| Baptist Health Medical Group Inc | |
|
10216 Taylorsville Rd Suite 400 Louisville KY 40299-3616 | |
| (502) 267-5456 | |
| (502) 267-5488 |
| Full Name | Baptist Health Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 10216 Taylorsville Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Katherine Smith (DIRECTOR) |
| Authorized Official Contact | 5022382801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Health Medical Group Inc 2700 Stanley Gault Pkwy Suite 129 Louisville KY 40223-5132 Ph: (502) 238-2801 | Baptist Health Medical Group Inc 10216 Taylorsville Rd Suite 400 Louisville KY 40299-3616 Ph: (502) 267-5456 |
| NPI Number | 1740586213 |
|---|---|
| Provider Enumeration Date | 02/01/2011 |
| Last Update Date | 08/05/2015 |
| Medicare PECOS PAC ID | 5597867184 |
|---|---|
| Medicare Enrollment ID | O20070228000503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740586213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Kentucky) | Primary |
| 363A00000X | Physician Assistant | (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | (Kentucky) | Secondary |
| Provider Name | Chris N Anggelis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992780837 PECOS PAC ID: 7416860432 Enrollment ID: I20031106000492 |
| Provider Name | Kenneth C Anderson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205800034 PECOS PAC ID: 8527963099 Enrollment ID: I20031208000075 |
| Provider Name | Michael Bousamra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669411781 PECOS PAC ID: 8628975885 Enrollment ID: I20031216000358 |
| Provider Name | Henry Vontez Poston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306951934 PECOS PAC ID: 0042119810 Enrollment ID: I20031231000444 |
| Provider Name | Frank E Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306854500 PECOS PAC ID: 9436053964 Enrollment ID: I20040112000006 |
| Provider Name | Kellye L Tapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972540276 PECOS PAC ID: 8820999683 Enrollment ID: I20040115000843 |
| Provider Name | David T Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710983093 PECOS PAC ID: 7416840269 Enrollment ID: I20040205000224 |
| Provider Name | Zorre Zeno Kimura |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568707743 PECOS PAC ID: 5092609081 Enrollment ID: I20040211000126 |
| Provider Name | Svetlana Nakatis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134143753 PECOS PAC ID: 4789579855 Enrollment ID: I20040218000019 |
| Provider Name | Gregory M Woolfolk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881678324 PECOS PAC ID: 1759276447 Enrollment ID: I20040220000536 |
| Provider Name | John T Small |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619948692 PECOS PAC ID: 1355237397 Enrollment ID: I20040225001086 |
| Provider Name | Salem M George |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1003805953 PECOS PAC ID: 6103713045 Enrollment ID: I20040303001255 |
| Provider Name | James P Epley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962467183 PECOS PAC ID: 0840187696 Enrollment ID: I20040304000474 |
| Provider Name | Ashok Kapur |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356395859 PECOS PAC ID: 8224926241 Enrollment ID: I20040310000182 |
| Provider Name | Lori A Lipinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558314070 PECOS PAC ID: 8426948647 Enrollment ID: I20040319000170 |
| Provider Name | Mini K Das |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154329449 PECOS PAC ID: 7911898671 Enrollment ID: I20040323000050 |
| Provider Name | Connie P Anggelis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699775007 PECOS PAC ID: 7810889268 Enrollment ID: I20040329001240 |
| Provider Name | Angela D Lanter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710914353 PECOS PAC ID: 7012809486 Enrollment ID: I20040329001349 |
| Provider Name | Giovannie C Eugenio-anciro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063421030 PECOS PAC ID: 9234122664 Enrollment ID: I20040403000066 |
| Provider Name | Brett A Oliver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467458042 PECOS PAC ID: 4789576604 Enrollment ID: I20040409000029 |
| Provider Name | Dennis Unas Anciro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689683658 PECOS PAC ID: 7315931730 Enrollment ID: I20040409000143 |
| Provider Name | Vicki L Hisle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770545899 PECOS PAC ID: 7113911405 Enrollment ID: I20040410000031 |
| Provider Name | Julie T Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194766790 PECOS PAC ID: 9234123167 Enrollment ID: I20040413000718 |
| Provider Name | Timothy A Bratton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285675876 PECOS PAC ID: 8729072673 Enrollment ID: I20040413000864 |
| Provider Name | Edward C Standiford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346248697 PECOS PAC ID: 8527950872 Enrollment ID: I20040413001391 |
| Provider Name | John L Huber |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700857315 PECOS PAC ID: 0547254351 Enrollment ID: I20040414000175 |
| Provider Name | Timothy Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467490292 PECOS PAC ID: 0648265793 Enrollment ID: I20040417000437 |
| Provider Name | Robert L Berlin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790740611 PECOS PAC ID: 6800882978 Enrollment ID: I20040423000150 |
| Provider Name | Cheryl Makk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053392787 PECOS PAC ID: 2961498035 Enrollment ID: I20040423000175 |
| Provider Name | Randall E Case |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881700771 PECOS PAC ID: 4789670589 Enrollment ID: I20040426000059 |
| Provider Name | Siraj U Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912056318 PECOS PAC ID: 6901895390 Enrollment ID: I20040511000260 |
| Provider Name | Terri Overbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467420034 PECOS PAC ID: 1850380957 Enrollment ID: I20040512000158 |
| Provider Name | Reid B Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083616908 PECOS PAC ID: 9133118284 Enrollment ID: I20040512000586 |
| Provider Name | Stewart Blair Tolar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811984941 PECOS PAC ID: 0345230538 Enrollment ID: I20040518000821 |
| Provider Name | Jeffrey A Tuvlin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033215520 PECOS PAC ID: 9032190491 Enrollment ID: I20040601000438 |
| Provider Name | Kenneth E Green |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508802950 PECOS PAC ID: 6901888304 Enrollment ID: I20040601000814 |
| Provider Name | Sarah Eckert Lainhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508860925 PECOS PAC ID: 6709869845 Enrollment ID: I20040610000514 |
| Provider Name | Stuart H Hagan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295714269 PECOS PAC ID: 2264415280 Enrollment ID: I20040610001258 |
| Provider Name | Vicky M Beall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821048117 PECOS PAC ID: 9335031277 Enrollment ID: I20040617000525 |
| Provider Name | Wayne Garcia Villanueva |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861483265 PECOS PAC ID: 7719964469 Enrollment ID: I20040701000488 |
| Provider Name | Stacy R Trinkle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114982683 PECOS PAC ID: 0143207423 Enrollment ID: I20040706000189 |
| Provider Name | Stuart D Spalding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184680068 PECOS PAC ID: 6507843802 Enrollment ID: I20040706000255 |
| Provider Name | Meredith Kehrer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811992969 PECOS PAC ID: 5193705267 Enrollment ID: I20040723000938 |
| Provider Name | Bhawan Narine Yamraj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043256423 PECOS PAC ID: 2567432776 Enrollment ID: I20040727000466 |
| Provider Name | Alexander Jacob Tikhtman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184668956 PECOS PAC ID: 9234028242 Enrollment ID: I20040728001285 |
| Provider Name | Lania M Roland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518961960 PECOS PAC ID: 1254301666 Enrollment ID: I20040730000937 |
| Provider Name | Robert John Powrie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316947013 PECOS PAC ID: 5395716674 Enrollment ID: I20040802000696 |
| Provider Name | Timothy Wayne Carroll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437189396 PECOS PAC ID: 0749251601 Enrollment ID: I20040804000331 |
| Provider Name | Paul C Pedersen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003892720 PECOS PAC ID: 6406835560 Enrollment ID: I20040809000698 |
| Provider Name | Amy Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144209081 PECOS PAC ID: 0941272124 Enrollment ID: I20040809000770 |
| Provider Name | Allen Gregory Deam |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1285634683 PECOS PAC ID: 5991699696 Enrollment ID: I20040813000882 |
| Provider Name | Rebecca M Mcfarland |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265420996 PECOS PAC ID: 1254304314 Enrollment ID: I20040817000448 |
| Provider Name | James L Coorssen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710101654 PECOS PAC ID: 9234102393 Enrollment ID: I20040817000470 |
| Provider Name | Thokur Acharya Vyas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982691499 PECOS PAC ID: 9739154188 Enrollment ID: I20040830000267 |
| Provider Name | Michael A Geile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861499022 PECOS PAC ID: 4587639737 Enrollment ID: I20040831000851 |
| Provider Name | Michael R Lawrence |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306887633 PECOS PAC ID: 1759357684 Enrollment ID: I20040902000599 |
| Provider Name | Ernest T Oneal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942425426 PECOS PAC ID: 3971579715 Enrollment ID: I20040902001459 |
| Provider Name | Tonya Perkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033130497 PECOS PAC ID: 2163498494 Enrollment ID: I20040908000364 |
| Provider Name | Samer H Hussein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063477214 PECOS PAC ID: 9032185269 Enrollment ID: I20040908001247 |
| Provider Name | Holly K Mccoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669479648 PECOS PAC ID: 0547249617 Enrollment ID: I20040913000377 |
| Provider Name | Russell James Bird |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801817242 PECOS PAC ID: 0143297622 Enrollment ID: I20040914000724 |
| Provider Name | Brian D Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902803489 PECOS PAC ID: 1355319070 Enrollment ID: I20040921000597 |
| Provider Name | Darrick Matthew Mcdanald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053366914 PECOS PAC ID: 3870561244 Enrollment ID: I20040923000087 |
| Provider Name | Lori Ann Adelmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790889145 PECOS PAC ID: 7810966231 Enrollment ID: I20040930001249 |
| Provider Name | Plavakeerthi Kemparajurs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750371969 PECOS PAC ID: 8628047008 Enrollment ID: I20041001000857 |
| Provider Name | Susan D Jewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982640603 PECOS PAC ID: 5991764029 Enrollment ID: I20041005000971 |
| Provider Name | Mindy E Sydnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841299260 PECOS PAC ID: 9234199464 Enrollment ID: I20041013000153 |
| Provider Name | David B Saxon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023075173 PECOS PAC ID: 3072574946 Enrollment ID: I20041023000210 |
| Provider Name | Amy Hallal Henderson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1437159886 PECOS PAC ID: 0547258691 Enrollment ID: I20041027000546 |
| Provider Name | Joseph Brent Mefford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437106408 PECOS PAC ID: 8224090105 Enrollment ID: I20041102001035 |
| Provider Name | Irfan A Afaq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790778447 PECOS PAC ID: 8921997123 Enrollment ID: I20041108000539 |
| Provider Name | Amy K Richardson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285672014 PECOS PAC ID: 9830152925 Enrollment ID: I20041109001193 |
| Provider Name | Alexander Asamoah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639153174 PECOS PAC ID: 7719940758 Enrollment ID: I20041110000402 |
| Provider Name | Kelley R Kiesler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609863786 PECOS PAC ID: 8426011461 Enrollment ID: I20041110000428 |
| Provider Name | Ricky L Angel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235121641 PECOS PAC ID: 1355304361 Enrollment ID: I20041110001008 |
| Provider Name | Jeffrey Wicker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932143484 PECOS PAC ID: 9638131485 Enrollment ID: I20041118000004 |
| Provider Name | Abby Hefner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043242522 PECOS PAC ID: 4385600204 Enrollment ID: I20041202000668 |
| Provider Name | Robert B Cloar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245254150 PECOS PAC ID: 3779549167 Enrollment ID: I20041207001066 |
| Provider Name | Hanan Budeiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013962653 PECOS PAC ID: 3870559164 Enrollment ID: I20041208000624 |
| Provider Name | Amanda M Ryden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033223359 PECOS PAC ID: 0840257663 Enrollment ID: I20041214000271 |
| Provider Name | Jun Oh Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245295765 PECOS PAC ID: 1850359837 Enrollment ID: I20041222000038 |
| Provider Name | George T Shee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598729360 PECOS PAC ID: 3476511452 Enrollment ID: I20041222000048 |
| Provider Name | Rex P Lagerstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083679880 PECOS PAC ID: 7113975434 Enrollment ID: I20050104000390 |
| Provider Name | Leann S Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023030350 PECOS PAC ID: 9335197466 Enrollment ID: I20050105000970 |
| Provider Name | David B Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780688010 PECOS PAC ID: 7315904067 Enrollment ID: I20050106000010 |
| Provider Name | Beth Ann Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376544221 PECOS PAC ID: 1456309194 Enrollment ID: I20050110000130 |
| Provider Name | Charles V Stargel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144206251 PECOS PAC ID: 8325099427 Enrollment ID: I20050207000368 |
| Provider Name | Thomas D Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821096421 PECOS PAC ID: 3375595333 Enrollment ID: I20050217000642 |
| Provider Name | William T Mcclure |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548218456 PECOS PAC ID: 5496708141 Enrollment ID: I20050223000146 |
| Provider Name | Joseph H Hersh |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1376521278 PECOS PAC ID: 1557257722 Enrollment ID: I20050228000082 |
| Provider Name | Craig Thomas Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528122991 PECOS PAC ID: 0345293650 Enrollment ID: I20050228000475 |
| Provider Name | Sarah E Gold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043374556 PECOS PAC ID: 1254384498 Enrollment ID: I20050228000494 |
| Provider Name | Kimberly A Abell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356408371 PECOS PAC ID: 5193778330 Enrollment ID: I20050228000550 |
| Provider Name | Joan S Dalton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861556227 PECOS PAC ID: 6204889454 Enrollment ID: I20050228000625 |
| Provider Name | Gwendolyn Frances Crawford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720142193 PECOS PAC ID: 7113970328 Enrollment ID: I20050301000000 |
| Provider Name | Gina D'costa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184653842 PECOS PAC ID: 1052364270 Enrollment ID: I20050301000085 |
| Provider Name | Jesse E Adams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760470587 PECOS PAC ID: 7113811803 Enrollment ID: I20050304000110 |
| Provider Name | Amanda G Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215913298 PECOS PAC ID: 5395799530 Enrollment ID: I20050310000091 |
| Provider Name | Steven Skaggs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285746933 PECOS PAC ID: 5193779353 Enrollment ID: I20050310000182 |
| Provider Name | Thomas James |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942265053 PECOS PAC ID: 5193770063 Enrollment ID: I20050315000020 |
| Provider Name | Lezlie S Getz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902903537 PECOS PAC ID: 4385699453 Enrollment ID: I20050322000504 |
| Provider Name | Satya V Garimella |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164452850 PECOS PAC ID: 9830146927 Enrollment ID: I20050331000890 |
| Provider Name | Angela D Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578568390 PECOS PAC ID: 7618924085 Enrollment ID: I20050407000442 |
| Provider Name | Lynnelle Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487746004 PECOS PAC ID: 7911944525 Enrollment ID: I20050414001181 |
| Provider Name | Sharon E Wells Fulkerson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558385500 PECOS PAC ID: 4789622051 Enrollment ID: I20050419000352 |
| Provider Name | Kathy A Nieder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639158207 PECOS PAC ID: 7911946017 Enrollment ID: I20050428000189 |
| Provider Name | Mark Christian Portaro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558380626 PECOS PAC ID: 5698717155 Enrollment ID: I20050525000028 |
| Provider Name | Gina L Land |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003854696 PECOS PAC ID: 5698762847 Enrollment ID: I20050606000784 |
| Provider Name | Michael Steven Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124064225 PECOS PAC ID: 7618910100 Enrollment ID: I20050606000856 |
| Provider Name | William Hagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316944556 PECOS PAC ID: 1850334350 Enrollment ID: I20050606000904 |
| Provider Name | Steven Crum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275599755 PECOS PAC ID: 8921041427 Enrollment ID: I20050606000919 |
| Provider Name | Mujahid A Nasir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083697205 PECOS PAC ID: 9436192531 Enrollment ID: I20050609000534 |
| Provider Name | Shanker Chandiramani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174564124 PECOS PAC ID: 8325081482 Enrollment ID: I20050614000031 |
| Provider Name | Jorge M Cardenas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093702128 PECOS PAC ID: 7113917568 Enrollment ID: I20050629001108 |
| Provider Name | Thomas Becherer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700987260 PECOS PAC ID: 9234127002 Enrollment ID: I20050705000569 |
| Provider Name | William Hoagland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720076029 PECOS PAC ID: 6406892900 Enrollment ID: I20050707000143 |
| Provider Name | Patricia L Figert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659369940 PECOS PAC ID: 5597701094 Enrollment ID: I20050707000298 |
| Provider Name | Rebecca Ann Souza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528202132 PECOS PAC ID: 4486680048 Enrollment ID: I20050714000571 |
| Provider Name | James Shannon Elliott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013919174 PECOS PAC ID: 3971531229 Enrollment ID: I20050728000922 |
| Provider Name | Ivan Morrin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104825934 PECOS PAC ID: 3971594300 Enrollment ID: I20050729000259 |
| Provider Name | Brian W Chaney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124029160 PECOS PAC ID: 2668400649 Enrollment ID: I20050801000367 |
| Provider Name | Cheri L Fogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518959923 PECOS PAC ID: 5294764122 Enrollment ID: I20050810000865 |
| Provider Name | Jill R Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437114618 PECOS PAC ID: 0547292567 Enrollment ID: I20050909000691 |
| Provider Name | Elizabeth A Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023099629 PECOS PAC ID: 7416980859 Enrollment ID: I20050919000256 |
| Provider Name | Matthew L Offutt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104867456 PECOS PAC ID: 8921032855 Enrollment ID: I20050921000086 |
| Provider Name | David Wayne Kazee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861449837 PECOS PAC ID: 6507890753 Enrollment ID: I20050927000198 |
| Provider Name | Akshaya A Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407963671 PECOS PAC ID: 4981639598 Enrollment ID: I20051003000662 |
| Provider Name | Francis Beng Kiat Ong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609871995 PECOS PAC ID: 7810922374 Enrollment ID: I20051005000089 |
| Provider Name | Leann Rouben Culbertson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679201990 PECOS PAC ID: 9931124799 Enrollment ID: I20051011000356 |
| Provider Name | James R Werkmeister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295708857 PECOS PAC ID: 0840286910 Enrollment ID: I20051114000745 |
| Provider Name | Deejay W Hall |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306808712 PECOS PAC ID: 3971523655 Enrollment ID: I20051123000435 |
| Provider Name | Janet Elizabeth Thorley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316023930 PECOS PAC ID: 5193747624 Enrollment ID: I20051228000316 |
| Provider Name | Kerri Jo Neff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013969302 PECOS PAC ID: 3971526716 Enrollment ID: I20060109000103 |
| Provider Name | Kathy R Rorer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639115314 PECOS PAC ID: 1557384971 Enrollment ID: I20060111000547 |
| Provider Name | Chris R Koford |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1568651842 PECOS PAC ID: 6204850845 Enrollment ID: I20060123000021 |
| Provider Name | Frank W Harrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609812676 PECOS PAC ID: 4183638109 Enrollment ID: I20060130000443 |
| Provider Name | Debra L Hines |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982666921 PECOS PAC ID: 4183638810 Enrollment ID: I20060201000508 |
| Provider Name | Alan J Thorner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356388318 PECOS PAC ID: 1658361472 Enrollment ID: I20060202000291 |
| Provider Name | Lida M Oxnard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487738944 PECOS PAC ID: 4587679972 Enrollment ID: I20060207000017 |
| Provider Name | Juawanna L Schuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528036100 PECOS PAC ID: 0547276560 Enrollment ID: I20060301000186 |
| Provider Name | Tami Michele Secor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336185354 PECOS PAC ID: 5991712549 Enrollment ID: I20060307000735 |
| Provider Name | William B King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295898807 PECOS PAC ID: 0840207882 Enrollment ID: I20060315000574 |
| Provider Name | Connie J Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669412334 PECOS PAC ID: 7719994524 Enrollment ID: I20060320000014 |
