| Baptist Memorial Medical Group Inc | |
|
8970 Winchester Rd Memphis TN 38125-8231 | |
| (901) 227-4068 | |
| Not Available |
| Full Name | Baptist Memorial Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8970 Winchester Rd, Memphis, Tennessee |
| Authorized Official Name and Position | Gregory M Duckett (SR VP/CLO) |
| Authorized Official Contact | 9012275233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Memorial Medical Group Inc 350 N Humphreys Blvd Memphis TN 38120-2177 Ph: () - | Baptist Memorial Medical Group Inc 8970 Winchester Rd Memphis TN 38125-8231 Ph: (901) 227-4068 |
| NPI Number | 1306089206 |
|---|---|
| Provider Enumeration Date | 04/08/2009 |
| Last Update Date | 10/08/2020 |
| Medicare PECOS PAC ID | 5193610228 |
|---|---|
| Medicare Enrollment ID | O20040218000385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306089206 | NPI | - | NPPES |
| Provider Name | Belvia Ann Carter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902891179 PECOS PAC ID: 5799698452 Enrollment ID: I20031117000601 |
| Provider Name | Edward Evans |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083799985 PECOS PAC ID: 7012815046 Enrollment ID: I20031229000525 |
| Provider Name | Emily W Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376512491 PECOS PAC ID: 3476455601 Enrollment ID: I20040127000156 |
| Provider Name | Aleksandar Jankov |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003819269 PECOS PAC ID: 4082505235 Enrollment ID: I20040324001400 |
| Provider Name | John H Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194725432 PECOS PAC ID: 8921093675 Enrollment ID: I20040420000886 |
| Provider Name | Mary Christine Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295775310 PECOS PAC ID: 6103814546 Enrollment ID: I20040504000817 |
| Provider Name | Alka Kamo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295738128 PECOS PAC ID: 1951383819 Enrollment ID: I20040603001185 |
| Provider Name | Jay D Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316930944 PECOS PAC ID: 0941284483 Enrollment ID: I20040614001242 |
| Provider Name | Paul H Dang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407884760 PECOS PAC ID: 0042296873 Enrollment ID: I20040624000775 |
| Provider Name | Christy R Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790926798 PECOS PAC ID: 4385620939 Enrollment ID: I20040625000180 |
| Provider Name | Michael E Foster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447397427 PECOS PAC ID: 5294705455 Enrollment ID: I20040727000845 |
| Provider Name | William K Walsh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982602785 PECOS PAC ID: 2062482714 Enrollment ID: I20040729000520 |
| Provider Name | Elizabeth W Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609856822 PECOS PAC ID: 8820060759 Enrollment ID: I20040810001457 |
| Provider Name | Elizabeth D Lund |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922088137 PECOS PAC ID: 7315919412 Enrollment ID: I20040810001472 |
| Provider Name | Justin Monroe |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1760592935 PECOS PAC ID: 6608849161 Enrollment ID: I20040813000842 |
| Provider Name | Lora A Pomykala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275534752 PECOS PAC ID: 6800860560 Enrollment ID: I20040819001526 |
| Provider Name | Derek Mullinix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689628323 PECOS PAC ID: 6305733908 Enrollment ID: I20040921000756 |
| Provider Name | Ahmad B Abdulkarim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386741676 PECOS PAC ID: 3375517295 Enrollment ID: I20041012000864 |
| Provider Name | Sheila M Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518965128 PECOS PAC ID: 7810958345 Enrollment ID: I20041019000823 |
| Provider Name | Michael C Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932192556 PECOS PAC ID: 9739142647 Enrollment ID: I20041110001071 |
| Provider Name | Leander M Grimm |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598877805 PECOS PAC ID: 3577525229 Enrollment ID: I20041118001084 |
| Provider Name | Melrose Iingle Blackett |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1376623819 PECOS PAC ID: 0749244184 Enrollment ID: I20041122000648 |
| Provider Name | Margaret Gore |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477551380 PECOS PAC ID: 8527955251 Enrollment ID: I20050118000226 |
| Provider Name | Raymond U Osarogiagbon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831181247 PECOS PAC ID: 9335198050 Enrollment ID: I20050119000872 |
| Provider Name | Riad I Homsi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114908639 PECOS PAC ID: 9032168547 Enrollment ID: I20050121000254 |
| Provider Name | Richard D Childress |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578538070 PECOS PAC ID: 4587615992 Enrollment ID: I20050202001059 |
| Provider Name | Paul D Neblett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679579072 PECOS PAC ID: 4284686460 Enrollment ID: I20050216000151 |
| Provider Name | Joseph T Santoso |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1720010648 PECOS PAC ID: 4082506019 Enrollment ID: I20050217000859 |
| Provider Name | Jane F Tyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407831985 PECOS PAC ID: 9830141779 Enrollment ID: I20050218000286 |
| Provider Name | Amy K Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124034541 PECOS PAC ID: 9739132440 Enrollment ID: I20050222000896 |
| Provider Name | Paul R Tanner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003921404 PECOS PAC ID: 9133167935 Enrollment ID: I20050421001119 |
| Provider Name | Jill A Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851317051 PECOS PAC ID: 2769420256 Enrollment ID: I20050425000838 |
| Provider Name | Burton L Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497712368 PECOS PAC ID: 7517908981 Enrollment ID: I20050516000723 |
| Provider Name | Jami Maddox |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306826524 PECOS PAC ID: 5597700245 Enrollment ID: I20050622001316 |
| Provider Name | William H Light |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881646099 PECOS PAC ID: 9638115801 Enrollment ID: I20050707000847 |
| Provider Name | David W Sullivan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1851399638 PECOS PAC ID: 3678509544 Enrollment ID: I20050809000879 |
| Provider Name | Meris Stevens Whitley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205974649 PECOS PAC ID: 5597797845 Enrollment ID: I20050907000846 |
| Provider Name | Vitaly Nazarov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760469084 PECOS PAC ID: 9830114131 Enrollment ID: I20051005001193 |
| Provider Name | Cynthia Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407842131 PECOS PAC ID: 6103846076 Enrollment ID: I20051207000158 |
| Provider Name | Thomas Lavie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972690006 PECOS PAC ID: 5698783876 Enrollment ID: I20060329000699 |
| Provider Name | Thomas W Jernigan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720025315 PECOS PAC ID: 8820008980 Enrollment ID: I20060503000643 |
| Provider Name | Jennifer Celeste Goodfred |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205878105 PECOS PAC ID: 6608879267 Enrollment ID: I20060821000382 |
| Provider Name | Sailendra Vasireddy |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1417900374 PECOS PAC ID: 3375547292 Enrollment ID: I20060928000118 |
| Provider Name | Michael J Heck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154379659 PECOS PAC ID: 3779589106 Enrollment ID: I20061009000027 |
| Provider Name | Samuel T Summers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467474981 PECOS PAC ID: 8224037197 Enrollment ID: I20061204000596 |
| Provider Name | Philip G Mintz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043232580 PECOS PAC ID: 9133128002 Enrollment ID: I20061204000606 |
| Provider Name | Peter W Carter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265428676 PECOS PAC ID: 2567463813 Enrollment ID: I20070129000758 |
| Provider Name | Qing Yuan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225047053 PECOS PAC ID: 1951404193 Enrollment ID: I20070308000582 |
| Provider Name | Dina Darby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336352590 PECOS PAC ID: 2365543642 Enrollment ID: I20070731000453 |
| Provider Name | Jacques Edouard Samson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326082157 PECOS PAC ID: 2365454857 Enrollment ID: I20070821000216 |
| Provider Name | Alston G Warr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245289305 PECOS PAC ID: 2769575893 Enrollment ID: I20070906000328 |
| Provider Name | Elizabeth C Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528008703 PECOS PAC ID: 4284539719 Enrollment ID: I20070914000513 |
