| Baptist Primary Care Inc | |
|
3563 Philips Hwy Ste 101a Jacksonville FL 32207-5663 | |
| (904) 376-3707 | |
| (904) 391-5001 |
| Full Name | Baptist Primary Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3563 Philips Hwy Ste 101a, Jacksonville, Florida |
| Authorized Official Name and Position | Marsha Donaldson (VICE PRESIDENT) |
| Authorized Official Contact | 9043763703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Primary Care Inc Po Box 746638 Atlanta GA 30374-6638 Ph: (904) 202-2092 | Baptist Primary Care Inc 3563 Philips Hwy Ste 101a Jacksonville FL 32207-5663 Ph: (904) 376-3707 |
| NPI Number | 1508817529 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 0648177733 |
|---|---|
| Medicare Enrollment ID | O20031217000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508817529 | NPI | - | NPPES |
| 103895963C | Medicaid | GA | |
| 265495400 | Medicaid | FL |
| Provider Name | Robert F Raspa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356333603 PECOS PAC ID: 2466366786 Enrollment ID: I20031119000335 |
| Provider Name | Robert W Wolford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881662096 PECOS PAC ID: 8224934344 Enrollment ID: I20031210000172 |
| Provider Name | Mary Toner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629140249 PECOS PAC ID: 4880590546 Enrollment ID: I20031211000969 |
| Provider Name | Tessa M Ricci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225006547 PECOS PAC ID: 9931009735 Enrollment ID: I20040109000264 |
| Provider Name | Mat M Vasquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962470054 PECOS PAC ID: 8527961176 Enrollment ID: I20040130000203 |
| Provider Name | Matthew E Modansky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619048386 PECOS PAC ID: 3779478938 Enrollment ID: I20040217000457 |
| Provider Name | Patrick N Rader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730157041 PECOS PAC ID: 0446243802 Enrollment ID: I20040403000247 |
| Provider Name | Alison Vukich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245282482 PECOS PAC ID: 3072507987 Enrollment ID: I20040413001348 |
| Provider Name | Bryan J Lekas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205808623 PECOS PAC ID: 1951395771 Enrollment ID: I20040413001481 |
| Provider Name | Erich L Schramm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609844885 PECOS PAC ID: 2567457880 Enrollment ID: I20040416000843 |
| Provider Name | Gary T Gabor |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437132586 PECOS PAC ID: 4284615436 Enrollment ID: I20040525001165 |
| Provider Name | Fidel Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790779262 PECOS PAC ID: 3779564893 Enrollment ID: I20040525001730 |
| Provider Name | Eufrocina C Delrosario |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083691620 PECOS PAC ID: 9830170554 Enrollment ID: I20040528000048 |
| Provider Name | Bud L Wolfson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699743807 PECOS PAC ID: 9537145917 Enrollment ID: I20040626000016 |
| Provider Name | Anthony W Nioso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912979055 PECOS PAC ID: 1254317639 Enrollment ID: I20040626000027 |
| Provider Name | Peter C Jansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689634172 PECOS PAC ID: 4486628500 Enrollment ID: I20040824001150 |
| Provider Name | Fara M Nadal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659343796 PECOS PAC ID: 3375518111 Enrollment ID: I20040826000634 |
| Provider Name | Richard J Valenzuela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174591424 PECOS PAC ID: 2163497363 Enrollment ID: I20040831001234 |
| Provider Name | Sally Ann L Pantin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255305892 PECOS PAC ID: 6507833886 Enrollment ID: I20040915000881 |
| Provider Name | Michael B Till |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184665630 PECOS PAC ID: 0941279996 Enrollment ID: I20040928000137 |
| Provider Name | Simon T Symeonides |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417051954 PECOS PAC ID: 9830184399 Enrollment ID: I20041021000931 |
| Provider Name | Alan S. Cleland |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932182227 PECOS PAC ID: 9436110350 Enrollment ID: I20041025000273 |
| Provider Name | Michael R Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578552675 PECOS PAC ID: 0547223927 Enrollment ID: I20041106000015 |
| Provider Name | Dany Ghassan El-hajjar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063401057 PECOS PAC ID: 2961465182 Enrollment ID: I20041109000617 |
| Provider Name | David P Page |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710950050 PECOS PAC ID: 2860489861 Enrollment ID: I20050223000345 |
| Provider Name | David N Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376529438 PECOS PAC ID: 5698729234 Enrollment ID: I20050308000248 |
| Provider Name | Elaine C Borne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851352041 PECOS PAC ID: 7618914839 Enrollment ID: I20050409000082 |
| Provider Name | Kyaw Myint |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598750085 PECOS PAC ID: 7719921048 Enrollment ID: I20050616000837 |
| Provider Name | Shiva Mahinrad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922093095 PECOS PAC ID: 1759317472 Enrollment ID: I20050714000234 |
| Provider Name | Tra'chella J Foy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093773970 PECOS PAC ID: 9830127968 Enrollment ID: I20050730000180 |
| Provider Name | Ramon P Dizon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619940715 PECOS PAC ID: 6709801764 Enrollment ID: I20051008000077 |
| Provider Name | Kathryn Lawson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609962679 PECOS PAC ID: 8224053285 Enrollment ID: I20051008000109 |
| Provider Name | Diana R Twiggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124002522 PECOS PAC ID: 5799703922 Enrollment ID: I20051108000575 |
| Provider Name | Mary W Mccrackin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417060781 PECOS PAC ID: 6305869165 Enrollment ID: I20060106000486 |
| Provider Name | Terry R Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932186285 PECOS PAC ID: 4284649591 Enrollment ID: I20060208000040 |
| Provider Name | Michael A Stephens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801888607 PECOS PAC ID: 6204816606 Enrollment ID: I20060323000182 |
| Provider Name | Rodney A Marcom |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1588631659 PECOS PAC ID: 1355351248 Enrollment ID: I20060421000017 |
| Provider Name | Deepica G Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841262318 PECOS PAC ID: 2668475963 Enrollment ID: I20060804000263 |
| Provider Name | Roger J Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841262987 PECOS PAC ID: 0345246278 Enrollment ID: I20061016000500 |
| Provider Name | Thomas B Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700866621 PECOS PAC ID: 7214923465 Enrollment ID: I20061027000043 |
| Provider Name | Christopher P Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003918673 PECOS PAC ID: 6103824149 Enrollment ID: I20061129000258 |
| Provider Name | Kelvin R. Bray |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205807443 PECOS PAC ID: 0345249264 Enrollment ID: I20061204000190 |
| Provider Name | Jose D Ceron-fuentes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861581852 PECOS PAC ID: 5597764027 Enrollment ID: I20061212000069 |
| Provider Name | Sandra Laurencin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316038847 PECOS PAC ID: 1052310422 Enrollment ID: I20061212000550 |
| Provider Name | Ana Maria Romero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154383990 PECOS PAC ID: 3274562285 Enrollment ID: I20070324000001 |
| Provider Name | Tony Dean Villena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104844398 PECOS PAC ID: 2860596962 Enrollment ID: I20070329000479 |
| Provider Name | Annabelle K Lee |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1043341795 PECOS PAC ID: 7113022534 Enrollment ID: I20070531000087 |
| Provider Name | Rebecca H Andrew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760596647 PECOS PAC ID: 8426940743 Enrollment ID: I20070614000730 |
| Provider Name | Jaime L Kibler-mccormick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194796813 PECOS PAC ID: 8022117340 Enrollment ID: I20070627000019 |
| Provider Name | Hardik C Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750377784 PECOS PAC ID: 2062495849 Enrollment ID: I20070725000673 |
| Provider Name | Jesus M Arcenas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144227802 PECOS PAC ID: 3577522606 Enrollment ID: I20070905000683 |
| Provider Name | Michael Hillary Maher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649243114 PECOS PAC ID: 2264420041 Enrollment ID: I20070913000293 |
| Provider Name | Swati R Shah |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1144424722 PECOS PAC ID: 4284728650 Enrollment ID: I20070915000193 |
