| Banner - University Physician Specialists Llc | |
|
1111 E Mcdowell Rd Phoenix AZ 85006-2612 | |
| (602) 839-2000 | |
| Not Available |
| Full Name | Banner - University Physician Specialists Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1111 E Mcdowell Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Dennis Laraway (CHIEF FINANCIAL OFFICER) |
| 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 Physician Specialists Llc 2901 N Central Ave Phoenix AZ 85012-2700 Ph: () - | Banner - University Physician Specialists Llc 1111 E Mcdowell Rd Phoenix AZ 85006-2612 Ph: (602) 839-2000 |
| NPI Number | 1437529245 |
|---|---|
| Provider Enumeration Date | 10/06/2015 |
| Last Update Date | 12/21/2021 |
| Medicare PECOS PAC ID | 5991008054 |
|---|---|
| Medicare Enrollment ID | O20160122001476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437529245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Staci Mayer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336144526 PECOS PAC ID: 3971404567 Enrollment ID: I20040116000388 |
| Provider Name | Anne Michelle Ruha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871561761 PECOS PAC ID: 9436042777 Enrollment ID: I20040202001227 |
| Provider Name | Frank A Lovecchio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881663896 PECOS PAC ID: 4688567928 Enrollment ID: I20040202001247 |
| Provider Name | William David Huff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922060771 PECOS PAC ID: 2769372960 Enrollment ID: I20040319000778 |
| Provider Name | Richard P Shaughnessy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689776254 PECOS PAC ID: 6305838384 Enrollment ID: I20040331000611 |
| Provider Name | Steve S Chung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942317359 PECOS PAC ID: 5496748717 Enrollment ID: I20040405000397 |
| Provider Name | David L Greenspan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316918865 PECOS PAC ID: 5698768968 Enrollment ID: I20040405000652 |
| Provider Name | Robyn L Prosser |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669441408 PECOS PAC ID: 1153316724 Enrollment ID: I20040415000111 |
| Provider Name | Evan S Lederman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932183456 PECOS PAC ID: 5092602334 Enrollment ID: I20040422001434 |
| Provider Name | Eugene Francis Tharalson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346290442 PECOS PAC ID: 5991795098 Enrollment ID: I20040512000960 |
| Provider Name | Cheryl R Buyama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164491510 PECOS PAC ID: 2062402506 Enrollment ID: I20040515000523 |
| Provider Name | Adam C Randolph |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669695409 PECOS PAC ID: 7517957897 Enrollment ID: I20040518000126 |
| Provider Name | Leslie A Welk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013938984 PECOS PAC ID: 6103817127 Enrollment ID: I20040519001009 |
| Provider Name | Randy Ray Richardson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326056599 PECOS PAC ID: 5799766648 Enrollment ID: I20040526000991 |
| Provider Name | Susan Passalaqua |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891784880 PECOS PAC ID: 3375520919 Enrollment ID: I20040701001142 |
| Provider Name | Venkata Evani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467411140 PECOS PAC ID: 8729977442 Enrollment ID: I20040706000158 |
| Provider Name | Bruce A Kletscher |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285608265 PECOS PAC ID: 2668450479 Enrollment ID: I20040708001376 |
| Provider Name | David J Drewitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174574610 PECOS PAC ID: 8527965110 Enrollment ID: I20040713000211 |
| Provider Name | Jack A Buhrow |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1609858356 PECOS PAC ID: 5597745471 Enrollment ID: I20040721001433 |
| Provider Name | Howard L Baxter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053367938 PECOS PAC ID: 9032184981 Enrollment ID: I20040901001486 |
| Provider Name | Richard Sue |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053320168 PECOS PAC ID: 5991772063 Enrollment ID: I20040916000999 |
| Provider Name | Gulabchand K Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114033875 PECOS PAC ID: 0143210542 Enrollment ID: I20040927001045 |
| Provider Name | Manish J Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326010471 PECOS PAC ID: 0749240307 Enrollment ID: I20041018000739 |
| Provider Name | Kevin S Hirsch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891784849 PECOS PAC ID: 9133180474 Enrollment ID: I20041020001086 |
| Provider Name | Maria Manriquez-sanchez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417900952 PECOS PAC ID: 8527052901 Enrollment ID: I20041022001086 |
| Provider Name | Michael R Mills |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811948359 PECOS PAC ID: 3072410661 Enrollment ID: I20041223000066 |
| Provider Name | Adrian H Feng |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689648685 PECOS PAC ID: 7517925456 Enrollment ID: I20041227000026 |
| Provider Name | Elizabeth O Westfall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558314799 PECOS PAC ID: 6608821608 Enrollment ID: I20050329000242 |
| Provider Name | Francisco A Arabia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194702159 PECOS PAC ID: 0941247464 Enrollment ID: I20050415000006 |
| Provider Name | Courtney L Mitchell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558433870 PECOS PAC ID: 9335186873 Enrollment ID: I20050415000179 |
| Provider Name | Brett A Roeder |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134116700 PECOS PAC ID: 1850378407 Enrollment ID: I20050421000530 |
| Provider Name | Margaret A O'brien |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659331536 PECOS PAC ID: 2062451222 Enrollment ID: I20050427000510 |
| Provider Name | Eugene M Kim |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1770570293 PECOS PAC ID: 4486695194 Enrollment ID: I20050512000596 |
| Provider Name | Brock C Jackson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821093667 PECOS PAC ID: 7618919523 Enrollment ID: I20050601000307 |
| Provider Name | Ayrn D Oconnor |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1194785063 PECOS PAC ID: 5294771481 Enrollment ID: I20050628000830 |
| Provider Name | Nathan Linstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689848590 PECOS PAC ID: 7416993555 Enrollment ID: I20050629000722 |
| Provider Name | Wilber Wei-poh Su |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689618084 PECOS PAC ID: 9931003373 Enrollment ID: I20050711000486 |
| Provider Name | Darrell D Wadas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871565739 PECOS PAC ID: 4183654684 Enrollment ID: I20050815000709 |
| Provider Name | Steven M Erickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215998901 PECOS PAC ID: 7719917657 Enrollment ID: I20050819000423 |
| Provider Name | Shiva K Ratuapli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265492060 PECOS PAC ID: 4183657471 Enrollment ID: I20050916000420 |
| Provider Name | Vincent J Honan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073585014 PECOS PAC ID: 8820013782 Enrollment ID: I20051010000772 |
| Provider Name | John M Gillis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1083673610 PECOS PAC ID: 5193745172 Enrollment ID: I20051206000381 |
| Provider Name | Farouk Mookadam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760452395 PECOS PAC ID: 2264423763 Enrollment ID: I20051216000515 |
| Provider Name | Thomas R Carter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255316287 PECOS PAC ID: 0345137584 Enrollment ID: I20060227000779 |
| Provider Name | Kumash R Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548298425 PECOS PAC ID: 6901836741 Enrollment ID: I20060411000120 |
| Provider Name | Robert R Mccarver |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174595102 PECOS PAC ID: 9133026743 Enrollment ID: I20060425000503 |
| Provider Name | Gamal F Sidarous |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1699731802 PECOS PAC ID: 0042220063 Enrollment ID: I20060504000327 |
| Provider Name | Danielle N Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649208059 PECOS PAC ID: 6406866458 Enrollment ID: I20060504000682 |
| Provider Name | Andrea J Waxman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679542641 PECOS PAC ID: 5991716029 Enrollment ID: I20060605000161 |