| Provider Name | Laura M Tudor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790709236 PECOS PAC ID: 4880601699 Enrollment ID: I20060320000027 |
| Provider Name | Luis A Concepcion |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194778449 PECOS PAC ID: 7911915160 Enrollment ID: I20060329000463 |
| Provider Name | Thomas Kevin Hart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326084773 PECOS PAC ID: 7911916192 Enrollment ID: I20060417000463 |
| Provider Name | Ignacio Montes |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568435204 PECOS PAC ID: 4284644097 Enrollment ID: I20060424000578 |
| Provider Name | Michael W Mcquillen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992763494 PECOS PAC ID: 7012944754 Enrollment ID: I20060427000232 |
| Provider Name | Sheila Denise Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205890142 PECOS PAC ID: 7911918354 Enrollment ID: I20060522000030 |
| Provider Name | Angela Kay Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497709547 PECOS PAC ID: 2860403052 Enrollment ID: I20060602000042 |
| Provider Name | Jonathan A Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437198645 PECOS PAC ID: 5698701035 Enrollment ID: I20060615000074 |
| Provider Name | Ginny A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699726596 PECOS PAC ID: 1254343858 Enrollment ID: I20060623000199 |
| Provider Name | Catherine M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689623944 PECOS PAC ID: 7113930637 Enrollment ID: I20060728000055 |
| Provider Name | Ethel D Luster Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154375020 PECOS PAC ID: 3476556226 Enrollment ID: I20060816000286 |
| Provider Name | Tracey B Kuntz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316901598 PECOS PAC ID: 4789689969 Enrollment ID: I20060921000298 |
| Provider Name | Ron Creque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194717397 PECOS PAC ID: 5092712901 Enrollment ID: I20061106000495 |
| Provider Name | Sean Michael Denton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376564963 PECOS PAC ID: 3072511807 Enrollment ID: I20061110000059 |
| Provider Name | William Matt Collier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750472486 PECOS PAC ID: 6103824826 Enrollment ID: I20061113000340 |
| Provider Name | Leela Bhupalam |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629059431 PECOS PAC ID: 9032117676 Enrollment ID: I20061115000266 |
| Provider Name | Walter O Bruning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063419901 PECOS PAC ID: 6406855899 Enrollment ID: I20061213000055 |
| Provider Name | Charles E Gaba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801866025 PECOS PAC ID: 5991704397 Enrollment ID: I20061213000108 |
| Provider Name | Jean H Nusz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568404861 PECOS PAC ID: 4688617459 Enrollment ID: I20070213000572 |
| Provider Name | Stephen Andrew Moses |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124055876 PECOS PAC ID: 0345297529 Enrollment ID: I20070219000539 |
| Provider Name | Richa Gupta Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881797827 PECOS PAC ID: 5496857070 Enrollment ID: I20070228000431 |
| Provider Name | Keith E Krawiec |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730186545 PECOS PAC ID: 0547362014 Enrollment ID: I20070301000488 |
| Provider Name | Sarah I Little |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972512580 PECOS PAC ID: 3577666932 Enrollment ID: I20070306000207 |
| Provider Name | Christina G Gilles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417963240 PECOS PAC ID: 1951403245 Enrollment ID: I20070310000031 |
| Provider Name | Ashish M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811915598 PECOS PAC ID: 7517061773 Enrollment ID: I20070327000588 |
| Provider Name | Eugene E Jacob |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578587424 PECOS PAC ID: 3779564661 Enrollment ID: I20070430000532 |
| Provider Name | Richard A Hefner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639102585 PECOS PAC ID: 0840396214 Enrollment ID: I20070501000327 |
| Provider Name | Ann K Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821172271 PECOS PAC ID: 6103921010 Enrollment ID: I20070503000458 |
| Provider Name | Sanjiv Mehta |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013014133 PECOS PAC ID: 2365548450 Enrollment ID: I20070507000395 |
| Provider Name | Arthur G Yin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144241233 PECOS PAC ID: 4880791417 Enrollment ID: I20070516000363 |
| Provider Name | Adressa H Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215984299 PECOS PAC ID: 9537121975 Enrollment ID: I20070531000309 |
| Provider Name | Meri J Mccourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780742775 PECOS PAC ID: 5991803710 Enrollment ID: I20070601000356 |
| Provider Name | Jamie V Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831239284 PECOS PAC ID: 0840398681 Enrollment ID: I20070601000520 |
| Provider Name | Steven Joseph Reiss |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487647616 PECOS PAC ID: 5395843940 Enrollment ID: I20070606000278 |
| Provider Name | Pamela L Beury |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790895480 PECOS PAC ID: 0749388791 Enrollment ID: I20070614000380 |
| Provider Name | Timothy G Price |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124120753 PECOS PAC ID: 3476456286 Enrollment ID: I20070618000245 |
| Provider Name | James N Code |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982730081 PECOS PAC ID: 1456450246 Enrollment ID: I20070619000658 |
| Provider Name | Ajmal H Bangash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669409702 PECOS PAC ID: 9234140815 Enrollment ID: I20070620000505 |
| Provider Name | Jennifer L Lindsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316019748 PECOS PAC ID: 2668571258 Enrollment ID: I20070622000050 |
| Provider Name | Marcus Eddie Randall |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487641700 PECOS PAC ID: 6709836976 Enrollment ID: I20070623000035 |
| Provider Name | Ramana V Chennubhotla |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366498339 PECOS PAC ID: 6406884766 Enrollment ID: I20070625000678 |
| Provider Name | Khalid Z Ghosheh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164452959 PECOS PAC ID: 7911977020 Enrollment ID: I20070627000283 |
| Provider Name | Barry Brian Sosnin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922194083 PECOS PAC ID: 3173622362 Enrollment ID: I20070629000136 |
| Provider Name | Jason L Yewell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972549277 PECOS PAC ID: 7012912538 Enrollment ID: I20070630000017 |
| Provider Name | Steve Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912917972 PECOS PAC ID: 0345340394 Enrollment ID: I20070705000486 |
| Provider Name | Anne W Ensor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255469102 PECOS PAC ID: 2668572322 Enrollment ID: I20070710000701 |
| Provider Name | Greg N Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649257866 PECOS PAC ID: 9133229396 Enrollment ID: I20070717000505 |
| Provider Name | Lauren C Briley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962537589 PECOS PAC ID: 4385744556 Enrollment ID: I20070717000619 |
| Provider Name | Allison F Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982730917 PECOS PAC ID: 7810097003 Enrollment ID: I20070718000060 |
| Provider Name | Brian Michael Dobozi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437157393 PECOS PAC ID: 8921053851 Enrollment ID: I20070718000212 |
| Provider Name | Katherine Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447475439 PECOS PAC ID: 4486755592 Enrollment ID: I20070719000391 |
| Provider Name | Jennifer C Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922196526 PECOS PAC ID: 0547361479 Enrollment ID: I20070723000527 |
| Provider Name | Kristy L Chappell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073514030 PECOS PAC ID: 3870547243 Enrollment ID: I20070724000569 |
| Provider Name | Kevin J Croce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760600126 PECOS PAC ID: 0648371955 Enrollment ID: I20070730000838 |
| Provider Name | Dustin K Devers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699989640 PECOS PAC ID: 7214038538 Enrollment ID: I20070730000908 |
| Provider Name | Jahangir Cyrus |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558306092 PECOS PAC ID: 1951492107 Enrollment ID: I20070802000382 |
| Provider Name | Mazhar Salim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013075449 PECOS PAC ID: 4789775842 Enrollment ID: I20070806000004 |
| Provider Name | Robert E Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457479396 PECOS PAC ID: 5294826749 Enrollment ID: I20070813000314 |
| Provider Name | Kimberly Ray Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093931487 PECOS PAC ID: 9234220781 Enrollment ID: I20070813000370 |
| Provider Name | Julie N Ashmun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083824775 PECOS PAC ID: 5890887152 Enrollment ID: I20070816000768 |
| Provider Name | Tara S Kauffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053510651 PECOS PAC ID: 5496848392 Enrollment ID: I20070910000141 |
| Provider Name | Ganesh N Yamraj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578788386 PECOS PAC ID: 4486748704 Enrollment ID: I20070918000341 |
| Provider Name | Jason M Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144319443 PECOS PAC ID: 0345145652 Enrollment ID: I20070920000573 |
| Provider Name | Jeannine M Perrenoud |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154418168 PECOS PAC ID: 6709970791 Enrollment ID: I20070921000214 |
| Provider Name | Wangjian Zhong |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275670788 PECOS PAC ID: 3971697640 Enrollment ID: I20070926000286 |
| Provider Name | Douglas Marquess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073502316 PECOS PAC ID: 9638265317 Enrollment ID: I20071010000602 |
| Provider Name | Jamie D Kemp |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699980854 PECOS PAC ID: 5799871109 Enrollment ID: I20071017000305 |
| Provider Name | Ryan S Tolliver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346309218 PECOS PAC ID: 5698861896 Enrollment ID: I20071019000002 |
| Provider Name | Mary H Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154445195 PECOS PAC ID: 1557458049 Enrollment ID: I20071031000093 |
| Provider Name | Thomas M Pope |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184727448 PECOS PAC ID: 9537066832 Enrollment ID: I20071103000004 |
| Provider Name | Rajanna B Ramaswamy |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1386618221 PECOS PAC ID: 9335238609 Enrollment ID: I20071210000393 |
| Provider Name | Lisa M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730360710 PECOS PAC ID: 4284724634 Enrollment ID: I20071221000254 |
| Provider Name | Lisa C Primm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053507798 PECOS PAC ID: 4183704414 Enrollment ID: I20071227000594 |
| Provider Name | William J Crump |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326144502 PECOS PAC ID: 6103906466 Enrollment ID: I20071228000172 |
| Provider Name | Stacey L Waring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124174198 PECOS PAC ID: 1355421124 Enrollment ID: I20080107000159 |
| Provider Name | Bradford Cottrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629116942 PECOS PAC ID: 7618057480 Enrollment ID: I20080107000167 |
| Provider Name | John R Johnson |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1417028762 PECOS PAC ID: 8729169065 Enrollment ID: I20080114000059 |
| Provider Name | John H. Loughran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578691622 PECOS PAC ID: 8921181611 Enrollment ID: I20080219000472 |
| Provider Name | Andrew D Bailey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083616759 PECOS PAC ID: 0446334197 Enrollment ID: I20080220000200 |
| Provider Name | James E Eversole |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194949024 PECOS PAC ID: 3375516891 Enrollment ID: I20080228000407 |
| Provider Name | Winston C Chua |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013923846 PECOS PAC ID: 9739114570 Enrollment ID: I20080229000394 |
| Provider Name | Donna Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003858929 PECOS PAC ID: 7911082144 Enrollment ID: I20080311000690 |
| Provider Name | Abraham S Galloway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487842084 PECOS PAC ID: 1254417553 Enrollment ID: I20080327000181 |
| Provider Name | Robert R Van Bussum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144222399 PECOS PAC ID: 9739185745 Enrollment ID: I20080401000611 |
| Provider Name | Sheryl Wyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346418001 PECOS PAC ID: 8729163597 Enrollment ID: I20080407000028 |
| Provider Name | Amy M Morehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780863167 PECOS PAC ID: 3971680133 Enrollment ID: I20080411000518 |
| Provider Name | Robert W Linker |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720010713 PECOS PAC ID: 7618942988 Enrollment ID: I20080424000126 |
| Provider Name | Jessica L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497939185 PECOS PAC ID: 2264511583 Enrollment ID: I20080512000173 |
| Provider Name | Jeanelle H Porter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609948868 PECOS PAC ID: 8022187582 Enrollment ID: I20080523000206 |
| Provider Name | William C Dillon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053340141 PECOS PAC ID: 5890708242 Enrollment ID: I20080707000188 |
| Provider Name | Kevin Ziegler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275673113 PECOS PAC ID: 9739252826 Enrollment ID: I20080723000229 |
| Provider Name | Richard C Oliphant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558362608 PECOS PAC ID: 4688612807 Enrollment ID: I20080731000447 |
| Provider Name | John R Penta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760484604 PECOS PAC ID: 7113091364 Enrollment ID: I20080806000086 |
| Provider Name | Lisa A Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750554069 PECOS PAC ID: 4486728656 Enrollment ID: I20080806000201 |
| Provider Name | Mellisa L Larkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407838311 PECOS PAC ID: 1254407455 Enrollment ID: I20080912000298 |
| Provider Name | Carla F Rivera Y Pierola |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841496692 PECOS PAC ID: 1557438280 Enrollment ID: I20080923000320 |
| Provider Name | Angelino S Yson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336193465 PECOS PAC ID: 2365519931 Enrollment ID: I20080923000714 |
| Provider Name | Mary Lou G Reichert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316031453 PECOS PAC ID: 0042388985 Enrollment ID: I20081006000501 |
| Provider Name | Laurie B Craycroft |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922055920 PECOS PAC ID: 3779598941 Enrollment ID: I20081007000477 |
| Provider Name | Carrie June Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821195447 PECOS PAC ID: 4284702531 Enrollment ID: I20081014000281 |
| Provider Name | Bethany L Crispin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255522629 PECOS PAC ID: 3779651021 Enrollment ID: I20081014000339 |
| Provider Name | Hope M Cottrill |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1821256066 PECOS PAC ID: 0446318463 Enrollment ID: I20081021000146 |
| Provider Name | Mark E Demuth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619031192 PECOS PAC ID: 7618035411 Enrollment ID: I20081023000259 |
| Provider Name | Merrille A Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740444678 PECOS PAC ID: 8527126341 Enrollment ID: I20081023000454 |
| Provider Name | Sarah E Mizuguchi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902937584 PECOS PAC ID: 0840358453 Enrollment ID: I20081027000549 |
| Provider Name | Crystal H Mcmahan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396969200 PECOS PAC ID: 7416016548 Enrollment ID: I20081104000786 |
| Provider Name | Lonnie J Bargo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306000591 PECOS PAC ID: 9436219870 Enrollment ID: I20081115000016 |
| Provider Name | Katherine H Jett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801917570 PECOS PAC ID: 0042370769 Enrollment ID: I20081125000237 |
| Provider Name | Sarah A Parrish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922268523 PECOS PAC ID: 0345301602 Enrollment ID: I20081204000481 |
| Provider Name | Stephen P Lebder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801802905 PECOS PAC ID: 8820159577 Enrollment ID: I20081212000521 |
| Provider Name | Richard M West |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629046834 PECOS PAC ID: 5991867244 Enrollment ID: I20081219000231 |
| Provider Name | Kelly L Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689824708 PECOS PAC ID: 8224190459 Enrollment ID: I20081223000390 |
| Provider Name | Amy M Cissell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275562167 PECOS PAC ID: 2567467939 Enrollment ID: I20081224000283 |
| Provider Name | Michael K Hannigan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093739914 PECOS PAC ID: 6305908195 Enrollment ID: I20090105000335 |
| Provider Name | Darren C Chapman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487607610 PECOS PAC ID: 9335187053 Enrollment ID: I20090107000232 |
| Provider Name | Regina L Alfred |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437394566 PECOS PAC ID: 6901969153 Enrollment ID: I20090114000123 |
| Provider Name | Jimmye Perkins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902945322 PECOS PAC ID: 4789745290 Enrollment ID: I20090116000386 |
| Provider Name | David Anthony Lipski |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730111725 PECOS PAC ID: 5496819260 Enrollment ID: I20090123000292 |
| Provider Name | Karl F Heinss |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992705362 PECOS PAC ID: 4486718012 Enrollment ID: I20090127000376 |
| Provider Name | Laura E Humphrey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992950653 PECOS PAC ID: 9931263928 Enrollment ID: I20090206000190 |
| Provider Name | Kali Lauren Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770736258 PECOS PAC ID: 4880759729 Enrollment ID: I20090210000432 |
| Provider Name | Jennifer L Bratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962648709 PECOS PAC ID: 0042375313 Enrollment ID: I20090220000123 |
| Provider Name | Michael W Newkirk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871650101 PECOS PAC ID: 8426113564 Enrollment ID: I20090224000506 |
| Provider Name | Ricardo Ferreira Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437218799 PECOS PAC ID: 2961568985 Enrollment ID: I20090226000692 |
| Provider Name | Eric T Morse |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801953146 PECOS PAC ID: 0648327643 Enrollment ID: I20090408000545 |
| Provider Name | Herby G Hay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811079411 PECOS PAC ID: 8921155722 Enrollment ID: I20090414000412 |
| Provider Name | Sara K Eckert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073759940 PECOS PAC ID: 7517014160 Enrollment ID: I20090416000487 |
| Provider Name | John T Cecil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821168154 PECOS PAC ID: 1759438153 Enrollment ID: I20090421000563 |
| Provider Name | Michelle R Stettenbenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346488012 PECOS PAC ID: 8820146277 Enrollment ID: I20090423000432 |
| Provider Name | Todd Shanks |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154542181 PECOS PAC ID: 8426106808 Enrollment ID: I20090423000698 |
| Provider Name | George W Scott |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386845378 PECOS PAC ID: 0143378430 Enrollment ID: I20090424000105 |
| Provider Name | David S Hunt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851462196 PECOS PAC ID: 7810045895 Enrollment ID: I20090430000383 |
| Provider Name | Michelle Ross Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174683205 PECOS PAC ID: 0345398814 Enrollment ID: I20090512000049 |
| Provider Name | James E Mckiernan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336126515 PECOS PAC ID: 2860398252 Enrollment ID: I20090604000156 |
| Provider Name | Mistie R Teer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821236555 PECOS PAC ID: 1254498827 Enrollment ID: I20090617000499 |
| Provider Name | Louis G Meriwether |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972728186 PECOS PAC ID: 9032151147 Enrollment ID: I20090623000348 |
| Provider Name | Mitzi N Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245481811 PECOS PAC ID: 9335290477 Enrollment ID: I20090630000478 |
| Provider Name | Corey Forester |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508032459 PECOS PAC ID: 0345391124 Enrollment ID: I20090708000362 |
| Provider Name | Rinit H Pancholi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205048212 PECOS PAC ID: 9335291756 Enrollment ID: I20090716000249 |
| Provider Name | Willard L Keith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669534194 PECOS PAC ID: 3678465929 Enrollment ID: I20090720000267 |
| Provider Name | Franklin Fannin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013050368 PECOS PAC ID: 1658447107 Enrollment ID: I20090722000252 |
| Provider Name | James S Morgan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619130390 PECOS PAC ID: 5799837662 Enrollment ID: I20090723000722 |
| Provider Name | Karen J Schell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548441884 PECOS PAC ID: 1355495185 Enrollment ID: I20090813000450 |
| Provider Name | Kara M Wells |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760658355 PECOS PAC ID: 6204980568 Enrollment ID: I20090820000538 |
| Provider Name | Douglas Milligan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497765556 PECOS PAC ID: 8325192685 Enrollment ID: I20090820000602 |
| Provider Name | Jennifer A Lash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831227784 PECOS PAC ID: 0941373229 Enrollment ID: I20090921000191 |
| Provider Name | Ryan B West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679736037 PECOS PAC ID: 0345386504 Enrollment ID: I20091002000002 |
| Provider Name | Kevin M Pridemore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477714855 PECOS PAC ID: 1557422409 Enrollment ID: I20091008000329 |
| Provider Name | Debra S Lusk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285866301 PECOS PAC ID: 3779629589 Enrollment ID: I20091008000408 |
| Provider Name | Donna L Betz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942401005 PECOS PAC ID: 9537205083 Enrollment ID: I20091014000141 |
