| Baptist Medical Group Llc | |
|
1717 N E St Suite 227 Pensacola FL 32501-6339 | |
| (850) 437-8600 | |
| (850) 437-8601 |
| Full Name | Baptist Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1717 N E St, Pensacola, Florida |
| Authorized Official Name and Position | Sharon L. Creech (DELEGATED OFFICIAL; CREDENTIALS MGR) |
| Authorized Official Contact | 8504753726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Medical Group Llc 1717 N E St Suite 227 Pensacola FL 32501-6339 Ph: (850) 437-8604 | Baptist Medical Group Llc 1717 N E St Suite 227 Pensacola FL 32501-6339 Ph: (850) 437-8600 |
| NPI Number | 1376779892 |
|---|---|
| Provider Enumeration Date | 06/10/2009 |
| Last Update Date | 10/15/2020 |
| Medicare PECOS PAC ID | 9638215734 |
|---|---|
| Medicare Enrollment ID | O20091002000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376779892 | NPI | - | NPPES |
| 001661700 | Medicaid | FL |
| Provider Name | George Fredrik Gade |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083669600 PECOS PAC ID: 6901703123 Enrollment ID: I20031216000732 |
| Provider Name | Anthony T Perrin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124003546 PECOS PAC ID: 0042119141 Enrollment ID: I20040116000385 |
| Provider Name | Joseph W Weaver |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447243555 PECOS PAC ID: 6204732845 Enrollment ID: I20040127000299 |
| Provider Name | Michael G Daum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912987033 PECOS PAC ID: 7012804495 Enrollment ID: I20040301001004 |
| Provider Name | Tammy G Pruse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356336812 PECOS PAC ID: 1759273402 Enrollment ID: I20040326001053 |
| Provider Name | Barbara A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366427031 PECOS PAC ID: 6709879570 Enrollment ID: I20040407000090 |
| Provider Name | Joseph Gerard Foust |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407837438 PECOS PAC ID: 0749177079 Enrollment ID: I20040413001189 |
| Provider Name | Suzanne M Fernandes Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538254354 PECOS PAC ID: 8123008430 Enrollment ID: I20040726000465 |
| Provider Name | Constantine G Marousis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437142668 PECOS PAC ID: 7315900479 Enrollment ID: I20041109001016 |
| Provider Name | Ricardo J Quintero |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1073511432 PECOS PAC ID: 2668437609 Enrollment ID: I20041201000422 |
| Provider Name | Patricia B Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972642346 PECOS PAC ID: 2668438201 Enrollment ID: I20041206000997 |
| Provider Name | Myron D Almond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699760405 PECOS PAC ID: 0042277659 Enrollment ID: I20041215000677 |
| Provider Name | George C Rees |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326069113 PECOS PAC ID: 0042264178 Enrollment ID: I20050310000767 |
| Provider Name | Andy K Somesan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801871835 PECOS PAC ID: 5496659674 Enrollment ID: I20050531000028 |
| Provider Name | Leticia T Javier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326086166 PECOS PAC ID: 1254376973 Enrollment ID: I20050623000202 |
| Provider Name | Vicki P Merold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104815455 PECOS PAC ID: 1658300975 Enrollment ID: I20050808000399 |
| Provider Name | Peter E Millington |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1457340531 PECOS PAC ID: 6507819513 Enrollment ID: I20050813000177 |
| Provider Name | James E Binkard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255343851 PECOS PAC ID: 2769428416 Enrollment ID: I20051109000351 |
| Provider Name | Tracey A Thomas-doyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427046929 PECOS PAC ID: 1557389202 Enrollment ID: I20051110000679 |
| Provider Name | John R Sullivan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1730180456 PECOS PAC ID: 5799799136 Enrollment ID: I20060206000522 |
| Provider Name | Ming M Zhang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306867197 PECOS PAC ID: 4486661592 Enrollment ID: I20060315000210 |
| Provider Name | Sumit Verma |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1225038557 PECOS PAC ID: 2769499789 Enrollment ID: I20060316000350 |
| Provider Name | Joshua A Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316018641 PECOS PAC ID: 2961410592 Enrollment ID: I20060323000559 |
| Provider Name | Kevin M Botts |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982662094 PECOS PAC ID: 6507879293 Enrollment ID: I20060725000284 |
| Provider Name | Marc Stauffer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912913971 PECOS PAC ID: 0244244952 Enrollment ID: I20070110000065 |
| Provider Name | Steve Jordan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972506723 PECOS PAC ID: 7719953959 Enrollment ID: I20070317000037 |
| Provider Name | Benjamin Lloyd |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134127962 PECOS PAC ID: 6305872862 Enrollment ID: I20070327000503 |
| Provider Name | Shelia D Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548212301 PECOS PAC ID: 7416052774 Enrollment ID: I20070414000008 |
| Provider Name | Andrea J Hackel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750366779 PECOS PAC ID: 8325143217 Enrollment ID: I20070423000054 |
| Provider Name | Daniel E Murawski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033121140 PECOS PAC ID: 1951305424 Enrollment ID: I20070831000055 |
| Provider Name | David Mann |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1366425670 PECOS PAC ID: 8224125083 Enrollment ID: I20071026000293 |
| Provider Name | Richard S Matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811066996 PECOS PAC ID: 9638266703 Enrollment ID: I20071106000664 |
| Provider Name | Nora A Shipman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902099625 PECOS PAC ID: 4688764988 Enrollment ID: I20071226000022 |
| Provider Name | Steven D Eilen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346249059 PECOS PAC ID: 7719060318 Enrollment ID: I20080207000216 |
| Provider Name | Katrina F Noles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831363605 PECOS PAC ID: 5294804027 Enrollment ID: I20080520000718 |
| Provider Name | Abby M Hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265545255 PECOS PAC ID: 3375540388 Enrollment ID: I20080804000566 |
| Provider Name | Keena C Risola |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831210392 PECOS PAC ID: 7214002302 Enrollment ID: I20080825000560 |
