| Bayview Physician Services, Pc | |
|
3241 Western Branch Blvd Chesapeake VA 23321-5260 | |
| (757) 686-3508 | |
| (757) 686-0541 |
| Full Name | Bayview Physician Services, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3241 Western Branch Blvd, Chesapeake, Virginia |
| Authorized Official Name and Position | Anthony Cetrone (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7576863508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayview Physician Services, Pc 3241 Western Branch Blvd Chesapeake VA 23321-5260 Ph: (757) 686-3508 | Bayview Physician Services, Pc 3241 Western Branch Blvd Chesapeake VA 23321-5260 Ph: (757) 686-3508 |
| NPI Number | 1508813387 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 11/02/2012 |
| Medicare PECOS PAC ID | 5597664201 |
|---|---|
| Medicare Enrollment ID | O20031231000719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508813387 | NPI | - | NPPES |
| Provider Name | Rebecca Thibodeau Khan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770558504 PECOS PAC ID: 2365346509 Enrollment ID: I20031120000504 |
| Provider Name | Garrett M Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407820939 PECOS PAC ID: 1951200419 Enrollment ID: I20040103000002 |
| Provider Name | Jieming Yan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003814732 PECOS PAC ID: 6608775176 Enrollment ID: I20040103000047 |
| Provider Name | Michael A Webb |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265467450 PECOS PAC ID: 1153223524 Enrollment ID: I20040126000185 |
| Provider Name | Peter Szoke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851491328 PECOS PAC ID: 4789670662 Enrollment ID: I20040424000266 |
| Provider Name | Eric C Fee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255322178 PECOS PAC ID: 0547257164 Enrollment ID: I20040427000611 |
| Provider Name | Tahir Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750347456 PECOS PAC ID: 6204823867 Enrollment ID: I20040427000916 |
| Provider Name | Marc E Munoz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508831728 PECOS PAC ID: 4789674300 Enrollment ID: I20040515000280 |
| Provider Name | Anthony A Morris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750452827 PECOS PAC ID: 2567445711 Enrollment ID: I20040609001376 |
| Provider Name | Ronald S Mckechnie |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689640039 PECOS PAC ID: 4880672419 Enrollment ID: I20040710000097 |
| Provider Name | Eboni X Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427021724 PECOS PAC ID: 8123006442 Enrollment ID: I20040712001343 |
| Provider Name | Brian K Lentz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770535163 PECOS PAC ID: 1456339746 Enrollment ID: I20040713000209 |
| Provider Name | Deepak R Talreja |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760451611 PECOS PAC ID: 3173502820 Enrollment ID: I20040715001235 |
| Provider Name | Catherine Dalton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104899244 PECOS PAC ID: 4284613860 Enrollment ID: I20040716000756 |
| Provider Name | Angela Antoine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134192479 PECOS PAC ID: 1557332178 Enrollment ID: I20040805000440 |
| Provider Name | Vera Goode |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023081965 PECOS PAC ID: 1456324763 Enrollment ID: I20040816000645 |
| Provider Name | Swarna Manian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467426627 PECOS PAC ID: 7810961778 Enrollment ID: I20040825000848 |
| Provider Name | Erika L Mansfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932164092 PECOS PAC ID: 8729054762 Enrollment ID: I20040909001131 |
| Provider Name | Nsekenene Kolongo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487685301 PECOS PAC ID: 0941277263 Enrollment ID: I20040915000436 |
| Provider Name | Brian J Lipps |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821316688 PECOS PAC ID: 3072580372 Enrollment ID: I20040915001007 |
| Provider Name | Caroline K Han |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750328258 PECOS PAC ID: 1658335476 Enrollment ID: I20041112000026 |
| Provider Name | Glenn C Murray |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326011750 PECOS PAC ID: 1355305434 Enrollment ID: I20041118000091 |
| Provider Name | Suzette K Henahan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225092232 PECOS PAC ID: 5698730513 Enrollment ID: I20041119000714 |
| Provider Name | Paul J Pontier |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033184379 PECOS PAC ID: 8022911320 Enrollment ID: I20041208000136 |
| Provider Name | Ronald H Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982669776 PECOS PAC ID: 5698732220 Enrollment ID: I20041215000860 |
| Provider Name | Elizabeth D Lanoue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467416123 PECOS PAC ID: 7911955141 Enrollment ID: I20050105000051 |
| Provider Name | David J. Stewart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982666194 PECOS PAC ID: 8325099054 Enrollment ID: I20050209001000 |
| Provider Name | Martha Mooney |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902872203 PECOS PAC ID: 2466405188 Enrollment ID: I20050222000981 |
| Provider Name | Philip F Whalen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700979176 PECOS PAC ID: 7315990827 Enrollment ID: I20050224000631 |
| Provider Name | Stephanie Lynette Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679536924 PECOS PAC ID: 3971558610 Enrollment ID: I20050316000193 |
| Provider Name | Jonathan P Wright |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265418925 PECOS PAC ID: 7911954086 Enrollment ID: I20050401000099 |
| Provider Name | Paul Liszka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942273305 PECOS PAC ID: 4486691482 Enrollment ID: I20050412000226 |
| Provider Name | Michael A Sotosky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841207586 PECOS PAC ID: 4385686435 Enrollment ID: I20050527000745 |
| Provider Name | Lorenz F Lassen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164485652 PECOS PAC ID: 2961447461 Enrollment ID: I20050624000684 |
| Provider Name | Muna N S Fahmi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700885902 PECOS PAC ID: 9234174459 Enrollment ID: I20050628000118 |
| Provider Name | Muhanad Al Jassar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790783884 PECOS PAC ID: 6002851201 Enrollment ID: I20050628000157 |
| Provider Name | David Victor Palmisano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699740639 PECOS PAC ID: 8729024385 Enrollment ID: I20050705000815 |
| Provider Name | Gabriella Lynn Miller |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1851308241 PECOS PAC ID: 6709822307 Enrollment ID: I20050706000094 |
| Provider Name | Jasdeep Dalawari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215986807 PECOS PAC ID: 1759275167 Enrollment ID: I20050901000604 |
| Provider Name | Robert Sean Rinehart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437129921 PECOS PAC ID: 9032141320 Enrollment ID: I20050907001126 |
| Provider Name | Rajul Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376517607 PECOS PAC ID: 2567494727 Enrollment ID: I20050908000548 |
| Provider Name | Baher Anwar Basta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538130257 PECOS PAC ID: 6305878372 Enrollment ID: I20050910000074 |
| Provider Name | Sridhar Madhunapantula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003821844 PECOS PAC ID: 3577597582 Enrollment ID: I20050920000536 |
| Provider Name | Sheri W Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487616678 PECOS PAC ID: 6901883511 Enrollment ID: I20050928000684 |
| Provider Name | Desiree Tan Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407822109 PECOS PAC ID: 3375561780 Enrollment ID: I20051103001096 |
| Provider Name | Phaik Mae Obermeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831163682 PECOS PAC ID: 2264450469 Enrollment ID: I20051107000268 |
| Provider Name | Dennis Patrick Grusenmeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871568113 PECOS PAC ID: 0648299644 Enrollment ID: I20051118000690 |
| Provider Name | Lisa J Lawson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902960503 PECOS PAC ID: 2567410038 Enrollment ID: I20051215000732 |
| Provider Name | Stephen D Keefe |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700853066 PECOS PAC ID: 5698730547 Enrollment ID: I20060105000754 |
| Provider Name | Edward S Hanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487627089 PECOS PAC ID: 5991710295 Enrollment ID: I20060207001019 |
| Provider Name | Ian F Woollett |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1528012234 PECOS PAC ID: 4284693821 Enrollment ID: I20060228000332 |
| Provider Name | Jennifer D Mcclain |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053413641 PECOS PAC ID: 8224922448 Enrollment ID: I20060321000547 |
| Provider Name | John Paul Jones |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174506950 PECOS PAC ID: 9234039595 Enrollment ID: I20060321000636 |
| Provider Name | Billy W Berry |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639179153 PECOS PAC ID: 3375552342 Enrollment ID: I20060419000590 |
| Provider Name | Brian R Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851359046 PECOS PAC ID: 4284644949 Enrollment ID: I20060426000529 |
| Provider Name | Roderick L Myers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235185109 PECOS PAC ID: 4587675673 Enrollment ID: I20060607000034 |
| Provider Name | Diana Lyne Wolan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073553814 PECOS PAC ID: 1658383120 Enrollment ID: I20060627000153 |
| Provider Name | Mohit Bhasin |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1124070693 PECOS PAC ID: 2163435322 Enrollment ID: I20060711000390 |
| Provider Name | Sonia Kapoor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306874862 PECOS PAC ID: 9931103835 Enrollment ID: I20060907000409 |
| Provider Name | Vandana Dhawan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285664490 PECOS PAC ID: 3375556723 Enrollment ID: I20061117000092 |