| Provider Name | Brian D Beauerle |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376679613 PECOS PAC ID: 2668518093 Enrollment ID: I20091015000124 |
| Provider Name | Bradley G Thomas |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104933720 PECOS PAC ID: 5890890396 Enrollment ID: I20091015000132 |
| Provider Name | Tannika Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053481820 PECOS PAC ID: 3678473790 Enrollment ID: I20091019000526 |
| Provider Name | Robert J Farrell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245433051 PECOS PAC ID: 7810064797 Enrollment ID: I20091028000226 |
| Provider Name | Prashanti Rajagopalan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518086115 PECOS PAC ID: 4385715366 Enrollment ID: I20091028000450 |
| Provider Name | Joanna Hetman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043336373 PECOS PAC ID: 5294872859 Enrollment ID: I20091030000216 |
| Provider Name | Rusty T Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952439499 PECOS PAC ID: 4688712094 Enrollment ID: I20091105000005 |
| Provider Name | Michelle T Engelhardt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720299431 PECOS PAC ID: 8022156439 Enrollment ID: I20091105000031 |
| Provider Name | Elizabeth A Cull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356677678 PECOS PAC ID: 7810035276 Enrollment ID: I20091105000430 |
| Provider Name | Graham D Englund |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962528067 PECOS PAC ID: 1658419841 Enrollment ID: I20091109000321 |
| Provider Name | Brooke A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528204039 PECOS PAC ID: 1153469903 Enrollment ID: I20091116000240 |
| Provider Name | Ronald Crafton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619923802 PECOS PAC ID: 9436298783 Enrollment ID: I20091130000538 |
| Provider Name | James Eckman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477549293 PECOS PAC ID: 7810036571 Enrollment ID: I20091209000527 |
| Provider Name | Jacob W Vincent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629075692 PECOS PAC ID: 1557401742 Enrollment ID: I20091219000002 |
| Provider Name | Allison Hatmaker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518014489 PECOS PAC ID: 2466529870 Enrollment ID: I20091222000119 |
| Provider Name | Stephen P Makk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629070545 PECOS PAC ID: 8123168150 Enrollment ID: I20091222000569 |
| Provider Name | Kittie H George |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669474599 PECOS PAC ID: 4486795606 Enrollment ID: I20100111000470 |
| Provider Name | Angela Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033117478 PECOS PAC ID: 2860533940 Enrollment ID: I20100112000225 |
| Provider Name | William A Logan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871699884 PECOS PAC ID: 2365583440 Enrollment ID: I20100112000272 |
| Provider Name | Terry S Weiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700933017 PECOS PAC ID: 9739220799 Enrollment ID: I20100113000136 |
| Provider Name | Myra Pieratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396700308 PECOS PAC ID: 6507907441 Enrollment ID: I20100114000071 |
| Provider Name | Matthew A Stiles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730186974 PECOS PAC ID: 8426190349 Enrollment ID: I20100114000858 |
| Provider Name | Robert Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194822817 PECOS PAC ID: 2365541372 Enrollment ID: I20100115000102 |
| Provider Name | Arthur J Mclaughlin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992797054 PECOS PAC ID: 2466435920 Enrollment ID: I20100128000100 |
| Provider Name | Teresa G Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275590325 PECOS PAC ID: 1254474018 Enrollment ID: I20100203000001 |
| Provider Name | John Mandrola |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1386676658 PECOS PAC ID: 4587745617 Enrollment ID: I20100204000618 |
| Provider Name | Michael L Hack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619073681 PECOS PAC ID: 3173666369 Enrollment ID: I20100210000697 |
| Provider Name | Stephen K Overstreet |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811995624 PECOS PAC ID: 1557405719 Enrollment ID: I20100225000719 |
| Provider Name | Cheryl W Edelen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891892410 PECOS PAC ID: 9436293610 Enrollment ID: I20100225000936 |
| Provider Name | Heather M Tluczek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568504637 PECOS PAC ID: 4880760420 Enrollment ID: I20100305000035 |
| Provider Name | Kelley M Carrico-welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235460957 PECOS PAC ID: 8729123294 Enrollment ID: I20100309000069 |
| Provider Name | Sebastian Pagni |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1255384004 PECOS PAC ID: 6709805641 Enrollment ID: I20100319000716 |
| Provider Name | Elizabeth S Rachel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205830155 PECOS PAC ID: 1850426271 Enrollment ID: I20100324000033 |
| Provider Name | Eric L Bandy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881695815 PECOS PAC ID: 3971638305 Enrollment ID: I20100324000112 |
| Provider Name | Robert L Sasser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891889929 PECOS PAC ID: 4981730181 Enrollment ID: I20100326000648 |
| Provider Name | Gary W Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952495038 PECOS PAC ID: 8820010812 Enrollment ID: I20100326000681 |
| Provider Name | Svitlana J Mandzy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750375861 PECOS PAC ID: 6709912918 Enrollment ID: I20100326000747 |
| Provider Name | Lagenia K Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033440086 PECOS PAC ID: 6002942133 Enrollment ID: I20100329000498 |
| Provider Name | James K Crager |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972532687 PECOS PAC ID: 2163590472 Enrollment ID: I20100329000579 |
| Provider Name | John M Gormley |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538133863 PECOS PAC ID: 8224012661 Enrollment ID: I20100330000006 |
| Provider Name | Bryan Thomas Iglehart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538253612 PECOS PAC ID: 1850427303 Enrollment ID: I20100412000077 |
| Provider Name | Mark R Jones |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851386767 PECOS PAC ID: 3577543750 Enrollment ID: I20100414000847 |
| Provider Name | Thomas Scott Neely |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487619771 PECOS PAC ID: 2567569965 Enrollment ID: I20100416000296 |
| Provider Name | Barbara Anne Carr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104801158 PECOS PAC ID: 3678600673 Enrollment ID: I20100422001104 |
| Provider Name | Jill E Solon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194945899 PECOS PAC ID: 5597892521 Enrollment ID: I20100423000269 |
| Provider Name | Anthony George |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225032014 PECOS PAC ID: 4789711623 Enrollment ID: I20100423000533 |
| Provider Name | James E Segal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215939855 PECOS PAC ID: 4183751928 Enrollment ID: I20100427000322 |
| Provider Name | Timothy S Spaulding |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306882022 PECOS PAC ID: 0345220059 Enrollment ID: I20100504000554 |
| Provider Name | Michael D Kommor |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760453518 PECOS PAC ID: 6406854041 Enrollment ID: I20100507000568 |
| Provider Name | Matthew T Jung |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1316941263 PECOS PAC ID: 5597892778 Enrollment ID: I20100508000051 |
| Provider Name | Christopher V Pitcock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174566152 PECOS PAC ID: 3577526995 Enrollment ID: I20100509000000 |
| Provider Name | Kimberly Sue Doan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023344975 PECOS PAC ID: 8820126998 Enrollment ID: I20100511000360 |
| Provider Name | Charles D Webb |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982675658 PECOS PAC ID: 0244226835 Enrollment ID: I20100511000644 |
| Provider Name | Udaya G Joseph |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578535720 PECOS PAC ID: 7315945953 Enrollment ID: I20100512000629 |
| Provider Name | Michael W Dee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114911005 PECOS PAC ID: 2264560994 Enrollment ID: I20100517000507 |
| Provider Name | James E Wheeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275537094 PECOS PAC ID: 8921137217 Enrollment ID: I20100525000591 |
| Provider Name | Danilo B Corales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013951771 PECOS PAC ID: 8527198548 Enrollment ID: I20100617000188 |
| Provider Name | Danielle M Mann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174787725 PECOS PAC ID: 6103993720 Enrollment ID: I20100621000455 |
| Provider Name | Andrea M Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992023816 PECOS PAC ID: 5496886384 Enrollment ID: I20100621000521 |
| Provider Name | Brennan Murray Haraden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063410355 PECOS PAC ID: 8820176902 Enrollment ID: I20100724000216 |
| Provider Name | James A Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245234053 PECOS PAC ID: 4981754264 Enrollment ID: I20100727000499 |
| Provider Name | Aaron D Stewart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124024690 PECOS PAC ID: 9537292925 Enrollment ID: I20100805000709 |
| Provider Name | Karen Elizabeth Langness |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124024989 PECOS PAC ID: 9830223791 Enrollment ID: I20100813000285 |
| Provider Name | Ryan James Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073706651 PECOS PAC ID: 2264566041 Enrollment ID: I20100816000488 |
| Provider Name | Samuel Baker Pollock |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164593471 PECOS PAC ID: 8224104815 Enrollment ID: I20100816000791 |
| Provider Name | James M Link |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629061056 PECOS PAC ID: 8527063700 Enrollment ID: I20100823001073 |
| Provider Name | Shannon Andersen-thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205820636 PECOS PAC ID: 2163427345 Enrollment ID: I20100823001089 |
| Provider Name | John S Oldham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699817429 PECOS PAC ID: 2769376219 Enrollment ID: I20100830000555 |
| Provider Name | Sharron K Stegner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821157173 PECOS PAC ID: 0345364063 Enrollment ID: I20100902000333 |
| Provider Name | Jeanetta Lee Bosley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679632939 PECOS PAC ID: 9931224342 Enrollment ID: I20100908000961 |
| Provider Name | David Biddle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538263017 PECOS PAC ID: 2365567229 Enrollment ID: I20100915000609 |
| Provider Name | Richard Waggener |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518917830 PECOS PAC ID: 4486549037 Enrollment ID: I20100920000724 |
| Provider Name | Robert L Keeling |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932117181 PECOS PAC ID: 8921189713 Enrollment ID: I20100922000359 |
| Provider Name | Shana Cassady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215240627 PECOS PAC ID: 4082730452 Enrollment ID: I20100923000700 |
| Provider Name | Lori A Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205142387 PECOS PAC ID: 1456477561 Enrollment ID: I20100927000680 |
| Provider Name | Richard Paulsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780692996 PECOS PAC ID: 4385725175 Enrollment ID: I20100927001406 |
| Provider Name | Veronica Anne Kavorkian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013912831 PECOS PAC ID: 2961437702 Enrollment ID: I20100927001443 |
| Provider Name | Michael Eli Pendleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922211556 PECOS PAC ID: 7214009190 Enrollment ID: I20100929001146 |
| Provider Name | Mitchell C Kaplan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659332450 PECOS PAC ID: 5991997207 Enrollment ID: I20101005000866 |
| Provider Name | Lucretia F Hovell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669787297 PECOS PAC ID: 2567654452 Enrollment ID: I20101011000688 |
| Provider Name | Michael Flaherty |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821210584 PECOS PAC ID: 6507059185 Enrollment ID: I20101015000658 |
| Provider Name | John D Kolter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528227428 PECOS PAC ID: 5294928784 Enrollment ID: I20101015000986 |
| Provider Name | Stephanie M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255647061 PECOS PAC ID: 5294928370 Enrollment ID: I20101021000392 |
| Provider Name | Anthony T Remson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134128754 PECOS PAC ID: 0345247714 Enrollment ID: I20101022000003 |
| Provider Name | Jeremy J Scobee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780698779 PECOS PAC ID: 2466645130 Enrollment ID: I20101026001068 |
| Provider Name | Anthony G Karem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922044643 PECOS PAC ID: 6204022742 Enrollment ID: I20101123001178 |
| Provider Name | Adam J Southall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326357930 PECOS PAC ID: 5597959403 Enrollment ID: I20101130000808 |
| Provider Name | Richard H Byers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780768259 PECOS PAC ID: 2163619826 Enrollment ID: I20101207000443 |
| Provider Name | Allison F Vinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831408202 PECOS PAC ID: 6507053006 Enrollment ID: I20101209000995 |
| Provider Name | Richard M Pokorny |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295714889 PECOS PAC ID: 6709073950 Enrollment ID: I20101214000517 |
| Provider Name | Janet R Chipman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952380644 PECOS PAC ID: 3274569058 Enrollment ID: I20101214000814 |
| Provider Name | Heather Burchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528375672 PECOS PAC ID: 8426246539 Enrollment ID: I20101215001179 |
| Provider Name | Kim J Berghaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396062857 PECOS PAC ID: 3971791088 Enrollment ID: I20101215001184 |
| Provider Name | Michelle N Theis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942518998 PECOS PAC ID: 3678761657 Enrollment ID: I20101216000891 |
| Provider Name | Jonathan Manuel Rey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679745368 PECOS PAC ID: 1254529613 Enrollment ID: I20101229000507 |
| Provider Name | Kevin James Heine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619974292 PECOS PAC ID: 5698963932 Enrollment ID: I20101230000484 |
| Provider Name | Zamil Sattaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508989492 PECOS PAC ID: 0941499628 Enrollment ID: I20110111000847 |
| Provider Name | Shelly Popham Stiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922318484 PECOS PAC ID: 2466641949 Enrollment ID: I20110114000141 |
| Provider Name | Warren Nathan Frank |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881656445 PECOS PAC ID: 2365631710 Enrollment ID: I20110115000006 |
| Provider Name | Jerry I Yon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235191537 PECOS PAC ID: 4082681093 Enrollment ID: I20110115000008 |
| Provider Name | Angela B Thomas |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1912217902 PECOS PAC ID: 5395924682 Enrollment ID: I20110119000198 |
| Provider Name | Christie Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417259730 PECOS PAC ID: 0749469997 Enrollment ID: I20110120000674 |
| Provider Name | Diana S King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104129238 PECOS PAC ID: 5395926604 Enrollment ID: I20110221000011 |
| Provider Name | Michael V Greenwell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104821735 PECOS PAC ID: 7012190366 Enrollment ID: I20110323000610 |
| Provider Name | Lori Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265730311 PECOS PAC ID: 9234312505 Enrollment ID: I20110323000851 |
| Provider Name | Barbara J Wortley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649286741 PECOS PAC ID: 2062695182 Enrollment ID: I20110328000687 |
| Provider Name | Lisa Hosch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437454105 PECOS PAC ID: 6800078908 Enrollment ID: I20110406000203 |
| Provider Name | Russell E Peyton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932406212 PECOS PAC ID: 1153505334 Enrollment ID: I20110413000163 |
| Provider Name | Susie Kay Pruitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508155136 PECOS PAC ID: 9638354590 Enrollment ID: I20110420000051 |
| Provider Name | Whitney D Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669773511 PECOS PAC ID: 4789869652 Enrollment ID: I20110420000119 |
| Provider Name | Paul J Spicer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063655660 PECOS PAC ID: 0143373845 Enrollment ID: I20110510000675 |
| Provider Name | Sherelene Fortney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578549036 PECOS PAC ID: 5092991109 Enrollment ID: I20110525000085 |
| Provider Name | Lauren A Serey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861799892 PECOS PAC ID: 5092992883 Enrollment ID: I20110603000116 |
| Provider Name | Julie Buckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255659090 PECOS PAC ID: 1052598844 Enrollment ID: I20110603000156 |
| Provider Name | Wendell R Miers |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356403489 PECOS PAC ID: 8729265533 Enrollment ID: I20110603000333 |
| Provider Name | John T Adkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821040395 PECOS PAC ID: 9335326610 Enrollment ID: I20110614000711 |
| Provider Name | Olson Parrott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922050491 PECOS PAC ID: 9436337987 Enrollment ID: I20110701000352 |
| Provider Name | Jeffrey Boyd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508043522 PECOS PAC ID: 8527190156 Enrollment ID: I20110712000190 |
| Provider Name | Karen Zabel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538455662 PECOS PAC ID: 6608044904 Enrollment ID: I20110712000248 |
| Provider Name | Erica N Schell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790079481 PECOS PAC ID: 0749458008 Enrollment ID: I20110719000724 |
| Provider Name | Darel D Barnett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285776526 PECOS PAC ID: 8022286921 Enrollment ID: I20110720000387 |
| Provider Name | Kristin T Dossett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609179266 PECOS PAC ID: 1355519760 Enrollment ID: I20110728000611 |
| Provider Name | Julie Ekens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336469576 PECOS PAC ID: 7911031281 Enrollment ID: I20110729000290 |
| Provider Name | Nechol Allen |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1033229083 PECOS PAC ID: 5698706794 Enrollment ID: I20110810000682 |
| Provider Name | Stephanie D Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841507456 PECOS PAC ID: 7113196734 Enrollment ID: I20110816000180 |
| Provider Name | Shoshana Dupree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922394352 PECOS PAC ID: 7113197260 Enrollment ID: I20110826000511 |
| Provider Name | Kaylee T Bui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558659862 PECOS PAC ID: 6406026376 Enrollment ID: I20110901000207 |
| Provider Name | Scott B Mcclure |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336167188 PECOS PAC ID: 0244400927 Enrollment ID: I20110907001483 |
| Provider Name | Debra F Danzinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578524641 PECOS PAC ID: 1850562604 Enrollment ID: I20110927000736 |
| Provider Name | Paul Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649226895 PECOS PAC ID: 3577468750 Enrollment ID: I20110930000372 |
| Provider Name | Branden Allen Bledsoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184907099 PECOS PAC ID: 0244402485 Enrollment ID: I20111011000567 |
| Provider Name | Amanda Saccone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003194820 PECOS PAC ID: 0446422612 Enrollment ID: I20111012000166 |
| Provider Name | John W Melton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235206723 PECOS PAC ID: 7416928080 Enrollment ID: I20111103000397 |
| Provider Name | Dzanan Gusic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558669606 PECOS PAC ID: 7517132426 Enrollment ID: I20111205000392 |
| Provider Name | Carrie A Mccowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518029727 PECOS PAC ID: 9739354291 Enrollment ID: I20111212000286 |
| Provider Name | Mark W Robinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902812043 PECOS PAC ID: 2668648460 Enrollment ID: I20111228000577 |
| Provider Name | Lauren A Lincoln |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356626097 PECOS PAC ID: 7719153121 Enrollment ID: I20120106000558 |
| Provider Name | Ali J Jessee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396922118 PECOS PAC ID: 9830371459 Enrollment ID: I20120130000508 |
| Provider Name | Heath Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841254208 PECOS PAC ID: 4789865254 Enrollment ID: I20120208000953 |
| Provider Name | Catherine F Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437433273 PECOS PAC ID: 1759549835 Enrollment ID: I20120221000318 |
| Provider Name | Frederick J Hardin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376649863 PECOS PAC ID: 4587822481 Enrollment ID: I20120223000486 |
| Provider Name | Maria G Hornung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073881660 PECOS PAC ID: 8123286648 Enrollment ID: I20120229000675 |
| Provider Name | Ed Settle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871598581 PECOS PAC ID: 1456441401 Enrollment ID: I20120305000420 |
| Provider Name | Abby Jo Lara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003189267 PECOS PAC ID: 2163681834 Enrollment ID: I20120315000699 |
| Provider Name | George Gad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811144678 PECOS PAC ID: 1658530357 Enrollment ID: I20120316000120 |
| Provider Name | Vicky Swift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134496870 PECOS PAC ID: 8123288628 Enrollment ID: I20120320000867 |
| Provider Name | Stacey M Crawford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265567804 PECOS PAC ID: 6507039617 Enrollment ID: I20120327000533 |
| Provider Name | Ariela R Flory |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285862797 PECOS PAC ID: 1850552555 Enrollment ID: I20120405000159 |
| Provider Name | Michael Glindmeyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356624233 PECOS PAC ID: 8325209729 Enrollment ID: I20120411000718 |
| Provider Name | Callie Durham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972878965 PECOS PAC ID: 0648433227 Enrollment ID: I20120517000410 |
| Provider Name | Lindsay T Gahafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316212301 PECOS PAC ID: 2264695840 Enrollment ID: I20120517000427 |