| Provider Name | John A Avgeris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780633966 PECOS PAC ID: 7810081767 Enrollment ID: I20070921000772 |
| Provider Name | William P Flowers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134233729 PECOS PAC ID: 1052399219 Enrollment ID: I20071115000590 |
| Provider Name | Marcia Lynn Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346253184 PECOS PAC ID: 3870687742 Enrollment ID: I20080208000038 |
| Provider Name | Kent Alan Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497781298 PECOS PAC ID: 7719969914 Enrollment ID: I20080311000124 |
| Provider Name | Ayesha Muzammil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730261686 PECOS PAC ID: 1153404801 Enrollment ID: I20080326000326 |
| Provider Name | Mary K Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023181864 PECOS PAC ID: 4385720333 Enrollment ID: I20080401000065 |
| Provider Name | Meredith H Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891967360 PECOS PAC ID: 8628156809 Enrollment ID: I20080429000535 |
| Provider Name | Steven I Wener |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114970084 PECOS PAC ID: 3971683269 Enrollment ID: I20080502000146 |
| Provider Name | Martinson Ansah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629033246 PECOS PAC ID: 9234100322 Enrollment ID: I20080508000247 |
| Provider Name | Robin L Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093827560 PECOS PAC ID: 3870687650 Enrollment ID: I20080530000735 |
| Provider Name | Stephen G Portera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205803608 PECOS PAC ID: 1456421056 Enrollment ID: I20080609000843 |
| Provider Name | Brett B Snodgrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679745780 PECOS PAC ID: 6103999305 Enrollment ID: I20080722000162 |
| Provider Name | Ana D Karabell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932361979 PECOS PAC ID: 4587738521 Enrollment ID: I20080814000346 |
| Provider Name | Beth A Choby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023090685 PECOS PAC ID: 1153311873 Enrollment ID: I20080908000590 |
| Provider Name | Jason W Hindman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033170535 PECOS PAC ID: 0244234649 Enrollment ID: I20080929000060 |
| Provider Name | Joseph R Feltman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558528174 PECOS PAC ID: 6103994439 Enrollment ID: I20081014000092 |
| Provider Name | Frederick R Pelz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053396523 PECOS PAC ID: 7315835881 Enrollment ID: I20081027000575 |
| Provider Name | David M Sharfman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972588457 PECOS PAC ID: 6002975968 Enrollment ID: I20081106000420 |
| Provider Name | Omar Ghandour |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255323663 PECOS PAC ID: 6608936521 Enrollment ID: I20081122000143 |
| Provider Name | Marva J Aven |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790948057 PECOS PAC ID: 1456412600 Enrollment ID: I20081205000394 |
| Provider Name | Salil Goorha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124241062 PECOS PAC ID: 6305907205 Enrollment ID: I20081210000833 |
| Provider Name | William T Rawlinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013015635 PECOS PAC ID: 4486718269 Enrollment ID: I20090122000328 |
| Provider Name | Christine Hartford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275559924 PECOS PAC ID: 8123025368 Enrollment ID: I20090327000545 |
| Provider Name | Jay Patchen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619940509 PECOS PAC ID: 6709935109 Enrollment ID: I20090513000654 |
| Provider Name | Freddie L Everson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497728638 PECOS PAC ID: 1052225844 Enrollment ID: I20090513000655 |
| Provider Name | Brion V Randolph |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316148547 PECOS PAC ID: 9133278294 Enrollment ID: I20090519000672 |
| Provider Name | Andre C Thompson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538383765 PECOS PAC ID: 1557412285 Enrollment ID: I20090619000254 |
| Provider Name | Eva G Proctor |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275758450 PECOS PAC ID: 9830266071 Enrollment ID: I20090709000334 |
| Provider Name | Edward Friedman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659558260 PECOS PAC ID: 9830242676 Enrollment ID: I20090727000788 |
| Provider Name | Benjamin Todd Chappell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750597829 PECOS PAC ID: 0042363061 Enrollment ID: I20090807000519 |
| Provider Name | Joel C Kahane |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336273648 PECOS PAC ID: 9436203940 Enrollment ID: I20090818000851 |
| Provider Name | Alyssa Throckmorton |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1588711469 PECOS PAC ID: 7719059146 Enrollment ID: I20091030000148 |
| Provider Name | Walter H Stuart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578794483 PECOS PAC ID: 0547308306 Enrollment ID: I20091116000319 |
| Provider Name | Shelley R Ost |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588862445 PECOS PAC ID: 8729127436 Enrollment ID: I20091209000037 |
| Provider Name | Angela P Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366779704 PECOS PAC ID: 7315089687 Enrollment ID: I20100125000576 |
| Provider Name | Sunita K Jain |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1558355008 PECOS PAC ID: 8426001983 Enrollment ID: I20100217000384 |
| Provider Name | Neal Beckford |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265540363 PECOS PAC ID: 9032183744 Enrollment ID: I20100224000729 |
| Provider Name | Sharon F West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164414587 PECOS PAC ID: 9739246190 Enrollment ID: I20100226000242 |
| Provider Name | Stephen T Overby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194726679 PECOS PAC ID: 5698853752 Enrollment ID: I20100309000196 |
| Provider Name | Sohail A Minhas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053303750 PECOS PAC ID: 0345137071 Enrollment ID: I20100325000883 |
| Provider Name | Mark Castellaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114928793 PECOS PAC ID: 6709968704 Enrollment ID: I20100329000270 |
| Provider Name | Dana Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801897053 PECOS PAC ID: 3173697430 Enrollment ID: I20100426000093 |
| Provider Name | Richard Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871594457 PECOS PAC ID: 8325126477 Enrollment ID: I20100503000358 |
| Provider Name | Gus A Giddens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891722559 PECOS PAC ID: 3779588132 Enrollment ID: I20100518000124 |
| Provider Name | Lea M Bannister |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922034271 PECOS PAC ID: 4385772060 Enrollment ID: I20100518000175 |
| Provider Name | Michael W Sims |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831411396 PECOS PAC ID: 0244369304 Enrollment ID: I20100527000589 |
| Provider Name | John B Clendenin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265412563 PECOS PAC ID: 1951431345 Enrollment ID: I20100610001115 |
| Provider Name | William K Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548240856 PECOS PAC ID: 3476684697 Enrollment ID: I20100701000285 |
| Provider Name | Bruce B Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942280243 PECOS PAC ID: 8729119946 Enrollment ID: I20100701000303 |
| Provider Name | John W Hale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104806413 PECOS PAC ID: 7416088646 Enrollment ID: I20100701000356 |
| Provider Name | Cary M. Finn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033192992 PECOS PAC ID: 0244241206 Enrollment ID: I20100716000481 |
| Provider Name | Katherine H Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508181090 PECOS PAC ID: 1153453303 Enrollment ID: I20100723000170 |
| Provider Name | Kimberly G Slate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427031038 PECOS PAC ID: 7012040579 Enrollment ID: I20100804000337 |
| Provider Name | Alan Jay Cohen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245203371 PECOS PAC ID: 4284625237 Enrollment ID: I20100811000347 |
| Provider Name | Guy R Voeller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124085485 PECOS PAC ID: 7315071032 Enrollment ID: I20100817001160 |
| Provider Name | Stephen Behrman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942266713 PECOS PAC ID: 9335273788 Enrollment ID: I20100820000162 |
| Provider Name | Donald S Gravenor |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770581662 PECOS PAC ID: 4688708050 Enrollment ID: I20100820000348 |