| Provider Name | Rachel D Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003830159 PECOS PAC ID: 1658370549 Enrollment ID: I20061202000158 |
| Provider Name | James R Miller |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023067733 PECOS PAC ID: 1254330079 Enrollment ID: I20061205000389 |
| Provider Name | Venkat Ramachandran Iyer |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932139326 PECOS PAC ID: 8325047780 Enrollment ID: I20061212000435 |
| Provider Name | Rosa M Javier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295849925 PECOS PAC ID: 5698774990 Enrollment ID: I20061214000365 |
| Provider Name | Lynne W Stockman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962451773 PECOS PAC ID: 0244231272 Enrollment ID: I20070118000173 |
| Provider Name | Gregory Mark Hemelt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316918402 PECOS PAC ID: 4385645639 Enrollment ID: I20070129000746 |
| Provider Name | Peter C Earl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740256478 PECOS PAC ID: 3375544596 Enrollment ID: I20070130000505 |
| Provider Name | John Joseph Griffin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740254440 PECOS PAC ID: 6800898834 Enrollment ID: I20070205000409 |
| Provider Name | Wayne D Old |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336115799 PECOS PAC ID: 2466454400 Enrollment ID: I20070205000498 |
| Provider Name | Charles Ashby |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528038817 PECOS PAC ID: 8628070661 Enrollment ID: I20070205000517 |
| Provider Name | Joseph J Sposato |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629144894 PECOS PAC ID: 8921000712 Enrollment ID: I20070207000437 |
| Provider Name | Leslie B Oppleman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558343665 PECOS PAC ID: 7517969249 Enrollment ID: I20070209000268 |
| Provider Name | Mark E Skees |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861571499 PECOS PAC ID: 8325040975 Enrollment ID: I20070209000543 |
| Provider Name | Jesse W Stclair |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477502250 PECOS PAC ID: 5294713822 Enrollment ID: I20070314000409 |
| Provider Name | Jennifer L Dryer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134293376 PECOS PAC ID: 1951404672 Enrollment ID: I20070316000192 |
| Provider Name | Edward C Miller |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124094883 PECOS PAC ID: 5193828697 Enrollment ID: I20070320000720 |
| Provider Name | Sylvia H Riedler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952405680 PECOS PAC ID: 9931202462 Enrollment ID: I20070321000291 |
| Provider Name | Demetria Y Gordon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023177326 PECOS PAC ID: 0143324673 Enrollment ID: I20070322000440 |
| Provider Name | Ignacio Ripoll |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760489363 PECOS PAC ID: 7012011133 Enrollment ID: I20070329000610 |
| Provider Name | John G Kenerson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932158649 PECOS PAC ID: 0941304943 Enrollment ID: I20070402000047 |
| Provider Name | Sharon D Novotny |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619903697 PECOS PAC ID: 5991801359 Enrollment ID: I20070501000203 |
| Provider Name | Nestor Daniel Santacruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194728923 PECOS PAC ID: 6901903210 Enrollment ID: I20070522000297 |
| Provider Name | Beverly S Everitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023124492 PECOS PAC ID: 9830297985 Enrollment ID: I20070613000315 |
| Provider Name | Arthur E Roberson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316058134 PECOS PAC ID: 4183724545 Enrollment ID: I20070713000546 |
| Provider Name | Lisa E Jefferson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578502969 PECOS PAC ID: 9335240316 Enrollment ID: I20070720000148 |
| Provider Name | Da Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750407037 PECOS PAC ID: 3779674247 Enrollment ID: I20070813000489 |
| Provider Name | Melhem A Imad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417908138 PECOS PAC ID: 7012945454 Enrollment ID: I20070829000803 |
| Provider Name | Joseph A Saveika |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922213214 PECOS PAC ID: 5597858357 Enrollment ID: I20070910000846 |
| Provider Name | Manojkumar D Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396953469 PECOS PAC ID: 6709979339 Enrollment ID: I20070912000381 |
| Provider Name | Angelina M Frias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598742900 PECOS PAC ID: 2365535945 Enrollment ID: I20070912000836 |
| Provider Name | Kelly H Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861698664 PECOS PAC ID: 4486748092 Enrollment ID: I20070913000244 |
| Provider Name | Michael Wayne Jackson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558379362 PECOS PAC ID: 5496849432 Enrollment ID: I20070920000703 |
| Provider Name | Linda Joy Mathison Ezieme |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255342770 PECOS PAC ID: 2769498567 Enrollment ID: I20070927000957 |
| Provider Name | Miriam Galan-dejesus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245380518 PECOS PAC ID: 7517055130 Enrollment ID: I20071115000468 |
| Provider Name | Paul M Derber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366446809 PECOS PAC ID: 6901791904 Enrollment ID: I20071127000177 |
| Provider Name | Alamgir Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184823338 PECOS PAC ID: 6800986365 Enrollment ID: I20071220000327 |
| Provider Name | Christen Crisostomo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891985172 PECOS PAC ID: 5496835563 Enrollment ID: I20071231000585 |
| Provider Name | David H Lasseter |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043361835 PECOS PAC ID: 8022199496 Enrollment ID: I20080111000465 |
| Provider Name | Jeffery J Kuhn |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891809448 PECOS PAC ID: 2769564251 Enrollment ID: I20080123000263 |
| Provider Name | Stephen S To |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790992709 PECOS PAC ID: 8921182460 Enrollment ID: I20080222000303 |
| Provider Name | Eric M Madren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760457089 PECOS PAC ID: 3476638891 Enrollment ID: I20080310000578 |
| Provider Name | Hammad Qureshy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689749368 PECOS PAC ID: 8123073780 Enrollment ID: I20080325000111 |
| Provider Name | Kabaye Berhanu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386701753 PECOS PAC ID: 0244336006 Enrollment ID: I20080414000084 |
| Provider Name | Harry L Kanter |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1215902697 PECOS PAC ID: 8224116140 Enrollment ID: I20080417000479 |
| Provider Name | Ray T Ramirez |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1912960352 PECOS PAC ID: 4880670793 Enrollment ID: I20080421000080 |
| Provider Name | Randall C Fedro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265443550 PECOS PAC ID: 9537153812 Enrollment ID: I20080425000527 |
| Provider Name | Jennifer L Esposito |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073791364 PECOS PAC ID: 4981783172 Enrollment ID: I20080429000609 |
| Provider Name | Lisa K Madren |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922073311 PECOS PAC ID: 3678652419 Enrollment ID: I20080506000347 |
| Provider Name | Scott Edward Colton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447421466 PECOS PAC ID: 1759451966 Enrollment ID: I20080530000324 |
| Provider Name | Sarah E Joyner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205047628 PECOS PAC ID: 2264502186 Enrollment ID: I20080604000590 |
| Provider Name | Ana Marie U Dizon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245280114 PECOS PAC ID: 3375554306 Enrollment ID: I20080605000425 |
| Provider Name | Frankie R Carr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093790099 PECOS PAC ID: 5294805933 Enrollment ID: I20080606000170 |
| Provider Name | Biswa R Bhattacharyya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023099603 PECOS PAC ID: 8426946427 Enrollment ID: I20080609000716 |
| Provider Name | Huy Anthony Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235316936 PECOS PAC ID: 0547331688 Enrollment ID: I20080618000272 |
| Provider Name | Joseph E Vaccarella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366417727 PECOS PAC ID: 1557432291 Enrollment ID: I20080624000210 |
| Provider Name | Mary F Maturi Allen |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1578521621 PECOS PAC ID: 4688746753 Enrollment ID: I20080707000357 |
| Provider Name | Elizabeth M Mason |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447226196 PECOS PAC ID: 9537231386 Enrollment ID: I20080710000534 |
| Provider Name | Jennifer C Wheaton |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417161043 PECOS PAC ID: 9335212448 Enrollment ID: I20080723000376 |
| Provider Name | Heather Moseley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639370562 PECOS PAC ID: 6103999115 Enrollment ID: I20080724000469 |
| Provider Name | Hawa Osime |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154539815 PECOS PAC ID: 0345315552 Enrollment ID: I20080822000599 |
| Provider Name | Vivian U Mapanao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629233242 PECOS PAC ID: 8426123456 Enrollment ID: I20080826000396 |
| Provider Name | Surjya P Das |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063598696 PECOS PAC ID: 7214975994 Enrollment ID: I20080911000323 |
| Provider Name | Demetrios J Kazakis |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1972578250 PECOS PAC ID: 9830273036 Enrollment ID: I20081117000173 |
| Provider Name | William W Reed |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1790784767 PECOS PAC ID: 2466514831 Enrollment ID: I20081218000345 |
| Provider Name | Thomas Wesley Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619985926 PECOS PAC ID: 0042294704 Enrollment ID: I20090122000238 |
| Provider Name | Vasantha K Hathwar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669572608 PECOS PAC ID: 3274698808 Enrollment ID: I20090216000379 |