| Provider Name | Joyce L Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568424992 PECOS PAC ID: 9830267103 Enrollment ID: I20081014000499 |
| Provider Name | Sandra P Kloman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811181985 PECOS PAC ID: 9234290198 Enrollment ID: I20081210000521 |
| Provider Name | Robin J Yelverton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558529164 PECOS PAC ID: 3072678275 Enrollment ID: I20090224000014 |
| Provider Name | Guido Ludergnani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407990856 PECOS PAC ID: 4486635398 Enrollment ID: I20090310000087 |
| Provider Name | Peter M Manis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164485926 PECOS PAC ID: 7113967076 Enrollment ID: I20090428000433 |
| Provider Name | Elizabeth L Berg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427058692 PECOS PAC ID: 8820146475 Enrollment ID: I20090508000185 |
| Provider Name | Pedro U De La Rosa-costa |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1942277868 PECOS PAC ID: 1557412707 Enrollment ID: I20090629000208 |
| Provider Name | Denise M Spinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558358226 PECOS PAC ID: 3577619055 Enrollment ID: I20090924000539 |
| Provider Name | David Reisman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285710152 PECOS PAC ID: 4688711963 Enrollment ID: I20091019000258 |
| Provider Name | Badar Muneer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609043579 PECOS PAC ID: 1658418165 Enrollment ID: I20091102000156 |
| Provider Name | Scott Hof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881818037 PECOS PAC ID: 9133267131 Enrollment ID: I20091111000764 |
| Provider Name | Mark Thiele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467593715 PECOS PAC ID: 6800938358 Enrollment ID: I20100121000124 |
| Provider Name | Brett R Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912987306 PECOS PAC ID: 5496782393 Enrollment ID: I20100205000735 |
| Provider Name | Robert R Stock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356321335 PECOS PAC ID: 5496658072 Enrollment ID: I20100210000550 |
| Provider Name | Paul F Freitas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588634364 PECOS PAC ID: 2668375221 Enrollment ID: I20100210000576 |
| Provider Name | Timothy Robert Tuel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073598884 PECOS PAC ID: 7911040027 Enrollment ID: I20100211000152 |
| Provider Name | Richard J Stachler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952381923 PECOS PAC ID: 1850294422 Enrollment ID: I20100211000712 |
| Provider Name | Robert L Kincaid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356321913 PECOS PAC ID: 2062315625 Enrollment ID: I20100212000156 |
| Provider Name | Steven Seeker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225011919 PECOS PAC ID: 1355427543 Enrollment ID: I20100217000676 |
| Provider Name | Roger L Henson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396819124 PECOS PAC ID: 5698819423 Enrollment ID: I20100217000688 |
| Provider Name | William S Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144216714 PECOS PAC ID: 8729122205 Enrollment ID: I20100222000585 |
| Provider Name | David R. Chandler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144224122 PECOS PAC ID: 1557329182 Enrollment ID: I20100225000733 |
| Provider Name | Mary Ellen Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508838616 PECOS PAC ID: 5294860375 Enrollment ID: I20100315000414 |
| Provider Name | Alison Stotts Curtsinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578670980 PECOS PAC ID: 3577594696 Enrollment ID: I20100315000495 |
| Provider Name | Franklin James Fleischhauer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275533788 PECOS PAC ID: 4587552898 Enrollment ID: I20100324000847 |
| Provider Name | George R Aycock |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184624660 PECOS PAC ID: 2769370071 Enrollment ID: I20100324000889 |
| Provider Name | William Langhorne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386644813 PECOS PAC ID: 5597653808 Enrollment ID: I20100330000333 |
| Provider Name | James Lonquist |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1881694446 PECOS PAC ID: 9537240940 Enrollment ID: I20100330000402 |
| Provider Name | Luis C Lemus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467447342 PECOS PAC ID: 4183750029 Enrollment ID: I20100330000580 |
| Provider Name | Thabet Alsheikh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1811997422 PECOS PAC ID: 2466533864 Enrollment ID: I20100414000594 |
| Provider Name | Margaret Elizabeth Speeker-cruit |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972700565 PECOS PAC ID: 0244326114 Enrollment ID: I20100519000420 |
| Provider Name | Lorie L Freitas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154385722 PECOS PAC ID: 2860521275 Enrollment ID: I20100524000552 |
| Provider Name | Pamela A Schurman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215017892 PECOS PAC ID: 2264536143 Enrollment ID: I20100624000698 |
| Provider Name | Richard F Russo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356425037 PECOS PAC ID: 3870489446 Enrollment ID: I20100730000850 |
| Provider Name | Julian O Olsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447477435 PECOS PAC ID: 6406989797 Enrollment ID: I20100806000775 |
| Provider Name | Bascom C Raney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720083876 PECOS PAC ID: 6901930080 Enrollment ID: I20100811000237 |
| Provider Name | Elias George Skoufis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093715419 PECOS PAC ID: 9436230844 Enrollment ID: I20100811001051 |
| Provider Name | Brent Videau |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730189192 PECOS PAC ID: 2163503574 Enrollment ID: I20100825001202 |
| Provider Name | Teresa Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033119391 PECOS PAC ID: 7315061009 Enrollment ID: I20100901000969 |
| Provider Name | Cecilia B Hansford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467416032 PECOS PAC ID: 4385769595 Enrollment ID: I20100910001112 |
| Provider Name | David Addison Miles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477542223 PECOS PAC ID: 5496737058 Enrollment ID: I20101008000926 |
| Provider Name | Luther I Carter |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710062732 PECOS PAC ID: 1850449232 Enrollment ID: I20101019001395 |
| Provider Name | John L Luetkemeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699758532 PECOS PAC ID: 4486848181 Enrollment ID: I20101026001583 |