| Provider Name | Stephen B Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871521906 PECOS PAC ID: 7810912144 Enrollment ID: I20070925000201 |
| Provider Name | Angelina D Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104029107 PECOS PAC ID: 0143316604 Enrollment ID: I20071012000670 |
| Provider Name | Catherine E Lindsay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639369598 PECOS PAC ID: 0042309536 Enrollment ID: I20071207000090 |
| Provider Name | Donald J Levine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982673745 PECOS PAC ID: 0547222044 Enrollment ID: I20071208000130 |
| Provider Name | Charles Rust |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457435752 PECOS PAC ID: 9931281227 Enrollment ID: I20080125000088 |
| Provider Name | Denise C Ginart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205915014 PECOS PAC ID: 8224115290 Enrollment ID: I20080402000135 |
| Provider Name | Payvand Tiurchy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548207780 PECOS PAC ID: 9739153636 Enrollment ID: I20080416000517 |
| Provider Name | Sharon L Acevedo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194851352 PECOS PAC ID: 0446329502 Enrollment ID: I20080515000737 |
| Provider Name | Michelle E Aquino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851354484 PECOS PAC ID: 3375615925 Enrollment ID: I20080626000542 |
| Provider Name | Toe Toe Maung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144489782 PECOS PAC ID: 9234204314 Enrollment ID: I20080825000424 |
| Provider Name | Kenneth R Mayer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669449229 PECOS PAC ID: 5496755639 Enrollment ID: I20080909000157 |
| Provider Name | Joseph J Czerkawski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629118484 PECOS PAC ID: 5890862825 Enrollment ID: I20080917000432 |
| Provider Name | Carly L Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285807578 PECOS PAC ID: 8729155403 Enrollment ID: I20080922000523 |
| Provider Name | Alan Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104896935 PECOS PAC ID: 6901973445 Enrollment ID: I20080924000537 |
| Provider Name | Shalaka Ghate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932399045 PECOS PAC ID: 5092873943 Enrollment ID: I20081021000515 |
| Provider Name | Brijmohan R Sarabu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871742148 PECOS PAC ID: 8527127273 Enrollment ID: I20081110000509 |
| Provider Name | Julianni Maria Zaiden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154593457 PECOS PAC ID: 2466512793 Enrollment ID: I20081117000638 |
| Provider Name | Arpitha Ketty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962478388 PECOS PAC ID: 8729141239 Enrollment ID: I20090109000372 |
| Provider Name | Neirouz B Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275686081 PECOS PAC ID: 1456414804 Enrollment ID: I20090110000186 |
| Provider Name | Vanessa Z Riegert-johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720030950 PECOS PAC ID: 6002865250 Enrollment ID: I20090203000091 |
| Provider Name | Daniel J Palmieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811172448 PECOS PAC ID: 2163586355 Enrollment ID: I20090203000513 |
| Provider Name | Rosalyn A Crawford |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790837383 PECOS PAC ID: 2567526528 Enrollment ID: I20090205000620 |
| Provider Name | Adam Dimitrov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962471938 PECOS PAC ID: 4486688918 Enrollment ID: I20090403000227 |
| Provider Name | Sandra H Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962537829 PECOS PAC ID: 9234286378 Enrollment ID: I20090407000515 |
| Provider Name | Dana Y Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861699225 PECOS PAC ID: 3173670627 Enrollment ID: I20090420000640 |
| Provider Name | Archana Goel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215998513 PECOS PAC ID: 0143378885 Enrollment ID: I20090506000348 |
| Provider Name | Sonia Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760656995 PECOS PAC ID: 4587715057 Enrollment ID: I20090623000317 |
| Provider Name | Regina R Nolting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215062187 PECOS PAC ID: 3870648173 Enrollment ID: I20090910000626 |
| Provider Name | Abiedu C Abaaba |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811192388 PECOS PAC ID: 9032255526 Enrollment ID: I20091014000502 |
| Provider Name | Tifinni Marie Romero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497950794 PECOS PAC ID: 9032257332 Enrollment ID: I20091106000158 |
| Provider Name | Mehul K Parekh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801096037 PECOS PAC ID: 5395822415 Enrollment ID: I20091218000401 |
| Provider Name | Man-kuang Chang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598963290 PECOS PAC ID: 1850431065 Enrollment ID: I20091221000034 |
| Provider Name | Joseph Glick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346437506 PECOS PAC ID: 0042350860 Enrollment ID: I20091229000409 |
| Provider Name | Peter Harding |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992783260 PECOS PAC ID: 1951492016 Enrollment ID: I20100122000223 |
| Provider Name | Phuc V Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033185400 PECOS PAC ID: 8123054939 Enrollment ID: I20100304000153 |
| Provider Name | Mark A Stich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336117514 PECOS PAC ID: 2264575661 Enrollment ID: I20100310000085 |
| Provider Name | Perry G Carlos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801873443 PECOS PAC ID: 7618002692 Enrollment ID: I20100316000416 |
| Provider Name | Darlene M Bartilucci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639156276 PECOS PAC ID: 0547396988 Enrollment ID: I20100325000029 |
| Provider Name | Quirino G Toledo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154399335 PECOS PAC ID: 8224164413 Enrollment ID: I20100326000576 |
| Provider Name | David Kevin White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982673786 PECOS PAC ID: 1557497765 Enrollment ID: I20100326000718 |
| Provider Name | Theodore G Glasser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295712883 PECOS PAC ID: 1658407713 Enrollment ID: I20100327000410 |
| Provider Name | James J Fulmer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427035062 PECOS PAC ID: 7810023991 Enrollment ID: I20100327000579 |
| Provider Name | Amila K Perera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114990165 PECOS PAC ID: 0446386528 Enrollment ID: I20100327000592 |
| Provider Name | Alejandro I Traveria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972571156 PECOS PAC ID: 1850427436 Enrollment ID: I20100407000743 |
| Provider Name | Robert Eric Rosemund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700854890 PECOS PAC ID: 9638205149 Enrollment ID: I20100408000402 |
| Provider Name | Ronald J Renuart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467420778 PECOS PAC ID: 2163559436 Enrollment ID: I20100416000736 |
| Provider Name | Alison A Bartfield |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811974454 PECOS PAC ID: 7113054487 Enrollment ID: I20100416000792 |
| Provider Name | Michael Waters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811965908 PECOS PAC ID: 8527195866 Enrollment ID: I20100419000750 |
| Provider Name | Robert L. Hutchingson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356313761 PECOS PAC ID: 7517094865 Enrollment ID: I20100419000775 |
| Provider Name | Patricia M Calhoun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184601726 PECOS PAC ID: 8224165576 Enrollment ID: I20100419000798 |
| Provider Name | Baltazar Orallo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013989524 PECOS PAC ID: 1850428103 Enrollment ID: I20100419000820 |
| Provider Name | Gregory Mchugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023080843 PECOS PAC ID: 9436286598 Enrollment ID: I20100421000291 |
| Provider Name | Herman J Downey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891772430 PECOS PAC ID: 4284761347 Enrollment ID: I20100421000370 |
| Provider Name | Michael Janssen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942272356 PECOS PAC ID: 1658408794 Enrollment ID: I20100422000277 |
| Provider Name | John T Butcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275510810 PECOS PAC ID: 8628106614 Enrollment ID: I20100512000800 |
| Provider Name | Joseph Cronin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265419808 PECOS PAC ID: 4789712787 Enrollment ID: I20100512000845 |
| Provider Name | Manuel B Portalatin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255309332 PECOS PAC ID: 1850429861 Enrollment ID: I20100512000968 |
| Provider Name | Tahir M Yunus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013092931 PECOS PAC ID: 3870621576 Enrollment ID: I20100517000161 |
| Provider Name | Kye Im Chong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376736355 PECOS PAC ID: 9032248059 Enrollment ID: I20100528000485 |