| Provider Name | Catherine R Womack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336106368 PECOS PAC ID: 5890829196 Enrollment ID: I20100820000875 |
| Provider Name | Harvey Edward Garrett |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1508800905 PECOS PAC ID: 4284600347 Enrollment ID: I20100924000121 |
| Provider Name | Judi L. Carney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417953811 PECOS PAC ID: 1052437076 Enrollment ID: I20100928000597 |
| Provider Name | Lusia Filetti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841498532 PECOS PAC ID: 4587856737 Enrollment ID: I20101007000166 |
| Provider Name | Anita Lynn Baker-ross |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265435671 PECOS PAC ID: 9436341401 Enrollment ID: I20101008000429 |
| Provider Name | Mathilda C Coday |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740247444 PECOS PAC ID: 5395937056 Enrollment ID: I20101013000425 |
| Provider Name | Natascha S Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386600567 PECOS PAC ID: 8729270343 Enrollment ID: I20101014000005 |
| Provider Name | Michele Evyan Neal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154314771 PECOS PAC ID: 8325255342 Enrollment ID: I20101015000329 |
| Provider Name | Brandon C Baughman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568773521 PECOS PAC ID: 7012100308 Enrollment ID: I20101019000923 |
| Provider Name | Charles Jackson Woodall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245223866 PECOS PAC ID: 1557302122 Enrollment ID: I20101021000849 |
| Provider Name | Ramune Montvilaite Filipcic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831182526 PECOS PAC ID: 3678766706 Enrollment ID: I20101021001080 |
| Provider Name | Joseph Kenneth Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598758120 PECOS PAC ID: 0143331710 Enrollment ID: I20101022000375 |
| Provider Name | Melanie Landrum Woodall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346233913 PECOS PAC ID: 4789795352 Enrollment ID: I20101022000637 |
| Provider Name | Betsy A Cordell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841526001 PECOS PAC ID: 3779770961 Enrollment ID: I20101214001242 |
| Provider Name | William David Dunavant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740367176 PECOS PAC ID: 4082803093 Enrollment ID: I20110106000462 |
| Provider Name | Syed Azmi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922203082 PECOS PAC ID: 3577618347 Enrollment ID: I20110111000955 |
| Provider Name | Angela M Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578870853 PECOS PAC ID: 1759560089 Enrollment ID: I20110119000559 |
| Provider Name | Monam B Awan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013103449 PECOS PAC ID: 6507045747 Enrollment ID: I20110120000611 |
| Provider Name | Hilbert H Nease |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275553794 PECOS PAC ID: 7214967272 Enrollment ID: I20110121000948 |
| Provider Name | Gregory K Jenkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225051246 PECOS PAC ID: 8123058187 Enrollment ID: I20110124000807 |
| Provider Name | Robert A Humphreys |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295744134 PECOS PAC ID: 4183692510 Enrollment ID: I20110322000186 |
| Provider Name | William D Dunavant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659441889 PECOS PAC ID: 6608050497 Enrollment ID: I20110401000342 |
| Provider Name | Tonya L. Newsom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417256637 PECOS PAC ID: 8022293851 Enrollment ID: I20110421000092 |
| Provider Name | Paul S Bierman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144245234 PECOS PAC ID: 8325041239 Enrollment ID: I20110510000766 |
| Provider Name | Kenneth I Fields |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285659383 PECOS PAC ID: 5496750606 Enrollment ID: I20110511000418 |
| Provider Name | Omer Asif Siddiqui |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659577278 PECOS PAC ID: 6305030768 Enrollment ID: I20110616000804 |
| Provider Name | Cindy P Earle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740514728 PECOS PAC ID: 1456539030 Enrollment ID: I20110630000101 |
| Provider Name | Nathaniel F Stoikes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487876017 PECOS PAC ID: 4385777689 Enrollment ID: I20110630000330 |
| Provider Name | Hillel E Wiener |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356558357 PECOS PAC ID: 5395899090 Enrollment ID: I20110729000538 |
| Provider Name | Muhammad Raza |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619198512 PECOS PAC ID: 3870762263 Enrollment ID: I20110801000284 |
| Provider Name | David L Webb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588879845 PECOS PAC ID: 2163691437 Enrollment ID: I20110803000610 |
| Provider Name | Candice Sally Crewse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992962401 PECOS PAC ID: 0143490938 Enrollment ID: I20110906000218 |
| Provider Name | Randelon D Smith |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790999753 PECOS PAC ID: 9638255086 Enrollment ID: I20110908001715 |
| Provider Name | Leanna Rushin Fendley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376823377 PECOS PAC ID: 3173794633 Enrollment ID: I20110914000479 |
| Provider Name | Fang Zhou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356513394 PECOS PAC ID: 0042481889 Enrollment ID: I20110927000586 |
| Provider Name | Heather A Melton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205833142 PECOS PAC ID: 0345214904 Enrollment ID: I20111007000410 |
| Provider Name | Santiago J Aguilar Duenas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285897553 PECOS PAC ID: 8527230846 Enrollment ID: I20111011000282 |
| Provider Name | Jose Gabriel Ongsingco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831354935 PECOS PAC ID: 7618140260 Enrollment ID: I20111027000429 |
| Provider Name | Venetia A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124306097 PECOS PAC ID: 2860665296 Enrollment ID: I20111101000166 |
| Provider Name | Laura Bishop |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750306858 PECOS PAC ID: 0446424907 Enrollment ID: I20111117000685 |
| Provider Name | Shannon E Riedley Malone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659586113 PECOS PAC ID: 6901073477 Enrollment ID: I20120124000675 |
| Provider Name | Nicole T Meredith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952606055 PECOS PAC ID: 9032386453 Enrollment ID: I20120125000354 |
| Provider Name | Stephanie Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770877821 PECOS PAC ID: 2365609450 Enrollment ID: I20120201000175 |
| Provider Name | William G Mullinax |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1972551364 PECOS PAC ID: 7012174147 Enrollment ID: I20120201000581 |
| Provider Name | Edward T Robbins |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255330957 PECOS PAC ID: 7810157484 Enrollment ID: I20120320000522 |
| Provider Name | Selena P Dozier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023253119 PECOS PAC ID: 9335300870 Enrollment ID: I20120411000074 |
| Provider Name | Anne Lorraine Self Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114913555 PECOS PAC ID: 6800864158 Enrollment ID: I20120608000186 |
| Provider Name | Vinodh T Doss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336348085 PECOS PAC ID: 5698930683 Enrollment ID: I20120625000409 |
| Provider Name | Candace D Hinote |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467624783 PECOS PAC ID: 1951566371 Enrollment ID: I20120709000589 |
| Provider Name | Shaun Michael Stickley |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528289808 PECOS PAC ID: 5496910879 Enrollment ID: I20120710000489 |
| Provider Name | Aaron John Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770858144 PECOS PAC ID: 0840456299 Enrollment ID: I20120730000420 |
| Provider Name | Christina B Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912252354 PECOS PAC ID: 0941457352 Enrollment ID: I20120820000881 |
| Provider Name | Patrick A Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588743314 PECOS PAC ID: 1951376730 Enrollment ID: I20120821000837 |
| Provider Name | Sumaiya Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821265356 PECOS PAC ID: 5092962944 Enrollment ID: I20120828000328 |
| Provider Name | Amna Gul Khattak |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528276763 PECOS PAC ID: 8123275781 Enrollment ID: I20120904000552 |
| Provider Name | Kendra D Hayslett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255588950 PECOS PAC ID: 6901055995 Enrollment ID: I20121008000385 |
| Provider Name | Jared M Bratvold |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609076058 PECOS PAC ID: 2860642295 Enrollment ID: I20121022000126 |
