID: I20220505001875 |
| Provider Name | Christine Pettit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497402358 PECOS PAC ID: 8426435744 Enrollment ID: I20220506000550 |
| Provider Name | Esteban Astiazaran Symonds |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1346625357 PECOS PAC ID: 9830576164 Enrollment ID: I20220506000745 |
| Provider Name | Ryan Kephart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538515333 PECOS PAC ID: 9234424045 Enrollment ID: I20220509002499 |
| Provider Name | Kelsie Elizabeth Oatmen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316400583 PECOS PAC ID: 8820323256 Enrollment ID: I20220512000184 |
| Provider Name | Roy David Swanson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952807810 PECOS PAC ID: 9032596994 Enrollment ID: I20220513001977 |
| Provider Name | Mary Cecilia Knotts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780247270 PECOS PAC ID: 5890020259 Enrollment ID: I20220516001340 |
| Provider Name | Burke Lieppman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104483338 PECOS PAC ID: 5496085219 Enrollment ID: I20220516002111 |
| Provider Name | Martin T Demant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003264581 PECOS PAC ID: 9234421744 Enrollment ID: I20220516002641 |
| Provider Name | Samantha Jane Russell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952864332 PECOS PAC ID: 0446585889 Enrollment ID: I20220517002519 |
| Provider Name | Sara Penquite |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528591682 PECOS PAC ID: 9739432048 Enrollment ID: I20220518001866 |
| Provider Name | Matthew Greer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073045043 PECOS PAC ID: 4880963065 Enrollment ID: I20220518002134 |
| Provider Name | Lauren Deanna Benton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336597277 PECOS PAC ID: 4183919244 Enrollment ID: I20220523000455 |
| Provider Name | Cameron Myln Thompson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669835039 PECOS PAC ID: 8224364997 Enrollment ID: I20220524002647 |
| Provider Name | Lacey Ann Haugen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003266677 PECOS PAC ID: 0749551240 Enrollment ID: I20220525002923 |
| Provider Name | David Wasiak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588227466 PECOS PAC ID: 7012246051 Enrollment ID: I20220527001201 |
| Provider Name | Adiel M Aizenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790340784 PECOS PAC ID: 2668850918 Enrollment ID: I20220527001822 |
| Provider Name | Grace Renshaw |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760916225 PECOS PAC ID: 3072864792 Enrollment ID: I20220531001128 |
| Provider Name | Arista Chand |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235593344 PECOS PAC ID: 7012201973 Enrollment ID: I20220601000703 |
| Provider Name | Joshua E Melson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407012149 PECOS PAC ID: 3870643638 Enrollment ID: I20220601002297 |
| Provider Name | Mohammad Fazel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437447745 PECOS PAC ID: 5496005423 Enrollment ID: I20220602001266 |
| Provider Name | Hassan Bokaie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043665664 PECOS PAC ID: 3173817962 Enrollment ID: I20220602001729 |
| Provider Name | Scott Chambers Olson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083814685 PECOS PAC ID: 8224267810 Enrollment ID: I20220603002235 |
| Provider Name | Allison Superneau |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619343811 PECOS PAC ID: 8022445527 Enrollment ID: I20220606000806 |
| Provider Name | Dhruv Choudhry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760975197 PECOS PAC ID: 6507117405 Enrollment ID: I20220606002286 |
| Provider Name | Natondra Lashae Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740743921 PECOS PAC ID: 2163759366 Enrollment ID: I20220609001488 |
| Provider Name | Casey Benjamin Rendon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578004792 PECOS PAC ID: 7719250968 Enrollment ID: I20220609001645 |
| Provider Name | Susana Lizette Soto-rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891253894 PECOS PAC ID: 3274876107 Enrollment ID: I20220609001747 |
| Provider Name | Anna Alkozei |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396486023 PECOS PAC ID: 2163800715 Enrollment ID: I20220609002450 |
| Provider Name | Lucia Nguyen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316393440 PECOS PAC ID: 5294016382 Enrollment ID: I20220610001149 |
| Provider Name | Ashley Michelle Kreher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649833682 PECOS PAC ID: 1153700679 Enrollment ID: I20220614000364 |
| Provider Name | Michelle Lynn Abbate |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184111940 PECOS PAC ID: 8921487240 Enrollment ID: I20220616001770 |