| Provider Name | Ramona N Coffie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235391566 PECOS PAC ID: 1456514801 Enrollment ID: I20120522000838 |
| Provider Name | Brittney Health Vessels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891055471 PECOS PAC ID: 5395909980 Enrollment ID: I20120611000697 |
| Provider Name | Dennis Higdon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972861763 PECOS PAC ID: 5698939791 Enrollment ID: I20120620000506 |
| Provider Name | Tabitha D Culver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508090424 PECOS PAC ID: 0648434753 Enrollment ID: I20120620000698 |
| Provider Name | Sarah K Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932489978 PECOS PAC ID: 8527223668 Enrollment ID: I20120622000470 |
| Provider Name | Erin A Drenkhahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659506970 PECOS PAC ID: 0244495083 Enrollment ID: I20120629000267 |
| Provider Name | Andrew Hart |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275680142 PECOS PAC ID: 5799876363 Enrollment ID: I20120710000289 |
| Provider Name | William C Napier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730443763 PECOS PAC ID: 8426213760 Enrollment ID: I20120711000440 |
| Provider Name | Mark Puckett |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1649430794 PECOS PAC ID: 2860545761 Enrollment ID: I20120712000147 |
| Provider Name | Chrysalis A Colasanti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528320132 PECOS PAC ID: 4385800531 Enrollment ID: I20120717000067 |
| Provider Name | Tamara R Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609130376 PECOS PAC ID: 4284890443 Enrollment ID: I20120717000199 |
| Provider Name | Sandra I Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952664179 PECOS PAC ID: 1557527728 Enrollment ID: I20120717000298 |
| Provider Name | Christopher L Sperry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386870046 PECOS PAC ID: 0345435384 Enrollment ID: I20120725000749 |
| Provider Name | Paul A Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265663272 PECOS PAC ID: 7113192055 Enrollment ID: I20120809000388 |
| Provider Name | Christopher Federico |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881861433 PECOS PAC ID: 6507012226 Enrollment ID: I20120814000191 |
| Provider Name | Raza A Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770534273 PECOS PAC ID: 9032365648 Enrollment ID: I20120815000271 |
| Provider Name | Amy N Head |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386990356 PECOS PAC ID: 2365699766 Enrollment ID: I20120820000675 |
| Provider Name | Angel R Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144505629 PECOS PAC ID: 8820245681 Enrollment ID: I20120829000712 |
| Provider Name | Christopher P Steidle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295709871 PECOS PAC ID: 4385540921 Enrollment ID: I20120904000499 |
| Provider Name | Hollis V Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598010852 PECOS PAC ID: 8426206889 Enrollment ID: I20120911000049 |
| Provider Name | Billy Fralish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407149560 PECOS PAC ID: 8022266386 Enrollment ID: I20120912000451 |
| Provider Name | Amanda M Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629348222 PECOS PAC ID: 4082862826 Enrollment ID: I20120919000616 |
| Provider Name | Cristy Abreu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740509488 PECOS PAC ID: 1456500685 Enrollment ID: I20121004000074 |
| Provider Name | Joshua C Blair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861402653 PECOS PAC ID: 2567611395 Enrollment ID: I20121011000088 |
| Provider Name | Karen A Leasor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326391913 PECOS PAC ID: 2668623398 Enrollment ID: I20121106000423 |
| Provider Name | Michael A Punnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619968013 PECOS PAC ID: 7810092376 Enrollment ID: I20121127000563 |
| Provider Name | Sarah E Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619221884 PECOS PAC ID: 8123270444 Enrollment ID: I20121213000452 |
| Provider Name | Carrie Rice |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801140157 PECOS PAC ID: 1254584071 Enrollment ID: I20130103000331 |
| Provider Name | Kimberley W Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841540952 PECOS PAC ID: 3173776770 Enrollment ID: I20130110000112 |
| Provider Name | Kevin C Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972592038 PECOS PAC ID: 7012160559 Enrollment ID: I20130110000628 |
| Provider Name | Patricia H Woodruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245574532 PECOS PAC ID: 2668625815 Enrollment ID: I20130121000138 |
| Provider Name | Glenda S Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518218791 PECOS PAC ID: 5395998462 Enrollment ID: I20130124000052 |
| Provider Name | Terry W North |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982856910 PECOS PAC ID: 2062666720 Enrollment ID: I20130204000545 |
| Provider Name | Jonathan M Feddock |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164685012 PECOS PAC ID: 8729232202 Enrollment ID: I20130209000030 |
| Provider Name | Anna B Hart |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629125430 PECOS PAC ID: 2264584515 Enrollment ID: I20130215000441 |
| Provider Name | Marilyn K Vermeesch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639181779 PECOS PAC ID: 4183688773 Enrollment ID: I20130219000537 |
| Provider Name | Francis Hinsberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275574105 PECOS PAC ID: 5698709202 Enrollment ID: I20130223000021 |
| Provider Name | Matthew Cody Lee Keith |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215179908 PECOS PAC ID: 0941455570 Enrollment ID: I20130304000579 |
| Provider Name | Keyon D Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992037766 PECOS PAC ID: 2062657927 Enrollment ID: I20130325000174 |
| Provider Name | Rosalind E London |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437499464 PECOS PAC ID: 6901042191 Enrollment ID: I20130412000348 |
| Provider Name | Laura Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861835290 PECOS PAC ID: 0446497895 Enrollment ID: I20130502000551 |
| Provider Name | Whitney A Pitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497095970 PECOS PAC ID: 4981841285 Enrollment ID: I20130503000551 |
| Provider Name | Rhianna Kay Riggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730420100 PECOS PAC ID: 2466699715 Enrollment ID: I20130506000465 |
| Provider Name | Tabitha Satterly-welborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508104258 PECOS PAC ID: 5395982458 Enrollment ID: I20130508000504 |
| Provider Name | Jane Hope Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881037323 PECOS PAC ID: 0547407470 Enrollment ID: I20130513000279 |
| Provider Name | Heather K Leath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982994562 PECOS PAC ID: 3577700350 Enrollment ID: I20130515000322 |
| Provider Name | Brandy J Lasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114267135 PECOS PAC ID: 7113165952 Enrollment ID: I20130606000117 |
| Provider Name | Jacob Fulkerson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093026858 PECOS PAC ID: 4688813710 Enrollment ID: I20130620000239 |
| Provider Name | Katherine Matcheswala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508205113 PECOS PAC ID: 1850531336 Enrollment ID: I20130703000610 |
| Provider Name | Lara Bird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952748576 PECOS PAC ID: 5294976916 Enrollment ID: I20130723000544 |
| Provider Name | Amy Dennis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124467295 PECOS PAC ID: 9638310378 Enrollment ID: I20130723000822 |
| Provider Name | Jennifer Ford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568604692 PECOS PAC ID: 2466693874 Enrollment ID: I20130729000107 |
| Provider Name | Robert Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790796654 PECOS PAC ID: 4284633231 Enrollment ID: I20130814000768 |
| Provider Name | Angela L Mahan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275670556 PECOS PAC ID: 5092957183 Enrollment ID: I20130820001010 |
| Provider Name | Danielle Mcpeak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548516040 PECOS PAC ID: 7911140777 Enrollment ID: I20130826000844 |
| Provider Name | Nicholas A Kenney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558564633 PECOS PAC ID: 1951544386 Enrollment ID: I20130903000779 |
| Provider Name | Sreedevi Gondi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811186760 PECOS PAC ID: 9830332238 Enrollment ID: I20130904000794 |
| Provider Name | Jennifer L Vertrees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801228317 PECOS PAC ID: 4789828930 Enrollment ID: I20130910000582 |
| Provider Name | Melanie Jo Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114201795 PECOS PAC ID: 5395989362 Enrollment ID: I20130912000299 |
| Provider Name | Emily E Hickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780024612 PECOS PAC ID: 6002050549 Enrollment ID: I20130923000622 |
| Provider Name | Aimee R Grace |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831414341 PECOS PAC ID: 6608000716 Enrollment ID: I20131003000228 |
| Provider Name | Katherine L Himmelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104259159 PECOS PAC ID: 4284868001 Enrollment ID: I20131010001357 |
| Provider Name | Alyse C Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740616192 PECOS PAC ID: 9931333515 Enrollment ID: I20131015000599 |
| Provider Name | Brittany B Click |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245670348 PECOS PAC ID: 4082848528 Enrollment ID: I20131016000578 |
| Provider Name | Katie Elizabeth Kraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124469481 PECOS PAC ID: 2163657594 Enrollment ID: I20131021000623 |
| Provider Name | Agatha Critchfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639336019 PECOS PAC ID: 9234253915 Enrollment ID: I20131022000065 |
| Provider Name | Leah D Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437585601 PECOS PAC ID: 8123253432 Enrollment ID: I20131022001620 |
| Provider Name | April Halleron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720306582 PECOS PAC ID: 6709011919 Enrollment ID: I20131024000467 |
| Provider Name | Shelley Waldman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376971168 PECOS PAC ID: 1557597622 Enrollment ID: I20131119001309 |
| Provider Name | Melissa A Winchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992132369 PECOS PAC ID: 8628204336 Enrollment ID: I20131127001578 |
| Provider Name | John W Lockhart Ii |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982030201 PECOS PAC ID: 3971730409 Enrollment ID: I20131209000587 |
| Provider Name | Bethany Sisto Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801227038 PECOS PAC ID: 3971731571 Enrollment ID: I20140103001229 |
| Provider Name | Stephanie D Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790114189 PECOS PAC ID: 6709014657 Enrollment ID: I20140122001637 |
| Provider Name | Judith Waldine Hatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770899387 PECOS PAC ID: 1951593581 Enrollment ID: I20140127000162 |
| Provider Name | William Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295892438 PECOS PAC ID: 2365671179 Enrollment ID: I20140127000616 |
| Provider Name | Sarah Dorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730518820 PECOS PAC ID: 2466681390 Enrollment ID: I20140218001427 |
| Provider Name | Justin C Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033531603 PECOS PAC ID: 3870723307 Enrollment ID: I20140303001124 |
| Provider Name | David C Jamora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538420666 PECOS PAC ID: 5597995027 Enrollment ID: I20140303001199 |
| Provider Name | Melinda L Bess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124442140 PECOS PAC ID: 5799915948 Enrollment ID: I20140307001497 |
| Provider Name | Tamera S Spangler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316387079 PECOS PAC ID: 0042441735 Enrollment ID: I20140321001129 |
| Provider Name | Susan E Shumate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649539925 PECOS PAC ID: 4688803513 Enrollment ID: I20140506001984 |
| Provider Name | Michael Abbott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396955530 PECOS PAC ID: 7618191420 Enrollment ID: I20140618001408 |
| Provider Name | Christopher Holcomb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922218106 PECOS PAC ID: 6901021088 Enrollment ID: I20140703000434 |
| Provider Name | Bao Tram C Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043575749 PECOS PAC ID: 1850516972 Enrollment ID: I20140703001823 |
| Provider Name | Jignesh Jagdish Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164674891 PECOS PAC ID: 3173748837 Enrollment ID: I20140714001131 |
| Provider Name | Elaine Passow Capobianco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417176074 PECOS PAC ID: 0345466736 Enrollment ID: I20140721000957 |
| Provider Name | Brittany A Chapman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417119082 PECOS PAC ID: 9133359995 Enrollment ID: I20140725002226 |
| Provider Name | Christopher A Semder |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487858965 PECOS PAC ID: 2466612080 Enrollment ID: I20140729001838 |
| Provider Name | Steven J Heatherly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922289602 PECOS PAC ID: 3173654373 Enrollment ID: I20140805002613 |
| Provider Name | Johnny B Hammons |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316239189 PECOS PAC ID: 3678712783 Enrollment ID: I20140908001269 |
| Provider Name | Sandra W Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932509270 PECOS PAC ID: 7911126156 Enrollment ID: I20140919001354 |
| Provider Name | Annette Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689083784 PECOS PAC ID: 1153541107 Enrollment ID: I20140925002124 |
| Provider Name | Shelly D Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871909903 PECOS PAC ID: 6204056260 Enrollment ID: I20140925002349 |
| Provider Name | Jamie S Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467853879 PECOS PAC ID: 8022238864 Enrollment ID: I20140930001235 |
| Provider Name | Beverly A Ridings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912126590 PECOS PAC ID: 8527288380 Enrollment ID: I20140930001908 |
| Provider Name | Brigid A Buckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124356811 PECOS PAC ID: 8224258587 Enrollment ID: I20141008002015 |
| Provider Name | Derhonda M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063821379 PECOS PAC ID: 0749400901 Enrollment ID: I20141010000296 |
| Provider Name | Nicole M Delisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558671701 PECOS PAC ID: 7810118825 Enrollment ID: I20141016000386 |
| Provider Name | Vincent J Lang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083672620 PECOS PAC ID: 7517912835 Enrollment ID: I20141104002564 |
| Provider Name | Alicia M Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538563960 PECOS PAC ID: 0143543520 Enrollment ID: I20141217000462 |
| Provider Name | Caitlin G Cecil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992106322 PECOS PAC ID: 6507189388 Enrollment ID: I20141231001344 |
| Provider Name | Cynthia C Mahin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548553894 PECOS PAC ID: 8325276710 Enrollment ID: I20150107000723 |
| Provider Name | Emily J Winn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689084030 PECOS PAC ID: 3971827247 Enrollment ID: I20150114000934 |
| Provider Name | Bethanie R Hammond |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629189105 PECOS PAC ID: 6901904812 Enrollment ID: I20150121002415 |
| Provider Name | Tena S Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447659289 PECOS PAC ID: 3274857164 Enrollment ID: I20150126000293 |
| Provider Name | Julianne Higdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669877163 PECOS PAC ID: 2961727052 Enrollment ID: I20150212001230 |
| Provider Name | Stephanie Oeswein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376940569 PECOS PAC ID: 9830414937 Enrollment ID: I20150212001408 |
| Provider Name | Sarah Ruth Peyton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033507561 PECOS PAC ID: 3779808621 Enrollment ID: I20150217001346 |
| Provider Name | Ahmad Khan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073703369 PECOS PAC ID: 5294828828 Enrollment ID: I20150218000327 |
| Provider Name | Dana E Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679963607 PECOS PAC ID: 9133445810 Enrollment ID: I20150225000587 |
| Provider Name | Cynthia R Goodin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265820245 PECOS PAC ID: 8123344702 Enrollment ID: I20150225000948 |
| Provider Name | Barbara Ann Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316351208 PECOS PAC ID: 3678899168 Enrollment ID: I20150227000419 |
| Provider Name | Donna Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902114275 PECOS PAC ID: 3971799644 Enrollment ID: I20150304000840 |
| Provider Name | Haider Shamsulddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528366457 PECOS PAC ID: 2062738081 Enrollment ID: I20150309002545 |
| Provider Name | Tanisha R Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689072464 PECOS PAC ID: 7012233901 Enrollment ID: I20150312001281 |
| Provider Name | Leslie W Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851784383 PECOS PAC ID: 3476870601 Enrollment ID: I20150326001278 |
| Provider Name | James Kwanil Chung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649400193 PECOS PAC ID: 3971737289 Enrollment ID: I20150406002376 |
| Provider Name | Alberto Gallo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558534859 PECOS PAC ID: 0345568630 Enrollment ID: I20150416002449 |
| Provider Name | Lee M Guenther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164852166 PECOS PAC ID: 2264751361 Enrollment ID: I20150511002063 |
| Provider Name | Mounika Mandadi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1164654307 PECOS PAC ID: 5193045086 Enrollment ID: I20150515001365 |
| Provider Name | Joseph Ritchie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104192848 PECOS PAC ID: 1052533247 Enrollment ID: I20150618002504 |
| Provider Name | Faten Abdullah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467718049 PECOS PAC ID: 7416271291 Enrollment ID: I20150629000699 |
| Provider Name | Jennifer Lynn Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235511072 PECOS PAC ID: 1759693500 Enrollment ID: I20150707003377 |
| Provider Name | Kristie N Friedrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174850812 PECOS PAC ID: 6103961578 Enrollment ID: I20150716002096 |
| Provider Name | Christopher Allen Troxell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134482276 PECOS PAC ID: 6800109935 Enrollment ID: I20150720000960 |
| Provider Name | Mehul A Suthar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780942623 PECOS PAC ID: 8628381589 Enrollment ID: I20150721001703 |
| Provider Name | Bambi Racquel Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659754026 PECOS PAC ID: 9234442948 Enrollment ID: I20150723007311 |
| Provider Name | Nathan M Bullington |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376869461 PECOS PAC ID: 8729391438 Enrollment ID: I20150723007490 |
| Provider Name | Coutney P Schnieders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114286275 PECOS PAC ID: 5597079814 Enrollment ID: I20150731017141 |
| Provider Name | Benjamin T Klausing |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851618102 PECOS PAC ID: 0941447775 Enrollment ID: I20150804006272 |
| Provider Name | Kelley R Easton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477719987 PECOS PAC ID: 3274429907 Enrollment ID: I20150810001055 |
| Provider Name | Ashley Jessup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306257332 PECOS PAC ID: 7618283391 Enrollment ID: I20150825005287 |
| Provider Name | Austin Alexander Beck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245641273 PECOS PAC ID: 8022324631 Enrollment ID: I20150827001171 |
| Provider Name | Jason A Dugger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811195167 PECOS PAC ID: 1658437405 Enrollment ID: I20150901003302 |
| Provider Name | Britta Z Maciuba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225395742 PECOS PAC ID: 1557583317 Enrollment ID: I20150902001963 |
| Provider Name | Laura J Slone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093001372 PECOS PAC ID: 6901035773 Enrollment ID: I20150902002229 |
| Provider Name | Wanda M Calvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326467358 PECOS PAC ID: 8921314956 Enrollment ID: I20150904001432 |
| Provider Name | Shaun M Milby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043686371 PECOS PAC ID: 3476860008 Enrollment ID: I20150915002114 |
| Provider Name | Suraj K. Gathani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902172067 PECOS PAC ID: 1153564240 Enrollment ID: I20150916000824 |
| Provider Name | Denise Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164761748 PECOS PAC ID: 3476861345 Enrollment ID: I20150928000847 |
| Provider Name | Shiv Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417246877 PECOS PAC ID: 6103048954 Enrollment ID: I20150929002016 |
| Provider Name | Robert O'bryan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790051118 PECOS PAC ID: 1557679214 Enrollment ID: I20150929002052 |
| Provider Name | Philip Wayne Oliver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205271269 PECOS PAC ID: 0345558037 Enrollment ID: I20150929003140 |
| Provider Name | Suzanne E Mcgee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144663451 PECOS PAC ID: 6507174992 Enrollment ID: I20151005002417 |
| Provider Name | Joshua D Stevens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780979930 PECOS PAC ID: 7911144985 Enrollment ID: I20151008002472 |
| Provider Name | Jonathan S Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780095729 PECOS PAC ID: 6709190366 Enrollment ID: I20151012000355 |
| Provider Name | Blair Elizabeth Brockman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891164349 PECOS PAC ID: 5991014052 Enrollment ID: I20151013000476 |
| Provider Name | Jessica L Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912320128 PECOS PAC ID: 7517276538 Enrollment ID: I20151014000998 |
| Provider Name | Cherie O Gambrel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265692123 PECOS PAC ID: 1759538812 Enrollment ID: I20151026002079 |
| Provider Name | Jeanie Doom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003291360 PECOS PAC ID: 7113236506 Enrollment ID: I20151026002647 |
| Provider Name | Brittney Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669840823 PECOS PAC ID: 9335458660 Enrollment ID: I20151027001874 |