| Provider Name | Wanda L Radford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477861623 PECOS PAC ID: 7416141155 Enrollment ID: I20101027000435 |
| Provider Name | Marcelo Branco |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1972592715 PECOS PAC ID: 9638365513 Enrollment ID: I20101118000809 |
| Provider Name | Jose Antonio Guitian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174512958 PECOS PAC ID: 9436345220 Enrollment ID: I20101118000968 |
| Provider Name | Micheleanne Celigoj |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215132246 PECOS PAC ID: 9830265057 Enrollment ID: I20101201001023 |
| Provider Name | Dhiraj Warman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184787509 PECOS PAC ID: 5597713560 Enrollment ID: I20101208000766 |
| Provider Name | Marie Josee H Viens |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700905890 PECOS PAC ID: 2062601800 Enrollment ID: I20110111000158 |
| Provider Name | Tanya Duffey-warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881694123 PECOS PAC ID: 8123207446 Enrollment ID: I20110119000533 |
| Provider Name | Anthony J Brothers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053406512 PECOS PAC ID: 2668651266 Enrollment ID: I20110128000369 |
| Provider Name | Connie R Killam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033427406 PECOS PAC ID: 5991985855 Enrollment ID: I20110209000676 |
| Provider Name | Elise Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700866118 PECOS PAC ID: 6204017411 Enrollment ID: I20110222000238 |
| Provider Name | Quintin O Law |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952391179 PECOS PAC ID: 6103882402 Enrollment ID: I20110318000089 |
| Provider Name | Hani Razek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700886108 PECOS PAC ID: 4981785391 Enrollment ID: I20110324000446 |
| Provider Name | Carol J. Morris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295972206 PECOS PAC ID: 9537343322 Enrollment ID: I20110401000354 |
| Provider Name | David P Kellen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396889671 PECOS PAC ID: 2062697519 Enrollment ID: I20110426000736 |
| Provider Name | William A Zimmern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699817650 PECOS PAC ID: 5799769204 Enrollment ID: I20110427000683 |
| Provider Name | Safwan Jaalouk |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619977121 PECOS PAC ID: 6002912672 Enrollment ID: I20110608000466 |
| Provider Name | Kacey Cotoli Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366640310 PECOS PAC ID: 4082891395 Enrollment ID: I20110613000691 |
| Provider Name | Robert K Oldham |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548255334 PECOS PAC ID: 5890880876 Enrollment ID: I20110617000510 |
| Provider Name | Jamieson T Peterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962792028 PECOS PAC ID: 7618155599 Enrollment ID: I20110623000369 |
| Provider Name | Jairo Javier Puente |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447402441 PECOS PAC ID: 4688698301 Enrollment ID: I20110628000561 |
| Provider Name | James F Adams |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1518981380 PECOS PAC ID: 3870578867 Enrollment ID: I20110726000841 |
| Provider Name | Erika M Schneider |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518162437 PECOS PAC ID: 9234309279 Enrollment ID: I20110830000165 |
| Provider Name | Logan M Richards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235390634 PECOS PAC ID: 1456522424 Enrollment ID: I20110922000725 |
| Provider Name | Farhat Mehmood |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1205884178 PECOS PAC ID: 0941293286 Enrollment ID: I20111024000451 |
| Provider Name | Leslie M Barnes-remski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134330020 PECOS PAC ID: 8123152469 Enrollment ID: I20111117000212 |
| Provider Name | Raphael A Rusynyk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023047297 PECOS PAC ID: 3577739101 Enrollment ID: I20120104000222 |
| Provider Name | Andrew F Ringel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457442741 PECOS PAC ID: 9032379706 Enrollment ID: I20120404000775 |
| Provider Name | Brett D Reichwage |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396829735 PECOS PAC ID: 7810151123 Enrollment ID: I20120619000116 |
| Provider Name | Rhonda O Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639100977 PECOS PAC ID: 5294738233 Enrollment ID: I20120723000698 |
| Provider Name | Huaiyu Tan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1104017391 PECOS PAC ID: 8224294020 Enrollment ID: I20120724000091 |
| Provider Name | Melisa G Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093073751 PECOS PAC ID: 2466608781 Enrollment ID: I20120801000827 |
| Provider Name | Monica K Nall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538394291 PECOS PAC ID: 8123274339 Enrollment ID: I20120803000227 |
| Provider Name | Jermaine Ralph |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336302223 PECOS PAC ID: 4789723842 Enrollment ID: I20120815000030 |
| Provider Name | Krystin C Baker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215186531 PECOS PAC ID: 9335200120 Enrollment ID: I20120911000218 |
| Provider Name | Hilliary N White |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1063621159 PECOS PAC ID: 9739367947 Enrollment ID: I20120914000729 |
| Provider Name | Adam W. Anz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821270190 PECOS PAC ID: 0648429944 Enrollment ID: I20121009000476 |
| Provider Name | Lori Cornwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386772739 PECOS PAC ID: 0244215457 Enrollment ID: I20130130000052 |
| Provider Name | Garen D Steele |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144423351 PECOS PAC ID: 0042360695 Enrollment ID: I20130211000422 |
| Provider Name | Cheryl L Jeffries |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720008436 PECOS PAC ID: 1557439387 Enrollment ID: I20130411000303 |
| Provider Name | Heather S Steinle |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073632121 PECOS PAC ID: 6103067426 Enrollment ID: I20130730000465 |
| Provider Name | Leslie M.h. Sanders |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427288935 PECOS PAC ID: 5395987473 Enrollment ID: I20130820000828 |
| Provider Name | Evaldas Giedrimas |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1881878080 PECOS PAC ID: 8921280942 Enrollment ID: I20130909000161 |
| Provider Name | Darin L Dinelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629017041 PECOS PAC ID: 3173761806 Enrollment ID: I20130927000251 |