| Provider Name | Suzanne Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144395120 PECOS PAC ID: 8224287305 Enrollment ID: I20121129000564 |
| Provider Name | Philip Edward Lammers |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780802330 PECOS PAC ID: 0244475192 Enrollment ID: I20130325000062 |
| Provider Name | Clesheree Stepter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871866830 PECOS PAC ID: 1951546753 Enrollment ID: I20130327000364 |
| Provider Name | Fysal Albaalbaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548449663 PECOS PAC ID: 9133288590 Enrollment ID: I20130415000357 |
| Provider Name | Quaneshia R Farris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073856514 PECOS PAC ID: 7113165366 Enrollment ID: I20130529000439 |
| Provider Name | Heather H Polmonari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699017962 PECOS PAC ID: 9234378886 Enrollment ID: I20130612000184 |
| Provider Name | Julian L Venegas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659364545 PECOS PAC ID: 2264410307 Enrollment ID: I20130716000488 |
| Provider Name | Bradley Wolf |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366486821 PECOS PAC ID: 7517045651 Enrollment ID: I20130813000211 |
| Provider Name | Collins Walker Rainey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316265820 PECOS PAC ID: 4385880103 Enrollment ID: I20130830000507 |
| Provider Name | Muhammad M Mirza |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467670984 PECOS PAC ID: 1850436411 Enrollment ID: I20130917000174 |
| Provider Name | Danielle L Tate |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942475728 PECOS PAC ID: 9436393782 Enrollment ID: I20130926000511 |
| Provider Name | Lindi H Vanderwalde |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578788402 PECOS PAC ID: 1759446743 Enrollment ID: I20131018000932 |
| Provider Name | Alisha K Conway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649594219 PECOS PAC ID: 7214175785 Enrollment ID: I20131030001407 |
| Provider Name | Sanjeev Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932381530 PECOS PAC ID: 6103011655 Enrollment ID: I20131122001034 |
| Provider Name | Penne Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730514191 PECOS PAC ID: 7315173200 Enrollment ID: I20131125000535 |
| Provider Name | Yasin Zada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891768222 PECOS PAC ID: 0042241150 Enrollment ID: I20131127000913 |
| Provider Name | Sandeep Rajan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396852273 PECOS PAC ID: 0446254957 Enrollment ID: I20131217000321 |
| Provider Name | Nfn Sumedha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124220025 PECOS PAC ID: 2769524586 Enrollment ID: I20140124001318 |
| Provider Name | Courtney E Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629407473 PECOS PAC ID: 8628208154 Enrollment ID: I20140303001413 |
| Provider Name | Heather J Kindrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275964645 PECOS PAC ID: 0941431100 Enrollment ID: I20140401001329 |
| Provider Name | Brittany A Labrador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417388893 PECOS PAC ID: 3173755006 Enrollment ID: I20140408001803 |
| Provider Name | Joseph Anthony Bynum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558651919 PECOS PAC ID: 4688812373 Enrollment ID: I20140702001524 |
| Provider Name | Michael S Kleinman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669799797 PECOS PAC ID: 4082839824 Enrollment ID: I20140710001196 |
| Provider Name | Jason Glenn Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013238054 PECOS PAC ID: 1850517202 Enrollment ID: I20140722000280 |
| Provider Name | Drew Dill |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1578723276 PECOS PAC ID: 9335387026 Enrollment ID: I20140724000890 |
| Provider Name | Mary K Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720309750 PECOS PAC ID: 1557587581 Enrollment ID: I20140728000779 |
| Provider Name | Daniel T Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205240041 PECOS PAC ID: 5193943165 Enrollment ID: I20140904001855 |
| Provider Name | Fei Liang Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871905174 PECOS PAC ID: 6305065954 Enrollment ID: I20140915001359 |
| Provider Name | Osarenren Ogbeide |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952375156 PECOS PAC ID: 7911972443 Enrollment ID: I20141106001860 |
| Provider Name | Shimon Menachem Harary |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801030192 PECOS PAC ID: 1850546235 Enrollment ID: I20141202002434 |
| Provider Name | Ginger Lee Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275936163 PECOS PAC ID: 9335461359 Enrollment ID: I20150407000384 |
| Provider Name | Virginia Hester Mcghee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356732341 PECOS PAC ID: 8628398443 Enrollment ID: I20150519001756 |
| Provider Name | Scott S Rosen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952665655 PECOS PAC ID: 9436462926 Enrollment ID: I20150713001379 |
| Provider Name | Michael Henry Vaughan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104182641 PECOS PAC ID: 8123264983 Enrollment ID: I20150731015753 |
| Provider Name | Dorothy Joy Casama |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205194107 PECOS PAC ID: 1355655317 Enrollment ID: I20150804004975 |
| Provider Name | Wesley S Phillips |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962769828 PECOS PAC ID: 4688988678 Enrollment ID: I20150804005867 |
| Provider Name | Mubasher Malik |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225341050 PECOS PAC ID: 6901044833 Enrollment ID: I20150908001090 |
| Provider Name | Salman Zafar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598932915 PECOS PAC ID: 9830257567 Enrollment ID: I20150909002807 |
| Provider Name | James C Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285019380 PECOS PAC ID: 6709194509 Enrollment ID: I20150928002429 |
| Provider Name | Bethany Adamski |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669875043 PECOS PAC ID: 8729397872 Enrollment ID: I20151012002495 |
| Provider Name | Jesslyn S. Delano Maxwell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386014637 PECOS PAC ID: 6709195613 Enrollment ID: I20151015001644 |
| Provider Name | Kandice M Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063811834 PECOS PAC ID: 6608185897 Enrollment ID: I20151029001709 |
| Provider Name | Elijah Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003045097 PECOS PAC ID: 0840500906 Enrollment ID: I20151103000186 |
| Provider Name | Elizabeth Clifft |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821469750 PECOS PAC ID: 3577873389 Enrollment ID: I20151106001587 |
| Provider Name | William Dorsey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952429037 PECOS PAC ID: 6507176138 Enrollment ID: I20151110001809 |
| Provider Name | Laura Manning |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598839706 PECOS PAC ID: 8921318395 Enrollment ID: I20151116000467 |
| Provider Name | Esther Jane Flanders |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407226418 PECOS PAC ID: 8729398193 Enrollment ID: I20151116000518 |
| Provider Name | Stacy Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851412076 PECOS PAC ID: 7214247691 Enrollment ID: I20151116000794 |
| Provider Name | Beverly Malone |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043439995 PECOS PAC ID: 5991015299 Enrollment ID: I20151116001796 |
| Provider Name | Hazel Ogdon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760502892 PECOS PAC ID: 2062722374 Enrollment ID: I20151116002305 |
| Provider Name | Amy Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326264235 PECOS PAC ID: 5294045506 Enrollment ID: I20151116002645 |
| Provider Name | Josephine Li |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093934978 PECOS PAC ID: 8628388949 Enrollment ID: I20151117000012 |
| Provider Name | Julia Kempka Mccormack |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1235509258 PECOS PAC ID: 2466762794 Enrollment ID: I20151117000441 |
| Provider Name | Richard Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699895367 PECOS PAC ID: 2163732439 Enrollment ID: I20151117002252 |
| Provider Name | Jodie Elizabeth Jennings |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992825020 PECOS PAC ID: 4082914288 Enrollment ID: I20151119001166 |
| Provider Name | Justin Morgan Hall |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134599152 PECOS PAC ID: 0840590063 Enrollment ID: I20151119001852 |
| Provider Name | Jenny Doza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083798862 PECOS PAC ID: 6800056235 Enrollment ID: I20151208001972 |