| Provider Name | Matthew R Deboer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104047893 PECOS PAC ID: 9133217557 Enrollment ID: I20100708000837 |
| Provider Name | Emmanuel T Miel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962686733 PECOS PAC ID: 9133251952 Enrollment ID: I20100714000726 |
| Provider Name | Graciela D Diez-hoeck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710992490 PECOS PAC ID: 0840323887 Enrollment ID: I20100728000560 |
| Provider Name | Carlos E Rojas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326232216 PECOS PAC ID: 3971630880 Enrollment ID: I20100809000801 |
| Provider Name | Anitha Police |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821127903 PECOS PAC ID: 4981636107 Enrollment ID: I20100819000678 |
| Provider Name | Win M Thu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639273790 PECOS PAC ID: 3476677279 Enrollment ID: I20100831000783 |
| Provider Name | John Kyaw Han |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285685321 PECOS PAC ID: 5991820573 Enrollment ID: I20100920000839 |
| Provider Name | Warren Groff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558348110 PECOS PAC ID: 8820136369 Enrollment ID: I20100929001378 |
| Provider Name | Augusto Quilon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437362266 PECOS PAC ID: 7012109564 Enrollment ID: I20101004000161 |
| Provider Name | Ulunma A Nwachuku |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134327950 PECOS PAC ID: 4880887363 Enrollment ID: I20101015000797 |
| Provider Name | Jeffry Alan Jacqmein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588624761 PECOS PAC ID: 2264627942 Enrollment ID: I20101108000500 |
| Provider Name | Mona I Chiribau |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407035009 PECOS PAC ID: 1254514177 Enrollment ID: I20110330000176 |
| Provider Name | Susan M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386779247 PECOS PAC ID: 0941483812 Enrollment ID: I20110330000734 |
| Provider Name | Barbara A Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396041547 PECOS PAC ID: 4880879725 Enrollment ID: I20110419000869 |
| Provider Name | Melissa S Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104124064 PECOS PAC ID: 8921283052 Enrollment ID: I20110504000650 |
| Provider Name | Vijaya R Chalamalasetty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487601209 PECOS PAC ID: 6002836111 Enrollment ID: I20110513000734 |
| Provider Name | Farah Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871523894 PECOS PAC ID: 5890971154 Enrollment ID: I20110520000584 |
| Provider Name | Dian Trent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053352864 PECOS PAC ID: 8921104589 Enrollment ID: I20110524000692 |
| Provider Name | Kelly M Trumble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467743997 PECOS PAC ID: 1951588615 Enrollment ID: I20110606000409 |
| Provider Name | Emad Naem |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1851357859 PECOS PAC ID: 3971543935 Enrollment ID: I20110614000282 |
| Provider Name | Justin R Federico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538327952 PECOS PAC ID: 0840478475 Enrollment ID: I20110629000404 |
| Provider Name | Amy Nicole Crews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750679023 PECOS PAC ID: 1557530458 Enrollment ID: I20110810000541 |
| Provider Name | Jose Tamayo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912161340 PECOS PAC ID: 3678742582 Enrollment ID: I20110810000634 |
| Provider Name | Colin Lacroix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912219593 PECOS PAC ID: 4183894900 Enrollment ID: I20110902000140 |
| Provider Name | Peter Yalch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255388922 PECOS PAC ID: 8820095326 Enrollment ID: I20111003000552 |
| Provider Name | Allison Blanks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467643387 PECOS PAC ID: 8820178726 Enrollment ID: I20111004000630 |
| Provider Name | Cheryl K Roche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326329921 PECOS PAC ID: 1355514688 Enrollment ID: I20111102000722 |
| Provider Name | Mark A Messinese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922021104 PECOS PAC ID: 5193770865 Enrollment ID: I20120112000461 |
| Provider Name | Allison L Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841458668 PECOS PAC ID: 6800053174 Enrollment ID: I20120130000600 |
| Provider Name | Lara Church |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043280449 PECOS PAC ID: 8628236759 Enrollment ID: I20120221000820 |
| Provider Name | Anugya Poudel Chataut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215244108 PECOS PAC ID: 7618131475 Enrollment ID: I20120607000591 |
| Provider Name | Cristian O Landa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417181249 PECOS PAC ID: 2769646066 Enrollment ID: I20120618000675 |
| Provider Name | Aristides A Sastre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689818494 PECOS PAC ID: 8820254451 Enrollment ID: I20120725000618 |
| Provider Name | Deepak N Scindia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952577595 PECOS PAC ID: 8729102413 Enrollment ID: I20120726000013 |
| Provider Name | Soe Paing |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235364563 PECOS PAC ID: 7113070475 Enrollment ID: I20120730000126 |
| Provider Name | Leslie A Davis-singletary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225262397 PECOS PAC ID: 7214193630 Enrollment ID: I20120730000165 |
| Provider Name | Sharon Lorine Reinertsen Garland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326016478 PECOS PAC ID: 7618123951 Enrollment ID: I20120802000116 |
| Provider Name | Matthew T Braddock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417180886 PECOS PAC ID: 8224284922 Enrollment ID: I20120813000457 |
| Provider Name | Marla M Trapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760746408 PECOS PAC ID: 5890941389 Enrollment ID: I20120816000560 |
| Provider Name | Jusil L Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134474588 PECOS PAC ID: 6002063237 Enrollment ID: I20120823000350 |
| Provider Name | Theresa L Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871849596 PECOS PAC ID: 2567619356 Enrollment ID: I20120830000110 |
| Provider Name | Marceia I Dobren |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104197979 PECOS PAC ID: 6800045816 Enrollment ID: I20121008000662 |
| Provider Name | Arezo J Karmand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366670432 PECOS PAC ID: 7315196250 Enrollment ID: I20121009000388 |
| Provider Name | Iulia R Platte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437359981 PECOS PAC ID: 9234255001 Enrollment ID: I20121009000796 |
| Provider Name | Kiersten L Prince |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467689174 PECOS PAC ID: 9436309952 Enrollment ID: I20121018000469 |
| Provider Name | Irene Louh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023242666 PECOS PAC ID: 4284885658 Enrollment ID: I20121112000330 |
| Provider Name | Maria Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891938908 PECOS PAC ID: 0547412033 Enrollment ID: I20121207000352 |
| Provider Name | Obaidullah Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235190646 PECOS PAC ID: 2264684596 Enrollment ID: I20121212000253 |
| Provider Name | Shilpa Goli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306084306 PECOS PAC ID: 4789730540 Enrollment ID: I20121219000243 |
| Provider Name | Brian J Granger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366775280 PECOS PAC ID: 5597919373 Enrollment ID: I20130201000210 |
| Provider Name | Syeda Kareem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801027818 PECOS PAC ID: 8729223805 Enrollment ID: I20130320000133 |
| Provider Name | Kristen L Neuharth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033195573 PECOS PAC ID: 1557303310 Enrollment ID: I20130529000800 |
| Provider Name | Philip V Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538471438 PECOS PAC ID: 4880831221 Enrollment ID: I20130703000345 |
| Provider Name | Sofija A Rak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225359557 PECOS PAC ID: 0749420131 Enrollment ID: I20130708000594 |
| Provider Name | Desiree B Touvoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578816435 PECOS PAC ID: 9638310170 Enrollment ID: I20130726000238 |
| Provider Name | Catherine L Smith |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386847903 PECOS PAC ID: 4587856125 Enrollment ID: I20130729001040 |
| Provider Name | Andre D Nunley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922449180 PECOS PAC ID: 1658513189 Enrollment ID: I20130813000950 |
| Provider Name | Quincy A Scarborough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003137852 PECOS PAC ID: 0345482774 Enrollment ID: I20130814000017 |
| Provider Name | Aravind Babu Kadiyala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437461282 PECOS PAC ID: 6507009610 Enrollment ID: I20130821000223 |