| Provider Name | Adam Kreindler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770015927 PECOS PAC ID: 6103205307 Enrollment ID: I20220617001798 |
| Provider Name | Sean Henley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366000424 PECOS PAC ID: 7214266816 Enrollment ID: I20220621000884 |
| Provider Name | Evan A Horn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538654801 PECOS PAC ID: 8729339544 Enrollment ID: I20220622003438 |
| Provider Name | Carrie Luu |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1083846208 PECOS PAC ID: 4587814496 Enrollment ID: I20220623002083 |
| Provider Name | Silvia Estefania Plascencia Oliveros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063072502 PECOS PAC ID: 7719383876 Enrollment ID: I20220627002567 |
| Provider Name | Christina Marie Colosimo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730549684 PECOS PAC ID: 3274913728 Enrollment ID: I20220630001852 |
| Provider Name | Samuel Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144782079 PECOS PAC ID: 3072847961 Enrollment ID: I20220701000987 |
| Provider Name | Omar Ziad Meziab |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154715241 PECOS PAC ID: 0749660199 Enrollment ID: I20220701002438 |
| Provider Name | Khalil Masabni |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1497173017 PECOS PAC ID: 3476778325 Enrollment ID: I20220701002497 |
| Provider Name | Audrey Lynn Spencer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174919179 PECOS PAC ID: 1254643471 Enrollment ID: I20220701002529 |
| Provider Name | Leslie Chana Neems |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396000758 PECOS PAC ID: 1951606342 Enrollment ID: I20220701002736 |
| Provider Name | Anna Littlepage Kafka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710416995 PECOS PAC ID: 9830586114 Enrollment ID: I20220703000004 |
| Provider Name | Marisa R Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922598648 PECOS PAC ID: 1658622162 Enrollment ID: I20220706000540 |
| Provider Name | Robert King |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114389764 PECOS PAC ID: 6204106255 Enrollment ID: I20220706000542 |
| Provider Name | Nicole Marie King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295296465 PECOS PAC ID: 5799165973 Enrollment ID: I20220706000786 |
| Provider Name | Karissa Wasiak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548823602 PECOS PAC ID: 0749515161 Enrollment ID: I20220706001752 |
| Provider Name | Keely Taylor Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972066892 PECOS PAC ID: 4981939592 Enrollment ID: I20220707003196 |
| Provider Name | Colin Robert Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023571122 PECOS PAC ID: 6103151550 Enrollment ID: I20220714000942 |
| Provider Name | Govinda Adhikari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770135469 PECOS PAC ID: 0749516938 Enrollment ID: I20220715001044 |
| Provider Name | Daniel Wonil Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164451753 PECOS PAC ID: 8820173545 Enrollment ID: I20220721002762 |
| Provider Name | Aparna Nallagangula |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093177875 PECOS PAC ID: 9931580917 Enrollment ID: I20220721003497 |
| Provider Name | Rita William Rehana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275094286 PECOS PAC ID: 1850626029 Enrollment ID: I20220726001587 |
| Provider Name | Madhav Chopra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760877914 PECOS PAC ID: 8729354261 Enrollment ID: I20220804003502 |
| Provider Name | Derek Allan Hatfield |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831652189 PECOS PAC ID: 5890020671 Enrollment ID: I20220808002871 |
| Provider Name | Kanwal Naveen Bains |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134609498 PECOS PAC ID: 4880939040 Enrollment ID: I20220812002027 |
| Provider Name | Joel Addams |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689801920 PECOS PAC ID: 8820353782 Enrollment ID: I20220812002076 |
| Provider Name | Kristyn N Cummings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730534249 PECOS PAC ID: 3870855133 Enrollment ID: I20220812002860 |
| Provider Name | Marissa A Maple |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508510587 PECOS PAC ID: 0749663482 Enrollment ID: I20220813000180 |
| Provider Name | Anthony M Avellino |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730279621 PECOS PAC ID: 2365435237 Enrollment ID: I20220814000067 |
| Provider Name | Vaheh D Petrossian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174986434 PECOS PAC ID: 8224323613 Enrollment ID: I20220816001351 |
| Provider Name | Kathy Vo Drinkwater |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184287328 PECOS PAC ID: 3173850666 Enrollment ID: I20220816001994 |
| Provider Name | Haripriya Maddur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821207978 PECOS PAC ID: 4981841590 Enrollment ID: I20220816002604 |