| Provider Name | Bo Charles Li |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386687150 PECOS PAC ID: 8022156074 Enrollment ID: I20151211001829 |
| Provider Name | Kimberly Robbins |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649640681 PECOS PAC ID: 1658672647 Enrollment ID: I20151216001525 |
| Provider Name | Angela Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568671246 PECOS PAC ID: 1951603810 Enrollment ID: I20160108001487 |
| Provider Name | Suzanne Stevens Warford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679834626 PECOS PAC ID: 3173827532 Enrollment ID: I20160204000745 |
| Provider Name | Andrea Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083072086 PECOS PAC ID: 8224327127 Enrollment ID: I20160517000558 |
| Provider Name | Janet Geiger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134219280 PECOS PAC ID: 9234456013 Enrollment ID: I20160608000856 |
| Provider Name | Ellen Stecker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306922067 PECOS PAC ID: 5092005744 Enrollment ID: I20160608001131 |
| Provider Name | Tracey Dianne Robinson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1104824366 PECOS PAC ID: 1153314497 Enrollment ID: I20160613001891 |
| Provider Name | Jason Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427480565 PECOS PAC ID: 2567688062 Enrollment ID: I20160614000899 |
| Provider Name | Alicia W Wright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619237880 PECOS PAC ID: 7911298203 Enrollment ID: I20160616000613 |
| Provider Name | Yolanda Mccain Waller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497115463 PECOS PAC ID: 1254623242 Enrollment ID: I20160712002331 |
| Provider Name | Jennifer Lauren Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518301084 PECOS PAC ID: 3072752708 Enrollment ID: I20160726001288 |
| Provider Name | Jennifer D Reed |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467629121 PECOS PAC ID: 4587719570 Enrollment ID: I20160809002136 |
| Provider Name | Helen Renee Masters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598180812 PECOS PAC ID: 0345544789 Enrollment ID: I20160822001900 |
| Provider Name | Amy Kristeen Key |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790026839 PECOS PAC ID: 7719272764 Enrollment ID: I20160830000746 |
| Provider Name | Julius Cronin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487097028 PECOS PAC ID: 1254579949 Enrollment ID: I20160907001247 |
| Provider Name | Ki Mun Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649363656 PECOS PAC ID: 8628252731 Enrollment ID: I20160923000504 |
| Provider Name | Marion B Gillespie |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255444212 PECOS PAC ID: 2062519200 Enrollment ID: I20160926000403 |
| Provider Name | David Louis Schwartz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1922104157 PECOS PAC ID: 8921070574 Enrollment ID: I20160927000148 |
| Provider Name | Adrianne Myers-webb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548477722 PECOS PAC ID: 6002104114 Enrollment ID: I20161005001133 |
| Provider Name | Robin M Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972863165 PECOS PAC ID: 0244478931 Enrollment ID: I20161007000493 |
| Provider Name | William Lancaster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205279437 PECOS PAC ID: 9032350376 Enrollment ID: I20161018002367 |
| Provider Name | Walter Ifeadike |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689684839 PECOS PAC ID: 3971509977 Enrollment ID: I20161130000630 |
| Provider Name | Dominique M Butawan-ali |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417121013 PECOS PAC ID: 7517123441 Enrollment ID: I20170110000306 |
| Provider Name | Venester Riley Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104368406 PECOS PAC ID: 1951686047 Enrollment ID: I20170403001581 |
| Provider Name | Lakina Richmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871033472 PECOS PAC ID: 7517243223 Enrollment ID: I20170412001563 |
| Provider Name | Meera Reddy Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548604044 PECOS PAC ID: 3476857996 Enrollment ID: I20170613002249 |
| Provider Name | Cameron Crutchfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285174342 PECOS PAC ID: 0345510434 Enrollment ID: I20170722000136 |
| Provider Name | Lakesha D Polk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649711508 PECOS PAC ID: 2860764479 Enrollment ID: I20170816004091 |
| Provider Name | Leighanne Otten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336660422 PECOS PAC ID: 2062784044 Enrollment ID: I20170825002329 |
| Provider Name | Luz Adriana M Wolf |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215364567 PECOS PAC ID: 8820360829 Enrollment ID: I20170825003031 |
| Provider Name | Brennan P Mccullar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912318049 PECOS PAC ID: 1153549498 Enrollment ID: I20170920000860 |
| Provider Name | Alexandria Keene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346660537 PECOS PAC ID: 6709150154 Enrollment ID: I20170922002320 |
| Provider Name | Benjamin B Brannick |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679718357 PECOS PAC ID: 4688940372 Enrollment ID: I20171025002651 |
| Provider Name | Fariha Salman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629331079 PECOS PAC ID: 2567738107 Enrollment ID: I20171025003098 |
| Provider Name | Kristy A Fayne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174049530 PECOS PAC ID: 3577829852 Enrollment ID: I20171102003242 |
| Provider Name | Dongxia I Jiang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467909366 PECOS PAC ID: 4789942905 Enrollment ID: I20171218000987 |
| Provider Name | Kimberly Shawn Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699923003 PECOS PAC ID: 1850659434 Enrollment ID: I20180103002990 |
| Provider Name | Daniel Jay Tucker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396744959 PECOS PAC ID: 2466548482 Enrollment ID: I20180416002398 |
| Provider Name | Elizabeth Diane Russell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609994813 PECOS PAC ID: 4789947862 Enrollment ID: I20180424002946 |
| Provider Name | Arika Denise Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386002228 PECOS PAC ID: 3375807456 Enrollment ID: I20180426002138 |
| Provider Name | Fazal Yahya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801153705 PECOS PAC ID: 8820234511 Enrollment ID: I20180523003117 |
| Provider Name | Srinivasa V Jampana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548491673 PECOS PAC ID: 6002067907 Enrollment ID: I20180523003233 |
| Provider Name | Shahnila Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427233196 PECOS PAC ID: 3779764469 Enrollment ID: I20180705000777 |
| Provider Name | Kevin B Collins |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174611511 PECOS PAC ID: 2062567175 Enrollment ID: I20180710003327 |
| Provider Name | John Martin Cassidy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134531106 PECOS PAC ID: 0042568487 Enrollment ID: I20180801002828 |
| Provider Name | Ballina H Griffy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558871814 PECOS PAC ID: 1658620729 Enrollment ID: I20180822002656 |
| Provider Name | Ann Lucile Napier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992284434 PECOS PAC ID: 8325399710 Enrollment ID: I20180925000489 |
| Provider Name | Gala Markia Barden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578874749 PECOS PAC ID: 8022369354 Enrollment ID: I20180925002584 |
| Provider Name | Wissam Aldayoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881073625 PECOS PAC ID: 3779834825 Enrollment ID: I20180928001417 |
| Provider Name | Allison Grace Carmichael |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588143317 PECOS PAC ID: 6406107465 Enrollment ID: I20181001003465 |
| Provider Name | Tabitha Manero Marek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245644814 PECOS PAC ID: 4183948078 Enrollment ID: I20181008003268 |
| Provider Name | Elizabeth Granieri |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780975102 PECOS PAC ID: 3274823208 Enrollment ID: I20181016002105 |
| Provider Name | Diya H Tantawi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235372376 PECOS PAC ID: 4789734237 Enrollment ID: I20181026000434 |
| Provider Name | James Eli Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588147078 PECOS PAC ID: 1052664604 Enrollment ID: I20181029000729 |
| Provider Name | Greg James Burana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972914018 PECOS PAC ID: 0749533024 Enrollment ID: I20181102002287 |
| Provider Name | Angela L Pulliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457831794 PECOS PAC ID: 5991040172 Enrollment ID: I20181215000578 |