| Provider Name | Tatjana A Rotko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790033157 PECOS PAC ID: 7810121530 Enrollment ID: I20131014000656 |
| Provider Name | Barbara Correal Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760723746 PECOS PAC ID: 2365676822 Enrollment ID: I20131016001171 |
| Provider Name | Casey Dluhos-sebesto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659666394 PECOS PAC ID: 8123266426 Enrollment ID: I20140109000180 |
| Provider Name | Casey Bonaquist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689836918 PECOS PAC ID: 9032356639 Enrollment ID: I20140210001656 |
| Provider Name | Solange M Burnette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336349935 PECOS PAC ID: 8325180441 Enrollment ID: I20140220000944 |
| Provider Name | Susan Grace Tramazzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366750713 PECOS PAC ID: 8123259546 Enrollment ID: I20140328001094 |
| Provider Name | Robert Dorlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144261355 PECOS PAC ID: 0840380614 Enrollment ID: I20140714002083 |
| Provider Name | Marius Laurinaitis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639174212 PECOS PAC ID: 2163439431 Enrollment ID: I20140715001732 |
| Provider Name | Curtis Mracek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750670048 PECOS PAC ID: 1254557796 Enrollment ID: I20140718001707 |
| Provider Name | Samuel Kim |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1629386388 PECOS PAC ID: 8426274309 Enrollment ID: I20140730000565 |
| Provider Name | Christina M Mathai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336448976 PECOS PAC ID: 2567688211 Enrollment ID: I20140801000713 |
| Provider Name | Delia Cucoranu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417114612 PECOS PAC ID: 1254500036 Enrollment ID: I20140811001387 |
| Provider Name | Rajesh Gopal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003878869 PECOS PAC ID: 2466640883 Enrollment ID: I20140821002402 |
| Provider Name | Nicholas Peterkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912211905 PECOS PAC ID: 8527286145 Enrollment ID: I20140823000077 |
| Provider Name | Vera U Abaaba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033401856 PECOS PAC ID: 9234357609 Enrollment ID: I20140826002423 |
| Provider Name | Elicia Dawn Roos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710274642 PECOS PAC ID: 7618195975 Enrollment ID: I20140827002668 |
| Provider Name | Maritere Rochet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487738688 PECOS PAC ID: 4789720269 Enrollment ID: I20140930000474 |
| Provider Name | Diana Figueroa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366739062 PECOS PAC ID: 7618197823 Enrollment ID: I20141009001168 |
| Provider Name | Tabitha A Oravetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497164768 PECOS PAC ID: 7113147208 Enrollment ID: I20141014000544 |
| Provider Name | Virgilio R Huerta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275774598 PECOS PAC ID: 5294973533 Enrollment ID: I20141030000244 |
| Provider Name | Kimberly H Bibb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336542430 PECOS PAC ID: 5890917637 Enrollment ID: I20141112000885 |
| Provider Name | William Claytor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023424587 PECOS PAC ID: 1254653660 Enrollment ID: I20141212001642 |
| Provider Name | Michele Musto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699977694 PECOS PAC ID: 5698868677 Enrollment ID: I20141216000648 |
| Provider Name | John R Chauvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326017856 PECOS PAC ID: 9537265988 Enrollment ID: I20141231001121 |
| Provider Name | Joseph G Mcquade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710959325 PECOS PAC ID: 5890935514 Enrollment ID: I20150303001189 |
| Provider Name | Jamie Y Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295930543 PECOS PAC ID: 7012153315 Enrollment ID: I20150414002425 |
| Provider Name | Laura Teresa Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497098586 PECOS PAC ID: 8426378225 Enrollment ID: I20150519001156 |
| Provider Name | Richard Bowles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891059283 PECOS PAC ID: 1456671767 Enrollment ID: I20150527001914 |
| Provider Name | Sarah Yadon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851687149 PECOS PAC ID: 5294056412 Enrollment ID: I20150530000001 |
| Provider Name | Sirlys Arcon Rios |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508186727 PECOS PAC ID: 1355653007 Enrollment ID: I20150708003086 |
| Provider Name | Eric Penedo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467687590 PECOS PAC ID: 7113182338 Enrollment ID: I20150715000939 |
| Provider Name | Savita Pai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255524583 PECOS PAC ID: 6709900384 Enrollment ID: I20150715001952 |
| Provider Name | Treva Latresse Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134488851 PECOS PAC ID: 4587808597 Enrollment ID: I20150722004100 |
| Provider Name | Lynsey Schlotzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700025012 PECOS PAC ID: 3072827591 Enrollment ID: I20150728005800 |
| Provider Name | Jonathan Balog |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417214289 PECOS PAC ID: 2961648878 Enrollment ID: I20150812008938 |
| Provider Name | Adam Bagley |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1649595216 PECOS PAC ID: 8022323484 Enrollment ID: I20150813010546 |
| Provider Name | Sam Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386901809 PECOS PAC ID: 3971722141 Enrollment ID: I20150814013793 |
| Provider Name | Abdallah O Rimawi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831239508 PECOS PAC ID: 8628179595 Enrollment ID: I20150817000617 |
| Provider Name | Aishah Covington Simms |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316202278 PECOS PAC ID: 8325288319 Enrollment ID: I20150819007961 |
| Provider Name | Payal Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477718799 PECOS PAC ID: 0648444976 Enrollment ID: I20150901003337 |
| Provider Name | Dovie N Tinana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962889048 PECOS PAC ID: 1759698475 Enrollment ID: I20150914000802 |
| Provider Name | Michelle Lynn Pendleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134596802 PECOS PAC ID: 9638487333 Enrollment ID: I20150929003431 |
| Provider Name | Naveed Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043565971 PECOS PAC ID: 3971811191 Enrollment ID: I20151007001718 |
| Provider Name | Cynthia Rizk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043577414 PECOS PAC ID: 2567770761 Enrollment ID: I20151008001529 |
| Provider Name | Ana May Magdalen Pascual Manuel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548498512 PECOS PAC ID: 0345497186 Enrollment ID: I20151019000525 |
| Provider Name | Dana Nedelcu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144422163 PECOS PAC ID: 5193817328 Enrollment ID: I20151216001154 |
| Provider Name | Charles Muzondi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447483151 PECOS PAC ID: 3375667348 Enrollment ID: I20160330000646 |
| Provider Name | Heather M Gall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851694269 PECOS PAC ID: 0749460020 Enrollment ID: I20160406000325 |
| Provider Name | Abbie M Stone-smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477847671 PECOS PAC ID: 3476791617 Enrollment ID: I20160407001307 |
| Provider Name | Leandra S Belmonte |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013273986 PECOS PAC ID: 0143538553 Enrollment ID: I20160415000804 |
| Provider Name | Dawn J Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366827925 PECOS PAC ID: 6800194226 Enrollment ID: I20160418001495 |
| Provider Name | Luciano Eleazar L Lorenzana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346478302 PECOS PAC ID: 6507012903 Enrollment ID: I20160420002341 |
| Provider Name | Curtis L Storm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528301090 PECOS PAC ID: 1951318716 Enrollment ID: I20160614002112 |
| Provider Name | Mei Lyn M Lamar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396105185 PECOS PAC ID: 0941591424 Enrollment ID: I20160614002257 |
| Provider Name | Andrew T Pinder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184031841 PECOS PAC ID: 6507088069 Enrollment ID: I20160615001214 |
| Provider Name | Jamila Mainor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508052754 PECOS PAC ID: 6103019328 Enrollment ID: I20160615002118 |
| Provider Name | Kenneth R Prince |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598991184 PECOS PAC ID: 5991096034 Enrollment ID: I20160621002720 |
| Provider Name | Karishma P Ramsubeik |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689879165 PECOS PAC ID: 0547552564 Enrollment ID: I20160713000056 |
| Provider Name | Nicole L Adamiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457745671 PECOS PAC ID: 6204133341 Enrollment ID: I20160715001789 |