| Provider Name | William R Cooper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124127147 PECOS PAC ID: 5890850424 Enrollment ID: I20090216000399 |
| Provider Name | Seth H Greenberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467552497 PECOS PAC ID: 4688773518 Enrollment ID: I20090216000427 |
| Provider Name | Anthony C Cetrone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023074812 PECOS PAC ID: 8820997554 Enrollment ID: I20090326000688 |
| Provider Name | Soham Sheth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386835841 PECOS PAC ID: 7214084896 Enrollment ID: I20090416000728 |
| Provider Name | Howard O Goodwin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639318843 PECOS PAC ID: 9234286725 Enrollment ID: I20090421000309 |
| Provider Name | Nathan R Riles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659327369 PECOS PAC ID: 6002835279 Enrollment ID: I20090421000330 |
| Provider Name | Virginia W Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427290618 PECOS PAC ID: 5496803264 Enrollment ID: I20090505000268 |
| Provider Name | Maia Kokichashvili |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043278864 PECOS PAC ID: 1153352901 Enrollment ID: I20090602000071 |
| Provider Name | John C Schwab |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851319990 PECOS PAC ID: 5395834410 Enrollment ID: I20090610000617 |
| Provider Name | Jorge M Zarate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962409193 PECOS PAC ID: 4486706918 Enrollment ID: I20090715000084 |
| Provider Name | Yared Terefe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811104425 PECOS PAC ID: 3072680594 Enrollment ID: I20090727000631 |
| Provider Name | Marilyn Vanhorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225292956 PECOS PAC ID: 2466505441 Enrollment ID: I20090810000228 |
| Provider Name | Matthew V Backens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972766996 PECOS PAC ID: 6608920541 Enrollment ID: I20090812000442 |
| Provider Name | Simin Vakily Asl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174785497 PECOS PAC ID: 7214081066 Enrollment ID: I20090813000604 |
| Provider Name | Cynthia M Gonzalez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801056692 PECOS PAC ID: 3577617158 Enrollment ID: I20090817000345 |
| Provider Name | Preeti Saran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417119728 PECOS PAC ID: 5092852053 Enrollment ID: I20091022000728 |
| Provider Name | Brenda J Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932212164 PECOS PAC ID: 2567509425 Enrollment ID: I20091026000326 |
| Provider Name | Van W Adamson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417161126 PECOS PAC ID: 6709924376 Enrollment ID: I20091119000294 |
| Provider Name | William Z Fenn |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184897415 PECOS PAC ID: 4385703214 Enrollment ID: I20091123000325 |
| Provider Name | Julius S Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598760050 PECOS PAC ID: 6204976863 Enrollment ID: I20091214000158 |
| Provider Name | Karen M Mcgeehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851366215 PECOS PAC ID: 4183764392 Enrollment ID: I20091221000066 |
| Provider Name | Brian F Odonnell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558366187 PECOS PAC ID: 6103966171 Enrollment ID: I20091223000143 |
| Provider Name | Michael Stephen Gonzalez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235210469 PECOS PAC ID: 6103969720 Enrollment ID: I20100204000644 |
| Provider Name | Kevin Chou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609859834 PECOS PAC ID: 4880738509 Enrollment ID: I20100218000883 |
| Provider Name | Ann Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386617025 PECOS PAC ID: 1355485699 Enrollment ID: I20100224000428 |
| Provider Name | Donna Lapeyrolerie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629042114 PECOS PAC ID: 1759425028 Enrollment ID: I20100224000680 |
| Provider Name | Anthony Amabile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669445078 PECOS PAC ID: 9931244019 Enrollment ID: I20100301000177 |
| Provider Name | Elizabeth Magno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669446753 PECOS PAC ID: 3274678354 Enrollment ID: I20100301000203 |
| Provider Name | Jeffrey G Holladay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467426981 PECOS PAC ID: 5991840084 Enrollment ID: I20100301000226 |
| Provider Name | Susan Kim-foley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417921784 PECOS PAC ID: 1355486408 Enrollment ID: I20100301000926 |
| Provider Name | Roisin M Mckeithan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740254929 PECOS PAC ID: 2163567090 Enrollment ID: I20100303000889 |
| Provider Name | Howard Courtenay Harrison |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700850310 PECOS PAC ID: 3971638008 Enrollment ID: I20100315000902 |
| Provider Name | Edith Joann Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124091236 PECOS PAC ID: 6507991643 Enrollment ID: I20100315000924 |
| Provider Name | Regina Tan-camacho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154366748 PECOS PAC ID: 3274660501 Enrollment ID: I20100419000607 |
| Provider Name | Jane Derrig |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1265495758 PECOS PAC ID: 6507821113 Enrollment ID: I20100419000766 |
| Provider Name | William Adkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972568822 PECOS PAC ID: 6608831219 Enrollment ID: I20100419000826 |
| Provider Name | Henry Demkowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093770679 PECOS PAC ID: 5698730208 Enrollment ID: I20100419000840 |
| Provider Name | Ronald Buckley |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1871559567 PECOS PAC ID: 8426013038 Enrollment ID: I20100420000174 |
| Provider Name | Jeffrey Forman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649233917 PECOS PAC ID: 2961467576 Enrollment ID: I20100420000600 |
| Provider Name | Serena Elias Barakat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508821182 PECOS PAC ID: 0042347247 Enrollment ID: I20100420000652 |
| Provider Name | Joseph Verdirame |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831152107 PECOS PAC ID: 1850356478 Enrollment ID: I20100420000750 |
| Provider Name | Habib Barakat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982660767 PECOS PAC ID: 0547355984 Enrollment ID: I20100420000759 |
| Provider Name | James Holleran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568425049 PECOS PAC ID: 0042275653 Enrollment ID: I20100420000840 |
| Provider Name | Michael Abu-absi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750344230 PECOS PAC ID: 9638264070 Enrollment ID: I20100420000879 |
| Provider Name | Kurt Frederick Strosahl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760483325 PECOS PAC ID: 6204965171 Enrollment ID: I20100602000718 |
| Provider Name | Dede Jennifer Hester |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306174891 PECOS PAC ID: 6901936632 Enrollment ID: I20100607000712 |
| Provider Name | Jeannine M Leadbeater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043273832 PECOS PAC ID: 9436294592 Enrollment ID: I20100611000380 |
| Provider Name | Anilkumar Ravajibhai Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588665756 PECOS PAC ID: 2567592181 Enrollment ID: I20100614000896 |
| Provider Name | Nandita K Padiyar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487733234 PECOS PAC ID: 3577587765 Enrollment ID: I20100628000300 |
| Provider Name | Robert D Mccray |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1477653236 PECOS PAC ID: 5698870962 Enrollment ID: I20100712000451 |
| Provider Name | Joseph P Mcdermott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437133683 PECOS PAC ID: 0345320164 Enrollment ID: I20100719000642 |
| Provider Name | Carl E Flor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154432375 PECOS PAC ID: 7214069657 Enrollment ID: I20100720000667 |
| Provider Name | Erica Royal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043286818 PECOS PAC ID: 2163554338 Enrollment ID: I20100723000394 |
| Provider Name | Tajamul Hasan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891941498 PECOS PAC ID: 2961535950 Enrollment ID: I20100727001092 |
| Provider Name | Edward A Thomas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386617389 PECOS PAC ID: 9537148085 Enrollment ID: I20100803001167 |
| Provider Name | Colleen G Meiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477729812 PECOS PAC ID: 9234262734 Enrollment ID: I20100804000849 |
| Provider Name | Harvey Rawls |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245262211 PECOS PAC ID: 0749183143 Enrollment ID: I20100811000033 |
| Provider Name | Amy B Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255655718 PECOS PAC ID: 8729112909 Enrollment ID: I20100811000096 |
| Provider Name | Colleen B Naumann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619294089 PECOS PAC ID: 6204960750 Enrollment ID: I20100819000133 |
| Provider Name | Kelly J Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609994151 PECOS PAC ID: 8325172760 Enrollment ID: I20100820000020 |
| Provider Name | Tracy Hicks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033199898 PECOS PAC ID: 3779607569 Enrollment ID: I20100831000722 |
| Provider Name | William H Simon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710932165 PECOS PAC ID: 8628117140 Enrollment ID: I20100901000988 |
| Provider Name | Dawn M Pfeiffer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346276268 PECOS PAC ID: 9830213529 Enrollment ID: I20100901000998 |
| Provider Name | Michael J Rayno |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801841879 PECOS PAC ID: 9436273158 Enrollment ID: I20100902000332 |
| Provider Name | Iryna Aberkorn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780846071 PECOS PAC ID: 7810011426 Enrollment ID: I20100903000469 |
| Provider Name | Himanshu Desai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013153014 PECOS PAC ID: 8325163116 Enrollment ID: I20100916001121 |
| Provider Name | Khalid Mehmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265606966 PECOS PAC ID: 3173715208 Enrollment ID: I20101007001259 |