| Provider Name | Lauren Nicole Simpson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497199681 PECOS PAC ID: 4587891064 Enrollment ID: I20220817001306 |
| Provider Name | Padmavati Eksambe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063828788 PECOS PAC ID: 6800135062 Enrollment ID: I20220817001862 |
| Provider Name | Kristopher Joseph Sergeant Abbate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184112401 PECOS PAC ID: 0345598389 Enrollment ID: I20220817002628 |
| Provider Name | Valeri Percival |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972245942 PECOS PAC ID: 6507249885 Enrollment ID: I20220818003670 |
| Provider Name | Aadhavi Sridharan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1669885372 PECOS PAC ID: 1759506926 Enrollment ID: I20220819002919 |
| Provider Name | Kenneth W Liechty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588752836 PECOS PAC ID: 4284635061 Enrollment ID: I20220822003173 |
| Provider Name | John G Pearce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174570485 PECOS PAC ID: 0244272227 Enrollment ID: I20220823000442 |
| Provider Name | Paul Claw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043478431 PECOS PAC ID: 5092998765 Enrollment ID: I20220825002664 |
| Provider Name | Irina K Hariri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164082848 PECOS PAC ID: 4284018151 Enrollment ID: I20220826002733 |
| Provider Name | Lee Aaron Mcmillan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306308333 PECOS PAC ID: 5799169462 Enrollment ID: I20220829003631 |
| Provider Name | Sujata Saha |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1063803948 PECOS PAC ID: 1557626793 Enrollment ID: I20220829003809 |
| Provider Name | Mei Lai So |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669935441 PECOS PAC ID: 0345575957 Enrollment ID: I20220830003924 |
| Provider Name | Helena Wichova |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124412200 PECOS PAC ID: 2860798519 Enrollment ID: I20220831001428 |
| Provider Name | Sonya Michelle Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134867450 PECOS PAC ID: 5698159200 Enrollment ID: I20220831002105 |
| Provider Name | Dylan Harris Lee |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1184156713 PECOS PAC ID: 4880018324 Enrollment ID: I20220831002380 |
| Provider Name | Francisco Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609439322 PECOS PAC ID: 0648506329 Enrollment ID: I20220906000378 |
| Provider Name | Lilyne Michele Mekoudjou Tchakonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528736360 PECOS PAC ID: 6305220690 Enrollment ID: I20220906002115 |
| Provider Name | Leah Cipri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922528686 PECOS PAC ID: 3173893617 Enrollment ID: I20220912000515 |
| Provider Name | Avanka Warnakulasuriya Lowe |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1790131159 PECOS PAC ID: 2466837364 Enrollment ID: I20220913002432 |
| Provider Name | Erin Kirsten Mcmahon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538263694 PECOS PAC ID: 9830279918 Enrollment ID: I20220914003351 |
| Provider Name | Philip Lee Rosen |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1437595642 PECOS PAC ID: 7810230679 Enrollment ID: I20220915003185 |
| Provider Name | Sapna Shah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417675828 PECOS PAC ID: 2860877396 Enrollment ID: I20220919002606 |
| Provider Name | Adam Joseph Siwek |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1770074007 PECOS PAC ID: 9133470016 Enrollment ID: I20220920000549 |
| Provider Name | Marina Delazari Miller |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1528334596 PECOS PAC ID: 5294963740 Enrollment ID: I20220920002188 |
| Provider Name | Shereen Ahmed G Samargandy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245967496 PECOS PAC ID: 8022494145 Enrollment ID: I20220927002554 |
| Provider Name | Timothy M Roddy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487696092 PECOS PAC ID: 5597653212 Enrollment ID: I20220928002942 |
| Provider Name | Jessica Nicole Hass Alfonso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659834828 PECOS PAC ID: 1355677782 Enrollment ID: I20221003001433 |
| Provider Name | Walaa Mohsen Elfar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467776252 PECOS PAC ID: 3173812419 Enrollment ID: I20221005003213 |
| Provider Name | Lora Shuo Wang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1760773576 PECOS PAC ID: 0749572022 Enrollment ID: I20221006001488 |
| Provider Name | Rebecca Michelle Humpal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518317015 PECOS PAC ID: 6901199280 Enrollment ID: I20221006003163 |
| Provider Name | Asif Mohammed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295026276 PECOS PAC ID: 5496060089 Enrollment ID: I20221007002631 |
| Provider Name | Brenda Levesque |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316366016 PECOS PAC ID: 0244454445 Enrollment ID: I20221011002530 |