| Provider Name | Kristena Renae Lea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255701173 PECOS PAC ID: 0749599975 Enrollment ID: I20151028002642 |
| Provider Name | Elizabeth Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407224470 PECOS PAC ID: 3274843271 Enrollment ID: I20151103002072 |
| Provider Name | Bryce Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538570569 PECOS PAC ID: 8527378207 Enrollment ID: I20151109001954 |
| Provider Name | Megan J Regal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376914887 PECOS PAC ID: 5597075002 Enrollment ID: I20151113000502 |
| Provider Name | Izegbea M. Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013389022 PECOS PAC ID: 9830409291 Enrollment ID: I20151116000132 |
| Provider Name | Kellie Rosanbalm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184015323 PECOS PAC ID: 6901116235 Enrollment ID: I20151117000472 |
| Provider Name | Claire E Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740677558 PECOS PAC ID: 1557671815 Enrollment ID: I20151117001655 |
| Provider Name | John Willaim Biery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578933883 PECOS PAC ID: 5395045660 Enrollment ID: I20151118003082 |
| Provider Name | Nanlong Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619395977 PECOS PAC ID: 6002116092 Enrollment ID: I20151123002669 |
| Provider Name | William M Hughes |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1912266305 PECOS PAC ID: 3072743673 Enrollment ID: I20151125000117 |
| Provider Name | Janet G Frager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699145466 PECOS PAC ID: 9335290386 Enrollment ID: I20151201002691 |
| Provider Name | Kathy Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912270125 PECOS PAC ID: 6507166204 Enrollment ID: I20151202001774 |
| Provider Name | Melissa Kimberly Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972563369 PECOS PAC ID: 3577575786 Enrollment ID: I20151203001560 |
| Provider Name | Jessica Marie Goettl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548632722 PECOS PAC ID: 2062712615 Enrollment ID: I20151203001658 |
| Provider Name | Sarah B Chapman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841663911 PECOS PAC ID: 8426359878 Enrollment ID: I20151209001581 |
| Provider Name | Dana L Nickell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871794990 PECOS PAC ID: 4981766441 Enrollment ID: I20151211001113 |
| Provider Name | Tammy R Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972977106 PECOS PAC ID: 8224339379 Enrollment ID: I20151215002577 |
| Provider Name | Erin M Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285006049 PECOS PAC ID: 6709187354 Enrollment ID: I20151223001982 |
| Provider Name | Sarah Health Padgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467837898 PECOS PAC ID: 4587965157 Enrollment ID: I20151228000257 |
| Provider Name | Jacqueline Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417351263 PECOS PAC ID: 2163724345 Enrollment ID: I20160105001371 |
| Provider Name | Rickey A Cosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730526864 PECOS PAC ID: 1456592450 Enrollment ID: I20160105001535 |
| Provider Name | Leighnia T Nance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881066124 PECOS PAC ID: 9335441963 Enrollment ID: I20160113001562 |
| Provider Name | Jessica Leigh Anderson-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639534241 PECOS PAC ID: 4789987504 Enrollment ID: I20160127002547 |
| Provider Name | Jasmaine D Theobald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346624962 PECOS PAC ID: 7810291002 Enrollment ID: I20160209001014 |
| Provider Name | Mariah L Hamby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033589973 PECOS PAC ID: 1153622048 Enrollment ID: I20160223001159 |
| Provider Name | Kimberly Margarett Brumley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720458771 PECOS PAC ID: 8820393226 Enrollment ID: I20160223001555 |
| Provider Name | Vonda Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902299522 PECOS PAC ID: 3870898299 Enrollment ID: I20160223002121 |
| Provider Name | Alicia D Nay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326413907 PECOS PAC ID: 8820394737 Enrollment ID: I20160302001478 |
| Provider Name | Chanin M Hiland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376800250 PECOS PAC ID: 9335446368 Enrollment ID: I20160318000679 |
| Provider Name | Suzanne Mary Whalen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770943904 PECOS PAC ID: 3870890791 Enrollment ID: I20160321001340 |
| Provider Name | Susanna Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053779090 PECOS PAC ID: 4880991199 Enrollment ID: I20160331002732 |
| Provider Name | Christopher E Schmitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568808301 PECOS PAC ID: 1658671029 Enrollment ID: I20160411001506 |
| Provider Name | Kristie L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073981270 PECOS PAC ID: 1951609767 Enrollment ID: I20160412001162 |
| Provider Name | Michael J Wells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831482454 PECOS PAC ID: 2062655756 Enrollment ID: I20160503002395 |
| Provider Name | Elissa Ash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609804053 PECOS PAC ID: 8921029745 Enrollment ID: I20160516000477 |
| Provider Name | Lee M. Riddle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295149532 PECOS PAC ID: 0749580975 Enrollment ID: I20160516002348 |
| Provider Name | Jessica Piercy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619321957 PECOS PAC ID: 8820387566 Enrollment ID: I20160518002684 |
| Provider Name | Sufian Ahmad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821352824 PECOS PAC ID: 0244529873 Enrollment ID: I20160520000143 |
| Provider Name | Birrilla Maddox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528471463 PECOS PAC ID: 8426368374 Enrollment ID: I20160525002535 |
| Provider Name | James C Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710972807 PECOS PAC ID: 1153501689 Enrollment ID: I20160607001944 |
| Provider Name | Martina J Mouser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891149712 PECOS PAC ID: 0547551244 Enrollment ID: I20160628001969 |
| Provider Name | Laura Quesenberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528437266 PECOS PAC ID: 7214229624 Enrollment ID: I20160705002215 |
| Provider Name | Noah T Scherrer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1740423896 PECOS PAC ID: 0547576191 Enrollment ID: I20160712002907 |
| Provider Name | Manikya Kuriti |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124315858 PECOS PAC ID: 6800101130 Enrollment ID: I20160720002499 |
| Provider Name | Makayla Kiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023456878 PECOS PAC ID: 5799079299 Enrollment ID: I20160805001512 |
| Provider Name | Joshua J Chalkley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043368491 PECOS PAC ID: 2365521648 Enrollment ID: I20160824002467 |
| Provider Name | Lauren K Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578913596 PECOS PAC ID: 3173818598 Enrollment ID: I20160824002845 |
| Provider Name | Derick C Adams |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558653162 PECOS PAC ID: 3870899925 Enrollment ID: I20160826001408 |
| Provider Name | Sean F Martindale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003027228 PECOS PAC ID: 0941596860 Enrollment ID: I20160901000893 |
| Provider Name | Spencer R Idstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205194693 PECOS PAC ID: 1951551431 Enrollment ID: I20160912001660 |
| Provider Name | Chadwick Alexander Bassi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932519766 PECOS PAC ID: 8527354760 Enrollment ID: I20160914001017 |
| Provider Name | Janet Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205380649 PECOS PAC ID: 0042506214 Enrollment ID: I20160914001933 |
| Provider Name | Matthew Lewis Sublette |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639397359 PECOS PAC ID: 0446350201 Enrollment ID: I20160921001779 |
| Provider Name | Kelly Stilz George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477000834 PECOS PAC ID: 4082901756 Enrollment ID: I20160922002835 |
| Provider Name | Barbara J Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538113352 PECOS PAC ID: 0042284119 Enrollment ID: I20161005001524 |
| Provider Name | Anna Bushong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790232684 PECOS PAC ID: 5799073557 Enrollment ID: I20161011000540 |
| Provider Name | Beth Deyoung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104275031 PECOS PAC ID: 5294023958 Enrollment ID: I20161012001283 |
| Provider Name | Erica Takimoto |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1609032762 PECOS PAC ID: 8426226382 Enrollment ID: I20161019001012 |
| Provider Name | Salgram Jaisinghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265544878 PECOS PAC ID: 1759311806 Enrollment ID: I20161025001480 |
| Provider Name | Sean Warren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063808137 PECOS PAC ID: 8426345687 Enrollment ID: I20161026001959 |
| Provider Name | James Benjamin Thornton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891113486 PECOS PAC ID: 5092020404 Enrollment ID: I20161102001760 |
| Provider Name | Patrick Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598908022 PECOS PAC ID: 2163678152 Enrollment ID: I20161111001636 |
| Provider Name | Danielle E Humphrey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194024422 PECOS PAC ID: 9830406271 Enrollment ID: I20161114001878 |
| Provider Name | Amber C Pugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679621411 PECOS PAC ID: 1850493156 Enrollment ID: I20161115002720 |
| Provider Name | Jennifer A Higdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457707838 PECOS PAC ID: 3375823891 Enrollment ID: I20161129001168 |
| Provider Name | Timothy I Durbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639620859 PECOS PAC ID: 3779863238 Enrollment ID: I20161129002745 |
| Provider Name | Kaitlin Mary Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710438379 PECOS PAC ID: 4587944616 Enrollment ID: I20161207002191 |
| Provider Name | Allison Marie Spalding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851833206 PECOS PAC ID: 7810277746 Enrollment ID: I20161209001401 |
| Provider Name | Kathleen T Guest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932650124 PECOS PAC ID: 8921388737 Enrollment ID: I20161214001102 |
| Provider Name | Angela Eversole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447702659 PECOS PAC ID: 1254611932 Enrollment ID: I20161215001492 |
| Provider Name | Ifeoma Okeke |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1134168578 PECOS PAC ID: 3072572585 Enrollment ID: I20170104001844 |
| Provider Name | Ajay K Kandra |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1538347521 PECOS PAC ID: 4082806229 Enrollment ID: I20170111002763 |
| Provider Name | Kristi Tingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215268701 PECOS PAC ID: 2860615135 Enrollment ID: I20170118001753 |
| Provider Name | Tammy Vogt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952753378 PECOS PAC ID: 1456633692 Enrollment ID: I20170123002095 |
| Provider Name | Virginia Hemelt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710984638 PECOS PAC ID: 1456346717 Enrollment ID: I20170202001789 |
| Provider Name | Rachael Leneweaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386187284 PECOS PAC ID: 6002199403 Enrollment ID: I20170209000642 |
| Provider Name | Doris Okotie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811246671 PECOS PAC ID: 4385885631 Enrollment ID: I20170217001939 |
| Provider Name | Elizabeth Howard Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306383682 PECOS PAC ID: 1951684810 Enrollment ID: I20170220001703 |
| Provider Name | Crystal Spellman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821534546 PECOS PAC ID: 9234412230 Enrollment ID: I20170221001977 |
| Provider Name | Tracey Owensby Carbajal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023271681 PECOS PAC ID: 3779751276 Enrollment ID: I20170223002668 |
| Provider Name | Deborah Ann Foster |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548314974 PECOS PAC ID: 7810271020 Enrollment ID: I20170308001039 |
| Provider Name | Samantha D Davis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1114347176 PECOS PAC ID: 1951686179 Enrollment ID: I20170329002997 |
| Provider Name | Laura F Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1225269905 PECOS PAC ID: 2264718295 Enrollment ID: I20170405002725 |
| Provider Name | Jaime S Argila |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790041614 PECOS PAC ID: 1557683190 Enrollment ID: I20170411001395 |
| Provider Name | Kathy Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306378682 PECOS PAC ID: 0840576062 Enrollment ID: I20170424001119 |
| Provider Name | Lee Evans |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124077508 PECOS PAC ID: 0244517233 Enrollment ID: I20170428001493 |
| Provider Name | Jessica N Carty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174050801 PECOS PAC ID: 6002183084 Enrollment ID: I20170523000141 |
| Provider Name | Jacquelyn Eve Van Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699211631 PECOS PAC ID: 6305113804 Enrollment ID: I20170605002986 |
| Provider Name | Lyndsay P Delaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063948677 PECOS PAC ID: 9830467943 Enrollment ID: I20170614000791 |
| Provider Name | Diane K Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285185546 PECOS PAC ID: 3779863352 Enrollment ID: I20170628001404 |
| Provider Name | Elizabeth Levay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952839094 PECOS PAC ID: 8022387281 Enrollment ID: I20170630001377 |
| Provider Name | Laurie B Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164805701 PECOS PAC ID: 2961772215 Enrollment ID: I20170719004104 |
| Provider Name | Nicole Brown Strecker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336482413 PECOS PAC ID: 4880909118 Enrollment ID: I20170724003583 |
| Provider Name | Jennifer Caskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659893774 PECOS PAC ID: 2567733199 Enrollment ID: I20170801000498 |
| Provider Name | Suzanne Marie Irvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841712353 PECOS PAC ID: 1759652704 Enrollment ID: I20170809001891 |
| Provider Name | Gina Lynn Hueston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710409032 PECOS PAC ID: 1557633369 Enrollment ID: I20170814002275 |
| Provider Name | Casey M Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326560087 PECOS PAC ID: 1355613183 Enrollment ID: I20170814003222 |
| Provider Name | Jason Michael Rust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285156703 PECOS PAC ID: 9436421005 Enrollment ID: I20170816002078 |
| Provider Name | Bradley Bilbro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659893337 PECOS PAC ID: 0941572283 Enrollment ID: I20170821002207 |
| Provider Name | Jessica Lynne Malachowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902255458 PECOS PAC ID: 8628340759 Enrollment ID: I20170823003656 |
| Provider Name | Lacey J Gunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033529458 PECOS PAC ID: 4183920721 Enrollment ID: I20170823004224 |
| Provider Name | Lunden A Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972027993 PECOS PAC ID: 0042582181 Enrollment ID: I20170823004264 |
| Provider Name | Shauna Kristen Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699291211 PECOS PAC ID: 6305119108 Enrollment ID: I20170830000388 |
| Provider Name | Katherine Halloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508380684 PECOS PAC ID: 8820361587 Enrollment ID: I20170831003274 |
| Provider Name | David Harris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780099358 PECOS PAC ID: 1759601297 Enrollment ID: I20170907002871 |
| Provider Name | Sumalatha V Satoor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457336679 PECOS PAC ID: 6901941251 Enrollment ID: I20170915002446 |
| Provider Name | Juhee N Mian |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1780003772 PECOS PAC ID: 0749554459 Enrollment ID: I20170919003229 |
| Provider Name | Valerie Goss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063939569 PECOS PAC ID: 3971877564 Enrollment ID: I20170920002634 |
| Provider Name | Cara Keller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023376720 PECOS PAC ID: 6204065816 Enrollment ID: I20170925000257 |
| Provider Name | Elizabeth A Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780109314 PECOS PAC ID: 6002180205 Enrollment ID: I20170927002391 |
| Provider Name | Kasey Lee Scheper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336668185 PECOS PAC ID: 2668746736 Enrollment ID: I20170928001081 |
| Provider Name | Jonathon Lindner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992167712 PECOS PAC ID: 3476828849 Enrollment ID: I20171011001063 |
| Provider Name | Kerry C Gusler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174044978 PECOS PAC ID: 3173898384 Enrollment ID: I20171013000227 |
| Provider Name | Kathleen Anne Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700305109 PECOS PAC ID: 0648546622 Enrollment ID: I20171018002285 |
| Provider Name | Jessi Ousley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568971190 PECOS PAC ID: 6800162801 Enrollment ID: I20171018003023 |
| Provider Name | Crystal L Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689124141 PECOS PAC ID: 9830461771 Enrollment ID: I20171102003385 |
| Provider Name | Kelly Green |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730589565 PECOS PAC ID: 3971869074 Enrollment ID: I20171106002086 |
| Provider Name | Sharrie Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083141808 PECOS PAC ID: 6305102302 Enrollment ID: I20171108000179 |
| Provider Name | Patricia K Woeltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336679729 PECOS PAC ID: 7719243765 Enrollment ID: I20171108002159 |
| Provider Name | Emily B Franck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881105823 PECOS PAC ID: 7113283094 Enrollment ID: I20171109000143 |
| Provider Name | Heather Whalen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831600352 PECOS PAC ID: 0840557245 Enrollment ID: I20171120001034 |
| Provider Name | Alyssa Renee Laing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558874347 PECOS PAC ID: 3173880374 Enrollment ID: I20171127000128 |
| Provider Name | Deanna Lane Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114439825 PECOS PAC ID: 1951668110 Enrollment ID: I20171127002323 |
| Provider Name | Stephanie Jolly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821450651 PECOS PAC ID: 1052683430 Enrollment ID: I20171127002580 |
| Provider Name | Terrica Michelle Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528587789 PECOS PAC ID: 7911265848 Enrollment ID: I20171221002106 |
| Provider Name | Mandy Vittitow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700392404 PECOS PAC ID: 9830458108 Enrollment ID: I20180111002148 |
| Provider Name | Stephen Kirk Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255419776 PECOS PAC ID: 1052670031 Enrollment ID: I20180119001969 |
| Provider Name | Brandi M Gowin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780102293 PECOS PAC ID: 6608136312 Enrollment ID: I20180126002334 |
| Provider Name | Dale Ding |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073830360 PECOS PAC ID: 9234499609 Enrollment ID: I20180202000547 |
| Provider Name | Jacquelene Renee Steele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134566441 PECOS PAC ID: 2163723990 Enrollment ID: I20180206002046 |
| Provider Name | Amy Franco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487173043 PECOS PAC ID: 8820359532 Enrollment ID: I20180220002514 |
| Provider Name | Khadijeh Zarkoob |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1295705630 PECOS PAC ID: 1153343207 Enrollment ID: I20180227002695 |
| Provider Name | Stephanie Mesha Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710405105 PECOS PAC ID: 6507127909 Enrollment ID: I20180227003238 |
| Provider Name | Sarah Beth Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356840433 PECOS PAC ID: 8820359268 Enrollment ID: I20180228001655 |
| Provider Name | Jayla L Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912413824 PECOS PAC ID: 6305107681 Enrollment ID: I20180301000824 |
| Provider Name | Pablo Laureano Marti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033140942 PECOS PAC ID: 2163527755 Enrollment ID: I20180308002237 |
| Provider Name | Daniel Woo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255368312 PECOS PAC ID: 0244412930 Enrollment ID: I20180328001140 |
| Provider Name | Thomas Perry Colley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851894471 PECOS PAC ID: 9739442682 Enrollment ID: I20180406001260 |
| Provider Name | Spencer R Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154766087 PECOS PAC ID: 8527375831 Enrollment ID: I20180411002517 |
| Provider Name | Laura A Galvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164940854 PECOS PAC ID: 3375806722 Enrollment ID: I20180417001211 |
| Provider Name | Amy Nicole Mercer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083117451 PECOS PAC ID: 9830452077 Enrollment ID: I20180420001670 |
| Provider Name | Shasta Cecil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104334184 PECOS PAC ID: 3779847702 Enrollment ID: I20180427002168 |
| Provider Name | James Wilson Boyd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578505319 PECOS PAC ID: 9436110780 Enrollment ID: I20180501002910 |
| Provider Name | Greta Bakanowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245744960 PECOS PAC ID: 8729341177 Enrollment ID: I20180504000119 |
| Provider Name | Jessica A Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134664949 PECOS PAC ID: 3678837812 Enrollment ID: I20180516000342 |
| Provider Name | Deidra Irvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871099044 PECOS PAC ID: 9032474697 Enrollment ID: I20180531001986 |
| Provider Name | Sean W James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356729438 PECOS PAC ID: 7719282110 Enrollment ID: I20180605002706 |
| Provider Name | Vikas Kumar Singh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124375134 PECOS PAC ID: 4486909272 Enrollment ID: I20180619002630 |
| Provider Name | James Grant Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255711453 PECOS PAC ID: 1850603499 Enrollment ID: I20180627001130 |
| Provider Name | Ian Blake Holbrook |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427468909 PECOS PAC ID: 2961702188 Enrollment ID: I20180627001356 |
| Provider Name | Lanny R Gore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194886689 PECOS PAC ID: 7911909775 Enrollment ID: I20180705000765 |