| Provider Name | Licheng Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881890457 PECOS PAC ID: 4385878529 Enrollment ID: I20131002000051 |
| Provider Name | Daniel L Sontheimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528158458 PECOS PAC ID: 3072400118 Enrollment ID: I20131217001033 |
| Provider Name | James T Peoples |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588634760 PECOS PAC ID: 8224098744 Enrollment ID: I20140210000582 |
| Provider Name | Rebecca J Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962485474 PECOS PAC ID: 4082611058 Enrollment ID: I20140228000360 |
| Provider Name | Eric N Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275957912 PECOS PAC ID: 1254561624 Enrollment ID: I20140304001051 |
| Provider Name | Barbara A Mcmains |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538482260 PECOS PAC ID: 3476683442 Enrollment ID: I20140505002000 |
| Provider Name | Philip C Maher |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831286863 PECOS PAC ID: 0840235859 Enrollment ID: I20140528001494 |
| Provider Name | Mark D Benton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295765063 PECOS PAC ID: 4880873520 Enrollment ID: I20140612001473 |
| Provider Name | Joshua F. Dixon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477788719 PECOS PAC ID: 7012132178 Enrollment ID: I20140702002654 |
| Provider Name | Layla Renee Lundquist-smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538452073 PECOS PAC ID: 6103043369 Enrollment ID: I20140812000692 |
| Provider Name | Mylinda A Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245224047 PECOS PAC ID: 6608829858 Enrollment ID: I20140813000314 |
| Provider Name | Scott A. Mcintosh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437388659 PECOS PAC ID: 2860623097 Enrollment ID: I20140821001791 |
| Provider Name | Roselle M Swilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144620972 PECOS PAC ID: 8921220328 Enrollment ID: I20141120000803 |
| Provider Name | Ashton Sorrells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851704787 PECOS PAC ID: 7517280639 Enrollment ID: I20141222002035 |
| Provider Name | Martha M Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962697342 PECOS PAC ID: 3678607108 Enrollment ID: I20150116000038 |
| Provider Name | Sara E Blackstone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336547298 PECOS PAC ID: 5799009726 Enrollment ID: I20150122002672 |
| Provider Name | Omar A Haq |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477723344 PECOS PAC ID: 4587742564 Enrollment ID: I20150204001114 |
| Provider Name | Susanne Meaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316074719 PECOS PAC ID: 9335465590 Enrollment ID: I20150305000871 |
| Provider Name | Megan E Waldron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184015687 PECOS PAC ID: 2769700574 Enrollment ID: I20150407001732 |
| Provider Name | Robert B Turnage |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073611703 PECOS PAC ID: 2860470549 Enrollment ID: I20150521000336 |
| Provider Name | Eric D Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033528997 PECOS PAC ID: 7517288061 Enrollment ID: I20150609001300 |
| Provider Name | Kevin M Schopmeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528201407 PECOS PAC ID: 9335316207 Enrollment ID: I20150824001966 |
| Provider Name | Erica J Aldridge |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1023336898 PECOS PAC ID: 0244478568 Enrollment ID: I20150909000154 |
| Provider Name | Eugene R Jalbert |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316372816 PECOS PAC ID: 6507173028 Enrollment ID: I20150916001517 |
| Provider Name | Michael K Alleyne |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558523746 PECOS PAC ID: 5890988398 Enrollment ID: I20151012000997 |
| Provider Name | Michael John Simpson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669735577 PECOS PAC ID: 7911137948 Enrollment ID: I20151119001034 |
| Provider Name | Beau A Aldridge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174840649 PECOS PAC ID: 7012217151 Enrollment ID: I20151123000611 |
| Provider Name | Ryan K Miyamoto |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245415454 PECOS PAC ID: 7315063195 Enrollment ID: I20160114001183 |
| Provider Name | Michael D Milligan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1528027422 PECOS PAC ID: 4880663798 Enrollment ID: I20160125000425 |
| Provider Name | Shea O Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063829315 PECOS PAC ID: 8224351143 Enrollment ID: I20160321000898 |
| Provider Name | Brian Christopher Payne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124343231 PECOS PAC ID: 9234438136 Enrollment ID: I20160427001729 |
| Provider Name | Earl Brewster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356513261 PECOS PAC ID: 8820269590 Enrollment ID: I20160516001848 |
| Provider Name | Jeffrey B Atwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508875352 PECOS PAC ID: 2769520543 Enrollment ID: I20160707000456 |
| Provider Name | Lacy Kusy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700249596 PECOS PAC ID: 1456643238 Enrollment ID: I20160714002499 |
| Provider Name | Regina D Mccutcheon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760748347 PECOS PAC ID: 5991003436 Enrollment ID: I20160719002392 |
| Provider Name | Daniel Ballow |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811280373 PECOS PAC ID: 5395038814 Enrollment ID: I20160721000664 |
| Provider Name | Michael K Leveille |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730521147 PECOS PAC ID: 9436442860 Enrollment ID: I20160722001757 |
| Provider Name | Sherri O Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740553502 PECOS PAC ID: 7214198100 Enrollment ID: I20160725001365 |
| Provider Name | Marisa J Terry |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1114210085 PECOS PAC ID: 1052567377 Enrollment ID: I20160727002600 |
| Provider Name | William B Gray |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871882159 PECOS PAC ID: 2668765603 Enrollment ID: I20160728000004 |
| Provider Name | Catherine A Almazan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548606262 PECOS PAC ID: 8022258482 Enrollment ID: I20160802000849 |
| Provider Name | Neilia-kay R Mcgill |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1891066874 PECOS PAC ID: 2567761257 Enrollment ID: I20160803001683 |
| Provider Name | Kayla D Bodree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902254717 PECOS PAC ID: 8123313350 Enrollment ID: I20160826000171 |