| Provider Name | William Smalstig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992436802 PECOS PAC ID: 0446626451 Enrollment ID: I20221017001377 |
| Provider Name | Halil Kutlu Erol |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467985929 PECOS PAC ID: 5991105140 Enrollment ID: I20221017001553 |
| Provider Name | Elvira N/a Gonzalez Negrete |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245852060 PECOS PAC ID: 1658794680 Enrollment ID: I20221026000699 |
| Provider Name | John C Elfar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831108570 PECOS PAC ID: 0749380160 Enrollment ID: I20221107003199 |
| Provider Name | Jessica Sara Sennet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790493682 PECOS PAC ID: 2163890245 Enrollment ID: I20221121002154 |
| Provider Name | Stephen P Fernau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851343123 PECOS PAC ID: 5496725186 Enrollment ID: I20221205003011 |
| Provider Name | Rami Naseef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861050932 PECOS PAC ID: 7012338502 Enrollment ID: I20221206000715 |
| Provider Name | Thao D Tran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528094596 PECOS PAC ID: 4385644475 Enrollment ID: I20221208001872 |
| Provider Name | Lena Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023725553 PECOS PAC ID: 8820468028 Enrollment ID: I20230104002578 |
| Provider Name | Jonica Dawn Kleving |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467194258 PECOS PAC ID: 2769852797 Enrollment ID: I20230106002623 |
| Provider Name | Trisha Ann Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770200784 PECOS PAC ID: 8628449121 Enrollment ID: I20230119003289 |
| Provider Name | Harbinder Singh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124061288 PECOS PAC ID: 2668482613 Enrollment ID: I20230209002228 |
| Provider Name | Daniel Butler |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1013320738 PECOS PAC ID: 8628386281 Enrollment ID: I20230216001478 |
| Provider Name | Michelle Worden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457064040 PECOS PAC ID: 6204209265 Enrollment ID: I20230222002743 |
| Provider Name | Anas Alshawa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588146088 PECOS PAC ID: 3971931890 Enrollment ID: I20230224002233 |
| Provider Name | Aaron Golden Winter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972215846 PECOS PAC ID: 2163895525 Enrollment ID: I20230306001042 |
| Provider Name | Firas Kaddouh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225317589 PECOS PAC ID: 5092931865 Enrollment ID: I20230316001332 |
| Provider Name | Vladislav Suntsov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578053898 PECOS PAC ID: 3971850876 Enrollment ID: I20230328002185 |
| Provider Name | Demetrice Lamotte Hill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407823735 PECOS PAC ID: 7416125398 Enrollment ID: I20230331001624 |
| Provider Name | Dale Robert Yingling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265495337 PECOS PAC ID: 3779595574 Enrollment ID: I20230407001242 |
| Provider Name | Aimee Christine Shock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942705900 PECOS PAC ID: 0840694568 Enrollment ID: I20230412002678 |
| Provider Name | Laura Marie Didea |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659969327 PECOS PAC ID: 9335553122 Enrollment ID: I20230413001277 |
| Provider Name | Khubaib Mapara |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1912101403 PECOS PAC ID: 5092970806 Enrollment ID: I20230413001536 |
| Provider Name | Artyom Abramyan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861846685 PECOS PAC ID: 3870889439 Enrollment ID: I20230420000136 |
| Provider Name | Mark D. Winton |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316943673 PECOS PAC ID: 2163418765 Enrollment ID: I20230428002091 |
| Provider Name | Harish Gudi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447812458 PECOS PAC ID: 9830554583 Enrollment ID: I20230502001381 |
| Provider Name | Rachel G Damroth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831809060 PECOS PAC ID: 1951773951 Enrollment ID: I20230504003091 |
| Provider Name | Tyler M Hoelscher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922636976 PECOS PAC ID: 2163848607 Enrollment ID: I20230510002123 |
| Provider Name | Benjamin Laing Co |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871098764 PECOS PAC ID: 1254753262 Enrollment ID: I20230511001738 |
| Provider Name | Bryan J Hall |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689995722 PECOS PAC ID: 1254579097 Enrollment ID: I20230511002616 |
| Provider Name | Stephen Crabbe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699303560 PECOS PAC ID: 5496111734 Enrollment ID: I20230511002730 |