| Provider Name | Helen S Kirkendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154779098 PECOS PAC ID: 5294028346 Enrollment ID: I20160727000238 |
| Provider Name | Daniel Alan Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902200850 PECOS PAC ID: 2860719945 Enrollment ID: I20160810001006 |
| Provider Name | Hassan Muhammad Akram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629402003 PECOS PAC ID: 6406140490 Enrollment ID: I20160815001350 |
| Provider Name | Sana Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164866521 PECOS PAC ID: 0042515033 Enrollment ID: I20160908001362 |
| Provider Name | Marla R Capes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346644572 PECOS PAC ID: 0042532004 Enrollment ID: I20160917000038 |
| Provider Name | Rahul P Dalvi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790998714 PECOS PAC ID: 2567538127 Enrollment ID: I20161028000522 |
| Provider Name | Meredith L Riddle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265870778 PECOS PAC ID: 4880972223 Enrollment ID: I20161104002110 |
| Provider Name | Sharon L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720299449 PECOS PAC ID: 8527213339 Enrollment ID: I20161119000263 |
| Provider Name | Robert W Kawa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750794616 PECOS PAC ID: 8325328693 Enrollment ID: I20161201001884 |
| Provider Name | Daniel Miranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184042244 PECOS PAC ID: 4688998255 Enrollment ID: I20170223000979 |
| Provider Name | Sahab O Sadic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427477439 PECOS PAC ID: 0143504191 Enrollment ID: I20170313000035 |
| Provider Name | Penny S Mulberry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881898542 PECOS PAC ID: 7618166943 Enrollment ID: I20170410002585 |
| Provider Name | Tamer N Hassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588828933 PECOS PAC ID: 5991978256 Enrollment ID: I20170418002865 |
| Provider Name | Megan E Andersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760925903 PECOS PAC ID: 3678850724 Enrollment ID: I20170427002166 |
| Provider Name | Anwar S Geleidi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548426190 PECOS PAC ID: 5799062865 Enrollment ID: I20170428000198 |
| Provider Name | Gurdip S Hunjan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417237819 PECOS PAC ID: 7012146194 Enrollment ID: I20170530001800 |
| Provider Name | Claire J Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134653116 PECOS PAC ID: 4981972395 Enrollment ID: I20170607001859 |
| Provider Name | Lizza M Bojito-marrero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336442532 PECOS PAC ID: 6002087871 Enrollment ID: I20170614002135 |
| Provider Name | Jeffery Thomas Lumley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831231299 PECOS PAC ID: 5193982668 Enrollment ID: I20170615001920 |
| Provider Name | Omer Afzal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881093052 PECOS PAC ID: 0143590505 Enrollment ID: I20170718003915 |
| Provider Name | Sarah M Sharaf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356752331 PECOS PAC ID: 1759608813 Enrollment ID: I20170803000372 |
| Provider Name | Sandrela Mussallam Abu Shaibeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003161480 PECOS PAC ID: 6103135033 Enrollment ID: I20170804000757 |
| Provider Name | Kristie Driver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003227141 PECOS PAC ID: 6800104597 Enrollment ID: I20170807003071 |
| Provider Name | Ozdemir Y Kanar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487072948 PECOS PAC ID: 3375760143 Enrollment ID: I20170808002318 |
| Provider Name | Natalie J Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356877625 PECOS PAC ID: 9537431556 Enrollment ID: I20170824003082 |
| Provider Name | Nafisa G Ishaku |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902218274 PECOS PAC ID: 0042582074 Enrollment ID: I20170825000010 |
| Provider Name | Rommy Issa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922427236 PECOS PAC ID: 7012212426 Enrollment ID: I20170909000104 |
| Provider Name | Michael Collins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518255488 PECOS PAC ID: 7214189604 Enrollment ID: I20170918000035 |
| Provider Name | Heather D Nielsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366861981 PECOS PAC ID: 7416247465 Enrollment ID: I20170920001380 |
| Provider Name | Sahar Naeem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952713695 PECOS PAC ID: 6901110071 Enrollment ID: I20170922000951 |
| Provider Name | Ian S Gross |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861803199 PECOS PAC ID: 7315164779 Enrollment ID: I20170922002447 |
| Provider Name | Allen R Todd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851739825 PECOS PAC ID: 9133354780 Enrollment ID: I20170929001881 |
| Provider Name | Kayla Beth Fazio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376956219 PECOS PAC ID: 5092095539 Enrollment ID: I20171018000725 |
| Provider Name | Kimberly L Schatz Martin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851536262 PECOS PAC ID: 9133495435 Enrollment ID: I20171031001773 |
| Provider Name | Ravinder Hilton Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639256456 PECOS PAC ID: 9234234808 Enrollment ID: I20171120003310 |
| Provider Name | Joseph P Orallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306379847 PECOS PAC ID: 4880952043 Enrollment ID: I20171215000576 |
| Provider Name | Ambihai Kumaran Sinnadurai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609189539 PECOS PAC ID: 3274786660 Enrollment ID: I20171229002282 |
| Provider Name | Nelly Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841511508 PECOS PAC ID: 1254574312 Enrollment ID: I20180130000222 |
| Provider Name | Andrea Bastillo Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235643057 PECOS PAC ID: 4486914926 Enrollment ID: I20180201001689 |
| Provider Name | Chaquanta Enjoli Eberheart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013410844 PECOS PAC ID: 8729333059 Enrollment ID: I20180608002328 |
| Provider Name | Tyler Bernard House |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982020319 PECOS PAC ID: 6103126222 Enrollment ID: I20180628000998 |
| Provider Name | Crystal M Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669869681 PECOS PAC ID: 7416229828 Enrollment ID: I20180723000390 |
| Provider Name | Katie Longo Cantrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538541768 PECOS PAC ID: 9537463377 Enrollment ID: I20180801001262 |
| Provider Name | Justin R Keeton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972099844 PECOS PAC ID: 0648529206 Enrollment ID: I20180815003378 |
| Provider Name | Angela M Spinelli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639558521 PECOS PAC ID: 3779899091 Enrollment ID: I20180824001659 |
| Provider Name | Layla Kawaf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306229059 PECOS PAC ID: 9032469705 Enrollment ID: I20180830002673 |
| Provider Name | Neonila Zhukivskyy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275914269 PECOS PAC ID: 7911257506 Enrollment ID: I20180830003708 |
| Provider Name | Harry D Marty Vigo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609201334 PECOS PAC ID: 9335435940 Enrollment ID: I20180905000309 |
| Provider Name | Joshua Steven Elder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144615725 PECOS PAC ID: 1759695059 Enrollment ID: I20180912000937 |
| Provider Name | Stacey Hammond Johnston |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144414368 PECOS PAC ID: 5193861029 Enrollment ID: I20181002003486 |
| Provider Name | Noor Adamo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811382682 PECOS PAC ID: 7214280254 Enrollment ID: I20181022001734 |
| Provider Name | Melanie M Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902357858 PECOS PAC ID: 9739423427 Enrollment ID: I20181206002524 |
| Provider Name | Niraj M Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477972974 PECOS PAC ID: 2860716834 Enrollment ID: I20190212001973 |
| Provider Name | Benjamin D Ernst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477635761 PECOS PAC ID: 6901909647 Enrollment ID: I20190218002861 |
| Provider Name | Lisa Stevens Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922578046 PECOS PAC ID: 2062750821 Enrollment ID: I20190221000149 |
| Provider Name | Analyn Tesoro-ofiara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225529761 PECOS PAC ID: 9032450069 Enrollment ID: I20190401001296 |
| Provider Name | Shelby Augustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659838555 PECOS PAC ID: 9234470840 Enrollment ID: I20190409001603 |
| Provider Name | Tad C Doan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720515679 PECOS PAC ID: 1355683889 Enrollment ID: I20190501002980 |
| Provider Name | Stephanie Pearson Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790045870 PECOS PAC ID: 7113203241 Enrollment ID: I20190510000686 |