| Provider Name | Karyn N Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033667159 PECOS PAC ID: 6800142837 Enrollment ID: I20180705002993 |
| Provider Name | Vikas Singh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457663817 PECOS PAC ID: 3678869989 Enrollment ID: I20180709002219 |
| Provider Name | Angela Renee Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457858250 PECOS PAC ID: 1153677802 Enrollment ID: I20180710003720 |
| Provider Name | Wesley E. Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053792069 PECOS PAC ID: 6305134396 Enrollment ID: I20180719003341 |
| Provider Name | Eric W Townsend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548754633 PECOS PAC ID: 2163779075 Enrollment ID: I20180724002615 |
| Provider Name | Devalkumar Jitendrabhai Rajyaguru |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083951719 PECOS PAC ID: 9739496332 Enrollment ID: I20180727002695 |
| Provider Name | Jennifer Fife |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235627910 PECOS PAC ID: 2163770751 Enrollment ID: I20180730000505 |
| Provider Name | Kristin M Bianchi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376953380 PECOS PAC ID: 3476855834 Enrollment ID: I20180731003862 |
| Provider Name | Kevin W Parrott |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1699092973 PECOS PAC ID: 9739499757 Enrollment ID: I20180803000932 |
| Provider Name | Christopher H Fenzel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316332448 PECOS PAC ID: 4183914229 Enrollment ID: I20180803002633 |
| Provider Name | Thomas C Damhoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285028225 PECOS PAC ID: 4486934759 Enrollment ID: I20180806002897 |
| Provider Name | Elizabeth Angellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801247903 PECOS PAC ID: 4385992098 Enrollment ID: I20180810003006 |
| Provider Name | Lauren Ashley Varble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336634104 PECOS PAC ID: 1254680630 Enrollment ID: I20180817001312 |
| Provider Name | Bianca Ummat |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538459839 PECOS PAC ID: 1951650340 Enrollment ID: I20180817001844 |
| Provider Name | Elizabeth Tarter Gerlach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578092268 PECOS PAC ID: 4183973506 Enrollment ID: I20180817003076 |
| Provider Name | Stephanie Lise Warren |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962778779 PECOS PAC ID: 0840509196 Enrollment ID: I20180828001959 |
| Provider Name | Jacob A Bishop |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013324136 PECOS PAC ID: 6507144698 Enrollment ID: I20180904001593 |
| Provider Name | Barrett M Teague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871935825 PECOS PAC ID: 8224388475 Enrollment ID: I20180910000324 |
| Provider Name | Emily Dunn Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760969364 PECOS PAC ID: 4688926694 Enrollment ID: I20181002002442 |
| Provider Name | Anne C Hayes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013370014 PECOS PAC ID: 7315217973 Enrollment ID: I20181008001646 |
| Provider Name | Joseph Yates |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518348549 PECOS PAC ID: 8022301621 Enrollment ID: I20181010003845 |
| Provider Name | Jessica Marie Scheller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679056220 PECOS PAC ID: 9638421167 Enrollment ID: I20181011001879 |
| Provider Name | Amanda M Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760964852 PECOS PAC ID: 4284987231 Enrollment ID: I20181022002531 |
| Provider Name | Lydia Sophia Crowder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235625963 PECOS PAC ID: 3577816818 Enrollment ID: I20181102000898 |
| Provider Name | Stephanie Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073096616 PECOS PAC ID: 6406100601 Enrollment ID: I20181106002259 |
| Provider Name | Angela N Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326527102 PECOS PAC ID: 0648524793 Enrollment ID: I20181108002196 |
| Provider Name | Dylan P Shepard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922585603 PECOS PAC ID: 0749534428 Enrollment ID: I20181115001463 |
| Provider Name | Peter Thomas Vogel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700353596 PECOS PAC ID: 6901150614 Enrollment ID: I20181115003022 |
| Provider Name | Praneeth Katrapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720442585 PECOS PAC ID: 0143591065 Enrollment ID: I20181120001083 |
| Provider Name | Rachel Lynn Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235604661 PECOS PAC ID: 9133463839 Enrollment ID: I20181206002855 |
| Provider Name | Heather Renee Cloud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780170795 PECOS PAC ID: 0244575462 Enrollment ID: I20181217001874 |
| Provider Name | Megan Allison Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336614684 PECOS PAC ID: 9931444957 Enrollment ID: I20181219003636 |
| Provider Name | Tereza J Peercy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275003519 PECOS PAC ID: 3779828694 Enrollment ID: I20181221000797 |
| Provider Name | James Bryan Grumley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619961299 PECOS PAC ID: 0547292237 Enrollment ID: I20190103003306 |
| Provider Name | Alyssa Louise Stubblefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871063404 PECOS PAC ID: 6901142363 Enrollment ID: I20190107002685 |
| Provider Name | Maryssa Jean Coyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427521772 PECOS PAC ID: 2668719592 Enrollment ID: I20190130001063 |
| Provider Name | Scott Mcmaster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134440506 PECOS PAC ID: 9638325301 Enrollment ID: I20190131001417 |
| Provider Name | Lindsay R Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336615384 PECOS PAC ID: 8325392319 Enrollment ID: I20190201001700 |
| Provider Name | Jenna Arend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417429960 PECOS PAC ID: 5799023396 Enrollment ID: I20190206001152 |
| Provider Name | Charles R Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811462146 PECOS PAC ID: 5092053587 Enrollment ID: I20190207001447 |
| Provider Name | Janay Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942786371 PECOS PAC ID: 5799023289 Enrollment ID: I20190207001581 |
| Provider Name | Sean Arora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841729449 PECOS PAC ID: 6305184342 Enrollment ID: I20190215002831 |
| Provider Name | Savannah Marie King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437614120 PECOS PAC ID: 7517208531 Enrollment ID: I20190401000756 |
| Provider Name | Tammy Dunaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669943502 PECOS PAC ID: 8527309509 Enrollment ID: I20190402000399 |
| Provider Name | Kristina Robinson Hammer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639634199 PECOS PAC ID: 5597006361 Enrollment ID: I20190403002301 |
| Provider Name | Taylor Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447727763 PECOS PAC ID: 6709128879 Enrollment ID: I20190422002091 |
| Provider Name | Andrew Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003318858 PECOS PAC ID: 5395087274 Enrollment ID: I20190424001723 |
| Provider Name | Gail Mcknight Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508240169 PECOS PAC ID: 2062728439 Enrollment ID: I20190426002039 |
| Provider Name | Katherine Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346719804 PECOS PAC ID: 5395087035 Enrollment ID: I20190430001575 |
| Provider Name | Donna Saylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881257384 PECOS PAC ID: 1254674062 Enrollment ID: I20190520000461 |
| Provider Name | Christian Rae North |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003358219 PECOS PAC ID: 0840533592 Enrollment ID: I20190520002851 |
| Provider Name | Jonathan M Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174908230 PECOS PAC ID: 1355621996 Enrollment ID: I20190523002056 |
| Provider Name | Tathyana Marques F Fensterer |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1225337934 PECOS PAC ID: 8921391368 Enrollment ID: I20190523002708 |
| Provider Name | Chelsea Bentley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538723242 PECOS PAC ID: 4183967516 Enrollment ID: I20190528000882 |
| Provider Name | Debra A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245792522 PECOS PAC ID: 8527391416 Enrollment ID: I20190607001776 |
| Provider Name | Cody Sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053884361 PECOS PAC ID: 7810221082 Enrollment ID: I20190620003524 |
| Provider Name | Yared Berhanu Hailemariam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164718466 PECOS PAC ID: 0749401883 Enrollment ID: I20190621001515 |
| Provider Name | Dena K Mullin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114489770 PECOS PAC ID: 5496089377 Enrollment ID: I20190626002761 |
| Provider Name | Abby Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508425844 PECOS PAC ID: 8527393016 Enrollment ID: I20190703001986 |
| Provider Name | Alison Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518526169 PECOS PAC ID: 5799010435 Enrollment ID: I20190717001855 |
| Provider Name | Karen L Garrett |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629366950 PECOS PAC ID: 4183950595 Enrollment ID: I20190723002586 |
| Provider Name | Megan S Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780060236 PECOS PAC ID: 7315252673 Enrollment ID: I20190729000691 |
| Provider Name | Sarah Fisher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366836892 PECOS PAC ID: 4486958907 Enrollment ID: I20190730004699 |
| Provider Name | Kristen D Lockhart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972164358 PECOS PAC ID: 1759617533 Enrollment ID: I20190731003930 |
| Provider Name | Amanda L Tolliver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710548847 PECOS PAC ID: 8921335647 Enrollment ID: I20190802002281 |
| Provider Name | Christine H Brown |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811558398 PECOS PAC ID: 1759618432 Enrollment ID: I20190805001529 |
| Provider Name | Margaret Dean Luckett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639312531 PECOS PAC ID: 4981931599 Enrollment ID: I20190805003223 |
| Provider Name | Myranda J Farmer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700447406 PECOS PAC ID: 4486981883 Enrollment ID: I20190807003635 |
| Provider Name | Ashley C Dalton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487083945 PECOS PAC ID: 6305173717 Enrollment ID: I20190807004174 |
| Provider Name | Siri Jane Anseth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619535283 PECOS PAC ID: 7113254525 Enrollment ID: I20190807004179 |
| Provider Name | Brittany A Elliott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306407028 PECOS PAC ID: 8022345438 Enrollment ID: I20190807004182 |
| Provider Name | Corinne Perkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376102178 PECOS PAC ID: 8224365572 Enrollment ID: I20190808001941 |
| Provider Name | Kelly E Hulls |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407415821 PECOS PAC ID: 1557698784 Enrollment ID: I20190812001814 |
| Provider Name | Patti M Hosford |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437717188 PECOS PAC ID: 4385971456 Enrollment ID: I20190812003750 |
| Provider Name | Tiffany H Roberts |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518206655 PECOS PAC ID: 0648507756 Enrollment ID: I20190813001395 |
| Provider Name | Weston Gerard Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013576859 PECOS PAC ID: 6002143021 Enrollment ID: I20190813002466 |
| Provider Name | Brittany N Rhodes |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952962136 PECOS PAC ID: 2365779311 Enrollment ID: I20190813003491 |
| Provider Name | Melissa M Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760043921 PECOS PAC ID: 9931436995 Enrollment ID: I20190813003811 |
| Provider Name | Anthony L Bohannon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326606971 PECOS PAC ID: 0446587406 Enrollment ID: I20190814000152 |
| Provider Name | Jean M Brosky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780242396 PECOS PAC ID: 3072840032 Enrollment ID: I20190814000202 |
| Provider Name | Amy M Simpson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558922658 PECOS PAC ID: 4486981461 Enrollment ID: I20190814000843 |
| Provider Name | Margaret E Price |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003070152 PECOS PAC ID: 3173850013 Enrollment ID: I20190814003646 |
| Provider Name | Jennifer L Johnston |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750949590 PECOS PAC ID: 4587991427 Enrollment ID: I20190814003875 |
| Provider Name | Ann Courtney Hubbard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649832635 PECOS PAC ID: 9638406580 Enrollment ID: I20190814004090 |
| Provider Name | Brian Walter Kaebnick |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407084593 PECOS PAC ID: 4688966815 Enrollment ID: I20190815000827 |
| Provider Name | Michelle Wilder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639113376 PECOS PAC ID: 6709113533 Enrollment ID: I20190815003601 |
| Provider Name | Rachel A Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700444841 PECOS PAC ID: 7214265024 Enrollment ID: I20190817000210 |
| Provider Name | Roxanne Krupinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376103093 PECOS PAC ID: 6204164619 Enrollment ID: I20190822004051 |
| Provider Name | Miranda R Scott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437718863 PECOS PAC ID: 2769710094 Enrollment ID: I20190826000694 |
| Provider Name | Kalae' C Barton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760043012 PECOS PAC ID: 8729314455 Enrollment ID: I20190826003056 |
| Provider Name | Kayla Renae Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124684212 PECOS PAC ID: 2264761170 Enrollment ID: I20190830002731 |
| Provider Name | Catherine Alexandra Sefcovic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952843039 PECOS PAC ID: 1456680834 Enrollment ID: I20190910002730 |
| Provider Name | Alissa Delano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437702826 PECOS PAC ID: 4183953219 Enrollment ID: I20190913002732 |
| Provider Name | Aaron Benjamin Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528613171 PECOS PAC ID: 5991035529 Enrollment ID: I20190925001609 |
| Provider Name | Lyndsay Whitlock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477034262 PECOS PAC ID: 9931452984 Enrollment ID: I20191001001228 |
| Provider Name | Adanna C Amanze |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871516294 PECOS PAC ID: 2668361924 Enrollment ID: I20191002002156 |
| Provider Name | Addie Jane Lenox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174171896 PECOS PAC ID: 3072844166 Enrollment ID: I20191003000947 |
| Provider Name | Logan M Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497315196 PECOS PAC ID: 2567793458 Enrollment ID: I20191007003672 |
| Provider Name | Krissie E. Robinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851643217 PECOS PAC ID: 2264686237 Enrollment ID: I20191010000884 |
| Provider Name | Teresa Michelle Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306499199 PECOS PAC ID: 1658602230 Enrollment ID: I20191011002353 |
| Provider Name | Lana Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811543069 PECOS PAC ID: 8325379571 Enrollment ID: I20191018002631 |
| Provider Name | Alessandra Morello Gearhart |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639412612 PECOS PAC ID: 6103193891 Enrollment ID: I20191021001120 |
| Provider Name | Holly Janine Rodgers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194384594 PECOS PAC ID: 7719218908 Enrollment ID: I20191021001274 |
| Provider Name | Rachel Blades |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750861555 PECOS PAC ID: 1658603857 Enrollment ID: I20191024002644 |
| Provider Name | Amanda B Hellmueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821649849 PECOS PAC ID: 0042542524 Enrollment ID: I20191101002477 |
| Provider Name | Stephanie Brooke White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497213185 PECOS PAC ID: 3375975444 Enrollment ID: I20191111001419 |
| Provider Name | Tara Anne Toebbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871135806 PECOS PAC ID: 8022441732 Enrollment ID: I20191211001873 |
| Provider Name | Victoria Ruth Moreland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982056073 PECOS PAC ID: 6002198595 Enrollment ID: I20191214000356 |
| Provider Name | Tamara Slater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700421914 PECOS PAC ID: 0042644312 Enrollment ID: I20191218002978 |
| Provider Name | Amy Lynn Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609417211 PECOS PAC ID: 7517391899 Enrollment ID: I20191218003297 |
| Provider Name | Adam Christopher Neff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134658974 PECOS PAC ID: 5092040980 Enrollment ID: I20191219001833 |
| Provider Name | Jacquetta Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265073985 PECOS PAC ID: 1153755079 Enrollment ID: I20200102000305 |
| Provider Name | Sara V Woodcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639641145 PECOS PAC ID: 4587099684 Enrollment ID: I20200117002200 |
| Provider Name | Victoria Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427409085 PECOS PAC ID: 2769817477 Enrollment ID: I20200127000340 |
| Provider Name | Sally L Condon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568995744 PECOS PAC ID: 6709135932 Enrollment ID: I20200128001151 |
| Provider Name | Andre L Culpepper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801208459 PECOS PAC ID: 7113233099 Enrollment ID: I20200130003036 |
| Provider Name | Emily Jordan Gregory |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912387523 PECOS PAC ID: 3072864859 Enrollment ID: I20200211000570 |
| Provider Name | Samantha Johanne Tatum |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609414507 PECOS PAC ID: 2365879731 Enrollment ID: I20200224002668 |
| Provider Name | Adam Prewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417589706 PECOS PAC ID: 4486082047 Enrollment ID: I20200312001614 |
| Provider Name | Samantha Burton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164987756 PECOS PAC ID: 4981032125 Enrollment ID: I20200320002735 |
| Provider Name | Devin Druen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1639600950 PECOS PAC ID: 6901154186 Enrollment ID: I20200324002528 |
| Provider Name | Sylvester L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861038523 PECOS PAC ID: 9931538915 Enrollment ID: I20200327000368 |
| Provider Name | Kenny Maynes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932376175 PECOS PAC ID: 7214366137 Enrollment ID: I20200327003137 |
| Provider Name | Kristin Burch Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497398697 PECOS PAC ID: 7012346323 Enrollment ID: I20200408002996 |
| Provider Name | Dennis Christian Drinkwater |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215223698 PECOS PAC ID: 0840417887 Enrollment ID: I20200409001036 |
| Provider Name | Leo J Moody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548782568 PECOS PAC ID: 2264782010 Enrollment ID: I20200413003878 |
| Provider Name | Hannah Christine Raake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447880430 PECOS PAC ID: 6507294808 Enrollment ID: I20200420000200 |
| Provider Name | Megan Danielle Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598390148 PECOS PAC ID: 6709216476 Enrollment ID: I20200420003120 |
| Provider Name | Emily Ryan Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396220810 PECOS PAC ID: 4981034501 Enrollment ID: I20200423000498 |
| Provider Name | Skyler K Frye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508490129 PECOS PAC ID: 0749611937 Enrollment ID: I20200501001858 |
| Provider Name | Brooke Bauer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386088508 PECOS PAC ID: 1951629997 Enrollment ID: I20200507002554 |
| Provider Name | Dawn Lechner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861032906 PECOS PAC ID: 4082042684 Enrollment ID: I20200511001399 |
| Provider Name | Cody Mcneely |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841564853 PECOS PAC ID: 7719140342 Enrollment ID: I20200511001811 |
| Provider Name | Kalynn Jolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386276715 PECOS PAC ID: 1153752241 Enrollment ID: I20200512003751 |
| Provider Name | Nathaniel Todnem |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1144584004 PECOS PAC ID: 7315273521 Enrollment ID: I20200514001063 |
| Provider Name | Elizabeth Lena Jean Heaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518596758 PECOS PAC ID: 2163853789 Enrollment ID: I20200515000813 |
| Provider Name | Molly Tarter Denise |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275167942 PECOS PAC ID: 6406287945 Enrollment ID: I20200515002241 |
| Provider Name | Christina L Catlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114571254 PECOS PAC ID: 4486085891 Enrollment ID: I20200529001740 |
| Provider Name | Lindsay Flynn Arnold |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780002469 PECOS PAC ID: 6507287273 Enrollment ID: I20200604001889 |
| Provider Name | Tara Meredith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215560677 PECOS PAC ID: 3870917313 Enrollment ID: I20200716003873 |
| Provider Name | Jessica Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346870458 PECOS PAC ID: 5698190882 Enrollment ID: I20200805001333 |
| Provider Name | Meagan Obst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841814118 PECOS PAC ID: 1951726173 Enrollment ID: I20200805002266 |
| Provider Name | Monica H Vetter |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1811331390 PECOS PAC ID: 4688802887 Enrollment ID: I20200805002303 |
| Provider Name | Kelly Nicole Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336757665 PECOS PAC ID: 1153746276 Enrollment ID: I20200806002777 |
| Provider Name | Tabitha C Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467070623 PECOS PAC ID: 2062837040 Enrollment ID: I20200807001724 |
| Provider Name | Nyebol B Madut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760861777 PECOS PAC ID: 4981951647 Enrollment ID: I20200810002208 |
| Provider Name | Jeremy D Webb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609307255 PECOS PAC ID: 7113250275 Enrollment ID: I20200811002706 |
| Provider Name | Thomas Schlierf |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720407604 PECOS PAC ID: 2860700481 Enrollment ID: I20200819003155 |
| Provider Name | Nirav M Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588042600 PECOS PAC ID: 0547562001 Enrollment ID: I20200819003359 |
| Provider Name | Lauren L Crump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811508831 PECOS PAC ID: 5698191765 Enrollment ID: I20200819003542 |