| Provider Name | Jordan King |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265090401 PECOS PAC ID: 4284090473 Enrollment ID: I20230512001473 |
| Provider Name | Erika Ines Scholtes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780247726 PECOS PAC ID: 6709111313 Enrollment ID: I20230515002903 |
| Provider Name | Abigail Esther Stephens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760002141 PECOS PAC ID: 6800219866 Enrollment ID: I20230515003033 |
| Provider Name | Chelsea Lynn Takamatsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861013096 PECOS PAC ID: 7416370572 Enrollment ID: I20230516000466 |
| Provider Name | Vinita Kusupati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336760313 PECOS PAC ID: 4486077898 Enrollment ID: I20230516000664 |
| Provider Name | Jennifer Melissa Kramer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154825107 PECOS PAC ID: 0840526133 Enrollment ID: I20230516000841 |
| Provider Name | Lucas C Struycken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982130464 PECOS PAC ID: 5193076891 Enrollment ID: I20230517000688 |
| Provider Name | Joseph Liu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194353144 PECOS PAC ID: 1456717461 Enrollment ID: I20230517002668 |
| Provider Name | Jackson Wagoner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689137408 PECOS PAC ID: 6305269382 Enrollment ID: I20230519001798 |
| Provider Name | Timothy Paul Buckley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578190278 PECOS PAC ID: 3173946753 Enrollment ID: I20230519002596 |
| Provider Name | Mario Vincenzo Jaramillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427679406 PECOS PAC ID: 5294158309 Enrollment ID: I20230522000623 |
| Provider Name | Josia M Schlogl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174050645 PECOS PAC ID: 8224458146 Enrollment ID: I20230522002858 |
| Provider Name | Michael David Crowgey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922635598 PECOS PAC ID: 0143642850 Enrollment ID: I20230522003213 |
| Provider Name | Amit Rajaram |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003341876 PECOS PAC ID: 4981969821 Enrollment ID: I20230523001193 |
| Provider Name | Neil D Wallace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972123768 PECOS PAC ID: 7315360229 Enrollment ID: I20230524002952 |
| Provider Name | Ibrahim Khalid Al-saidi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538512355 PECOS PAC ID: 0749573889 Enrollment ID: I20230525001137 |
| Provider Name | Briana Lynn Andres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003436775 PECOS PAC ID: 6608299557 Enrollment ID: I20230525002906 |
| Provider Name | Nahal G Nikroo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891314852 PECOS PAC ID: 5294192720 Enrollment ID: I20230526002321 |
| Provider Name | Brendan Anthony Andres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477173151 PECOS PAC ID: 2860814811 Enrollment ID: I20230526002433 |
| Provider Name | Kendal Flo Flegenheimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194287169 PECOS PAC ID: 3971982232 Enrollment ID: I20230531000471 |
| Provider Name | Kareem Shahin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649891318 PECOS PAC ID: 5799102760 Enrollment ID: I20230531001088 |
| Provider Name | Nicholas Adam Bonazza |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215370119 PECOS PAC ID: 9537449152 Enrollment ID: I20230531001419 |
| Provider Name | Jori Ann Galles |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134688377 PECOS PAC ID: 0547627820 Enrollment ID: I20230531002817 |
| Provider Name | Michael Pergola |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760010706 PECOS PAC ID: 5294157285 Enrollment ID: I20230602001836 |
| Provider Name | Tyrel Fisher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457813578 PECOS PAC ID: 4688909591 Enrollment ID: I20230602002533 |
| Provider Name | James K Liao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689687873 PECOS PAC ID: 8123035052 Enrollment ID: I20230605002145 |
| Provider Name | Marcus Joseph Hutchinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154942381 PECOS PAC ID: 2668895624 Enrollment ID: I20230605002611 |
| Provider Name | Benjamin Renshaw |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538693957 PECOS PAC ID: 3678825361 Enrollment ID: I20230605003183 |
| Provider Name | Jozelynn Guinn Worden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346738507 PECOS PAC ID: 2466707179 Enrollment ID: I20230606002136 |
| Provider Name | Rilwan A Balogun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205281474 PECOS PAC ID: 6305136078 Enrollment ID: I20230607001786 |
| Provider Name | Sheryl Jordan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053314609 PECOS PAC ID: 2062563307 Enrollment ID: I20230607002480 |
| Provider Name | Megan E Lundy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942741202 PECOS PAC ID: 6608147657 Enrollment ID: I20230609000609 |