| Provider Name | Matthew C Cornelius |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619946969 PECOS PAC ID: 4486665510 Enrollment ID: I20060605000205 |
| Provider Name | Harvey Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659330769 PECOS PAC ID: 4486665569 Enrollment ID: I20060606000261 |
| Provider Name | Steven C Curry |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477512572 PECOS PAC ID: 6103838024 Enrollment ID: I20060614000273 |
| Provider Name | Peter J Sunenshine |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1487610937 PECOS PAC ID: 0749238848 Enrollment ID: I20060828000404 |
| Provider Name | Grigory Horonenko |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356394035 PECOS PAC ID: 9638175219 Enrollment ID: I20061005000255 |
| Provider Name | Philip A Gideon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316981467 PECOS PAC ID: 3678579406 Enrollment ID: I20061018000265 |
| Provider Name | Joshua A Tobin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629010830 PECOS PAC ID: 5496752297 Enrollment ID: I20061108000215 |
| Provider Name | Suresh Uppalapu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134229800 PECOS PAC ID: 5799786836 Enrollment ID: I20070116000549 |
| Provider Name | Melissa M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346251014 PECOS PAC ID: 2668473182 Enrollment ID: I20070126000258 |
| Provider Name | Chien Oh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427134071 PECOS PAC ID: 8426097486 Enrollment ID: I20070208000465 |
| Provider Name | Debra S Wickman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407943939 PECOS PAC ID: 8426034992 Enrollment ID: I20070226000078 |
| Provider Name | Kalpesh Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639185580 PECOS PAC ID: 3274631486 Enrollment ID: I20070612000751 |
| Provider Name | Daniel E Brooks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326010331 PECOS PAC ID: 9436258449 Enrollment ID: I20070615000241 |
| Provider Name | Alberto X Ramos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487788998 PECOS PAC ID: 0446341408 Enrollment ID: I20070806000068 |
| Provider Name | Ana M Spence |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497866438 PECOS PAC ID: 7416933684 Enrollment ID: I20071024000170 |
| Provider Name | Trent H Smith |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336110576 PECOS PAC ID: 3971580002 Enrollment ID: I20071026000041 |
| 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 | Barry A Hendin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447239231 PECOS PAC ID: 0244149078 Enrollment ID: I20080306000070 |
| Provider Name | Ashlee E Jontz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790961373 PECOS PAC ID: 9133205560 Enrollment ID: I20080326000520 |
| Provider Name | Janet L Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225091440 PECOS PAC ID: 9638258601 Enrollment ID: I20080501000363 |
| Provider Name | Maureen Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124131248 PECOS PAC ID: 6507891157 Enrollment ID: I20080620000236 |
| Provider Name | Shane M Daley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902883838 PECOS PAC ID: 7012089865 Enrollment ID: I20080710000516 |
| Provider Name | Julie Wynne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336115401 PECOS PAC ID: 6406812858 Enrollment ID: I20080811000713 |
| Provider Name | G Paul Dabrowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881665115 PECOS PAC ID: 3971550211 Enrollment ID: I20080821000379 |
| Provider Name | Roger L Mccoy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558322297 PECOS PAC ID: 5890887707 Enrollment ID: I20080911000283 |
| Provider Name | Amy Jo F Overlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811958101 PECOS PAC ID: 4587556196 Enrollment ID: I20080912000068 |
| Provider Name | Win Toe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144480682 PECOS PAC ID: 3173690765 Enrollment ID: I20080924000040 |
| Provider Name | Michael David Levine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447348370 PECOS PAC ID: 3779656293 Enrollment ID: I20081201000102 |
| Provider Name | Ali Baaj |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1417148800 PECOS PAC ID: 6709947781 Enrollment ID: I20081209000601 |
| Provider Name | Kenneth S Knox |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154386118 PECOS PAC ID: 4981761137 Enrollment ID: I20090316000414 |
| Provider Name | Anantharam V Kalya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831167238 PECOS PAC ID: 4183652563 Enrollment ID: I20090423000732 |
| Provider Name | Theresa L Glonning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124095302 PECOS PAC ID: 9638229818 Enrollment ID: I20090609000616 |
| Provider Name | Scott E Kalinowski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902010465 PECOS PAC ID: 1254481484 Enrollment ID: I20090610000398 |
| Provider Name | Rishi K Gosalia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174797286 PECOS PAC ID: 8820149511 Enrollment ID: I20090618000726 |
| Provider Name | Ara J Feinstein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497881866 PECOS PAC ID: 1456402528 Enrollment ID: I20090701000053 |
| Provider Name | Linda R Nelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194837930 PECOS PAC ID: 4587556717 Enrollment ID: I20090823000002 |
| Provider Name | Maulik B Shah |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508015397 PECOS PAC ID: 7214082361 Enrollment ID: I20090826000255 |
| Provider Name | Beatriz Garcia Stamps |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619198405 PECOS PAC ID: 9234277534 Enrollment ID: I20091106000143 |
| Provider Name | Candice P Wood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093902025 PECOS PAC ID: 1759429608 Enrollment ID: I20091112000642 |
| Provider Name | Emily R Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568799146 PECOS PAC ID: 1557400983 Enrollment ID: I20091125000037 |
| Provider Name | Peter Nakaji |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174518765 PECOS PAC ID: 7113060492 Enrollment ID: I20100216000409 |
| Provider Name | Rosanne Marie Chiong Kho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104801471 PECOS PAC ID: 4284778788 Enrollment ID: I20100222000770 |
| Provider Name | Javier F Magrina |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1265417075 PECOS PAC ID: 0749324994 Enrollment ID: I20100225000597 |
| Provider Name | Nida K. Laurin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306887963 PECOS PAC ID: 0345270468 Enrollment ID: I20100415000290 |
| Provider Name | Neha A Lacorte |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669458972 PECOS PAC ID: 3375673171 Enrollment ID: I20100604000485 |
| Provider Name | Robert T Hurst |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124000989 PECOS PAC ID: 3476684309 Enrollment ID: I20100621000921 |
| Provider Name | Michael Frederick Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114047040 PECOS PAC ID: 4082769088 Enrollment ID: I20100715001054 |
| Provider Name | Mariel Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144556150 PECOS PAC ID: 3577696673 Enrollment ID: I20100726000776 |
| Provider Name | Bernadette R Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093035016 PECOS PAC ID: 8022141266 Enrollment ID: I20100809000489 |
| Provider Name | Tarang Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144372020 PECOS PAC ID: 4587703491 Enrollment ID: I20100825001017 |
| Provider Name | Michael Zawaneh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104982057 PECOS PAC ID: 5799821229 Enrollment ID: I20101006000174 |
| Provider Name | Claire J Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649581620 PECOS PAC ID: 7517159544 Enrollment ID: I20101008001083 |
| Provider Name | Samuel Unzek Freiman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548442577 PECOS PAC ID: 9931287455 Enrollment ID: I20101020001533 |
| Provider Name | Steve Y Chen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1316924533 PECOS PAC ID: 6103802491 Enrollment ID: I20101021001327 |
| Provider Name | Jamal Mourad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366404634 PECOS PAC ID: 7315131612 Enrollment ID: I20101101000538 |
| Provider Name | Marlin Mills |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164481156 PECOS PAC ID: 8325232630 Enrollment ID: I20101101000678 |