| Provider Name | Jessica Louise Maute |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851582514 PECOS PAC ID: 5193918886 Enrollment ID: I20101026001346 |
| Provider Name | Katherine S Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790742385 PECOS PAC ID: 7315131026 Enrollment ID: I20101027000089 |
| Provider Name | Diego F Martinez Vasquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063483188 PECOS PAC ID: 4183726854 Enrollment ID: I20101102001018 |
| Provider Name | Patricia W Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255396420 PECOS PAC ID: 1052505013 Enrollment ID: I20101103000877 |
| Provider Name | Aurora J Pop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992900088 PECOS PAC ID: 8820283245 Enrollment ID: I20101111000488 |
| Provider Name | Jeffrey J Berger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235178955 PECOS PAC ID: 7719084102 Enrollment ID: I20101119000894 |
| Provider Name | Basil Spiros Skenderis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164477469 PECOS PAC ID: 9133299407 Enrollment ID: I20101119000970 |
| Provider Name | Beryl S Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245279033 PECOS PAC ID: 9537266929 Enrollment ID: I20101122000029 |
| Provider Name | Prashant Barakoti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801011598 PECOS PAC ID: 3870683063 Enrollment ID: I20101123000441 |
| Provider Name | Stephanie K Repole |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164683009 PECOS PAC ID: 7517155328 Enrollment ID: I20101221000562 |
| Provider Name | Ashish Behl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477761534 PECOS PAC ID: 2668569047 Enrollment ID: I20110112000766 |
| Provider Name | Deepak Mittal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336336312 PECOS PAC ID: 0840470837 Enrollment ID: I20110208000777 |
| Provider Name | Deborah Bowers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871645317 PECOS PAC ID: 5799830899 Enrollment ID: I20110216000164 |
| Provider Name | Katie Del Pierro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487613410 PECOS PAC ID: 6103833751 Enrollment ID: I20110314000565 |
| Provider Name | Mustafa M Alaska |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609086362 PECOS PAC ID: 3072795921 Enrollment ID: I20110314000601 |
| Provider Name | Jaclyn Amelia Martucci |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265735054 PECOS PAC ID: 7113100934 Enrollment ID: I20110331000432 |
| Provider Name | Aarti Desai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922263177 PECOS PAC ID: 5991980435 Enrollment ID: I20110428000000 |
| Provider Name | Mrugendra R Patel |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1710903430 PECOS PAC ID: 6002091352 Enrollment ID: I20110429000575 |
| Provider Name | Terri E Warner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386801124 PECOS PAC ID: 4284784133 Enrollment ID: I20110509000459 |
| Provider Name | William A Hamilton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265456214 PECOS PAC ID: 3870637507 Enrollment ID: I20110509000513 |
| Provider Name | Sourabh Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538322672 PECOS PAC ID: 1254518863 Enrollment ID: I20110608000482 |
| Provider Name | Andrea C Torres |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588831424 PECOS PAC ID: 9032396213 Enrollment ID: I20110616000155 |
| Provider Name | David Adler |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588711386 PECOS PAC ID: 7113105297 Enrollment ID: I20110620000134 |
| Provider Name | Roy P Macgregor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144483223 PECOS PAC ID: 5294905774 Enrollment ID: I20110822000101 |
| Provider Name | Haritha Narla |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245356419 PECOS PAC ID: 0941360861 Enrollment ID: I20110906000151 |
| Provider Name | Marian Gaber Saad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750608725 PECOS PAC ID: 6002086774 Enrollment ID: I20110907001318 |
| Provider Name | Naveen C Akkina |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780840306 PECOS PAC ID: 4486713195 Enrollment ID: I20110923000405 |
| Provider Name | David Franklin Waller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518966688 PECOS PAC ID: 0547432650 Enrollment ID: I20111015000005 |
| Provider Name | Danielle Castillo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457512667 PECOS PAC ID: 1254504798 Enrollment ID: I20111028000668 |
| Provider Name | Anna C Loomis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992734370 PECOS PAC ID: 5092772038 Enrollment ID: I20111103000844 |
| Provider Name | Michael L Gambill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679769202 PECOS PAC ID: 7315114741 Enrollment ID: I20120208000528 |
| Provider Name | Nam Ly |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780655837 PECOS PAC ID: 2961660394 Enrollment ID: I20120215000027 |
| Provider Name | Thar Elbaage |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851336341 PECOS PAC ID: 2163316688 Enrollment ID: I20120418000492 |
| Provider Name | Jennifer P Reason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376706713 PECOS PAC ID: 7618130626 Enrollment ID: I20120531000047 |
| Provider Name | Joseph Arnold Baidoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164798534 PECOS PAC ID: 3072777838 Enrollment ID: I20120607000598 |
| Provider Name | Naveen K Voore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841421765 PECOS PAC ID: 1557527090 Enrollment ID: I20120726000766 |
| Provider Name | Bindiya Magoon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750576583 PECOS PAC ID: 9032366430 Enrollment ID: I20120820000750 |
| Provider Name | Lisa Huang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699903625 PECOS PAC ID: 4981851185 Enrollment ID: I20120823000021 |
| Provider Name | Benjamin M Goins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366679904 PECOS PAC ID: 9638326630 Enrollment ID: I20120827000601 |
| Provider Name | Sushma Singh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245493360 PECOS PAC ID: 3678721545 Enrollment ID: I20120918000780 |
| Provider Name | Mayra Zapata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467783530 PECOS PAC ID: 5294983920 Enrollment ID: I20120921000039 |
| Provider Name | Magdaline W Ndirangu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407077134 PECOS PAC ID: 5597851980 Enrollment ID: I20121026000377 |
| Provider Name | Timothy James Duncan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669466504 PECOS PAC ID: 2961479001 Enrollment ID: I20121127000271 |
| Provider Name | Savita Srivastava |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790931558 PECOS PAC ID: 6406923853 Enrollment ID: I20130207000172 |
| Provider Name | Veronique D Duguay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174643803 PECOS PAC ID: 6002968328 Enrollment ID: I20130214000349 |
| Provider Name | Charlene L Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538359088 PECOS PAC ID: 7719124148 Enrollment ID: I20130502000329 |
| Provider Name | Jitendra M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639260680 PECOS PAC ID: 8628216538 Enrollment ID: I20130605000541 |
| Provider Name | Catherine W Bergeron |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669701694 PECOS PAC ID: 5799925905 Enrollment ID: I20130711000781 |
| Provider Name | Donna C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942594833 PECOS PAC ID: 1759549165 Enrollment ID: I20130801000521 |
| Provider Name | Vishal Vasavada |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912213141 PECOS PAC ID: 1850533050 Enrollment ID: I20130819000576 |
| Provider Name | Niranjan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043487978 PECOS PAC ID: 0648318873 Enrollment ID: I20130826000866 |
| Provider Name | Devon A Shick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902117344 PECOS PAC ID: 3375786189 Enrollment ID: I20130827000248 |
| Provider Name | Chhayaben V Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497997076 PECOS PAC ID: 0244473858 Enrollment ID: I20130829000890 |
| Provider Name | Kristin D Ramsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659645059 PECOS PAC ID: 7416190855 Enrollment ID: I20130904000047 |
| Provider Name | Mikias A Kebede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053622399 PECOS PAC ID: 2769626472 Enrollment ID: I20130919000482 |
| Provider Name | Rutul Arvindkumar Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881899557 PECOS PAC ID: 6103014501 Enrollment ID: I20130926000051 |
| Provider Name | Bradley A Levitt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295006575 PECOS PAC ID: 7416110408 Enrollment ID: I20131003000489 |
| Provider Name | John V Kottarathil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477735439 PECOS PAC ID: 4082750484 Enrollment ID: I20131004000278 |
| Provider Name | Rana Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194912618 PECOS PAC ID: 4981749488 Enrollment ID: I20131021001786 |
| Provider Name | Brian Buchberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326222779 PECOS PAC ID: 4688829351 Enrollment ID: I20131101000582 |
| Provider Name | Anthony Fam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114245800 PECOS PAC ID: 8729214127 Enrollment ID: I20131113000354 |
| Provider Name | Amarinder Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053689901 PECOS PAC ID: 1658517560 Enrollment ID: I20131120000520 |
| Provider Name | Demetria Y Austin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093700445 PECOS PAC ID: 0749312767 Enrollment ID: I20140111000108 |
| Provider Name | Ajay G Narola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912243528 PECOS PAC ID: 4183866759 Enrollment ID: I20140305000562 |
| Provider Name | George R Mckay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942476114 PECOS PAC ID: 6901969047 Enrollment ID: I20140401000437 |
| Provider Name | Douglas B Gregory |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184687675 PECOS PAC ID: 4688639297 Enrollment ID: I20140408001876 |