| Provider Name | Jennifer L Zakhireh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912032707 PECOS PAC ID: 5193824191 Enrollment ID: I20181231001845 |
| Provider Name | Mahmoud Salhab |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154762458 PECOS PAC ID: 0446486864 Enrollment ID: I20190108002217 |
| Provider Name | Daniel F. Saad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801917877 PECOS PAC ID: 6608931860 Enrollment ID: I20190129002460 |
| Provider Name | Carl William Shorter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538639935 PECOS PAC ID: 1557609864 Enrollment ID: I20190212002268 |
| Provider Name | Jennifer Elizabeth Ladmirault |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154891992 PECOS PAC ID: 5799024105 Enrollment ID: I20190301001892 |
| Provider Name | Kathryn Claire Pruitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679577555 PECOS PAC ID: 1759313760 Enrollment ID: I20190312003224 |
| Provider Name | Amanda Lee Keown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154803666 PECOS PAC ID: 8325388259 Enrollment ID: I20190312003622 |
| Provider Name | David Bryan Engle |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1487611760 PECOS PAC ID: 2466430798 Enrollment ID: I20190325000115 |
| Provider Name | Ashley Michelle Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881170538 PECOS PAC ID: 7810238649 Enrollment ID: I20190404001604 |
| Provider Name | Regina Suzanne Chandler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891251922 PECOS PAC ID: 7012258775 Enrollment ID: I20190405000506 |
| Provider Name | Robert Alejo Armada |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831274992 PECOS PAC ID: 5991733164 Enrollment ID: I20190722001082 |
| Provider Name | Gregory Renck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275645400 PECOS PAC ID: 2668557455 Enrollment ID: I20190807003973 |
| Provider Name | David Michael Hall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598183535 PECOS PAC ID: 5597983775 Enrollment ID: I20190816003205 |
| Provider Name | Michele Miller Mcamis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881071264 PECOS PAC ID: 5698096030 Enrollment ID: I20190827000694 |
| Provider Name | James Lamousin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043227606 PECOS PAC ID: 8022000215 Enrollment ID: I20190828003814 |
| Provider Name | Ethan Wilkes Stranch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144664699 PECOS PAC ID: 8022258615 Enrollment ID: I20190918003166 |
| Provider Name | Megan Marie Crosier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902459555 PECOS PAC ID: 0547599789 Enrollment ID: I20191003003822 |
| Provider Name | Alicia Mizell Earley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083269807 PECOS PAC ID: 4284965211 Enrollment ID: I20191007000292 |
| Provider Name | Brendan M Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932588407 PECOS PAC ID: 4082921291 Enrollment ID: I20191008000320 |
| Provider Name | Drew Turner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598185084 PECOS PAC ID: 1759612302 Enrollment ID: I20191011001376 |
| Provider Name | Muneeba Qayyum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609228568 PECOS PAC ID: 7416288089 Enrollment ID: I20191011002105 |
| Provider Name | William G Cloud |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912988346 PECOS PAC ID: 2365472784 Enrollment ID: I20191022002562 |
| Provider Name | Emily S Ezell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487004560 PECOS PAC ID: 3173816717 Enrollment ID: I20191029002087 |
| Provider Name | Stephanie Castro Tims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902459324 PECOS PAC ID: 8729310305 Enrollment ID: I20191031001148 |
| Provider Name | Alyssa Jameson Wier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215299656 PECOS PAC ID: 2567607179 Enrollment ID: I20191031001318 |
| Provider Name | Kathryn Mcbride Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063978948 PECOS PAC ID: 0547592271 Enrollment ID: I20191118001567 |
| Provider Name | Fazila Khaliq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467671677 PECOS PAC ID: 6406035880 Enrollment ID: I20191120001402 |
| Provider Name | Rebecca Vergho |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1922401322 PECOS PAC ID: 9032542956 Enrollment ID: I20191209000026 |
| Provider Name | David Michael Bittenbinder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306283361 PECOS PAC ID: 9234379389 Enrollment ID: I20191210003588 |
| Provider Name | Kimberly Hardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841392784 PECOS PAC ID: 5092738047 Enrollment ID: I20191212000775 |
| Provider Name | Shirisha Kamidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285041665 PECOS PAC ID: 4789949017 Enrollment ID: I20191214000002 |
| Provider Name | Tammy Q Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245871847 PECOS PAC ID: 9234562315 Enrollment ID: I20191230000855 |
| Provider Name | Raymond Staniunas |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1932169547 PECOS PAC ID: 3870548506 Enrollment ID: I20200106000371 |
| Provider Name | Tracy Kristeen Huff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548805260 PECOS PAC ID: 7012342330 Enrollment ID: I20200115000473 |
| Provider Name | Keli Makela Turner |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1700045689 PECOS PAC ID: 2668747551 Enrollment ID: I20200122002959 |
| Provider Name | Andrew C Ragin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477199354 PECOS PAC ID: 0042646937 Enrollment ID: I20200213000719 |
| Provider Name | Srinath Kadimi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730144734 PECOS PAC ID: 9931394715 Enrollment ID: I20200323001589 |
| Provider Name | Bryan Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104141662 PECOS PAC ID: 7517250947 Enrollment ID: I20200330003481 |
| Provider Name | Thomas Tin Shun Ng |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1992703938 PECOS PAC ID: 2860452752 Enrollment ID: I20200414001337 |
| Provider Name | Joseph Hogue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669886594 PECOS PAC ID: 1557665528 Enrollment ID: I20200430001777 |
| Provider Name | Amirhossein Zangiabadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326294562 PECOS PAC ID: 8628233517 Enrollment ID: I20200502000146 |
| Provider Name | Crystal L Shotwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548653686 PECOS PAC ID: 9234560806 Enrollment ID: I20200514002080 |
| Provider Name | Sebina Bulic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831326750 PECOS PAC ID: 9931407848 Enrollment ID: I20200519000959 |
| Provider Name | Alexander Zubkov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992721658 PECOS PAC ID: 0244260081 Enrollment ID: I20200520001171 |
| Provider Name | Gary H Belt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699707422 PECOS PAC ID: 5890810550 Enrollment ID: I20200601002965 |
| Provider Name | George Sean Tucker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780764290 PECOS PAC ID: 3779542253 Enrollment ID: I20200602000658 |
| Provider Name | Leonard Dasilva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902873185 PECOS PAC ID: 9830096718 Enrollment ID: I20200604000491 |
| Provider Name | Ulises Nobo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487705141 PECOS PAC ID: 0345138749 Enrollment ID: I20200604003261 |
| Provider Name | Preet Varade |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467780551 PECOS PAC ID: 3870801657 Enrollment ID: I20200605002248 |
| Provider Name | Michael Katsnelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013170067 PECOS PAC ID: 6406989177 Enrollment ID: I20200608000098 |
| Provider Name | Steve M Cordina |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972777290 PECOS PAC ID: 6002084498 Enrollment ID: I20200619000124 |
| Provider Name | Karan K. S. Bath |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396909156 PECOS PAC ID: 1052581311 Enrollment ID: I20200622000758 |
| Provider Name | Nazih Isseh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912430844 PECOS PAC ID: 2264719103 Enrollment ID: I20200721002059 |
| Provider Name | Shan Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023535838 PECOS PAC ID: 0244654911 Enrollment ID: I20200728002392 |
| Provider Name | Daniel B Fore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407969843 PECOS PAC ID: 0345246732 Enrollment ID: I20200806003300 |
| Provider Name | Sachin Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629483110 PECOS PAC ID: 6901179746 Enrollment ID: I20200828002635 |
| Provider Name | Kaushik Niranjan Parsha |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1164819447 PECOS PAC ID: 0244657666 Enrollment ID: I20200831003271 |