| Provider Name | Samantha E Kraly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477507473 PECOS PAC ID: 6901841196 Enrollment ID: I20190516000419 |
| Provider Name | Benjamin P Cochran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992152292 PECOS PAC ID: 2668766684 Enrollment ID: I20190528001342 |
| Provider Name | Isaac Kinman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265953954 PECOS PAC ID: 6507125911 Enrollment ID: I20190715000311 |
| Provider Name | Jenny Hu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639531601 PECOS PAC ID: 5294095857 Enrollment ID: I20190725002549 |
| Provider Name | Anna Marie Mccarthy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225491012 PECOS PAC ID: 2961798434 Enrollment ID: I20190726001472 |
| Provider Name | Tushar Mohanbhai Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679728695 PECOS PAC ID: 1759434988 Enrollment ID: I20190812003739 |
| Provider Name | Alex Balmir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093175770 PECOS PAC ID: 9234496258 Enrollment ID: I20190815001549 |
| Provider Name | Kristie A Vu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083069520 PECOS PAC ID: 3375889686 Enrollment ID: I20190815001897 |
| Provider Name | Almond Roven Roven Toledo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598145328 PECOS PAC ID: 5698074649 Enrollment ID: I20190828001126 |
| Provider Name | Ashley Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063874485 PECOS PAC ID: 7719273663 Enrollment ID: I20190911002737 |
| Provider Name | Elias Ivan Couto Barbosa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992065163 PECOS PAC ID: 6901116565 Enrollment ID: I20190913001350 |
| Provider Name | Jorge Ahues |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750743407 PECOS PAC ID: 7618210873 Enrollment ID: I20190926001393 |
| Provider Name | Fang Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407193790 PECOS PAC ID: 0244471910 Enrollment ID: I20191001001793 |
| Provider Name | Jim T Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902880198 PECOS PAC ID: 1456572429 Enrollment ID: I20191015003690 |
| Provider Name | Xiaoxu Zhou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457607988 PECOS PAC ID: 1153643846 Enrollment ID: I20191030001665 |
| Provider Name | Danisha Laquise Stevenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649620261 PECOS PAC ID: 4587950746 Enrollment ID: I20191203001997 |
| Provider Name | Ramsha A Kudia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811359151 PECOS PAC ID: 9830487164 Enrollment ID: I20191212001104 |
| Provider Name | Minerva V Pedroza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346882131 PECOS PAC ID: 0648605782 Enrollment ID: I20200117000043 |
| Provider Name | Ryan David Poling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558717835 PECOS PAC ID: 8628325321 Enrollment ID: I20200117000457 |
| Provider Name | Joshua M Harrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215915574 PECOS PAC ID: 8426297185 Enrollment ID: I20200311002358 |
| Provider Name | Vincenzo Scotto D Antuono |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811962855 PECOS PAC ID: 7618963513 Enrollment ID: I20200325000049 |
| Provider Name | Kyle A Rezac |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124448071 PECOS PAC ID: 3678846821 Enrollment ID: I20200325002482 |
| Provider Name | Deval V Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265811160 PECOS PAC ID: 5294033874 Enrollment ID: I20200328000048 |
| Provider Name | Arthur M Altbuch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821021429 PECOS PAC ID: 4789650375 Enrollment ID: I20200416002794 |
| Provider Name | Regina Sutskever |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336552249 PECOS PAC ID: 7113295544 Enrollment ID: I20200421000497 |
| Provider Name | Alexander Z Lyapin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881905198 PECOS PAC ID: 0547495459 Enrollment ID: I20200421001373 |
| Provider Name | Josephine E Brooke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215567565 PECOS PAC ID: 2668802166 Enrollment ID: I20200424000578 |
| Provider Name | Ashley Fisher Roussell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326502600 PECOS PAC ID: 5991136913 Enrollment ID: I20200507001032 |
| Provider Name | Raj A Vishnagara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346687852 PECOS PAC ID: 1951609171 Enrollment ID: I20200526001691 |
| Provider Name | Belinda Bajric |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811428741 PECOS PAC ID: 8729350012 Enrollment ID: I20200529001221 |
| Provider Name | Chigozie E Moronu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962740183 PECOS PAC ID: 5496997645 Enrollment ID: I20200602001487 |
| Provider Name | Stephanie O Agyemang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861927113 PECOS PAC ID: 2466716733 Enrollment ID: I20200610001468 |
| Provider Name | Sherleen Gandham |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851788863 PECOS PAC ID: 2860814522 Enrollment ID: I20200625001489 |
| Provider Name | Joanne Bartley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538691183 PECOS PAC ID: 8426321795 Enrollment ID: I20200629001429 |
| Provider Name | Oscar A Milian Cardoso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174049340 PECOS PAC ID: 1759704141 Enrollment ID: I20200701002279 |
| Provider Name | Leah M Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336769934 PECOS PAC ID: 6002239209 Enrollment ID: I20200707000923 |
| Provider Name | Erica Kitchell Wiedl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649250606 PECOS PAC ID: 0345663290 Enrollment ID: I20200710000104 |
| Provider Name | James A Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932125291 PECOS PAC ID: 9032112768 Enrollment ID: I20200714000296 |
| Provider Name | Mathew Charles Romanelli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063867554 PECOS PAC ID: 3779913777 Enrollment ID: I20200716000525 |
| Provider Name | Mark Brinkman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245764133 PECOS PAC ID: 0648541664 Enrollment ID: I20200716001559 |
| Provider Name | Hamel Jagdish Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831620392 PECOS PAC ID: 2264704741 Enrollment ID: I20200716003157 |
| Provider Name | Jeremiah D Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750908646 PECOS PAC ID: 0547684938 Enrollment ID: I20200717001523 |
| Provider Name | Darby R Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073052148 PECOS PAC ID: 1951641174 Enrollment ID: I20200717002789 |
| Provider Name | John Daniel Mccarthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780129429 PECOS PAC ID: 4183980980 Enrollment ID: I20200720000198 |
| Provider Name | David Samuel Kornblum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144759424 PECOS PAC ID: 6204105620 Enrollment ID: I20200729000684 |
| Provider Name | Todd H Leibowitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245766237 PECOS PAC ID: 4082986815 Enrollment ID: I20200805000400 |
| Provider Name | Rhumit Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558893818 PECOS PAC ID: 1254604234 Enrollment ID: I20200805000794 |
| Provider Name | Alfred Kokwaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184004400 PECOS PAC ID: 8628304458 Enrollment ID: I20200810002707 |
| Provider Name | Unnati Wardan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730610213 PECOS PAC ID: 8628341690 Enrollment ID: I20200814000462 |
| Provider Name | Tryphene Saint-phard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265953905 PECOS PAC ID: 4587935168 Enrollment ID: I20200821001678 |
| Provider Name | Reem S Itani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568990190 PECOS PAC ID: 8820414774 Enrollment ID: I20200821002351 |
| Provider Name | Faiza Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346771508 PECOS PAC ID: 0648543983 Enrollment ID: I20200827002610 |
| Provider Name | Crystal Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144678327 PECOS PAC ID: 8820415094 Enrollment ID: I20200902001605 |
| Provider Name | Annemarie Jin Boland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265962443 PECOS PAC ID: 8022389675 Enrollment ID: I20200911000013 |
| Provider Name | Kristi Lynn Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346702305 PECOS PAC ID: 4880013721 Enrollment ID: I20200928000673 |
| Provider Name | Jacobo Leon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972863629 PECOS PAC ID: 6901049675 Enrollment ID: I20201102001383 |
| Provider Name | Swati Prasad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538471917 PECOS PAC ID: 5496994360 Enrollment ID: I20201113000085 |
| Provider Name | Tamara Lynette Dukes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821606229 PECOS PAC ID: 4486065638 Enrollment ID: I20201119002796 |