| Provider Name | Ashley L Foreman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457776684 PECOS PAC ID: 3971726035 Enrollment ID: I20140519001895 |
| Provider Name | Sharon H Minor |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497881213 PECOS PAC ID: 9537384995 Enrollment ID: I20140627001698 |
| Provider Name | Chimere L. Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245656958 PECOS PAC ID: 9436375144 Enrollment ID: I20140731002423 |
| Provider Name | Darshan P Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962781146 PECOS PAC ID: 3678706462 Enrollment ID: I20140801000128 |
| Provider Name | Rouzbeh Shams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437458981 PECOS PAC ID: 8325265671 Enrollment ID: I20140808001746 |
| Provider Name | Nicole M Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154748556 PECOS PAC ID: 3375766751 Enrollment ID: I20140814001000 |
| Provider Name | Kara Hearn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518274315 PECOS PAC ID: 4284851122 Enrollment ID: I20140815002101 |
| Provider Name | Ashley R Lubecki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952612376 PECOS PAC ID: 0042437899 Enrollment ID: I20140819000882 |
| Provider Name | Anjan K Chakrabarti |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609993963 PECOS PAC ID: 6204008931 Enrollment ID: I20140819002374 |
| Provider Name | Kulasegaram Skandaraj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710268859 PECOS PAC ID: 5395963862 Enrollment ID: I20140825001658 |
| Provider Name | Kathleen Hollis Hammonds |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235336777 PECOS PAC ID: 1951538263 Enrollment ID: I20140829000551 |
| Provider Name | Nir Horev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366860967 PECOS PAC ID: 0345469458 Enrollment ID: I20140922001393 |
| Provider Name | Idalia Rosado-torres |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477666733 PECOS PAC ID: 7214103415 Enrollment ID: I20140923001077 |
| Provider Name | Nadezada Tatarkina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730472630 PECOS PAC ID: 7810117199 Enrollment ID: I20141008002601 |
| Provider Name | Mohit Apoorva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962771220 PECOS PAC ID: 3274753553 Enrollment ID: I20141008002632 |
| Provider Name | Muhamed Jasarevic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881985554 PECOS PAC ID: 3173743457 Enrollment ID: I20141008002649 |
| Provider Name | Frank Dopp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841399680 PECOS PAC ID: 1456512359 Enrollment ID: I20141018000251 |
| Provider Name | George L Murrell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427050228 PECOS PAC ID: 6608097282 Enrollment ID: I20141023001912 |
| Provider Name | Derik Michael Falk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679734610 PECOS PAC ID: 1355507609 Enrollment ID: I20141024001725 |
| Provider Name | Madhu Nair |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083877039 PECOS PAC ID: 8729209242 Enrollment ID: I20141028000029 |
| Provider Name | Christine Dileo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386761302 PECOS PAC ID: 3779675780 Enrollment ID: I20141110001332 |
| Provider Name | John Paul H Matriano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245515048 PECOS PAC ID: 7012239387 Enrollment ID: I20141124001528 |
| Provider Name | Sean M Kuczma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538457221 PECOS PAC ID: 1153643887 Enrollment ID: I20141208000133 |
| Provider Name | Wei Zhao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386928281 PECOS PAC ID: 8325277619 Enrollment ID: I20150129000705 |
| Provider Name | Agnieszka Petersen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467612291 PECOS PAC ID: 9032269469 Enrollment ID: I20150224001472 |
| Provider Name | Seema Naseer Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386994630 PECOS PAC ID: 4183940232 Enrollment ID: I20150306001991 |
| Provider Name | Juli M Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699165910 PECOS PAC ID: 8820315286 Enrollment ID: I20150323002476 |
| Provider Name | Joseph Romagnuolo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336257294 PECOS PAC ID: 8022089283 Enrollment ID: I20150414000751 |
| Provider Name | Dejene Getachew Kassaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912260134 PECOS PAC ID: 2567783947 Enrollment ID: I20150610002450 |
| Provider Name | Iuliia Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346505534 PECOS PAC ID: 9133430051 Enrollment ID: I20150618002694 |
| Provider Name | Alessandra Cantone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033464979 PECOS PAC ID: 4082926282 Enrollment ID: I20150630002883 |
| Provider Name | Mary S Baker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932360450 PECOS PAC ID: 2567644990 Enrollment ID: I20150812007367 |
| Provider Name | Eli Arusi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629336995 PECOS PAC ID: 3476869124 Enrollment ID: I20150826001881 |
| Provider Name | Benedict Ngwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205213279 PECOS PAC ID: 2466768981 Enrollment ID: I20150828002036 |
| Provider Name | Anuj Khanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639433212 PECOS PAC ID: 8022324326 Enrollment ID: I20150901002584 |
| Provider Name | Neerav G Sheth |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679774467 PECOS PAC ID: 5395878722 Enrollment ID: I20150901003452 |
| Provider Name | Wenhong Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659637460 PECOS PAC ID: 9436465556 Enrollment ID: I20150903000366 |
| Provider Name | Arunava Paul |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1003077702 PECOS PAC ID: 0547316218 Enrollment ID: I20150930002240 |
| Provider Name | Elizabeth Rose Cochran Ward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720344468 PECOS PAC ID: 5890003313 Enrollment ID: I20151002002081 |
| Provider Name | Linda Shasti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558627216 PECOS PAC ID: 0042529745 Enrollment ID: I20151020002475 |
| Provider Name | Jon C Porciuncula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376714634 PECOS PAC ID: 3072792464 Enrollment ID: I20151027000978 |
| Provider Name | Nigussie Alemu Geleta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194088302 PECOS PAC ID: 4385959725 Enrollment ID: I20151030001869 |
| Provider Name | Christina M Jackson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457646465 PECOS PAC ID: 7810213394 Enrollment ID: I20160121002762 |
| Provider Name | Jeffrey Winebrenner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184695629 PECOS PAC ID: 2163668757 Enrollment ID: I20160426002103 |
| Provider Name | Shalendra K Varma |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912991746 PECOS PAC ID: 1355326190 Enrollment ID: I20160715001535 |
| Provider Name | Beatrice Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750639605 PECOS PAC ID: 5799007845 Enrollment ID: I20160809001447 |
| Provider Name | Vinay Gidwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295078491 PECOS PAC ID: 8123328580 Enrollment ID: I20160825001618 |
| Provider Name | Ruchita Simoes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861832453 PECOS PAC ID: 6002102985 Enrollment ID: I20160831002490 |
| Provider Name | Afreeda Hashmi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386085942 PECOS PAC ID: 8426281882 Enrollment ID: I20160907000678 |
| Provider Name | Rahul Sindhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841635646 PECOS PAC ID: 5092001354 Enrollment ID: I20160913000786 |
| Provider Name | Renee L Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861945164 PECOS PAC ID: 3173810637 Enrollment ID: I20160927001310 |
| Provider Name | Tammis Nadine Seipel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962454603 PECOS PAC ID: 9931196458 Enrollment ID: I20160930000524 |
| Provider Name | Joshua L Durham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689898819 PECOS PAC ID: 2062698848 Enrollment ID: I20161011002204 |
| Provider Name | Erin Schexanyder Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316958176 PECOS PAC ID: 3476841131 Enrollment ID: I20161012001279 |
| Provider Name | Janine M Frank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164495800 PECOS PAC ID: 8527182864 Enrollment ID: I20161012001730 |
| Provider Name | Ryan Allen Lusk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487099701 PECOS PAC ID: 6709196470 Enrollment ID: I20161012002152 |
| Provider Name | Vaishnavi Challapalli Sri |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1366799785 PECOS PAC ID: 8729388814 Enrollment ID: I20161028000582 |
| Provider Name | Deneishia Fisher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891878914 PECOS PAC ID: 4385708668 Enrollment ID: I20161123000905 |
| Provider Name | Tracy Thompson Thompson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770566481 PECOS PAC ID: 8426297904 Enrollment ID: I20170103001216 |
| Provider Name | Usman Ghani Piracha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245548841 PECOS PAC ID: 2961640941 Enrollment ID: I20170516001911 |
| Provider Name | Caitlin T Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437690153 PECOS PAC ID: 3072880160 Enrollment ID: I20170519001850 |
| Provider Name | Dana Edwards Stallings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770021545 PECOS PAC ID: 5799052809 Enrollment ID: I20170522000133 |
| Provider Name | Lisa Tisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144753088 PECOS PAC ID: 5092083923 Enrollment ID: I20170619002255 |
| Provider Name | Rebecca A Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427596568 PECOS PAC ID: 2163792953 Enrollment ID: I20170727001473 |
| Provider Name | Rebecca M Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639610512 PECOS PAC ID: 1254601917 Enrollment ID: I20170728000419 |
| Provider Name | Amy Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174051148 PECOS PAC ID: 1254602899 Enrollment ID: I20170801001077 |