| Provider Name | William Bickers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114311073 PECOS PAC ID: 8123300407 Enrollment ID: I20200819004244 |
| Provider Name | Kathleen V Ferry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902269830 PECOS PAC ID: 3971897901 Enrollment ID: I20200820002813 |
| Provider Name | Christina Ann Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780293027 PECOS PAC ID: 0244656221 Enrollment ID: I20200820003720 |
| Provider Name | Lauren Elizabeth Boccieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851916746 PECOS PAC ID: 2860819877 Enrollment ID: I20200903003552 |
| Provider Name | Craig Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528553260 PECOS PAC ID: 4981957529 Enrollment ID: I20200909002153 |
| Provider Name | Jinee Brooks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790349520 PECOS PAC ID: 6608294541 Enrollment ID: I20200909003231 |
| Provider Name | Erin Eichenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134616410 PECOS PAC ID: 3971868753 Enrollment ID: I20200915002988 |
| Provider Name | Allyson Riggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720691470 PECOS PAC ID: 1759701428 Enrollment ID: I20201019001580 |
| Provider Name | Chelsea Roshell Baumgardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063011468 PECOS PAC ID: 9335569995 Enrollment ID: I20201020002167 |
| Provider Name | Bobbie Lee Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720699010 PECOS PAC ID: 3870913452 Enrollment ID: I20201020003820 |
| Provider Name | Cymbre Lin Root |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003228222 PECOS PAC ID: 5395165633 Enrollment ID: I20201026001954 |
| Provider Name | Dorothy L Hickerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437288503 PECOS PAC ID: 4284054545 Enrollment ID: I20201026003251 |
| Provider Name | Cheryl Denise Shunnarah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437767340 PECOS PAC ID: 7113337403 Enrollment ID: I20201027001692 |
| Provider Name | Rose P Archemetre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922455997 PECOS PAC ID: 7113210212 Enrollment ID: I20201028001479 |
| Provider Name | Laken Nicole Runnels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346847878 PECOS PAC ID: 9133539380 Enrollment ID: I20201029001923 |
| Provider Name | Stephanie Brianne Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982202776 PECOS PAC ID: 8022428135 Enrollment ID: I20201030001656 |
| Provider Name | Kari Kleinman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851991145 PECOS PAC ID: 0345651451 Enrollment ID: I20201120002413 |
| Provider Name | Emily Ann Clonce |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851908370 PECOS PAC ID: 5496166423 Enrollment ID: I20201124001386 |
| Provider Name | Mehyar Mehrizi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477875938 PECOS PAC ID: 9830335462 Enrollment ID: I20201124001525 |
| Provider Name | Courtney Layne Hawk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891305132 PECOS PAC ID: 7113338872 Enrollment ID: I20201201002311 |
| Provider Name | Sarah Elizabeth Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619570744 PECOS PAC ID: 2466863154 Enrollment ID: I20201202000469 |
| Provider Name | Tiffany L Rigney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407454788 PECOS PAC ID: 8224449855 Enrollment ID: I20201202002536 |
| Provider Name | Mary Egger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518039031 PECOS PAC ID: 3173614005 Enrollment ID: I20201209000497 |
| Provider Name | Dustin Nicolas Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497011696 PECOS PAC ID: 1153634381 Enrollment ID: I20201210003090 |
| Provider Name | Christina Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437752821 PECOS PAC ID: 7618389701 Enrollment ID: I20201214003062 |
| Provider Name | Natasha A Jain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578981445 PECOS PAC ID: 6002178837 Enrollment ID: I20210104001811 |
| Provider Name | Lynnetta Loveland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598163602 PECOS PAC ID: 4880984004 Enrollment ID: I20210107002847 |
| Provider Name | Allison Lohr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326692666 PECOS PAC ID: 4789097833 Enrollment ID: I20210108001303 |
| Provider Name | Amartyadeb Goswami |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851314728 PECOS PAC ID: 2163456872 Enrollment ID: I20210119002693 |
| Provider Name | Shawna M Matt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609498427 PECOS PAC ID: 4284048562 Enrollment ID: I20210127002707 |
| Provider Name | Ashhad Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992369730 PECOS PAC ID: 9436563350 Enrollment ID: I20210203002582 |
| Provider Name | Humera Subrin Taqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326485012 PECOS PAC ID: 6608090071 Enrollment ID: I20210204002044 |
| Provider Name | Hassan Mohammed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740844570 PECOS PAC ID: 3971917857 Enrollment ID: I20210204002265 |
| Provider Name | Kaycee E Stone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962092577 PECOS PAC ID: 3870908619 Enrollment ID: I20210209001478 |
| Provider Name | Jacqueline Ann Thomas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487243077 PECOS PAC ID: 6204241086 Enrollment ID: I20210209003014 |
| Provider Name | Hannah Rose Osborne |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710412507 PECOS PAC ID: 2062827769 Enrollment ID: I20210210001131 |
| Provider Name | Samantha B Stith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932790797 PECOS PAC ID: 2668887365 Enrollment ID: I20210210001278 |
| Provider Name | Andrea L Heibert |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487111407 PECOS PAC ID: 4082029798 Enrollment ID: I20210210001484 |
| Provider Name | Benjamin T Millay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790185601 PECOS PAC ID: 9032524749 Enrollment ID: I20210210001715 |
| Provider Name | Elizabeth Danielle Sexton Ponder |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255921979 PECOS PAC ID: 4486069101 Enrollment ID: I20210210001936 |
| Provider Name | Lauren A Hughes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841889458 PECOS PAC ID: 2769897412 Enrollment ID: I20210210003304 |
| Provider Name | Norman Wayne Ayotte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518939610 PECOS PAC ID: 5597170175 Enrollment ID: I20210211002138 |
| Provider Name | Abby S Peak |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932470911 PECOS PAC ID: 2860424504 Enrollment ID: I20210211003015 |
| Provider Name | Katelyn S Tabb |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952649493 PECOS PAC ID: 7911312533 Enrollment ID: I20210212000414 |
| Provider Name | Logan P Robinson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730778341 PECOS PAC ID: 4082029616 Enrollment ID: I20210212001023 |
| Provider Name | Samantha Lynn Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679164016 PECOS PAC ID: 7315352838 Enrollment ID: I20210216000795 |
| Provider Name | Raaj Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851981492 PECOS PAC ID: 1850706821 Enrollment ID: I20210225000857 |
| Provider Name | Kristen Ann Hayes |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1912034414 PECOS PAC ID: 7911312889 Enrollment ID: I20210226002469 |
| Provider Name | Keri Eileen Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538758107 PECOS PAC ID: 9638584519 Enrollment ID: I20210301000171 |
| Provider Name | Jacob A Hughes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174065676 PECOS PAC ID: 4082020722 Enrollment ID: I20210304001384 |
| Provider Name | Kristen Carter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497345052 PECOS PAC ID: 8123434883 Enrollment ID: I20210304002008 |
| Provider Name | Ramona Osborne-gill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306437215 PECOS PAC ID: 5395151054 Enrollment ID: I20210304002096 |
| Provider Name | Jennifer L Ayotte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811005572 PECOS PAC ID: 1951403989 Enrollment ID: I20210304002308 |
| Provider Name | Mary Catherine Mudd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164012258 PECOS PAC ID: 6709292360 Enrollment ID: I20210304002381 |
| Provider Name | Kelly J Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568913721 PECOS PAC ID: 4587939038 Enrollment ID: I20210304002825 |
| Provider Name | Abbye Elizabeth Senn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982294518 PECOS PAC ID: 6608282165 Enrollment ID: I20210308001318 |
| Provider Name | Lauren M Reesor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609465285 PECOS PAC ID: 6901212422 Enrollment ID: I20210309000652 |
| Provider Name | Tessa Hines |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922697531 PECOS PAC ID: 3971919218 Enrollment ID: I20210310002231 |
| Provider Name | Lisa M Ferris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306932710 PECOS PAC ID: 5092943100 Enrollment ID: I20210310003128 |
| Provider Name | Shelby Kay Price |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063011690 PECOS PAC ID: 6002221793 Enrollment ID: I20210311002114 |
| Provider Name | Ashley Nicole Higdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194318766 PECOS PAC ID: 7315353505 Enrollment ID: I20210312002305 |
| Provider Name | Nadia Carolina Azuero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528622677 PECOS PAC ID: 2163839804 Enrollment ID: I20210325001614 |
| Provider Name | Brianna Joy Monin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982284212 PECOS PAC ID: 4688082258 Enrollment ID: I20210420001578 |
| Provider Name | Tara Beth Coyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720670342 PECOS PAC ID: 9032527239 Enrollment ID: I20210427001950 |
| Provider Name | Meaghen Lee Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437739166 PECOS PAC ID: 3678982444 Enrollment ID: I20210506002487 |
| Provider Name | Megan Elizabeth Burcham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134706583 PECOS PAC ID: 6406265743 Enrollment ID: I20210517002399 |
| Provider Name | John A Cox |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174796544 PECOS PAC ID: 1557504750 Enrollment ID: I20210525000514 |
| Provider Name | Muntadher Khaleefah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659802544 PECOS PAC ID: 1850648544 Enrollment ID: I20210603002986 |
| Provider Name | Angela Mcgirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699360347 PECOS PAC ID: 4486054780 Enrollment ID: I20210608001835 |
| Provider Name | Kathy Jo Forrest |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740855964 PECOS PAC ID: 8022418193 Enrollment ID: I20210610001878 |
| Provider Name | Timothy H Dawson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336502467 PECOS PAC ID: 6406127596 Enrollment ID: I20210615002131 |
| Provider Name | Michael Raymond Norville |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316438112 PECOS PAC ID: 0345641494 Enrollment ID: I20210625001993 |
| Provider Name | Tiffani Nichols |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760678106 PECOS PAC ID: 1254484157 Enrollment ID: I20210628002854 |
| Provider Name | John Andrew Brown |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437534948 PECOS PAC ID: 8527311448 Enrollment ID: I20210630003030 |
| Provider Name | Carol Lindsay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902826720 PECOS PAC ID: 7315973229 Enrollment ID: I20210702002524 |
| Provider Name | Mary Helen Manley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942732912 PECOS PAC ID: 1658623111 Enrollment ID: I20210706003342 |
| Provider Name | Amelia Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831622117 PECOS PAC ID: 5193074763 Enrollment ID: I20210706003428 |
| Provider Name | Adam C Murphy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922462035 PECOS PAC ID: 2466745955 Enrollment ID: I20210707002453 |
| Provider Name | Brent Hillard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215399431 PECOS PAC ID: 2062782022 Enrollment ID: I20210712003240 |
| Provider Name | Robert Jacobson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174590152 PECOS PAC ID: 6901945948 Enrollment ID: I20210712003612 |
| Provider Name | John Serak |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053635656 PECOS PAC ID: 4183996515 Enrollment ID: I20210714001500 |
| Provider Name | Mary Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588245856 PECOS PAC ID: 1456753300 Enrollment ID: I20210714002317 |
| Provider Name | Kyle David Mills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841795507 PECOS PAC ID: 7315275591 Enrollment ID: I20210714003138 |
| Provider Name | Michelle Justice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114497583 PECOS PAC ID: 2365773736 Enrollment ID: I20210715004230 |
| Provider Name | Brian Snyder |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689081895 PECOS PAC ID: 0648588475 Enrollment ID: I20210716000844 |
| Provider Name | Jeevanjot K Virk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699273722 PECOS PAC ID: 3476807025 Enrollment ID: I20210716001646 |
| Provider Name | Mohammed Azam Mohiuddin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205036837 PECOS PAC ID: 2163824814 Enrollment ID: I20210716002588 |
| Provider Name | Stephanie Anne Via |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891363883 PECOS PAC ID: 5799188439 Enrollment ID: I20210719003454 |
| Provider Name | Fahad Rashid Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659517233 PECOS PAC ID: 5193871994 Enrollment ID: I20210722002993 |
| Provider Name | Nicole Ashley Burks |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285204479 PECOS PAC ID: 2860895208 Enrollment ID: I20210722003865 |
| Provider Name | Mariano Camporrotondo |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1912572595 PECOS PAC ID: 4284037565 Enrollment ID: I20210723001799 |
| Provider Name | Angela L Peevey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447828991 PECOS PAC ID: 2365845443 Enrollment ID: I20210727002642 |
| Provider Name | Avital Hahn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578095956 PECOS PAC ID: 9830592880 Enrollment ID: I20210728001336 |
| Provider Name | Kristina Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518536564 PECOS PAC ID: 9830592716 Enrollment ID: I20210729002749 |
| Provider Name | Cody Wayne Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194220947 PECOS PAC ID: 7719214550 Enrollment ID: I20210803002562 |
| Provider Name | Tiffany Lynn Whitson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255909008 PECOS PAC ID: 5294139754 Enrollment ID: I20210804004187 |
| Provider Name | Ashlee A Vinyard |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528479193 PECOS PAC ID: 2365768751 Enrollment ID: I20210805002416 |
| Provider Name | Megan Draffen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942872122 PECOS PAC ID: 3375948110 Enrollment ID: I20210817003611 |
| Provider Name | Andrew T Miles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154096659 PECOS PAC ID: 7113322603 Enrollment ID: I20210820002810 |
| Provider Name | Nathan Goldsmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962072967 PECOS PAC ID: 4789089228 Enrollment ID: I20210823001165 |
| Provider Name | Mike Weng Zhang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750737144 PECOS PAC ID: 8628365491 Enrollment ID: I20210826001159 |
| Provider Name | Laura Wick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821578576 PECOS PAC ID: 9537565841 Enrollment ID: I20210913002191 |
| Provider Name | Mckenzie Jo Clemons |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245855709 PECOS PAC ID: 9133526775 Enrollment ID: I20210923001809 |
| Provider Name | Ashley Crooke Trader |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396318564 PECOS PAC ID: 1850798398 Enrollment ID: I20210924002844 |
| Provider Name | Heather Marra |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821768987 PECOS PAC ID: 5395712822 Enrollment ID: I20210927002265 |
| Provider Name | Assal Moori Shir Mohammadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235804857 PECOS PAC ID: 5799182960 Enrollment ID: I20210930002702 |
| Provider Name | Aaron High |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578931580 PECOS PAC ID: 6608176649 Enrollment ID: I20211005002631 |
| Provider Name | Jessica Ray Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134890585 PECOS PAC ID: 7214335272 Enrollment ID: I20211006001807 |
| Provider Name | Amanda Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790034908 PECOS PAC ID: 4981852779 Enrollment ID: I20211012003064 |
| Provider Name | Kassandra G Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124795505 PECOS PAC ID: 7911305461 Enrollment ID: I20211013002228 |
| Provider Name | Jonathan Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568136117 PECOS PAC ID: 3173921632 Enrollment ID: I20211013002819 |
| Provider Name | Janna Elam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316407281 PECOS PAC ID: 0648678979 Enrollment ID: I20211018000542 |
| Provider Name | Kristina Kaye Colley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538821855 PECOS PAC ID: 2567850811 Enrollment ID: I20211019002899 |
| Provider Name | Stephanie Danielle Finney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366026916 PECOS PAC ID: 5991193096 Enrollment ID: I20211021002842 |
| Provider Name | Angel Y Ramos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912392986 PECOS PAC ID: 8820380413 Enrollment ID: I20211021002938 |
| Provider Name | Sheba Syeda Asghar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780865758 PECOS PAC ID: 2567543150 Enrollment ID: I20211025002802 |
| Provider Name | Alyssa Paula Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992475271 PECOS PAC ID: 1254729098 Enrollment ID: I20211027000610 |
| Provider Name | Cody Weston Ricker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730842170 PECOS PAC ID: 4981093317 Enrollment ID: I20211105000595 |
| Provider Name | Valerie R Melton |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1841554557 PECOS PAC ID: 8022253228 Enrollment ID: I20211110002992 |
| Provider Name | Jessica Chewning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649932369 PECOS PAC ID: 2264821313 Enrollment ID: I20211111002385 |
| Provider Name | Lauren Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891457917 PECOS PAC ID: 7012306012 Enrollment ID: I20211112001388 |
| Provider Name | Dustin Lee Skiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063177244 PECOS PAC ID: 7012306863 Enrollment ID: I20211116002490 |
| Provider Name | Katelin Marie Skaggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750043238 PECOS PAC ID: 1355731647 Enrollment ID: I20211130002040 |
| Provider Name | Stuart D Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841829124 PECOS PAC ID: 6406246123 Enrollment ID: I20211210001767 |
| Provider Name | Christopher Sonnier |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598732513 PECOS PAC ID: 6608877634 Enrollment ID: I20211220002474 |
| Provider Name | Kara Danielle Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760140107 PECOS PAC ID: 9436540713 Enrollment ID: I20211221000671 |
| Provider Name | Caroline Sewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205235322 PECOS PAC ID: 7719204387 Enrollment ID: I20211222002545 |
| Provider Name | Allen Darrell Probus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043974710 PECOS PAC ID: 7618369620 Enrollment ID: I20220125002953 |
| Provider Name | Adena Nicole Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689259962 PECOS PAC ID: 4486046208 Enrollment ID: I20220127002105 |
| Provider Name | Kelsey Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275284515 PECOS PAC ID: 5193118941 Enrollment ID: I20220131001962 |
| Provider Name | Kathleen Naylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982139085 PECOS PAC ID: 2466859863 Enrollment ID: I20220201000627 |
| Provider Name | Amanda Kristen Blume |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275284499 PECOS PAC ID: 3779976360 Enrollment ID: I20220202002900 |
| Provider Name | Madeline Bennett Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851054787 PECOS PAC ID: 4880088012 Enrollment ID: I20220303001201 |
| Provider Name | Samantha Happel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346844230 PECOS PAC ID: 1355755893 Enrollment ID: I20220303002770 |
| Provider Name | Lea Danielle Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366197238 PECOS PAC ID: 5193110856 Enrollment ID: I20220315002171 |
| Provider Name | Geneva Gingerich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790431963 PECOS PAC ID: 4880089168 Enrollment ID: I20220323002519 |
| Provider Name | Jennifer Nicole Cecil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467105320 PECOS PAC ID: 3971998097 Enrollment ID: I20220328000308 |
| Provider Name | Aaron Slyh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922757665 PECOS PAC ID: 0547656597 Enrollment ID: I20220331001180 |
| Provider Name | Kathy Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891443917 PECOS PAC ID: 3870989791 Enrollment ID: I20220401001020 |
| Provider Name | David Edward Lackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922755909 PECOS PAC ID: 5597151316 Enrollment ID: I20220404002611 |
| Provider Name | Hannah Elizabeth English |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528711256 PECOS PAC ID: 7618363987 Enrollment ID: I20220413002634 |
| Provider Name | William Vancise |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952391831 PECOS PAC ID: 5597654236 Enrollment ID: I20220418000454 |
| Provider Name | Christina Maria Tyus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215688791 PECOS PAC ID: 5092192385 Enrollment ID: I20220505002235 |
| Provider Name | Melissa Grace Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245974419 PECOS PAC ID: 7113304866 Enrollment ID: I20220518001207 |
| Provider Name | Mark A. Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578884581 PECOS PAC ID: 6507014917 Enrollment ID: I20220520001460 |
| Provider Name | Mark Irvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558364406 PECOS PAC ID: 2567739881 Enrollment ID: I20220607002511 |
| Provider Name | Abigail Elliston Lawson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508325440 PECOS PAC ID: 8921423666 Enrollment ID: I20220608001080 |
| Provider Name | Casey Bowe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023578077 PECOS PAC ID: 0345666426 Enrollment ID: I20220610001525 |
| Provider Name | Trisha L Campbell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871031609 PECOS PAC ID: 1254710445 Enrollment ID: I20220617001582 |