| Provider Name | Michelle L Neice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770926909 PECOS PAC ID: 7416191861 Enrollment ID: I20160830000037 |
| Provider Name | Brett J Kindle |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1639468028 PECOS PAC ID: 0840448924 Enrollment ID: I20160910000174 |
| Provider Name | Vincent B Barker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821039660 PECOS PAC ID: 3779516828 Enrollment ID: I20160910000201 |
| Provider Name | Adam C Mullan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851658256 PECOS PAC ID: 1759677933 Enrollment ID: I20160914002417 |
| Provider Name | Keiran B Shute |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184064388 PECOS PAC ID: 2668600933 Enrollment ID: I20161013002097 |
| Provider Name | Marc S Saunders |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447430426 PECOS PAC ID: 6608856521 Enrollment ID: I20170120001500 |
| Provider Name | Amit N Patel |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669447199 PECOS PAC ID: 9335187533 Enrollment ID: I20170217000200 |
| Provider Name | Meghan B Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467821280 PECOS PAC ID: 3173826682 Enrollment ID: I20170220000452 |
| Provider Name | Whitney Cartwright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902343304 PECOS PAC ID: 0446536239 Enrollment ID: I20170410001745 |
| Provider Name | Vaidehi S Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881993517 PECOS PAC ID: 8224258561 Enrollment ID: I20170421000714 |
| Provider Name | William Brian Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750814828 PECOS PAC ID: 6305113663 Enrollment ID: I20170517001814 |
| Provider Name | Heather Jan Matthies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457794646 PECOS PAC ID: 4880834472 Enrollment ID: I20170608002328 |
| Provider Name | Stephen A. Ziller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720068315 PECOS PAC ID: 5294885497 Enrollment ID: I20170612001132 |
| Provider Name | Crystal L Logsdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255885604 PECOS PAC ID: 8426327248 Enrollment ID: I20170710001936 |
| Provider Name | Evan M Lewis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205148913 PECOS PAC ID: 2860799608 Enrollment ID: I20170731001158 |
| Provider Name | Mitchell Whitehead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427460526 PECOS PAC ID: 9537384060 Enrollment ID: I20170801003743 |
| Provider Name | Amanda R Self |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609276732 PECOS PAC ID: 8224355714 Enrollment ID: I20170802002673 |
| Provider Name | Pelbreton C Balfour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063633576 PECOS PAC ID: 8325183528 Enrollment ID: I20170809002683 |
| Provider Name | Amanda Wright |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184945370 PECOS PAC ID: 0345532255 Enrollment ID: I20170809003907 |
| Provider Name | Thomas A Babcock |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144532383 PECOS PAC ID: 6305087214 Enrollment ID: I20170815000048 |
| Provider Name | James Presley |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1336403393 PECOS PAC ID: 0749429405 Enrollment ID: I20170901003117 |
| Provider Name | Tareq S Khairalla |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225252083 PECOS PAC ID: 9436242575 Enrollment ID: I20170906003457 |
| Provider Name | Simon B Zeichner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033467295 PECOS PAC ID: 1153695853 Enrollment ID: I20170919002995 |
| Provider Name | Meghan Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013434661 PECOS PAC ID: 6002181112 Enrollment ID: I20170928003292 |
| Provider Name | Bonnie L Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245773431 PECOS PAC ID: 6709152622 Enrollment ID: I20171020001983 |
| Provider Name | Michelle M Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861615288 PECOS PAC ID: 9133485568 Enrollment ID: I20171117000684 |
| Provider Name | Jada M Leahy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578790010 PECOS PAC ID: 3779840244 Enrollment ID: I20171208001265 |
| Provider Name | William Marc Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770581456 PECOS PAC ID: 7416920038 Enrollment ID: I20171213000272 |
| Provider Name | Michelle R Donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649658873 PECOS PAC ID: 2264742261 Enrollment ID: I20171220000174 |
| Provider Name | Melissa A Christison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174036040 PECOS PAC ID: 0446518237 Enrollment ID: I20171228000921 |
| Provider Name | Eddie Nelson Powell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992909543 PECOS PAC ID: 9234230624 Enrollment ID: I20180112000793 |
| Provider Name | David W Dozer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598727430 PECOS PAC ID: 8224025358 Enrollment ID: I20180119000519 |
| Provider Name | Toinetta Coolie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619482957 PECOS PAC ID: 0446510705 Enrollment ID: I20180205002441 |
| Provider Name | Kathryn Kristina Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649784885 PECOS PAC ID: 1456611664 Enrollment ID: I20180208001720 |
| Provider Name | Scott J Pusateri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538139563 PECOS PAC ID: 4587924360 Enrollment ID: I20180216001433 |
| Provider Name | Chelsey M Donahue |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1447373733 PECOS PAC ID: 9335400092 Enrollment ID: I20180221001530 |
| Provider Name | Sarah S Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164921854 PECOS PAC ID: 0042572950 Enrollment ID: I20180312002548 |
| Provider Name | Jessica D Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508367889 PECOS PAC ID: 6204199698 Enrollment ID: I20180417002937 |
| Provider Name | Igor Bogunovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407375694 PECOS PAC ID: 7214292358 Enrollment ID: I20180521001250 |
| Provider Name | Jean-pierre Martucci Melo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669627055 PECOS PAC ID: 1254657109 Enrollment ID: I20180529001238 |
| Provider Name | Warren H Scott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023073350 PECOS PAC ID: 9931120557 Enrollment ID: I20180705000630 |
| Provider Name | Nicholas M Drake |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023379575 PECOS PAC ID: 0840430682 Enrollment ID: I20180711002371 |
| Provider Name | Christie N Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700377173 PECOS PAC ID: 5597015230 Enrollment ID: I20180830001129 |
| Provider Name | Kathryn B Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346735586 PECOS PAC ID: 7315298056 Enrollment ID: I20180919003301 |