| Provider Name | Rupali Yakhmi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386059285 PECOS PAC ID: 4385954809 Enrollment ID: I20170802000407 |
| Provider Name | Scott Carrington |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366885485 PECOS PAC ID: 2466743588 Enrollment ID: I20170828002551 |
| Provider Name | Tamira Pillay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588078059 PECOS PAC ID: 8224301890 Enrollment ID: I20170901000473 |
| Provider Name | Van T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932511441 PECOS PAC ID: 3375762230 Enrollment ID: I20170905002312 |
| Provider Name | Nicholas Litwin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679993711 PECOS PAC ID: 6406157874 Enrollment ID: I20170912000702 |
| Provider Name | Kathleen P Brewington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629592654 PECOS PAC ID: 5799059614 Enrollment ID: I20170915002073 |
| Provider Name | Mit P Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245659648 PECOS PAC ID: 3779893284 Enrollment ID: I20171010003277 |
| Provider Name | Gregory James Wcisel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033125927 PECOS PAC ID: 9537295985 Enrollment ID: I20171016001015 |
| Provider Name | Joel O Anyiwo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952720096 PECOS PAC ID: 2163722620 Enrollment ID: I20171016002879 |
| Provider Name | Tharini Gunapalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558776427 PECOS PAC ID: 0840500286 Enrollment ID: I20171016003361 |
| Provider Name | Allison Clare Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568985265 PECOS PAC ID: 1658637889 Enrollment ID: I20171103002176 |
| Provider Name | Stephanie M Sims |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396906244 PECOS PAC ID: 6608013438 Enrollment ID: I20171115003376 |
| Provider Name | Maral C Gazarian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477966885 PECOS PAC ID: 6002133691 Enrollment ID: I20171121001972 |
| Provider Name | Sajuma Bhaju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043420557 PECOS PAC ID: 8426197567 Enrollment ID: I20171128002227 |
| Provider Name | Vickie L Doscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932442522 PECOS PAC ID: 1254690910 Enrollment ID: I20180125002877 |
| Provider Name | Catherine M Tillery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750894945 PECOS PAC ID: 6901166487 Enrollment ID: I20180131002247 |
| Provider Name | Medha Joshi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174838916 PECOS PAC ID: 8426206822 Enrollment ID: I20180205000386 |
| Provider Name | Joseph A Camarato |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306107883 PECOS PAC ID: 7810139896 Enrollment ID: I20180226000293 |
| Provider Name | Trinia S Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598269599 PECOS PAC ID: 6204190168 Enrollment ID: I20180502000048 |
| Provider Name | Tayoh J Valdez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861900490 PECOS PAC ID: 9234494170 Enrollment ID: I20180524002302 |
| Provider Name | Millicent E Pyka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770070195 PECOS PAC ID: 9335494624 Enrollment ID: I20180608000567 |
| Provider Name | Mirza Baig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578586236 PECOS PAC ID: 3072595743 Enrollment ID: I20180613001935 |
| Provider Name | David James Krause |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962450684 PECOS PAC ID: 7911125778 Enrollment ID: I20180627002487 |
| Provider Name | Yan Liu |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1134446172 PECOS PAC ID: 7719112986 Enrollment ID: I20180629000582 |
| Provider Name | Lindsay P Houghton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881188183 PECOS PAC ID: 3375891575 Enrollment ID: I20180803002089 |
| Provider Name | Samantha M Brand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437545340 PECOS PAC ID: 8820302425 Enrollment ID: I20180809004290 |
| Provider Name | Krishna Thandra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942512777 PECOS PAC ID: 4284877127 Enrollment ID: I20180810002229 |
| Provider Name | Habtamu M Belete |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720220387 PECOS PAC ID: 6507012291 Enrollment ID: I20180813000162 |
| Provider Name | Afsane Haddad Mashad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053349498 PECOS PAC ID: 5799785432 Enrollment ID: I20180814001174 |
| Provider Name | Constancia Macatangay Geronilla |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1578881991 PECOS PAC ID: 2769732502 Enrollment ID: I20180829000993 |
| Provider Name | Emily Perdoncin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740574557 PECOS PAC ID: 1153631536 Enrollment ID: I20180831002394 |
| Provider Name | Ali Samin Ahmed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871988626 PECOS PAC ID: 2668772674 Enrollment ID: I20180910000038 |
| Provider Name | Palak Kachhadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003299389 PECOS PAC ID: 4284949306 Enrollment ID: I20180911000184 |
| Provider Name | Maureen Cherop Serem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093101636 PECOS PAC ID: 2264732718 Enrollment ID: I20180911003441 |
| Provider Name | Regina C Lee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164710083 PECOS PAC ID: 1951652759 Enrollment ID: I20180918001631 |
| Provider Name | Devin Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629463443 PECOS PAC ID: 3779898796 Enrollment ID: I20180918002540 |
| Provider Name | Zahra Rehman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386025575 PECOS PAC ID: 4587964044 Enrollment ID: I20180926001273 |
| Provider Name | Nikhila Nagavelli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326428384 PECOS PAC ID: 8224389218 Enrollment ID: I20181002001340 |
| Provider Name | Jodi Ann Newcombe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114339611 PECOS PAC ID: 1658671631 Enrollment ID: I20181009003128 |
| Provider Name | Stephanie L Espino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821484445 PECOS PAC ID: 7517271133 Enrollment ID: I20181016002858 |
| Provider Name | Shruti Deopujari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831516863 PECOS PAC ID: 5092025916 Enrollment ID: I20181020000690 |
| Provider Name | Saurabhkumar Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396185419 PECOS PAC ID: 0749572279 Enrollment ID: I20181107001048 |
| Provider Name | Khyati A Talati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134534167 PECOS PAC ID: 6406071273 Enrollment ID: I20181128001991 |
| Provider Name | Vibeke B Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093281057 PECOS PAC ID: 1951646223 Enrollment ID: I20181214002872 |
| Provider Name | Yiling P Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477579241 PECOS PAC ID: 0143390542 Enrollment ID: I20190122000452 |
| Provider Name | Anne L Hutchinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821484783 PECOS PAC ID: 8123332764 Enrollment ID: I20190123003439 |
| Provider Name | Anuradha Satyavolu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114171170 PECOS PAC ID: 8729148739 Enrollment ID: I20190124003523 |
| Provider Name | Lisa Q Feng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679504104 PECOS PAC ID: 1658410790 Enrollment ID: I20190213000748 |
| Provider Name | Sonya Woronowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205391166 PECOS PAC ID: 6406195874 Enrollment ID: I20190301000027 |
| Provider Name | Michael Joseph Kavanaugh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487786869 PECOS PAC ID: 3577715432 Enrollment ID: I20190306003025 |
| Provider Name | Paul R Moncla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477533065 PECOS PAC ID: 3870522055 Enrollment ID: I20190404000241 |
| Provider Name | Janice W Woodard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568480101 PECOS PAC ID: 6800137654 Enrollment ID: I20190404002657 |
| Provider Name | Rachel Renee Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841758182 PECOS PAC ID: 9335480045 Enrollment ID: I20190408000056 |
| Provider Name | Ryan M Zaleski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902193782 PECOS PAC ID: 8123369857 Enrollment ID: I20190408000585 |
| Provider Name | Demetria L Yarbrough |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134375488 PECOS PAC ID: 8123171485 Enrollment ID: I20190408002105 |
| Provider Name | Melissa M Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326515925 PECOS PAC ID: 9335481662 Enrollment ID: I20190507000175 |
| Provider Name | Kiran Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568816999 PECOS PAC ID: 4880928332 Enrollment ID: I20190703000490 |
| Provider Name | Clay Justin Legros |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417375031 PECOS PAC ID: 7315166642 Enrollment ID: I20190725001699 |
| Provider Name | Amer Aldamouk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083060404 PECOS PAC ID: 9739415076 Enrollment ID: I20190726001978 |
| Provider Name | Brianna Carolyn Jo Ramseur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548760556 PECOS PAC ID: 8628333010 Enrollment ID: I20190726002283 |
| Provider Name | Uma Senthilkumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528455920 PECOS PAC ID: 5799014395 Enrollment ID: I20190906002374 |
| Provider Name | Amit Arbune |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487902961 PECOS PAC ID: 1052611407 Enrollment ID: I20190909002099 |
| Provider Name | Sally G Tamayo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013082163 PECOS PAC ID: 5294817433 Enrollment ID: I20190918001266 |
| Provider Name | Abdul Hanan Cheema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326246349 PECOS PAC ID: 2668567967 Enrollment ID: I20190923000407 |
| Provider Name | Paris Ethan Pacheco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629422423 PECOS PAC ID: 3577800911 Enrollment ID: I20191014000499 |
| Provider Name | Cesar M. Plazas-guzman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720407851 PECOS PAC ID: 5294959391 Enrollment ID: I20191016000755 |
| Provider Name | Shannon Cantrice Thain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902386782 PECOS PAC ID: 2961734108 Enrollment ID: I20191021003509 |