| Provider Name | Owais Yahya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518497825 PECOS PAC ID: 7517384126 Enrollment ID: I20200901001033 |
| Provider Name | Dwayne Narayan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083619951 PECOS PAC ID: 5597909192 Enrollment ID: I20200901002977 |
| Provider Name | Davida Y Goltz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053725044 PECOS PAC ID: 8729324082 Enrollment ID: I20200902003559 |
| Provider Name | Irene Elizabeth Ulm |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609212935 PECOS PAC ID: 1658798723 Enrollment ID: I20200903001832 |
| Provider Name | Sheharyar Sohail Minhas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427578608 PECOS PAC ID: 6608294236 Enrollment ID: I20200915001234 |
| Provider Name | Rebecca E Bittenbinder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386987766 PECOS PAC ID: 3870822448 Enrollment ID: I20200930000072 |
| Provider Name | Carlos F Sanchez Glanville |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336395904 PECOS PAC ID: 3678853470 Enrollment ID: I20201006000786 |
| Provider Name | Gaurav Kistangari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538334800 PECOS PAC ID: 4183796600 Enrollment ID: I20201020002739 |
| Provider Name | Shondolyn D Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952661522 PECOS PAC ID: 6608296918 Enrollment ID: I20201026000681 |
| Provider Name | Gina F Walton |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1487745337 PECOS PAC ID: 8426271792 Enrollment ID: I20201105002134 |
| Provider Name | Anthony James Bufo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689644965 PECOS PAC ID: 0446382006 Enrollment ID: I20210111001986 |
| Provider Name | Nisa Arshad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275988339 PECOS PAC ID: 3779812714 Enrollment ID: I20210122002791 |
| Provider Name | Nabeel Syed Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184079246 PECOS PAC ID: 7315276342 Enrollment ID: I20210125000449 |
| Provider Name | Delali Ohui Blavo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538430244 PECOS PAC ID: 6608179510 Enrollment ID: I20210315000228 |
| Provider Name | Felicia Michelle Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467043026 PECOS PAC ID: 6305255563 Enrollment ID: I20210505002725 |
| Provider Name | Alisha Gupta |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750764114 PECOS PAC ID: 0244528453 Enrollment ID: I20210514001556 |
| Provider Name | Aindrea Marie Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881270536 PECOS PAC ID: 9931508868 Enrollment ID: I20210526002319 |
| Provider Name | Christa O'hana S Nobleza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811127475 PECOS PAC ID: 7517112725 Enrollment ID: I20210702000343 |
| Provider Name | Susan A Waterman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376749333 PECOS PAC ID: 9537588819 Enrollment ID: I20210709001141 |
| Provider Name | Robert Scott Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083106454 PECOS PAC ID: 4486056439 Enrollment ID: I20210713002496 |
| Provider Name | Michael Tomblyn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083758544 PECOS PAC ID: 5092851949 Enrollment ID: I20210719002780 |
| Provider Name | Carey Burton Wood |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386030666 PECOS PAC ID: 8729380878 Enrollment ID: I20210723001111 |
| Provider Name | Stephen Hurwitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134145592 PECOS PAC ID: 0749213221 Enrollment ID: I20210726000823 |
| Provider Name | Jeffrey F Liubicich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730576257 PECOS PAC ID: 4486957867 Enrollment ID: I20210727002240 |
| Provider Name | Lamar Houston Moree |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1962818211 PECOS PAC ID: 2860612066 Enrollment ID: I20210809001695 |
| Provider Name | Spencer H Conner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184151490 PECOS PAC ID: 3072882810 Enrollment ID: I20210819002228 |
| Provider Name | Leah I Akinseye |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952781064 PECOS PAC ID: 4587914973 Enrollment ID: I20211005003527 |
| Provider Name | Christopher Michael Mcdaniel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245694751 PECOS PAC ID: 3870892326 Enrollment ID: I20211012002946 |
| Provider Name | Linda Marie Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972271369 PECOS PAC ID: 2163820499 Enrollment ID: I20211018000680 |
| Provider Name | Nicole Bowden Lacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881359271 PECOS PAC ID: 9436548484 Enrollment ID: I20211111002433 |
| Provider Name | Ashley Ladd Wright |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1619400710 PECOS PAC ID: 8224305263 Enrollment ID: I20211123000682 |
| Provider Name | Alisia Renee Hindman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255008843 PECOS PAC ID: 4688064140 Enrollment ID: I20211124001378 |
| Provider Name | Benjamin Ryan Stewart |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386039899 PECOS PAC ID: 9032405675 Enrollment ID: I20211129001009 |
| Provider Name | Faith Price |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124552526 PECOS PAC ID: 1052680337 Enrollment ID: I20211130002594 |
| Provider Name | Ernest Spiotto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902331747 PECOS PAC ID: 2961772314 Enrollment ID: I20211203002233 |
| Provider Name | Christopher Anthony Witherspoon |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1295730786 PECOS PAC ID: 2668453747 Enrollment ID: I20211220001365 |
| Provider Name | Ludmila Cahana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700327780 PECOS PAC ID: 2860761905 Enrollment ID: I20211220001433 |
| Provider Name | Sabreen R Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689833824 PECOS PAC ID: 4688857543 Enrollment ID: I20211230000656 |
| Provider Name | Haley Nicole Zamora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275290173 PECOS PAC ID: 2961895735 Enrollment ID: I20220131002623 |
| Provider Name | Thekrayat Ahmed Khader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982197653 PECOS PAC ID: 6709135775 Enrollment ID: I20220202002850 |
| Provider Name | Michelle Schofield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104874056 PECOS PAC ID: 2062437106 Enrollment ID: I20220208000999 |
| Provider Name | Brian P Quigley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063617033 PECOS PAC ID: 6507966207 Enrollment ID: I20220217002533 |
| Provider Name | Andrew Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295171734 PECOS PAC ID: 9537420245 Enrollment ID: I20220218000097 |
| Provider Name | Katherine Elizabeth Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740932722 PECOS PAC ID: 1254725187 Enrollment ID: I20220218000980 |
| Provider Name | Britney Janee' Mcmullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063175693 PECOS PAC ID: 6204221922 Enrollment ID: I20220316001351 |
| Provider Name | Taniya Pradhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275709859 PECOS PAC ID: 3274751706 Enrollment ID: I20220321002226 |
| Provider Name | Jesse Peyton Wright |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1174866396 PECOS PAC ID: 2769772706 Enrollment ID: I20220419000991 |
| Provider Name | Darnisha Renee Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780331975 PECOS PAC ID: 5698162469 Enrollment ID: I20220426000188 |
| Provider Name | Susan Elyse Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518583129 PECOS PAC ID: 4880007509 Enrollment ID: I20220428001428 |
| Provider Name | Nicole Zahn |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598257271 PECOS PAC ID: 5890104566 Enrollment ID: I20220510001625 |
| Provider Name | Lucien Nedzi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164488573 PECOS PAC ID: 7911920038 Enrollment ID: I20220524002381 |
| Provider Name | Denisha Renee Blacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669129631 PECOS PAC ID: 0941688030 Enrollment ID: I20220601002472 |
| Provider Name | Stephanie Gail Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841945482 PECOS PAC ID: 4789062597 Enrollment ID: I20220607003037 |
| Provider Name | Victoria Claire Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154075893 PECOS PAC ID: 5193104941 Enrollment ID: I20220624000620 |
| Provider Name | Jasmine Elyse Riddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467106971 PECOS PAC ID: 1951781269 Enrollment ID: I20220705001402 |
| Provider Name | Mohammed Hussein Al-wadei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760047906 PECOS PAC ID: 5991038705 Enrollment ID: I20220707001235 |
| Provider Name | Brian Allen Bruckner |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871573097 PECOS PAC ID: 8325009970 Enrollment ID: I20220718003350 |