| Provider Name | Jordan H Perlow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255390936 PECOS PAC ID: 3678767753 Enrollment ID: I20101102001372 |
| Provider Name | Chijioke N Soribe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033392113 PECOS PAC ID: 6901950567 Enrollment ID: I20101104001073 |
| Provider Name | Sunil Santhanakrishnan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215991617 PECOS PAC ID: 6002002441 Enrollment ID: I20101124000050 |
| Provider Name | Cameron R Dick |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194780767 PECOS PAC ID: 3274729629 Enrollment ID: I20101124000074 |
| Provider Name | John C Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669669164 PECOS PAC ID: 2668522756 Enrollment ID: I20110111000395 |
| Provider Name | Philip T Ho |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760579718 PECOS PAC ID: 6901876291 Enrollment ID: I20110131000412 |
| Provider Name | Vidette Villareal Argente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033413125 PECOS PAC ID: 2062693195 Enrollment ID: I20110223000380 |
| Provider Name | Douglas M Franz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053582221 PECOS PAC ID: 7214009042 Enrollment ID: I20110608000215 |
| Provider Name | Teodor C Pitea |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710193016 PECOS PAC ID: 9638233406 Enrollment ID: I20110610000661 |
| Provider Name | Michael A Urig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750386934 PECOS PAC ID: 8123115169 Enrollment ID: I20110707000572 |
| Provider Name | Steven M Wise |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336330869 PECOS PAC ID: 3173654043 Enrollment ID: I20110722000603 |
| Provider Name | Kimberlie A Graeme |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073597431 PECOS PAC ID: 7012185630 Enrollment ID: I20110726000017 |
| Provider Name | Joshua Canning |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932231487 PECOS PAC ID: 2567630189 Enrollment ID: I20110726000024 |
| Provider Name | Joyce K Lee-iannotti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518133271 PECOS PAC ID: 0345371472 Enrollment ID: I20110908001632 |
| Provider Name | Celeste E Pottorff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780875799 PECOS PAC ID: 3173794930 Enrollment ID: I20110927000818 |
| Provider Name | John G Sollenberger |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316003338 PECOS PAC ID: 3375735053 Enrollment ID: I20111007000146 |
| Provider Name | Andrew C Price |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366521734 PECOS PAC ID: 7113027095 Enrollment ID: I20111026000599 |
| Provider Name | Brenda Nora Sowards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881756732 PECOS PAC ID: 8527069772 Enrollment ID: I20111121000974 |
| Provider Name | Vilert Loving |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235244112 PECOS PAC ID: 1355494097 Enrollment ID: I20111201000340 |
| Provider Name | Nirav Patel |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1215939566 PECOS PAC ID: 9537292693 Enrollment ID: I20111202000694 |
| Provider Name | Tammy Louise Tyree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598838526 PECOS PAC ID: 5799951752 Enrollment ID: I20111222000362 |
| Provider Name | Ian Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982863429 PECOS PAC ID: 0244491983 Enrollment ID: I20120405000518 |
| Provider Name | Michael Knowland |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477574887 PECOS PAC ID: 8921042094 Enrollment ID: I20120411000171 |
| Provider Name | Gordon C Shipp |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689730459 PECOS PAC ID: 9032289301 Enrollment ID: I20120412000710 |
| Provider Name | Kathleen E Horowitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205866993 PECOS PAC ID: 5193614501 Enrollment ID: I20120605000627 |
| Provider Name | Marquia T Redden-grier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437311651 PECOS PAC ID: 4385891654 Enrollment ID: I20120822000429 |
| Provider Name | Laura K Winkleblack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134446552 PECOS PAC ID: 7911195821 Enrollment ID: I20121017000354 |
| Provider Name | Manikandan Sugumaran |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932356367 PECOS PAC ID: 1052561446 Enrollment ID: I20121019000536 |
| Provider Name | Thomas D Shellenberger |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1730141391 PECOS PAC ID: 1052364734 Enrollment ID: I20121108000639 |
| Provider Name | Sana I Shuttari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194006858 PECOS PAC ID: 8527212125 Enrollment ID: I20130207000221 |
| Provider Name | Thomas O Wildes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154393791 PECOS PAC ID: 4486606738 Enrollment ID: I20130211000481 |
| Provider Name | Nichole D Mahnert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669602074 PECOS PAC ID: 2769668516 Enrollment ID: I20130215000497 |
| Provider Name | Karen T Pitman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972574663 PECOS PAC ID: 7416044425 Enrollment ID: I20130311000119 |
| Provider Name | Holly M Yancy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861658858 PECOS PAC ID: 1951546043 Enrollment ID: I20130320000278 |
| Provider Name | Muhammad J Sethi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275762130 PECOS PAC ID: 5294970380 Enrollment ID: I20130320000310 |
| Provider Name | Giles William Becker |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1932472826 PECOS PAC ID: 7911143433 Enrollment ID: I20130429000142 |
| Provider Name | Elizabeth Mcqueary |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568702728 PECOS PAC ID: 0345487344 Enrollment ID: I20130510000602 |
| Provider Name | Amy Alexander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346589645 PECOS PAC ID: 1254571862 Enrollment ID: I20130702000544 |
| Provider Name | Nancy Youssef |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487833752 PECOS PAC ID: 2264672286 Enrollment ID: I20130715000521 |
| Provider Name | Sara S Dhanani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063614873 PECOS PAC ID: 3577704550 Enrollment ID: I20130802000677 |
| Provider Name | Michael G Crincoli |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497728372 PECOS PAC ID: 1557263878 Enrollment ID: I20130823000102 |
| Provider Name | Brian C Mac Arthur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356532618 PECOS PAC ID: 8426101551 Enrollment ID: I20130906000148 |
| Provider Name | Celso Hernandez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932100559 PECOS PAC ID: 6901829183 Enrollment ID: I20130924000924 |
| Provider Name | Craig W Heise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629398912 PECOS PAC ID: 9234364050 Enrollment ID: I20131104000990 |
| Provider Name | Gina Touch Mercer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174758254 PECOS PAC ID: 8224045448 Enrollment ID: I20131230000276 |
| Provider Name | Scott Graham Edwards |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1356326169 PECOS PAC ID: 8628058575 Enrollment ID: I20140210001682 |
| Provider Name | Daniel Allen Combs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235427345 PECOS PAC ID: 7214150267 Enrollment ID: I20140521000784 |
| Provider Name | Laura T Mercer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083841969 PECOS PAC ID: 6608099296 Enrollment ID: I20140529001552 |
| Provider Name | Chafeek Tomeh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497970057 PECOS PAC ID: 1355505033 Enrollment ID: I20140625001499 |
| Provider Name | Alena S Petty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821318593 PECOS PAC ID: 2668697053 Enrollment ID: I20140626001859 |
| Provider Name | Norman Barrington Chutkan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689682890 PECOS PAC ID: 2062577901 Enrollment ID: I20140701000802 |
| Provider Name | Jennifer F Preston |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902066111 PECOS PAC ID: 0446496525 Enrollment ID: I20140709002205 |
| Provider Name | Tamim A Sultani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346446317 PECOS PAC ID: 1355582651 Enrollment ID: I20140806002264 |
| Provider Name | Jorida Lulaj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679973911 PECOS PAC ID: 5698993871 Enrollment ID: I20140829001804 |