| Provider Name | Praveen Sridhar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528487071 PECOS PAC ID: 7719103563 Enrollment ID: I20230612001589 |
| Provider Name | Michelle E Chang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184156531 PECOS PAC ID: 8921353038 Enrollment ID: I20230612001632 |
| Provider Name | Kevin Joseph Moynahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801419452 PECOS PAC ID: 1557784626 Enrollment ID: I20230612002356 |
| Provider Name | Julia Katherine Cremer |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1558758300 PECOS PAC ID: 1557698545 Enrollment ID: I20230613000140 |
| Provider Name | Scott Richard Chicotka |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1174899306 PECOS PAC ID: 7517376205 Enrollment ID: I20230613001611 |
| Provider Name | Jelena S Eremija |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1972095297 PECOS PAC ID: 1052663069 Enrollment ID: I20230616003005 |
| Provider Name | Gautam Sharma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700380490 PECOS PAC ID: 4688055841 Enrollment ID: I20230621001982 |
| Provider Name | Bo Zhang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013441112 PECOS PAC ID: 9638434418 Enrollment ID: I20230630002059 |
| Provider Name | Jolisa Marie Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184322703 PECOS PAC ID: 2264891480 Enrollment ID: I20230706003122 |
| Provider Name | Abduljabbar Alhammoud |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063028454 PECOS PAC ID: 6305221557 Enrollment ID: I20230707001241 |
| Provider Name | Noopur Basu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962021972 PECOS PAC ID: 2466863071 Enrollment ID: I20230712003183 |
| Provider Name | Jad Abdelsattar |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1962881334 PECOS PAC ID: 3274844154 Enrollment ID: I20230712003250 |
| Provider Name | Heather Jo Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760629109 PECOS PAC ID: 1052621638 Enrollment ID: I20230713001984 |
| Provider Name | Audriana Nicole Hurbon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740743384 PECOS PAC ID: 1850626144 Enrollment ID: I20230714002005 |
| Provider Name | Priyanka Bearelly |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700271244 PECOS PAC ID: 1153636089 Enrollment ID: I20230714002767 |
| Provider Name | Erol Bozdogan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326605957 PECOS PAC ID: 2769718410 Enrollment ID: I20230717001834 |
| Provider Name | Darius Alexander Filsoof |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801250584 PECOS PAC ID: 2567849581 Enrollment ID: I20230718001065 |
| Provider Name | Daniel W Sharp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962023036 PECOS PAC ID: 4183046329 Enrollment ID: I20230721001949 |
| Provider Name | Matthew Gene Hatfield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134640410 PECOS PAC ID: 9739446980 Enrollment ID: I20230726003404 |
| Provider Name | Katherine Boehm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497375232 PECOS PAC ID: 1658766621 Enrollment ID: I20230727002990 |
| Provider Name | Jessica R Filon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659991503 PECOS PAC ID: 3971925850 Enrollment ID: I20230801003101 |
| Provider Name | Brian Donald Lightwine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154856508 PECOS PAC ID: 9335498047 Enrollment ID: I20230804002569 |
| Provider Name | Maggie M Swift |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386104099 PECOS PAC ID: 3577924505 Enrollment ID: I20230807002412 |
| Provider Name | Monica Yulieth Hinestroza Jordan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902391428 PECOS PAC ID: 9739423344 Enrollment ID: I20230811001285 |
| 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 | Bardia Azar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972065803 PECOS PAC ID: 5890029458 Enrollment ID: I20230815000998 |
| Provider Name | Gustave J Rossi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760942304 PECOS PAC ID: 8628305133 Enrollment ID: I20230817004043 |
| Provider Name | Alex Mulmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710373154 PECOS PAC ID: 2567736226 Enrollment ID: I20230823001761 |
| Provider Name | Steven Belcher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831651751 PECOS PAC ID: 2668702721 Enrollment ID: I20230828001302 |
| Provider Name | Viktoria Tesia Stewart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932632585 PECOS PAC ID: 0840653457 Enrollment ID: I20230830001637 |
| Provider Name | Kirankumar D Bhosrekar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720351935 PECOS PAC ID: 7113161670 Enrollment ID: I20230912002562 |
| Provider Name | William Edward Gordon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588728182 PECOS PAC ID: 1153420054 Enrollment ID: I20230912002800 |