| Provider Name | Laura J Mcgath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770583791 PECOS PAC ID: 9931431095 Enrollment ID: I20191023001570 |
| Provider Name | Laurie J Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568928398 PECOS PAC ID: 3173855103 Enrollment ID: I20191024001623 |
| Provider Name | Deloris Council |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629633524 PECOS PAC ID: 9638501760 Enrollment ID: I20191112000701 |
| Provider Name | Adam Charles Sischy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588868129 PECOS PAC ID: 2062707011 Enrollment ID: I20191113002909 |
| Provider Name | Bradley Arin Restivo |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1245789916 PECOS PAC ID: 7517245475 Enrollment ID: I20191126001097 |
| Provider Name | Mari Dugassa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295140127 PECOS PAC ID: 3971800673 Enrollment ID: I20191127001076 |
| Provider Name | Brittney N White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801439021 PECOS PAC ID: 3173956760 Enrollment ID: I20200108000799 |
| Provider Name | Kimberly Skelding |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225086416 PECOS PAC ID: 3678562667 Enrollment ID: I20200128000753 |
| Provider Name | Daniel F Seidensticker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730262213 PECOS PAC ID: 1254769052 Enrollment ID: I20200310000030 |
| Provider Name | Samuel Saleeb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750341574 PECOS PAC ID: 1951202548 Enrollment ID: I20200311001743 |
| Provider Name | Qamar Ahmad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710369749 PECOS PAC ID: 0345597035 Enrollment ID: I20200406000569 |
| Provider Name | John Chin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598002115 PECOS PAC ID: 3072883016 Enrollment ID: I20200506000974 |
| Provider Name | Laura Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093350472 PECOS PAC ID: 9638590706 Enrollment ID: I20200527001795 |
| Provider Name | Heather D Eley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285883306 PECOS PAC ID: 4183045990 Enrollment ID: I20200603002276 |
| Provider Name | Amjad Minhas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568982155 PECOS PAC ID: 6608148853 Enrollment ID: I20200603002962 |
| Provider Name | Muhammad Shahid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700273794 PECOS PAC ID: 6901227586 Enrollment ID: I20200608001152 |
| Provider Name | Sameerah Rehmani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245750538 PECOS PAC ID: 3870865926 Enrollment ID: I20200617003168 |
| Provider Name | Abhishek Agarwal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417365438 PECOS PAC ID: 4284056318 Enrollment ID: I20200618002650 |
| Provider Name | Olivia Mann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316470305 PECOS PAC ID: 7719309723 Enrollment ID: I20200622000345 |
| Provider Name | Aamir Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912428764 PECOS PAC ID: 7214207505 Enrollment ID: I20200708003588 |
| Provider Name | Anjali Bhateja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285924126 PECOS PAC ID: 8426345901 Enrollment ID: I20200710001694 |
| Provider Name | Navin Victor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972899268 PECOS PAC ID: 0547410433 Enrollment ID: I20200710003155 |
| Provider Name | Xuan H Valdez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396108197 PECOS PAC ID: 8729310685 Enrollment ID: I20200805000379 |
| Provider Name | David D Sun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942664891 PECOS PAC ID: 7517254931 Enrollment ID: I20200812001905 |
| Provider Name | Nana Sarpong Agyemang-mensah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487173050 PECOS PAC ID: 0244656692 Enrollment ID: I20200814001957 |
| Provider Name | Joseph Hamilton Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306365051 PECOS PAC ID: 1759707144 Enrollment ID: I20200817000417 |
| Provider Name | Khawaja H Baig |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346206778 PECOS PAC ID: 8325056336 Enrollment ID: I20200819001890 |
| Provider Name | Derwin Pearson Gray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659728335 PECOS PAC ID: 6507159134 Enrollment ID: I20200901000013 |
| Provider Name | Brian Bartholomew Hearn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770657587 PECOS PAC ID: 2668645813 Enrollment ID: I20200902001705 |
| Provider Name | Ashley Nicole Conroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144856758 PECOS PAC ID: 0446679575 Enrollment ID: I20200923001415 |
| Provider Name | Janice M Stout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578186581 PECOS PAC ID: 3870912512 Enrollment ID: I20200930001682 |
| Provider Name | Stephanie Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720616873 PECOS PAC ID: 0042621294 Enrollment ID: I20201119002625 |
| Provider Name | Angelo Ambridge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518582188 PECOS PAC ID: 7517378540 Enrollment ID: I20201124001256 |
| Provider Name | Timothy Joshua Donahue |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548467855 PECOS PAC ID: 1658679618 Enrollment ID: I20201130003089 |
| Provider Name | Wael Aljishi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316105489 PECOS PAC ID: 3274773239 Enrollment ID: I20210111000099 |
| Provider Name | Robert Mitchell Rothbart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265499479 PECOS PAC ID: 0547201212 Enrollment ID: I20210120001042 |
| Provider Name | Ivy Li Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205069317 PECOS PAC ID: 2163773441 Enrollment ID: I20210316002479 |
| Provider Name | Khaing Lin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538676283 PECOS PAC ID: 7012254063 Enrollment ID: I20210408000150 |
| Provider Name | Dalia Frasca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255917415 PECOS PAC ID: 0749698868 Enrollment ID: I20210409000013 |
| Provider Name | Charles Seth Wade |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184820003 PECOS PAC ID: 8628388998 Enrollment ID: I20210412001173 |
| Provider Name | Melissa Mather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760004790 PECOS PAC ID: 4587073507 Enrollment ID: I20210504001080 |
| Provider Name | Michelle Elaine Deanes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760071930 PECOS PAC ID: 5698175990 Enrollment ID: I20210608001722 |
| Provider Name | Tamara Ivanova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215491634 PECOS PAC ID: 7911240999 Enrollment ID: I20210610001418 |
| Provider Name | Laura M Galo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740717826 PECOS PAC ID: 8224308697 Enrollment ID: I20210614001778 |
| Provider Name | Bryan R Barbato |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376038182 PECOS PAC ID: 9537417639 Enrollment ID: I20210708002137 |
| Provider Name | Tiffany Nicole Phillips |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912434093 PECOS PAC ID: 5698044527 Enrollment ID: I20210708003243 |
| Provider Name | Julie W Frankel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104321132 PECOS PAC ID: 8022365865 Enrollment ID: I20210715003978 |
| Provider Name | Cassie D Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295115988 PECOS PAC ID: 8426346909 Enrollment ID: I20210720001375 |
| Provider Name | Jessica Elizabeth Bruno |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497252910 PECOS PAC ID: 5991108748 Enrollment ID: I20210730001864 |
| Provider Name | Hilina Gemeda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104314012 PECOS PAC ID: 2264779206 Enrollment ID: I20210813001855 |
| Provider Name | Shruti Vyas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164919627 PECOS PAC ID: 6002151206 Enrollment ID: I20210817003578 |
| Provider Name | Ameer H Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902118458 PECOS PAC ID: 3971896572 Enrollment ID: I20210826000503 |
| Provider Name | Prarthana D Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275771362 PECOS PAC ID: 4082760780 Enrollment ID: I20210903002499 |
| Provider Name | Emma L Musshorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265846331 PECOS PAC ID: 0941505366 Enrollment ID: I20210909000060 |
| Provider Name | Celestine O Maiki |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649278532 PECOS PAC ID: 9830164631 Enrollment ID: I20210916000887 |
| Provider Name | Salahadin Abubakar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205326014 PECOS PAC ID: 3678970993 Enrollment ID: I20210929000028 |
| Provider Name | Jamie Davis Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861167272 PECOS PAC ID: 9234528969 Enrollment ID: I20211117002761 |
| Provider Name | Takor Arrey-mbi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740522127 PECOS PAC ID: 2062737950 Enrollment ID: I20220121002476 |
| Provider Name | Haydar Al-eid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306133780 PECOS PAC ID: 4082996863 Enrollment ID: I20220211000838 |
| Provider Name | Michael Gregory Coulter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285105882 PECOS PAC ID: 8527451640 Enrollment ID: I20220211001249 |
| Provider Name | Maria Rosario Tiglao Foronda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770127409 PECOS PAC ID: 4789077694 Enrollment ID: I20220216001877 |
| Provider Name | Haley E Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972254118 PECOS PAC ID: 0446645725 Enrollment ID: I20220323002368 |
| Provider Name | Imdad Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053536219 PECOS PAC ID: 6305946344 Enrollment ID: I20220408001353 |
| Provider Name | Kelsey Mastin Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922501477 PECOS PAC ID: 4880081132 Enrollment ID: I20220505000423 |
| Provider Name | Leslie Michelle Robbins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255725271 PECOS PAC ID: 7214237650 Enrollment ID: I20220513000025 |
| Provider Name | Reema H Abughoush |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508427741 PECOS PAC ID: 1557699477 Enrollment ID: I20220519001900 |