| Provider Name | Amy Sisley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164451266 PECOS PAC ID: 2961695580 Enrollment ID: I20140916000429 |
| Provider Name | Meghan Spyres |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144547910 PECOS PAC ID: 4789906553 Enrollment ID: I20141205000303 |
| Provider Name | Samuel B Braff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124249206 PECOS PAC ID: 7012164619 Enrollment ID: I20141209000997 |
| Provider Name | Natasha Keric |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750543757 PECOS PAC ID: 5395987895 Enrollment ID: I20150115002323 |
| Provider Name | Jennifer L Grindler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811392475 PECOS PAC ID: 9739403353 Enrollment ID: I20150130000002 |
| Provider Name | Adella Marie Deharo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851799142 PECOS PAC ID: 1052637477 Enrollment ID: I20150303000407 |
| Provider Name | Halla F Shami Sher |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124028741 PECOS PAC ID: 9739198235 Enrollment ID: I20150407001267 |
| Provider Name | Beeletsega T Yeneneh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528367166 PECOS PAC ID: 5799004552 Enrollment ID: I20150430000001 |
| Provider Name | Aaron M Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952336885 PECOS PAC ID: 1355661695 Enrollment ID: I20150527002650 |
| Provider Name | Ramachandra R Sista |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083740252 PECOS PAC ID: 8628095551 Enrollment ID: I20150701001476 |
| Provider Name | Amal Sharifi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386937688 PECOS PAC ID: 1759693476 Enrollment ID: I20150708002168 |
| Provider Name | Christine A Lovato |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114199866 PECOS PAC ID: 0941522411 Enrollment ID: I20150724010549 |
| Provider Name | Glenn M Finch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386021400 PECOS PAC ID: 3577878842 Enrollment ID: I20150814014287 |
| Provider Name | Eileen C. Warbington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467718916 PECOS PAC ID: 0547492159 Enrollment ID: I20150828002020 |
| Provider Name | Robin Lynn Garrett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770959090 PECOS PAC ID: 0042527608 Enrollment ID: I20150914002718 |
| Provider Name | Rishi Basnyat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609158799 PECOS PAC ID: 2567770159 Enrollment ID: I20150930003462 |
| Provider Name | Daniel E Miga |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063455178 PECOS PAC ID: 3173799962 Enrollment ID: I20151021000802 |
| Provider Name | Cari Lyn Cowling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396948634 PECOS PAC ID: 0244376051 Enrollment ID: I20151022000431 |
| Provider Name | Jamie E Pardini |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568479962 PECOS PAC ID: 8820005606 Enrollment ID: I20151104003236 |
| Provider Name | David R Shprecher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679692594 PECOS PAC ID: 0648365650 Enrollment ID: I20151119002780 |
| Provider Name | Kresimira M Milas |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1669572772 PECOS PAC ID: 2062411135 Enrollment ID: I20151201002569 |
| Provider Name | Brian S Johnston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639142847 PECOS PAC ID: 2567606528 Enrollment ID: I20160602002068 |
| Provider Name | Hannah A Lawther |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467741025 PECOS PAC ID: 4486895885 Enrollment ID: I20160624000564 |
| Provider Name | Shehzad H Ayub |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447510128 PECOS PAC ID: 0244521029 Enrollment ID: I20160627000407 |
| Provider Name | Christina Chrisman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578832309 PECOS PAC ID: 9234421603 Enrollment ID: I20160705000774 |
| Provider Name | Carla D Lockhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871941476 PECOS PAC ID: 2365735909 Enrollment ID: I20160720001017 |
| Provider Name | Michael J Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215046743 PECOS PAC ID: 4183611197 Enrollment ID: I20160721002481 |
| Provider Name | Leah C Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306846613 PECOS PAC ID: 4385827435 Enrollment ID: I20160819001621 |
| Provider Name | Rawad Mounzer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154554236 PECOS PAC ID: 0840416038 Enrollment ID: I20160907002644 |
| Provider Name | Christinne D Canela |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982804399 PECOS PAC ID: 6204989635 Enrollment ID: I20160913002395 |
| Provider Name | Caroline M Geer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629338314 PECOS PAC ID: 9335436294 Enrollment ID: I20160921001683 |
| Provider Name | Karina Avechuco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770930067 PECOS PAC ID: 5698053742 Enrollment ID: I20161025001980 |
| Provider Name | Michael B Fallon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629163613 PECOS PAC ID: 0446313662 Enrollment ID: I20161025002568 |
| Provider Name | Jerry Wayne Snow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164465209 PECOS PAC ID: 1052371168 Enrollment ID: I20161214000578 |
| Provider Name | Ian Crain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447518006 PECOS PAC ID: 2163705567 Enrollment ID: I20170209000767 |
| Provider Name | Niloofar Dehghan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295272334 PECOS PAC ID: 9436432747 Enrollment ID: I20170213000658 |
| Provider Name | Michaela H Lee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396062386 PECOS PAC ID: 3274823992 Enrollment ID: I20170524001127 |
| Provider Name | Mahmoud Alsayed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215288568 PECOS PAC ID: 2466693783 Enrollment ID: I20170605001820 |
| Provider Name | Jason B Weiss |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1336377928 PECOS PAC ID: 7618244005 Enrollment ID: I20170607000482 |
| Provider Name | Michael D Mckee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801056015 PECOS PAC ID: 5193093847 Enrollment ID: I20170621001169 |
| Provider Name | Ligita Centorino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376070508 PECOS PAC ID: 8325317779 Enrollment ID: I20170628002927 |
| Provider Name | Karam Md Moon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1104147909 PECOS PAC ID: 2466721618 Enrollment ID: I20170705000199 |
| Provider Name | Kurt Lundberg |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1689930927 PECOS PAC ID: 4981836822 Enrollment ID: I20170707002072 |
| Provider Name | Michele Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962898411 PECOS PAC ID: 2163735150 Enrollment ID: I20170713001174 |
| Provider Name | Broderick C Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396183158 PECOS PAC ID: 2264673862 Enrollment ID: I20170717003032 |
| Provider Name | Ian Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982863429 PECOS PAC ID: 0244491983 Enrollment ID: I20170724001028 |
| Provider Name | Jaspreet Bisla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508141599 PECOS PAC ID: 2365713591 Enrollment ID: I20170807003183 |
| Provider Name | Madison Morgan Hustedt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538505896 PECOS PAC ID: 9931472792 Enrollment ID: I20170830002559 |
| Provider Name | Allison Tompeck |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518270909 PECOS PAC ID: 4183840192 Enrollment ID: I20170907001728 |
| Provider Name | Lisa Anne Apolinar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639692106 PECOS PAC ID: 8325311541 Enrollment ID: I20170908001983 |
| Provider Name | Jen Jung Pan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811073166 PECOS PAC ID: 0345386587 Enrollment ID: I20171003006326 |
| Provider Name | Michael P Leovic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356787626 PECOS PAC ID: 4587939285 Enrollment ID: I20171005002157 |
| Provider Name | Raed H Alalawi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366566176 PECOS PAC ID: 6305946609 Enrollment ID: I20171005002874 |
| Provider Name | Inga Lilliana Fors |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720503808 PECOS PAC ID: 6709152788 Enrollment ID: I20171018002007 |
| Provider Name | Kate Maroney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659717924 PECOS PAC ID: 1557627320 Enrollment ID: I20171110000688 |