| Provider Name | Katherine Morgan Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275142853 PECOS PAC ID: 6204247398 Enrollment ID: I20201120001645 |
| Provider Name | Mary Joy Castro Whitmire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467088724 PECOS PAC ID: 3173935152 Enrollment ID: I20201216000386 |
| Provider Name | Thomas C Rushton |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740245018 PECOS PAC ID: 6709808918 Enrollment ID: I20210104002165 |
| Provider Name | Denis D Asiimwe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053746156 PECOS PAC ID: 4981999208 Enrollment ID: I20210330000623 |
| Provider Name | Rama Shankar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871590539 PECOS PAC ID: 2163525379 Enrollment ID: I20210401000334 |
| Provider Name | Amad Choudhry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669835641 PECOS PAC ID: 3678808334 Enrollment ID: I20210414001040 |
| Provider Name | Shalika B Katugaha |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780824367 PECOS PAC ID: 8123173770 Enrollment ID: I20210415000618 |
| Provider Name | Deborah Peacock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457933012 PECOS PAC ID: 1658780267 Enrollment ID: I20210512001237 |
| Provider Name | Kevin T Rechcigl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063916708 PECOS PAC ID: 0840549721 Enrollment ID: I20210521001722 |
| Provider Name | Amy Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144839861 PECOS PAC ID: 7810396322 Enrollment ID: I20210602002636 |
| Provider Name | Abhinav Rohatgi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073990107 PECOS PAC ID: 5395146526 Enrollment ID: I20210625001193 |
| Provider Name | Michael Wayne Schriver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104322536 PECOS PAC ID: 9830447911 Enrollment ID: I20210629001158 |
| Provider Name | Rohann Lloyd Whittingham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245736123 PECOS PAC ID: 1557615572 Enrollment ID: I20210721003513 |
| Provider Name | Naim J Quail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366948077 PECOS PAC ID: 6002163607 Enrollment ID: I20210802002442 |
| Provider Name | Deekshita Damidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598261984 PECOS PAC ID: 5698026813 Enrollment ID: I20210825000199 |
| Provider Name | Anudeep Cherukuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942706361 PECOS PAC ID: 8820347958 Enrollment ID: I20210825002825 |
| Provider Name | Nivedita Sundararajan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831696939 PECOS PAC ID: 9234534488 Enrollment ID: I20210825003971 |
| Provider Name | Deborah M Soldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407406457 PECOS PAC ID: 2365848793 Enrollment ID: I20210909001833 |
| Provider Name | Kara K Teruya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588078851 PECOS PAC ID: 9638489230 Enrollment ID: I20210911000035 |
| Provider Name | Daniel S Tismal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477867174 PECOS PAC ID: 4587893300 Enrollment ID: I20210915000964 |
| Provider Name | Antonette Francisco Arevalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285242743 PECOS PAC ID: 9436552692 Enrollment ID: I20211019003294 |
| Provider Name | Kristina Camila Santiago-naranjo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942793013 PECOS PAC ID: 9436407996 Enrollment ID: I20211102000078 |
| Provider Name | David Tompkins |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679596696 PECOS PAC ID: 0840356200 Enrollment ID: I20211113000051 |
| Provider Name | Meghan Jonathan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861960122 PECOS PAC ID: 8628467149 Enrollment ID: I20211122001928 |
| Provider Name | Prasuna Jami |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043318132 PECOS PAC ID: 2163412362 Enrollment ID: I20211203000674 |
| Provider Name | Sequoya Renee Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598298960 PECOS PAC ID: 7719257732 Enrollment ID: I20211208002670 |
| Provider Name | Venkata R Moningi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023030012 PECOS PAC ID: 7113924846 Enrollment ID: I20211208003521 |
| Provider Name | Meagan E Vlasek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790239952 PECOS PAC ID: 1850686080 Enrollment ID: I20211215002243 |
| Provider Name | Claudia Knox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639596752 PECOS PAC ID: 3476779455 Enrollment ID: I20211221001395 |
| Provider Name | Robert Ratterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447809744 PECOS PAC ID: 3274924519 Enrollment ID: I20211222000546 |
| Provider Name | Jessica B Reinhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396174843 PECOS PAC ID: 1850522970 Enrollment ID: I20220110000026 |
| Provider Name | Vanessa V Longacre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841262011 PECOS PAC ID: 8325198138 Enrollment ID: I20220112000529 |
| Provider Name | Elizabeth Keenan Mcquagge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346852274 PECOS PAC ID: 2961820089 Enrollment ID: I20220118001050 |
| Provider Name | Jacob M Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396783080 PECOS PAC ID: 2163419284 Enrollment ID: I20220122000134 |
| Provider Name | Abdur Raziq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275948226 PECOS PAC ID: 2961785381 Enrollment ID: I20220411002669 |
| Provider Name | Austin Clay Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033864137 PECOS PAC ID: 2062809577 Enrollment ID: I20220503000223 |
| Provider Name | Jenna A Spalding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902563844 PECOS PAC ID: 6507244472 Enrollment ID: I20220606000517 |
| Provider Name | Bryant Mauri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013479237 PECOS PAC ID: 5597144840 Enrollment ID: I20220616002972 |
| Provider Name | David E Shupe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306192372 PECOS PAC ID: 5799901047 Enrollment ID: I20220719002981 |
| Provider Name | Caitlin Mosher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386309649 PECOS PAC ID: 1951782861 Enrollment ID: I20220722001141 |
| Provider Name | Micky H Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619601242 PECOS PAC ID: 5991187700 Enrollment ID: I20220726002573 |
| Provider Name | Almaas-qamar Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710472873 PECOS PAC ID: 7719236041 Enrollment ID: I20220803000721 |
| Provider Name | Wai P Kyaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689080475 PECOS PAC ID: 1850666199 Enrollment ID: I20220804000246 |
| Provider Name | Myo S Win |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720401318 PECOS PAC ID: 5698063634 Enrollment ID: I20220804002051 |
| Provider Name | Samuel Foldy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639630379 PECOS PAC ID: 8022346410 Enrollment ID: I20220811002578 |
| Provider Name | Anne M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679207450 PECOS PAC ID: 2567845290 Enrollment ID: I20220812002965 |
| Provider Name | Jason M Zoglman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083118780 PECOS PAC ID: 3779839915 Enrollment ID: I20220813000548 |
| Provider Name | Wesley Luke Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386201739 PECOS PAC ID: 6103153259 Enrollment ID: I20220823000879 |
| Provider Name | Amy Elizabeth Roemer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619438686 PECOS PAC ID: 8628306545 Enrollment ID: I20220823001509 |
| Provider Name | Haroon Naimi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386107514 PECOS PAC ID: 0345623336 Enrollment ID: I20220824002339 |
| Provider Name | Rizwan Ahamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205210341 PECOS PAC ID: 9931486875 Enrollment ID: I20220825001601 |
| Provider Name | Robert C Hayden |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215499389 PECOS PAC ID: 8325377427 Enrollment ID: I20220829001379 |
| Provider Name | Justin Michael Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528565694 PECOS PAC ID: 5193064830 Enrollment ID: I20220829003119 |
| Provider Name | Ousama Aboushaar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629574843 PECOS PAC ID: 7315298221 Enrollment ID: I20220901002099 |
| Provider Name | Amanda Claire Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184173205 PECOS PAC ID: 5092097089 Enrollment ID: I20220902001341 |
| Provider Name | Elizabeth Rafaela Aquije |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619439684 PECOS PAC ID: 2466836507 Enrollment ID: I20220908001950 |
| Provider Name | Meredith Nancy Broner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831826502 PECOS PAC ID: 2769867811 Enrollment ID: I20220910000030 |
| Provider Name | Christopher R Wainwright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285295303 PECOS PAC ID: 8729416573 Enrollment ID: I20220910000554 |
| Provider Name | Vasily Rozenbaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245727973 PECOS PAC ID: 4082099015 Enrollment ID: I20220912003004 |