| Provider Name | Matthew A Robinson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1508362989 PECOS PAC ID: 4688056997 Enrollment ID: I20220803002122 |
| Provider Name | Carlo Maria Rosati |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1891131850 PECOS PAC ID: 1355578386 Enrollment ID: I20220812000891 |
| Provider Name | Oluwatosin Ayodeji Bewaji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669935516 PECOS PAC ID: 1355678954 Enrollment ID: I20220813000373 |
| Provider Name | Nitin Kamble |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811214737 PECOS PAC ID: 9436456142 Enrollment ID: I20220818003458 |
| Provider Name | Gillian Paige Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568198778 PECOS PAC ID: 8729461827 Enrollment ID: I20220823002623 |
| Provider Name | Muhammad Waqas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750523544 PECOS PAC ID: 9335305374 Enrollment ID: I20220914000045 |
| Provider Name | Aisha Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942737069 PECOS PAC ID: 9234408881 Enrollment ID: I20220921003375 |
| Provider Name | Jessica Estelle Bell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679966923 PECOS PAC ID: 7214249184 Enrollment ID: I20220926001912 |
| Provider Name | Richard Albert Keenan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003553520 PECOS PAC ID: 3870969843 Enrollment ID: I20221017000022 |
| Provider Name | Aubrey Kathryn Garmen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730772450 PECOS PAC ID: 7113395534 Enrollment ID: I20221116000795 |
| Provider Name | Shannon N Goines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962139261 PECOS PAC ID: 1658740808 Enrollment ID: I20221209000368 |
| Provider Name | Kamryn Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033834692 PECOS PAC ID: 2860861978 Enrollment ID: I20221213000658 |
| Provider Name | Lauren Ann Baker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720797533 PECOS PAC ID: 4486023264 Enrollment ID: I20221219000483 |
| Provider Name | Joseph Daniel Baker |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1154436327 PECOS PAC ID: 2668435827 Enrollment ID: I20221228003068 |
| Provider Name | John C Biery |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1033198924 PECOS PAC ID: 5597949636 Enrollment ID: I20221229002135 |
| Provider Name | Dustin J Plowman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801390257 PECOS PAC ID: 4880926120 Enrollment ID: I20230105001073 |
| Provider Name | Juan J Goyanes-vasquez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831622968 PECOS PAC ID: 7113398728 Enrollment ID: I20230118001951 |
| Provider Name | Courtney W Sandridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235695768 PECOS PAC ID: 7719228360 Enrollment ID: I20230122000032 |
| Provider Name | Nicholas Guy Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639816648 PECOS PAC ID: 6305217787 Enrollment ID: I20230123000889 |
| Provider Name | Sharon C Gant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487362349 PECOS PAC ID: 8820469232 Enrollment ID: I20230123002070 |
| Provider Name | Daniel Lee Fish |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609223791 PECOS PAC ID: 7113219015 Enrollment ID: I20230127000806 |
| Provider Name | Jessica E Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477264745 PECOS PAC ID: 8426429580 Enrollment ID: I20230127001258 |
| Provider Name | Prashanth Bhat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710295464 PECOS PAC ID: 9234327164 Enrollment ID: I20230327000733 |
| Provider Name | Brandalon Marie Fly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023715968 PECOS PAC ID: 1951776988 Enrollment ID: I20230405001151 |
| Provider Name | Amanda B Comer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467616565 PECOS PAC ID: 0345318606 Enrollment ID: I20230427000886 |
| Provider Name | Mauro N Amendola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255794871 PECOS PAC ID: 6305116583 Enrollment ID: I20230518000300 |
| Provider Name | Naganath Thota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952742991 PECOS PAC ID: 3173818044 Enrollment ID: I20230615000588 |
| Provider Name | Douglas A Valenta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851553879 PECOS PAC ID: 4688728181 Enrollment ID: I20230621000693 |
| Provider Name | Abdullah M Al-rashdan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588831721 PECOS PAC ID: 8628142882 Enrollment ID: I20230627002122 |
| Provider Name | Charlotte Joure Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427521053 PECOS PAC ID: 6103288915 Enrollment ID: I20230810002642 |
| Provider Name | Kelsey Ray Bastian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710546213 PECOS PAC ID: 8921460247 Enrollment ID: I20230817001787 |
| Provider Name | Amanda Leigh Robinson |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1285257824 PECOS PAC ID: 8628430840 Enrollment ID: I20230818001966 |
| Provider Name | Crisy Brianne Griffin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275889677 PECOS PAC ID: 7911360458 Enrollment ID: I20230830003576 |
| Provider Name | Jane Zhao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417364779 PECOS PAC ID: 2860739869 Enrollment ID: I20231009002255 |
| Provider Name | Thomas Bateman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649806613 PECOS PAC ID: 8325468002 Enrollment ID: I20231017002194 |
| Provider Name | Ian Solsky |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1760800239 PECOS PAC ID: 4880097690 Enrollment ID: I20231017002622 |
| Provider Name | Meghan Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447538798 PECOS PAC ID: 0547494601 Enrollment ID: I20231026003565 |
| Provider Name | Anna Taylor Wilhaucks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306539168 PECOS PAC ID: 4789030461 Enrollment ID: I20231101001561 |
| Provider Name | Samuel Smith |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073967949 PECOS PAC ID: 2062701188 Enrollment ID: I20231115000260 |
| Provider Name | Kenyetta Brummitt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780629147 PECOS PAC ID: 5799744264 Enrollment ID: I20231117000593 |
| Provider Name | Jason Salmon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194933143 PECOS PAC ID: 4183892136 Enrollment ID: I20231120000726 |
| Provider Name | Deidre Nicole Brownlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184406514 PECOS PAC ID: 7113376526 Enrollment ID: I20231211002793 |
| Provider Name | Sara-grace Katherine Long |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700585122 PECOS PAC ID: 8628427770 Enrollment ID: I20231214000720 |
| Provider Name | Annese Geraci |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780457465 PECOS PAC ID: 9335598085 Enrollment ID: I20231218002271 |
| Provider Name | Kiara Felix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629759485 PECOS PAC ID: 8022468727 Enrollment ID: I20231221000268 |
| Provider Name | Carolyn Woodard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114798311 PECOS PAC ID: 4880037472 Enrollment ID: I20240212000594 |
| Provider Name | Ryan Costello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396107751 PECOS PAC ID: 3870828213 Enrollment ID: I20240223003136 |
| Provider Name | Amy Kathleen Oyler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285766709 PECOS PAC ID: 9739372509 Enrollment ID: I20240321002666 |
| Provider Name | Tannisha Monique Loggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669955423 PECOS PAC ID: 1153592233 Enrollment ID: I20240424003388 |
| Provider Name | Melvin Dean Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730943390 PECOS PAC ID: 2961844451 Enrollment ID: I20240529003619 |
Christ Commuity Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3360 S 3rd St, Memphis, TN 38109 Phone: 901-842-3160 Fax: 901-842-2360 | |
Elite Patient Care Of Tennessee Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Peabody Pl Ste 150, Memphis, TN 38103 Phone: 337-408-0797 | |
Preventivemd, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1407 Union Ave Ste 305, Memphis, TN 38104 Phone: 901-609-2444 | |
Jerry M Holley Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4100 Austin Peay Hwy, Memphis, TN 38128 Phone: 901-486-1151 Fax: 901-844-1439 | |
Spirit Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1331 Union Ave Ste 1240, Memphis, TN 38104 Phone: 901-832-6734 | |
Embrace Community Development Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1419 Breedlove St, Memphis, TN 38107 Phone: 901-484-3357 | |
Peabody Family Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Eastmoreland Avenue, Suite 150, Memphis, TN 38104 Phone: 901-725-0648 Fax: 901-725-1037 |