| Provider Name | Travis Newberry |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376728485 PECOS PAC ID: 8022266568 Enrollment ID: I20171128001440 |
| Provider Name | Jean Marseille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912417577 PECOS PAC ID: 7618236134 Enrollment ID: I20180109000440 |
| Provider Name | Ashley A Dacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558873208 PECOS PAC ID: 4284994997 Enrollment ID: I20180126002151 |
| Provider Name | Nafis A Shamsid-deen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326451220 PECOS PAC ID: 6103187547 Enrollment ID: I20180228001642 |
| Provider Name | Megan Marie A Flores |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699288639 PECOS PAC ID: 0244591162 Enrollment ID: I20180309000641 |
| Provider Name | Christine A Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558340281 PECOS PAC ID: 7911960174 Enrollment ID: I20180409002839 |
| Provider Name | Joseph Lewis Campanelli |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487690749 PECOS PAC ID: 5395730790 Enrollment ID: I20180410003087 |
| Provider Name | Sarah Y Blankenheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265940415 PECOS PAC ID: 8628333564 Enrollment ID: I20180524002756 |
| Provider Name | Daniel Scott Schneider |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1063675825 PECOS PAC ID: 4183740657 Enrollment ID: I20180525001291 |
| Provider Name | Kendra M Gray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477965218 PECOS PAC ID: 0941573877 Enrollment ID: I20180615001956 |
| Provider Name | Kelley T Saunders |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336551167 PECOS PAC ID: 6608149596 Enrollment ID: I20180619000933 |
| Provider Name | Wyatt D Unger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356782221 PECOS PAC ID: 7719232610 Enrollment ID: I20180705000512 |
| Provider Name | Evan F Werk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184036774 PECOS PAC ID: 8022365311 Enrollment ID: I20180718000450 |
| Provider Name | Kristen J Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881089274 PECOS PAC ID: 6103190426 Enrollment ID: I20180719004113 |
| Provider Name | Rashmi Kumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396007068 PECOS PAC ID: 0941579528 Enrollment ID: I20180905003016 |
| Provider Name | Siamac Yazdchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457746018 PECOS PAC ID: 1759632946 Enrollment ID: I20180927001319 |
| Provider Name | Alan Chih-chung Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417395799 PECOS PAC ID: 9638486798 Enrollment ID: I20181004000372 |
| Provider Name | Mustafa Nawaz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245597475 PECOS PAC ID: 0446546014 Enrollment ID: I20181026001193 |
| Provider Name | Grishma R Sheth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255728390 PECOS PAC ID: 4486907094 Enrollment ID: I20181029003235 |
| Provider Name | Logan Paolo Felix |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194038505 PECOS PAC ID: 2668773771 Enrollment ID: I20181119003326 |
| Provider Name | Melissa A Parks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578981551 PECOS PAC ID: 5597065573 Enrollment ID: I20181211003243 |
| Provider Name | Aravind Sugumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124222716 PECOS PAC ID: 1153408075 Enrollment ID: I20190109000915 |
| Provider Name | Rong Rong Guo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104211705 PECOS PAC ID: 7315249273 Enrollment ID: I20190112000267 |
| Provider Name | Christina M Maffiola |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619448016 PECOS PAC ID: 6103163209 Enrollment ID: I20190128002746 |
| Provider Name | Kevin T Stephan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942228259 PECOS PAC ID: 3375532153 Enrollment ID: I20190220000361 |
| Provider Name | James R Evans |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174763890 PECOS PAC ID: 6709124522 Enrollment ID: I20190220001641 |
| Provider Name | Nelson Potenciano Nicolasora |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407974959 PECOS PAC ID: 6709951247 Enrollment ID: I20190304002751 |
| Provider Name | Barbara A Klauser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528474350 PECOS PAC ID: 2860732542 Enrollment ID: I20190315000326 |
| Provider Name | Angela Marie Padilla-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427513621 PECOS PAC ID: 0042551038 Enrollment ID: I20190329002087 |
| Provider Name | Kristina Marie Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588132096 PECOS PAC ID: 7315288230 Enrollment ID: I20190402002920 |
| Provider Name | Leah Margaret Hillier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306318340 PECOS PAC ID: 4688917545 Enrollment ID: I20190515003052 |
| Provider Name | Angela Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689130007 PECOS PAC ID: 3678806916 Enrollment ID: I20190531000973 |
| Provider Name | Danielle Marie Soza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649834912 PECOS PAC ID: 2860725009 Enrollment ID: I20190603003117 |
| Provider Name | Natalie Elise Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326503970 PECOS PAC ID: 3375876808 Enrollment ID: I20190614000763 |
| Provider Name | Rosemarie Metzger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336351329 PECOS PAC ID: 8729265129 Enrollment ID: I20190618002174 |
| Provider Name | Chad Rohan Burk |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1962848275 PECOS PAC ID: 1658605118 Enrollment ID: I20190703000687 |
| Provider Name | Jonathan Peter Weiss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528036654 PECOS PAC ID: 7810975075 Enrollment ID: I20190711001085 |
| Provider Name | Hong Seok Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750767273 PECOS PAC ID: 5890074322 Enrollment ID: I20190711003628 |
| Provider Name | Khaled Hassan Malkawi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689809246 PECOS PAC ID: 3072788058 Enrollment ID: I20190715000844 |
| Provider Name | Pratik Kamal Dalal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053639336 PECOS PAC ID: 6901049295 Enrollment ID: I20190717001428 |
| Provider Name | Emily B Cova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952868309 PECOS PAC ID: 1850628934 Enrollment ID: I20190812004119 |
| Provider Name | I-hui Chiang |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407065220 PECOS PAC ID: 4486742400 Enrollment ID: I20190819001889 |
| Provider Name | Varun Tandon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902251903 PECOS PAC ID: 5395031652 Enrollment ID: I20190821000539 |
| Provider Name | Joshua W Hustedt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124361373 PECOS PAC ID: 2567720311 Enrollment ID: I20190823003279 |
| Provider Name | Kathleen Powers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245610369 PECOS PAC ID: 4183953029 Enrollment ID: I20190903000684 |
| Provider Name | Adalivia Resendiz-casas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902462856 PECOS PAC ID: 0547599276 Enrollment ID: I20190905002836 |
| Provider Name | Anna Hershkowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104485259 PECOS PAC ID: 8527398536 Enrollment ID: I20190917004177 |
| Provider Name | Rohit Nathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528321437 PECOS PAC ID: 6709192347 Enrollment ID: I20190923001303 |
| Provider Name | Janelle Marie Hodovic |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528612736 PECOS PAC ID: 3072538040 Enrollment ID: I20190924002280 |
| Provider Name | Babak Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295092807 PECOS PAC ID: 1052662947 Enrollment ID: I20190929000010 |
| Provider Name | Camelle Marie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508356411 PECOS PAC ID: 4880944693 Enrollment ID: I20191007001230 |
| Provider Name | Gregory Mark Logid |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265746226 PECOS PAC ID: 0042542797 Enrollment ID: I20191029002856 |
| Provider Name | Kyung Chung |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1821208240 PECOS PAC ID: 0648529586 Enrollment ID: I20191104003053 |
| Provider Name | Cynthia Go |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639259443 PECOS PAC ID: 3274507629 Enrollment ID: I20191223002228 |
| Provider Name | Michelle Ashley Edwards Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538630579 PECOS PAC ID: 0648605501 Enrollment ID: I20200122003371 |