| Provider Name | Wesley H Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033695002 PECOS PAC ID: 5991057416 Enrollment ID: I20181011001495 |
| Provider Name | Dolores A Holtmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659777985 PECOS PAC ID: 3678892767 Enrollment ID: I20181023001990 |
| Provider Name | Andrew J Moses |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669765533 PECOS PAC ID: 3678713708 Enrollment ID: I20181105001927 |
| Provider Name | Rebecca J Egstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720576945 PECOS PAC ID: 0244584092 Enrollment ID: I20181113002938 |
| Provider Name | Andrea M Cronley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154819183 PECOS PAC ID: 8921342171 Enrollment ID: I20181129001265 |
| Provider Name | Angela M Andersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063681815 PECOS PAC ID: 5698854768 Enrollment ID: I20181204001767 |
| Provider Name | Perry M Kalis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134539307 PECOS PAC ID: 9931321965 Enrollment ID: I20190122001219 |
| Provider Name | Christine A Demers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669582078 PECOS PAC ID: 2163475864 Enrollment ID: I20190205001753 |
| Provider Name | Delia M Brazzell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710465315 PECOS PAC ID: 4183962111 Enrollment ID: I20190215002132 |
| Provider Name | Rebekah Wyrosdick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760948665 PECOS PAC ID: 6901145663 Enrollment ID: I20190225002993 |
| Provider Name | Renee Santonia Mccorcle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851769715 PECOS PAC ID: 8729397658 Enrollment ID: I20190227001340 |
| Provider Name | Tamberlynn W Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003859794 PECOS PAC ID: 6204130909 Enrollment ID: I20190426000004 |
| Provider Name | Natalia Hernandez |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1528385325 PECOS PAC ID: 4880937010 Enrollment ID: I20190510000033 |
| Provider Name | Brandy Michelle Mihaly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669939724 PECOS PAC ID: 4880923168 Enrollment ID: I20190911003359 |
| Provider Name | Manuel Salgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114574639 PECOS PAC ID: 2668702267 Enrollment ID: I20190925000201 |
| Provider Name | Maritza G Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306310347 PECOS PAC ID: 4284965237 Enrollment ID: I20191007001237 |
| Provider Name | Kathryn C Sokul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457710022 PECOS PAC ID: 7416288394 Enrollment ID: I20191007002911 |
| Provider Name | Crystal Nichole Jones-lindsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285198598 PECOS PAC ID: 4183955081 Enrollment ID: I20191008000082 |
| Provider Name | Silvia Gesheva Baxter |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912297920 PECOS PAC ID: 4789983677 Enrollment ID: I20191010000020 |
| Provider Name | Molly K Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558910679 PECOS PAC ID: 0345571592 Enrollment ID: I20191018002526 |
| Provider Name | Jodilyn G Holz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730747874 PECOS PAC ID: 6406188309 Enrollment ID: I20191025001780 |
| Provider Name | Lauren L Sauve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710430202 PECOS PAC ID: 5698061919 Enrollment ID: I20191031001825 |
| Provider Name | Agata Bednarz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477671527 PECOS PAC ID: 6305750142 Enrollment ID: I20191104002261 |
| Provider Name | Suzanne M Mcbride |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881682144 PECOS PAC ID: 1153350277 Enrollment ID: I20191202000777 |
| Provider Name | Sweta Jonnalagadda |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851667109 PECOS PAC ID: 8224280995 Enrollment ID: I20191204001001 |
| Provider Name | Terry T Wilsdorf |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841236619 PECOS PAC ID: 8527197235 Enrollment ID: I20191205000713 |
| Provider Name | Francis Joseph Lauro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952367567 PECOS PAC ID: 8224009154 Enrollment ID: I20191211000957 |
| Provider Name | Ashley Nicole Wei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457992968 PECOS PAC ID: 2860826146 Enrollment ID: I20191219000034 |
| Provider Name | Brian A Rosenberg |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174744031 PECOS PAC ID: 2567502198 Enrollment ID: I20200117000549 |
| Provider Name | Mina Petrosino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831680727 PECOS PAC ID: 4981030400 Enrollment ID: I20200205000221 |
| Provider Name | Zhaohui Li |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952608119 PECOS PAC ID: 7911290929 Enrollment ID: I20200214000253 |
| Provider Name | James D Hlavacek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659506798 PECOS PAC ID: 9234375908 Enrollment ID: I20200316000853 |
| Provider Name | Jerome Mcdonald |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1740253301 PECOS PAC ID: 2466550884 Enrollment ID: I20200320001247 |
| Provider Name | Andrew J Pickering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548800741 PECOS PAC ID: 2567891120 Enrollment ID: I20200402000010 |
| Provider Name | Russell S Ronson |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1982629895 PECOS PAC ID: 3971545526 Enrollment ID: I20200427000137 |
| Provider Name | Jeanne Clack Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912540238 PECOS PAC ID: 4284055195 Enrollment ID: I20200602000543 |
| Provider Name | Tammy Helton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760044044 PECOS PAC ID: 7416109509 Enrollment ID: I20200604002607 |
| Provider Name | Alisha Mor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770928400 PECOS PAC ID: 3173756376 Enrollment ID: I20200609001697 |
| Provider Name | Syed Imran Mustafa Jafri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760822761 PECOS PAC ID: 9739321548 Enrollment ID: I20200624000586 |
| Provider Name | Joseph Labrum |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639554330 PECOS PAC ID: 2961824685 Enrollment ID: I20200624003363 |
| Provider Name | William Lewis Dillen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902240013 PECOS PAC ID: 7719298256 Enrollment ID: I20200625001834 |
| Provider Name | Carl L Byrd |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740662998 PECOS PAC ID: 2668894346 Enrollment ID: I20200625002081 |
| Provider Name | Benjamin Sherman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255713517 PECOS PAC ID: 6103256771 Enrollment ID: I20200630000970 |