| Provider Name | Nabeel Habib Gul |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1568890416 PECOS PAC ID: 5496133019 Enrollment ID: I20220624001862 |
| Provider Name | Sunanda N Sadanandan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992871339 PECOS PAC ID: 6507903564 Enrollment ID: I20220624002216 |
| Provider Name | Mladen Grigorov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336609403 PECOS PAC ID: 9739505561 Enrollment ID: I20220627002741 |
| Provider Name | Ryan Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841751187 PECOS PAC ID: 0446630826 Enrollment ID: I20220630003066 |
| Provider Name | Eric Chen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841672276 PECOS PAC ID: 0941516892 Enrollment ID: I20220705001659 |
| Provider Name | Eric Charles Kreps |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922462720 PECOS PAC ID: 4385931559 Enrollment ID: I20220706000718 |
| Provider Name | Holly Caudill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629539325 PECOS PAC ID: 8628301868 Enrollment ID: I20220706000824 |
| Provider Name | Thomas A Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871881201 PECOS PAC ID: 6709267313 Enrollment ID: I20220713003467 |
| Provider Name | Jonathan Rice |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518256783 PECOS PAC ID: 5698170504 Enrollment ID: I20220718001722 |
| Provider Name | Matthew A. Heckroth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780145219 PECOS PAC ID: 3476964719 Enrollment ID: I20220719003281 |
| Provider Name | Paula Rae Galvez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235876459 PECOS PAC ID: 2466833561 Enrollment ID: I20220721000002 |
| Provider Name | Ivan Pena |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1770978587 PECOS PAC ID: 4981903580 Enrollment ID: I20220725002494 |
| Provider Name | Valerie Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225657877 PECOS PAC ID: 5395166102 Enrollment ID: I20220727003223 |
| Provider Name | David D Picklesimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285194258 PECOS PAC ID: 6608288139 Enrollment ID: I20220728000955 |
| Provider Name | Carlie Ann Morgan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366173387 PECOS PAC ID: 2466834015 Enrollment ID: I20220729001285 |
| Provider Name | Joey Kyle Creekbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639802515 PECOS PAC ID: 1456733922 Enrollment ID: I20220729002299 |
| Provider Name | Mary Montague |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891291456 PECOS PAC ID: 6800147257 Enrollment ID: I20220804002915 |
| Provider Name | Enaam Alsoufi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083270672 PECOS PAC ID: 5799011946 Enrollment ID: I20220811003470 |
| Provider Name | Charles Amos Bush |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619361680 PECOS PAC ID: 4385924653 Enrollment ID: I20220815001128 |
| Provider Name | Cooper Rapp |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1356876395 PECOS PAC ID: 6204108772 Enrollment ID: I20220817001904 |
| Provider Name | Heidi Mahnken |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942658745 PECOS PAC ID: 3779879234 Enrollment ID: I20220817002198 |
| Provider Name | Marc Raymond Deshaies |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255390373 PECOS PAC ID: 7214998772 Enrollment ID: I20220825001903 |
| Provider Name | Tylor Kelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700513074 PECOS PAC ID: 4587048475 Enrollment ID: I20220825003687 |
| Provider Name | Lindsay Shanelle Songer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558098855 PECOS PAC ID: 6608250477 Enrollment ID: I20220826002983 |
| Provider Name | Jessica Marie Stith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427788413 PECOS PAC ID: 8123402617 Enrollment ID: I20220901000974 |
| Provider Name | Christopher D Runkle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245561356 PECOS PAC ID: 7214064740 Enrollment ID: I20220901002653 |
| Provider Name | Emily Carico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821559774 PECOS PAC ID: 5496139750 Enrollment ID: I20220906001158 |
| Provider Name | Chase Aaron, Scott Noel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891323275 PECOS PAC ID: 8527442722 Enrollment ID: I20220907003782 |
| Provider Name | Bernadette Borte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366678344 PECOS PAC ID: 3072759604 Enrollment ID: I20220909001989 |
| Provider Name | Lauren E Coury |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932837259 PECOS PAC ID: 5799160305 Enrollment ID: I20220919001529 |
| Provider Name | Patrick John Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851026611 PECOS PAC ID: 9537544150 Enrollment ID: I20220919001925 |
| Provider Name | Jeffrey Edward Greenwood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720292063 PECOS PAC ID: 0840217527 Enrollment ID: I20220920000834 |
| Provider Name | Mckenzie Kunnecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881366227 PECOS PAC ID: 7416332648 Enrollment ID: I20220923001261 |
| Provider Name | Patrick Matthiessen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306833124 PECOS PAC ID: 7517007974 Enrollment ID: I20220923002343 |
| Provider Name | William Hartley |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1003315227 PECOS PAC ID: 7315341229 Enrollment ID: I20220923002953 |
| Provider Name | Steven Hizon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871055798 PECOS PAC ID: 4587040431 Enrollment ID: I20220930000841 |
| Provider Name | John Fyffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942811088 PECOS PAC ID: 2062831514 Enrollment ID: I20221005000797 |
| Provider Name | Mouaz Haffar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972132025 PECOS PAC ID: 8224435151 Enrollment ID: I20221005003047 |
| Provider Name | Thomas Searcy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821598541 PECOS PAC ID: 2163898990 Enrollment ID: I20221019003270 |
| Provider Name | Alayna A Sizemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144943119 PECOS PAC ID: 3870969348 Enrollment ID: I20221025001972 |
| Provider Name | Courtney Madison York |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194449066 PECOS PAC ID: 3274900436 Enrollment ID: I20221101003258 |
| Provider Name | Samantha Lynn Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962129809 PECOS PAC ID: 4183092661 Enrollment ID: I20221115002682 |
| Provider Name | Emily Storms Shutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033834312 PECOS PAC ID: 3779951116 Enrollment ID: I20221116001539 |
| Provider Name | Brandi Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164149746 PECOS PAC ID: 1355719527 Enrollment ID: I20221118000741 |
| Provider Name | Lauren Elizabeth Scarberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164183257 PECOS PAC ID: 5597133728 Enrollment ID: I20221119000505 |
| Provider Name | Susana Ho |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588196265 PECOS PAC ID: 3173947959 Enrollment ID: I20221121003194 |
| Provider Name | Amber Lynn Guy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003524919 PECOS PAC ID: 8224406053 Enrollment ID: I20221128002809 |
| Provider Name | Kristina Marie Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295461192 PECOS PAC ID: 1456721521 Enrollment ID: I20230105002762 |
| Provider Name | Diana K Brosius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407598048 PECOS PAC ID: 4789054883 Enrollment ID: I20230106000550 |
| Provider Name | Samuel Shoptaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245949239 PECOS PAC ID: 1759752561 Enrollment ID: I20230113000853 |
| Provider Name | Sylvester Odeke |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265426787 PECOS PAC ID: 9436281839 Enrollment ID: I20230117002969 |
| Provider Name | Kristine Baula |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679007082 PECOS PAC ID: 3678944097 Enrollment ID: I20230123002398 |
| Provider Name | Nargess Kaviani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467697078 PECOS PAC ID: 2567625429 Enrollment ID: I20230130002023 |
| Provider Name | Madonna Renee Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780713842 PECOS PAC ID: 1153330238 Enrollment ID: I20230217000912 |
| Provider Name | Haley Elizabeth Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124734819 PECOS PAC ID: 2860864931 Enrollment ID: I20230218000347 |
| Provider Name | Janis Caston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689022139 PECOS PAC ID: 3678820446 Enrollment ID: I20230221001486 |
| Provider Name | Johnnie Danielle Caldwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790369015 PECOS PAC ID: 2365815347 Enrollment ID: I20230223000368 |
| Provider Name | Miranda J Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215633862 PECOS PAC ID: 9931572856 Enrollment ID: I20230223002016 |
| Provider Name | Bradley Prestidge |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1134126220 PECOS PAC ID: 5890754766 Enrollment ID: I20230306000424 |
| Provider Name | Michael Squire |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356592943 PECOS PAC ID: 3870714819 Enrollment ID: I20230309001648 |
| Provider Name | Courtney L Ellis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417664863 PECOS PAC ID: 4587038567 Enrollment ID: I20230314001214 |
| Provider Name | Laryn Hailey Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972201754 PECOS PAC ID: 2860866670 Enrollment ID: I20230317002013 |
| Provider Name | Jacob Stritch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912438540 PECOS PAC ID: 2163840844 Enrollment ID: I20230317002255 |
| Provider Name | Frank J Kearse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699941757 PECOS PAC ID: 6103069380 Enrollment ID: I20230320000924 |
| Provider Name | Jay Woody |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235209669 PECOS PAC ID: 5395833495 Enrollment ID: I20230320001943 |
| Provider Name | Jennifer M Cunningham |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790771962 PECOS PAC ID: 5092794057 Enrollment ID: I20230321002860 |
| Provider Name | Jonathan Nelson Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083330914 PECOS PAC ID: 1456725035 Enrollment ID: I20230322000757 |
| Provider Name | Andrew Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568776565 PECOS PAC ID: 2860638301 Enrollment ID: I20230328001454 |
| Provider Name | Amanda E Belcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538868591 PECOS PAC ID: 3173997434 Enrollment ID: I20230328001805 |
| Provider Name | Harrison Daniel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437680154 PECOS PAC ID: 5799034286 Enrollment ID: I20230330000227 |
| Provider Name | Naga Krishnakanth Madireddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932604279 PECOS PAC ID: 7214360395 Enrollment ID: I20230403001822 |
| Provider Name | Jon Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629415476 PECOS PAC ID: 2365759016 Enrollment ID: I20230404000358 |
| Provider Name | Martha Gallegos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427686013 PECOS PAC ID: 4789075342 Enrollment ID: I20230412001885 |
| Provider Name | Philip Silva |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316467046 PECOS PAC ID: 1052682150 Enrollment ID: I20230501002578 |
| Provider Name | Justin Anderson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1700381548 PECOS PAC ID: 6507114659 Enrollment ID: I20230510002023 |
| Provider Name | Ali Masih Baher |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1972160885 PECOS PAC ID: 0244613750 Enrollment ID: I20230517000664 |
| Provider Name | Joshua French |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275036238 PECOS PAC ID: 0446654586 Enrollment ID: I20230517000682 |
| Provider Name | Lindsay M Snow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134579030 PECOS PAC ID: 2961780648 Enrollment ID: I20230518003515 |
| Provider Name | Katherine E Yared |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629501309 PECOS PAC ID: 9436409547 Enrollment ID: I20230519000107 |
| Provider Name | Jennifer Nicole Washburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942874508 PECOS PAC ID: 2062878853 Enrollment ID: I20230522000898 |
| Provider Name | Logan Tyler Garthe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962025577 PECOS PAC ID: 3971927492 Enrollment ID: I20230525002148 |
| Provider Name | Samuel Walling |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942731955 PECOS PAC ID: 5496003337 Enrollment ID: I20230531000403 |
| Provider Name | Marnin A Merrick |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114132818 PECOS PAC ID: 4183719503 Enrollment ID: I20230612001847 |
| Provider Name | Joy Lynn Parsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649969759 PECOS PAC ID: 3577920255 Enrollment ID: I20230612002160 |
| Provider Name | Katrina Antonette Casanova Montgomery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649896648 PECOS PAC ID: 7618379603 Enrollment ID: I20230613003017 |
| Provider Name | Haley Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013521764 PECOS PAC ID: 5395103949 Enrollment ID: I20230614001950 |
| Provider Name | Lee Barnwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720600950 PECOS PAC ID: 0840613410 Enrollment ID: I20230703000146 |
| Provider Name | Chioma Ogonna Obiako |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073136792 PECOS PAC ID: 7416316831 Enrollment ID: I20230703002483 |
| Provider Name | Emily Ziemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356031124 PECOS PAC ID: 8022477991 Enrollment ID: I20230710003723 |
| Provider Name | Kevin Nance |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023702685 PECOS PAC ID: 6305204751 Enrollment ID: I20230713001957 |
| Provider Name | Jessica May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881248037 PECOS PAC ID: 1254668064 Enrollment ID: I20230718002189 |
| Provider Name | Conor Scott O'neill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982231171 PECOS PAC ID: 1355744095 Enrollment ID: I20230719002384 |
| Provider Name | Todd Ochsner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699745927 PECOS PAC ID: 2062540685 Enrollment ID: I20230725000945 |
| Provider Name | Chelsea Virginia Salyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265826135 PECOS PAC ID: 1456638782 Enrollment ID: I20230725002591 |
| Provider Name | Sarah Couch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326401886 PECOS PAC ID: 9032400478 Enrollment ID: I20230727003328 |
| Provider Name | Bailey Lynn Carmona |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013608553 PECOS PAC ID: 6103287461 Enrollment ID: I20230802002828 |
| Provider Name | Babajimi A Sokan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609404490 PECOS PAC ID: 8527472786 Enrollment ID: I20230808002436 |
| Provider Name | Fedwa Lutfi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316566771 PECOS PAC ID: 9436511227 Enrollment ID: I20230810001675 |
| Provider Name | Eno Eyo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932729191 PECOS PAC ID: 7315309051 Enrollment ID: I20230814000565 |
| Provider Name | Charlotte Hardesty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104504398 PECOS PAC ID: 4486016839 Enrollment ID: I20230816002968 |
| Provider Name | Mackenzie Ferriell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184302481 PECOS PAC ID: 9739541145 Enrollment ID: I20230817000841 |
| Provider Name | Mahrokh Nokhbehzaeim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083110779 PECOS PAC ID: 2466700232 Enrollment ID: I20230817002156 |
| Provider Name | Madeline Louise Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851824403 PECOS PAC ID: 0648632711 Enrollment ID: I20230822001546 |
| Provider Name | Cayleigh Pence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114608916 PECOS PAC ID: 5799148706 Enrollment ID: I20230823004006 |
| Provider Name | Kayla Erin Chelf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043991425 PECOS PAC ID: 9335502871 Enrollment ID: I20230830003317 |
| Provider Name | Patrick-jason Panzu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063036069 PECOS PAC ID: 6709207160 Enrollment ID: I20230830004425 |
| Provider Name | James Layne Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730264037 PECOS PAC ID: 5496772352 Enrollment ID: I20230831003442 |
| Provider Name | Abigail Marie Wicke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851073480 PECOS PAC ID: 0446614622 Enrollment ID: I20230907001796 |
| Provider Name | Abby N Tillotson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386326650 PECOS PAC ID: 8426412149 Enrollment ID: I20230914000601 |
| Provider Name | Delinda Elaine Kayrouz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669256863 PECOS PAC ID: 4385098672 Enrollment ID: I20230920001463 |
| Provider Name | Christ Kyriakedes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992762736 PECOS PAC ID: 8426949322 Enrollment ID: I20230926002639 |
| Provider Name | Stephanie Michelle Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922881325 PECOS PAC ID: 1557717709 Enrollment ID: I20231025001342 |
| Provider Name | Alex Sanders |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679034664 PECOS PAC ID: 1658605225 Enrollment ID: I20231027002274 |
| Provider Name | Dong Bo Yu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043624026 PECOS PAC ID: 6204051840 Enrollment ID: I20231030001225 |
| Provider Name | Geetha Vyas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750900718 PECOS PAC ID: 8022465293 Enrollment ID: I20231109000608 |
| Provider Name | Alex Boudreau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952180671 PECOS PAC ID: 9335596014 Enrollment ID: I20231117001202 |
| Provider Name | Logan Hill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932988268 PECOS PAC ID: 7012365729 Enrollment ID: I20231117003195 |
| Provider Name | Alfred Nesaraj |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194219972 PECOS PAC ID: 7315294550 Enrollment ID: I20231122001064 |
| Provider Name | Kanval Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497287858 PECOS PAC ID: 2769752435 Enrollment ID: I20231208003320 |
| Provider Name | Timothy Hargrove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255563987 PECOS PAC ID: 6204023328 Enrollment ID: I20231221001169 |
| Provider Name | Nicholas Glover |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205342565 PECOS PAC ID: 6305231770 Enrollment ID: I20231227002820 |
| Provider Name | Brittany Trapani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699553602 PECOS PAC ID: 8921459934 Enrollment ID: I20240103004263 |
| Provider Name | Summer Lynn Vandy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386044295 PECOS PAC ID: 6901258441 Enrollment ID: I20240119001865 |
| Provider Name | Janice R. Grentz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194095323 PECOS PAC ID: 3375995863 Enrollment ID: I20240119003735 |
| Provider Name | Lynn Bowling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003901455 PECOS PAC ID: 6901258128 Enrollment ID: I20240123003069 |
| Provider Name | Cynthia M Coscia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104043991 PECOS PAC ID: 0648613935 Enrollment ID: I20240202002629 |
| Provider Name | Anna Hower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184322281 PECOS PAC ID: 4284090846 Enrollment ID: I20240219002304 |
| Provider Name | Shayla Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699539015 PECOS PAC ID: 4183069594 Enrollment ID: I20240226000981 |
| Provider Name | Tyler H Sanford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699538264 PECOS PAC ID: 8325484157 Enrollment ID: I20240314002297 |
| Provider Name | Catherine Mary Nancy Siegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235909128 PECOS PAC ID: 6901243997 Enrollment ID: I20240326003516 |
| Provider Name | Gabrielle Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164189825 PECOS PAC ID: 0143674200 Enrollment ID: I20240329002561 |
| Provider Name | Carolyn Marie Thomas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104004043 PECOS PAC ID: 3274972005 Enrollment ID: I20240412002814 |
| Provider Name | Amanda Soudom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467223685 PECOS PAC ID: 2860831930 Enrollment ID: I20240423000089 |
| Provider Name | Michelle C Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053769992 PECOS PAC ID: 8123307972 Enrollment ID: I20240506001607 |
| Provider Name | Ayoub Mogassbi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528295656 PECOS PAC ID: 7618193251 Enrollment ID: I20240507003788 |
| Provider Name | Andrew Tumen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912448143 PECOS PAC ID: 1850643891 Enrollment ID: I20240514004215 |
| Provider Name | Cassiopeia M Callens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548046998 PECOS PAC ID: 4284075599 Enrollment ID: I20240516002738 |
| Provider Name | Travis Carroll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255868295 PECOS PAC ID: 4082056981 Enrollment ID: I20240523001648 |
| Provider Name | Michael Yu |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336501642 PECOS PAC ID: 8921306044 Enrollment ID: I20240523002780 |
| Provider Name | Joe Alfeghaly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548831027 PECOS PAC ID: 8921400011 Enrollment ID: I20240523003074 |
| Provider Name | Kelly O'shea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255951299 PECOS PAC ID: 5092136051 Enrollment ID: I20240529002188 |
| Provider Name | Jackson T Brown |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972181469 PECOS PAC ID: 3971985656 Enrollment ID: I20240612000692 |
| Provider Name | Amanda Pursell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598299091 PECOS PAC ID: 9830466499 Enrollment ID: I20240614002173 |
Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15103 Chestnut Ridge Cir, Louisville, KY 40245 Phone: 502-742-9149 Fax: 502-896-7292 | |
Veloz Medical Services Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6911 Shepherdsville Rd, Louisville, KY 40219 Phone: 502-644-3076 | |
Kentucky Joint Specialists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4010 Dupont Cir Ste 310, Louisville, KY 40207 Phone: 502-771-5432 Fax: 502-771-5430 | |
Mobile Md Holdings Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9510 Ormsby Station Road, Suite 100b, Louisville, KY 40223 Phone: 502-253-4140 | |
Edina Torlak Md, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3950 Kresge Way Ste 302, Louisville, KY 40207 Phone: 502-893-7372 | |
Shirley J Meredith, Md, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4000 Kresge Way, Baptist East Wound Care Center, Louisville, KY 40207 Phone: 502-259-4470 Fax: 502-259-4471 | |
Infectious Disease Specialists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Locust Creek Blvd, Louisville, KY 40245 Phone: 502-916-3130 Fax: 502-916-3230 |