| Provider Name | David Wilkey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114942257 PECOS PAC ID: 9739108416 Enrollment ID: I20200225001445 |
| Provider Name | Crysta Joann Silas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932731189 PECOS PAC ID: 3173951746 Enrollment ID: I20200312001867 |
| Provider Name | Lori Anne Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174155097 PECOS PAC ID: 6901234962 Enrollment ID: I20200325002205 |
| Provider Name | Christian Conderman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1063741056 PECOS PAC ID: 3476786708 Enrollment ID: I20200508002819 |
| Provider Name | Daniel Fayard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629414834 PECOS PAC ID: 1951638063 Enrollment ID: I20200511002408 |
| Provider Name | Ganesh R Murthy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851702187 PECOS PAC ID: 9739500927 Enrollment ID: I20200526000842 |
| Provider Name | Elizabeth A Tourville |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841610003 PECOS PAC ID: 6002129848 Enrollment ID: I20200616001994 |
| Provider Name | Rachael Bailey Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548672371 PECOS PAC ID: 6608148598 Enrollment ID: I20200619002140 |
| Provider Name | Tiffany Nichole Mercer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326544842 PECOS PAC ID: 4284050378 Enrollment ID: I20200819004142 |
| Provider Name | Michael J Ryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821039025 PECOS PAC ID: 2567492838 Enrollment ID: I20200821002384 |
| Provider Name | Edward Hoang Nam Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689196891 PECOS PAC ID: 6002163466 Enrollment ID: I20200827001569 |
| Provider Name | Jon Alexander Nelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952714719 PECOS PAC ID: 9032488010 Enrollment ID: I20200827001878 |
| Provider Name | Nathaniel Soper |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932128881 PECOS PAC ID: 0547152399 Enrollment ID: I20200828002683 |
| Provider Name | Mackenzie D Landin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740695337 PECOS PAC ID: 8628375581 Enrollment ID: I20200831000460 |
| Provider Name | Joshua Yorgason |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275707572 PECOS PAC ID: 3173647823 Enrollment ID: I20200916001140 |
| Provider Name | Priya Rajdev |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265775944 PECOS PAC ID: 2668709684 Enrollment ID: I20200917002807 |
| Provider Name | Kristen S Yee |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1346225992 PECOS PAC ID: 0143324004 Enrollment ID: I20201007003447 |
| Provider Name | Rafael Antonio Buerba Siller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245658707 PECOS PAC ID: 3173875549 Enrollment ID: I20201012001024 |
| Provider Name | Bailey Nicole Bylow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942818232 PECOS PAC ID: 3173943180 Enrollment ID: I20201013002037 |
| Provider Name | Jessica Marie Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932717949 PECOS PAC ID: 3870913569 Enrollment ID: I20201019002408 |
| Provider Name | Zahid Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679960686 PECOS PAC ID: 6507285988 Enrollment ID: I20201027003366 |
| Provider Name | Lisa Jarnagin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902288327 PECOS PAC ID: 2567709371 Enrollment ID: I20201210000250 |
| Provider Name | Erin M Lostracco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114513140 PECOS PAC ID: 0345654083 Enrollment ID: I20210120003329 |
| Provider Name | Alicia Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952944142 PECOS PAC ID: 5294160867 Enrollment ID: I20210303000962 |
| Provider Name | Christina Marie Cannata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619573797 PECOS PAC ID: 8921414574 Enrollment ID: I20210308000679 |
| Provider Name | Wahid Wassef |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922080803 PECOS PAC ID: 8820175763 Enrollment ID: I20210318000874 |
| Provider Name | Elizabeth K Batchelor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619387560 PECOS PAC ID: 0749550192 Enrollment ID: I20210324000759 |
| Provider Name | Alexa Kucharo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205440310 PECOS PAC ID: 9638587991 Enrollment ID: I20210426002788 |
| Provider Name | Gerardo Francisco Gomez Abundis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598010373 PECOS PAC ID: 7719297761 Enrollment ID: I20210511001531 |
| Provider Name | Drake Mcarthur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679935340 PECOS PAC ID: 1658664172 Enrollment ID: I20210615002086 |
| Provider Name | Esa S Rayyan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699160572 PECOS PAC ID: 1355615725 Enrollment ID: I20210628003217 |
| Provider Name | Caitlyn Marie Harrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205223831 PECOS PAC ID: 2466853262 Enrollment ID: I20210630003783 |
| Provider Name | Stephanie Iusim |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558756320 PECOS PAC ID: 2860702958 Enrollment ID: I20210630003876 |
| Provider Name | Robert Wagner Bina |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376980821 PECOS PAC ID: 5395166763 Enrollment ID: I20210701001029 |
| Provider Name | Nicholas Jay Frane |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265889174 PECOS PAC ID: 5092059378 Enrollment ID: I20210713001423 |
| Provider Name | Taylor Marie Jenkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639602626 PECOS PAC ID: 3577966795 Enrollment ID: I20210726003645 |
| Provider Name | Karen Ellis Estrada-stephen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750812590 PECOS PAC ID: 0446522098 Enrollment ID: I20210812002535 |
| Provider Name | Brogan Taylor |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255905378 PECOS PAC ID: 9436554169 Enrollment ID: I20210818003760 |
| Provider Name | Sara Khaled |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962077024 PECOS PAC ID: 4385049717 Enrollment ID: I20210824002034 |
| Provider Name | Abdul Ahad Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063896678 PECOS PAC ID: 2668877903 Enrollment ID: I20210824002935 |
| Provider Name | Daniel A Puebla Neira |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649404278 PECOS PAC ID: 1052546397 Enrollment ID: I20210824003264 |
| Provider Name | Kevin Liu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831517671 PECOS PAC ID: 0941560171 Enrollment ID: I20210825003069 |
| Provider Name | Jennifer Leigh Hanisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124667175 PECOS PAC ID: 9234534348 Enrollment ID: I20210826002322 |
| Provider Name | Leena Shahla |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235489774 PECOS PAC ID: 5597073817 Enrollment ID: I20210830000555 |
| Provider Name | Joseph Walker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154715126 PECOS PAC ID: 9638438237 Enrollment ID: I20210831001360 |
| Provider Name | Natasha M Makarova |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083143473 PECOS PAC ID: 4587060967 Enrollment ID: I20210909003509 |
| Provider Name | Dhwani Kothari |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811599343 PECOS PAC ID: 7911303151 Enrollment ID: I20210913003514 |
| Provider Name | Ma Ai Thanda Han |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114202579 PECOS PAC ID: 4284967852 Enrollment ID: I20210915000944 |
| Provider Name | Michel Saint-cyr |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1356432959 PECOS PAC ID: 4183614787 Enrollment ID: I20210922000383 |
| Provider Name | Samuel Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477715589 PECOS PAC ID: 0446304760 Enrollment ID: I20210930002655 |
| Provider Name | Lea-amber Bolduc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336716752 PECOS PAC ID: 3072911254 Enrollment ID: I20211004000650 |
| Provider Name | Brian James Carpenter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912403395 PECOS PAC ID: 6305244484 Enrollment ID: I20211004001344 |
| Provider Name | Marvin Eng |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427194687 PECOS PAC ID: 4486742970 Enrollment ID: I20211004002580 |
| Provider Name | Anup Shah |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336323799 PECOS PAC ID: 0648324632 Enrollment ID: I20211005001324 |