| Provider Name | Katherine Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619538733 PECOS PAC ID: 1951738939 Enrollment ID: I20220913002301 |
| Provider Name | Hannah P Arn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184285389 PECOS PAC ID: 3476980301 Enrollment ID: I20220914002589 |
| Provider Name | Nikita Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205395530 PECOS PAC ID: 0749518157 Enrollment ID: I20220917000000 |
| Provider Name | Sarah A Hagerbrant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770041477 PECOS PAC ID: 4385977149 Enrollment ID: I20220920001647 |
| Provider Name | Maried E Celkis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194014365 PECOS PAC ID: 5496993362 Enrollment ID: I20220922002221 |
| Provider Name | Nicole Helene Dillow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790165769 PECOS PAC ID: 5890002208 Enrollment ID: I20220922002304 |
| Provider Name | Joshua Neal Calvert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659831873 PECOS PAC ID: 7214266881 Enrollment ID: I20221004001436 |
| Provider Name | Cesar Abraham Santillana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063974889 PECOS PAC ID: 9133508146 Enrollment ID: I20221013002775 |
| Provider Name | Robert Edward Stapleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295154623 PECOS PAC ID: 9335515360 Enrollment ID: I20221017002393 |
| Provider Name | Justin P. Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609135011 PECOS PAC ID: 1951541879 Enrollment ID: I20221025003302 |
| Provider Name | Elizabeth Andersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043701220 PECOS PAC ID: 6507112158 Enrollment ID: I20221104001281 |
| Provider Name | Rabeya B Nazer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275255226 PECOS PAC ID: 9032587506 Enrollment ID: I20221115002135 |
| Provider Name | Peter N Davison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013443654 PECOS PAC ID: 8921420704 Enrollment ID: I20221207001627 |
| Provider Name | Meredith K Molnar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265961973 PECOS PAC ID: 2466726880 Enrollment ID: I20230113000437 |
| Provider Name | Summer Tuthill Dudhia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396181996 PECOS PAC ID: 3072809979 Enrollment ID: I20230322000001 |
| Provider Name | Karen Kay Nolin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689370926 PECOS PAC ID: 4981078557 Enrollment ID: I20230322000400 |
| Provider Name | Matthew Griffith |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609866714 PECOS PAC ID: 8729218540 Enrollment ID: I20230329000066 |
| Provider Name | Brittany N Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184295750 PECOS PAC ID: 3577966878 Enrollment ID: I20230524002727 |
| Provider Name | Henry Greene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538796453 PECOS PAC ID: 9931523107 Enrollment ID: I20230609000046 |
| Provider Name | Leah Kathryn Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740979947 PECOS PAC ID: 0042677742 Enrollment ID: I20230612002947 |
| Provider Name | Olivia Michelle Bullock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114542859 PECOS PAC ID: 6709208903 Enrollment ID: I20230615000673 |
| Provider Name | Roopali Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205021169 PECOS PAC ID: 6002940970 Enrollment ID: I20230629000818 |
| Provider Name | Brandi E Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265126775 PECOS PAC ID: 7911366471 Enrollment ID: I20230701000295 |
| Provider Name | Sarah Crane Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154959815 PECOS PAC ID: 3476912528 Enrollment ID: I20230707000335 |
| Provider Name | Justin M Stark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093087579 PECOS PAC ID: 8729217336 Enrollment ID: I20230711002230 |
| Provider Name | Jonathan J Gries |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801116819 PECOS PAC ID: 7911143789 Enrollment ID: I20230718002458 |
| Provider Name | Zulmarie Rodriguez Rijos |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639663313 PECOS PAC ID: 6901200971 Enrollment ID: I20230724001071 |
| Provider Name | Boda Zhao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841710118 PECOS PAC ID: 3375815731 Enrollment ID: I20230727000016 |
| Provider Name | Nzinga Tafari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164050787 PECOS PAC ID: 8628491776 Enrollment ID: I20230731002648 |
| Provider Name | Rachel Lea Slack |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134757578 PECOS PAC ID: 8729449111 Enrollment ID: I20230801004409 |
| Provider Name | Charles Boadu |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861056699 PECOS PAC ID: 6800258773 Enrollment ID: I20230810000476 |
| Provider Name | Lilian Astrid Otalora Rojas |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093218802 PECOS PAC ID: 8628431749 Enrollment ID: I20230822003986 |
| Provider Name | Jason S Oum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902432008 PECOS PAC ID: 0749643625 Enrollment ID: I20230824002839 |
| Provider Name | Verniecea Jade Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104443126 PECOS PAC ID: 5890111728 Enrollment ID: I20230825000521 |
| Provider Name | Erika Lyn Dickinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144858911 PECOS PAC ID: 5294198156 Enrollment ID: I20230825001798 |
| Provider Name | Hannah Belle Alvarado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952923062 PECOS PAC ID: 5991127441 Enrollment ID: I20230828002484 |
| Provider Name | Julia A Brogdon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285258038 PECOS PAC ID: 5698193639 Enrollment ID: I20230829002203 |
| Provider Name | Jesse Lyons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437716529 PECOS PAC ID: 9335571389 Enrollment ID: I20230830000765 |
| Provider Name | Saman Naeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912534595 PECOS PAC ID: 1850716416 Enrollment ID: I20230913004025 |
| Provider Name | Viola Hoxha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013533645 PECOS PAC ID: 0345664637 Enrollment ID: I20230918000128 |
| Provider Name | Richard P Meier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649808452 PECOS PAC ID: 0749644011 Enrollment ID: I20230920000020 |
| Provider Name | Victoria Ulatowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578172375 PECOS PAC ID: 6406200781 Enrollment ID: I20230921000738 |
| Provider Name | Rami Bahloul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689023814 PECOS PAC ID: 9234410671 Enrollment ID: I20230922000955 |
| Provider Name | Umesh Singla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457664195 PECOS PAC ID: 1456656479 Enrollment ID: I20230926000733 |
| Provider Name | Katherine F Adler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700546934 PECOS PAC ID: 0042697682 Enrollment ID: I20231201002873 |
| Provider Name | John R Pinkston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194701391 PECOS PAC ID: 0547221186 Enrollment ID: I20231206000151 |
| Provider Name | Roxana Cabrera Candelaria |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538622402 PECOS PAC ID: 5799152427 Enrollment ID: I20240104001625 |
| Provider Name | Edward Senu-oke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316990864 PECOS PAC ID: 1951317080 Enrollment ID: I20240123003054 |
| Provider Name | William T Robison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295390896 PECOS PAC ID: 9830424852 Enrollment ID: I20240207000121 |
| Provider Name | Amy J Burrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053718585 PECOS PAC ID: 2466776612 Enrollment ID: I20240207003159 |
| Provider Name | Thu Truong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114421534 PECOS PAC ID: 2668862921 Enrollment ID: I20240209001784 |
| Provider Name | Donald W Tice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154380483 PECOS PAC ID: 6901700343 Enrollment ID: I20240319001232 |
Lem Turner Family Medical Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9390 Lem Turner Rd, Jacksonville, FL 32208 Phone: 904-766-2953 Fax: 904-766-2993 | |
C. Surgery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Riverside Ave, Jacksonville, FL 32202 Phone: 904-791-6632 | |
Centerwell Senior Primary Care Fl Jv Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 Philips Hwy, Jacksonville, FL 32207 Phone: 407-447-7120 | |
Id Associates Of Jacksonville Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Shircliff Way, Ste 610, Jacksonville, FL 32204 Phone: 904-387-5027 Fax: 904-387-2208 | |
Hong Tek Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4123 University Blvd S, Jacksonville, FL 32216 Phone: 904-388-3351 | |
Baptist Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Riverside Ave Ste 103, Jacksonville, FL 32202 Phone: 904-353-5696 Fax: 904-390-7483 | |
Reginald L. Sykes, Sr, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3160 Edgewood Ave W, Jacksonville, FL 32209 Phone: 904-768-8222 Fax: 904-482-0373 |