| Provider Name | Cheng V Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578750519 PECOS PAC ID: 5092901439 Enrollment ID: I20220615002068 |
| Provider Name | Laura Christine Zielinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740865450 PECOS PAC ID: 2769861889 Enrollment ID: I20220621001693 |
| Provider Name | Ahmed Samim Ahmed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336660125 PECOS PAC ID: 9133509391 Enrollment ID: I20220706000128 |
| Provider Name | Edith J Heine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376136887 PECOS PAC ID: 6406236553 Enrollment ID: I20220706003741 |
| Provider Name | Leahdon Lynn Staples |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770688665 PECOS PAC ID: 3678675493 Enrollment ID: I20220708000680 |
| Provider Name | Jason Glen Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952040164 PECOS PAC ID: 6103207964 Enrollment ID: I20220726000275 |
| Provider Name | Ishraq K Kabir |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881056331 PECOS PAC ID: 6507158441 Enrollment ID: I20220809003890 |
| Provider Name | Gregory Dean Bentz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558867093 PECOS PAC ID: 5698158053 Enrollment ID: I20220817002078 |
| Provider Name | Paul Obeng-okyere |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033504170 PECOS PAC ID: 9234442500 Enrollment ID: I20220908000157 |
| Provider Name | Perounsack X Moon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043770241 PECOS PAC ID: 0547599664 Enrollment ID: I20220928003071 |
| Provider Name | Shekhar S Patil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871007344 PECOS PAC ID: 5698033413 Enrollment ID: I20221003002410 |
| Provider Name | Stephen Israel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669190377 PECOS PAC ID: 7719363175 Enrollment ID: I20221007002646 |
| Provider Name | Sylvester Luu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730542853 PECOS PAC ID: 1951652585 Enrollment ID: I20221012003827 |
| Provider Name | Jean Khara G Casillan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629522172 PECOS PAC ID: 8224323571 Enrollment ID: I20221014002912 |
| Provider Name | Barbara N Saber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679967350 PECOS PAC ID: 6002284577 Enrollment ID: I20221115002160 |
| Provider Name | Yahaira L Tarrats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588024038 PECOS PAC ID: 7315315694 Enrollment ID: I20221117000191 |
| Provider Name | Zozan A Al Saadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255569943 PECOS PAC ID: 8527214162 Enrollment ID: I20221128000804 |
| Provider Name | Gagan Deep Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447626445 PECOS PAC ID: 4183925142 Enrollment ID: I20221207001817 |
| Provider Name | Shannon M Husted |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689246670 PECOS PAC ID: 0244600294 Enrollment ID: I20230109000388 |
| Provider Name | Stephanie H Garris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639625643 PECOS PAC ID: 2769763945 Enrollment ID: I20230111000499 |
| Provider Name | Kimberly N Clovis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144931536 PECOS PAC ID: 3678943420 Enrollment ID: I20230112000602 |
| Provider Name | Emily Nobles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659871713 PECOS PAC ID: 5193196111 Enrollment ID: I20230130000841 |
| Provider Name | Michael John Luca |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720344534 PECOS PAC ID: 5193011369 Enrollment ID: I20230321001570 |
| Provider Name | Nathaniel John Irvine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457713117 PECOS PAC ID: 7113310103 Enrollment ID: I20230331002661 |
| Provider Name | John Frandina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821550872 PECOS PAC ID: 2466787619 Enrollment ID: I20230406001787 |
| Provider Name | Lindsey Lockwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083324164 PECOS PAC ID: 8820463359 Enrollment ID: I20230413002757 |
| Provider Name | Ellysse Huston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609574441 PECOS PAC ID: 9931564317 Enrollment ID: I20230509000605 |
| Provider Name | Rebecca S Hartneck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295430650 PECOS PAC ID: 1052777935 Enrollment ID: I20230518002640 |
| Provider Name | Shirui Chen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942732250 PECOS PAC ID: 7517238132 Enrollment ID: I20230601000427 |
| Provider Name | Areeba Zain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184245615 PECOS PAC ID: 5395168140 Enrollment ID: I20230606000995 |
| Provider Name | Akshay Chaudhari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033710926 PECOS PAC ID: 1658730940 Enrollment ID: I20230705001393 |
| Provider Name | Shweta Bhagvanbhai Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124629019 PECOS PAC ID: 9537528872 Enrollment ID: I20230705003614 |
| Provider Name | Stephen Jurko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184187593 PECOS PAC ID: 2860728599 Enrollment ID: I20230707002553 |
| Provider Name | Deon Oliver Ford |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871918292 PECOS PAC ID: 0840515821 Enrollment ID: I20230711003248 |
| Provider Name | Carina Iskandir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982056313 PECOS PAC ID: 1355680166 Enrollment ID: I20230720003299 |
| Provider Name | Mark T Vaughan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073176673 PECOS PAC ID: 8224367669 Enrollment ID: I20230724002946 |
| Provider Name | Addisu Firew Guadie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568090926 PECOS PAC ID: 7911368857 Enrollment ID: I20230725003047 |
| Provider Name | Walter L Battin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912533068 PECOS PAC ID: 0648694810 Enrollment ID: I20230727000660 |
| Provider Name | Rahbekah Tran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740977909 PECOS PAC ID: 2567823180 Enrollment ID: I20230731000314 |
| Provider Name | Kara Katherine Goddard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891171658 PECOS PAC ID: 9335458694 Enrollment ID: I20230809000292 |
| Provider Name | Tyler L Church |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023464591 PECOS PAC ID: 1254761687 Enrollment ID: I20230817003082 |
| Provider Name | Maria Gabriela Suarez Lopez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154730869 PECOS PAC ID: 9335448307 Enrollment ID: I20230905003019 |
| Provider Name | Cierra M Elseroad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851072854 PECOS PAC ID: 4587018981 Enrollment ID: I20231003001880 |
| Provider Name | John S Battin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952937096 PECOS PAC ID: 7315361516 Enrollment ID: I20231004001417 |
| Provider Name | Caleb B Hudspath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891143053 PECOS PAC ID: 7618221102 Enrollment ID: I20231004002472 |
| Provider Name | Sherese Latasha Bunkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386161594 PECOS PAC ID: 5991150153 Enrollment ID: I20231009003183 |
| Provider Name | Vincent G Yang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326545591 PECOS PAC ID: 3072861046 Enrollment ID: I20231012001946 |
| Provider Name | Justin Siegel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033615257 PECOS PAC ID: 3971958406 Enrollment ID: I20231018001633 |
| Provider Name | Kirstie Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386344075 PECOS PAC ID: 0244686749 Enrollment ID: I20231019000796 |
| Provider Name | Aprille Joy Singson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013780766 PECOS PAC ID: 4183071376 Enrollment ID: I20231109001341 |
| Provider Name | Rebecca M Seifried |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164742250 PECOS PAC ID: 6406094556 Enrollment ID: I20231110002449 |
| Provider Name | Amanda M Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124717640 PECOS PAC ID: 5597122077 Enrollment ID: I20231115003794 |
| Provider Name | Meredith Lutz Olsen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316366750 PECOS PAC ID: 4486903549 Enrollment ID: I20231205000107 |
| Provider Name | Ricardo Antonio Rodriguez Mejia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508241431 PECOS PAC ID: 7012268303 Enrollment ID: I20231206004271 |
| Provider Name | Aaron S Provisor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760709562 PECOS PAC ID: 4981847357 Enrollment ID: I20231214001184 |
| Provider Name | William George Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760481717 PECOS PAC ID: 8224026323 Enrollment ID: I20240124001213 |
| Provider Name | Mohsin Chowdhury |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407267925 PECOS PAC ID: 9830418136 Enrollment ID: I20240322004161 |
| Provider Name | Sophia Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558130104 PECOS PAC ID: 2961840004 Enrollment ID: I20240409001018 |
| Provider Name | Nikunj A Bhatt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720307564 PECOS PAC ID: 4688813199 Enrollment ID: I20240430003048 |
Orthovirginia Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 667 Kingsborough Square, Suite 300, Chesapeake, VA 23320 Phone: 757-422-8476 Fax: 804-435-2172 | |
Convenient Care Of Tidewater Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Gainsborough Sq, Suite 103, Chesapeake, VA 23320 Phone: 757-549-0222 | |
Sentara Family Medicine Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 633 Battlefield Blvd S, Suite 300, Chesapeake, VA 23322 Phone: 757-233-4700 Fax: 757-233-4716 | |
Ultimate Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1437 Sams Dr Ste 122, Chesapeake, VA 23320 Phone: 757-549-3668 | |
Deep Creek Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2605 Moses Grandy Trl, Suite D, Chesapeake, VA 23323 Phone: 757-485-3600 Fax: 757-485-9458 | |
Patient First - Battlefield Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 705 N. Battlefield Blvd, Chesapeake, VA 23320 Phone: 757-547-0688 | |
Primecare Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 676 Independence Pkwy Ste 110, Chesapeake, VA 23320 Phone: 757-372-4407 |