| Provider Name | Wyatt Ho |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1023245578 PECOS PAC ID: 5698075091 Enrollment ID: I20230914001907 |
| Provider Name | Constance Verle Deines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063104446 PECOS PAC ID: 9133583651 Enrollment ID: I20230915001712 |
| Provider Name | Ravi Kiran Vuthoori |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376944348 PECOS PAC ID: 0547521437 Enrollment ID: I20230920003566 |
| Provider Name | Katherine Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538284336 PECOS PAC ID: 7810083524 Enrollment ID: I20230928002513 |
| Provider Name | Maria Pugliese Natali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346861374 PECOS PAC ID: 6709209190 Enrollment ID: I20230929001100 |
| Provider Name | Jawad Akmal Hussain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780112102 PECOS PAC ID: 3173891942 Enrollment ID: I20231006000647 |
| Provider Name | Susan Ormsby Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144603283 PECOS PAC ID: 2264719277 Enrollment ID: I20231019000987 |
| Provider Name | Ivan Augusto Sierra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194347518 PECOS PAC ID: 7618323783 Enrollment ID: I20231025002441 |
| Provider Name | Mark Danforth Lacy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134177215 PECOS PAC ID: 9638181910 Enrollment ID: I20231026000419 |
| Provider Name | Swati Vasireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437779634 PECOS PAC ID: 9032528302 Enrollment ID: I20231102003820 |
| Provider Name | Anthony Raoul Jeanmenne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326276437 PECOS PAC ID: 0345467783 Enrollment ID: I20231120001664 |
| Provider Name | Anjali Taneja |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568983690 PECOS PAC ID: 7416209986 Enrollment ID: I20231120003635 |
| Provider Name | Darlene Diane Lucero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437550555 PECOS PAC ID: 1850685033 Enrollment ID: I20231121001455 |
| Provider Name | Sunit Sebastian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205075041 PECOS PAC ID: 9931246899 Enrollment ID: I20231201000546 |
| Provider Name | Venkatasubbaraya Chowdary Achanta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780693648 PECOS PAC ID: 2163423047 Enrollment ID: I20231205003715 |
| Provider Name | Amber Marian Breitzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275057408 PECOS PAC ID: 0749555852 Enrollment ID: I20231211001026 |
| Provider Name | Gabriella Szilvia Skuta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346486297 PECOS PAC ID: 1153484191 Enrollment ID: I20231218003372 |
| Provider Name | Sharon Marie Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508571886 PECOS PAC ID: 5799136719 Enrollment ID: I20240103004518 |
| Provider Name | Yaw O Ansah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699234567 PECOS PAC ID: 6204162167 Enrollment ID: I20240105003019 |
| Provider Name | Ian Fitzgerald Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326721812 PECOS PAC ID: 1456702299 Enrollment ID: I20240105003177 |
| Provider Name | Lorine K Trail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831975028 PECOS PAC ID: 9638521743 Enrollment ID: I20240113000312 |
| Provider Name | Teresa Rene Worstell Safer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003234220 PECOS PAC ID: 9830316124 Enrollment ID: I20240118004758 |
| Provider Name | Jeanne Jiyoung Min |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174827984 PECOS PAC ID: 6507224516 Enrollment ID: I20240124002074 |
| Provider Name | Rachel Elizabeth Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124892849 PECOS PAC ID: 2062865116 Enrollment ID: I20240125001776 |
| Provider Name | Pooja Pundhir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184027815 PECOS PAC ID: 0446546907 Enrollment ID: I20240204000003 |
| Provider Name | Igor Kozak |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982982302 PECOS PAC ID: 2062682008 Enrollment ID: I20240206003981 |
| Provider Name | Mario J Castillo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992786321 PECOS PAC ID: 8921094566 Enrollment ID: I20240213004114 |
| Provider Name | Bruce Louis Bobek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225028343 PECOS PAC ID: 0749458941 Enrollment ID: I20240216004064 |
| Provider Name | Evan Cope |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609427434 PECOS PAC ID: 2769888122 Enrollment ID: I20240219001715 |
| Provider Name | Christin Crues |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649781667 PECOS PAC ID: 4486910312 Enrollment ID: I20240223000656 |
| Provider Name | Genna M Losinski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972388734 PECOS PAC ID: 6406291764 Enrollment ID: I20240227002401 |
| Provider Name | Saeda Gharaibeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235759689 PECOS PAC ID: 3476998352 Enrollment ID: I20240301000815 |