| Provider Name | Moises Nevah Rubin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841482429 PECOS PAC ID: 7113011552 Enrollment ID: I20211006001370 |
| Provider Name | Sally Suliman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891041737 PECOS PAC ID: 3072735901 Enrollment ID: I20211006002795 |
| Provider Name | Jack Chen He |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346506755 PECOS PAC ID: 2769774058 Enrollment ID: I20211013001294 |
| Provider Name | Cody W Petrie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063919173 PECOS PAC ID: 0547665036 Enrollment ID: I20211026003159 |
| Provider Name | Scott William Grogan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164954921 PECOS PAC ID: 0648669093 Enrollment ID: I20211105001303 |
| Provider Name | Katrina Zwack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942870472 PECOS PAC ID: 3476942798 Enrollment ID: I20211108001284 |
| Provider Name | Roderick H Tung |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1740245331 PECOS PAC ID: 6204937535 Enrollment ID: I20211108002510 |
| Provider Name | Jerome Manson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1073926432 PECOS PAC ID: 8921367178 Enrollment ID: I20211110000305 |
| Provider Name | Jennifer M Mccombs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588901565 PECOS PAC ID: 5496051344 Enrollment ID: I20211216001462 |
| Provider Name | Laurie Tyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902853229 PECOS PAC ID: 2365476579 Enrollment ID: I20211216002003 |
| Provider Name | Jillian C Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104589019 PECOS PAC ID: 1052702297 Enrollment ID: I20211227000430 |
| Provider Name | Sonia Teresa Brunson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003408303 PECOS PAC ID: 8820489891 Enrollment ID: I20211229002472 |
| Provider Name | Harnath C Holmes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679598759 PECOS PAC ID: 9335053016 Enrollment ID: I20220106001283 |
| Provider Name | Thiha Tin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376527259 PECOS PAC ID: 6709784887 Enrollment ID: I20220124000601 |
| Provider Name | Melissa Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740521830 PECOS PAC ID: 4284850751 Enrollment ID: I20220202002902 |
| Provider Name | Joy Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508524380 PECOS PAC ID: 1658764972 Enrollment ID: I20220209002580 |
| Provider Name | Meera Raghavan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508064916 PECOS PAC ID: 8426144692 Enrollment ID: I20220211001675 |
| Provider Name | Michael John Berg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598399677 PECOS PAC ID: 1153714282 Enrollment ID: I20220211001683 |
| Provider Name | Chantel Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275193344 PECOS PAC ID: 5991190530 Enrollment ID: I20220318000581 |
| Provider Name | Karn Wijarnpreecha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942683008 PECOS PAC ID: 9335449495 Enrollment ID: I20220329002556 |
| Provider Name | Shaida Molloy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487003638 PECOS PAC ID: 6901179787 Enrollment ID: I20220331002857 |
| Provider Name | Christian Elias Nasr |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760448906 PECOS PAC ID: 5092727362 Enrollment ID: I20220406001769 |
| Provider Name | Michael D Prim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609257062 PECOS PAC ID: 3870895345 Enrollment ID: I20220503000532 |
| Provider Name | Marc Alan Silver |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992818520 PECOS PAC ID: 8628058377 Enrollment ID: I20220510002194 |
| Provider Name | Krista Regina Labruzzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871099127 PECOS PAC ID: 8820341704 Enrollment ID: I20220526002161 |
| Provider Name | Sakolwan Suchartlikitwong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790136471 PECOS PAC ID: 1557653565 Enrollment ID: I20220609001356 |
| Provider Name | Ambar Andrade |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1174751978 PECOS PAC ID: 7113214511 Enrollment ID: I20220629002496 |
| Provider Name | Farah Husain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962473132 PECOS PAC ID: 5395933527 Enrollment ID: I20220629003187 |
| Provider Name | Molly Carnahan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639604739 PECOS PAC ID: 6305116260 Enrollment ID: I20220701002383 |
| Provider Name | Brian P Strollo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417248121 PECOS PAC ID: 0446527931 Enrollment ID: I20220706003797 |
| Provider Name | Gregory Arthur Makar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881042091 PECOS PAC ID: 4688964208 Enrollment ID: I20220707000684 |
| Provider Name | Man Hon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376586065 PECOS PAC ID: 4688762636 Enrollment ID: I20220707003289 |
| Provider Name | Andrew R. Valenzuela |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1851889232 PECOS PAC ID: 2365822269 Enrollment ID: I20220709000604 |
| Provider Name | Anne Merriman Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811487093 PECOS PAC ID: 8325436041 Enrollment ID: I20220712002865 |
| Provider Name | Genevieve Lambert |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1306343611 PECOS PAC ID: 4183977069 Enrollment ID: I20220713003519 |
| Provider Name | Morgan J Crigger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932559572 PECOS PAC ID: 3870852114 Enrollment ID: I20220721002615 |
| Provider Name | Danielle Elizabeth Summers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104237825 PECOS PAC ID: 5193059137 Enrollment ID: I20220727001369 |
| Provider Name | Alexandra Canty Bell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730685223 PECOS PAC ID: 5092062893 Enrollment ID: I20220801002923 |
| Provider Name | Ryan Lee Ung |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972948248 PECOS PAC ID: 5193959633 Enrollment ID: I20220816003609 |
| Provider Name | Jeremy Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457732760 PECOS PAC ID: 0547677171 Enrollment ID: I20220817002738 |
| Provider Name | Meredith Ann Kriss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538804810 PECOS PAC ID: 9133502461 Enrollment ID: I20220818001214 |
| Provider Name | Andrew Patrick Adamczyk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639898620 PECOS PAC ID: 2860877651 Enrollment ID: I20220914003143 |
| Provider Name | Kristen Marie Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659897445 PECOS PAC ID: 2860750205 Enrollment ID: I20220916001025 |
| Provider Name | Michelle H De Geest |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053308627 PECOS PAC ID: 5193755247 Enrollment ID: I20220916001780 |
| Provider Name | Emily Misch |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689037947 PECOS PAC ID: 7618260001 Enrollment ID: I20220919003035 |
| Provider Name | Madison Nicole Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740928936 PECOS PAC ID: 9133504608 Enrollment ID: I20220920000814 |
| Provider Name | Maria N Byrne |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750303764 PECOS PAC ID: 9739255779 Enrollment ID: I20220921002680 |
| Provider Name | Janna Lynn Broxson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992219513 PECOS PAC ID: 9830565878 Enrollment ID: I20221017002669 |
| Provider Name | Allison B Suraci |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285344713 PECOS PAC ID: 6507235645 Enrollment ID: I20221212001040 |
| Provider Name | Thomas Maxwell Fissenden |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851682090 PECOS PAC ID: 6406147289 Enrollment ID: I20221212002929 |
| Provider Name | Andrew Sill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306342167 PECOS PAC ID: 3779819867 Enrollment ID: I20230124001869 |
| Provider Name | Shaleen N Vira |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629368568 PECOS PAC ID: 1658625355 Enrollment ID: I20230131002218 |
| Provider Name | Kelly Lynn Marcello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699270462 PECOS PAC ID: 1850647397 Enrollment ID: I20230203001828 |
| Provider Name | Janey S Yoo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740415660 PECOS PAC ID: 7315280229 Enrollment ID: I20230214000483 |
| Provider Name | Karel A Deleeuw |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1225013022 PECOS PAC ID: 0042110348 Enrollment ID: I20230327001152 |