| Provider Name | Jason A Williams |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1568424851 PECOS PAC ID: 5597732628 Enrollment ID: I20200702000071 |
| Provider Name | Ryan Michael Wehle |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376905232 PECOS PAC ID: 5092000604 Enrollment ID: I20200706000416 |
| Provider Name | Jacob Allen Sexton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558897223 PECOS PAC ID: 5890060735 Enrollment ID: I20200707000434 |
| Provider Name | Alan Richard Grimm |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356548531 PECOS PAC ID: 4981841129 Enrollment ID: I20200727000064 |
| Provider Name | Caroline M Wolverton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568957769 PECOS PAC ID: 7911257191 Enrollment ID: I20200728002694 |
| Provider Name | Travis Stephen Roth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417361593 PECOS PAC ID: 8123244225 Enrollment ID: I20200811000938 |
| Provider Name | Teresa A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033763156 PECOS PAC ID: 2668899683 Enrollment ID: I20200904000218 |
| Provider Name | Tristan Diane Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376070516 PECOS PAC ID: 3577836543 Enrollment ID: I20201005000048 |
| Provider Name | Mark Munther Sahawneh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184133761 PECOS PAC ID: 2567882780 Enrollment ID: I20201008002689 |
| Provider Name | Timothy C Brand |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164539136 PECOS PAC ID: 3476582925 Enrollment ID: I20201029001866 |
| Provider Name | Virginia Lynn Critelli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861454738 PECOS PAC ID: 0345288866 Enrollment ID: I20201029001967 |
| Provider Name | Stephen Clark Richardson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639523400 PECOS PAC ID: 1153617782 Enrollment ID: I20201104001645 |
| Provider Name | Brid M Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730796830 PECOS PAC ID: 7911317375 Enrollment ID: I20201113001686 |
| Provider Name | John Cheatwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669984845 PECOS PAC ID: 6709132210 Enrollment ID: I20201210000926 |
| Provider Name | My-hanh Thi Inman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649895715 PECOS PAC ID: 2567875230 Enrollment ID: I20210120000096 |
| Provider Name | Deandra Lashay White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174116446 PECOS PAC ID: 2365857554 Enrollment ID: I20210222001091 |
| Provider Name | Leona A Lenaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396883716 PECOS PAC ID: 2365540655 Enrollment ID: I20210308001359 |
| Provider Name | Geoffrey L Hancy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275828527 PECOS PAC ID: 0840435715 Enrollment ID: I20210330000148 |
| Provider Name | Kathryn Elizabeth Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154916765 PECOS PAC ID: 9537577432 Enrollment ID: I20210414000214 |
| Provider Name | Anastasiya Halamuzdava Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487239547 PECOS PAC ID: 9133529050 Enrollment ID: I20210615001921 |
| Provider Name | Janelle Anne Bennett |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659682094 PECOS PAC ID: 7113219726 Enrollment ID: I20210616000884 |
| Provider Name | James F. Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487075289 PECOS PAC ID: 5395976286 Enrollment ID: I20210621002511 |
| Provider Name | Jacob G Dunn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215383450 PECOS PAC ID: 1052713187 Enrollment ID: I20210713001119 |
| Provider Name | Garrett R Schwarzman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053773424 PECOS PAC ID: 2264728740 Enrollment ID: I20210721002866 |
| Provider Name | Suraj S Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063876704 PECOS PAC ID: 2567794803 Enrollment ID: I20210803002494 |
| Provider Name | Wesley H Mayes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205220100 PECOS PAC ID: 1557677994 Enrollment ID: I20210820003129 |
| Provider Name | David Echeverri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538665203 PECOS PAC ID: 4981009016 Enrollment ID: I20210826003141 |
| Provider Name | Kristy K Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114422441 PECOS PAC ID: 2769727189 Enrollment ID: I20210827002581 |
| Provider Name | Olusegun David Asubiojo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508444191 PECOS PAC ID: 1456757103 Enrollment ID: I20210907000882 |
| Provider Name | Heather A Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912319401 PECOS PAC ID: 2365780574 Enrollment ID: I20210915001444 |
| Provider Name | Ashley Marie Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700457645 PECOS PAC ID: 2365849429 Enrollment ID: I20210916002301 |
| Provider Name | Krista Ivana Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740893841 PECOS PAC ID: 5991102881 Enrollment ID: I20210920001841 |
| Provider Name | Katherine Abella-ramirez |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1649624560 PECOS PAC ID: 0547514440 Enrollment ID: I20211011002473 |
| Provider Name | Joshua Philip Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457901779 PECOS PAC ID: 6406245778 Enrollment ID: I20211109000496 |
| Provider Name | Elaine Pinder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447647862 PECOS PAC ID: 1456661172 Enrollment ID: I20211118001840 |
| Provider Name | Teresa L Beck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033229299 PECOS PAC ID: 8820112097 Enrollment ID: I20211209000193 |
| Provider Name | Joshua T Wing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619355823 PECOS PAC ID: 7517267867 Enrollment ID: I20220330002419 |
| Provider Name | Christiaan Mamczak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912112384 PECOS PAC ID: 7911070065 Enrollment ID: I20220407001497 |
| Provider Name | Angela Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558013532 PECOS PAC ID: 0749677821 Enrollment ID: I20220419001909 |
| Provider Name | Kasha L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730838962 PECOS PAC ID: 7012304850 Enrollment ID: I20220427000078 |
| Provider Name | Seth A Vernon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952568800 PECOS PAC ID: 3375739345 Enrollment ID: I20220512002567 |
| Provider Name | Shequita Docken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265811616 PECOS PAC ID: 5597160614 Enrollment ID: I20220707002942 |
| Provider Name | Levi Abell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689325722 PECOS PAC ID: 2668853797 Enrollment ID: I20220720001187 |