| Provider Name | Ashley Azizi Assadi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003437575 PECOS PAC ID: 6406279462 Enrollment ID: I20240307003180 |
| Provider Name | Kyle Bohan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457730855 PECOS PAC ID: 0648528208 Enrollment ID: I20240308002659 |
| Provider Name | Ji Eun Park |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417344417 PECOS PAC ID: 5092014290 Enrollment ID: I20240312002560 |
| Provider Name | Elise N Erickson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003945916 PECOS PAC ID: 4880887389 Enrollment ID: I20240314004151 |
| Provider Name | Armen Eskandari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043653413 PECOS PAC ID: 7416282470 Enrollment ID: I20240315000889 |
| Provider Name | Jocelyn A Maurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154190874 PECOS PAC ID: 2365888047 Enrollment ID: I20240316000404 |
| Provider Name | Emma Tracy Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043822299 PECOS PAC ID: 8325485733 Enrollment ID: I20240321000651 |
| Provider Name | Ethan Done |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528756251 PECOS PAC ID: 4789021940 Enrollment ID: I20240322003152 |
| Provider Name | Lorraine K Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144832874 PECOS PAC ID: 1658718614 Enrollment ID: I20240326002214 |
| Provider Name | Palak Pankaj Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154715639 PECOS PAC ID: 7214231307 Enrollment ID: I20240327002589 |
| Provider Name | Julie Georgia Pilitsis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861559163 PECOS PAC ID: 7416040845 Enrollment ID: I20240328002807 |
| Provider Name | Andrew Mark Watley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992262075 PECOS PAC ID: 4880032663 Enrollment ID: I20240329002720 |
| Provider Name | Elham Ghahari |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336704410 PECOS PAC ID: 7719375252 Enrollment ID: I20240401000638 |
| Provider Name | Scott R Montgomery |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104110998 PECOS PAC ID: 6305006016 Enrollment ID: I20240401002527 |
| Provider Name | Jerome P. Yatskowitz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689768079 PECOS PAC ID: 9436212255 Enrollment ID: I20240403003922 |
| Provider Name | Scott C Silvestry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1922028547 PECOS PAC ID: 0941197222 Enrollment ID: I20240403003966 |
| Provider Name | Desiree Anguiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205605581 PECOS PAC ID: 5395183644 Enrollment ID: I20240404003550 |
| Provider Name | Brianna Koty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154946085 PECOS PAC ID: 5890114201 Enrollment ID: I20240408000503 |
| Provider Name | Kelly Ann Riker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013564855 PECOS PAC ID: 1658719794 Enrollment ID: I20240409001133 |
| Provider Name | Michelle Lynn Harper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659768323 PECOS PAC ID: 2961840012 Enrollment ID: I20240409001352 |
| Provider Name | Carmen Daniela Mendoza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861161317 PECOS PAC ID: 1052759123 Enrollment ID: I20240409002080 |
| Provider Name | Sharon Shang Stanley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659637023 PECOS PAC ID: 0941601611 Enrollment ID: I20240412000952 |
| Provider Name | Soni Tiounoff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932657947 PECOS PAC ID: 6901245778 Enrollment ID: I20240413000416 |
| Provider Name | Anna Kleppe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225892987 PECOS PAC ID: 0840639548 Enrollment ID: I20240415001227 |
| Provider Name | Judith Hanks Lyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972365757 PECOS PAC ID: 5991144636 Enrollment ID: I20240415002633 |
| 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 | Suzannah Gallaher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144832304 PECOS PAC ID: 9931540929 Enrollment ID: I20240508001185 |
| Provider Name | Megan E Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164799375 PECOS PAC ID: 4880851690 Enrollment ID: I20240509000573 |
| Provider Name | Sameer Suhale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770103137 PECOS PAC ID: 3375965122 Enrollment ID: I20240513002410 |
| Provider Name | Mihai Bogdan Murarescu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205871969 PECOS PAC ID: 7810073509 Enrollment ID: I20240522002708 |
| Provider Name | Hitesh Gurjar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467938068 PECOS PAC ID: 9335581727 Enrollment ID: I20240530003363 |
| Provider Name | Victor Francisco Coloso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225090038 PECOS PAC ID: 3274636261 Enrollment ID: I20240603003720 |
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 |