| Provider Name | Shivani A Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164831251 PECOS PAC ID: 8527364181 Enrollment ID: I20230327002638 |
| Provider Name | Dale Robert Yingling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265495337 PECOS PAC ID: 3779595574 Enrollment ID: I20230407001242 |
| Provider Name | Ayman H Fanous |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033148671 PECOS PAC ID: 5395632970 Enrollment ID: I20230417000444 |
| Provider Name | Abdullah Al-arfaj |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780384875 PECOS PAC ID: 9335504943 Enrollment ID: I20230504001453 |
| Provider Name | Sarah C Arvaneh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265881577 PECOS PAC ID: 8921332784 Enrollment ID: I20230504002307 |
| Provider Name | Savdeep Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407344625 PECOS PAC ID: 1759747090 Enrollment ID: I20230511002758 |
| Provider Name | Daniel N Young |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548612245 PECOS PAC ID: 6204162464 Enrollment ID: I20230512002483 |
| Provider Name | Kelsey E Hoidal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821448499 PECOS PAC ID: 0042614257 Enrollment ID: I20230516000760 |
| Provider Name | Balaji K Tamarappoo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548470842 PECOS PAC ID: 1153454350 Enrollment ID: I20230530002716 |
| Provider Name | Kevin Zhao |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538545975 PECOS PAC ID: 3870950132 Enrollment ID: I20230601002256 |
| Provider Name | Amy Jo Natter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710111240 PECOS PAC ID: 7719344415 Enrollment ID: I20230612003096 |
| Provider Name | Chao Li |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588022123 PECOS PAC ID: 2668830696 Enrollment ID: I20230622002347 |
| Provider Name | Sanjay Bankim Kaji |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1154740314 PECOS PAC ID: 6204132459 Enrollment ID: I20230629003101 |
| Provider Name | Rogelio Aguirre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295420040 PECOS PAC ID: 5294194601 Enrollment ID: I20230703001840 |
| Provider Name | Brooke Renae Grooters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346936481 PECOS PAC ID: 9436518644 Enrollment ID: I20230706002716 |
| Provider Name | Kent J Carpenter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659869071 PECOS PAC ID: 1658772744 Enrollment ID: I20230707003555 |
| Provider Name | Taylor Jeffery Norton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215464391 PECOS PAC ID: 0941690085 Enrollment ID: I20230710003081 |
| Provider Name | Hassan Beydoun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578096293 PECOS PAC ID: 7911244363 Enrollment ID: I20230718003094 |
| Provider Name | Lauren Latshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700560836 PECOS PAC ID: 9335509561 Enrollment ID: I20230719000907 |
| Provider Name | Jaime Arturo Camacho |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194218206 PECOS PAC ID: 3870842776 Enrollment ID: I20230720003012 |
| Provider Name | Eric H. Petersen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255727863 PECOS PAC ID: 9830550755 Enrollment ID: I20230725002030 |
| Provider Name | Kaelin Meesook Bernier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205455326 PECOS PAC ID: 0244652212 Enrollment ID: I20230807001669 |
| Provider Name | Elizabeth M Batterton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639435266 PECOS PAC ID: 4587959598 Enrollment ID: I20230823001923 |
| Provider Name | Michael D. Clarfield |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1932800232 PECOS PAC ID: 6901269554 Enrollment ID: I20230829003724 |
| Provider Name | Sierra Kelsey Dimberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336796598 PECOS PAC ID: 9032503495 Enrollment ID: I20230830000132 |
| Provider Name | Karim A. El-kersh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659681351 PECOS PAC ID: 3476865700 Enrollment ID: I20230830002282 |
| Provider Name | Jocelyn Duggan Wehner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154921260 PECOS PAC ID: 3476964115 Enrollment ID: I20230905003245 |
| Provider Name | Sabhya Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376004374 PECOS PAC ID: 1254665987 Enrollment ID: I20230914002083 |
| Provider Name | Damien A. Richardson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487917068 PECOS PAC ID: 7618223298 Enrollment ID: I20230921002117 |
| Provider Name | Richard Lee Hallett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407876865 PECOS PAC ID: 6002891157 Enrollment ID: I20230926003406 |
| Provider Name | Alicia Moana Taase |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083104368 PECOS PAC ID: 8022462423 Enrollment ID: I20231003001898 |
| Provider Name | Cory Robert Whale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487031373 PECOS PAC ID: 6406113554 Enrollment ID: I20231017003516 |
| Provider Name | Kari A Haws |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1740833292 PECOS PAC ID: 8224484613 Enrollment ID: I20231020001339 |
| Provider Name | Nisha H Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336548445 PECOS PAC ID: 1658664206 Enrollment ID: I20231115001100 |
| Provider Name | Amira Nageeb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912782293 PECOS PAC ID: 0143677963 Enrollment ID: I20231115002170 |
| Provider Name | Jacquelin Danielle Fryer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013426907 PECOS PAC ID: 2264889930 Enrollment ID: I20231117001108 |
| Provider Name | Bailey Lynn Shupe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437939287 PECOS PAC ID: 4486002946 Enrollment ID: I20231122002163 |
| Provider Name | Frank J. Rybicki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255311999 PECOS PAC ID: 9133309909 Enrollment ID: I20231129001027 |
| Provider Name | Ha Jimmy Chim |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1255534871 PECOS PAC ID: 0244475010 Enrollment ID: I20231130004095 |
| Provider Name | Wajih Askar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619408648 PECOS PAC ID: 9931430907 Enrollment ID: I20231201001928 |
| Provider Name | Judy Dawod |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568842961 PECOS PAC ID: 8527323773 Enrollment ID: I20231201002820 |
| Provider Name | Pelin D Strebler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326657792 PECOS PAC ID: 2163840679 Enrollment ID: I20231228002326 |
| Provider Name | Darya Youssefi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063112787 PECOS PAC ID: 0941650253 Enrollment ID: I20231228003883 |
| Provider Name | Naveed Magos Shan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578048948 PECOS PAC ID: 8426400672 Enrollment ID: I20240123004351 |
| Provider Name | Cidney R Grigsby |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730965690 PECOS PAC ID: 9032562020 Enrollment ID: I20240125003409 |
| Provider Name | Melissa Chanell Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891576021 PECOS PAC ID: 7810340361 Enrollment ID: I20240131002749 |
| Provider Name | Kirk J Giesbrandt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801039037 PECOS PAC ID: 4486891777 Enrollment ID: I20240213003538 |
| Provider Name | Esteban Viruet Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285319400 PECOS PAC ID: 3476998147 Enrollment ID: I20240304003356 |
| Provider Name | Saroj Neupane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801184296 PECOS PAC ID: 9830321835 Enrollment ID: I20240313002593 |
| Provider Name | Scott C Goodwin |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1144331703 PECOS PAC ID: 0143318659 Enrollment ID: I20240313003714 |
| Provider Name | Steven E Calvin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912976564 PECOS PAC ID: 8921050089 Enrollment ID: I20240320002462 |
| Provider Name | Fredric E Wondisford |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992885636 PECOS PAC ID: 8921041294 Enrollment ID: I20240321003352 |
| Provider Name | Kayla Nicole Iwanier |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1356028955 PECOS PAC ID: 6709226962 Enrollment ID: I20240504000383 |
| Provider Name | Pelin D Strebler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326657792 PECOS PAC ID: 2163840679 Enrollment ID: I20240531001792 |
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 |