| Provider Name | Janie Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821682881 PECOS PAC ID: 9234510058 Enrollment ID: I20220725002350 |
| Provider Name | Alexandra B Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629704564 PECOS PAC ID: 6901281880 Enrollment ID: I20220913001424 |
| Provider Name | Gail Mateka |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1346628849 PECOS PAC ID: 5092020982 Enrollment ID: I20230124000251 |
| Provider Name | Brittney Nicole Labombard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386376747 PECOS PAC ID: 8123490240 Enrollment ID: I20230217000996 |
| Provider Name | John Paul Magulick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356668271 PECOS PAC ID: 9931343589 Enrollment ID: I20230223002992 |
| Provider Name | Ivan J Elias |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255337879 PECOS PAC ID: 2365464294 Enrollment ID: I20230303000485 |
| Provider Name | Nicholas Paul Goyeneche |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932423951 PECOS PAC ID: 0749594497 Enrollment ID: I20230303001031 |
| Provider Name | Amanda L. Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174257216 PECOS PAC ID: 4880067032 Enrollment ID: I20230308003187 |
| Provider Name | Susan Wiggshodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982320511 PECOS PAC ID: 7810360906 Enrollment ID: I20230311000358 |
| Provider Name | Terrisha Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336851617 PECOS PAC ID: 0244604890 Enrollment ID: I20230321002693 |
| Provider Name | Keiran B Shute |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184064388 PECOS PAC ID: 2668600933 Enrollment ID: I20230413003158 |
| Provider Name | Jon Christian Storey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235767666 PECOS PAC ID: 8123484953 Enrollment ID: I20230519001444 |
| Provider Name | Sasha Pickslay Jarman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760189351 PECOS PAC ID: 9032576251 Enrollment ID: I20230602002120 |
| Provider Name | Kelsey Alyse Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497459499 PECOS PAC ID: 9436516341 Enrollment ID: I20230608001886 |
| Provider Name | Madison Lashley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598176380 PECOS PAC ID: 6204139579 Enrollment ID: I20230718000528 |
| Provider Name | Michael M Zhadkevich |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1598724882 PECOS PAC ID: 4082718176 Enrollment ID: I20230719000311 |
| Provider Name | Zachariah Neal Weilenman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174028104 PECOS PAC ID: 3870840044 Enrollment ID: I20230731004059 |
| Provider Name | Gilda B Digman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457849978 PECOS PAC ID: 7810359668 Enrollment ID: I20230811000156 |
| Provider Name | Clair Elizabeth Adkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811601545 PECOS PAC ID: 2062874761 Enrollment ID: I20230811002518 |
| Provider Name | Alan Josiah Akinkugbe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356761480 PECOS PAC ID: 2062785645 Enrollment ID: I20230815001911 |
| Provider Name | Janay Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427752138 PECOS PAC ID: 9234591579 Enrollment ID: I20230817002456 |
| Provider Name | Abraham Alvarado-gonzalez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346642501 PECOS PAC ID: 9638467749 Enrollment ID: I20230817003254 |
| Provider Name | Brenda Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609404904 PECOS PAC ID: 8426410556 Enrollment ID: I20230821004023 |
| Provider Name | Diana Curras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225560220 PECOS PAC ID: 9436512514 Enrollment ID: I20230823002011 |
| Provider Name | Roshni Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548851538 PECOS PAC ID: 3375906084 Enrollment ID: I20230829001595 |
| Provider Name | Allen Degges |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053817486 PECOS PAC ID: 0941557342 Enrollment ID: I20230911003455 |
| Provider Name | Leonard E Marotta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861476772 PECOS PAC ID: 1850292780 Enrollment ID: I20230918000496 |
| Provider Name | Thomas Grenier |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316406580 PECOS PAC ID: 3577891472 Enrollment ID: I20230920000086 |
| Provider Name | William Lindsay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518581024 PECOS PAC ID: 2567816739 Enrollment ID: I20230922000619 |
| Provider Name | Christal Waller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194974188 PECOS PAC ID: 1759557739 Enrollment ID: I20231102002344 |
| Provider Name | Sarah Elizabeth Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407631633 PECOS PAC ID: 0547617581 Enrollment ID: I20231113001125 |
| Provider Name | Miranda Loren Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104609619 PECOS PAC ID: 4385091305 Enrollment ID: I20231114000768 |
| Provider Name | Kristen Rardin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265805196 PECOS PAC ID: 2365771714 Enrollment ID: I20231115001186 |
| Provider Name | Paris Georgiou Christodoulides |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982233870 PECOS PAC ID: 0143673087 Enrollment ID: I20240127000013 |
| Provider Name | Janet Cooper |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982761912 PECOS PAC ID: 4183632300 Enrollment ID: I20240326002652 |
| Provider Name | Mackenzie Krebsbach Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003351727 PECOS PAC ID: 0143505032 Enrollment ID: I20240507002905 |
Positive Healthcare Mobile Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4300 Bayou Blvd Ste 37, Pensacola, FL 32503 Phone: 850-470-8071 | |
Zoltan T Erdos, Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1717 North E St, Ste 523, Pensacola, FL 32501 Phone: 850-469-0799 Fax: 850-469-0792 | |
Everydaydoctor Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13 Palafox Pl Ste 200, Pensacola, FL 32502 Phone: 310-625-3224 | |
Pea Ridge Family Care Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5500 N Davis Hwy Ste 2, Pensacola, FL 32503 Phone: 850-475-0867 Fax: 850-475-0895 | |
Gary Gotthelf, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4511 N Davis Hwy, 1-c, Pensacola, FL 32503 Phone: 850-477-3252 Fax: 850-477-2659 | |
University Pediatric Program At Sacred Heart Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5225 Carmel Heights Dr, Pensacola, FL 32504 Phone: 850-475-4500 Fax: 850-475-4771 | |
Gastroenterology Associates Of Pensacola Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-7000 Fax: 850-436-4570 |